The individual-specific and diverse nature of the preterm infant microbiota
Abstract
OBJECTIVE: To examine the composition of the evolving microbiota of preterm infants at weeks 2 and 4 of life. SETTINGS: The paediatric intensive care unit of the Cork University Maternity Hospital. METHODS: The microbial diversity of faecal samples from 10 preterm infants was determined using 16S rRNA amplicon pyrosequencing technology. RESULTS: In total, 452 863 sequences were obtained from 20 faecal samples collected from 10 preterm infants, allowing a level of analysis not previously reported. The preterm infant microbiota samples were dominated by Proteobacteria (46%), followed by Firmicutes (45%), while the phyla Actinobacteria (2%) and Bacteroidetes (7%) were detected at much lower levels at week 2 of life. This colonisation pattern was similar at week 4 of life. At the family level, Enterobacteriaceae were detected at 50% and 58% at weeks 2 and 4, respectively. The preterm infants were characterised by a lack of detectable Bifidobacterium and Lactobacillus genera commonly associated with the infant gut. In addition to the dominance of the Proteobacteria, a high level of interindividual variation was observed, indeed the relative proportions of different phyla, families and genera in different infants ranged from <1% to >90%. CONCLUSIONS: The results indicate that in addition to an uncharacteristic microbiota relative to that reported for healthy term infants, there was a large interindividual variation in the faecal microbiota diversity of preterm infants suggesting that the preterm microbiota is individual-specific and does not display a uniformity among infants.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several factors are known to influence microbial composition at different stages of life, including genetic factors, mode of delivery, gestational age, exercise, medication use, living environment, and diet.
“Several factors are known to influence microbial composition at different stages of life, including genetic factors, mode of delivery [vaginal birth or Caesarean section (C-section)], gestational age, exercise, medication use, living environment, and diet (237-240).”
From Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health (2021) · cites this paper as [238]
Cites
Gapped BLAST and PSI-BLAST: a new generation of protein database search programs
Altschul, S. (1997) · Nucleic Acids Research · doi:10.1093/nar/25.17.3389 · Cited by 73,302 · see citing works
QIIME allows analysis of high-throughput community sequencing data
Caporaso, J. G., Kuczynski, J., Stombaugh, J., Bittinger, K., Bushman, F. D., Costello, E. K., Fierer, N., Peña, A. G., Goodrich, J. K., Gordon, J. I., et al. (2010) · Nature Methods · doi:10.1038/nmeth.f.303 · Cited by 34,887 · see citing works
FastTree 2 – Approximately Maximum-Likelihood Trees for Large Alignments
Price, M. N., Dehal, P. S., & Arkin, A. P. (2010) · PLoS ONE · doi:10.1371/journal.pone.0009490 · Cited by 14,894 · see citing works
A human gut microbial gene catalogue established by metagenomic sequencing
MetaHIT Consortium, Qin, J., Li, R., Raes, J., Arumugam, M., Burgdorf, K. S., Manichanh, C., Nielsen, T., Pons, N., Levenez, F., et al. (2010) · Nature · doi:10.1038/nature08821 · Cited by 11,624 · see citing works
Pruesse, E., Quast, C., Knittel, K., Fuchs, B. M., Ludwig, W., Peplies, J., & Glöckner, F. O. (2007) · Nucleic Acids Research · doi:10.1093/nar/gkm864 · Cited by 6,682 · see citing works
Chimeric 16S rRNA sequence formation and detection in Sanger and 454-pyrosequenced PCR ampliconsPreprint
Haas, B. J., Gevers, D., Earl, A. M., Feldgarden, M., Ward, D. V., Giannoukos, G., Ciulla, D., Tabbaa, D., Highlander, S. K., Sodergren, E. J., et al. (2011) · Genome Research · doi:10.1101/gr.112730.110 · Cited by 3,451 · see citing works
