Abstract

BackgroundEarly life gut microbiota is involved in several biological processes, particularly metabolism, immunity, and cognitive neurodevelopment. Perturbation in the infant’s gut microbiota increases the risk for diseases in early and later life, highlighting the importance of understanding the connections between perinatal factors with early life microbial composition. The present research paper is aimed at exploring the prenatal and postnatal factors influencing the infant gut microbiota composition at six months of age.MethodsGut microbiota of infants enrolled in the longitudinal, prospective, observational study “A.MA.MI” (Alimentazione MAmma e bambino nei primi MIlle giorni) was analyzed. We collected and analyzed 61 fecal samples at baseline (meconium, T0); at six months of age (T2), we collected and analyzed 53 fecal samples. Samples were grouped based on maternal and gestational weight factors, type of delivery, type of feeding, time of weaning, and presence/absence of older siblings. Alpha and beta diversities were evaluated to describe microbiota composition. Multivariate analyses were performed to understand the impact of the aforementioned factors on the infant’s microbiota composition at six months of age.ResultsDifferent clustering hypotheses have been tested to evaluate the impact of known metadata factors on the infant microbiota. Neither maternal body mass index nor gestational weight gain was able to determine significant differences in infant microbiota composition six months of age. Concerning the type of feeding, we observed a low alpha diversity in exclusive breastfed infants; conversely, non-exclusively breastfed infants reported an overgrowth of Ruminococcaceae and Flavonifractor. Furthermore, we did not find any statistically significant difference resulting from an early introduction of solid foods (before 4 months of age). Lastly, our sample showed a higher abundance of clostridial patterns in firstborn babies when compared to infants with older siblings in the family.ConclusionOur findings showed that, at this stage of life, there is not a single factor able to affect in a distinct way the infants’ gut microbiota development. Rather, there seems to be a complex multifactorial interaction between maternal and neonatal factors determining a unique microbial niche in the gastrointestinal tract.

Highlights

  • Research on the human gut microbiome has gained attention in the past years due to the vital contribution of microorganisms to host health across the life span

  • The amplicon 16S rRNA sequencing analysis, performed on the 53 fecal samples of infants at 6 months of age (T2), determined a number of reads singularly assigned taxonomy that passed the quality control (QC) filter corresponding to 97,753.21 ± 22,044.56 per sample

  • The first year of life is crucial for healthy growth; several factors affect gut microbiota development in newborns in this critical time window

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Summary

Introduction

Research on the human gut microbiome has gained attention in the past years due to the vital contribution of microorganisms to host health across the life span. It has been demonstrated that their offspring is likely to develop obesity in later life (Whitaker, 2004; Pirkola et al, 2010; Deierlein et al, 2011; Mehta et al, 2011; Gaillard et al, 2013) as well as non-communicable diseases (NCDs) (Glastras et al, 2018) These undesired effects are, at least partly, modulated by the related changes in gut microbial composition during pregnancy and lactation (Collado et al, 2012; Singh et al, 2017). The present research paper is aimed at exploring the prenatal and postnatal factors influencing the infant gut microbiota composition at six months of age

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Conclusion

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