Skip to main content
Erschienen in: Current Nutrition Reports 1/2020

11.01.2020 | HOT TOPIC

Human Breast Milk: Bioactive Components, from Stem Cells to Health Outcomes

verfasst von: Flaminia Bardanzellu, Diego Giampietro Peroni, Vassilios Fanos

Erschienen in: Current Nutrition Reports | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Breast milk (BM) is a peculiar fluid owing unique properties and resulting the ideal food during early neonatal period. As widely known, it can improve the outcome of both neonate and lactating mother, influencing their whole life. BM is characterized by several beneficial components; among these, a great role is played by BM own and specific microbiome, deeply investigated in many studies. Moreover, the use of metabolomics in BM analysis allowed a better characterization of its metabolic pathways that vary according to lactation stage and neonatal gestational age. The aim of this review is to describe growth factors, cytokines, immunity mediators, and stem cells (SCs) contained in BM and investigate their functions and effects on neonatal outcome, especially focusing on immuno- and neurodevelopment.

Recent Findings

We evaluated recent and updated literature on this field. The article that we analyzed to write this review have been found in MEDLINE using breast milk-derived stem cells, biofactors, growth factors, breastfeeding-related outcomes, neurodevelopment, and neonatal immunological system as keywords. Discovering and characterizing BM components could result very useful to clarify the pathophysiology of their influence on neonatal growth and even to improve artificial formulations’ composition. Moreover, since SCs abilities and their involvement in the development of several diseases, they could help to discover specific targets for new therapies.