Ecological and Evolutionary Forces Shaping Microbial Diversity in the Human Intestine
Ley, R. E., Peterson, D. A., & Gordon, J. I. (2006) · Cell · doi:10.1016/j.cell.2006.02.017 · Cited by 3,358 · see citing works
Factors influencing the composition of the intestinal microbiota in early infancy
Penders, J., Thijs, C., Vink, C., Stelma, F. F., Snijders, B., Kummeling, I., van den Brandt, P. A., & Stobberingh, E. E. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2824 · Cited by 2,232 · see citing works
Neu, J., & Walker, W. A. (2011) · New England Journal of Medicine · doi:10.1056/nejmra1005408 · Cited by 2,141 · see citing works
Developmental microbial ecology of the neonatal gastrointestinal tract
Mackie, R. I., Sghir, A., & Gaskins, H. R. (1999) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.5.1035s · Cited by 1,360 · see citing works
Dendroscope: An interactive viewer for large phylogenetic trees
Huson, D. H., Richter, D. C., Rausch, C. R., Dezulian, T., Franz, M., & Rupp, R. (2007) · BMC Bioinformatics · doi:10.1186/1471-2105-8-460 · Cited by 1,240 · see citing works
Claesson, M. J., O’Sullivan, Ó., Wang, Q., Nikkilä, J., Marchesi, J. R., Smidt, H., de Vos, W. M., Ross, R. P., & O’Toole, P. W. (2009) · PLoS ONE · doi:10.1371/journal.pone.0006669 · Cited by 880 · see citing works
Self-citationDiGiulio, D. B., Romero, R. J., Amogan, H., Kusanovic, J. P., Bik, E. M., Gotsch, F., Kim, C. J., Erez, O., Edwin, S. S., & Relman, D. A. (2008) · PLoS ONE · doi:10.1371/journal.pone.0003056 · Cited by 798 · see citing works
Urich, T., Lanzén, A., Qi, J., Huson, D. H., Schleper, C., & Schuster, S. C. (2008) · PLoS ONE · doi:10.1371/journal.pone.0002527 · Cited by 751 · see citing works
Intestinal microflora in early infancy: composition and development
Fanaro, S., Chierici, R., Guerrini, P., & Vigi, V. (2003) · Acta Paediatrica · doi:10.1111/j.1651-2227.2003.tb00646.x · Cited by 738 · see citing works
Establishment of the gut microbiota in Western infants
Adlerberth, I., & Wold, A. E. (2009) · Acta Paediatrica · doi:10.1111/j.1651-2227.2008.01060.x · Cited by 665 · see citing works
Establishment and development of intestinal microbiota in preterm neonates
Arboleya, S., Binetti, A. G., Salazar, N., Fernández, N., Sánchez, G. S., Hernández‐Barranco, A. M., Margollés, A., Reyes‐Gavilán, C. G. D. L., & Gueimonde, M. (2011) · FEMS Microbiology Ecology · doi:10.1111/j.1574-6941.2011.01261.x · Cited by 439 · see citing works
Claud, E. C., & Walker, W. A. (2001) · The FASEB Journal · doi:10.1096/fj.00-0833hyp · Cited by 415 · see citing works
Stool microflora in extremely low birthweight infants
Gewolb, I. H., Schwalbe, R. S., Taciak, V. L., Harrison, T. S., & Panigrahi, P. (1999) · Archives of Disease in Childhood Fetal & Neonatal · doi:10.1136/fn.80.3.f167 · Cited by 355 · see citing works
Gut microbial colonisation in premature neonates predicts neonatal sepsis
Madan, J. C., Salari, R. C., Saxena, D., Davidson, L., O'Toole, G. A., Moore, J. H., Sogin, M. L., Foster, J. A., Edwards, W. H., Palumbo, P., et al. (2012) · Archives of Disease in Childhood - Fetal and Neonatal Edition · doi:10.1136/fetalneonatal-2011-301373 · Cited by 340 · see citing works
Gut microbiota: Changes throughout the lifespan from infancy to elderly
O’Toole, P. W., & Claesson, M. J. (2009) · International Dairy Journal · doi:10.1016/j.idairyj.2009.11.010 · Cited by 279 · see citing works
Self-citationThe intestinal bacterial colonisation in preterm infants: A review of the literature
Westerbeek, E. A. M., van den Berg, A., Lafeber, H. N., Knol, J., Fetter, W. P. F., & van Elburg, R. M. (2006) · Clinical Nutrition · doi:10.1016/j.clnu.2006.03.002 · Cited by 237 · see citing works
Dynamics and Clinical Evolution of Bacterial Gut Microflora in Extremely Premature Patients
