Evidence map›Paper›PMID 25557210›Full record

ArticleAmerican journal of obstetrics and gynecology2015

The preterm placental microbiome varies in association with excess maternal gestational weight gain.

Kathleen M Antony, Jun Ma, Kristen B Mitchell, Diana A Racusin, James Versalovic, Kjersti Aagaard

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Perinatal Bacterial Exposure Contributes to IL-13 Aeroallergen Response.American journal of respiratory cell and molecular biology · 2017
    Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Analysis of metagenomic data.Nature reviews. Methods primers · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Microbiome-Induced Autoimmunity and Novel Therapeutic Intervention.Advances in experimental medicine and biology · 2023
    Review
  19. Review
  20. Article

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kathleen M AntonyDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Jun MaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Kristen B MitchellDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Diana A RacusinDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
James VersalovicDepartment of Virology and Microbiology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX; Department of Pathology and Immunology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Kjersti AagaardDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX. Electronic address: aagaardt@bcm.edu.

Funding

Conserved Fetal Epigenomic Signatures in a Primate Model of Maternal ObesityR01DK089201 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI AAGAARD, KJERSTI MARIE · 2012 to 2021
$5.1M
A Multi'omics Approach towards Deciphering the Influence of the Microbiome on PreR01NR014792 · NINR · BAYLOR COLLEGE OF MEDICINE · PI AAGAARD, KJERSTI MARIE · 2013 to 2017
$2.7M
Characterization of the Fetal Primate Epigenome and Metabolome Under In UteroDP2OD001500 · OD · BAYLOR COLLEGE OF MEDICINE · PI AAGAARD, KJERSTI MARIE · 2007 to 2011
$2.3M
A Microbial Genome Reference Platform for MetagenomicsU54HG004973 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A, HIGHLANDER, SARAH KATHERINE · 2009 to 2010
$1.8M
NHGRI NIH HHS U54 HG004973NHGRI NIH HHS U54HG004973NIDDK NIH HHS R01 DK089201NIH HHS DP21DP2OD001500NIH HHS DP2 OD001500NINR NIH HHS R01 NR014792NINR NIH HHS R01NR014792
6 · The paper itself

Abstract

objectiveAlthough a higher maternal body mass index is associated with preterm birth, it is unclear whether excess gestational weight gain (GWG) or obesity drives increased risk. We and others have shown that the placenta harbors microbiota, which is significantly different among preterm births. Our aim in this study was to investigate whether the preterm placental microbiome varies by virtue of obesity or alternately by excess GWG. STUDY

designPlacentas (n=320) were collected from term and preterm pregnancies. Genomic DNA was extracted and subjected to metagenomic sequencing. Data were analyzed by clinical covariates that included the 2009 Institute of Medicine's GWG guideline and obesity.

resultsAnalysis of 16S recombinant RNA-based metagenomics revealed no clustering of the microbiome by virtue of obesity (P=.161). Among women who spontaneously delivered preterm, there was again no clustering by obesity (P=.480), but there was significant clustering by excess GWG (P=.022). Moreover, among preterm births, detailed analysis identified microbial genera (family and genus level) and bacterial metabolic gene pathways that varied among pregnancies with excess GWG. Notably, excess GWG was associated with decreased microbial folate biosynthesis pathways and decreased butanoate metabolism (linear discriminate analysis, >3.0-fold).

conclusionAlthough there were no significant alterations in the microbiome by virtue of obesity per se, excess GWG was associated with an altered microbiome and its metabolic profile among those women who experienced a preterm birth.

Indexed as

Weight GainActinobacteriaAdultBacteroidetesBody Mass IndexCase-Control StudiesChloroflexiCyanobacteriaFemaleHumansMetagenomeMicrobiotaMolecular TypingObesityPlacentaPregnancyRNA, Ribosomal, 16Sexcess gestational weight gainmaternal obesitymetagenomicsmicrobiomepreterm birth

Identifiers

PMID25557210
PMCPMC4892181

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.