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Do Human Milk Oligosaccharides Protect Against Infant Atopic Disorders and Food Allergy?

Title: Do Human Milk Oligosaccharides Protect Against Infant Atopic Disorders and Food Allergy?
Authors: Soo Min Han; Aristea Binia; Keith M. Godfrey; Sarah El-Heis; Wayne S. Cutfield
Source: Nutrients, Vol 12, Iss 10, p 3212 (2020)
Publisher Information: MDPI AG
Publication Year: 2020
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: atopic disorders; breastfeeding; food allergy; human milk oligosaccharides; Nutrition. Foods and food supply; TX341-641
Description: Atopic disorders (AD), often coexistent with food allergy (FA), start developing in early life and have lifelong health consequences. Breastfeeding is thought to be protective against AD and FA, but the data are controversial, and mechanisms are not well understood. Human milk oligosaccharides (HMOs) are complex carbohydrates that are abundant in human milk. These are thought to contribute to the development of the infant immune system by (i) promoting healthy microbiome, (ii) inhibiting pathogen binding to gut mucosa and (iii) modulating the immune system. Differences in microbiome composition between allergic and healthy infants have been observed, regardless of breastfeeding history. To date, limited studies have examined the preventive effects of HMOs on AD and FA in infants and current data relies on observation studies as trials of varying HMO intake through randomising individuals to breastfeeding are unethical. There is evidence for beneficial effects of breastfeeding on lowering the risks of FA, eczema and asthma but there are inconsistencies amongst studies in the duration of breastfeeding, diagnostic criteria for AD and the age at which the outcome was assessed. Furthermore, current analytical methods primarily used today only allow detection of 16–20 major HMOs while more than 100 types have been identified. More large-scale longitudinal studies are required to investigate the role of HMO composition and the impact of changes over the lactation period in preventing AD and FA later in life.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/2072-6643/12/10/3212; https://doaj.org/toc/2072-6643; https://doaj.org/article/fdbb50f5152e4c7781f64aa9a98266ad
DOI: 10.3390/nu12103212
Availability: https://doi.org/10.3390/nu12103212; https://doaj.org/article/fdbb50f5152e4c7781f64aa9a98266ad
Accession Number: edsbas.6526EFF
Database: BASE