The main objective of this research is to study the links between changes in the intestinal microbiota (in terms of diversity) during the first 6 weeks of life for preterm infants and the presence / absence of a TH1 immune status at 36 months of age.
The secondary objectives are to study the links between changes of the intestinal microbiota premature infants in terms of: * changing diversity of the microbiota in the first 6 weeks of life; * changes in the bacterial community (UniFrac study) during the first 6 weeks of life; * diversity of the microbiota up to 6 weeks; -AND- * diversity of the microbiota at 1, 2 \& 3 years; * bacterial communities (UniFrac study) at 1, 2 \& 3 years; * lymphocyte subpopulation profiles at 3 years; * serum immunoglobulin A, G, M, E levels at 3 years; * history of infectious episodes, allergic and inflammatory episodes during the first 3 years of life. The links between certain variables known in the literature and neonatal microbiota will be confirmed / studied in our population: * mode of delivery; * length (and type) of antibiotic therapy in the neonatal period; * duration of breastfeeding.
Study Type
OBSERVATIONAL
Enrollment
130
CHRU de Montpellier - Hôpital Arnaud de Villeneuve
Montpellier, France
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France
Réseau GRANDIR EN LANGUEDOC-ROUSILLON
Saint-Gély-du-Fesc, France
The presence/absence of a Th1 type immune orientation
Immune orientation will be determined according to the following ratio determined by lymphocyte stimulation tests: INF-gamma/(INF-gamma+IL+4). The latter ratio varies between 0 and 0.5 with IL-4 \> INF-gamma (TH2 orientation) and between 0.5 and 1 when INF-gamma \> IL-4 (TH1 orientation).
Time frame: 36 months
Blood lymphocyte subset determination
Subsets are determined according to the presence/absence of the following differentiation clusters: CD3, CD4, CD8, CD19, CD25, CD56, CD127, FOXP3.
Time frame: 36 months
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