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Updated: Oct 8, 2025

Probiotic Studies in Neonatal Mice Using Gavage
Published on: January 27, 2019
Clinical implications of preterm infant gut microbiome development
David B Healy1,2, C Anthony Ryan3,4, R Paul Ross3
1APC Microbiome Ireland, University College Cork, Cork, Ireland. david.healy@ucc.ie.
Insights
Altered infant gut microbiomes impact development and disease risk. This study compares gut microbiome assembly in preterm and term infants, highlighting clinical implications and future interventions for preterm babies.
Area of Science:
- Microbiology
- Neonatal Health
- Developmental Biology
Background:
- The infant gut microbiome is crucial for development and health.
- Altered gut microbiota assembly increases risks for immune and metabolic diseases.
- Most research focuses on full-term infants, neglecting preterm infants' unique microbiome-organ interactions.
Purpose of the Study:
- To compare intestinal microbiome assembly in preterm and term infants.
- To highlight the clinical implications of gut microbiome composition in preterm infants.
- To discuss prospects for microbiome diagnostics and interventions in preterm neonates.
Main Methods:
- Comparative analysis of intestinal microbiome assembly.
- Focus on very preterm infants (born earlier than 32 weeks gestation).
- Review of clinical implications and potential interventions.
Main Results:
- Significant differences exist in gut microbiome assembly between preterm and term infants.
- Preterm infants face unique microbiome-related health challenges due to physiological immaturity.
- Mechanisms of microbiome-organ interactions in preterm infants require further elucidation.
Conclusions:
- Understanding preterm infant gut microbiome assembly is critical for their health outcomes.
- Microbiome diagnostics and targeted interventions hold promise for improving preterm infant health.
- Further research is needed to fully understand and address microbiome-organ interactions in this vulnerable population.
Abstract:
Perturbations to the infant gut microbiome during the first weeks to months of life affect growth, development and health. In particular, assembly of an altered intestinal microbiota during infant development results in an increased risk of immune and metabolic diseases that can persist into childhood and potentially into adulthood. Most research into gut microbiome development has focused on full-term babies, but health-related outcomes are also important for preterm babies. The systemic physiological immaturity of very preterm gestation babies (born earlier than 32 weeks gestation) results in numerous other microbiome-organ interactions, the mechanisms of which have yet to be fully elucidated or in some cases even considered. In this Perspective, we compare assembly of the intestinal microbiome in preterm and term infants. We focus in particular on the clinical implications of preterm infant gut microbiome composition and discuss the prospects for microbiome diagnostics and interventions to improve the health of preterm babies.
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