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.

Microorganisms
|March 27, 2025
PubMed

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.

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