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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Intersectionality of early developmental risks and resilience after preterm birth
Julia Jäkel1,2,3, Janika Ludwig4, Britta Hüning4
1Klinik für Kinderheilkunde I, University Hospital Essen, University Duisburg-Essen, Essen, Germany. julia.jaekel@uk-essen.de.
Insights
Early life microbiome and brain development are crucial. Preterm infants face challenges affecting the gut-brain axis, highlighting the need for research into modifiable factors for better outcomes.
Area of Science:
- Developmental biology
- Neuroscience
- Microbiome research
Background:
- The period from conception through preschool is critical for microbiome and brain development.
- Modifiable factors like delivery mode, antibiotics, nutrition, breastfeeding, and caregiving influence the gut-brain axis.
- Infants born preterm (<37 weeks gestation) experience challenges impacting gut microbiome and neurobehavioral development, often worsened by social stress.
Purpose of the Study:
- To understand the complex mechanisms shaping the gut-brain axis in early development.
- To identify modifiable protective factors for preventing adverse outcomes after preterm birth.
- To address knowledge gaps in the interaction between gut, brain, and behavioral development over time.
Main Methods:
- The study emphasizes the need for translational research on the gut-brain axis after preterm birth.
- Future studies should incorporate social factors (e.g., education, immigrant background) into sampling.
- Investigate how interventions can optimize long-term outcomes by considering microbiome modifications.
Main Results:
- A significant knowledge gap exists regarding the interplay of gut, brain, and behavioral development.
- Social and modifiable factors are key drivers of the gut-brain axis interaction.
- Preterm birth poses unique challenges to the developing gut microbiome and neurobehavioral trajectories.
Conclusions:
- Translational research is critically needed to understand the gut-brain axis in preterm infants.
- Identifying susceptible populations and effective interventions is key for optimizing long-term outcomes.
- Harnessing modifiable factors offers potential for targeted prevention strategies.
Abstract:
The period from conception through preschool age represents a critical developmental window for both microbiome and brain. During this time, several modifiable factors may influence development via the gut-brain axis, including the mode of delivery, exposure to antibiotics, maternal nutrition, breastfeeding, and sensitive, emotionally responsive caregiving. Infants born preterm (<37 weeks gestation) face numerous challenges that can perturb their developing gut microbiome as well as neurobehavioral trajectories. Biological and medical risks are exacerbated by stressful social context conditions. Understanding the complex mechanisms shaping the gut-brain axis and identifying modifiable protective factors is key to help define specific target groups and critical windows for individualized prevention of adverse outcomes after preterm birth. Today, a large knowledge gap exists on (a) how gut, brain, and behavioral development interact over time, and (b) which social and modifiable factors are key drivers of this interaction that could be harnessed for treatment and intervention. Translational research on the gut-brain axis after preterm birth is critically needed. Future studies should consider intentional sampling for variation in social factors such as level of education and immigrant background to identify populations that are susceptible to microbiome modifications and provide more evidence of how interventions might optimize long-term outcomes.
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