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Composition and Variation of the Human Milk Microbiota Are Influenced by Maternal and Early-Life Factors Publisher Pubmed



Moossavi S1, 2, 3, 4 ; Sepehri S2 ; Robertson B5 ; Bode L5, 6 ; Goruk S7 ; Field CJ7 ; Lix LM8 ; De Souza RJ9, 10, 11 ; Becker AB2, 3 ; Mandhane PJ12 ; Turvey SE13 ; Subbarao P14, 15 ; Moraes TJ14 ; Lefebvre DL16 Show All Authors
Authors
  1. Moossavi S1, 2, 3, 4
  2. Sepehri S2
  3. Robertson B5
  4. Bode L5, 6
  5. Goruk S7
  6. Field CJ7
  7. Lix LM8
  8. De Souza RJ9, 10, 11
  9. Becker AB2, 3
  10. Mandhane PJ12
  11. Turvey SE13
  12. Subbarao P14, 15
  13. Moraes TJ14
  14. Lefebvre DL16
  15. Sears MR16
  16. Khafipour E2, 17
  17. Azad MB2, 3
Show Affiliations
Authors Affiliations
  1. 1. Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada
  2. 2. Children's Hospital Research Institute of Manitoba, Pediatrics and Child Health, Winnipeg, MB, Canada
  3. 3. Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Winnipeg, MB, Canada
  4. 4. Digestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Pediatrics, University of California, La Jolla, San Diego, CA, United States
  6. 6. Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence, University of California, La Jolla, San Diego, CA, United States
  7. 7. Agricultural Food, and Nutritional Science, University of Alberta, Edmonton, AB, Canada
  8. 8. Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada
  9. 9. Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
  10. 10. Nutritional Sciences, University of Toronto, Toronto, ON, Canada
  11. 11. Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada
  12. 12. Pediatrics, University of Alberta, Edmonton, AB, Canada
  13. 13. Pediatrics, University of British Columbia, Vancouver, BC, Canada
  14. 14. Division of Respiratory Medicine, Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
  15. 15. Physiology, University of Toronto, Toronto, ON, Canada
  16. 16. Medicine, McMaster University, Hamilton, ON, Canada
  17. 17. Animal Science, University of Manitoba, Winnipeg, MB, Canada

Source: Cell Host and Microbe Published:2019


Abstract

Breastmilk contains a complex community of bacteria that may help seed the infant gut microbiota. The composition and determinants of milk microbiota are poorly understood. Among 393 mother-infant dyads from the CHILD cohort, we found that milk microbiota at 3–4 months postpartum was dominated by inversely correlated Proteobacteria and Firmicutes, and exhibited discrete compositional patterns. Milk microbiota composition and diversity were associated with maternal factors (BMI, parity, and mode of delivery), breastfeeding practices, and other milk components in a sex-specific manner. Causal modeling identified mode of breastfeeding as a key determinant of milk microbiota composition. Specifically, providing pumped breastmilk was consistently associated with multiple microbiota parameters including enrichment of potential pathogens and depletion of bifidobacteria. Further, these data support the retrograde inoculation hypothesis, whereby the infant oral cavity impacts the milk microbiota. Collectively, these results identify features and determinants of human milk microbiota composition, with potential implications for infant health and development. © 2019 Elsevier Inc.; Moossavi et al. examine human milk microbiota in the CHILD birth cohort and use causal modeling to describe sex-specific associations with maternal, infant, and early-life factors. A strong association with feeding method (i.e., pumped versus directly at the breast) suggests some milk bacteria originate from the infant oral cavity. © 2019 Elsevier Inc.
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