期刊论文详细信息
BMC Microbiology
Temporal dynamics of the very premature infant gut dominant microbiota
Estelle Jumas-Bilak2  Hélène Marchandin1  Thierry-Pascal Baum5  Dorine Neveu5  Anne Filleron7  Aurélien Jacquot3  Jean-Charles Picaud4  Laurent Roudière6  Fabien Aujoulat8 
[1]Centre Hospitalier Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Laboratoire de Bactériologie, 371 Avenue du Doyen Gaston Giraud, Montpellier 34295, Cedex 5, France
[2]Centre Hospitalier Universitaire de Montpellier, Laboratoire d’Hygiène hospitalière, 778, Rue de la Croix Verte, Montpellier 34000, France
[3]Centre Hospitalier Régional Universitaire de Montpellier, Hôpital Lapeyronie, Département Urgences pédiatriques, 371, Avenue du Doyen Gaston Giraud, Montpellier 34295, Cedex 5, France
[4]Hospices Civil de Lyon, Service de Néonatalogie, 103, Grande-Rue de la Croix-Rousse, Lyon 69317, Cedex 04, France
[5]Centre Hospitalier Universitaire de Montpellier, Département d’Information Médicale, 371 Avenue du Doyen Gaston Giraud, Montpellier 34295, Cedex 5, France
[6]Centre Hospitalier de Fréjus, Laboratoire de bactériologie, 240 avenue de Saint-Lambert BP 110 83608, Fréjus, France
[7]Centre Hospitalier Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Service de néo-natalogie, 371 Avenue du Doyen Gaston Giraud, Montpellier 34295, Cedex 5, France
[8]Université Montpellier 1, UMR 5119 ECOSYM, Equipe Pathogènes et Environnements Unité de Bactériologie, U.F.R. des Sciences pharmaceutiques et biologiques, 15, Avenue Charles Flahault, BP 14491, Montpellier 34093, Cedex 5, France
关键词: Veillonellaceae;    Enterobacteriaceae;    Clostridium;    Enterococcus;    Staphylococcus;    Dynamics;    Diversity;    PCR-TTGE;    Follow-up;    Microbiota;    Stool;    Extremely low birth weight Infant;   
Others  :  1137665
DOI  :  10.1186/s12866-014-0325-0
 received in 2014-11-30, accepted in 2014-12-11,  发布年份 2014
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【 摘 要 】

Background

The very-preterm infant gut microbiota is increasingly explored due to its probable role in the development of life threatening diseases. Results of high-throughput studies validate and renew the interest in approaches with lower resolution such as PCR-Temporal Temperature Gel Electrophoresis (TTGE) for the follow-up of dominant microbiota dynamics. We report here an extensive longitudinal study of gut colonization in very preterm infants. We explored by 16S rDNA-based PCR-TTGE a total of 354 stool specimens sampled during routine monitoring from the 1st to the 8th week of life in 30 very pre-term infants born before 30 weeks of gestational age.

Results

Combining comparison with a diversity ladder and sequencing allowed affiliation of 50 Species-Level Operational Taxonomic Units (SLOTUs) as well as semi-quantitative estimation of Operational Taxonomic Units (OTUs). Coagulase-negative staphylococci, mainly the Staphylococcus epidermidis, was found in all the infants during the study period and was the most represented (75.7% of the SLOTUs) from the first days of life. Enterococci, present in 60% of the infants were early, highly represented and persistent colonizers of the premature gut. Later Enterobacteriaceae and the genus Clostridium appeared and were found in 10 (33%) and 21 infants (70%), respectively. We showed a high representation of Veillonella in more than a quarter of the infants and being able to persistently colonize premature gut. The genera Anaerococcus, Aquabacterium, Bacillus, Bifidobacterium, Corynebacterium, Micrococcus, Oceanobacillus, Propionibacterium, Pseudomonas, Rothia, Sarcina, Sneathia and Streptococcus were observed as transient or persistent colonizers, each genus being found in a minority of infants.

Conclusions

Despite low resolution, PCR-TTGE remains complementary to high-throughput sequencing-based approaches because it allows the follow-up of dominant bacteria in gut microbiota in a large longitudinal cohorts of preterm neonates. We described the development of pre-term gut microbiota that should be now replaced regarding the functional role of major OTUs.

