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Fecal Microbiota in Premature Infants Prior to Necrotizing Enterocolitis 英文参考文献
FecalMicrobiotainPrematureInfantsPriorto
NecrotizingEnterocolitis
VolkerMai1*.,ChristopherMichaelYoung2.,MariaUkhanova1,XiaoyuWang1,YijunSun1 ,George
Casella4,DouglasTheriaque5,NanLi2,RenuSharma3,MarkHudak3,JosefNeu2
1DepartmentofMicrobiologyandCellSciencesandEmergingPathogensInstitute,UniversityofFlorida,Gainesville,Florida,UnitedStatesofAmerica,2Departmentof
Pediatrics, University of Florida, Gainesville, Florida, United States of America, 3Department of Pediatrics, University of Florida, Jacksonville, Florida, United States of
America,4DepartmentofStatisticsandGeneticsInstitute,UniversityofFlorida,Gainesville,Florida,UnitedStatesofAmerica,5ClinicalTranslationalScienceInstitute,
UniversityofFlorida,Gainesville,Florida,UnitedStatesofAmerica
Abstract
Intestinal luminal microbiota likely contribute to the etiology of necrotizing enterocolitis (NEC), a common disease in
preterminfants.Microbiotadevelopment,acascadeofinitialcolonizationeventsleadingtotheestablishmentofadiverse
commensalmicrobiota,cannowbestudiedinpreterminfantsusingpowerfulmoleculartools.Startingwiththefirststool
andcontinuinguntildischarge,weeklystoolspecimenswerecollectedprospectivelyfrominfantswithgestationalages#32
completedweeksorbirthweights#1250g.Highthroughput16SrRNAsequencingwasusedtocomparethediversityof
microbiota and the prevalence of specific bacterial signatures in nine NEC infants and in nine matched controls. After
removalofshortandlowqualityreadsweretainedatotalof110,021sequences.Microbiotacompositiondifferedinthe
matched samples collected 1 week but not ,72hours prior to NEC diagnosis. We detected a bloom (34% increase) of
Proteobacteriaandadecrease(32%)inFirmicutesinNECcasesbetweenthe1weekand,72hoursamples.Nosignificant
changewasidentifiedinthecontrols.Atbothtimepoints,molecularsignatureswereidentifiedthatwereincreasedinNEC
cases.OneofthebacterialsignaturesdetectedmorefrequentlyinNECcases(p,0.01)matchedclosesttoc-Proteobacteria.
Althoughthissequencegroupedtothewell-studiedEnterobac
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