Assistant Investigator, The Lilling Family Neonatal Research Laboratory, The Feinstein Institute for Medical Research
Phone: (516) 562-3567
Human gut maintains the largest microbial ecology of the body. The delicate balance of this ecology is crucial in maintaining gut health. Initial colonization and subsequent establishment of the microbiota depend on the mode of child birth, diet and route of its intake, postnatal age, environmental exposure and antibiotic use. Normal vaginal birth helps establish vaginal bacteria in the oral cavity and subsequent gut colonization.
Necrotizing Enterocolitis (NEC) is a serious gastrointestinal disease of unknown etiology and a major cause of morbidity and mortality in preterm infants. The risk factors include intestinal immaturity, prematurity, milk feeding, and intestinal bacterial colonization, which together result in immune activation and intestinal barrier failure. Bacteria have a major role in the pathogenesis of NEC though no single organism can be implicated as the sole pathogen.
Despite recent advancements in perinatal care, the incidence and prognosis of newborns with NEC is unacceptable. With a high case fatality ratio: with a mortality rate of nearing 30% and survivors showing poorer long-term growth and neuro-developmental outcomes NEC poses a real challenge to both clinicians and researchers.
Influence of human milk in establishing a healthy gut flora is important. Dr. Codipilly is investigating transformation patterns of gut microflora in premature infants as a function of diet aimed at understanding and preventing infantile NEC.