Jacquot, A., Neveu, D., Aujoulat, F., Mercier, G., Marchandin, H., Jumas‐Bilak, E., & Picaud, J. (2010) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2010.09.007 · Cited by 223 · see citing works
Meeting the Nutritional Needs of the Low-Birth-Weight Infant
Ziegler, E. E. (2011) · Annals of Nutrition and Metabolism · doi:10.1159/000323381 · Cited by 217 · see citing works
Conditions of Bifidobacterial Colonization in Preterm Infants: A Prospective Analysis
Butel, M., Suau, A., Campeotto, F., Magne, F., Aires, J., Ferraris, L., Kalach, N., Leroux, B., & Dupont, C. M. (2007) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e3180406b20 · Cited by 170 · see citing works
Chen, V. B., Davis, I., & Richardson, D. C. (2009) · Protein Science · doi:10.1002/pro.250 · Cited by 155 · see citing works
Mitchell, D. J. (2001) · Archives of Disease in Childhood · doi:10.1136/adc.84.3.273 · Cited by 148 · see citing works
Investigation of the intestinal microbiota in preterm infants using different methods
Rougé, C., Goldenberg, O., Ferraris, L., Berger, B. W., Rochat, F., Legrand, A., Göbel, U. B., Vodovar, M., Voyer, M., Rozé, J., et al. (2010) · Anaerobe · doi:10.1016/j.anaerobe.2010.06.002 · Cited by 141 · see citing works
Beyond Bacteria: A Study of the Enteric Microbial Consortium in Extremely Low Birth Weight Infants
LaTuga, M. S., Ellis, J. C., Cotten, C. M., Goldberg, R. N., Wynn, J. L., Jackson, R. B., & Seed, P. C. (2011) · PLoS ONE · doi:10.1371/journal.pone.0027858 · Cited by 117 · see citing works
Kosloske, A. M. (1984) · PEDIATRICS · doi:10.1542/peds.74.6.1086 · Cited by 104 · see citing works
Proton Pump Inhibitor Use and Enteric Infections
Dial, M. (2009) · The American Journal of Gastroenterology · doi:10.1038/ajg.2009.46 · Cited by 89 · see citing works
Maturation of the lower oesophageal sphincter in the preterm baby.
Newell, S. J., Sarkar, P. K., Durbin, G. M., Booth, I. W., & McNeish, A. S. (1988) · Gut · doi:10.1136/gut.29.2.167 · Cited by 77 · see citing works
Duodenal Microflora in Very-Low-Birth-Weight Neonates and Relation to Necrotizing Enterocolitis
Hoy, C. M., Wood, C. M., Hawkey, P. M., & Puntis, J. W. L. (2000) · Journal of Clinical Microbiology · doi:10.1128/jcm.38.12.4539-4547.2000 · Cited by 76 · see citing works
Chang, J. Y., Shin, S. M., Chun, J., Lee, J., & Seo, J. K. (2011) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e318227e518 · Cited by 63 · see citing works
O’Sullivan, Ó., Coakley, M., Lakshminarayanan, B., Claesson, M. J., Stanton, C., O’Toole, P. W., & Ross, R. P. (2011) · Journal of Applied Microbiology · doi:10.1111/j.1365-2672.2011.05067.x · Cited by 23 · see citing works
Self-citationGrowth failure and pituitary function in CHARGE and VATER associations
Khadilkar, V. V., Cameron, F. J., & Stanhope, R. G. (1999) · Archives of Disease in Childhood · doi:10.1136/adc.80.2.167 · Cited by 22 · see citing works
Special issue: The Human Intestinal Microbiota
Flint, H. J., O’Toole, P. W., & Walker, A. W. (2010) · Microbiology · doi:10.1099/mic.0.045443-0 · Cited by 17 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Kelly, J. R., Kennedy, P. J., Cryan, J. F., Dinan, T. G., Clarke, G., & Hyland, N. P. (2015) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2015.00392 · Cited by 1,110 · see citing works
Microbiota and neurodevelopmental windows: implications for brain disorders
Borre, Y. E., O’Keeffe, G. W., Clarke, G., Stanton, C., Dinan, T. G., & Cryan, J. F. (2014) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2014.05.002 · Cited by 1,089 · see citing works
Self-citationGut Microbiota’s Effect on Mental Health: The Gut-Brain Axis
Clapp, M., Aurora, N., Herrera, L., Bhatia, M., Wilen, E., & Wakefield, S. (2017) · Clinics and Practice · doi:10.4081/cp.2017.987 · Cited by 608 · see citing works