Summary

It could be useful to characterize BM-derived SC markers, properties, and variations during lactation stages, to understand their potential role in therapeutic applications, since they could be noninvasively isolated from BM. More studies will help to describe more in detail the characteristics of mother-to-child communication through breastfeeding and its potential role in the next future.
Literatur
2.
Zurück zum Zitat Hassiotou F, Heath B, Ocal O, Filgueira L, Geddes D, Hartmann P, et al. Breastmilk stem cell transfer from mother to neonatal organs. FASEB J. 2014;28:216.4. Hassiotou F, Heath B, Ocal O, Filgueira L, Geddes D, Hartmann P, et al. Breastmilk stem cell transfer from mother to neonatal organs. FASEB J. 2014;28:216.4.
8.
Zurück zum Zitat AAP. Breastfeeding and maternal and infant health outcomes in developed countries. AAP Grand Rounds. 2007;18:15–6.CrossRef AAP. Breastfeeding and maternal and infant health outcomes in developed countries. AAP Grand Rounds. 2007;18:15–6.CrossRef
10.
Zurück zum Zitat German BJ, Smilowitz JT, Lebrilla CB. Metabolomics and milk: the development of the microbiota in breastfed infants. In: Kochhar S, Martin F-P, editors. Metabonomics and gut microbiota in nutrition and disease (Molecular and integrative toxicology). London: Humana press (Springer); 2015. p. 147–67.CrossRef German BJ, Smilowitz JT, Lebrilla CB. Metabolomics and milk: the development of the microbiota in breastfed infants. In: Kochhar S, Martin F-P, editors. Metabonomics and gut microbiota in nutrition and disease (Molecular and integrative toxicology). London: Humana press (Springer); 2015. p. 147–67.CrossRef
13.
Zurück zum Zitat •• Bardanzellu F, Fanos V, Strigini FAL, Artini PG, Peroni DG. Human breast milk: exploring the linking ring among emerging components. Front Pediatr. 2018;6:215. https://doi.org/10.3389/fped.2018.00215Paper summarizing the last evidence regarding metabolomics and microbiomics in human breast milk. •• Bardanzellu F, Fanos V, Strigini FAL, Artini PG, Peroni DG. Human breast milk: exploring the linking ring among emerging components. Front Pediatr. 2018;6:215. https://​doi.​org/​10.​3389/​fped.​2018.​00215Paper summarizing the last evidence regarding metabolomics and microbiomics in human breast milk.
24.
Zurück zum Zitat Hurst NM. The 3 M’s of breast-feeding the preterm infant. J Perinat Neonatal Nurs. 2007;21:234–9.CrossRef Hurst NM. The 3 M’s of breast-feeding the preterm infant. J Perinat Neonatal Nurs. 2007;21:234–9.CrossRef
28.
Zurück zum Zitat Paul VK, Singh M, Srivastava LM, Arora NK, Deorari AK. Macronutrient and energy content of breast milk of mothers delivering prematurely. Indian J Pediatr. 1997;64:379–82.CrossRef Paul VK, Singh M, Srivastava LM, Arora NK, Deorari AK. Macronutrient and energy content of breast milk of mothers delivering prematurely. Indian J Pediatr. 1997;64:379–82.CrossRef
32.
Zurück zum Zitat LeBouder E, Rey-Nores JE, Raby AC, Affoltern M, Vidal K, Thornton CA, et al. Modulation of neonatal microbial recognition: TLR-mediated innate immune responses are specifically and differentially modulated by human milk. J Immunol. 2006;176:3742–52.CrossRef LeBouder E, Rey-Nores JE, Raby AC, Affoltern M, Vidal K, Thornton CA, et al. Modulation of neonatal microbial recognition: TLR-mediated innate immune responses are specifically and differentially modulated by human milk. J Immunol. 2006;176:3742–52.CrossRef
37.
Zurück zum Zitat Hamosh M. Bioactive factors in human milk. Pediatr Clin N Am. 2001;48:69–86.CrossRef Hamosh M. Bioactive factors in human milk. Pediatr Clin N Am. 2001;48:69–86.CrossRef
38.
Zurück zum Zitat Jones C, Mackay A, Grigoriadis A, Cossu A, Reis-Filho JS, Fulford L, et al. Expression profiling of purified normal human luminal and myoepithelial breast cells: identification of novel prognostic markers for breast cancer. Cancer Res. 2004;64:3037–45.CrossRef Jones C, Mackay A, Grigoriadis A, Cossu A, Reis-Filho JS, Fulford L, et al. Expression profiling of purified normal human luminal and myoepithelial breast cells: identification of novel prognostic markers for breast cancer. Cancer Res. 2004;64:3037–45.CrossRef
47.
Zurück zum Zitat Funakoshi H, Nakamura T. Hepatocyte growth factor: from diagnosis to clinical application. Clin Chim Acta. 2003;327:1–23.CrossRef Funakoshi H, Nakamura T. Hepatocyte growth factor: from diagnosis to clinical application. Clin Chim Acta. 2003;327:1–23.CrossRef
48.
Zurück zum Zitat Collado MC, Santaella M, Mira-Pascual L, Martinez-Arias E, Khodayar-Pardo P, Ros G, et al. Longitudinal study of cytokine expression, lipid profile and neuronal growth factors in human breast milk from term and preterm. Nutrients. 2015;19:8577–91. https://doi.org/10.3390/nu7105415.CrossRef Collado MC, Santaella M, Mira-Pascual L, Martinez-Arias E, Khodayar-Pardo P, Ros G, et al. Longitudinal study of cytokine expression, lipid profile and neuronal growth factors in human breast milk from term and preterm. Nutrients. 2015;19:8577–91. https://​doi.​org/​10.​3390/​nu7105415.CrossRef
50.
53.
Zurück zum Zitat • Sitarik AR, Bobbitt KR, Havstad SL, Fujimura KE, Levin AM, Zoratti EM, et al. Breast milk TGF beta is associated with neonatal gut microbial composition. J Pediatr Gastroenterol Nutr. 2018;65:e60–7. https://doi.org/10.1097/MPG.0000000000001585Interesting study investigating the role of BM TGFβ1, TGFβ2, and IL-10 in shaping the neonatal gut microbiome in 52 mother-child couples, modulating neonatal outcome and including neonatal immune system development. CrossRef • Sitarik AR, Bobbitt KR, Havstad SL, Fujimura KE, Levin AM, Zoratti EM, et al. Breast milk TGF beta is associated with neonatal gut microbial composition. J Pediatr Gastroenterol Nutr. 2018;65:e60–7. https://​doi.​org/​10.​1097/​MPG.​0000000000001585​Interesting study investigating the role of BM TGFβ1, TGFβ2, and IL-10 in shaping the neonatal gut microbiome in 52 mother-child couples, modulating neonatal outcome and including neonatal immune system development. CrossRef
