Prematurity affects about 11% ofchildren, with over 1% born very preterm. These infants have immaturerespiratory, digestive, immune, and antioxidant systems, and their developmentis strongly influenced by medical and environmental factors. Very pretermneonates also show impaired bacterial colonization in both the gut and airways,placing them at increased risk for long-term health issues, includingimmune-mediated diseases.
Study Aim
To identify the link betweenearly intestinal microbiota signatures in very preterm neonates and thematuration of gut, lung, and the development of immunity, with a focus onallergy risk.
Scientific Approach
Clinical data and microbiotacomposition from the French nationwide cohort EPIPAGE 2 (very preterm neonates,GA <32 weeks). Using gnotobiotic mice: newborn germ-free mice, colonized bydifferent fecal microbiotas representative of the various bacterial patternsidentified in very premature infants, and evaluate the impact on allergiesdevelopment.
Expected Outcomes
This research proposal willafford a unique opportunity to demonstrate causal link between gut and lungmicrobiotas and long-term allergy risk in preterm infants, and identify thecritical early-life window for preventive strategies.

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