Features of species composition of intestinal bifidobacterium and microbial metabolism profile in children of the first half of life depending on the way of delivery

Cover Page

Cite item

Full Text

Abstract

Changes of intestinal microbiome in first year of life, related with cesarean section, are the most unfavorable and have long-term negative immunological and metabolic effects. The aim of the study. Evaluate the species composition of Bifidobacterium, range of Short-chain Fatty Acids (SCFA) in feces in children, who were born by natural way or with cesarean section, for clarification their diagnostic value in the process of formation of microbiocenosis in children. Materials and methods. Exa mined 60 children in the age of 4-6 months. 48 children were born in natural way and 12 were born by cesarean section. All of them were full-term and were on breastfeeding. Functional disorders of digestion were noted in 49 children (81,7%). Researchs that were conducted: microbiological examination of feces, typing of Bifidobacterium (PCR), definition of SCFA (C2 – acetic acid, C3 – propionic acid, C4 – butyric acid, C5 – valeric acid, C6 – caproic acid) content in feces. Results. III-grade dysbiotic changes in intestines were found significantly less in natural-way born (NW) children in comparison with cesarean section (CS) born children (14,58 и 33,33%; p < 0,05). In natural-way born children, infant strains of Bifidobacterium were not detected just in 12.5% but after cesarean section in 25% (p < 0,05). One infant strain of Bifidobacterium was in 41,67% of NW born children and in 25% CS born children (p > 0,05). Established, that content of acetic acid was significantly higher in NW born children (1,59 ± 0,75 и 1,04 ± 0,56; p < 0,05). Conclusion. In CS born children, impoverishment of the intestines by infantile species of Bifidobacterium, lower content of acetic acid, were detected significantly more often. It shows decrease of activity and amount of obligatory anaerobic bacteria (Bifidum-, Lacto-) in intestines, increased activity of opportunistic flora. That can be used in practical healthcare with diagnostic purpose.