【 授权许可】

   
2014 Aujoulat et al.; licensee BioMed Central.

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【 参考文献 】
  • [1]Benno Y, Sawada K, Mitsuoka T: The intestinal microflora of infants: composition of fecal flora in breast-fed and bottle-fed infants. Immunol 1984, 28:975-986.
  • [2]Favier CF, Vaughan EE, de Vos WM, Akkermans DL: Molecular monitoring of succession of bacterial communities in human neonates. Appl Env Microbiol 2002, 68:219-226.
  • [3]Sakata H, Yoshioka H, Fujita K: Development of the intestinal flora in very low birth weight infants compared to normal full-term newborns. Eur J Pediatr 1985, 144:186-190.
  • [4]Magne F, Abely M, Boyer F, Morville P, Pochart P, Suau A: Low species diversity and high interindividual variability in faeces of preterm infants as revealed by sequences of 16S rRNA genes and PCR-temporal temperature gradient gel electrophoresis profiles. FEMS Microbiol Ecol 2006, 57:128-138.
  • [5]Chang JY, Shin SM, Chun J, Lee JH, Seo JK: Pyrosequencing-based molecular monitoring of the intestinal bacterial colonization in preterm infants. J Pediatr Gastroenterol Nutr 2011, 53:512-519.
  • [6]Brook I: Microbiology and management of neonatal necrotizing enterocolitis. Am J Perinatol 2008, 25:111-118.
  • [7]Mai V, Torrazza RM, Ukhanova M, Wang X, Sun Y, Li N, Shuster J, Sharma R, Hudak ML, Neu J: Distortions in development of intestinal microbiota associated with late onset sepsis in preterm infants. PLoS One 2013, 8:e52876.
  • [8]Claud EC, Walker WA: Bacterial colonization, probiotics, and necrotizing enterocolitis. J Clin Gastroenterol 2008, 42:S46-S52.
  • [9]de la Cochetiere MF, Piloquet H, des Robert C, Darmaun D, Galmiche JP, Roze JC: Early intestinal bacterial colonization and necrotizing enterocolitis in premature infants: the putative role of Clostridium. Pediatr Res 2004, 56:366-370.
  • [10]Mai V, Young CM, Ukhanova M, Wang X, Sun Y, Casella G, Theriaque D, Li N, Sharma R, Hudak M, Neu J: Fecal microbiota in premature infants prior to necrotizing enterocolitis. PLoS One 2011, 6:e20647.
  • [11]Deshpande G, Rao S, Patole S: Probiotics for prevention of necrotising enterocolitis in preterm neonates with very low birthweight: a systematic review of randomised controlled trials. Lancet 2007, 369:1614-1620.
  • [12]Butel MJ, Roland N, Hibert A, Popot F, Favre A, Tessedre AC, Bensaada M, Rimbault A, Szylit O: Clostridial pathogenicity in experimental necrotising enterocolitis in gnotobiotic quails and protective role of bifidobacteria. J Med Microbiol 1998, 47:391-399.
  • [13]Palmer C, Bik EM, DiGiulio DB, Relman DA, Brown PO: Development of the human infant intestinal microbiota. PLoS Biol 2007, 5:e177.
  • [14]Gupta S, Morris JG Jr, Panigrahi P, Nataro JP, Glass RI, Gewolb IH: Endemic necrotizing enterocolitis: lack of association with a specific infectious agent. Pediatr Infect Dis J 1994, 13:728-734.
  • [15]Stark PL, Lee A: The microbial ecology of the large bowel of breast-fed and formula-fed infants during the first year of life. J Med Microbiol 1982, 15:189-203.
  • [16]Blakey JL, Lubitz L, Barnes GL, Bishop RF, Campbell NT, Gillam GL: Development of gut colonisation in pre-term neonates. J Med Microbiol 1982, 15:519-529.
  • [17]Rotimi VO, Olowe SA, Ahmed I: The development of bacterial flora of premature neonates. J Hyg (Lond) 1985, 94:309-318.
  • [18]Hall SL, Hall RT, Barnes WG, Riddell SW, Meng L, Parisi JT, Kilbride HW, Maulik D: Relationship of maternal to neonatal colonization with coagulase-negative staphylococci. Am J Perinatol 1990, 7:384-388.
