Neonatal intestinal dysbiosis in necrotizing enterocolitis

Abstract Necrotizing Enterocolitis (NEC) is one of the most devastating gastrointestinal diseases in neonates, particularly among preterm infants in whom surgical NEC is the leading cause of morbidity. NEC pathophysiology occurs in the hyper-reactive milieu of the premature gut after bacterial colon...

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Main Authors: Naomi-Liza Denning, Jose M. Prince
Format: Article
Language:English
Published: BMC 2018-03-01
Series:Molecular Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s10020-018-0002-0
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author Naomi-Liza Denning
Jose M. Prince
author_facet Naomi-Liza Denning
Jose M. Prince
author_sort Naomi-Liza Denning
collection DOAJ
description Abstract Necrotizing Enterocolitis (NEC) is one of the most devastating gastrointestinal diseases in neonates, particularly among preterm infants in whom surgical NEC is the leading cause of morbidity. NEC pathophysiology occurs in the hyper-reactive milieu of the premature gut after bacterial colonization. The resultant activation of the TLR4 pathway appears to be a strongly contributing factor. Advancements in metagenomics may yield new clarity to the relationship between the neonatal intestinal microbiome and the development of NEC. After a century without effective directed treatments, microbiome manipulation offers a promising therapeutic target for the prevention and treatment of this devastating disease.
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spelling doaj.art-ea05dc56237542d8ad6410d85188d5e22022-12-22T03:36:06ZengBMCMolecular Medicine1076-15511528-36582018-03-0124111010.1186/s10020-018-0002-0Neonatal intestinal dysbiosis in necrotizing enterocolitisNaomi-Liza Denning0Jose M. Prince1Division of Pediatric Surgery, Zucker School of Medicine at Hofstra/Northwell, Cohen Children’s Medical CenterDivision of Pediatric Surgery, Zucker School of Medicine at Hofstra/Northwell, Cohen Children’s Medical CenterAbstract Necrotizing Enterocolitis (NEC) is one of the most devastating gastrointestinal diseases in neonates, particularly among preterm infants in whom surgical NEC is the leading cause of morbidity. NEC pathophysiology occurs in the hyper-reactive milieu of the premature gut after bacterial colonization. The resultant activation of the TLR4 pathway appears to be a strongly contributing factor. Advancements in metagenomics may yield new clarity to the relationship between the neonatal intestinal microbiome and the development of NEC. After a century without effective directed treatments, microbiome manipulation offers a promising therapeutic target for the prevention and treatment of this devastating disease.http://link.springer.com/article/10.1186/s10020-018-0002-0Neonatal sepsisMicrobiomeIntestinal failurePrematurityInflammation
spellingShingle Naomi-Liza Denning
Jose M. Prince
Neonatal intestinal dysbiosis in necrotizing enterocolitis
Molecular Medicine
Neonatal sepsis
Microbiome
Intestinal failure
Prematurity
Inflammation
title Neonatal intestinal dysbiosis in necrotizing enterocolitis
title_full Neonatal intestinal dysbiosis in necrotizing enterocolitis
title_fullStr Neonatal intestinal dysbiosis in necrotizing enterocolitis
title_full_unstemmed Neonatal intestinal dysbiosis in necrotizing enterocolitis
title_short Neonatal intestinal dysbiosis in necrotizing enterocolitis
title_sort neonatal intestinal dysbiosis in necrotizing enterocolitis
topic Neonatal sepsis
Microbiome
Intestinal failure
Prematurity
Inflammation
url http://link.springer.com/article/10.1186/s10020-018-0002-0
work_keys_str_mv AT naomilizadenning neonatalintestinaldysbiosisinnecrotizingenterocolitis
AT josemprince neonatalintestinaldysbiosisinnecrotizingenterocolitis