72.
Zurück zum Zitat Hennighausen L, Robinson GW. Signaling pathways in mammary gland development. Dev Cell. 2001;1:467–75.CrossRef Hennighausen L, Robinson GW. Signaling pathways in mammary gland development. Dev Cell. 2001;1:467–75.CrossRef
83.
Zurück zum Zitat • Briere CE, McGrath JM, Jensen T. Breast milk stem cells. Paper presented at Pediatric Academic Society Baltimora. 2016. This article summarizes the current evidence regarding breast milk derived stem cells (BMDSCs), especially in relation to different stage of lactation, expressed markers and lineages. • Briere CE, McGrath JM, Jensen T. Breast milk stem cells. Paper presented at Pediatric Academic Society Baltimora. 2016. This article summarizes the current evidence regarding breast milk derived stem cells (BMDSCs), especially in relation to different stage of lactation, expressed markers and lineages.
86.
Zurück zum Zitat •• Briere CE, Jensen T, Young EE MGJM, Finck C. Stem-like cell characteristics from breast milk of mothers with preterm infants as compared to mothers with term infants. Breast Feed Med. 2017;12:174–9. https://doi.org/10.1089/bfm.2017.0002Study demonstrating that SCs content differs in BM from mothers delivering term and preterm neonates. Comparing samples from preterm neonates (born before than 37 weeks of GA) with full term samples, a different percentage and a variable expression of SCs ‘markers was highlighted. CrossRef •• Briere CE, Jensen T, Young EE MGJM, Finck C. Stem-like cell characteristics from breast milk of mothers with preterm infants as compared to mothers with term infants. Breast Feed Med. 2017;12:174–9. https://​doi.​org/​10.​1089/​bfm.​2017.​0002Study demonstrating that SCs content differs in BM from mothers delivering term and preterm neonates. Comparing samples from preterm neonates (born before than 37 weeks of GA) with full term samples, a different percentage and a variable expression of SCs ‘markers was highlighted. CrossRef
97.
Zurück zum Zitat Furman L, Taylor G, Minich N, Hack M. The effect of maternal milk on neonatal morbidity of very low-birth-weight infants. Arch Pediatr Adolesc Med. 2003;157:66–71.CrossRef Furman L, Taylor G, Minich N, Hack M. The effect of maternal milk on neonatal morbidity of very low-birth-weight infants. Arch Pediatr Adolesc Med. 2003;157:66–71.CrossRef
100.
Zurück zum Zitat •• Jimènez BC, Parada YA, Marin AV, de Pipaon Marcos MS. Beneficios a corto, medio y largo plazo de la ingesta de leche humana en recien nacidos de muy bajo peso. Short, medium and long term benefits of human milk intake in very low birth weight infants. Nutr Hosp. 2017;34:5. https://doi.org/10.20960/nh.1014Study demonstrating a better neurodevelopmental outcome at two years and a better score in the global and verbal cognitive area at five years of age in a population of 152 very low birth weight (VLBW) neonates assuming BM since the first weeks of life. •• Jimènez BC, Parada YA, Marin AV, de Pipaon Marcos MS. Beneficios a corto, medio y largo plazo de la ingesta de leche humana en recien nacidos de muy bajo peso. Short, medium and long term benefits of human milk intake in very low birth weight infants. Nutr Hosp. 2017;34:5. https://​doi.​org/​10.​20960/​nh.​1014Study demonstrating a better neurodevelopmental outcome at two years and a better score in the global and verbal cognitive area at five years of age in a population of 152 very low birth weight (VLBW) neonates assuming BM since the first weeks of life.
105.
106.
Zurück zum Zitat Smith MM, Durkin M, Hinton VJ, Bellinger D, Kuhn L. Influence of breastfeeding on cognitive outcomes at age 6–8 years: follow-up of very low birth weight infants. Am J Epidemiol. 2003;158:1075–82.CrossRef Smith MM, Durkin M, Hinton VJ, Bellinger D, Kuhn L. Influence of breastfeeding on cognitive outcomes at age 6–8 years: follow-up of very low birth weight infants. Am J Epidemiol. 2003;158:1075–82.CrossRef
112.
Zurück zum Zitat Pinelli J, Saigal S, Atkinson SA. Effect of breastmilk consumption on neurodevelopmental outcomes at 6 and 12 months of age in VLBW infants. Adv Neonatal Care. 2003;3:76–87.CrossRef Pinelli J, Saigal S, Atkinson SA. Effect of breastmilk consumption on neurodevelopmental outcomes at 6 and 12 months of age in VLBW infants. Adv Neonatal Care. 2003;3:76–87.CrossRef
116.
Zurück zum Zitat O’Connor DL, Jacobs J, Hall R, Adamkin D, Auestad N, Castillo M, et al. Growth and development of premature infants fed predominantly human milk, predominantly premature infant formula, or a combination of human milk and premature formula. J Pediatr Gastroenterol Nutr. 2003;37:437–46.CrossRef O’Connor DL, Jacobs J, Hall R, Adamkin D, Auestad N, Castillo M, et al. Growth and development of premature infants fed predominantly human milk, predominantly premature infant formula, or a combination of human milk and premature formula. J Pediatr Gastroenterol Nutr. 2003;37:437–46.CrossRef
120.
Zurück zum Zitat Bartel DP. MicroRNAs: genomics, biogenesis, mechanism, and function. Cell. 2004;116:281–97.CrossRef Bartel DP. MicroRNAs: genomics, biogenesis, mechanism, and function. Cell. 2004;116:281–97.CrossRef
125.
Zurück zum Zitat Zhou Q, Li M, Wang X, Li Q, Wang T, Zhu Q, et al. Immune-related microRNAs are abundant in breast milk exosomes. Int J Biol Sci. 2012;8:118–23.CrossRef Zhou Q, Li M, Wang X, Li Q, Wang T, Zhu Q, et al. Immune-related microRNAs are abundant in breast milk exosomes. Int J Biol Sci. 2012;8:118–23.CrossRef
Metadaten
Titel
Human Breast Milk: Bioactive Components, from Stem Cells to Health Outcomes
verfasst von
Flaminia Bardanzellu
Diego Giampietro Peroni
Vassilios Fanos
Publikationsdatum
11.01.2020
Verlag
Springer US
Erschienen in
Current Nutrition Reports / Ausgabe 1/2020
Elektronische ISSN: 2161-3311
DOI
https://doi.org/10.1007/s13668-020-00303-7

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.