학술논문

Evidence for human milk as a biological system and recommendations for study design—a report from “Breastmilk Ecology: Genesis of Infant Nutrition (BEGIN)” Working Group 4
Document Type
article
Source
American Journal of Clinical Nutrition. 117(Suppl 1)
Subject
Biomedical and Clinical Sciences
Nutrition and Dietetics
Clinical Sciences
Nutrition
Clinical Research
Pediatric
Dental/Oral and Craniofacial Disease
Generic health relevance
Female
Infant
Humans
Milk
Human
Lactation
Infant Nutritional Physiological Phenomena
Breast Feeding
Infant Formula
human milk
infant development
immune
microbiome
systems biology
Engineering
Medical and Health Sciences
Nutrition & Dietetics
Clinical sciences
Nutrition and dietetics
Language
Abstract
Human milk contains all of the essential nutrients required by the infant within a complex matrix that enhances the bioavailability of many of those nutrients. In addition, human milk is a source of bioactive components, living cells and microbes that facilitate the transition to life outside the womb. Our ability to fully appreciate the importance of this matrix relies on the recognition of short- and long-term health benefits and, as highlighted in previous sections of this supplement, its ecology (i.e., interactions among the lactating parent and breastfed infant as well as within the context of the human milk matrix itself). Designing and interpreting studies to address this complexity depends on the availability of new tools and technologies that account for such complexity. Past efforts have often compared human milk to infant formula, which has provided some insight into the bioactivity of human milk, as a whole, or of individual milk components supplemented with formula. However, this experimental approach cannot capture the contributions of the individual components to the human milk ecology, the interaction between these components within the human milk matrix, or the significance of the matrix itself to enhance human milk bioactivity on outcomes of interest. This paper presents approaches to explore human milk as a biological system and the functional implications of that system and its components. Specifically, we discuss study design and data collection considerations and how emerging analytical technologies, bioinformatics, and systems biology approaches could be applied to advance our understanding of this critical aspect of human biology.