Table 1 Summary of salient biomarkers in meconium stool samples and their relationships to prematurity, antibiotics, and birth route in the Hannawayya R et al. study.

From: Microbes, metabolites, and inflammation: mapping the early neonatal intestinal landscape

Category of biomarker

Signatures

Impact

Relationship to prematurity

Effect of antibiotics

Effect of route of birth

Peptides

α-defensins

Heightened immune response

No effect

Increased in preterm infants with antibiotics

No effect

Proteases

Serine proteases and matrix metalloproteinases (MMP)

Increased proteolysis and exacerbation of inflammation

Increased serine proteases and MMP in preterm infants

No effect

No effect

Metabolome

Kynurenic acid, mevalonate, and short-chain fatty acids (SCFA)

Impaired anti-inflammatory properties

Decreased kynurenic acid, SCFA, and increased mevalonate in preterm infants

No effect

No effect

Microbiome

Diversity

Dysbiosis

Decreased diversity and absent Bacteroidaceae in preterm infants

No effect

No effect

  1. MMP matrix metalloproteinases, SCFA short-chain fatty acids.