Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates

Objectives: Prior studies have proposed that maternal intrapartum antibiotic exposure shapes the gut microbiota and, subsequently the child's health. However, the effect of maternal intrapartum antibiotic exposure and its influence on the development of the neonatal oral microbiota in early inf...

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Main Authors: Hongping Li, Bin Xiao, Yong Zhang, Shanqiu Xiao, Jun Luo, Weimin Huang
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Pediatrics and Neonatology
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957218303723
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author Hongping Li
Bin Xiao
Yong Zhang
Shanqiu Xiao
Jun Luo
Weimin Huang
author_facet Hongping Li
Bin Xiao
Yong Zhang
Shanqiu Xiao
Jun Luo
Weimin Huang
author_sort Hongping Li
collection DOAJ
description Objectives: Prior studies have proposed that maternal intrapartum antibiotic exposure shapes the gut microbiota and, subsequently the child's health. However, the effect of maternal intrapartum antibiotic exposure and its influence on the development of the neonatal oral microbiota in early infancy has not yet been reported. The aim of this study was to compare the initial oral microbiota immediately after birth of healthy infants with and without intrapartum antibiotic exposure. Methods: Twenty-two newborns of the BaoAn Maternal and Child Care Hospital (Shenzhen, China) were recruited for this study, 11 born to mothers without intrapartum antibiotic exposure (NT group) and 11 to mothers with intrapartum antibiotic prophylaxis with cefamezin (AT group). Oral microbiome profiles were determined by 16S rRNA sequencing based on the V3V4 hyper-variable regions. Results: Phylum Firmicutes was most frequently detected in subjects both groups and a higher frequency was observed in the NT group than the AT group. Phyla Actinobacteria, Bacteroidetes and Proteobacteria were more abundant after intrapartum antibiotics exposure. Genus Lactobacillus belonging to Firmicutes was predominant in the neonates not exposed to antibiotics, while significantly higher percentages of genera Klebsiella, Roseburia, Propionibacterium, Faecalibacterium, Escherichia/Shigella, Corynebacterium, Bifidobacterium, and Bacteroides were noted in AT infants than NT infants. Further function analysis demonstrated that lipopolysaccharide biosynthesis and amino acid–related metabolic function was enriched in the AT group, and carbohydrate metabolism pathways were more abundant in the NT group. Conclusions: These findings revealed distinctions in both taxa and metabolic function of oral microbiota between antibiotics-treated and unexposed groups, which indicated that maternal intrapartum antibiotic treatment is a key regulator of the initial neonatal oral microbiome. Key Words: Neonatal oral microbiome, Maternal intrapartum antibiotics, 16S rRNA sequencing
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spelling doaj.art-9f2dcc5e94344512a5a7c747fec128852022-12-22T00:15:53ZengElsevierPediatrics and Neonatology1875-95722019-12-01606654661Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonatesHongping Li0Bin Xiao1Yong Zhang2Shanqiu Xiao3Jun Luo4Weimin Huang5Shenzhen Children's Hospital, Shenzhen, 518000, ChinaShenzhen Baoan Maternal and Child Health Hospital, Shenzhen, 518000, ChinaGuangdong Maternal and Child Health Hospital, Guangzhou, 51000, ChinaShenzhen Baoan Maternal and Child Health Hospital, Shenzhen, 518000, ChinaShenzhen Baoan Maternal and Child Health Hospital, Shenzhen, 518000, ChinaShenzhen Children's Hospital, Shenzhen, 518000, China; Corresponding author.Objectives: Prior studies have proposed that maternal intrapartum antibiotic exposure shapes the gut microbiota and, subsequently the child's health. However, the effect of maternal intrapartum antibiotic exposure and its influence on the development of the neonatal oral microbiota in early infancy has not yet been reported. The aim of this study was to compare the initial oral microbiota immediately after birth of healthy infants with and without intrapartum antibiotic exposure. Methods: Twenty-two newborns of the BaoAn Maternal and Child Care Hospital (Shenzhen, China) were recruited for this study, 11 born to mothers without intrapartum antibiotic exposure (NT group) and 11 to mothers with intrapartum antibiotic prophylaxis with cefamezin (AT group). Oral microbiome profiles were determined by 16S rRNA sequencing based on the V3V4 hyper-variable regions. Results: Phylum Firmicutes was most frequently detected in subjects both groups and a higher frequency was observed in the NT group than the AT group. Phyla Actinobacteria, Bacteroidetes and Proteobacteria were more abundant after intrapartum antibiotics exposure. Genus Lactobacillus belonging to Firmicutes was predominant in the neonates not exposed to antibiotics, while significantly higher percentages of genera Klebsiella, Roseburia, Propionibacterium, Faecalibacterium, Escherichia/Shigella, Corynebacterium, Bifidobacterium, and Bacteroides were noted in AT infants than NT infants. Further function analysis demonstrated that lipopolysaccharide biosynthesis and amino acid–related metabolic function was enriched in the AT group, and carbohydrate metabolism pathways were more abundant in the NT group. Conclusions: These findings revealed distinctions in both taxa and metabolic function of oral microbiota between antibiotics-treated and unexposed groups, which indicated that maternal intrapartum antibiotic treatment is a key regulator of the initial neonatal oral microbiome. Key Words: Neonatal oral microbiome, Maternal intrapartum antibiotics, 16S rRNA sequencinghttp://www.sciencedirect.com/science/article/pii/S1875957218303723
spellingShingle Hongping Li
Bin Xiao
Yong Zhang
Shanqiu Xiao
Jun Luo
Weimin Huang
Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
Pediatrics and Neonatology
title Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
title_full Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
title_fullStr Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
title_full_unstemmed Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
title_short Impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
title_sort impact of maternal intrapartum antibiotics on the initial oral microbiome of neonates
url http://www.sciencedirect.com/science/article/pii/S1875957218303723
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