{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:08:18Z","timestamp":1760123298378,"version":"3.37.3"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ISCIII-FEDER","award":["FIS-PI19\/01845"],"award-info":[{"award-number":["FIS-PI19\/01845"]}]},{"DOI":"10.13039\/100016970","name":"Consejer\u00eda de Econom\u00eda, Conocimiento, Empresas y Universidad, Junta de Andaluc\u00eda","doi-asserted-by":"publisher","award":["FEDER-US-1381054"],"award-info":[{"award-number":["FEDER-US-1381054"]}],"id":[{"id":"10.13039\/100016970","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p><jats:italic>Pneumocytis jirovecii<\/jats:italic> infection in preterm newborns has recently been associated with neonatal respiratory distress syndrome and bronchopulmonary dysplasia. Changes in the bacterial microbiota of the airways have also been described in infants with bronchopulmonary dysplasia. However, until now there has been no information on the airway mycobiota in newborns. The purpose of this study was to describe the airway mycobiota in term and preterm newborns and its possible association with respiratory distress syndrome.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Twenty-six matched preterm newborns with and without respiratory distress syndrome were studied, as well as 13 term babies. The identification of the fungal microbiota was carried out using molecular procedures in aspirated nasal samples at birth.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The <jats:italic>ascomycota<\/jats:italic> phylum was identified in 89.7% of newborns, while the <jats:italic>basidiomycota<\/jats:italic> phylum was found in 33.3%. <jats:italic>Cladosporium<\/jats:italic> was the predominant genus in both term and preterm infants 38.4% vs. 73% without statistical differences. <jats:italic>Candida sake<\/jats:italic> and <jats:italic>Pneumocystis jirovecii<\/jats:italic> were only found in preterm infants, suggesting a potential relationship with the risk of prematurity.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This is the first report to describe the fungal microbiota of the airways in term and preterm infants with and without respiratory distress syndrome. Although no differences have been observed, the number of cases analyzed could be small to obtain conclusive results, and more studies are needed to understand the role of the fungal microbiota of the airways in neonatal respiratory pathology.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0302027","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T17:35:16Z","timestamp":1712770516000},"page":"e0302027","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fungal microbiota in newborn infants with and without respiratory distress syndrome"],"prefix":"10.1371","volume":"19","author":[{"given":"Vicente","family":"Friaza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilar","family":"Rojas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"de la 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Med"},{"key":"pone.0302027.ref006","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1159\/000499361","article-title":"European Consensus Guidelines on the Management of Respiratory Distress Syndrome\u20142019 Update","volume":"115","author":"DG Sweet","year":"2019","journal-title":"Neonatology"},{"key":"pone.0302027.ref007","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1891\/0730-0832.34.4.231","article-title":"Respiratory Development and Respiratory Distress Syndrome","volume":"34","author":"LB Rubarth","year":"2015","journal-title":"Neonatal Netw"},{"key":"pone.0302027.ref008","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1159\/000381124","article-title":"Lungs, microbes and the developing neonate","volume":"107","author":"B Warner","year":"2015","journal-title":"Neonatology"},{"key":"pone.0302027.ref009","doi-asserted-by":"crossref","first-page":"1330021","DOI":"10.3389\/fimmu.2024.1330021","article-title":"Gut microbiota and its metabolic products in acute respiratory distress syndrome","volume":"15","author":"DW Zhang","year":"2024","journal-title":"Front Immunol"},{"key":"pone.0302027.ref010","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1093\/cid\/cix454","article-title":"Early Acquisition of Pneumocystis jirovecii Colonization and Potential Association with Respiratory Distress Syndrome in Preterm Newborn Infants","volume":"65","author":"P Rojas","year":"2017","journal-title":"Clin Infect Dis"},{"key":"pone.0302027.ref011","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1128\/JCM.02245-06","article-title":"Frequent in vitro recombination in internal transcribed spacers 1 and 2 during genotyping of Pneumocystis jirovecii","volume":"45","author":"J Beser","year":"2007","journal-title":"J Clin Microbiol"},{"key":"pone.0302027.ref012","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/j.1550-7408.2000.tb00062.x","article-title":"Determination of the copy number of the nuclear rDNA and beta-tubulin genes of Pneumocystis carinii f. sp. hominis using PCR multicompetitors","volume":"47","author":"A Nahimana","year":"2000","journal-title":"J Eukaryot Microbiol"},{"key":"pone.0302027.ref013","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1086\/421778","article-title":"Pneumocystis jiroveci genotypes in the Spanish population","volume":"39","author":"MA Montes-Cano","year":"2004","journal-title":"Clin Infect Dis"},{"key":"pone.0302027.ref014","doi-asserted-by":"crossref","first-page":"1729305","DOI":"10.1080\/20002297.2020.1729305","article-title":"Supragingival mycobiome and inter-kingdom interactions in dental caries","volume":"12","author":"D Baraniya","year":"2020","journal-title":"J Oral Microbiol"},{"key":"pone.0302027.ref015","first-page":"187","article-title":"Candida sake candidaemia in non-neutropenic critically ill patients: a case