placental microbiome

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The placental microbiome is the nonpathogenic, commensal bacteria claimed to be present in a healthy human placenta and is distinct from bacteria that cause infection and preterm birth in chorioamnionitis. Until recently, the healthy placenta was considered to be a sterile organ but now genera and species have been identified that reside in the basal layer.{{cite book|title=Microbiota of the Human Body|last1=Schwiertz|first1=Andreas|last2=Rusch|first2=Volker|year=2016|isbn=978-3-319-31248-4|editor1-last=Schwiertz|editor1-first=Andreas|series=Advances in Experimental Medicine and Biology|pages=1–3|chapter=A Short Definition of Terms}}

It should be stressed that the evidence for a placental microbiome is controversial.{{Cite journal|last1=Perez-Muñoz|first1=Maria Elisa|last2=Arrieta|first2=Marie-Claire|last3=Ramer-Tait|first3=Amanda E.|last4=Walter|first4=Jens|date=2017-04-28|title=A critical assessment of the "sterile womb" and "in utero colonization" hypotheses: implications for research on the pioneer infant microbiome|journal=Microbiome|volume=5|issue=1|pages=48|doi=10.1186/s40168-017-0268-4|pmid=28454555|pmc=5410102|issn=2049-2618 |doi-access=free }}{{Cite journal|last=Kliman|first=Harvey J.|date=2014-09-17|title=Comment on "The placenta harbors a unique microbiome"|journal=Science Translational Medicine|language=en|volume=6|issue=254|pages=254le4|doi=10.1126/scitranslmed.3009864|issn=1946-6234|pmid=25232175|s2cid=206685421}} Most studies supporting the existence of a placental microbiome lack the appropriate experimental controls, and it has been found that contamination is most likely responsible for reports of a placental microbiome.{{Cite journal|last1=Lauder|first1=Abigail P.|last2=Roche|first2=Aoife M.|last3=Sherrill-Mix|first3=Scott|last4=Bailey|first4=Aubrey|last5=Laughlin|first5=Alice L.|last6=Bittinger|first6=Kyle|last7=Leite|first7=Rita|last8=Elovitz|first8=Michal A.|last9=Parry|first9=Samuel|date=2016-06-23|title=Comparison of placenta samples with contamination controls does not provide evidence for a distinct placenta microbiota|journal=Microbiome|volume=4|issue=1|pages=29|doi=10.1186/s40168-016-0172-3|pmid=27338728|pmc=4917942|issn=2049-2618 |doi-access=free }}

The placental microbiome more closely resembles that of the oral microbiome than either the vaginal or rectal microbiome.{{cite journal |vauthors=Fox C, Eichelberger K |title=Maternal microbiome and pregnancy outcomes |journal=Fertility and Sterility |volume=104 |issue=6 |pages=1358–63 |year=2015 |pmid=26493119 |doi=10.1016/j.fertnstert.2015.09.037 |doi-access=free }}

Bacterial species and genera

Culturable and non-culturable bacterial species in the placenta obtained following normal term pregnancy have been identified.

{{cleanup section|reason=Current table contains too many phylum-level names (-ota, -bacteria) with very dubious informative value -- for one thing, it's nigh impossible to determine any one of Commensal/Transient/Potentially-pathogenic from the phylum alone. Antony et al. 2014 is used for the source of many such rows, but the article actually has more detailed values down to the species level.|date=January 2025}}

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Binomial nameCommensalTransientPotential
pathogen
References
Prevotella tannerae

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| {{cite journal|vauthors=Yarbrough VL, Winkle S, Herbst-Kralovetz MM|year=2015|title=Antimicrobial peptides in the female reproductive tract: a critical component of the mucosal immune barrier with physiological and clinical implications|journal=Human Reproduction Update|volume=21|issue=3|pages=353–77|doi=10.1093/humupd/dmu065|pmid=25547201|doi-access=free}}{{cite journal |vauthors=Mor G, Kwon JY |title=Trophoblast-microbiome interaction: a new paradigm on immune regulation |journal=American Journal of Obstetrics and Gynecology |volume=213 |issue=4 Suppl |pages=S131–7 |year=2015 |pmid=26428492 |doi=10.1016/j.ajog.2015.06.039 |doi-access=free |pmc=6800181 }}{{cite web |url=http://www.textbookofbacteriology.net/e.coli.html |title=Pathogenic E. coli |access-date=2007-11-30 |last=Todar |first=K. |work=Online Textbook of Bacteriology |publisher=University of Wisconsin–Madison Department of Bacteriology}}

Bacillota spp.

