Early gut microbiota intervention in premature infants: Application perspectives

Bibliographic Details
Title: Early gut microbiota intervention in premature infants: Application perspectives
Authors: Quanhang Xiang, Xudong Yan, Wei Shi, Huiping Li, Kai Zhou
Source: Journal of Advanced Research, Vol 51, Iss , Pp 59-72 (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Medicine (General)
LCC:Science (General)
Subject Terms: Early intervention, Premature infants, Intestinal innate immune system, Probiotics, Fecal microbiota transplantation, Nutrients, Medicine (General), R5-920, Science (General), Q1-390
More Details: Background: Preterm birth is the leading cause of death in children under the age of five. One of the major factors contributing to the high risk of diseases and deaths in premature infants is the incomplete development of the intestinal immune system. The gut microbiota has been widely recognized as a critical factor in promoting the development and function of the intestinal immune system after birth. However, the gut microbiota of premature infants is at high risk of dysbiosis, which is highly associated with adverse effects on the development and education of the early life immune system. Early intervention can modulate the colonization and development of gut microbiota and has a long-term influence on the development of the intestinal immune system. Aim of Review: This review aims to summarize the characterization, interconnection, and underlying mechanism of gut microbiota and intestinal innate immunity in premature infants, and to discuss the status, applicability, safety, and prospects of different intervention strategies in premature infants, thus providing an overview and outlook of the current applications and remaining gaps of early intervention strategies in premature infants. Key Scientific Concepts of Review: This review is focused on three key concepts. Firstly, the gut microbiota of premature infants is at high risk of dysbiosis, resulting in dysfunctional intestinal immune system processes. Secondly, contributing roles of early intervention have been observed in improving the intestinal environment and promoting gut microbiota colonization, which is significant in the development and function of gut immunity in premature infants. Thirdly, different strategies of early intervention, such as probiotics, fecal microbiota transplantation, and nutrients, show different safety, applicability, and outcome in premature infants, and the underlying mechanism is complex and poorly understood.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2090-1232
Relation: http://www.sciencedirect.com/science/article/pii/S2090123222002521; https://doaj.org/toc/2090-1232
DOI: 10.1016/j.jare.2022.11.004
Access URL: https://doaj.org/article/ed20a7181f9e4558ba8fbb3bc566732a
Accession Number: edsdoj.20a7181f9e4558ba8fbb3bc566732a
Database: Directory of Open Access Journals
More Details
ISSN:20901232
DOI:10.1016/j.jare.2022.11.004
Published in:Journal of Advanced Research
Language:English