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2000
Volume 22, Issue 1
  • ISSN: 1573-3963
  • E-ISSN: 1875-6336

Abstract

Breast milk (BM) is the best option for the nutritional needs of an infant. In situations where breastfeeding is contraindicated, donor human milk and formula milk (FM) are suggested as alternatives. This study highlights findings from two studies that evaluated how different dietary patterns (standard formula, post-biotic fermented formula, and breast milk) affected the intestinal microbiota and metabolome of late preterm and full-term infants. The metabolome of late preterm newborns showed a higher presence of metabolites-such as azelaic acid, N-acetylglucosamine-6- sulfate, and 13(S)-hydroperoxylinolenic acid-in those fed postbiotic-fermented formula, similar to breastfed full-term newborns. The fecal metabolites of breast milk and substitute feeding systems are comparable in these preliminary studies, confirming the effectiveness of formula preparations as breast milk substitutes. Furthermore, newborns fed with postbiotic-supplemented formula or breast milk had several similarities in fecal metabolites. The addition of postbiotics to formula milk appears to be more efficient than standard formula milk and is considered a better alternative to breast milk.

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2025-04-28
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References

  1. RoggeroP LiottoN PozziC Analysis of immune, microbiota and metabolome maturation in infants in a clinical trial of Lactobacillus paracasei CBA L74-fermented formula.Nat. Commun.2020111270310.1038/s41467‑020‑16582‑1
    [Google Scholar]
  2. LewisZ.T. MillsD.A. Differential establishment of Bifidobacteria in the breastfed infant gut.Nestle Nutr. Inst. Workshop Ser.20178814916010.1159/00045539928346936
    [Google Scholar]
  3. VendtN. GrünbergH. TuureT. MalminiemiO. WuolijokiE. TillmannV. SeppE. KorpelaR. Growth during the first 6 months of life in infants using formula enriched with Lactobacillus rhamnosus GG: Double-blind, randomized trial.J. Hum. Nutr. Diet.2006191515810.1111/j.1365‑277X.2006.00660.x16448475
    [Google Scholar]
  4. PerroneS. LaschiE. De BernardoG. GiordanoM. VanacoreF. TassiniM. CalderisiM. ToniA.L. BuonocoreG. LonginiM. Newborn metabolomic profile mirrors that of mother in pregnancy.Med. Hypotheses202013710954310.1016/j.mehy.2019.10954331901880
    [Google Scholar]
  5. CerasaniJ CeroniF De CosmiV Human milk feeding and preterm infants' growth and body composition: A literature review.Nutrients2020124115510.3390/nu12041155
    [Google Scholar]
  6. DavanzoR. Controversies in breastfeeding.Front. Pediatr.2018627810.3389/fped.2018.00278
    [Google Scholar]
  7. JavotL. PapeE. Yéléhé-OkoumaM. BarotteE. DivouxE. GilletP. GambierN. Scala-BertolaJ. Intravenous single administration of amiodarone and breastfeeding.Fundam. Clin. Pharmacol.201933336737210.1111/fcp.1243930471135
    [Google Scholar]
  8. YappP. IlettK.F. KristensenJ.H. HackettL.P. PaechM.J. RamponoJ. Drowsiness and poor feeding in a breast-fed infant: Association with nefazodone and its metabolites.Ann. Pharmacother.200034111269127210.1345/aph.1012011098340
    [Google Scholar]
  9. PistilliB. BellettiniG. GiovannettiE. Codacci-PisanelliG. AzimH.A.Jr BenedettiG. SarnoM.A. PeccatoriF.A. Chemotherapy, targeted agents, antiemetics and growth-factors in human milk: How should we counsel cancer patients about breastfeeding?Cancer Treat. Rev.201339320721110.1016/j.ctrv.2012.10.00223199900
    [Google Scholar]
  10. MitchellK.B. FlemingM.M. AndersonP.O. GiesbrandtJ.G. YoungM. NobleL. Reece-StremtanS. BartickM. CalhounS. DoddS. Elliott-RudderM. KairL.R. LappinS. LawrenceR.A. LeFortY. MarinelliK.A. MarshallN. MurakC. MyersE. Okogbule-WonodiA. RobertsA. Rosen-CaroleC. RothenbergS. SchmidtT. SeoT. SriramanN. StehelE.K. FleurR.S. WightN. WinterL. Academy of Breastfeeding Medicine ABM clinical protocol #31: Radiology and nuclear medicine studies in lactating women.Breastfeed. Med.201914529029410.1089/bfm.2019.29128.kbm31107104
    [Google Scholar]
  11. GibsonL. PorterM. Alcohol and tobacco use while breastfeeding and risk of Autism Spectrum Disorder or attention deficit/hyperactivity disorder.J. Autism Dev. Disord.20225231223123410.1007/s10803‑021‑05027‑333893938
