Maternal Preconception Antibiotic Exposure Disrupts Microbial Succession: A Transgenerational Risk for Offspring Gut

Yuzhu Chen1,2, Ruqiao Duan1,2, Cunzheng Zhang1,3

  • 1Department of Gastroenterology, Peking University Third Hospital, Beijing, China.

Insights

Maternal antibiotic exposure before conception disrupts the offspring gut microbiome, leading to lasting health issues and increased colitis susceptibility. This highlights the importance of careful antibiotic use prior to pregnancy.

Area of Science:

  • Microbiome research
  • Developmental biology
  • Immunology

Background:

  • The early-life microbiome is critical for host development and long-term health.
  • Maternal factors significantly influence the offspring microbiome.
  • The impact of maternal preconception perturbations on offspring health is not well understood.

Purpose of the Study:

  • To investigate whether preconception microbial disruptions affect microbial succession and increase offspring susceptibility to colitis.
  • To elucidate the intergenerational mechanisms linking maternal preconception perturbations to offspring health outcomes.

Main Methods:

  • Combined animal models and clinical data analysis.
  • Investigated the effects of preconception antibiotic exposure on offspring microbial ecology in animals.
  • Analyzed gut microbiome and metabolome in children with inflammatory bowel disease (IBD) and their mothers.

Main Results:

  • Preconception antibiotic exposure in animals caused long-lasting disruptions in offspring microbial ecology, including enhanced maternal-offspring transmission and altered microbial development.
  • These disruptions led to persistent gut mucosal immaturity and increased susceptibility to colitis in adult offspring.
  • Clinical studies showed similar alterations in the gut microbiome and metabolome of children with IBD and their mothers, with higher maternal antibiotic exposure linked to these changes.

Conclusions:

  • Preconception perturbations can disrupt microbial succession and promote transgenerational propagation of gut mucosal immaturity.
  • These disruptions increase offspring susceptibility to colitis, establishing a potential intergenerational mechanism.
  • Judicious antibiotic use during the preconception period is crucial for preventing adverse offspring health outcomes.

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