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Published on: July 28, 2023
Neonatal intestinal dysbiosis
Mark A Underwood1, Sagori Mukhopadhyay2, Satyan Lakshminrusimha3
1Department of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA. munderwood@ucdavis.edu.
Insights
The neonatal gut microbiome develops rapidly after birth, influenced by various factors. Early-life intestinal dysbiosis, an imbalance in gut bacteria, may impact infant health and increase future disease risk.
Area of Science:
- Microbiology
- Neonatal Health
- Gastroenterology
Background:
- The neonatal intestinal tract's initial microbial colonization is shaped by delivery mode, feeding practices, maternal microbiota, and environmental exposures.
- Infant gut microbiota composition undergoes dynamic changes post-birth, progressing towards a stable, adult-like state during childhood.
- Intestinal dysbiosis, an altered microbial state, is frequently observed in neonates and linked to disease.
Purpose of the Study:
- To summarize the factors influencing neonatal gut microbiome development.
- To highlight the prevalence and potential health implications of early-life intestinal dysbiosis.
Main Methods:
- Review of existing literature on neonatal microbiota.
- Analysis of factors affecting microbial colonization and maturation.
- Assessment of the association between neonatal dysbiosis and health outcomes.
Main Results:
- Delivery mode, feeding, maternal microbiota, and environment are key determinants of initial neonatal gut colonization.
- Significant microbial shifts occur in early infancy, leading to a more mature gut ecosystem.
- While consequences are not fully elucidated, neonatal dysbiosis is circumstantially linked to acute infant health issues and later disease susceptibility.
Conclusions:
- Early-life intestinal dysbiosis in neonates is a significant concern with potential long-term health consequences.
- Further research is needed to confirm causality and understand the full impact of neonatal gut microbiome alterations on infant health and disease risk.
Abstract:
The initial colonization of the neonatal intestinal tract is influenced by delivery mode, feeding, the maternal microbiota, and a host of environmental factors. After birth, the composition of the infant's microbiota undergoes a series of significant changes particularly in the first weeks and months of life ultimately developing into a more stable and diverse adult-like population in childhood. Intestinal dysbiosis is an alteration in the intestinal microbiota associated with disease and appears to be common in neonates. The consequences of intestinal dysbiosis are uncertain, but strong circumstantial evidence and limited confirmations of causality suggest that dysbiosis early in life can influence the health of the infant acutely, as well as contribute to disease susceptibility later in life.
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