  • [19]Gewolb IH, Schwalbe RS, Taciak VL, Harrison TS, Panigrahi P: Stool microflora in extremely low birthweight infants. Arch Dis Child Fetal Neonatal 1999, 80:F167-F173.
  • [20]Hällström M, Eerola E, Vuento R, Janas M, Tammela O: Effects of mode of delivery and necrotising enterocolitis on the intestinal microflora in preterm infants. Eur J Clin Microbiol Infect Dis 2004, 23:463-470.
  • [21]Butel MJ, Suau A, Campeotto F, Magne F, Aires J, Ferraris L, Kalach N, Leroux B, Dupont C: Conditions of bifidobacterial colonization in preterm infants: a prospective analysis. J Ped Gastroenterol 2007, 44:577-582.
  • [22]Rougé C, Piloquet H, Butel MJ, Berger B, Rochat F, Ferraris L, Des Robert C, Legrand A, de la Cochetière MF, N’Guyen JM, Vodovar M, Voyer M, Darmaun D, Rozé JC: Oral supplementation with probiotics in very-low-birth-weight preterm infants: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr 2009, 89:1828-1835.
  • [23]Björkström MV, Hall L, Söderlund S, Håkansson EG, Håkansson S, Domellöf M: Intestinal flora in very low-birth weight infants. Acta Paediatr 2009, 98:1762-1767.
  • [24]Roudière L, Jacquot A, Marchandin H, Aujoulat F, Devine R, Zorgniotti I, Jean-Pierre H, Picaud JC, Jumas-Bilak E: Optimized PCR-Temporal Temperature GelElectrophoresis compared to cultivation to assess diversity of gut microbiota in neonates. J Microbiol Methods 2009, 79:156-165.
  • [25]Campeotto F, Suau A, Kapel N, Magne F, Viallon V, Ferraris L, Waligora-Dupriet AJ, Soulaines P, Leroux B, Kalach N, Dupont C, Butel MJ: A fermented formula in pre-term infants: clinical tolerance, gut microbiota, down-regulation of faecal calprotectin and up-regulation of faecal secretory IgA. Br J Nutr 2011, 22:1-10.
  • [26]Zoetendal EG, Vaughan EE, de Vos WM: A microbial world within us. Mol Microbiol 2006, 59:1639-1650.
  • [27]Wang Y, Hoenig JD, Malin KJ, Qamar S, Petrof EO, Sun J, Antonopoulos DA, Chang EB, Claud EC: 16S rRNA gene-based analysis of fecal microbiota from preterm infants with and without necrotizing enterocolitis. ISME J 2009, 3:944-954.
  • [28]Rougé C, Goldenberg O, Ferraris L, Berger B, Rochat F, Legrand A, Göbel UB, Vodovar M, Voyer M, Rozé JC, Darmaun D, Piloquet H, Butel MJ, de La Cochetière MF: Investigation of the intestinal microbiota in preterm infants using different methods. Anaerobe 2010, 16:362-370.
  • [29]Millar MR, Linton CJ, Cade A, Glancy D, Hall M, Jalal H: Application of 16S RNA gene PCR to study bowel flora of preterm infants with and without necroziting enterocolitis. J Clin Microbiol 1996, 34:2506-2510.
  • [30]Schwiertz A, Gruhl B, Löbnitz M, Michel P, Radke M, Blaut M: Development of the intestinal bacterial composition in hospitalized preterm infants in comparison with breast-fed, full-term infants. Pediatr Res 2003, 54:393-399.
  • [31]Mshvildadze M, Neu J, Shuster J, Theriaque D, Li N, Mai V: Intestinal microbial ecology in premature infants assessed with non-culture-based techniques. J Pediatr 2010, 156:20-25.
  • [32]Ogier JC, Son O, Gruss A, Tailliez P, Delacroix-Buchet A: Identification of the bacterial microflora in dairy products by temporal temperature gradient gel electrophoresis. Appl Environ Microbiol 2002, 68:3691-3701.
  • [33]Jacquot A, Neveu D, Aujoulat F, Mercier G, Marchandin H, Jumas-Bilak E, Picaud JC: Dynamics and clinical evolution of bacterial gut microflora in extremely premature patients. J Pediatr 2011, 158:390.
  • [34]Morowitz MJ, Denef VJ, Costello EK, Thomas BC, Poroyko V, Relman DA, Banfield JF: Strain-resolved community genomic analysis of gut microbial colonization in a premature infant. Proc Natl Acad Sci U S A 2011, 108:1128-1133.
