Meera Esvaran

Dr. Meera Esvaran


Research Focus & Metrics

Academic Career Length

16Years (2011-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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3 March 2014 in PLOS ONE
Verified
Journal Article
Open access
PDF file
SPSanjay Patole
Sanjay Patole
AKAnthony D. Keil
Anthony D. Keil
ACAnnie Chang
Annie Chang
ENElizabeth Nathan
Elizabeth Nathan
DDDorota Doherty
Dorota Doherty
PCPatricia Conway
Patricia Conway
Probiotic supplementation significantly reduces the risk of necrotising enterocolitis (NEC) and all cause mortality in preterm neonates. Independent quality assessment is important before introducing routine probiotic supplementation in this cohort. To assess product quality, and confirm that Bifidobacterium breve (B. breve) M-16V supplementation will increase fecal B. breve counts without adverse effects. Strain identity (16S rRNA gene sequencing), viability over 2 year shelf-life were confirmed, and microbial contamination of the product was ruled out. In a controlled trial preterm neonates (Gestation <33 weeks) ready to commence or on feeds for <12 hours were randomly allocated to either B. breve M-16V (3×109 cfu/day) or placebo (dextrin) supplementation until the corrected age 37 weeks. Stool samples were collected before (S1) and after 3 weeks of supplementation (S2) for studying fecal B. breve levels using quantitative PCR (Primary outcome). Secondary outcomes included total fecal bifidobacteria and NEC≥Stage II. Categorical and continuous outcomes were analysed using Chi-square and Mann-Whitney tests, and McNemar and Wilcoxon signed-rank tests for paired comparisons. A total of 159 neonates (Probiotic: 79, Placebo: 80) were enrolled. Maternal and neonatal demographic characteristics were comparable between the groups. The proportion of neonates with detectable B. breve increased significantly post intervention: Placebo: [S1:2/66 (3%), S2: 25/66 (38%), p<0.001] Probiotic: [S1: 29/74 (40%), S2: 67/74 (91%), p<0.001]. Median S1 B. breve counts in both groups were below detection (<4.7 log cells.g−1), increasing significantly in S2 for the probiotic group (log 8.6) while remaining <4.7 log in the control group (p<0.001). There were no adverse effects including probiotic sepsis and no deaths. NEC≥Stage II occurred in only 1 neonate (placebo group). B. breve M-16V is a suitable probiotic strain for routine use in preterm neonates. Australia New Zealand Clinical Trial Registry ACTRN 12609000374268

22 April 2022 in Science Advances
Verified
Journal Article
Open access
MFMatthew Field
Matthew Field
SYSonu Yadav
Sonu Yadav
ODOlga Dudchenko
Olga Dudchenko
MEMeera Esvaran
Meera Esvaran
BRBenjamin Rosen
Benjamin Rosen
JBJ. William O. Ballard
J. William O. Ballard
Dogs are uniquely associated with human dispersal and bring transformational insight into the domestication process. Dingoes represent an intriguing case within canine evolution being geographically isolated for thousands of years. Here, we present a high-quality de novo assembly of a pure dingo (CanFam_DDS). We identified large chromosomal differences relative to the current dog reference (CanFam3.1) and confirmed no expanded pancreatic amylase gene as found in breed dogs. Phylogenetic analyses using variant pairwise matrices show that the dingo is distinct from five breed dogs with 100% bootstrap support when using Greenland wolf as the outgroup. Functionally, we observe differences in methylation patterns between the dingo and German shepherd dog genomes and differences in serum biochemistry and microbiome makeup. Our results suggest that distinct demographic and environmental conditions have shaped the dingo genome. In contrast, artificial human selection has likely shaped the genomes of domestic breed dogs after divergence from the dingo.

5 April 2019 in Nutrients
Verified
Journal Article
Open access
PDF file
MEMeera Esvaran
Meera Esvaran
PCPatricia Conway
Patricia Conway
Lactobacillus strains have shown efficacy in attenuating inflammation. This study evaluated the potential of Lactobacillus fermentum PC1 for the treatment of rheumatoid arthritis (RA) using a murine model of collagen-induced arthritis. On Day 1, healthy DBA/1 mice (six to eight weeks of age) were immunized, with 100 μg of Chicken Type 11 collagen emulsified in complete Freund’s adjuvant (CFA) by intradermal injection, at the base of the tail. On Day 21, the mice were immunized intraperitoneally with 100 μg of Bovine Type11 collagen in phosphate buffered saline (PBS). On Day 28, the mice were immunized intraperitoneally with 50 μg of lipopolysaccharide (LPS). Viable L. fermentum PC1 (1 × 109 colony forming units) was given daily from Day two until the end of the experiment. From Day 21 onwards, the mice were monitored daily for clinical signs of arthritis. On Day 44, the experiment was terminated. Paws were obtained for histology and serum for cytokine assays. L. fermentum PC1-fed mice had significantly reduced paw inflammation as well as decreased synovial infiltration and less cartilage damage. Circulating serum cytokine profiles revealed decreased IL-12 and increased anti-inflammatory cytokines, namely IL-4 and IL-10. Thus, early administration of L. fermentum PC1 could prove to be a valuable therapeutic agent in the management of RA.

16 March 2020 in Pediatric Research
Verified
Journal Article
Closed access
PDF file
SRShripada Rao
Shripada Rao
MEMeera Esvaran
Meera Esvaran
SPSanjay K. Patole
Sanjay K. Patole
KSKaren N. Simmer
Karen N. Simmer
IGIan Gollow
Ian Gollow
PCPatricia L. Conway
Patricia L. Conway

26 February 2016 in The Journal of Maternal-Fetal & Neonatal Medicine
Verified
Journal Article
Closed access
PDF file
SPSanjay K. Patole
Sanjay K. Patole
AKAnthony D. Keil
Anthony D. Keil
ENElizabeth Nathan
Elizabeth Nathan
DDDorota Doherty
Dorota Doherty
MEMeera Esvaran
Meera Esvaran
PCPatricia Conway
Patricia Conway
Background: Gut development, function and colonisation is impaired in animal models of prematurity with intrauterine growth restriction (IUGR). The effect of Bifidobacterium breve (B. breve) supplementation on fecal bifidobacteria in small for gestational age (SGA: Birth weight <10th centile due to IUGR) preterm infants is not known. Objective: We compared B. breve M-16V supplementation effect on fecal bifidobacteria in preterm (<33 weeks) SGA vs. non-SGA infants in the two arms of our randomised controlled trial. Results: There were no baseline differences in the proportion of detectable B. breve counts between SGA vs. non-SGA infants. [Probiotic: 7 (33%) vs 22 (42%), p=0.603, Placebo: 1 (6%) vs 1 (2%), p=0.429] B. breve counts did not differ between SGA and non-SGA infants in response to treatment (p=0.589), after adjusting for baseline count (p < 0.001) and treatment allocation (p<0.001). An interaction term between growth status and treatment showed negligible change (p=0.938). Probiotic treated SGA infants reached full feeds earlier than SGA controls (HR 2.00, 95% CI 1.05-3.82, p=0.035): Median (IQR): 16 (12-26) vs 19 (11-25) days, after adjustment for age at starting feeds and gestation <28 weeks. Conclusion: Response to B. breve M-16V supplementation was not significantly different in preterm (<33 weeks) SGA vs non-SGA infants.