Mothers of Preterm Infants Have Individualized Breast Milk Microbiota that Changes Temporally Based on Maternal Characteristics

Mother’s milk contains complex microbial communities thought to be important for colonizing a preterm infant’s gastrointestinal tract. However, little is known about the microbiota in the preterm mother’s milk and factors influencing its composition. We characterized the temporal dynamics of microbi...

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Veröffentlicht in:Cell host & microbe 2020-11, Vol.28 (5), p.669-682.e4
Hauptverfasser: Asbury, Michelle R., Butcher, James, Copeland, Julia K., Unger, Sharon, Bando, Nicole, Comelli, Elena M., Forte, Victoria, Kiss, Alex, LeMay-Nedjelski, Lauren, Sherman, Philip M., Stintzi, Alain, Tomlinson, Christopher, Wang, Pauline W., O’Connor, Deborah L.
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container_end_page 682.e4
container_issue 5
container_start_page 669
container_title Cell host & microbe
container_volume 28
creator Asbury, Michelle R.
Butcher, James
Copeland, Julia K.
Unger, Sharon
Bando, Nicole
Comelli, Elena M.
Forte, Victoria
Kiss, Alex
LeMay-Nedjelski, Lauren
Sherman, Philip M.
Stintzi, Alain
Tomlinson, Christopher
Wang, Pauline W.
O’Connor, Deborah L.
description Mother’s milk contains complex microbial communities thought to be important for colonizing a preterm infant’s gastrointestinal tract. However, little is known about the microbiota in the preterm mother’s milk and factors influencing its composition. We characterized the temporal dynamics of microbial communities in 490 breast milk samples from 86 mothers of preterm infants (born
doi_str_mv 10.1016/j.chom.2020.08.001
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However, little is known about the microbiota in the preterm mother’s milk and factors influencing its composition. We characterized the temporal dynamics of microbial communities in 490 breast milk samples from 86 mothers of preterm infants (born &lt;1,250g) over the first 8 weeks postpartum. Highly individualized microbial communities were identified in each mother’s milk that changed temporally with notable alterations in predicted microbial functions. However, pre-pregnancy BMI, delivery mode, and antibiotics were associated with changes in these microbial dynamics. Individual classes of antibiotics and their duration of exposure during prenatal and postpartum periods showed unique relationships with microbial taxa abundance and diversity in mother’s milk. These results highlight the temporal complexity of the preterm mother’s milk microbiota and its relationship with maternal characteristics as well as the importance of discussing antibiotic stewardship for mothers. [Display omitted] •Mothers of preterm infants have individualized microbiota in their breast milk•The microbiota of preterm milk changes over time•Maternal BMI and delivery mode are related to preterm milk microbiota over time•Preterm milk microbiota differs with maternal antibiotics (class, timing, and duration) Asbury et al. show that mothers of preterm infants have individualized microbiota in their breast milk that changes over their infants’ hospitalization. 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[Display omitted] •Mothers of preterm infants have individualized microbiota in their breast milk•The microbiota of preterm milk changes over time•Maternal BMI and delivery mode are related to preterm milk microbiota over time•Preterm milk microbiota differs with maternal antibiotics (class, timing, and duration) Asbury et al. show that mothers of preterm infants have individualized microbiota in their breast milk that changes over their infants’ hospitalization. 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subjects antibiotics
BMI
breast milk
C-section delivery
lactation
microbiome
microbiota
preterm infant
vaginal delivery
title Mothers of Preterm Infants Have Individualized Breast Milk Microbiota that Changes Temporally Based on Maternal Characteristics
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