4.7 Review

Vertical transfer of antibiotics and antibiotic resistant strains across the mother/baby axis

Journal

TRENDS IN MICROBIOLOGY
Volume 30, Issue 1, Pages 47-56

Publisher

CELL PRESS
DOI: 10.1016/j.tim.2021.05.006

Keywords

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Funding

  1. Science Foundation Ireland
  2. APC Microbiome Ireland

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Antibiotic resistance is a serious threat to global human health and socioeconomics, mainly formed through acquired resistance by gene transfer. Vertical transmission during early bacterial colonization in infants has an impact on their lifelong health and immune programming.
Antibiotic resistance is a health and socioeconomic crisis recognized as a serious threat affecting humans worldwide. Overuse of antibiotics enhances the spread of multidrug-resistant bacteria, causing drug-resistant infections which can be difficult to treat. This resistance, mostly of the acquired type, is thus a major clinical issue. Acquired resistance can occur by horizontal transfer of genes between bacteria (community settings), by vertical transmission that can occur between mother and her offspring at birth and during lactation, or spontaneously due to antibiotic exposure. While there have been multiple studies about the horizontal transfer of antibiotic-resistance genes, not many studies have been conducted to study their vertical transmission. Vertical transmission is of importance as the early bacterial colonization of infants has an impact on their health and immune programming throughout life. This review discusses some possible mechanisms of mother-to-infant transmission of antibiotics and antibiotic-resistant strains and addresses the knowledge gaps for further studies.

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