Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial

(1) Background: The incidence of gestational diabetes mellitus (GDM) is rising globally. The current evidence indicates that GDM, especially in conjunction with maternal overweight, can alter the composition of infants’ gut microbiota, potentially increasing the risk of inflammatory diseases, metabo...

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Main Authors: Gayatri Athalye-Jape, Chandra Prakash Rath, Harshad Panchal, Archita Mishra, Dorothy Graham, Sanjay Patole
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/13/1/112
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author Gayatri Athalye-Jape
Chandra Prakash Rath
Harshad Panchal
Archita Mishra
Dorothy Graham
Sanjay Patole
author_facet Gayatri Athalye-Jape
Chandra Prakash Rath
Harshad Panchal
Archita Mishra
Dorothy Graham
Sanjay Patole
author_sort Gayatri Athalye-Jape
collection DOAJ
description (1) Background: The incidence of gestational diabetes mellitus (GDM) is rising globally. The current evidence indicates that GDM, especially in conjunction with maternal overweight, can alter the composition of infants’ gut microbiota, potentially increasing the risk of inflammatory diseases, metabolic disorders, and neurodevelopmental issues later in life. Probiotic supplantation early in life might establish eubiosis and mitigate future complications. To best of our knowledge, no study has evaluated the effects of probiotics on gut dysbiosis in the infants of mothers with GDM. (2) Methods: This study will be a single-centre, double-blind, randomized, placebo-controlled trial enrolling sixty neonates born after 35 weeks of gestation to mothers with GDM. The participants will be randomly assigned to receive either a triple-strain probiotic or a placebo for four months. The primary objective is to assess the effectiveness of probiotic supplementation in correcting gut dysbiosis in the infants of mothers with GDM at four months of age. Faecal microbiome composition shall be estimated using 16SrRNA and shotgun sequencing. The secondary outcomes will include the quantification of faecal short-chain fatty acids at birth and at four months, as well as growth and developmental assessments at four, twelve, and twenty-four months. (3) Trial registration: This trial protocol is registered (ACTRN12624000930583p) in the Australian Clinical Trials registry (ANZCTR).
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spelling doaj-art-8dcea3da5baa42958fc46f4f2cc5be132025-01-24T13:42:41ZengMDPI AGMicroorganisms2076-26072025-01-0113111210.3390/microorganisms13010112Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized TrialGayatri Athalye-Jape0Chandra Prakash Rath1Harshad Panchal2Archita Mishra3Dorothy Graham4Sanjay Patole5Department of Neonatology, King Edward Memorial Hospital, Perth, WA 6008, AustraliaDepartment of Neonatology, King Edward Memorial Hospital, Perth, WA 6008, AustraliaDepartment of Neonatology, King Edward Memorial Hospital, Perth, WA 6008, AustraliaThe Kids Research Institute, Perth, WA 6009, AustraliaDepartment of Obstetric Medicine, King Edward Memorial Hospital, Perth, WA 6008, AustraliaDepartment of Neonatology, King Edward Memorial Hospital, Perth, WA 6008, Australia(1) Background: The incidence of gestational diabetes mellitus (GDM) is rising globally. The current evidence indicates that GDM, especially in conjunction with maternal overweight, can alter the composition of infants’ gut microbiota, potentially increasing the risk of inflammatory diseases, metabolic disorders, and neurodevelopmental issues later in life. Probiotic supplantation early in life might establish eubiosis and mitigate future complications. To best of our knowledge, no study has evaluated the effects of probiotics on gut dysbiosis in the infants of mothers with GDM. (2) Methods: This study will be a single-centre, double-blind, randomized, placebo-controlled trial enrolling sixty neonates born after 35 weeks of gestation to mothers with GDM. The participants will be randomly assigned to receive either a triple-strain probiotic or a placebo for four months. The primary objective is to assess the effectiveness of probiotic supplementation in correcting gut dysbiosis in the infants of mothers with GDM at four months of age. Faecal microbiome composition shall be estimated using 16SrRNA and shotgun sequencing. The secondary outcomes will include the quantification of faecal short-chain fatty acids at birth and at four months, as well as growth and developmental assessments at four, twelve, and twenty-four months. (3) Trial registration: This trial protocol is registered (ACTRN12624000930583p) in the Australian Clinical Trials registry (ANZCTR).https://www.mdpi.com/2076-2607/13/1/112probioticsinfants of diabetic mothersgestational diabetesmicrobiome
spellingShingle Gayatri Athalye-Jape
Chandra Prakash Rath
Harshad Panchal
Archita Mishra
Dorothy Graham
Sanjay Patole
Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
Microorganisms
probiotics
infants of diabetic mothers
gestational diabetes
microbiome
title Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
title_full Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
title_fullStr Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
title_full_unstemmed Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
title_short Evaluation of Faecal Microbiota Following Probiotics in Infants of Mothers with Gestational Diabetes Mellitus Trial: Protocol for Double-Blind Placebo-Controlled Randomized Trial
title_sort evaluation of faecal microbiota following probiotics in infants of mothers with gestational diabetes mellitus trial protocol for double blind placebo controlled randomized trial
topic probiotics
infants of diabetic mothers
gestational diabetes
microbiome
url https://www.mdpi.com/2076-2607/13/1/112
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