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"How do we interact with microbes prenatally, immediately postnatal, as infants + children? What influences these interactions?

A) Prenatal interactions are influenced by genetic factors, while postnatal interactions are influenced by environmental exposures.
B) Infants and children interact with microbes through breastfeeding and exposure to the environment; interactions are influenced by maternal health.
C) Microbial interactions are the same prenatally, immediately postnatally, and in children; genetic factors play a minor role.
D) Microbial interactions are mainly determined by vaccination, and genetic factors have no influence."

1 Answer

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Final answer:

Microbial interactions begin prenatally and continue to develop postnatally through exposure to maternal microorganisms and the environment, with feeding practices being particularly influential. The microbiome becomes mostly established by age 2 to 3 and is crucial for health and immunity.

Step-by-step explanation:

We interact with microbes at various stages of life, including prenatally, immediately postnatally, and as infants and children. The correct answer to the question about our microbial interactions is: B) Infants and children interact with microbes through breastfeeding and exposure to the environment; interactions are influenced by maternal health. Prenatal interactions can be influenced by the environment that a fetus is exposed to, such as nutritional factors or infections experienced by the mother. Immediately postnatal, and as infants, the microbial interaction is notable through the first exposure to microorganisms from the mother and the environment.

For instance, during a natural vaginal birth, a newborn is colonized by Lactobacillus spp., which is abundant in the mother's vagina at that time. These initial microbes begin to establish the infant's gut microbiome. If the newborn is delivered by caesarean section, the colonization is more likely to be influenced by skin microbiota and common hospital-acquired pathogens. As the baby grows, feeding practices such as breastfeeding introduce other beneficial bacteria. These ongoing interactions are also shaped by the environment, whether by family members, diet, lifestyle, or even vaccination programs.

By around two to three years of age, the microbiome becomes mostly established and is influenced by daily diet, lifestyle, immunity, health, as well as continued environmental exposures. The established gut microbiome is essential for healthy digestion, vitamin production, and defense against pathogens, marking the importance of these early microbial interactions.