Milk, Microbes, and Medicine: The Triad Shaping Infant Health

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Microbiomes".

Deadline for manuscript submissions: 31 October 2026 | Viewed by 3417

Editors


E-Mail Website
Guest Editor
1. Grigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania
2. “St. Spiridon” Clinical Emergency Hospital, 700115 Iasi, Romania
Interests: microbiology; bacteriology; virology; SARS-CoV-2; COVID-19; immune response; breastmilk

E-Mail Website
Guest Editor
1. Grigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania
2. Sfânta Parascheva Clinical Hospital of Infectious Diseases, 700116 Iasi, Romania
Interests: human microbiota; antibacterial resistance; microbiological diagnosis in human infections
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Breastfeeding is more than a method of nourishment; it is a dynamic biological process shaped by complex microbial interactions. Human milk is not sterile; it harbors a diverse community of bacteria, human milk oligosaccharides, antimicrobial peptides, and immunoglobulins that collectively shape the infant’s early-life microbiome and immune system.

This Special Issue invites cutting-edge research and reviews exploring the microbial ecology of lactation and its profound influence on infant and maternal health. We aim to unravel how microorganisms contribute to infant gut colonization, immune development, infection resistance, and metabolic programming through breastmilk interactions, and how maternal factors, such as diet, antibiotic use, stress, and delivery mode, modulate this ecosystem.

This Special Issue encompasses a broad and interdisciplinary range of topics that can be harmoniously integrated to reflect the complex interplay between microbiology and breastfeeding. It welcomes a diverse spectrum of article types addressing, but not limited to, the following themes:

  • Characterization and diversity of the human milk microbiome;
  • Mechanisms and impact of maternal–infant microbial transfer;
  • The role of breast milk in shaping the neonatal gut microbiota;
  • Host–microorganisms interactions influencing early-life immune development;
  • Probiotic and prebiotic properties inherent in human milk;
  • Influence of maternal factors (e.g., antibiotic exposure, mode of delivery, psychological stress) on the milk microbiota and infant microbiota;
  • Long-term health consequences of microbial exposure mediated through breastfeeding;
  • Application of omics-based approaches (metagenomics, transcriptomics, metabolomics) in the study of lactation microbiology;
  • Prospects and challenges in the therapeutic modulation of milk-associated microbiota;
  • Post-infection or post-vaccination transmission of infectious agents through human breast milk;
  • Immune system modulation in the infant through breast milk after maternal infection or vaccination;
  • Dynamic adaptation of human milk composition in response to infections in the breastfed infant.

This Special Issue is carefully designed to appeal to a broad academic audience, including microbiologists, neonatologists, pediatricians, immunologists, nutritionists, lactation scientists and consultants, obstetricians and gynecologists, family physicians, infectious disease doctors, public health researchers, specialists in metagenomics, metabolomics, proteomics of milk, biochemists, psychologists (exploring stress-related changes in milk microbiota), and pharmacologists. It welcomes original research articles, systematic reviews, short communications, and perspectives from researchers interested in maternal and child microbiological health.

Together, we seek to bridge the gap between microbiological science and lactation, providing new insights into the role of human milk as a conduit of microbial and immune signals that influence health across the lifespan.

Dr. Felicia Trofin
Prof. Dr. Olivia Dorneanu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Microorganisms is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • human milk
  • breast milk
  • microbiome
  • breastfeeding
  • infant
  • gut microbiota
  • microorganisms
  • maternal-infant biome
  • immunity
  • antibodies
  • bacteria

