Autor/es reacciones

Toni Gabaldón

ICREA research professor and head of the Comparative Genomics group at the Institute for Research in Biomedicine (IRB Barcelona) and the Barcelona Supercomputing Center (BSC-CNS).

I find that the study is of very good quality and uses data and tools appropriate to the questions asked. The sample size is still small, but access to longitudinal data from the same individuals allows some of the variability to be reduced. Although colonisation of the microbiota in newborns, and the possible effect of different modes of delivery or feeding have been studied previously, most studies use a 16S gene sequencing approach that does not allow direct tracing of the origin of colonising strains. Here we use a shotgun sequencing technique on parents and offspring, which allows us to know who has been the donor of at least part of the colonising strains. This study looks at previously unexplored variables, such as the contribution of the father or the efficacy of the use of faecal transplantation from the mother to the newborn.  

The results yield interesting results, such as a relevant role of fathers that is later and initially more modest than that of mothers, but which becomes quantitatively equal when the child is one year old. It is observed that mother and father contribute different species to the infant's microbiota and could therefore be complementary. Perhaps expectedly, the use of antibiotics before or during birth has a clear impact on the infant microbiota, but it does reduce the abundance of pathogens. Similarly, faecal transplantation also reduces the presence of opportunistic pathogenic species. However, in caesarean deliveries it does not restore a microbiota similar to that of a vaginal delivery, but a different one, species-rich and pathogen-poor, but different.  

Given the limited sample size, the observations should be corroborated in other studies, but they point to possible ways of restoring a natural microbiota in non-vaginal deliveries and call for the need to study the effect of the use of different antibiotics during delivery, which was used in all caesarean deliveries in this study, but also in almost half of the vaginal deliveries. The role of parents in establishing the microbiota of infants is not surprising, but raises questions about the health implications. It would also be interesting to study cases with other family configurations, such as single-parent or same-parent families.     

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