母亲1型糖尿病和混因素对新生儿微生物组的影响
Marzena Gajecka1,2, Pawel Gutaj3, Katarzyna Jaskiewicz4
1Chair and Department of Genetics and Pharmaceutical Microbiology, Poznan University of Medical Sciences, Poznan, Poland. gamar@man.poznan.pl.
Diabetologia
|November 29, 2023
概括
母亲1型糖尿病和怀孕早期血糖控制不良会改变新生儿微生物组. 婴儿的分娩方式和抗生素也会影响婴儿的肠道细菌,大多数婴儿微生物来自母亲.
科学领域:
- 微生物组研究的研究.
- 孕产妇和胎儿的健康状况
- 第1类糖尿病患者.
背景情况:
- 孕产妇和新生儿的微生物组对婴儿健康至关重要.
- 对于1型糖尿病和怀孕特定因素对这些微生物群的影响的了解有限.
研究的目的:
- 鉴定1型糖尿病双体中的母体和新生儿微生物组的特征.
- 评估母婴对新生儿微生物群的转移.
- 探索1型糖尿病和混因素对这些微生物群的影响.
主要方法:
- 16S rRNA amplicon测序阴道,直肠和耳朵皮肤拭子,以及92个母婴双的便样本.
- 在整个怀孕和分娩期间收集深入的临床元数据.
- 包括PICRUSt和SourceTracker在内的生物信息分析.
主要成果:
- 1型糖尿病与不同的母体和新生儿微生物群特征有关.
- 新生儿耳皮和便微生物群受到母亲1型糖尿病状况和出生体重的影响.
- 怀孕早期的血糖控制 (HbA1c) 和分娩因素 (模式,抗生素) 显著影响新生儿微生物群组成.
- 母亲来源约占新生儿微生物组的81%,根据母亲糖尿病状况和分娩方式观察到的变化.
结论:
- 母亲1型糖尿病,特别是早期的血糖失调,显著影响新生儿微生物组.
- 分娩方式和产后抗生素预防是影响新生儿微生物群接种的关键因素.
- 了解这些影响对于优化母胎健康结果至关重要.
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