Evidence map›Paper›PMID 33228771›Full record

ArticleMicrobiome2020

Perinatal environment shapes microbiota colonization and infant growth: impact on host response and intestinal function.

M Selma-Royo, M Calatayud Arroyo, I García-Mantrana, A Parra-Llorca, R Escuriet, C Martínez-Costa, M C Collado

Registry-linked trialOpen access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Microbiome, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03552939 (The Power of Maternal Microbes on Infant Health), which is not on this map. Cited by 66 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
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.

NCT03552939 completednot on this map

The Power of Maternal Microbes on Infant Health

TypeobservationalSponsorInstitute of Agrochemistry and Food Technology, National Research CouncilRan2015 to 2020Enrolled250ConditionsHealthy
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. MaternalBiomedicines · 2026
    Article
  7. Article
  8. Early-life intervention withFrontiers in microbiology · 2026
    Article
  9. Article
  10. Review
  11. Review
  12. Guardians within: Cross-talk between the gut microbiome and host immune system.World journal of gastrointestinal pathophysiology · 2025
    Review
  13. Review
  14. Article
  15. Abundance ofmSphere · 2025
    Article
  16. Review
  17. Review
  18. Observational
  19. Article
  20. Relationship Between Type of Delivery and Growth Trajectory in the First Year of Life: The Araraquara Cohort Study.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article

6 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

7 authors at 4 institutions in 1 country.

M Selma-RoyoInstitute of Agrochemistry and Food Technology (IATA-CSIC), Spanish National Research council, 46980, Valencia, Spain.
M Calatayud ArroyoInstitute of Agrochemistry and Food Technology (IATA-CSIC), Spanish National Research council, 46980, Valencia, Spain.
I García-MantranaInstitute of Agrochemistry and Food Technology (IATA-CSIC), Spanish National Research council, 46980, Valencia, Spain.
A Parra-LlorcaNeonatal Research Group, Health Research Institute La Fe, Valencia, Spain.
R EscurietGerencia de Procesos Integrales de Salud. Area Asistencial, Servicio Catalan de la Salud. Generalitat de Catalunya, Centre for Research in Health and Economics, Universidad Pompeu Fabra, Barcelona, Spain.
C Martínez-CostaDepartment of Pediatrics, School of Medicine, University of Valencia, 46010, Valencia, Spain.
M C ColladoInstitute of Agrochemistry and Food Technology (IATA-CSIC), Spanish National Research council, 46980, Valencia, Spain. mcolam@iata.csic.es.ORCID 0000-0002-6204-4864
Instituto de Agroquímica y Tecnología de Alimentos · ESGeneralitat de Catalunya · ESLeitat Technological Center · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly microbial colonization triggers processes that result in intestinal maturation and immune priming. Perinatal factors, especially those associated with birth, including both mode and place of delivery are critical to shaping the infant gut microbiota with potential health consequences.

methodsGut microbiota profile of 180 healthy infants (n = 23 born at home and n = 157 born in hospital, 41.7% via cesarean section [CS]) was analyzed by 16S rRNA gene sequencing at birth, 7 days, and 1 month of life. Breastfeeding habits and infant clinical data, including length, weight, and antibiotic exposure, were collected up to 18 months of life. Long-term personalized in vitro models of the intestinal epithelium and innate immune system were used to assess the link between gut microbiota composition, intestinal function, and immune response.

resultsMicrobiota profiles were shaped by the place and mode of delivery, and they had a distinct biological impact on the immune response and intestinal function in epithelial/immune cell models. Bacteroidetes and Bifidobacterium genus were decreased in C-section infants, who showed higher z-scores BMI and W/L during the first 18 months of life. Intestinal simulated epithelium had a stronger epithelial barrier function and intestinal maturation, alongside a higher immunological response (TLR4 route activation and pro-inflammatory cytokine release), when exposed to home-birth fecal supernatants, compared with CS. Distinct host response could be associated with different microbiota profiles.

conclusionsMode and place of birth influence the neonatal gut microbiota, likely shaping its interplay with the host through the maturation of the intestinal epithelium, regulation of the intestinal epithelial barrier, and control of the innate immune system during early life, which can affect the phenotypic responses linked to metabolic processes in infants.

trial registrationNCT03552939 . Video Abstract.

Indexed as

Birth SettingChild DevelopmentCesarean SectionFemaleGastrointestinal MicrobiomeHome ChildbirthHospitalizationHumansInfantInfant, NewbornIntestinesMalePregnancyRNA, Ribosomal, 16SRNA, Ribosomal, 16SAntibioticsEarly programmingEnvironmentEpithelial barrierImmune systemMicrobiotaMode of birth

Identifiers

PMID33228771
PMCPMC7685601
OpenAlexW3108424652

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.