Efficacy of Probiotic Consortium Transplantation on Experimental Necrotizing Enterocolitis

Bing Tian1, Yunfei Zhang2, Chun Deng3

  • 1Ministry of Education Key Laboratory of Child Development and Disorders, Children's Hospital, Chongqing Medical University, Chongqing, China; Department of Pediatrics, Yongchuan Hospital of Chongqing Medical University, Chongqin, China.

Abstract

Insights

Fecal microbiota transplantation (FMT) and probiotic consortium transplantation (PCT) both protect against intestinal injury in neonatal necrotizing enterocolitis (NEC). While FMT shows slightly greater efficacy in modulating oxidative stress, PCT offers advantages in standardization for pediatric use.

Area of Science:

  • Microbiology
  • Neonatal Research
  • Gastroenterology

Background:

  • Neonatal necrotizing enterocolitis (NEC) is a severe intestinal condition in newborns.
  • Fecal microbiota transplantation (FMT) shows therapeutic potential but carries safety concerns for neonates.
  • Probiotic consortium transplantation (PCT) is considered safer, but its efficacy compared to FMT in NEC is unestablished.

Purpose of the Study:

  • To compare the effects of FMT and PCT on oxidative stress in a neonatal mouse model of NEC.
  • To provide evidence for optimizing therapeutic strategies for NEC.
  • To evaluate the impact of FMT and PCT on intestinal injury, barrier function, and inflammation.

Main Methods:

  • A neonatal mouse model of NEC was established.
  • Mice were assigned to four groups: control, NEC, NEC + PCT (Lactobacillus reuteri and Bifidobacterium infantis), and NEC + FMT.
  • Intestinal injury, oxidative stress markers, barrier function, and inflammatory cytokines were analyzed.

Main Results:

  • Both FMT and PCT demonstrated protective effects against intestinal injury in NEC.
  • FMT showed a trend towards more effective modulation of intestinal oxidative stress compared to PCT, though the difference was not statistically significant.
  • Therapeutic benefits were linked to improved antioxidant capacity, mucus layer integrity, reduced inflammation, and enhanced intestinal barrier function.

Conclusions:

  • Intestinal dysbiosis contributes to NEC pathogenesis via oxidative stress, inflammation, and compromised mucosal integrity.
  • While FMT may offer superior oxidative stress regulation, PCT presents a potentially more practical and adaptable option for pediatric NEC treatment due to standardization possibilities.
  • Further research is needed to optimize PCT for clinical application in neonatal NEC.

Related Concept Videos