  • [35]LaTuga MS, Ellis JC, Cotton CM, Goldberg RN, Wynn JL, Jackson RB, Seed PC: Beyond bacteria: a study of the enteric microbial consortium in extremely low birth weight infants. PLoS One 2011, 6:e27858.
  • [36]Sharon I, Morowitz MJ, Thomas BC, Costello EK, Relman DA, Banfield JF: Time series community genomics analysis reveals rapid shifts in bacterial species, strains, and phage during infant gut colonization. Genome Res 2013, 23(1):111-120.
  • [37]Human Microbiome Project Consortium: Structure, function and diversity of the healthy human microbiome Nature 2012, 486:207-214.
  • [38]Ghebremedhin B, Layer F, König W, König B: Genetic classification and distinguishing of Staphylococcus species based on different partial gap, 16S rRNA, hsp60, rpoB, sodA, and tuf gene sequences. J Clin Microbiol 2008, 46(3):1019-1025.
  • [39]Schleifer KH, MeAyer SA, Rupprecht M: Relatedness among coagulase-negative staphylococci deoxyribonucleic acid reassociation and comparative immunological studies. Arch Microbiol 1979, 122(1):93-101.
  • [40]Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L, Sargent M, Gill SR, Nelson KE, Relman DA: Diversity of the Human Intestinal Microbial Flora. Science 2005, 308:1635-1638.
  • [41]Kurokawa K, Itoh T, Kuwahara T, Oshima K, Toh H, Toyoda A, Takami H, Morita H, Sharma VK, Srivastava TP, Taylor TD, Noguchi H, Mori H, Ogura Y, Ehrlich DS, Itoh K, Takagi T, Sakaki Y, Hayashi T, Hattori M: Comparative metagenomics revealed commonly enriched gene sets in human gut microbiomes. DNA Res 2007, 14:169-181.
  • [42]Mackie RI, Sghir A, Gaskins HR: Developmental microbial ecology of the neonatal gastrointestinal tract. Am J Clin Nutr 1999, 69:1035S-1045S.
  • [43]Kafarskaia LI, Volodin NN, Efimov BA, Afanas’ev SS, Shkoporov AN: Peculiarities of microbial colonization of the intestinal tract in newborns and pre-term infants in intensive care units] [Article in Russian. Vestn Ross Akad Med Nauk 2006, 1:10-15.
  • [44]Rønnestad A, Abrahamsen TG, Medbø S, Reigstad H, Lossius K, Kaaresen PI, Engelund IE, Irgens LM, Markestad T: Septicemia in the first week of life in a Norwegian national cohort of extremely premature infants. Pediatrics 2005, 115:e262-e268.
  • [45]Foka A, Chini V, Petinaki E, Kolonitsiou F, Anastassiou ED, Dimitracopoulos G, Spiliopoulou I: Clonality of slime-producing methicillin-resistant coagulase-negative staphylococci disseminated in the neonatal intensive care unit of a university hospital. Clin Microbiol Infect 2006, 12:1230-1233.
  • [46]Soeorg H, Huik K, Parm U, Ilmoja ML, Metelskaja N, Metsvaht T, Lutsar I: Genetic Relatedness of Coagulase-Negative Staphylococci from Gastrointestinal Tract and Blood of Preterm Neonates with Late-Onset Sepsis.Pediatr Infect Dis J 2012, Oct 17. [Epub ahead of print]
  • [47]Jimenez E, Delgado S, Maldonado A, Arroyo R, Albújar M, García N, Jariod M, Fernández L, Gómez A, Rodríguez JM: Staphylococcus epidermidis: a differential trait of the fecal microbiota of breast-fed infants. BMC Microbiol 2008, 10:138-143.
  • [48]Ferraris L, Butel MJ, Campeotto F, Vodovar M, Rozé JC, Aires J: Clostridia in premature neonates’ gut: incidence, antibiotic susceptibility, and perinatal determinants influencing colonization. PLoS One 2012, 7:e30594.
  • [49]Alfa MJ, Robson D, Davi M, Bernard K, Van Caeseele P, Harding GK: An outbreak of necrotizing enterocolitis associated with a novel clostridium species in a neonatal intensive care unit. Clin Infect Dis 2002, 35:S101-S105.