    [Google Scholar]
  12. MetzT.D. BorgeltL.M. Marijuana use in pregnancy and while breastfeeding.Obstet. Gynecol.201813251198121010.1097/AOG.000000000000287830234728
    [Google Scholar]
  13. SachsH.C. FrattarelliD.A.C. GalinkinJ.L. GreenT.P. JohnsonT. NevilleK. PaulI.M. Van den AnkerJ. Committee On Drugs The transfer of drugs and therapeutics into human breast milk: An update on selected topics.Pediatrics20131323e796e80910.1542/peds.2013‑198523979084
    [Google Scholar]
  14. EidelmanA.I. SchanlerR.J. JohnstonM. LandersS. NobleL. SzucsK. ViehmannL. Section on Breastfeeding Breastfeeding and the use of human milk.Pediatrics20121293e827e84110.1542/peds.2011‑355222371471
    [Google Scholar]
  15. WHO. Guidelines on optimal feeding of low birth-weight infants in low- and middle-income countries.2011Available from: https://www.who.int/publications/i/item/9789241548366
  16. DanielsS. CorkinsM. de FerrantiS. GoldenN.H. KimJ.H. MaggeS.N. SchwarzenbergS.J. MeekJ.Y. JohnstonM.G. O’ConnorM.E. StellwagenL.M. ThomasJ.P. WareJ.L. SchanlerR.J. WatterbergK.L. AucottS.W. BenitzW.E. CummingsJ.J. EichenwaldE.C. GoldsmithJ.P. PoindexterB.B. PuopoloK.M. StewartD.L. COMMITTEE ON NUTRITION SECTION ON BREASTFEEDING COMMITTEE ON FETUS AND NEWBORN Donor human milk for the high-risk infant: Preparation, safety, and usage options in the United States.Pediatrics20171391e2016344010.1542/peds.2016‑344027994111
    [Google Scholar]
  17. EmbletonN.D. Jennifer MoltuS. LapillonneA. van den AkkerC.H.P. CarnielliV. FuschC. GerasimidisK. van GoudoeverJ.B. HaidenN. IacobelliS. JohnsonM.J. MeyerS. MihatschW. de PipaonM.S. RigoJ. ZachariassenG. BronskyJ. IndrioF. KöglmeierJ. de KoningB. NorsaL. VerduciE. DomellöfM. Enteral nutrition in preterm infants (2022): A position paper from the ESPGHAN committee on nutrition and invited experts.J. Pediatr. Gastroenterol. Nutr.202376224826810.1097/MPG.000000000000364236705703
    [Google Scholar]
  18. StevensE.E. PatrickT.E. PicklerR. A history of infant feeding.J. Perinat. Educ.2009182323910.1624/105812409X42631420190854
    [Google Scholar]
  19. PATH. Human milk banking: A global implementation framework.2015Available from: https://www.path.org/who-we-are/ programs/maternal-newborn-child-health-and-nutrition/strengthening-human-milk-banking-resource-toolkit-0/
  20. MurphyK CurleyD O'CallaghanTF The composition of human milk and infant faecal microbiota over the first three months of life: A pilot study.Sci. Rep.201774059710.1038/srep40597
    [Google Scholar]
  21. BezirtzoglouE. TsiotsiasA. WellingG.W. Microbiota profile in feces of breast- and formula-fed newborns by using fluorescence in situ hybridization (FISH).Anaerobe201117647848210.1016/j.anaerobe.2011.03.00921497661
    [Google Scholar]
  22. Dominguez-BelloM.G. CostelloE.K. ContrerasM. MagrisM. HidalgoG. FiererN. KnightR. Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns.Proc. Natl. Acad. Sci. USA201010726119711197510.1073/pnas.100260110720566857
    [Google Scholar]
  23. TsilingiriK. RescignoM. Postbiotics: What else?Benef. Microbes20134110110710.3920/BM2012.004623271068
    [Google Scholar]
  24. TsilingiriK. BarbosaT. PennaG. CaprioliF. SonzogniA. VialeG. RescignoM. Probiotic and postbiotic activity in health and disease: Comparison on a novel polarised ex- vivo organ culture model.Gut20126171007101510.1136/gutjnl‑2011‑30097122301383
    [Google Scholar]
  25. FabianoV. IndrioF. VerduciE. CalcaterraV. PopT.L. MariA. ZuccottiG.V. Cullu CokugrasF. Pettoello-MantovaniM. GouletO. Term infant formulas influencing gut microbiota: An overview.Nutrients20211312420010.3390/nu1312420034959752
    [Google Scholar]
  26. SzajewskaH. KołodziejM. SkórkaA. Pieścik-LechM. Infant formulas with postbiotics: An updated systematic review.J. Pediatr. Gastroenterol. Nutr.202274682382910.1097/MPG.000000000000344135258495
    [Google Scholar]
  27. LiangX. LiY. ZhaoZ. DingR. SunJ. ChiC. Safety and efficacy of adding postbiotics in infant formula: A systematic review and meta-analysis.Pediatr. Res.2024951435110.1038/s41390‑023‑02813‑w37700163
    [Google Scholar]
  28. SrinivasjoisR. GebremedhinA. SilvaD. RaoS.C. TessemaG.A. PereiraG. Probiotic supplementation in the neonatal age group and the risk of hospitalisation in the first two years: A data linkage study from Western Australia.Nutrients20241613209410.3390/nu1613209438999842
    [Google Scholar]
  29. De BernardoG. SordinoD. De ChiaraC. RiccitelliM. EspositoF. GiordanoM. TramontanoA. Management of NEC: Surgical treatment and role of traditional X-ray versus ultrasound imaging, experience of a single centre.Curr. Pediatr. Rev.201915212513010.2174/157339631466618110212262630387397
    [Google Scholar]
  30. De BernardoG. Necrotizing enterocolitis: From diagnosis to therapy.Curr. Pediatr. Rev.20191526710.2174/15733963150219072209175431433747
    [Google Scholar]
  31. SuezJ. ZmoraN. Zilberman-SchapiraG. MorU. Dori-BachashM. BashiardesS. ZurM. Regev-LehaviD. Ben-Zeev BrikR. FedericiS. HornM. CohenY. MoorA.E. ZeeviD. KoremT. KotlerE. HarmelinA. ItzkovitzS. MaharshakN. ShiboletO. Pevsner-FischerM. ShapiroH. SharonI. HalpernZ. SegalE. ElinavE. Post-antibiotic gut mucosal microbiome reconstitution is impaired by probiotics and improved by autologous FMT.Cell2018174614061423.e1610.1016/j.cell.2018.08.04730193113
    [Google Scholar]
  32. NewburgD.S. KoJ.S. LeoneS. NanthakumarN.N. Human milk oligosaccharides and synthetic galactosyloligosaccharides contain 3′-, 4-, and 6′-galactosyllactose and attenuate inflammation in human T84, NCM-460, and H4 cells and intestinal tissue ex-vivo .J. Nutr.2016146235836710.3945/jn.115.22074926701795
    [Google Scholar]
  33. VinderolaG. SandersM.E. SalminenS. SzajewskaH. Postbiotics: The concept and their use in healthy populations.Front. Nutr.20229100221310.3389/fnut.2022.100221336570166
    [Google Scholar]
  34. SzajewskaH. SkórkaA. Pieścik-LechM. Fermented infant formulas without live bacteria: A systematic review.Eur. J. Pediatr.2015174111413142010.1007/s00431‑015‑2629‑y26358067
    [Google Scholar]
  35. ZagatoE MiletiE MassimilianoL Lactobacillus paracasei CBA L74 metabolic products and fermented milk for infant formula have anti-inflammatory activity on dendritic cells in vitro and protective effects against colitis and an enteric pathogen in vivo .PLoS One201492e8761510.1371/journal.pone.0087615
    [Google Scholar]
  36. NocerinoR. PaparoL. TerrinG. PezzellaV. AmorosoA. CosenzaL. CecereG. De MarcoG. MicilloM. AlbanoF. NugnesR. FerriP. CiccarelliG. GiaccioG. SpadaroR. MaddalenaY. Berni CananiF. Berni CananiR. Cow’s milk and rice fermented with Lactobacillus paracasei CBA L74 prevent infectious diseases in children: A randomized controlled trial.Clin. Nutr.201736111812510.1016/j.clnu.2015.12.00426732025
    [Google Scholar]
  37. BäckhedF. RoswallJ. PengY. FengQ. JiaH. Kovatcheva-DatcharyP. LiY. XiaY. XieH. ZhongH. KhanM.T. ZhangJ. LiJ. XiaoL. Al-AamaJ. ZhangD. LeeY.S. KotowskaD. ColdingC. TremaroliV. YinY. BergmanS. XuX. MadsenL. KristiansenK. DahlgrenJ. WangJ. Dynamics and stabilization of the human gut microbiome during the first year of life.Cell Host Microbe201517685210.1016/j.chom.2015.05.01226308884
    [Google Scholar]
  38. De BernardoG D'UrsoG SpadarellaS GiordanoM LeoneG CasapulloA. Analysis of the fecal metabolomic profile in breast vs. different formula milk feeding in late preterm infants.Metabolites20241417210.3390/metabo14010072
    [Google Scholar]
  39. LiaoY WuX LuoW Azelaic acid regulates the renin-angiotensin system and improves colitis based on network pharmacology and experimentation.ACS Omega2023817152171522810.1021/acsomega.3c00210
    [Google Scholar]
  40. EganM JiangH O'Connell MotherwayM OscarsonS van SinderenD. Glycosulfatase-encoding gene cluster in Bifidobacterium breve UCC2003.Appl. Environ. Microbiol.201682226611662310.1128/AEM.02022‑16
    [Google Scholar]
  41. KumarN GuptaG AnilkumarK 15-Lipoxygenase metabolites of α-linolenic acid, [13-(S)-HPOTrE and 13-(S)-HOTrE], mediate anti-inflammatory effects by inactivating NLRP3 inflammasome.Sci. Rep.201663164910.1038/srep31649
    [Google Scholar]
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  • Article Type:
    Review Article
Keyword(s): breast milk; fecal metabolome; formula milk; infant nutrition; microbiota; Post-biotic
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