Abstract:
The human gut microbiome plays a critical role in health and disease. This complex
community of microorganisms is established early in life and undergoes significant
changes during infancy, a period crucial for long-term health. In infants, the gut
microbiome is particularly dynamic, with the mode of delivery being one of the initial
factors influencing its composition. Despite ongoing research, there are gaps in
understanding the extent of maternal microbial transmission, the selection process of these
microbes, and the factors influencing this selection. Specifically, it remains unclear how
the gut microbiome, once acquired, differs in terms of evolutionary patterns in infants born
via vaginal delivery or C-section. The current body of research lacks thorough investigation
into specific microbial taxa present in the infant gut, that drive the evolution of gut
microbes, particularly in association with delivery mode, neonatal health, and disease
outcomes. One way to explore these microbial dynamics is through the study of HGT
events, which can reveal how genetic material is exchanged between different microbial
species in the gut. Using the WAAFLE tool, this study identified major drivers of HGT in
infants born through either of the delivery modes. In CSD, there were 447 known HGT
drivers, VD, there were 360. These include transfer of genes, like Salmonella enterica
transfers the YagA gene to Klebsiella pneumoniae in CSD infants. Post-translational
modifications were observed with a positive log2 fold change of 6 in this HGT driver. This
gene is involved in PFAM integrase catalytic activity and regulates genes related to
metabolism, with its transcription being affected by stress and conditions leading to biofilm
formation. In VD infants, Butyricicoccus pullicaecorum transfers the lepB gene to
14
Bifidobacterium longum, which is involved in signal peptidase activity, a valuable target
for antimicrobial drug development and this transfer exhibited a positive log2 fold change
of 5 in intracellular trafficking, secretion, and transport. Additionally, Coprococcus catus
transfers the alfA gene to Ruminococcus sp. 5_1_39BFAA in VD infants, a gene associated
with the degradation and metabolism of HMOs. Ruminococcus sp_5_1_39BFAA is
negatively associated with lactose, showing a coefficient value of -1.84e+00 and an FDR
of 9.052e-05. Lachnospiraceae bacterium_2_1_46FAA and Ruminococcus gnavus HGT
drivers are found in VD infants and are positively associated with NICU-admitted infants,
with coefficient values of 1.15e+00 and 1.12e+00, respectively, and FDR values of 2.281e03 and 5.402e-03, respectively. The gene involved is xylB, which has antimicrobial
properties and is involved in defense mechanisms. Notably, Coprococcus catus and
Lachnospiraceae bacterium_2_1_46FAA were identified as a potential probiotic tailored
to personalized health interventions.