  • [50]Han VK, Dayed H, Chance GW, Brabyn DG, Shaheed WA: An outbreak of Clostridium difficile necrotizing enterocolitis: a case for oral vancomycin therapy? Pediatrics 1983, 71:935-941.
  • [51]Gothefors L, Blenkarn I: Clostridium butyricum and necrotising enterocolitis. Lancet 1978, 1:52-53.
  • [52]Hufnagel M, Liese C, Loescher C, Kunze M, Proempeler H, Berner R, Krueger M: Enterococcal colonization of infants in a neonatal intensive care unit: associated predictors, risk factors and seasonal patterns. BMC Infect Dis 2007, 7:107-128. BioMed Central Full Text
  • [53]Rubaltelli FF, Biadaioli R, Pecile P, Nicoletti P: Intestinal flora in breast- and bottle-fed infants. J Perinat Med 1998, 26:186-191.
  • [54]Quintanilha AG, Zilberstein B, Santos MA, Pajecki D, Moura EG, Alves PR, Maluf-Filho F, Cecconello I: A novel sampling method for the investigation of gut mirobiota. World J Gastroenterol 2007, 13:3990-3995.
  • [55]Zilberstein B, Quintanilha AG, Santos MA, Pajecki D, Moura EG, Alves PR, Maluf Filho F, de Souza JA, Gama-Rodrigues J: Digestive tract microbiota in healthy volunteers. Clinics 2007, 62:47-54.
  • [56]Albert MJ, Bhat P, Rajan D, Maiya PP, Pereira SM, Baker SJ: Faecal flora of South Indian infants and young children in health and with acute gastroenteritis. J Med Microbiol 1978, 11:137-143.
  • [57]Malinen E, Rinttilä T, Kajander K, Mättö J, Kassinen A, Krogius L, Saarela M, Korpela R, Palva A: Analysis of the fecal microbiota of irritable bowel syndrome patients and healthy controls with real-time PCR. Am J Gastroenterol 2005, 100:373-382.
  • [58]Harmsen HJ, Wildeboer-Veloo AC, Raangs GC, Wagendorp AA, Klijn N, Bindels JG, Welling GW: Analysis of intestinal flora development in breast-fed and formula-fed infants by using molecular identification and detection methods. J Pediatr Gastroenterol Nutr 2000, 30:61-67.
  • [59]Rotimi VO, Duerden BI: The development of the bacterial flora in normal neonates. J Med Microbiol 1981, 14:51-62.
  • [60]Könönen E, Kanervo A, Takala A, Asikainen S, Jousimies-Somer H: Establishment of oral anaerobes during the first year of life. J Dent Res 1999, 78:1634-1639.
  • [61]Egland PG, Palmer RJ Jr, Kolenbrander PE: Interspecies communication in Streptococcus gordonii-Veillonella atypica biofilms: signaling in flow conditions requires juxtaposition. Proc Natl Acad Sci U S A 2004, 101:16917-16922.
  • [62]Kumar PS, Leys EJ, Bryk JM, Martinez FJ, Moeschberger ML, Griffen AL: Changes in periodontal health status are associated with bacterial community shifts as assessed by quantitative 16S cloning and sequencing. J Clin Microbiol 2006, 44:3665-3673.
  • [63]Diaz PI, Chalmers NI, Rickard AH, Kong C, Milburn CL, Palmer RJ Jr, Kolenbrander PE: Molecular characterization of subject-specific oral microflora during initial colonization of enamel. Appl Environ Microbiol 2006, 72:2837-2848.
  • [64]Park HK, Shim SS, Kim SY, Park JH, Park SE, Kim HJ, Kang BC, Kim CM: Molecular analysis of colonized bacteria in a human newborn infant gut. J Microbiol 2005, 43:345-353.
  • [65]Turroni F, Peano C, Pass DA, Foroni E, Severgnini M, Claesson MJ, Kerr C, Hourihane J, Murray D, Fuligni F, Gueimonde M, Margolles A, De Bellis G, O’Toole PW, van Sinderen D, Marchesi JR, Ventura M: Diversity of bifidobacteria within the infant gut microbiota. PLoS One 2012, 7:e36957.
  • [66]Lin HC, Hsu CH, Chen HL, Chung MY, Hsu JF, Lien RI, Tsao LY, Chen CH, Su BH: Oral probiotics prevent necrotizing enterocolitis in very low birth weight preterm infants: a multicenter, randomized, controlled trial. Pediatrics 2008, 122:693-700.
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