Distribution of bioactive factors in human milk samples

Abstract Background Breast milk provides nutrition for infants and also contains a variety of bioactive factors that influence the development of the newborn. Human milk is a complex biological fluid that can be separated into different layers (water phase and lipid phase with its component water an...

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Main Authors: Reka A. Vass, Agnes Kemeny, Timea Dergez, Tibor Ertl, Dora Reglodi, Adel Jungling, Andrea Tamas
Format: Article
Language:English
Published: BMC 2019-02-01
Series:International Breastfeeding Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13006-019-0203-3
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author Reka A. Vass
Agnes Kemeny
Timea Dergez
Tibor Ertl
Dora Reglodi
Adel Jungling
Andrea Tamas
author_facet Reka A. Vass
Agnes Kemeny
Timea Dergez
Tibor Ertl
Dora Reglodi
Adel Jungling
Andrea Tamas
author_sort Reka A. Vass
collection DOAJ
description Abstract Background Breast milk provides nutrition for infants and also contains a variety of bioactive factors that influence the development of the newborn. Human milk is a complex biological fluid that can be separated into different layers (water phase and lipid phase with its component water and lipid fractions). It can affect the developing human body along the whole length of the gastrointestinal tract, and through the circulation, its factors may reach every organ. Methods In the present study, we analyzed milk samples collected monthly for 6 months from 16 mothers from the 4th week postpartum between 2014 and 2016 in Baranya County, Hungary. The 96 samples provided us information about the fluctuation of certain bioactive factors during the first 6 months of lactation. We investigated with Luminex technology the concentrations of several cytokines (CD40, Flt-3L), chemokines (MCP-1, RANTES, GRO, MIP-1ß, MDC, eotaxin, fractalkine), and epidermal growth factor (EGF). Paired t-tests and one-way ANOVA followed by Bonferroni post-hoc tests were used to compare the data. Results We detected the presence of each bioactive factor in every layer of the milk samples during the first 6 months of breastfeeding in widespread concentration ranges. In the case of GRO, MIP-1ß, MDC, Flt-3L, fractalkine, and eotaxin, the concentrations were constant during the first 6 months of lactation. The water phase of human milk contained higher factor concentrations compared to both fractions of the lipid phase for most factors (except eotaxin and MIP-1ß). The concentrations of CD40, EGF, MCP-1, and RANTES in the first 3 months were significantly different compared to the values detected between 4th and 6th months. In the water phase, the level of MCP-1 was significantly decreased, while all of the other factors increased during the 4th through 6th months. We found significantly higher EGF, GRO, and RANTES levels in the water fraction compared to the lipid fraction of the lipid phase. Conclusions The novel findings of this investigation were the presence of Flt-3L and MDC in all layers of breast milk, and nearly all bioactive factors in the lipid phase. Due to their widespread physiological effects these factors may have an essential role in organogenesis.
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spelling doaj.art-d74015023c5d4a09a3ec632ed9db36aa2022-12-21T23:06:56ZengBMCInternational Breastfeeding Journal1746-43582019-02-0114111010.1186/s13006-019-0203-3Distribution of bioactive factors in human milk samplesReka A. Vass0Agnes Kemeny1Timea Dergez2Tibor Ertl3Dora Reglodi4Adel Jungling5Andrea Tamas6Department of Anatomy, MTA-PTE PACAP Research Group, Centre for Neuroscience, Medical School, University of PécsDepartment of Pharmacology and Pharmacotherapy; Medical School, University of PécsInstitute of Bioanalysis, Medical School, University of PécsDepartment of Obstetrics and Gynaecology, Medical School, University of PécsDepartment of Anatomy, MTA-PTE PACAP Research Group, Centre for Neuroscience, Medical School, University of PécsDepartment of Anatomy, MTA-PTE PACAP Research Group, Centre for Neuroscience, Medical School, University of PécsDepartment of Anatomy, MTA-PTE PACAP Research Group, Centre for Neuroscience, Medical School, University of PécsAbstract Background Breast milk provides nutrition for infants and also contains a variety of bioactive factors that influence the development of the newborn. Human milk is a complex biological fluid that can be separated into different layers (water phase and lipid phase with its component water and lipid fractions). It can affect the developing human body along the whole length of the gastrointestinal tract, and through the circulation, its factors may reach every organ. Methods In the present study, we analyzed milk samples collected monthly for 6 months from 16 mothers from the 4th week postpartum between 2014 and 2016 in Baranya County, Hungary. The 96 samples provided us information about the fluctuation of certain bioactive factors during the first 6 months of lactation. We investigated with Luminex technology the concentrations of several cytokines (CD40, Flt-3L), chemokines (MCP-1, RANTES, GRO, MIP-1ß, MDC, eotaxin, fractalkine), and epidermal growth factor (EGF). Paired t-tests and one-way ANOVA followed by Bonferroni post-hoc tests were used to compare the data. Results We detected the presence of each bioactive factor in every layer of the milk samples during the first 6 months of breastfeeding in widespread concentration ranges. In the case of GRO, MIP-1ß, MDC, Flt-3L, fractalkine, and eotaxin, the concentrations were constant during the first 6 months of lactation. The water phase of human milk contained higher factor concentrations compared to both fractions of the lipid phase for most factors (except eotaxin and MIP-1ß). The concentrations of CD40, EGF, MCP-1, and RANTES in the first 3 months were significantly different compared to the values detected between 4th and 6th months. In the water phase, the level of MCP-1 was significantly decreased, while all of the other factors increased during the 4th through 6th months. We found significantly higher EGF, GRO, and RANTES levels in the water fraction compared to the lipid fraction of the lipid phase. Conclusions The novel findings of this investigation were the presence of Flt-3L and MDC in all layers of breast milk, and nearly all bioactive factors in the lipid phase. Due to their widespread physiological effects these factors may have an essential role in organogenesis.http://link.springer.com/article/10.1186/s13006-019-0203-3Bioactive factorsBreast milkLuminexMDCFlt-3LWater phase
spellingShingle Reka A. Vass
Agnes Kemeny
Timea Dergez
Tibor Ertl
Dora Reglodi
Adel Jungling
Andrea Tamas
Distribution of bioactive factors in human milk samples
International Breastfeeding Journal
Bioactive factors
Breast milk
Luminex
MDC
Flt-3L
Water phase
title Distribution of bioactive factors in human milk samples
title_full Distribution of bioactive factors in human milk samples
title_fullStr Distribution of bioactive factors in human milk samples
title_full_unstemmed Distribution of bioactive factors in human milk samples
title_short Distribution of bioactive factors in human milk samples
title_sort distribution of bioactive factors in human milk samples
topic Bioactive factors
Breast milk
Luminex
MDC
Flt-3L
Water phase
url http://link.springer.com/article/10.1186/s13006-019-0203-3
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AT tiborertl distributionofbioactivefactorsinhumanmilksamples
AT dorareglodi distributionofbioactivefactorsinhumanmilksamples
AT adeljungling distributionofbioactivefactorsinhumanmilksamples
AT andreatamas distributionofbioactivefactorsinhumanmilksamples