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| {{cite journal|vauthors=Wassenaar TM, Panigrahi P|year=2014|title=Is a foetus developing in a sterile environment?|journal=Letters in Applied Microbiology|volume=59|issue=6|pages=572–9|doi=10.1111/lam.12334|pmid=25273890|s2cid=206169539|doi-access=}}

Mycoplasmatota spp.

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Fusobacterium nucleatum

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| {{cite journal |vauthors=Prince AL, Antony KM, Chu DM, Aagaard KM |title=The microbiome, parturition, and timing of birth: more questions than answers |journal=Journal of Reproductive Immunology |volume=104–105 |pages=12–9 |year=2014 |pmid=24793619 |pmc=4157949 |doi=10.1016/j.jri.2014.03.006 }}{{cite journal |vauthors=Hitti J, Hillier SL, Agnew KJ, Krohn MA, Reisner DP, Eschenbach DA |title=Vaginal indicators of amniotic fluid infection in preterm labor |journal=Obstetrics and Gynecology |volume=97 |issue=2 |pages=211–9 |year=2001 |pmid=11165584 |doi=10.1016/s0029-7844(00)01146-7|s2cid=345396 }}

Prevotella tanerae

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Bacteroides spp.

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Fusobacterium spp.

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Streptomyces avermitilis

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Neisseria polysaccharea

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Neisseria lactamica

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Pseudomonadota spp.

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Bacteroidota spp.

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Escherichia coli

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Escherichia spp.

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Actinomycetota spp.

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"Cyanobacteria" spp.

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Chloroflexota spp.

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Aquificota spp.

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Verrucomicrobiota spp.

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Vibrio spp.

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Burkholderia spp.

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Beijerinckia spp.

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In a healthy placental microbiome, the diversity of the species and genera is extensive. A change in the composition of the microbiota in the placenta is associated with excess gestational weight gain, and pre-term birth.{{cite journal |vauthors=Antony KM, Ma J, Mitchell KB, Racusin DA, Versalovic J, Aagaard K |title=The preterm placental microbiome varies in association with excess maternal gestational weight gain |journal=American Journal of Obstetrics and Gynecology |volume=212 |issue=5 |pages=653.e1–16 |year=2015 |pmid=25557210 |pmc=4892181 |doi=10.1016/j.ajog.2014.12.041 }}

The placental microbiota varies between low birth weight infants and those infants with normal birth weights.{{cite journal |vauthors=Zheng J, Xiao X, Zhang Q, Mao L, Yu M, Xu J |title=The Placental Microbiome Varies in Association with Low Birth Weight in Full-Term Neonates |journal=Nutrients |volume=7 |issue=8 |pages=6924–37 |year=2015 |pmid=26287241 |pmc=4555154 |doi=10.3390/nu7085315 |doi-access=free }}

While bacteria are often found in the amniotic fluid of failed pregnancies, they are also found in particulate matter that is found in about 1% of healthy pregnancies.

In non-human animals, part of the microbiome is passed onto offspring even before the offspring are born. Bacteriologists assume that the same probably holds true for humans.

Research

The fact that germ free animals can be routinely generated by sterile cesarean section provides strong experimental evidence for the sterile womb hypothesis.

Future research may find that the microbiota of the female reproductive tract may be related to pregnancy, conception, and birth. Animal studies have been used to investigate the relationship between oral microbiota and the placental microbiota. Mice inoculated with species of oral bacteria demonstrated placental colonization soon afterwards.{{Cite book|title=The Human Microbiota : How Microbial Communities Affect Health and Disease|date=2013|publisher=Wiley-Blackwell|others=Fredricks, David N.|isbn=9780470479896|location=Hoboken, New Jersey|pages=156, 169|oclc=794922809}}

History

Investigations into reproductive-associated microbiomes began around 1885 by Theodor Escherich. He wrote that meconium from the newborn was free of bacteria. This was interpreted as the uterine environment being sterile. Other investigations used sterile diapers for meconium collection. No bacteria were able to be cultured from the samples. Bacteria were detected and were directly proportional to the time between birth and the passage of meconium. A 1927 study demonstrated the presence of bacteria in the amniotic fluid of those that were in labor for longer than six hours.{{cite journal |vauthors=Perez-Muñoz ME, Arrieta MC, Ramer-Tait AE, Walter J |title=A critical assessment of the "sterile womb" and "in utero colonization" hypotheses: implications for research on the pioneer infant microbiome |journal=Microbiome |volume=5 |issue=1 |pages=48 |year=2017 |pmid=28454555 |pmc=5410102 |doi=10.1186/s40168-017-0268-4 |doi-access=free }}

See also

References