series","volume":"13","author":"D Juneja","year":"2011","journal-title":"Crit Care Resusc"},{"key":"pone.0302027.ref016","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1093\/infdis\/jiab209","article-title":"Pneumocystis jirovecii colonization in preterm newborns with respiratory distress syndrome","volume":"225","author":"M Szyd\u0142owicz","year":"2022","journal-title":"J Infect Dis"},{"key":"pone.0302027.ref017","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1515\/jpm.2010.026","article-title":"The use of culture-independent tools to characterize bacteria in endo-tracheal aspirates from pre-term infants at risk of bronchopulmonary dysplasia","volume":"38","author":"FA Stressmann","year":"2010","journal-title":"J Perinat Med"},{"key":"pone.0302027.ref018","doi-asserted-by":"crossref","first-page":"e25959","DOI":"10.1371\/journal.pone.0025959","article-title":"Molecular identification of bacteria in tracheal aspirate fluid from mechanically ventilated preterm infants","volume":"6","author":"PM Mourani","year":"2011","journal-title":"PLoS One"},{"key":"pone.0302027.ref019","doi-asserted-by":"crossref","first-page":"e45","DOI":"10.1542\/peds.110.4.e45","article-title":"Patterns of colonization with Ureaplasma urealyticum during neonatal intensive care unit hospitalizations of very low birth weight infants and the development of chronic lung disease","volume":"110","author":"S Castro-Alcaraz","year":"2002","journal-title":"Pediatrics"},{"key":"pone.0302027.ref020","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1128\/CMR.6.1.69","article-title":"Ureaplasma urealyticum intrauterine infection: role in prematurity and disease in newborns","volume":"6","author":"GH Cassell","year":"1993","journal-title":"Clin Microb Rev"},{"key":"pone.0302027.ref021","doi-asserted-by":"crossref","first-page":"F162","DOI":"10.1136\/fn.81.3.F162","article-title":"Role of Ureaplasma urealyticum in lung disease of prematurity","volume":"81","author":"K. Hannaford","year":"1999","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"pone.0302027.ref022","first-page":"267","article-title":"Prevalence of Chlamydia trachomatis in newborn infants with respiratory problems","volume":"41","author":"M L\u00f3pez-Hurtado","year":"1999","journal-title":"Rev Latinoam Microbiol"},{"key":"pone.0302027.ref023","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1203\/00006450-200002000-00013","article-title":"Detection of microorganisms in the tracheal aspirates of preterm infants by polymerase chain reaction: association of adenovirus infection with bronchopulmonary dysplasia","volume":"47","author":"XI Couroucli","year":"2000","journal-title":"Pediatr Res"},{"key":"pone.0302027.ref024","doi-asserted-by":"crossref","first-page":"e153785","DOI":"10.1001\/jamapediatrics.2015.3785","article-title":"Postnatal Cytomegalovirus Infection and the Risk for Bronchopulmonary Dysplasia","volume":"169","author":"MS Kelly","year":"2015","journal-title":"JAMA Pediatr"},{"key":"pone.0302027.ref025","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.clp.2015.08.003","article-title":"Role of ureaplasma respiratory tract colonization in bronchopulmonary dysplasia pathogenesis: current concepts and update","volume":"42","author":"RM Viscardi","year":"2015","journal-title":"Clin Perinatol"},{"key":"pone.0302027.ref026","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/j.1651-2227.1996.tb14067.x","article-title":"Infection with Ureaplasma urealyticum and Mycoplasma hominis and the development of chronic lung disease in preterm infants","volume":"85","author":"R Iles","year":"1996","journal-title":"Acta Paediatric"},{"key":"pone.0302027.ref027","doi-asserted-by":"crossref","first-page":"2207113","DOI":"10.1080\/14767058.2023.2207113","article-title":"Next-generation sequencing-based detection of Ureaplasma in the gastric fluid of neonates with respiratory distress and chorioamnionitis","volume":"36","author":"T Okumura","year":"2023","journal-title":"J Matern Fetal Neonatal Med"},{"key":"pone.0302027.ref028","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.anpedi.2023.01.016","article-title":"Identification of Chlamydia trachomatis genotypes in newborns with respiratory distress","volume":"98","author":"MD Gonz\u00e1lez-Fern\u00e1ndez","year":"2023","journal-title":"An Pediatr (Engl Ed)"},{"key":"pone.0302027.ref029","doi-asserted-by":"crossref","first-page":"371","DOI":"10.4067\/s0716-10182018000400371","article-title":"Prevalencia de la infecci\u00f3n genital por Chlamydia trachomatis en mujeres que asisten al Instituto Nacional de Perinatolog\u00eda de la Ciudad de M\u00e9xico","volume":"35","author":"M L\u00f3pez-Hurtado","year":"2018","journal-title":"Rev Chilena Infectol"},{"key":"pone.0302027.ref030","doi-asserted-by":"crossref","first-page":"31023","DOI":"10.1038\/srep31023","article-title":"The Airway Microbiome at Birth","volume":"6","author":"CV Lal","year":"2016","journal-title":"Sci Rep"},{"key":"pone.0302027.ref031","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1038\/nrg3182","article-title":"The human microbiome: at the interface of health and disease","volume":"13","author":"I Cho","year":"2012","journal-title":"Nat Rev Genet"},{"key":"pone.0302027.ref032","doi-asserted-by":"crossref","first-page":"e8578","DOI":"10.1371\/journal.pone.0008578","article-title":"Disordered microbial communities in asthmatic airways","volume":"5","author":"M Hilty","year":"2010","journal-title":"PLoS One"},{"key":"pone.0302027.ref033","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.mimet.2010.03.026","article-title":"Metagenomic analysis of bronchoalveolar lavage simples from patients with idiopathic interstitial pneumonia and its antagonic relation with Pneumocystis jirovecii colonization","volume":"82","author":"V. 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