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Reproduction, Fertility and Development Reproduction, Fertility and Development Society
Vertebrate reproductive science and technology
RESEARCH ARTICLE

Alterations of the gut microbiota and fecal short-chain fatty acids in women undergoing assisted reproduction

Ni Wu A # , Jun Liu A # , Yu Sun A , Xiaoxiao Fan A , Tianzi Zang A , Brianna N. Richardson B , Jinbing Bai B , Yunyan Xianyu C * and Yanqun Liu https://orcid.org/0000-0003-3586-299X A *
+ Author Affiliations
- Author Affiliations

A Center for Women’s and Children’s Health, Wuhan University, Wuhan, China.

B Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.

C Renmin Hospital of Wuhan University, Wuhan, China.


Handling Editor: Ellen Menkhorst

Reproduction, Fertility and Development 36, RD23096 https://doi.org/10.1071/RD23096
Submitted: 6 June 2023  Accepted: 2 January 2024  Published online: 23 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

Context

The community structure of gut microbiota changes during pregnancy, which also affects the synthesis of short-chain fatty acids (SCFAs). However, the distribution of gut microbiota composition and metabolite SCFA levels are poorly understood in women undergoing assisted reproductive technology (ART).

Aims

To evaluate the changes in gut microbiota composition and metabolic SCFAs in women who received assisted reproduction treatment.

Methods

Sixty-three pregnant women with spontaneous pregnancy (SP) and nine with ART pregnancy were recruited to provide fecal samples. Gut microbiota abundance and SCFA levels were determined by 16S ribosomal RNA (rRNA) gene amplicon sequencing and gas chromatography-mass spectrometry (GC-MS).

Key results

The ART group showed decreased alpha diversity (the species richness or evenness in a sample). The principal coordinates analysis (a method of analysing beta diversity) showed significant difference in gut microbiota between the ART group versus the SP group (unweighted UniFrac distance, R2 = 0.04, P = 0.003). Proteobacteria, Blautia and Escherichia-Shigella were enriched in the ART group, whereas the relative abundance of beneficial intestinal bacteria Faecalibacterium was lower than in the SP group. Different modes of conception were associated with several SCFAs (valeric acid (r = −0.280; P = 0.017); isocaproic acid (r = −0.330; P = 0.005); caproic acid (r = −0.336; P = 0.004)). Significantly different SCFAs between the two groups were synchronously associated with the differential gut microbiota.

Conclusions

The diversity and abundance of gut microbiota and the levels of SCFAs in women undergoing ART decreased.

Implications

The application of ART shaped the microbial composition and metabolism, which may provide critical information for understanding the biological changes that occur in women with assisted reproduction.

Keywords: assisted reproductive technology (ART), community diversity, gut microbiota, metabolites, microbial composition, pregnant women, short-chain fatty acids (SCFAs), spontaneous pregnancy.

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