Maternal consumption of artificially sweetened beverages during pregnancy is associated with infant gut microbiota and metabolic modifications and increased infant body mass index

Autor: Malcolm R. Sears, Laura K. Sycuro, Meghan B. Azad, Isabelle Laforest-Lapointe, Marie-Claire Arrieta, Theo J. Moraes, Allan B. Becker, Piushkumar J. Mandhane, Stuart E. Turvey, Padmaja Subbarao
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
obesity
Pediatric Obesity
breastfeeding
Spermidine
Succinic Acid
Breastfeeding
Physiology
RC799-869
Gut flora
Body Mass Index
0302 clinical medicine
Pregnancy
Prospective Studies
16s rRNA
2. Zero hunger
biology
Artificially Sweetened Beverages
digestive
oral
and skin physiology

Gastroenterology
food and beverages
Diseases of the digestive system. Gastroenterology
metabolomics
3. Good health
Infectious Diseases
Prenatal Exposure Delayed Effects
Female
030211 gastroenterology & hepatology
Research Article
Research Paper
Microbiology (medical)
Canada
Gut microbiota
artificial sweeteners
Microbiology
BMI
03 medical and health sciences
Child cohort
genomics
medicine
Humans
Maternal consumption
Infant
gestational exposure
medicine.disease
biology.organism_classification
Artificial Sweetener
Obesity
Gastrointestinal Microbiome
030104 developmental biology
Increased risk
Body mass index
Zdroj: Gut Microbes
article-version (VoR) Version of Record
Gut Microbes, Vol 13, Iss 1 (2021)
ISSN: 1949-0984
1949-0976
Popis: Artificial sweetener consumption by pregnant women has been associated with an increased risk of infant obesity, but the underlying mechanisms are unknown. We aimed to determine if maternal consumption of artificially sweetened beverages (ASB) during pregnancy is associated with modifications of infant gut bacterial community composition and function during the first year of life, and whether these alterations are linked with infant body mass index (BMI) at one year of age. We studied 100 infants from the prospective Canadian CHILD Cohort Study, selected based on maternal ASB consumption during pregnancy (50 non-consumers and 50 daily consumers). BMI was higher among ASB-exposed infants. Infant stool (16S rRNA gene sequencing) and urine (untargeted metabolomics) were acquired in early (3–4 months) and late (12 months) infancy. We identified four microbiome clusters, of which two recapitulated the maturation trajectory of the infant gut bacterial communities from immature (Cluster 1) to mature (Cluster 4) and two deviated from this trajectory (Clusters 2 and 3). Maternal ASB consumption did not differ between clusters, but was associated with community-level shifts in infant gut bacterial taxonomy structure and depletion of several Bacteroides sp. in Cluster 2. In the complete dataset, urine succinate and spermidine levels at 3 months were higher in ASB-exposed infants, and urine succinate was positively associated with BMI at one-year-old. Overall, gestational exposure to ASB was associated with gut microbiota structure in infants from Cluster 2, and gut microbiota structure was associated with infant BMI. Gestational exposure to ASB was positively associated with infant urine succinate and spermidine. Succinate was found to mediate 29% of the effect of ASB exposure on BMI at one-year-old, revealing a potential role of this metabolite in increased infant weight linked to gestational ASB consumption. As we face an unprecedented rise in childhood obesity, future studies should evaluate the causal relationships between maternal ASB consumption (a modifiable exposure), gut microbiota and metabolites, infant metabolism, and body composition.
Databáze: OpenAIRE