Human Milk and Allergic Diseases: An Unsolved Puzzle

There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies vary in methodology and definition of outcomes, which lead to considerable heterogeneity. Human milk composition varies both within and between...

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Published inNutrients Vol. 9; no. 8; p. 894
Main Authors Munblit, Daniel, Peroni, Diego, Boix-Amorós, Alba, Hsu, Peter, Land, Belinda, Gay, Melvin, Kolotilina, Anastasia, Skevaki, Chrysanthi, Boyle, Robert, Collado, Maria, Garssen, Johan, Geddes, Donna, Nanan, Ralph, Slupsky, Carolyn, Wegienka, Ganesa, Kozyrskyj, Anita, Warner, John
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 17.08.2017
MDPI
Subjects
Baby foods
Breast Feeding
breast milk
Breastfeeding & lactation
Humans
hypersensitivity
Hypersensitivity - immunology
Hypersensitivity - prevention & control
Meta-Analysis as Topic
metabolites
Microbiota
Micronutrients - analysis
Milk
milk composition
Milk, Human - chemistry
Milk, Human - microbiology
nutrients
Observational Studies as Topic
oligosaccharides
Oligosaccharides - analysis
protective effect
Randomized Controlled Trials as Topic
Review
vitamins
thymus
oligosaccharides
allergy
cytokines
human milk
breastfeeding
microbiome
allergic diseases
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Abstract There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies vary in methodology and definition of outcomes, which lead to considerable heterogeneity. Human milk composition varies both within and between individuals, which may partially explain conflicting data. It is known that human milk composition is very complex and contains variable levels of immune active molecules, oligosaccharides, metabolites, vitamins and other nutrients and microbial content. Existing evidence suggests that modulation of human breast milk composition has potential for preventing allergic diseases in early life. In this review, we discuss associations between breastfeeding/human milk composition and allergy development.
AbstractList There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies vary in methodology and definition of outcomes, which lead to considerable heterogeneity. Human milk composition varies both within and between individuals, which may partially explain conflicting data. It is known that human milk composition is very complex and contains variable levels of immune active molecules, oligosaccharides, metabolites, vitamins and other nutrients and microbial content. Existing evidence suggests that modulation of human breast milk composition has potential for preventing allergic diseases in early life. In this review, we discuss associations between breastfeeding/human milk composition and allergy development.
There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies vary in methodology and definition of outcomes, which lead to considerable heterogeneity. Human milk composition varies both within and between individuals, which may partially explain conflicting data. It is known that human milk composition is very complex and contains variable levels of immune active molecules, oligosaccharides, metabolites, vitamins and other nutrients and microbial content. Existing evidence suggests that modulation of human breast milk composition has potential for preventing allergic diseases in early life. In this review, we discuss associations between breastfeeding/human milk composition and allergy development.There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies vary in methodology and definition of outcomes, which lead to considerable heterogeneity. Human milk composition varies both within and between individuals, which may partially explain conflicting data. It is known that human milk composition is very complex and contains variable levels of immune active molecules, oligosaccharides, metabolites, vitamins and other nutrients and microbial content. Existing evidence suggests that modulation of human breast milk composition has potential for preventing allergic diseases in early life. In this review, we discuss associations between breastfeeding/human milk composition and allergy development.
Author Wegienka, Ganesa
Gay, Melvin
Land, Belinda
Kolotilina, Anastasia
Garssen, Johan
Warner, John
Boix-Amorós, Alba
Boyle, Robert
Kozyrskyj, Anita
Geddes, Donna
Peroni, Diego
Collado, Maria
Slupsky, Carolyn
Munblit, Daniel
Skevaki, Chrysanthi
Hsu, Peter
Nanan, Ralph
AuthorAffiliation 4 Department of Clinical and Experimental Medicine, Section of Paediatrics, University of Pisa, 56126 Pisa, Italy
7 Nutricia Research, 3584 CT Utrecht, The Netherlands; Belinda.vantland@danone.com (B.V.L.); johan.garssen@danone.com (J.G.)
8 Department of Paediatric Immunology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, 3584 EA Utrecht, The Netherlands
12 Charles Perkins Centre Nepean, University of Sydney, Sydney, NSW 2747, Australia; ralph.nanan@sydney.edu.au
1 Department of Paediatrics, Imperial College London, London W2 1NY, UK; r.boyle@nhs.net (R.J.B.); j.o.warner@imperial.ac.uk (J.O.W.)
