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Targeting the Microbiota Reverses C-Section-Induced Effects on Intestinal Permeability, Microbiota Composition, and
Ana Paula Ventura Silva1,2, Gerard M Moloney1, Ana Marta Sequeira2
1Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland.
Neurogastroenterology and Motility
|June 27, 2025
Summary
Caesarean birth (CS) disrupts infant gut permeability and microbiome. Probiotic (Bifidobacterium breve) or prebiotic (GOS/FOS) interventions in mice reversed these CS-induced gut and amygdala deficits.
Area of Science:
- Microbiology
- Immunology
- Developmental Biology
Background:
- The gut microbiome is critical for gastrointestinal and immune system development.
- Delivery mode (Caesarean section vs. vaginal birth) significantly impacts infant microbiota composition.
- Early-life nutritional interventions with probiotics or prebiotics may correct CS-associated microbial imbalances.
Purpose of the Study:
- To assess gut permeability in Caesarean section (CS) mice compared to vaginal birth (VB) mice.
- To investigate if prebiotic or probiotic administration could mitigate CS-induced gut deficiencies.
- To explore the impact of CS delivery on neurotransmitter gene expression and the potential of interventions.
Main Methods:
- Utilized a mouse model for CS delivery.
- Measured plasma macromolecule levels (FITC) to assess gut permeability at multiple postnatal days.
- Analyzed ileal gene expression of tight junction proteins and intestinal microbiome composition.
- Examined amygdala gene expression related to neurotransmitter physiology.
- Administered Bifidobacterium breve or GOS/FOS to evaluate their effects.
Main Results:
- CS mice showed increased ileal permeability and reduced tight junction protein expression at PND7.
- Microbiome beta diversity differed between CS and VB mice, particularly pre-weaning.
- Probiotic or prebiotic interventions alleviated changes in Epcam expression and increased beta diversity post-weaning.
- CS mice exhibited altered amygdala neurotransmitter gene expression, which was mitigated by interventions.
Conclusions:
- Targeted microbiota-associated interventions can effectively reverse intestinal permeability deficits induced by CS delivery.
- Probiotics and prebiotics show potential in restoring gut barrier function and mitigating neurodevelopmental alterations in CS-born individuals.

