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Human milk microbiota, oligosaccharide profiles, and infant gut microbiome in preterm infants diagnosed with necrotizing enterocolitis

Lookup NU author(s): Dr Andrea Masi, Dr Lauren Beck, Dr John Perry, Dr Claire Granger, Dr Greg YoungORCiD, Professor Nicholas EmbletonORCiD, Professor Janet Berrington, Professor Christopher StewartORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved. Necrotizing enterocolitis (NEC) is a severe intestinal disease of very preterm infants with mother's own milk (MOM) providing protection, but the contribution of the MOM microbiota to NEC risk has not been explored. Here, we analyze MOM of 110 preterm infants (48 NEC, 62 control) in a cross-sectional study. Breast milk contains viable bacteria, but there is no significant difference in MOM microbiota between NEC and controls. Integrative analysis between MOM microbiota, human milk oligosaccharides (HMOs), and the infant gut microbiota shows positive correlations only between Acinetobacter in the infant gut and Acinetobacter and Staphylococcus in MOM. This study suggests that NEC protection from MOM is not modulated through the MOM microbiota. Thus, "'restoring" the MOM microbiota in donor human milk is unlikely to reduce NEC, and emphasis should instead focus on increasing fresh maternal human milk intake and researching different therapies for NEC prevention.


Publication metadata

Author(s): Masi AC, Beck LC, Perry JD, Granger CL, Hiorns A, Young GR, Bode L, Embleton ND, Berrington JE, Stewart CJ

Publication type: Article

Publication status: Published

Journal: Cell Reports Medicine

Year: 2024

Volume: 5

Issue: 9

Print publication date: 17/09/2024

Online publication date: 30/08/2024

Acceptance date: 08/08/2024

Date deposited: 01/10/2024

ISSN (electronic): 2666-3791

Publisher: Cell Press

URL: https://doi.org/10.1016/j.xcrm.2024.101708

DOI: 10.1016/j.xcrm.2024.101708

Data Access Statement: All sequencing data generated and analyzed in this study have been deposited in the European Nucleotide Archive. The MOM microbiota data and corresponding metadata are available under study accession number PRJEB72536. The infant gut microbiome data and corresponding metadata are available under study accession number PRJEB39610. This study used pre-existing software and did not generate new custom code. Any additional information required to reanalyse the data reported in this paper is available from the lead contact (Christopher Stewart, christopher.stewart@newcastle.ac.uk) upon request.

PubMed id: 39216480


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Funding

Funder referenceFunder name
2021 Lister Institute Prize Fellow Award
221745/Z/20/Z
Newcastle University Academic Career Track (NUAcT) Fellowship
Royal Society
Sir Henry Dale Fellowship
Wellcome Trust

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