3 The In-FLAME Global Network, an Affiliate of the World Universities Network (WUN), West New York, NJ 07093, USA; diego.peroni@unipi.it (D.G.P.); albaboix90@gmail.com (A.B.-A.); peter.hsu@health.nsw.gov.au (P.S.H.); melvin.gay@uwa.edu.au (M.C.L.G.); Chrysanthi.Skevaki@uk-gm.de (C.S.); mcolam@iata.csic.es (M.C.C.); Donna.Geddes@uwa.edu.au (D.T.G.); gwegien1@hfhs.org (G.W.)
13 Depa
AuthorAffiliation_xml – name: 3 The In-FLAME Global Network, an Affiliate of the World Universities Network (WUN), West New York, NJ 07093, USA; diego.peroni@unipi.it (D.G.P.); albaboix90@gmail.com (A.B.-A.); peter.hsu@health.nsw.gov.au (P.S.H.); melvin.gay@uwa.edu.au (M.C.L.G.); Chrysanthi.Skevaki@uk-gm.de (C.S.); mcolam@iata.csic.es (M.C.C.); Donna.Geddes@uwa.edu.au (D.T.G.); gwegien1@hfhs.org (G.W.)
– name: 13 Department of Nutrition, University of California, Davis, CA 95616-5270, USA; cslupsky@ucdavis.edu
– name: 17 National Institute for Health Research, Collaboration for Leadership in Applied Health Research and Care for NW London, London SW10 9NH, UK
– name: 4 Department of Clinical and Experimental Medicine, Section of Paediatrics, University of Pisa, 56126 Pisa, Italy
– name: 11 Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, 3584 CG Utrecht, The Netherlands
– name: 15 Center for Urban Responses to Environmental Stressors, Detroit, MI 48202, USA
– name: 8 Department of Paediatric Immunology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, 3584 EA Utrecht, The Netherlands
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– name: 2 Faculty of Pediatrics, I.M. Sechenov First Moscow State Medical University, 119991 Moscow, Russia; aikolotilina@yandex.ru
– name: 7 Nutricia Research, 3584 CT Utrecht, The Netherlands; Belinda.vantland@danone.com (B.V.L.); johan.garssen@danone.com (J.G.)
– name: 9 School of Molecular Sciences, The University of Western Australia, Perth, WA 6009, Australia
– name: 12 Charles Perkins Centre Nepean, University of Sydney, Sydney, NSW 2747, Australia; ralph.nanan@sydney.edu.au
– name: 14 Department of Public Health Sciences, Henry Ford Health System, Detroit, MI 48202, USA
– name: 10 Institute of Laboratory Medicine and Pathobiochemistry, Molecular Diagnostics, Philipps University Marburg, University Hospital Giessen and Marburg GmbH Baldingerstr, 35043 Marburg, Germany
– name: 5 Institute of Agrochemistry and Food Technology, National Research Council (IATA-CSIC), 46980 Valencia, Spain
– name: 6 Allergy and Immunology, The Kids Research Institute, The Children’s Hospital at Westmead, Sydney, NSW 2145, Australia
– name: 16 Department of Pediatrics, University of Alberta, Edmonton, AB T6G 1C9, Canada; kozyrsky@ualberta.ca
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/28817095$$D View this record in MEDLINE/PubMed
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Keywords thymus
oligosaccharides
allergy
cytokines
human milk
breastfeeding
microbiome
allergic diseases
Language English
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Snippet There is conflicting evidence on the protective role of breastfeeding in relation to the development of allergic sensitisation and allergic disease. Studies...
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StartPage 894
SubjectTerms Baby foods
Breast Feeding
breast milk
Breastfeeding & lactation
Humans
hypersensitivity
Hypersensitivity - immunology
Hypersensitivity - prevention & control
Meta-Analysis as Topic
metabolites
Microbiota
Micronutrients - analysis
Milk
milk composition
Milk, Human - chemistry
Milk, Human - microbiology
nutrients
Observational Studies as Topic
oligosaccharides
Oligosaccharides - analysis
protective effect
Randomized Controlled Trials as Topic
Review
vitamins
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Title Human Milk and Allergic Diseases: An Unsolved Puzzle
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