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Updated: Jun 7, 2025

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Natal factors influencing newborn's oral microbiome diversity
Yoon-Hee Kim1, Tae Yang Lee2,3, Hyun-Yi Kim4
1Department of Pediatric Dentistry, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seoul, 03722, Republic of Korea.
Insights
The neonatal oral microbiome is shaped by maternal transmission and birth factors. Preterm birth significantly reduces oral microbiome diversity, increasing pathogen presence in newborns.
Area of Science:
- Microbiology
- Neonatal Health
- Immunology
Background:
- The early-life microbiome is critical for infant immune system development and physiological functions.
- Understanding factors influencing the neonatal oral microbiome is essential for infant health.
- Mother-to-newborn microbial transmission plays a key role in establishing the infant microbiome.
Purpose of the Study:
- To investigate factors affecting neonatal oral microbiome diversity.
- To explore mother-to-newborn microbial transmission routes.
- To identify specific natal factors influencing oral microbiome composition.
Main Methods:
- Analysis of prospective and retrospective cohorts of mothers and neonates.
- Culture-based methods for analyzing maternal cervical and neonatal gastric, bronchial, and oral samples.
- 16S rRNA gene sequencing for detailed neonatal oral microbiome characterization.
Main Results:
- Similar microbial genera found across neonatal gastric, bronchial, and oral sites.
- Neonatal gastric microbiota showed similarity to maternal cervical microbiota.
- Birth type, delivery mode, maternal conditions, and microbial presence at other sites influenced oral microbiome diversity.
- Preterm neonates displayed reduced oral microbiome diversity with increased pathogens.
Conclusions:
- Neonatal oral microbiome development is influenced by maternal transmission and various natal factors.
- Birth type, particularly preterm birth, is a significant determinant of oral microbiome diversity.
- Findings provide a baseline for studying preterm neonates' oral microbiota and associated health outcomes.
Abstract:
The early microbiota of neonates is crucial for developing the postnatal immune system and establishing normal physiological, metabolic, and neurological functions. This study aimed to investigate the factors influencing the diversity of the neonatal oral microbiome, including mother-to-newborn microbial transmission. The study includes a prospective cohort comprising 73 mothers and 87 neonates and a retrospective cohort comprising 991 mothers and 1,121 neonates. Samples from the maternal cervix and neonatal gastric, bronchial, and oral cavities were analyzed using culture-based methods. Neonatal oral swab samples were also analyzed using 16S rRNA gene sequencing to characterize microbial diversity and composition. Similar genera were detected in the neonatal gastric, bronchial, and oral samples, and the neonatal gastric culture was the most similar to the maternal cervical culture. In addition to mother-to-newborn microbial transmission, various natal factors including birth type, birth weight, delivery mode, maternal chorioamnionitis, maternal diabetes and the presence of microbes in other sites influenced neonatal oral microbiome diversity. Among these factors, the birth type was the most significant, and preterm neonates exhibited decreased oral microbiome diversity, with fewer beneficial bacteria and more pathogens. These findings could serve as a baseline for research on the establishment of the oral microbiota in preterm neonates and its health implications.
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