Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery

BackgroundNeonatal Respiratory Distress Syndrome (NRDS) is a common and severe respiratory disorder in neonates, particularly among preterm infants (PTIs), and is often associated with hypoxemia and multiple organ dysfunction. This study aims to investigate the gut microbiota characteristics in NRDS...

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Main Authors: Yongcheng Fu, Xiujuan Wang, Lintao Nie, Zhaorui Wang, Xiao Ma, Lijia Wu, Liping Han, Wenjun Fu, Ruoming Wang, Hongyan Ren, Da Zhang, Juan Ding
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1544055/full
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author Yongcheng Fu
Xiujuan Wang
Lintao Nie
Zhaorui Wang
Xiao Ma
Lijia Wu
Liping Han
Wenjun Fu
Ruoming Wang
Hongyan Ren
Da Zhang
Juan Ding
author_facet Yongcheng Fu
Xiujuan Wang
Lintao Nie
Zhaorui Wang
Xiao Ma
Lijia Wu
Liping Han
Wenjun Fu
Ruoming Wang
Hongyan Ren
Da Zhang
Juan Ding
author_sort Yongcheng Fu
collection DOAJ
description BackgroundNeonatal Respiratory Distress Syndrome (NRDS) is a common and severe respiratory disorder in neonates, particularly among preterm infants (PTIs), and is often associated with hypoxemia and multiple organ dysfunction. This study aims to investigate the gut microbiota characteristics in NRDS and the potential regulatory role of probiotics in restoring gut microbiota dysbiosis.MethodsThis study enrolled 55 PTIs diagnosed with NRDS and 26 preterm infants without NRDS. The NRDS group was classified into two groups based on treatment: an antibiotic-only group (TA group, N = 30) and an antibiotic plus probiotics group (TB group, N = 25). Fecal samples were collected within 48 h of birth and again after recovery, for 16S rRNA sequencing.ResultsThe study revealed that the gut microbiota diversity in the NRDS group was significantly greater than in the non-NRDS group, and the microbiota composition in the NRDS group was closely associated with multiple clinical indicators, including Apgar score, pH, PaO2, and PaCO2. Notably, the abundance of bacteria such as Muribaculaceae Incertae Sedis, Rhodococcus, and Corynebacterium was significantly higher in the NRDS group, which may contribute to disease progression. ROC analysis suggested that gut microbiota could serve as potential biomarkers for diagnosing NRDS. Probiotic intervention notably restored the gut microbiota structure in the NRDS group, particularly by enhancing the abundance of beneficial genera such as Streptococcus, Bifidobacterium, and Clostridium. This intervention reduced the microbiota disparity between the NRDS group and normal one-month-old children, thereby slowing disease progression.ConclusionThis study demonstrated that the NRDS displayed an increase in gut microbiota diversity and alterations in specific bacterial populations, both of which were closely correlated with clinical data. Probiotic treatment aids in restoring the disrupted gut microbiota in NRDS infants, promoting disease recovery, and providing new biomarkers and clinical strategies for managing NRDS.
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spelling doaj-art-e15938ee48e142ff90b13e6913458f5a2025-08-20T03:04:31ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-04-011610.3389/fmicb.2025.15440551544055Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recoveryYongcheng Fu0Xiujuan Wang1Lintao Nie2Zhaorui Wang3Xiao Ma4Lijia Wu5Liping Han6Wenjun Fu7Ruoming Wang8Hongyan Ren9Da Zhang10Juan Ding11Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaTranslational Medicine Research Center, The Fifth Clinical Medical College of Henan University of Chinese Medicine (Zhengzhou People's Hospital), Zhengzhou, ChinaDepartment of Human Resources, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Neonatal Intensive Care Unit, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Gynecology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Obstetrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaShanghai Mobio Biomedical Technology Co., Ltd., Shanghai, ChinaDepartment of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBackgroundNeonatal Respiratory Distress Syndrome (NRDS) is a common and severe respiratory disorder in neonates, particularly among preterm infants (PTIs), and is often associated with hypoxemia and multiple organ dysfunction. This study aims to investigate the gut microbiota characteristics in NRDS and the potential regulatory role of probiotics in restoring gut microbiota dysbiosis.MethodsThis study enrolled 55 PTIs diagnosed with NRDS and 26 preterm infants without NRDS. The NRDS group was classified into two groups based on treatment: an antibiotic-only group (TA group, N = 30) and an antibiotic plus probiotics group (TB group, N = 25). Fecal samples were collected within 48 h of birth and again after recovery, for 16S rRNA sequencing.ResultsThe study revealed that the gut microbiota diversity in the NRDS group was significantly greater than in the non-NRDS group, and the microbiota composition in the NRDS group was closely associated with multiple clinical indicators, including Apgar score, pH, PaO2, and PaCO2. Notably, the abundance of bacteria such as Muribaculaceae Incertae Sedis, Rhodococcus, and Corynebacterium was significantly higher in the NRDS group, which may contribute to disease progression. ROC analysis suggested that gut microbiota could serve as potential biomarkers for diagnosing NRDS. Probiotic intervention notably restored the gut microbiota structure in the NRDS group, particularly by enhancing the abundance of beneficial genera such as Streptococcus, Bifidobacterium, and Clostridium. This intervention reduced the microbiota disparity between the NRDS group and normal one-month-old children, thereby slowing disease progression.ConclusionThis study demonstrated that the NRDS displayed an increase in gut microbiota diversity and alterations in specific bacterial populations, both of which were closely correlated with clinical data. Probiotic treatment aids in restoring the disrupted gut microbiota in NRDS infants, promoting disease recovery, and providing new biomarkers and clinical strategies for managing NRDS.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1544055/full16s rRNA sequencingneonatal respiratory distress syndromegut microbiotaprobioticspreterm infantspredictive diagnosis
spellingShingle Yongcheng Fu
Xiujuan Wang
Lintao Nie
Zhaorui Wang
Xiao Ma
Lijia Wu
Liping Han
Wenjun Fu
Ruoming Wang
Hongyan Ren
Da Zhang
Juan Ding
Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
Frontiers in Microbiology
16s rRNA sequencing
neonatal respiratory distress syndrome
gut microbiota
probiotics
preterm infants
predictive diagnosis
title Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
title_full Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
title_fullStr Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
title_full_unstemmed Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
title_short Gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
title_sort gut microbiota characteristics in neonatal respiratory distress syndrome and the therapeutic potential of probiotics in recovery
topic 16s rRNA sequencing
neonatal respiratory distress syndrome
gut microbiota
probiotics
preterm infants
predictive diagnosis
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1544055/full
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