The long-term goal of the Human Genes and Microbiota in Early Life (HuGME) is to explore the short- and long-term effects of maternal microbiota during pregnancy and the microbiota colonization of their offspring early in life and their interaction with the host on maternal-offspring health consequences in later life in the born in Guangzhou cohort study in China. Identification of the effect of microbiota in early life, as well as environmental factors and microbe-host interaction, will lead to a better understanding of disease pathogenesis and provide a foundation for targeted mechanistic investigation into the consequences of microbial-host crosstalk for long-term health. It also can result in new strategies to predict and prevent diseases in later life.
Prenatal and early postnatal life represent critical windows for growth and cognitive and immune system development. In addition to genetics and host biology, the environment plays a critical role in the health of a child. One key player in this process is the maternal and infant gut microbiomes. The establishment and progression of the intestinal microbiota from birth to childhood are dependent on a range of factors, including maternal microbiota, diet, environment, and medical exposures. The host-microbial crosstalk during this time is thought to be involved in the pathobiology of later-life diseases, such as allergic disease, obesity, and neurodevelopmental delay. Although the microbiome and its importance for health have been extensively studied, it remains unclear how maternal microbiota-fetal interaction, the establishment, and progression of microbiota in infant adaptation to postnatal environmental exposures, and microbial-host crosstalk affect the health of the children in later life. Hypotheses: 1. Maternal microbiota-fetal interaction has an essential effect on fetal immune system development and adverse pregnancy outcomes. 2. Host genes can shape infant gut microbial assembly and metabolism. 3. Early-life interactions between host genes and microbiota have an impact on immune system development and atopic disease in later life. 4. Co-metabolism of the gut microbiome and metabolites in the host affects childhood obesity 5. Early-life interactions between the host and microbiota have an impact on the neurodevelopment of the children. 6. Maternal microbiota influence the metabolism of the mother during pregnancy and postpartum.
Study Type
OBSERVATIONAL
Enrollment
20,000
No intervention
Guangzhou Women and Children's Medical Center, China
Guangzhou, China
RECRUITINGNumbers of participants with Childhood diseases. Including:
Obesity,asthma,allergic diseases,Delayed neural development,type 1 diabetes,maturity-onset diabetes of the young(MODY), hypertension
Time frame: 42 days, 6 months, 1, 3, 6, 8-9, 14, and18 years of age
Numbers of participants with maternal diseases. Including:
Obesity,asthma,allergic diseases,type 1 diabetes,type 2 diabetes, hypertension , cardiovascular diseases,and obstetric complications,including gestational diabetes,pregnancy induced hypertension, ect.
Time frame: during pregnancy, 42 days, 6 months, 1, 3, 6, 8-9, 14, and18 years after delivery
Neurodevelopment during early childhood
Including adaptive, gross motor, fine motor,language,and social function; assessed using Gesell Developmental Schedules
Time frame: at age of 3 years
Neurodevelopment during early childhood
Including adaptive, gross motor, fine motor,language,and social function; assessed using Ages and Stages Questionnaire
Time frame: at age of 3 years
Neurodevelopment during preschool age
Including solving skills, pattern perception, and logical thinking;assessed using Raven's Standard Progressive Matrices
Time frame: at age of 6 years
Neurodevelopment during preschool age
Including solving skills, pattern perception, and logical thinking;assessed using Peabody Picture Vocabulary Test
Time frame: at age of 6 years
Neurodevelopment during preadolescence
Including higher-level cognitive processes such as attention, perseverance, WM, abstract thinking, CF, and set shifting;assessed using Raven's Standard Progressive Matrices
Time frame: at age of 8-9 years
Neurodevelopment during preadolescence
Including higher-level cognitive processes such as attention, perseverance, WM, abstract thinking, CF, and set shifting;assessed using Wsiconsin card sorting test
Time frame: at age of 8-9 years
maternal and childhood abnormal glucose metabolism after delivery
blood glucose level:glycosylated hemoglobin,fasting blood glucose, 1-hour glucose, 2-hour glucose, ect.
Time frame: 3, 6 and 9 years after delivery
maternal and childhood abnormal lipid metabolism after delivery
Lipid level : total cholesterol, triglycerides, LDL, HDL, etc.
Time frame: 3, 6 and 9 years after delivery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.