Evidence map›Paper›PMID 36085277›Full record

ReviewTrends in molecular medicine2022

Crucial nuances in understanding (mis)associations between the neonatal microbiome and Cesarean delivery.

Alexa M Sassin, Grace J Johnson, Alison N Goulding, Kjersti M Aagaard

Open access · greenAbstract readReview
In one paragraph

Review in Trends in molecular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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.

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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Neonatal Microbiome: Is it Still Beneficial?Endocrine, metabolic & immune disorders drug targets · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Construction of a nomogram model for predicting infectious intrapartum fever.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2023
    Article
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

4 authors at 1 institution in 1 country.

Alexa M SassinDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030, USA.
Grace J JohnsonDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Alison N GouldingDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Kjersti M AagaardDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Baylor College of Medicine, Houston, TX 77030, USA; Department of Molecular and Cell Biology, Baylor College of Medicine, Houston, TX 77030, USA; Department of Human and Molecular Genetics, Baylor College of Medicine, Houston, TX 77030, USA. Electronic address: aagaardt@bcm.edu.
Baylor College of Medicine · US

Funding

Metformin in Pregnancy: Fetal Consequences & Long-term Offspring Outcomes in a NHP ModelR01DK128187 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI FRIEDMAN, JACOB E, KIEVIT, PAUL · 2021 to 2025
$7.3M
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
Source of the Placental MicrobiomeR01HD091731 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI AAGAARD, KJERSTI MARIE · 2017 to 2021
$3.4M
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
Baylor College of Medicine and Texas Children's WRHR Center of ExcellenceK12HD103087 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI BELFORT, MICHAEL A · 2020 to 2024
$1.2M
NICHD NIH HHS K12 HD103087NICHD NIH HHS R01 HD091731NIDDK NIH HHS R01 DK089201NIDDK NIH HHS R01 DK128187NINR NIH HHS R01 NR014792
6 · The paper itself

Abstract

As rates of Cesarean delivery and common non-communicable disorders (NCDs), such as obesity, metabolic disease, and atopy/asthma, have concomitantly increased in recent decades, investigators have attempted to discern a causal link. One line of research has led to a hypothesis that Cesarean birth disrupts the presumed normal process of colonization of the neonatal microbiome with vaginal microbes, yielding NCDs later in life. However, a direct link between a disrupted microbiota transfer at time of delivery and acute and/or chronic illness in infants born via Cesarean has not been causally established. Microbiota seeding from maternal vaginal or stool sources has been preliminarily evaluated as an intervention designed to compensate for the lack of (or limited) exposure to such sources among Cesarean-delivered neonates. However, to date, clinical trials have yet to show a clear health benefit with neonatal 'vaginal seeding' practices. Until the long-term effects of these microbiome alterations can be fully determined, it is paramount to conduct parallel meaningful and mechanistic-minded interrogations of the impact of clinically modifiable maternal, nutritional, or environmental exposure on the functional microbiome over the duration of pregnancy and lactation to determine their role in the mitigation of childhood and adult NCDs.

Indexed as

Cesarean SectionMicrobiotaAdultFecesFemaleHumansInfantInfant, NewbornObesityPregnancyVaginamicrobiomemode of deliveryvaginal seeding

Identifiers

PMID36085277
PMCPMC9509442
OpenAlexW4294839601

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.