Evidence map›Paper›PMID 40603287›Full record

ArticleNature communications2025

Breastfeeding and early Bifidobacterium-driven microbial colonization shape the infant gut resistome.

Anna Samarra, Alejandro J Alcañiz, Cecilia Martínez-Costa, Alberto Marina, Iñaki Comas, Nicola Segata, Narciso M Quijada, Maria Carmen Collado

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

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  10. The Critical Period Microbiota Shape Brain Plasticity.bioRxiv : 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

8 authors.

Anna SamarraDepartment of Biotechnology, Institute of Agrochemistry and Food Technology- National Research Council (IATA-CSIC), Paterna, Valencia, Spain.ORCID http://orcid.org/0000-0001-7846-2078
Alejandro J AlcañizDepartment of Biotechnology, Institute of Agrochemistry and Food Technology- National Research Council (IATA-CSIC), Paterna, Valencia, Spain.ORCID http://orcid.org/0009-0008-4988-2231
Cecilia Martínez-CostaDepartment of Pediatrics, School of Medicine, University of Valencia, Valencia, Spain.
Alberto MarinaBiomedicine Institute of Valencia- National Research Council (IBV-CSIC), Valencia, Spain and CIBER de Enfermedades Raras (CIBERER)-ISCIII, Valencia, Spain.ORCID http://orcid.org/0000-0002-1334-5273
Iñaki ComasBiomedicine Institute of Valencia-National Research Council (IBV-CSIC), Valencia, and CIBER de Epidemiología y Salud Pública (CIBERESP) -ISCIII, Valencia, Spain.ORCID http://orcid.org/0000-0001-5504-9408
Nicola SegataDepartment Cellular, Computational and Integrative Biology (CIBIO)-, University of Trento, Trento, Italy.ORCID http://orcid.org/0000-0002-1583-5794
Narciso M QuijadaInstitute of Functional Biology and Genomics (IBFG), CSIC - University of Salamanca, Salamanca, Spain. nmq@usal.es.ORCID http://orcid.org/0000-0002-1956-7205
Maria Carmen ColladoDepartment of Biotechnology, Institute of Agrochemistry and Food Technology- National Research Council (IATA-CSIC), Paterna, Valencia, Spain. mcolam@iata.csic.es.ORCID http://orcid.org/0000-0002-6204-4864

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 European Institute of Innovation and Technology (H2020 The European Institute of Innovation and Technology) MAMI-639226 projectGeneralitat Valenciana (Regional Government of Valencia) CIPROM2023/030Generalitat Valenciana (Regional Government of Valencia) PROMETEO2020/12
6 · The paper itself

Abstract

The assembly of the gut resistome in early life is key to infant health. Specific perinatal factors such as cesarean section (C-section), antibiotic exposure and lack of breastfeeding practices are detrimental to proper microbial development and increase the antimicrobial resistance genes (ARGs). Using 265 gut longitudinal metagenomes from 66 mother-infant pairs, we investigated how perinatal factors influence the acquisition and dynamics of ARGs during the first year of life. Our findings reveal that Bifidobacterium plays a crucial role in modulating the infant resistome, with its high relative abundance being associated with a lower ARG load. Exclusive breastfeeding during the first month of life accelerates the reduction of ARGs and ensures a lower resistome burden at six months. Moreover, early breastfeeding cessation correlates with a higher ARG load, underscoring its long-term influence on microbial resilience. Importantly, we identify exclusive breastfeeding as a key strategy to mitigate the impact of C-section delivery on the infant gut resistome, counteracting the early-life antibiotic exposure associated with this procedure and the resulting resistance acquisition. By promoting a microbiome enriched in Bifidobacterium, breastfeeding may help suppress ARG-carrying taxa, reducing the risk of resistance dissemination. Our findings underscore the importance of breastfeeding as a natural intervention to shape the infant microbiome and resistome. Supporting breastfeeding through public health policies could help limit the spread of antimicrobial resistance in early life.

Indexed as

BifidobacteriumBreast FeedingDrug Resistance, BacterialGastrointestinal MicrobiomeAdultAnti-Bacterial AgentsCesarean SectionFecesFemaleHumansInfantInfant, NewbornMaleMetagenomeMilk, HumanAnti-Bacterial Agents

Identifiers

PMID40603287
PMCPMC12222458

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.