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Published on: August 30, 2016
Gut Microbiota Alteration in Healthy Preterm Infants: An Observational Study from Tertiary Care Center in India
Prabavathi Devarajalu1, Jogender Kumar2, Sourabh Dutta2
1Pediatric Biochemistry Unit, Department of Pediatrics, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh 160012, India.
Insights
Probiotic supplementation and infant’s postnatal age significantly alter gut microbiota composition in preterm infants. These interventions impact microbial diversity and function, including bile acid metabolism and glycosphingolipid synthesis.
Area of Science:
- Microbiology
- Neonatal Research
- Gastroenterology
Background:
- Gut microbiota development is influenced by various prenatal and postnatal factors.
- Understanding these factors is crucial for optimizing infant health, especially in vulnerable preterm populations.
Purpose of the Study:
- To investigate the impact of multiple factors on the gut microbiota of healthy Indian preterm infants in the NICU.
- To identify key drivers of microbial diversity and functional profiles in this population.
Main Methods:
- Weekly fecal sample collection from preterm infants (day 7-30) in the NICU.
- 16S rRNA gene sequencing and PICRUSt2 for functional microbiome profiling.
- Statistical analysis using MaAsLin2 to identify significant factors.
Main Results:
- Probiotic administration, postnatal age, mode of delivery, and infant sex were major contributors to altered microbial diversity.
- Probiotic supplementation significantly increased Bifidobacterium levels.
- Functional analysis indicated enhanced bacterial genes for bile acid metabolism and glycosphingolipid synthesis with probiotic use.
Conclusions:
- Probiotics and postnatal age are key modulators of gut microbial composition and function in healthy preterm infants.
- Findings highlight the potential of probiotics in shaping the preterm infant gut microbiome.
Abstract:
Various prenatal and postnatal factors such as gestational age, mode of delivery, sex, antibiotic exposure, feeding type, duration of feed and other exposures associated with the hospital environment can drive the formation of gut microbiota. In the current study, we examined the role of all these factors in the gut microbiota of healthy Indian preterm infants admitted to NICU in the first four weeks of life. Preterm neonates admitted to the NICU from April 2023 and October 2023 were recruited and fecal samples were collected weekly once beginning from the seventh day till the 30th day of life. 16s rRNA gene sequencing was performed on the NovaSeq 6000 platform. The PICRUSt2 tool was used to predict the functional profiles of the gut microbiome. A total of 61 samples were collected from 16 preterm infants. Alpha and beta diversity showed the administration of probiotics, postnatal age, mode of delivery, and sex of infants as major contributors to altered microbial diversity in preterm infants. The MaAsLin2 analysis showed that the supplementation of probiotics increased Bifidobacterium levels. PICRUSt2 analysis revealed that probiotic supplementation increased the bacterial genes responsible for bile acid metabolism and glycosphingolipid synthesis. Probiotics and postnatal age are responsible for alterations of the gut microbial composition in healthy preterm infants.
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