This cross-disciplinary study will assemble and longitudinally follow a large, diverse birth cohort to determine the relationships between early life antibiotic exposure, microbiome development, growth, antibodies, and immunostimulation.
Perinatal and infant antibiotic exposures are common and have been linked to changes in the gut microbiome, which plays a central role in health and disease. Childhood obesity is an epidemic and animal models have linked antibiotic induced changes in the microbiome with increased adiposity. Infants become colonized with trillions of bacteria in the first few hours of life. During this time period, their nascent immune system develops tolerance to commensal microbes The primary objectives are to measure the impact of common perinatal and early childhood antibiotic exposures on the structure and function of the developing gut microbiome. To determine the association between common perinatal and early childhood antibiotic exposures and weight/adiposity gain in a large birth cohort of children. To determine mechanisms for the association between microbiome changes over time and the rate of weight/adiposity gain in a large birth cohort of children. To determine the normal developmental pattern by which healthy children develop antibodies in their blood against the microbes that naturally colonize their intestines. To determine the association between immunostimulation and protection from persistent colonization in humans.
Study Type
OBSERVATIONAL
Enrollment
509
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
cumulative microbial diversity
Time frame: 24 months
weight trajectory adjusted for time varying length
Time frame: 24 months
total number of individual bacterial taxa
Time frame: 24 months
expression levels of bacterial gene categories
Time frame: 24 months
fat stores in the upper arm/extremity
Skinfolds at the triceps are measured (0.1 mm) with a skinfold caliper
Time frame: 24 months
fat stores in the upper back/trunk
Skinfolds at the superiliac and subscapular sites are measured (0.1 mm) with a skinfold caliper
Time frame: 24 months
supine length trajectory
Time frame: 24 months
determine the association between immunostimulation and protection from persistent colonization in humans
Time frame: 24 months
Use autologous serum antibodies to "tag" fecal microbes
Time frame: 24 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.