The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI

ABSTRACTEvidence suggests that the type of nutrition fed to preterm infants influences their intestinal microbiome and immunity. However, few studies have conducted a longitudinal analysis of the microbiota of mother’s own milk (MOM) and the factors shaping its composition. Furthermore, the microbio...

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Main Authors: Evgenia Jen Filatava, Zhongmao Liu, Jiaojiao Xie, Dong-Binh Tran, Kun Chen, Noura El Habbal, George Weinstock, Yanjiao Zhou, Katherine E. Gregory
Format: Article
Language:English
Published: American Society for Microbiology 2023-12-01
Series:mBio
Subjects:
Online Access:https://journals.asm.org/doi/10.1128/mbio.02106-23
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author Evgenia Jen Filatava
Zhongmao Liu
Jiaojiao Xie
Dong-Binh Tran
Kun Chen
Noura El Habbal
George Weinstock
Yanjiao Zhou
Katherine E. Gregory
author_facet Evgenia Jen Filatava
Zhongmao Liu
Jiaojiao Xie
Dong-Binh Tran
Kun Chen
Noura El Habbal
George Weinstock
Yanjiao Zhou
Katherine E. Gregory
author_sort Evgenia Jen Filatava
collection DOAJ
description ABSTRACTEvidence suggests that the type of nutrition fed to preterm infants influences their intestinal microbiome and immunity. However, few studies have conducted a longitudinal analysis of the microbiota of mother’s own milk (MOM) and the factors shaping its composition. Furthermore, the microbiota of pasteurized donor human milk (PDHM) and infant formula have not been extensively investigated. Here, we examine the microbiota of 238 MOM, 30 PDHM, and 73 formula samples from a cohort of 72 preterm infants using 16S rRNA sequencing. We find differences in the microbial diversity and composition between nutrition types. Additionally, we demonstrate that the microbiota of MOM exhibits temporal fluctuations and has associations with several maternal factors. Lastly, we identify three microbiota community clusters within MOM—termed lactotypes—that have distinct taxonomic compositions and maternal factors. Collectively, our findings lay the foundation for exploring the relationship between the microbiota of nutrition and preterm infant health outcomes.IMPORTANCEDespite a growing recognition that the type of nutrition received by preterm infants influences their intestinal microbiome and health outcomes, the microbiota of mother's own milk (MOM), pasteurized donor human milk (PDHM), and infant formula remain poorly characterized. In our study, we found that the structure of microbial communities, bacterial diversity, and relative abundances of specific genera were significantly different between MOM, PDHM, and formula. Additionally, our results suggest that the microbiota of MOM changes as a function of time and maternal factors. Lastly, we identified three lactotypes within MOM that have distinct microbial compositions and described the maternal factors associated with them. These findings set the stage for future research aimed at advancing our knowledge of the microbiota of preterm infant nutrition and the specific influence it may have on health outcomes.
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spelling doaj.art-f161c8d606cb45b5abca11f2960081b72023-12-22T19:53:44ZengAmerican Society for MicrobiologymBio2150-75112023-12-0114610.1128/mbio.02106-23The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMIEvgenia Jen Filatava0Zhongmao Liu1Jiaojiao Xie2Dong-Binh Tran3Kun Chen4Noura El Habbal5George Weinstock6Yanjiao Zhou7Katherine E. Gregory8Boston College, Chestnut Hill, Massachusetts, USAUniversity of Connecticut, Storrs, Connecticut, USAState Key Laboratory for Diagnosis and Treatment of Infectious Disease, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaPfiizer Inc, Groton, Connecticut, USAUniversity of Connecticut, Storrs, Connecticut, USABoston College, Chestnut Hill, Massachusetts, USAUniversity of Connecticut, Storrs, Connecticut, USAUniversity of Connecticut, Storrs, Connecticut, USABoston College, Chestnut Hill, Massachusetts, USAABSTRACTEvidence suggests that the type of nutrition fed to preterm infants influences their intestinal microbiome and immunity. However, few studies have conducted a longitudinal analysis of the microbiota of mother’s own milk (MOM) and the factors shaping its composition. Furthermore, the microbiota of pasteurized donor human milk (PDHM) and infant formula have not been extensively investigated. Here, we examine the microbiota of 238 MOM, 30 PDHM, and 73 formula samples from a cohort of 72 preterm infants using 16S rRNA sequencing. We find differences in the microbial diversity and composition between nutrition types. Additionally, we demonstrate that the microbiota of MOM exhibits temporal fluctuations and has associations with several maternal factors. Lastly, we identify three microbiota community clusters within MOM—termed lactotypes—that have distinct taxonomic compositions and maternal factors. Collectively, our findings lay the foundation for exploring the relationship between the microbiota of nutrition and preterm infant health outcomes.IMPORTANCEDespite a growing recognition that the type of nutrition received by preterm infants influences their intestinal microbiome and health outcomes, the microbiota of mother's own milk (MOM), pasteurized donor human milk (PDHM), and infant formula remain poorly characterized. In our study, we found that the structure of microbial communities, bacterial diversity, and relative abundances of specific genera were significantly different between MOM, PDHM, and formula. Additionally, our results suggest that the microbiota of MOM changes as a function of time and maternal factors. Lastly, we identified three lactotypes within MOM that have distinct microbial compositions and described the maternal factors associated with them. These findings set the stage for future research aimed at advancing our knowledge of the microbiota of preterm infant nutrition and the specific influence it may have on health outcomes.https://journals.asm.org/doi/10.1128/mbio.02106-23human milkpreterm infantsmicrobiomeenteral nutritiongestational ageinfant formula
spellingShingle Evgenia Jen Filatava
Zhongmao Liu
Jiaojiao Xie
Dong-Binh Tran
Kun Chen
Noura El Habbal
George Weinstock
Yanjiao Zhou
Katherine E. Gregory
The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
mBio
human milk
preterm infants
microbiome
enteral nutrition
gestational age
infant formula
title The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
title_full The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
title_fullStr The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
title_full_unstemmed The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
title_short The preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal BMI
title_sort preterm human milk microbiota fluctuates by postpartum week and is characterized by gestational age and maternal bmi
topic human milk
preterm infants
microbiome
enteral nutrition
gestational age
infant formula
url https://journals.asm.org/doi/10.1128/mbio.02106-23
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