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

14 pages, 1905 KB  
Article
A Metagenomic Comparison of the Colostrum Microbiome in Bulgarian Mothers by Delivery Mode: A Pilot Study
by Daniela Mollova, Vesselin Baev, Tsvetomira Borisova, Mariya Rusinova and Ilia Iliev
Microorganisms 2026, 14(1), 184; https://doi.org/10.3390/microorganisms14010184 - 14 Jan 2026
Cited by 1 | Viewed by 719
Abstract
Colostrum harbors a highly diverse microbial community, predominantly composed of genera such as Staphylococcus, Streptococcus, Lactobacillus, Bifidobacterium, and Enterococcus. The composition and diversity of this microbiota are influenced by maternal factors—including age, body mass index, lactation activity, stress [...] Read more.
Colostrum harbors a highly diverse microbial community, predominantly composed of genera such as Staphylococcus, Streptococcus, Lactobacillus, Bifidobacterium, and Enterococcus. The composition and diversity of this microbiota are influenced by maternal factors—including age, body mass index, lactation activity, stress levels, and gestational diabetes—as well as external factors such as mode of delivery, antibiotic exposure, diet, and geographic location. This microbial community plays a critical role in maternal and neonatal health by contributing to early gut colonization, supporting digestion, promoting immune system development, and protecting against pathogenic microorganisms through mechanisms such as antimicrobial peptide production by lactic acid bacteria. The primary aim of this study was to evaluate the impact of mode of delivery on colostrum microbiota by comparing mothers who delivered vaginally with those who underwent cesarean section. Colostrum samples from 15 mothers were subjected to DNA extraction, high-throughput sequencing, and bioinformatic analyses to characterize microbial composition and predicted functional profiles. Although substantial inter-individual variability was observed, no statistically significant differences were detected in overall microbial diversity or community structure between the two delivery groups. However, distinct bacterial taxa and functional characteristics were identified that were specific to each mode of delivery, suggesting subtle delivery-related influences on colostrum microbiota composition. Full article
(This article belongs to the Special Issue Milk, Microbes, and Medicine: The Triad Shaping Infant Health)
Show Figures

Figure 1

Review

Jump to: Research

25 pages, 2240 KB  
Review
Seeding the Future: How Feeding Mode Shapes the Infant Gut Microbiota
by Felicia Trofin, Aida Corina Badescu, Luminita Smaranda Iancu, Elena Roxana Buzila, Dana-Teodora Anton-Păduraru, Cristina Mihaela Sima, Oana-Raluca Temneanu, Anca Matei, Stefana Catalina Bilha, Ioana Alexandra Benea and Olivia Simona Dorneanu
Microorganisms 2026, 14(3), 719; https://doi.org/10.3390/microorganisms14030719 - 23 Mar 2026
Cited by 3 | Viewed by 1773
Abstract
Early life represents a critical developmental programming window during which nutrition and microbial exposures shape long-term physiological function. Feeding mode is a major determinant of infant gut microbiota assembly and metabolic activity. This narrative review synthesizes current evidence comparing breastfeeding (BF) and formula [...] Read more.
Early life represents a critical developmental programming window during which nutrition and microbial exposures shape long-term physiological function. Feeding mode is a major determinant of infant gut microbiota assembly and metabolic activity. This narrative review synthesizes current evidence comparing breastfeeding (BF) and formula feeding in relation to microbial composition, functional capacity, and immune programming during the preweaning and early postweaning periods. BF may support a relatively stable, bifidobacteria-dominated microbiota enriched in pathways involved in carbohydrate utilization, vitamin biosynthesis, and immune modulation. Human milk oligosaccharides, secretory IgA, lactoferrin, and milk-associated microbes collectively guide microbial succession, enhance barrier integrity, and support immune tolerance. In contrast, formula-fed infants typically exhibit greater microbial diversity, earlier transition toward adult-like profiles, and increased abundance of facultative anaerobes, alongside the enrichment of pathways related to bile acid and amino acid metabolism. Microbiota patterns in formula-fed infants are further influenced by formula composition, including protein load, lipid structure, and supplementation with prebiotics, probiotics, and human milk oligosaccharide analogues. Although advances in formula design have reduced compositional gaps, functional differences in microbial stability and immune programming persist. Recognizing early infancy as a sensitive programming window underscores the need for microbiome-informed nutritional strategies and longitudinal, multi-omics research to clarify causal mechanisms and optimize early-life interventions. Full article
(This article belongs to the Special Issue Milk, Microbes, and Medicine: The Triad Shaping Infant Health)
Show Figures

Figure 1

Back to TopTop