About the authors

Elena M. Bulatova

St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: bulatova2008@gmail.com

MD, PhD, Professor, Head of Department of propaedeutics of Children’s Diseases

Russian Federation, Saint Petersburg

Alexandr M. Shabalov

St. Petersburg State Pediatric Medical University

Email: Aleks-Shabalov2007@yandex.ru

MD, PhD, Department of Propaedeutics of Children’s Diseases

Russian Federation, Saint Petersburg

Natalia M. Bogdanova

St. Petersburg State Pediatric Medical University

Email: natasha.bogdanov@mail.ru

MD, PhD, Department of Propaedeutics of Children’s Diseases

Russian Federation, Saint Petersburg

Alexandr I. Shilov

St. Petersburg State Pediatric Medical University

Email: alshilov1995@mail.ru

Department of Propaedeutics of Children’s Diseases

Russian Federation, Saint Petersburg

Emma G. Oganesiyan

St. Petersburg State Pediatric Medical University

Email: emmahov@bk.ru

Student, 4th Year, Pediatric Faculty

Russian Federation, Saint Petersburg

Nadezhda S. Kuritsyna

St. Petersburg State Pediatric Medical University

Email: kuritsyna_n@mail.ru

Department of Propaedeutics of Children’s Diseases

Russian Federation, Saint Petersburg

References

  1. Ардатская М.Д. Клиническое значение короткоцепочечных жирных кислот при патологии желудочно-кишечного тракта: Автореф. дис. … д-ра мед. наук. – М., 2003. – 45 с. [Ardatskaya MD. Klinicheskoe znachenie korotkotsepochechnykh zhirnykh kislot pri patologii zheludochno-kishechnogo trakta [dissertation]. Moscow; 2003. 45 p. (In Russ.)]
  2. Ардатская М.Д., Иконников Н.С., Минушкин О.Н. Способ разделения смеси жирных кислот фракции С2–С6 методом газожидкостной хроматографии. (Патент РФ на изобретение № 2220755/ 10.01.2004). [Patent RUS No 2220755/ 10.01.2004. Ardatskaya MD, Ikonnikov NS, Minushkin ON. Sposob razdeleniya smesi zhirnykh kislot fraktsii С2-С6 metodom gazozhidkostnoy khromatografii. (In Russ.)]
  3. Булатова Е.М., Нетребенко О.К., Богданова Н.М., и др. Влияние применения пробиотических продуктов в период беременности и кормления грудью на становление кишечной микробиоты // Педиат рия. Журнал им. Г.Н. Сперанского. – 2015. – Т. 94. – № 3. – С. 121–128. [Bulatova EM, Netrebenko OK, Bogdanova NM, et al. Effect of application of probiotic products during pregnancy and lactation on the development of the intestinal microbiota of the child. Pediatriya. Zhurnal im. G.N. Speranskogo. 2015;94(3):121-128. (In Russ.)]
  4. Воронцов И.М. Диетология развития — важнейший компонент профилактической педиатрии и валеологии детства // Педиатрия. Журнал им. Г.Н. Сперанского. – 1997. – Т. 76. – № 3. – С. 57–61. [Vorontsov IM. Developmental dietology – most important component of prophylactic pediatrics and valeology of childhood. Pediatriya. Zhurnal im. G.N. Speranskogo. 1997;76(3)57-61. (In Russ.)]
  5. Гатина Д.Н. Результаты изучения отношения рожениц к родоразрешению путем операции кесарева сечения // Современные проблемы науки и образования. – 2016. – № 3. [Gatina DN. Rezul’taty izucheniya otnosheniya rozhenits k rodorazresheniyu putem operatsii kesarevo sechenie. Sovremennye problemy nauki I obrazovaniya. 2016;(3). (In Russ.)]. Доступен по: https://science-education.ru/ru/article/view?id=24490. Ссылка активна на 11.01.2018.
  6. Захарова И.Н., Яцык Г.В., Боровик Т.Э., и др. Младенческие кишечные колики: лечить или не лечить? Учебное пособие для врачей. – М.: РМАПО, 2013. – 62 с. [Zakharova IN, Yatsyk GV, Borovik TE, et al. Mladencheskie kishechnye koliki: lechit’ ili ne lechit’? Uchebnoe posobie dlya vrachey. Moscow: RMAPO; 2013. 62 p. (In Russ.)]
  7. Захарова И.Н., Ардатская М.Д., Сугян Н.Г. Влияние мультиштаммового пробиотика на метаболическую активность кишечной микрофлоры у детей грудного возраста с функциональными нарушениями желудочно-кишечного тракта: результаты плацебо-контролируемого исследования // Вопросы современной педиатрии. – 2016. – Т. 15. – № 1. – С. 68–73. [Zakharova IN, Ardatskaya MD, Sugyan NG. The effect of multi-strain probiotic on the metabolic activity of the intestinal microflora in infants with functional disorders of the gastrointestinal tract: the results of a placebo-controlled study. Voprosy sovremennoy pediatrii. 2016;15(1):68-73. (In Russ.)]. doi: 10.15690/vsp.v15i1.1501.
