Universidad Peruana Cayetano Heredia

Human milk oligosaccharides and their association with late-onset neonatal sepsis in Peruvian very-low-birth-weight infants

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dc.contributor.author Torres Roldan, V.D.
dc.contributor.author Urtecho S, M.
dc.contributor.author Gupta, J.
dc.contributor.author Yonemitsu, C.
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author Bode, L.
dc.contributor.author Ochoa Woodell, Theresa Jean
dc.date.accessioned 2020-12-14T16:10:18Z
dc.date.available 2020-12-14T16:10:18Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8827
dc.description.abstract Background: Oligosaccharides are the third most abundant component in human milk. They are a potential protective agent against neonatal sepsis. Objectives: We aimed to explore the association between human milk oligosaccharides (HMOs) and late-onset sepsis in very-low-birth-weight infants, and to describe the composition and characteristics of HMOs in Peruvian mothers of these infants. Methods: This is a secondary data analysis of a randomized clinical trial. We conducted a retrospective cohort study of mothers and their very-low-birth-weight (<1500 g) infants with ≥1 milk sample and follow-up data for >30 d. HMOs were measured by high performance liquid chromatography (HPLC). We used factor analysis and the Mantel-Cox test to explore the association between HMOs and late-onset neonatal sepsis. Results: We included 153 mother-infant pairs and 208 milk samples. Overall, the frequency of the secretor phenotype was 93%. Secretors and nonsecretors were defined by the presence and near-absence of α1-2-fucosylated HMOs, respectively. The most abundant oligosaccharides were 2'-fucosyllactose, lacto-N-fucopentaose (LNFP) I, and difucosyllacto-N-tetraose in secretors and lacto-N-tetraose and LNFP II in nonsecretors. Secretors had higher amounts of total oligosaccharides than nonsecretors (11.45 g/L; IQR: 0.773 g/L compared with 8.04 g/L; IQR: 0.449 g/L). Mature milk samples were more diverse in terms of HMOs than colostrum (Simpson's Reciprocal Diversity Index). We found an association of factor 3 in colostrum with a reduced risk of late-onset sepsis (HR: 0.63; 95% CI: 0.41, 0.97). Fucosyl-disialyllacto-N-hexose (FDSLNH) was the only oligosaccharide correlated to factor 3. Conclusions: These findings suggest that concentrations of different HMOs vary from one individual to another according to their lactation period and secretor status. We also found that FDSLNH might protect infants with very low birth weight from late-onset neonatal sepsis. Confirming this association could prove 1 more mechanism by which human milk protects infants against infections and open the door to clinical applications of HMOs. en_US
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartofseries American Journal of Clinical Nutrition
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject human milk oligosaccharides en_US
dc.subject breast milk en_US
dc.subject neonatal sepsis en_US
dc.subject very-low-birth-weight infants en_US
dc.subject intensive care unit en_US
dc.subject breastfeeding en_US
dc.title Human milk oligosaccharides and their association with late-onset neonatal sepsis in Peruvian very-low-birth-weight infants en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1093/ajcn/nqaa102
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.04
dc.relation.issn 1938-3207


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