Evidence map›Paper›PMID 40204761›Full record

ArticleScientific reports2025

Progression of gut microbiome in preterm infants during the first three months.

Fangfang Li, Suet Li Hooi, Yao Mun Choo, Cindy Shuan Ju Teh, Kai Yee Toh, Lydia Wan Zhen Lim, Yee Qing Lee, Chun Wie Chong, Azanna Ahmad Kamar

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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  8. IncreasedbioRxiv : the preprint server for biology · 2026
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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

9 authors.

Fangfang LiDepartment of Pediatrics, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
Suet Li HooiAMILI Pte Ltd, Singapore, 118261, Singapore.
Yao Mun ChooDepartment of Pediatrics, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia. ymchoo@ummc.edu.my.
Cindy Shuan Ju TehDepartment of Medical Microbiology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia. cindysjteh@um.edu.my.
Kai Yee TohAMILI Pte Ltd, Singapore, 118261, Singapore.
Lydia Wan Zhen LimAMILI Pte Ltd, Singapore, 118261, Singapore.
Yee Qing LeeDepartment of Medical Microbiology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
Chun Wie ChongSchool of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500, Selangor, Malaysia.
Azanna Ahmad KamarDepartment of Pediatrics, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.

Funding

International Funding IF047-2021
6 · The paper itself

Abstract

The colonization and evolution of gut microbiota early in life play a vital role in shaping a healthy, robust immune system for infant health, whether in combating short-term illness or improving long-term health outcomes. Early-life clinical practices may interrupt or disrupt the normal colonization process of the infant gut microbiota, thereby increasing disease susceptibility. In this prospective cohort study, we analyzed the gut microbiota of 46 term and 23 preterm infants using 16S rRNA gene metagenomic sequencing. Fecal samples were collected at six timepoints during the first three months of life. Notably, gestational age was the main factor contributing to differences in the meconium microbial composition. Intriguingly, our study unveiled a more homogeneous microbial composition in preterm infants with more abundant Bifidobacterium from the postnatal age (PNA) of one month. Concurrently, the beneficial bacteria Bifidobacterium and Lactobacillus gradually increased, and the potentially pathogenic bacteria Clostridium, Enterobacter, Enterococcus, Klebsiella, and Pseudomonas gradually decreased. Furthermore, our study underscored a link between decreased microbial diversity of preterm infants and exclusive breastfeeding and antibiotic exposure. Moreover, preterm infants with patent ductus arteriosus (PDA) exhibited reduced microbial diversity but higher abundances of Streptococcus oralis and Streptococcus mitis.

Indexed as

BacteriaGastrointestinal MicrobiomeInfant, PrematureBifidobacteriumFecesFemaleGestational AgeHumansInfantInfant, NewbornMaleMeconiumMetagenomicsProspective StudiesRNA, Ribosomal, 16SRNA, Ribosomal, 16S16S amplicon sequencingGut microbiomeMeconiumNICUPatent ductus arteriosus (PDA)Preterm infants

Identifiers

PMID40204761
PMCPMC11982265

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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.