首页|生命早期肠道菌群与婴儿神经发育的关系初探

生命早期肠道菌群与婴儿神经发育的关系初探

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目的 比较神经发育良好婴儿和神经发育迟缓婴儿的肠道菌群组成差异,分析生命早期肠道菌群与婴儿神经发育水平的关系。方法 于2020年11月-2021年4月,在四川大学华西第二医院纳入28对母婴,在婴儿出生后第0天、第90天收集粪便并完成随访问卷,在婴儿12月龄时完成《年龄与发育进程问卷第三版》(ages and stages questionnaires-third edition,ASQ-3)。使用 16S rRNA 测序,检测婴儿肠道菌群结构和多样性,并分析生命早期肠道菌群与ASQ-3问卷得分的关系。结果 根据12月龄婴儿ASQ-3评分结果将母亲及婴儿分为神经发育良好组(n=18)和神经发育迟缓组(n=10)。出生0天时,神经发育良好组厚壁菌门的相对丰度高于神经发育迟缓组(P<0。05),而变形菌门的丰度低于神经发育迟缓组(P<0。05);在出生第90天时,神经发育良好组中放线菌门、双歧杆菌科和肠球菌科的相对丰度均高于神经发育迟缓组(P<0。05)。Alpha多样性在两组间差异无统计学意义。Spearman's相关性分析显示,出生后第0天婴儿粪便中的梭菌科相对丰度与12月龄婴儿的沟通能区得分呈正相关,而和粗大运动能区得分呈负相关;出生后第90天婴儿粪便中变形菌门和肠杆菌科的相对丰度与12月龄婴儿的沟通能力得分呈负相关,而丹毒梭菌科的相对丰度与粗大运动能区得分呈负相关。结论 神经发育良好与迟缓婴儿的生命早期肠道菌群结构具有差异,并与12月龄时期婴儿沟通能区和粗大运动能区的发育有关联。提示生命早期肠道菌群与婴儿的神经发育水平有关。
Relationship between gut microbiome and neurodevelopment in early life
OBJECTIVE To compare the differences in gut microbiome composition between children with good neurodevelopment and those with delayed neurodevelopment,and to analyze the relationship between gut microbiome and the neurodevelopment status of infants in early life.METHODS The mothers were included at the Second West China Hospital from November 2020 to April 2021.Their infant stools were collected on day 0 and day 90 after birth,and the follow-up questionnaires at the corresponding time points were completed.Additionally,the Ages and Stages Questionnaires-Third Edition(ASQ-3)were completed by mothers at 12 months of age.The structure and diversity of gut microbiota were examined by 16S rRNA sequencing,and the relationship between gut microbiome and ASQ-3 questionnaire scores in early life was analyzed.RESULTS According to the ASQ-3 scores,mothers and infants into neurodevelopment good group(G group,n=18)and neurodevelopmental delay group(D group,n=10).Compared with the D group,the relative abundance of the Firmicutes was significantly higher in the G group at day 0(P<0.05),while the level of the Proteobacteria was lower(P<0.05).At day 90 after birth,the relative abundance of the Actinobacteria,Bifidobacteriaceae and Enterococcaceae was significantly higher in the G group(P<0.05).In addition,alpha diversity was not statistically different between the two groups.Spearman's correlation analysis showed that Clostridiaceae of the postnatal day 0 infants was positively correlated with the communication domain score,but negatively associated with gross motor domain score in children at 12 months of age,whereas the relative abundance of Proteobacteria and Enterobacteriaceae of children at postnatal day 90 was negatively associated with communication development,while the relative abundance of Erysipelatoclostridiaceae showed a negative correlation with gross motor domain scores.CONCLUSION The structure of the gut microbiome in early life between neurodevelopment good and delayed infants,and were associated with the development of communication and gross motor domain in infants at 12 months of age,suggesting that gut microbiome in early life may be related to the level of neurodevelopment in infants.

gut microbiomeearly lifeneurodevelopmentAges and Stages Questionnaires-Third Edition(ASQ-3)

贾雯、刘美汛、周志谟、李金星、吴思谋、沈曦、何方、程如越

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四川大学华西公共卫生学院/四川大学华西第四医院,成都 610041

肠道菌群 生命早期 神经发育 年龄与发育进程问卷第三版

国家自然科学基金青年基金中国营养学会营养科研基金

82204037CNS-Feihe2022-12

2024

卫生研究
中国疾病预防控制中心

卫生研究

CSTPCD北大核心
影响因子:0.761
ISSN:1000-8020
年,卷(期):2024.53(2)
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