Maternal Microbiome and Infections in Pregnancy.

Maternal Microbiome and Infections in Pregnancy.
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DOI:
10.3390/microorganisms8121996
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发表时间:
2020-12-15
期刊:
影响因子:
4.5
通讯作者:
Zeng MY
Zeng MY
中科院分区:
生物学3区
文献类型:
--
作者:
Amir M;Brown JA;Rager SL;Sanidad KZ;Ananthanarayanan A;Zeng MY

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怀孕会导致母体免疫反应和新陈代谢的独特变化。剧烈的生理适应,以一种错综复杂的协调方式,允许母体支持胎儿的健康成长。肠道微生物群在调节免疫系统、新陈代谢和抵抗感染方面起着核心作用。研究已经报道了怀孕期间肠道、阴道和口腔中母体微生物组的变化;目前尚不清楚这些变化是否/如何与孕期母体免疫反应、新陈代谢和感染易感性有关。我们对人类生理的这些不同方面的协同适应以促进成功怀孕的理解仍然有限。在这里,我们提供了一个全面的文献和讨论在怀孕期间母体肠道、口腔和阴道中的微生物群的变化,母亲和新生儿的代谢变化和并发症,可能部分是由母体肠道代谢失调,最后是常见的妊娠期感染。这篇综述旨在阐明母体微生物群的失调可能是产科代谢并发症和感染的基础。
Pregnancy induces unique changes in maternal immune responses and metabolism. Drastic physiologic adaptations, in an intricately coordinated fashion, allow the maternal body to support the healthy growth of the fetus. The gut microbiome plays a central role in the regulation of the immune system, metabolism, and resistance to infections. Studies have reported changes in the maternal microbiome in the gut, vagina, and oral cavity during pregnancy; it remains unclear whether/how these changes might be related to maternal immune responses, metabolism, and susceptibility to infections during pregnancy. Our understanding of the concerted adaption of these different aspects of the human physiology to promote a successful pregnant remains limited. Here, we provide a comprehensive documentation and discussion of changes in the maternal microbiome in the gut, oral cavity, and vagina during pregnancy, metabolic changes and complications in the mother and newborn that may be, in part, driven by maternal gut dysbiosis, and, lastly, common infections in pregnancy. This review aims to shed light on how dysregulation of the maternal microbiome may underlie obstetrical metabolic complications and infections.
DOI: 10.1056/nejmoa1602412
发表时间: 2016-12-15
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发表时间: 1992-02-01
影响因子: 3.6
作者:
BOPPANA, SB;PASS, RF;ALFORD, CA
通讯作者: ALFORD, CA
DOI: 10.1371/journal.pone.0036466
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期刊: PloS one
影响因子: 3.7
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