The Gut–Brain Axis and the Microbiome: Mechanisms and Clinical Implications
Osadchiy, V., Martin, C. R., & Mayer, E. A. (2019) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2018.10.002 · Cited by 555 · see citing works
Diet and the Microbiota–Gut–Brain Axis: Sowing the Seeds of Good Mental Health
Berding, K., Vlckova, K., Marx, W., Schellekens, H., Stanton, C., Clarke, G., Jacka, F., Dinan, T. G., & Cryan, J. F. (2021) · Advances in Nutrition · doi:10.1093/advances/nmaa181 · Cited by 451 · see citing works
Self-citationThe microbiome: stress, health and disease
Moloney, R. D., Desbonnet, L., Clarke, G., Dinan, T. G., & Cryan, J. F. (2014) · Mammalian Genome · doi:10.1007/s00335-013-9488-5 · Cited by 430 · see citing works
The Impact of Microbiota on Brain and Behavior: Mechanisms & Therapeutic Potential
Borre, Y. E., Moloney, R. D., Clarke, G., Dinan, T. G., & Cryan, J. F. (2014) · Advances in Experimental Medicine and Biology · doi:10.1007/978-1-4939-0897-4_17 · Cited by 329 · see citing works
Perinatal factors affect the gut microbiota up to four years after birth
Fouhy, F., Watkins, C., Hill, C. J., O’Shea, C.-A., Nagle, B., Dempsey, E. M., O’Toole, P. W., Ross, R. P., Ryan, C. A., & Stanton, C. (2019) · Nature Communications · doi:10.1038/s41467-019-09252-4 · Cited by 274 · see citing works
Self-citationEarly-life adversity and brain development: Is the microbiome a missing piece of the puzzle?
O’Mahony, S. M., Clarke, G., Dinan, T. G., & Cryan, J. F. (2017) · Neuroscience · doi:10.1016/j.neuroscience.2015.09.068 · Cited by 203 · see citing works
Cenit, M. C., Nuevo, I. C., Codoñer-Franch, P., Dinan, T. G., & Sanz, Y. (2017) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-017-0969-z · Cited by 163 · see citing works
The connection between microbiome and schizophrenia
Golofast, B., & Vales, K. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.12.011 · Cited by 92 · see citing works
The microbiome and disorders of the central nervous system
Felice, V. D., & O'Mahony, S. M. (2017) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2017.06.016 · Cited by 60 · see citing works
- Authors
- Barrett, E., Kerr, C., Murphy, K., O'Sullivan, O., Ryan, C. A., Dempsey, E. M., Murphy, B. P., O'Toole, P. W., Cotter, P. D., Fitzgerald, G. F., Ross, R. P., & Stanton, C.
- Affiliations
- Teagasc - The Irish Agriculture and Food Development Authority (IE)
- University College Cork (IE)
- Food Biosciences Department, Teagasc Food Research Centre, Moorepark, Fermoy, Co. Cork, Ireland
- Alimentary Pharmabiotic Centre, Biosciences Institute, University College Cork, National University of Ireland, Cork, Ireland
- National University of Ireland (IE)
- Corresponding author
- Stanton, Catherine
- ORCID
- Venue
- Archives of Disease in Childhood - Fetal and Neonatal Edition
- Publisher
- BMJ
- Published
- 2013-01-08
- Volume
- 98
- Issue
- 4
- Pages
- F334-F340
- ISSN
- 1359-2998 (ISSN-L)
- 1468-2052
- OpenAlex
- W2079266218
- Cited by
- 120
- References
- 37
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 10 · 2023: 8 · 2022: 12 · 2021: 13 · 2020: 9 · 2019: 14 · 2018: 10 · 2017: 9 · 2016: 7 · 2015: 10 · 2014: 10 · 2013: 3
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Disease in Childhood Fetal & Neonatal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Research Board
- Teagasc
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Keywords
- preterm infants, gut microbiota, fecal microbiota, microbial diversity, interindividual variability, Proteobacteria, Firmicutes, Enterobacteriaceae, Bifidobacterium, Lactobacillus
- MeSH terms
- Feces, Fungi, Gram-Negative Bacteria, Gram-Positive Bacteria, Humans, Infant, Newborn, Infant, Premature, Ireland, Gastrointestinal Tract, Metagenome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review