Bacterial diversity in meconium of preterm neonates and evolution of their fecal microbiota during the first month of life

PLoS One. 2013 Jun 28;8(6):e66986. doi: 10.1371/journal.pone.0066986. Print 2013.

Abstract

The establishment and succession of bacterial communities in infants may have a profound impact in their health, but information about the composition of meconium microbiota and its evolution in hospitalized preterm infants is scarce. In this context, the objective of this work was to characterize the microbiota of meconium and fecal samples obtained during the first 3 weeks of life from 14 donors using culture and molecular techniques, including DGGE and the Human Intestinal Tract Chip (HITChip) analysis of 16S rRNA amplicons. Culture techniques offer a quantification of cultivable bacteria and allow further study of the isolate, while molecular techniques provide deeper information on bacterial diversity. Culture and HITChip results were very similar but the former showed lower sensitivity. Inter-individual differences were detected in the microbiota profiles although the meconium microbiota was peculiar and distinct from that of fecal samples. Bacilli and other Firmicutes were the main bacteria groups detected in meconium while Proteobacteria dominated in the fecal samples. Culture technique showed that Staphylococcus predominated in meconium and that Enterococcus, together with Gram-negative bacteria such as Escherichia coli, Escherichia fergusonii, Klebsiella pneumoniae and Serratia marcescens, was more abundant in fecal samples. In addition, HITChip results showed the prevalence of bacteria related to Lactobacillus plantarum and Streptococcus mitis in meconium samples whereas those related to Enterococcus, Escherichia coli, Klebsiella pneumoniae and Yersinia predominated in the 3(rd) week feces. This study highlights that spontaneously-released meconium of preterm neonates contains a specific microbiota that differs from that of feces obtained after the first week of life. Our findings indicate that the presence of Serratia was strongly associated with a higher degree of immaturity and other hospital-related parameters, including antibiotherapy and mechanical ventilation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacillus / genetics
  • Bacteroides / genetics
  • Biodiversity
  • Cluster Analysis
  • DNA, Bacterial / genetics
  • DNA, Bacterial / isolation & purification
  • Enterococcus / genetics
  • Feces / microbiology
  • Female
  • Humans
  • Infant, Extremely Premature
  • Infant, Newborn
  • Male
  • Meconium / microbiology*
  • Microbiota / genetics*
  • Molecular Typing
  • Oligonucleotide Array Sequence Analysis
  • Phylogeny
  • Pregnancy
  • Premature Birth
  • Principal Component Analysis

Substances

  • DNA, Bacterial

Grants and funding

This work was supported by the projects CSD2007-00063 (FUN-C-FOOD, Consolider-Ingenio 2010) and AGL2010-15420 from the Ministerio de Ciencia e Innovación (Spain), by the project FIS PS09/00040 (Ministerio de Sanidad y Consumo, Spain) and the unrestricted Spinoza Award to WMdV of the Netherlands Foundation for Scientific Research. EJ was granted with a FEMS Research Fellowship to perform HITChip analyses. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.