Evidence map›Paper›PMID 41168767›Full record

Trial reportJournal of translational medicine2025

Maternal-to-neonatal microbial transmission and impact of prenatal probiotics on neonatal gut development.

Lulu Meng, Ge Fan, Haishan Xie, Kian Deng Tye, Lianyi Xia, Huijuan Luo, Xiaomei Tang, Ting Huang, Jiaxin Lin, Guangyu Ma and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06241222 (Origin of the Neonatal Gut Microbiota and Probiotic Intervention), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06241222 nacompletednot on this map

Origin of the Neonatal Gut Microbiota and Probiotic Intervention

TypeinterventionalSponsorThird Affiliated Hospital, Sun Yat-Sen UniversityRan2018 to 2021Enrolled30ConditionsMicrobiotaArmsProbiotic Blend Oral Tablet
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

12 authors.

Lulu Meng *High-Risk Perinatal Medicine Center, Third Affiliated Hospital of Sun Yat- sen University, Guangzhou, 510632, China.
Ge Fan *Department of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China.
Haishan Xie *Center of Reproductive Medicine, The General Hospital of Southern Theater Command, Guangzhou, 510010, China.
Kian Deng TyeDepartment of Obstetrics and Gynecology, The Fifth Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510632, China.
Lianyi XiaDepartment of Obstetrics, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510632, China.
Huijuan LuoDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China.
Xiaomei TangDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China.
Ting HuangDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China.
Jiaxin LinDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Guangyu MaDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China.
Xiaomin XiaoDepartment of Gynecology and Obstetrics, The First Affiliated Hospital of Jinan University (Guangdong), Guangzhou, Guangdong, 510632, China. jnuxiaoxiaomin@163.com.
Zhe LiHigh-Risk Perinatal Medicine Center, Third Affiliated Hospital of Sun Yat- sen University, Guangzhou, 510632, China. lizh328@mail.sysu.edu.cn.ORCID 0009-0009-3725-2248

Funding

Department of Science and Technology of Guangzhou 202201010952National Natural Science Foundation of China 81771664
6 · The paper itself

Abstract

backgroundMaternal microbiota during pregnancy plays a crucial role in establishing the neonatal gut microbiota, which is essential for infant health. This study aimed to trace maternal microbial sources contributing to early neonatal gut colonization and assess the effect of prenatal probiotic supplementation on maternal-to-neonatal microbial transmission.

methodsA total of 26 mother-neonate pairs undergoing full-term vaginal delivery were enrolled. From gestational week 32 until delivery, the intervention group received a probiotic supplement containing Bifidobacterium longum, Lactobacillus delbrueckii bulgaricus, and Streptococcus thermophilus twice daily, while the control group received no supplementation. Maternal fecal, vaginal, and placental samples were collected at full term, and neonatal fecal samples were collected longitudinally at Days 1, 3, 14, and 6 months postpartum. Microbial community profiling was performed using 16 S rRNA gene sequencing. Microbial source attribution was conducted using the FEAST algorithm.

resultsAlpha and beta diversity analyses showed that prenatal probiotics transiently altered the composition of neonatal meconium microbiota, with no significant differences observed at later time points. Volatility analysis revealed enhanced microbial stability in the probiotic group during Days 1 to 3 (P < 0.001). FEAST source-tracking indicated that maternal gut and placenta were the major contributors to neonatal meconium colonization, with gut-derived input increasing over time and vaginal contributions remaining minimal throughout. Probiotic supplementation significantly increased the placental contribution to meconium microbiota (P = 0.02), with a sustained but non-significant elevation observed through later stages. Meanwhile, gut-derived and vaginal-derived inputs were consistently reduced in the probiotic group, though these differences did not reach statistical significance.

conclusionThis study highlights the dynamic nature of maternal-to-neonatal microbial transmission and demonstrates that prenatal probiotic supplementation can transiently reshape early colonization patterns by modulating source contributions.

trial registrationClinicalTrials.gov, NCT06241222 ( https://clinicaltrials.gov/study/NCT06241222 ); retrospectively registered on 2024-01-17 (study start 2018-01-01; completion 2021-12-31; first posted 2024-02-05).

Indexed as

Gastrointestinal MicrobiomePrenatal CareProbioticsAdultFecesFemaleHumansInfant, NewbornMeconiumPregnancyGut microbiomeNeonatal gut microbiomePlacentaPregnancyProbioticVertical transmission

Identifiers

PMID41168767
PMCPMC12573995

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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.