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Updated: Aug 6, 2026

Probiotic Studies in Neonatal Mice Using Gavage
Published on: January 27, 2019
From microbes to milestones: Gut bacterial abundances and functional pathways associate with neurodevelopment
Kadi Vaher1,2, Aisling Kenny1, Paula Lusarreta Parga3
1Centre for Reproductive Health, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, United Kingdom.
Insights
The early gut microbiome in preterm infants influences neurodevelopment, impacting autistic traits, socio-emotional skills, and executive functions. Specific bacteria and gut-brain signaling pathways are key factors in these long-term outcomes.
Area of Science:
- Microbiome Research
- Neurodevelopmental Science
- Pediatric Health
Background:
- The early life gut microbiome is a potential driver of neurocognitive development.
- Preterm children face increased risks of gut microbiome disruptions and neurodevelopmental impairment.
- Evidence linking the gut microbiome to neurodevelopment in preterm infants is limited.
Purpose of the Study:
- To investigate associations between the neonatal gut microbiome and neurodevelopmental outcomes in very preterm infants.
- To identify specific bacterial species and functional pathways in the gut microbiome linked to neurodevelopment.
- To explore the impact of the gut microbiome on autistic traits, socio-emotional development, and executive functioning.
Main Methods:
- Prospective birth cohort study of 73 very preterm infants.
- Shotgun metagenomics analysis of stool samples collected before NICU discharge.
- Consensus-based analytical approach using multiple methods to ensure robust findings.
- Comprehensive neurodevelopmental assessments at 9 months and 2 years.
Main Results:
- Consistent associations found between gut bacterial abundances and neurodevelopmental outcomes.
- Specific species like *Klebsiella* spp. linked to autistic traits.
- *Enterobacter cloacae* complex and *Veillonella parvula* associated with socio-emotional development and temperament.
- *Clostridium perfringens* linked to executive functioning.
- Gut microbiome functional modules in histamine and quinolinic acid metabolism correlated with executive functioning and cognitive-behavioral flexibility.
Conclusions:
- Neonatal gut microbiome composition influences longer-term neurodevelopmental profiles in preterm infants.
- The gut microbiome plays a significant role in socio-emotional development, autistic traits, and executive functioning.
- Findings highlight the gut microbiome as a potential therapeutic target for improving neurodevelopmental outcomes in preterm children.
Abstract:
The early life gut microbiome has been identified as a potential driver of neurocognitive development. Evidence for this relationship in preterm children, who are at increased risk of both gut microbiome disruptions and neurodevelopmental impairment, is scarce. In a sample of 73 very preterm infants drawn from a prospective birth cohort, we assessed associations between the neonatal gut microbiome and neurodevelopmental outcomes at 9 months and 2 years. The gut microbiome taxonomic and functional profiles were obtained from stool samples collected prior to NICU discharge using shotgun metagenomics. Neurodevelopment was assessed using a battery of outcome measures. We took a consensus-based analytic approach, applying several different methods to investigate microbiome-outcome relationships and focussing on results which were consistently significant across methods. We found the most robust evidence for associations between the abundances of several gut bacterial species and measures related to autistic traits (e.g. Klebsiella spp.), socio-emotional development, including temperament (e.g. Enterobacter cloacae complex, Veillonella parvula), and executive functioning (Clostridium perfringens). The abundances of functional modules involved in gut-brain signalling, particularly those involved in histamine and quinolinic acid metabolism, were associated with outcome measures related to executive functioning and cognitive-behavioural flexibility. This study provides evidence that the neonatal gut microbiome composition may affect longer-term neurodevelopmental profiles following preterm birth, particularly those related to socio-emotional development, autistic traits and executive functioning.
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