Influence of perinatal ampicillin exposure on maternal fecal microbial and metabolic profiles

Simone Zuffa1,2, Sydney P Thomas1, Ipsita Mohanty1,2

  • 1Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, USA.

Insights

Maternal antibiotic exposure alters the gut microbiome and metabolism in mothers, potentially impacting offspring development. This study reveals changes in beneficial bacteria and bile acids, linked to increased offspring weight gain.

Area of Science:

  • Microbiology
  • Metabolomics
  • Developmental Biology

Background:

  • Antibiotic exposure in early life is linked to altered offspring growth and immunity.
  • Mechanisms underlying these effects remain poorly understood.
  • Maternal antibiotic use, including intrapartum antibiotic prophylaxis (IAP), is common.

Purpose of the Study:

  • To investigate the effects of antepartum and postpartum ampicillin administration on maternal gut microbiome and metabolic profiles.
  • To identify specific microbial and metabolic changes associated with maternal antibiotic exposure.
  • To explore potential links between maternal changes and offspring development.

Main Methods:

  • Administration of ampicillin to dams during antepartum and postpartum periods.
  • Analysis of maternal fecal microbiome composition.
  • Profiling of fecal metabolic content, including acylcarnitines and bile acids.
  • Comparison with public metabolomics data.

Main Results:

  • Ampicillin depleted beneficial Muribaculaceae bacteria (e.g., Muribaculum intestinale) and enriched Enterococcus and Prevotella species.
  • Significant metabolic remodeling observed, including elevated fecal acylcarnitines and altered bile acid profiles.
  • Identification of novel hexose-conjugated trihydroxylated bile acids associated with antibiotic exposure.
  • Maternal antibiotic-induced changes coincided with increased offspring weight gain.

Conclusions:

  • Maternal ampicillin exposure significantly alters the gut microbiome and metabolome.
  • These maternal changes are associated with altered offspring weight gain, suggesting a role in developmental trajectories.
  • Further research is needed to understand the long-term health implications for infants.