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Intestinal microbiome is related to lifetime antibiotic use in Finnish pre-school children

Katri Korpela, Anne Salonen, Lauri J. Virta, Riina A. Kekkonen, Kristoffer Forslund, Peer Bork and Willem M. de Vos ()
Additional contact information
Katri Korpela: Immunobiology Research Program, University of Helsinki
Anne Salonen: Immunobiology Research Program, University of Helsinki
Lauri J. Virta: Social Insurance Institution
Riina A. Kekkonen: Valio Limited
Kristoffer Forslund: European Molecular Biology Laboratory
Peer Bork: European Molecular Biology Laboratory
Willem M. de Vos: Immunobiology Research Program, University of Helsinki

Nature Communications, 2016, vol. 7, issue 1, 1-8

Abstract: Abstract Early-life antibiotic use is associated with increased risk for metabolic and immunological diseases, and mouse studies indicate a causal role of the disrupted microbiome. However, little is known about the impacts of antibiotics on the developing microbiome of children. Here we use phylogenetics, metagenomics and individual antibiotic purchase records to show that macrolide use in 2–7 year-old Finnish children (N=142; sampled at two time points) is associated with a long-lasting shift in microbiota composition and metabolism. The shift includes depletion of Actinobacteria, increase in Bacteroidetes and Proteobacteria, decrease in bile-salt hydrolase and increase in macrolide resistance. Furthermore, macrolide use in early life is associated with increased risk of asthma and predisposes to antibiotic-associated weight gain. Overweight and asthmatic children have distinct microbiota compositions. Penicillins leave a weaker mark on the microbiota than macrolides. Our results support the idea that, without compromising clinical practice, the impact on the intestinal microbiota should be considered when prescribing antibiotics.

Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:7:y:2016:i:1:d:10.1038_ncomms10410

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DOI: 10.1038/ncomms10410

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