  8. Минушкин О.Н., Ардатская М.Д. Диагностика состояния микрофлоры кишечника и дифференцированная коррекция ее нарушений: Методическое пособие для врачей, руководителей органов управления здравоохранением и лечебно-профилактических учреждений. – М.: Управление делами Президента РФ, Учебно-научный центр медицинского центра, кафедра гастроэнтерологии, 2005. – 22 с. [Minushkin ON, Ardatskaya MD. Diagnostika sostoyaniya mikroflory kishechnika I differentsirovannaya korrektsiya ee narusheniy. Metodicheskoe posobie dlya vrachey, rukovoditeley organov upravleniya zdravookhraneniem I lechebno-profilakticheskikh uchrezhdeniy. Moscow: Upravlenie delami Prezidenta RF, Uchebno-nauchnyytsentr meditsinskogo tsentra, kafedra gastroenterologii; 2005. 22 p. (In Russ.)]
  9. Рыбина Е.В., Кенбаева К.Г., Савичева А.М. Особенности микрофлоры желудочно-кишечного тракта доношенных новорожденных при разных способах родоразрешения // Педиатр. – 2014. – Т. 5. – № 3. – С. 30–32. [Rybina EV, Kenbaeva KG, Savicheva AM. Gastrointestinal microflora of full-term newborn infants with different modes of delivery. Pediatr. 2014;5(3):30-33. (In Russ.)]
  10. Cугян Н.Г. Клиническое значение короткоцепочечных жирных кислот при функциональных нарушениях желудочно-кишечного тракта у детей раннего возраста: Автореф. дис. … канд. мед. наук. – М., 2010. – 27 с. [Cugyan NG. Klinicheskoe znachenie korotkotsepochechnykh zhirnykh kislot pri funktsional’nykh narusheniyakh zheludochno-kishechnogo trakta u detey rannego vozrasta [dissertation]. Moscow; 2010. 27 p. (In Russ.)]
  11. Федотова Г.В., Вахлова И.В., Боронина Л.Г., Саматова Е.В. Метаболические аспекты состояния микробиоты кишечника у недоношенных детей / Материалы 22-й Объединенной российской гастроэнтерологической недели (3–5 октября 2016 г., Москва) // Российский журнал гастроэнтерологии, гепатологии, колопроктологии. – 2016. – Т. 26. – № 5. – Приложение № 48. – С. 44. [Fedotova GV, Vakhlova IV, Boronina LG, Samatova EV. Metabolicheskie aspekty sostoyaniya mikrobioty kishechnika u nedonoshennykh detey. (Conference proceedings) 22 Ob''eddinennaya Rossiyskaya Gastroenterologicheskaya nedelya (2016 Oct 3-5; Moscow). Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii. 2016;26(5, Suppl.48):44. (In Russ.)]
  12. Шабалов А.М., Булатова Е.М., Шилов А.И. Оcобенности видового состава бифидобактерий у детей с дисбиозом кишечника и различным профилем микробного метаболизма / Материалы X Юбилейной научно-практической конференции «Воронцовские чтения. Санкт-Петербург-2017». – СПб., 2017. – С. 123–126. [Shabalov AM, Bulatova EM, Shilov AI. Ocobennosti vidovogo sostava bifidobakteriy u detey s disbiozom kishechnika i razlichnym profilem mikrobnogo metabolizma. (Conference proceedings) X Yubileynaya nauchno-prakticheskaya konferentsiya “Vorontsovskie chteniya. Sankt-Peterburg-2017”. Saint Petersburg; 2017. P. 123-126. (In Russ.)]
  13. Boets E, Gomand S, Deroover L, et al. Systemic availability and metabolism of colonic-derived short-chain fatty acids in healthy subjects – a stable isotope study. J Physiol. 2017;595(2):541-555. doi: 10.1113/JP272613.
  14. Hijova E, Chmelarova A. Short chain fatty acids and colonic health. Bratisl Lek Listy. 2007;108:354-358. PMID: 18203540.
  15. Koletzko В. Pediatric Nutrition in Practice. Basel: Karger; 2008:80-84.
  16. Marchesi JR, Holmes E, Khan F, et al. Rapid and Noninvasive Metabolomic Characterization of Inflammatory Bowel Disease. J Proteome Res. 2007;6:546-51.
  17. Richards J, Yap Y, McLeod K, et al. Dietary metabolites and the gut microbiota: an alternative approach to control inflammatory and autoimmune diseases. Clin Transl Immunology. 2016;5(5):e82.
  18. Yamaguchi YI, Adachi K, Sugiyama T, et al. Association of Intestinal Microbiota with Metabolic Markers and Dietary Habits in Patients with Type 2 Diabetes. Digestion. 2016;94(2):66-72. doi: 10.1159/000447690.
  19. Weng M, Walker W. The role of gut microbiota in programming the immune phenotipe. J Dev Orig Health Dis. 2013;4(3):203-14. doi: 10.1017/S2040174412000712.

Copyright (c) 2018 Bulatova E.M., Shabalov A.M., Bogdanova N.M., Shilov A.I., Oganesiyan E.G., Kuritsyna N.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies