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Nutrients 2018, 10(5), 631; https://doi.org/10.3390/nu10050631

Comparison of Human Milk Immunoglobulin Survival during Gastric Digestion between Preterm and Term Infants

1
Nutrition Program, School of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA
2
Department of Pediatrics, University of California, Davis, Sacramento, CA 95817, USA
*
Author to whom correspondence should be addressed.
Received: 6 April 2018 / Revised: 11 May 2018 / Accepted: 14 May 2018 / Published: 17 May 2018
(This article belongs to the Special Issue Breastfeeding and Human Lactation)
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Abstract

Human milk provides immunoglobulins (Igs) that supplement the passive immune system of neonates; however, the extent of survival of these Igs during gastric digestion and whether this differs between preterm and term infants remains unknown. Human milk, and infant gastric samples at 2 h post-ingestion were collected from 15 preterm (23–32 week gestational age (GA)) mother-infant pairs and from 8 term (38–40 week of GA) mother-infant pairs within 7–98 days postnatal age. Samples were analyzed via ELISA for concentration of total IgA (secretory IgA (SIgA)/IgA), total secretory component (SC/SIgA/SIgM), total IgM (SIgM/IgM), and IgG as well as peptidomics. Total IgA concentration decreased by 60% from human milk to the preterm infant stomach and decreased by 48% in the term infant stomach. Total IgM and IgG concentrations decreased by 33% and 77%, respectively, from human milk to the term infant stomach but were stable in the preterm infant stomach. Release of peptides from all Ig isotypes in the term infant stomach was higher than in the preterm stomach. Overall, the stability of human milk Igs during gastric digestion is higher in preterm infant than in term infants, which could be beneficial for assisting the preterm infants’ immature immune system. View Full-Text
Keywords: passive immunity; antibodies; lactation; peptidomics; prematurity; proteolysis; breast milk passive immunity; antibodies; lactation; peptidomics; prematurity; proteolysis; breast milk
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Demers-Mathieu, V.; Underwood, M.A.; Beverly, R.L.; Nielsen, S.D.; Dallas, D.C. Comparison of Human Milk Immunoglobulin Survival during Gastric Digestion between Preterm and Term Infants. Nutrients 2018, 10, 631.

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