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Updated: Sep 21, 2025

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Published on: January 27, 2019
Development of gut microbiota during the first 2 years of life
Mona-Lisa Wernroth1,2, Sari Peura1,3,4,5, Anna M Hedman6
1Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, EpiHubben, MTC-huset, 751 85, Uppsala, Sweden.
Insights
Early life gut microbiota in infants shows low diversity but converges towards adult-like composition by age two. Mode of delivery influences early gut microbiota, with effects diminishing over time.
Area of Science:
- Microbiology
- Immunology
- Pediatrics
Background:
- Childhood microbiota development is linked to chronic immune conditions.
- Early life determinants of infant microbiota remain incompletely understood.
Purpose of the Study:
- To characterize the development of gut and oral microbiota in infants during the first two years of life.
- To investigate early childhood determinants of microbiota composition.
Main Methods:
- 16S rRNA sequencing was used to analyze fecal and saliva samples.
- Samples were collected from 83 children and their mothers at four time points over two years.
Main Results:
- Infant gut microbiota exhibit low diversity, sharing some characteristics with oral microbiota.
- A significant convergence towards adult-like microbiota composition occurred within the first two years.
- Mode of delivery influenced early microbiota variation, but this effect lessened over time.
Conclusions:
- The first two years of life represent a critical period for gut microbiota maturation.
- Understanding early microbiota development is crucial for preventing immune-related conditions.
Abstract:
Although development of microbiota in childhood has been linked to chronic immune-related conditions, early childhood determinants of microbiota development have not been fully elucidated. We used 16S rRNA sequencing to analyse faecal and saliva samples from 83 children at four time-points during their first 2 years of life and from their mothers. Our findings confirm that gut microbiota in infants have low diversity and highlight that some properties are shared with the oral microbiota, although inter-individual differences are present. A considerable convergence in gut microbiota composition was noted across the first 2 years of life, towards a more diverse adult-like microbiota. Mode of delivery accounted for some of the inter-individual variation in early childhood, but with a pronounced attenuation over time. Our study extends previous research with further characterization of the major shift in gut microbiota composition during the first 2 years of life.
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