학술논문

Gut bacteria are rarely shared by co-hospitalized premature infants, regardless of necrotizing enterocolitis development.
Document Type
article
Source
eLife. 4(4)
Subject
Intestines
Humans
Bacteria
Enterocolitis
Necrotizing
Hospitalization
Infant
Newborn
Infant
Premature
Microbiota
evolutionary biology
genomics
gut microbial colonization
infectious disease
metagenomics
microbiology
necrotizing enterocolitis
nosocomial infections
preterm infants
Enterocolitis
Necrotizing
Infant
Newborn
Premature
Preterm
Low Birth Weight and Health of the Newborn
Rare Diseases
Pediatric
Infectious Diseases
Human Genome
Infant Mortality
Genetics
Digestive Diseases
Perinatal Period - Conditions Originating in Perinatal Period
2.2 Factors relating to physical environment
Infection
Biochemistry and Cell Biology
Language
Abstract
Premature infants are highly vulnerable to aberrant gastrointestinal tract colonization, a process that may lead to diseases like necrotizing enterocolitis. Thus, spread of potential pathogens among hospitalized infants is of great concern. Here, we reconstructed hundreds of high-quality genomes of microorganisms that colonized co-hospitalized premature infants, assessed their metabolic potential, and tracked them over time to evaluate bacterial strain dispersal among infants. We compared microbial communities in infants who did and did not develop necrotizing enterocolitis. Surprisingly, while potentially pathogenic bacteria of the same species colonized many infants, our genome-resolved analysis revealed that strains colonizing each baby were typically distinct. In particular, no strain was common to all infants who developed necrotizing enterocolitis. The paucity of shared gut colonizers suggests the existence of significant barriers to the spread of bacteria among infants. Importantly, we demonstrate that strain-resolved comprehensive community analysis can be accomplished on potentially medically relevant time scales.