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Updated: Nov 20, 2025

A Method for Targeted 16S Sequencing of Human Milk Samples
Published on: March 23, 2018
Metagenomic insights of the infant microbiome community structure and function across multiple sites in the United
Giorgio Casaburi1, Rebbeca M Duar2, Heather Brown2
1Evolve BioSystems, Inc., Davis, CA, 95618, USA. giorgiocasaburi@gmail.com.
Insights
The US infant gut microbiome shows widespread dysbiosis, with harmful bacteria and reduced beneficial Bifidobacterium. Many infants lack the gut bacteria needed to digest human milk oligosaccharides (HMOs).
Area of Science:
- Microbiology
- Infant Health
- Gut Microbiome Research
Background:
- The infant gut microbiome is crucial for immune development and pathogen protection.
- Limited data exists on the healthy US infant gut microbiome's status.
- Early life gut microbial colonization impacts long-term health.
Purpose of the Study:
- To assess the composition and functional capacity of the US healthy infant gut microbiome.
- To identify potential factors contributing to infant gut dysbiosis.
- To investigate the abundance and metabolic capabilities of Bifidobacterium species.
Main Methods:
- Multi-state metagenomic survey of infant gut microbial communities.
- Analysis of bacterial composition, antibiotic resistance genes, and functional gene capacity.
- Assessment of Bifidobacterium species and their ability to metabolize human milk oligosaccharides (HMOs).
Main Results:
- High prevalence of bacteria linked to enteric inflammation (e.g., Escherichia, Klebsiella).
- Widespread antibiotic resistance genes detected across samples.
- Reduced abundance of Bifidobacterium, with limited HMO-metabolizing capacity in identified species.
- Exceptionally rare detection of Bifidobacterium infantis strains capable of complete HMO utilization.
Conclusions:
- A widespread dysbiosis exists in the contemporary US infant gut microbiome.
- The findings indicate a potential deficit in the infant's ability to utilize crucial nutrients from human milk.
- This dysbiosis may have implications for immune system development and overall infant health.
Abstract:
The gut microbiome plays an important role in early life, protecting newborns from enteric pathogens, promoting immune system development and providing key functions to the infant host. Currently, there are limited data to broadly assess the status of the US healthy infant gut microbiome. To address this gap, we performed a multi-state metagenomic survey and found high levels of bacteria associated with enteric inflammation (e.g. Escherichia, Klebsiella), antibiotic resistance genes, and signatures of dysbiosis, independent of location, age, and diet. Bifidobacterium were less abundant than generally expected and the species identified, including B. breve, B. longum and B. bifidum, had limited genetic capacity to metabolize human milk oligosaccharides (HMOs), while B. infantis strains with a complete capacity for HMOs utilization were found to be exceptionally rare. Considering microbiome composition and functional capacity, this survey revealed a previously unappreciated dysbiosis that is widespread in the contemporary US infant gut microbiome.
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