1. Antibiotic exposure is associated with minimal gut microbiome perturbations in healthy term infants.
- Author
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Benitez AJ, Tanes C, Friedman ES, Zackular JP, Ford E, Gerber JS, DeRusso PA, Kelly A, Li H, Elovitz MA, Wu GD, Zemel B, and Bittinger K
- Subjects
- Humans, Infant, Female, Male, Prospective Studies, Longitudinal Studies, Infant, Newborn, Metagenomics, Bacteria classification, Bacteria genetics, Bacteria drug effects, Bacteria isolation & purification, Child, Preschool, Black or African American, Amoxicillin, Bifidobacterium drug effects, Bifidobacterium isolation & purification, Bifidobacterium genetics, White, Gastrointestinal Microbiome drug effects, Anti-Bacterial Agents adverse effects, Anti-Bacterial Agents pharmacology, Feces microbiology, Feces chemistry, Bile Acids and Salts metabolism, Breast Feeding
- Abstract
Background: The evolving infant gut microbiome influences host immune development and later health outcomes. Early antibiotic exposure could impact microbiome development and contribute to poor outcomes. Here, we use a prospective longitudinal birth cohort of n = 323 healthy term African American children to determine the association between antibiotic exposure and the gut microbiome through shotgun metagenomics sequencing as well as bile acid profiles through liquid chromatography-mass spectrometry., Results: Stool samples were collected at ages 4, 12, and 24 months for antibiotic-exposed (n = 170) and unexposed (n = 153) participants. A short-term substudy (n = 39) collected stool samples at first exposure, and over 3 weeks following antibiotics initiation. Antibiotic exposure (predominantly amoxicillin) was associated with minimal microbiome differences, whereas all tested taxa were modified by breastfeeding. In the short-term substudy, we observed microbiome differences only in the first 2 weeks following antibiotics initiation, mainly a decrease in Bifidobacterium bifidum. The differences did not persist a month after antibiotic exposure. Four species were associated with infant age. Antibiotic exposure was not associated with an increase in antibiotic resistance gene abundance or with differences in microbiome-derived fecal bile acid composition., Conclusions: Short-term and long-term gut microbiome perturbations by antibiotic exposure were detectable but substantially smaller than those associated with breastfeeding and infant age., Competing Interests: Declarations. Ethics approval and consent to participate: The study was approved by the Institutional Review Board (IRB) at Children’s Hospital of Philadelphia (IRB 14–010833). Consent for publication: The IGram study enrolled pregnant African American mothers and their newborn infants. The purpose of the research study was to learn more about the bacteria normally living in the child’s gut, how it is transferred from mother to child, and whether it affects the child’s growth in the first 3 years of life. The IGRAM data used in this publication are consistent with the stated purpose of the research. The Institutional Review Board-approved consent documents included language that allowed participants to indicate whether they would like to have their information included in future research. Subjects may participate in the original research without their information (even if de-identified) being included in future research. Competing interests: Dr Elovitz receives salary support from NIAID, NICHD and NINR. She serves as a consultant with equity for Mirvie. No other disclosures were reported., (© 2025. The Author(s).)
- Published
- 2025
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