Questioning the fetal microbiome illustrates pitfalls of low-biomass microbial studies
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Questioning the fetal microbiome illustrates pitfalls of low-biomass microbial studies. / Kennedy, Katherine M.; de Goffau, Marcus C.; Perez-Muñoz, Maria Elisa; Arrieta, Marie Claire; Bäckhed, Fredrik; Bork, Peer; Braun, Thorsten; Bushman, Frederic D.; Dore, Joel; de Vos, Willem M.; Earl, Ashlee M.; Eisen, Jonathan A.; Elovitz, Michal A.; Ganal-Vonarburg, Stephanie C.; Gänzle, Michael G.; Garrett, Wendy S.; Hall, Lindsay J.; Hornef, Mathias W.; Huttenhower, Curtis; Konnikova, Liza; Lebeer, Sarah; Macpherson, Andrew J.; Massey, Ruth C.; McHardy, Alice Carolyn; Koren, Omry; Lawley, Trevor D.; Ley, Ruth E.; O’Mahony, Liam; O’Toole, Paul W.; Pamer, Eric G.; Parkhill, Julian; Raes, Jeroen; Rattei, Thomas; Salonen, Anne; Segal, Eran; Segata, Nicola; Shanahan, Fergus; Sloboda, Deborah M.; Smith, Gordon C.S.; Sokol, Harry; Spector, Tim D.; Surette, Michael G.; Tannock, Gerald W.; Walker, Alan W.; Yassour, Moran; Walter, Jens.
In: Nature, Vol. 613, No. 7945, 2023, p. 639-649.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Questioning the fetal microbiome illustrates pitfalls of low-biomass microbial studies
AU - Kennedy, Katherine M.
AU - de Goffau, Marcus C.
AU - Perez-Muñoz, Maria Elisa
AU - Arrieta, Marie Claire
AU - Bäckhed, Fredrik
AU - Bork, Peer
AU - Braun, Thorsten
AU - Bushman, Frederic D.
AU - Dore, Joel
AU - de Vos, Willem M.
AU - Earl, Ashlee M.
AU - Eisen, Jonathan A.
AU - Elovitz, Michal A.
AU - Ganal-Vonarburg, Stephanie C.
AU - Gänzle, Michael G.
AU - Garrett, Wendy S.
AU - Hall, Lindsay J.
AU - Hornef, Mathias W.
AU - Huttenhower, Curtis
AU - Konnikova, Liza
AU - Lebeer, Sarah
AU - Macpherson, Andrew J.
AU - Massey, Ruth C.
AU - McHardy, Alice Carolyn
AU - Koren, Omry
AU - Lawley, Trevor D.
AU - Ley, Ruth E.
AU - O’Mahony, Liam
AU - O’Toole, Paul W.
AU - Pamer, Eric G.
AU - Parkhill, Julian
AU - Raes, Jeroen
AU - Rattei, Thomas
AU - Salonen, Anne
AU - Segal, Eran
AU - Segata, Nicola
AU - Shanahan, Fergus
AU - Sloboda, Deborah M.
AU - Smith, Gordon C.S.
AU - Sokol, Harry
AU - Spector, Tim D.
AU - Surette, Michael G.
AU - Tannock, Gerald W.
AU - Walker, Alan W.
AU - Yassour, Moran
AU - Walter, Jens
N1 - Publisher Copyright: © 2023, Springer Nature Limited.
PY - 2023
Y1 - 2023
N2 - Whether the human fetus and the prenatal intrauterine environment (amniotic fluid and placenta) are stably colonized by microbial communities in a healthy pregnancy remains a subject of debate. Here we evaluate recent studies that characterized microbial populations in human fetuses from the perspectives of reproductive biology, microbial ecology, bioinformatics, immunology, clinical microbiology and gnotobiology, and assess possible mechanisms by which the fetus might interact with microorganisms. Our analysis indicates that the detected microbial signals are likely the result of contamination during the clinical procedures to obtain fetal samples or during DNA extraction and DNA sequencing. Furthermore, the existence of live and replicating microbial populations in healthy fetal tissues is not compatible with fundamental concepts of immunology, clinical microbiology and the derivation of germ-free mammals. These conclusions are important to our understanding of human immune development and illustrate common pitfalls in the microbial analyses of many other low-biomass environments. The pursuit of a fetal microbiome serves as a cautionary example of the challenges of sequence-based microbiome studies when biomass is low or absent, and emphasizes the need for a trans-disciplinary approach that goes beyond contamination controls by also incorporating biological, ecological and mechanistic concepts.
AB - Whether the human fetus and the prenatal intrauterine environment (amniotic fluid and placenta) are stably colonized by microbial communities in a healthy pregnancy remains a subject of debate. Here we evaluate recent studies that characterized microbial populations in human fetuses from the perspectives of reproductive biology, microbial ecology, bioinformatics, immunology, clinical microbiology and gnotobiology, and assess possible mechanisms by which the fetus might interact with microorganisms. Our analysis indicates that the detected microbial signals are likely the result of contamination during the clinical procedures to obtain fetal samples or during DNA extraction and DNA sequencing. Furthermore, the existence of live and replicating microbial populations in healthy fetal tissues is not compatible with fundamental concepts of immunology, clinical microbiology and the derivation of germ-free mammals. These conclusions are important to our understanding of human immune development and illustrate common pitfalls in the microbial analyses of many other low-biomass environments. The pursuit of a fetal microbiome serves as a cautionary example of the challenges of sequence-based microbiome studies when biomass is low or absent, and emphasizes the need for a trans-disciplinary approach that goes beyond contamination controls by also incorporating biological, ecological and mechanistic concepts.
U2 - 10.1038/s41586-022-05546-8
DO - 10.1038/s41586-022-05546-8
M3 - Review
C2 - 36697862
AN - SCOPUS:85146875375
VL - 613
SP - 639
EP - 649
JO - Nature
JF - Nature
SN - 0028-0836
IS - 7945
ER -
ID: 336467031