A metabolomic study of preterm and term human and formula milk by proton MRS analysis: preliminary results

Mariangela Longini, Maria Luisa Tataranno, Fabrizio Proietti, Mario Tortoriello, Elisa Belvisi, Antonio Vivi, Maria Tassini, Serafina Perrone, Giuseppe Buonocore*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To investigate changes in global metabolic profile between: 1 - breast milk and formula milk, 2 - breast milk from mothers delivering at different gestational age (GA) collected within one week from delivery, and then week by week until term equivalent age.

METHODS: Proton magnetic resonance spectroscopy (MRS) was used to analyze the water-soluble and lipid fractions extracted from 50 milk samples, 46 human milk at different GA, from 23 weeks of gestation until term equivalent age and four different formula milks.

RESULTS: The formula milk for premature infants was the most similar to breast milk of preterm babies. Breast milk showed higher lactose concentrations than formula milk, that conversely presented higher galactose 1-phosphate and maltose concentrations. Mother's milk of very preterm babies (23-25 wks of GA) showed a different metabolic profile from preterm infants ≥29 wks of GA with a subsequent trend to similarity around the 30th week of post-natal age. Breast milk from preterm infants of 29-34 wks, collected up to 40 wks of post-natal age showed a temporal change over the first three weeks of lactation, approaching to zero with the achievement of term age.

CONCLUSIONS: Metabolome is a promising tool to study human and artificial milk global metabolic profile.

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalJournal of Maternal-fetal & Neonatal Medicine
Volume27 Suppl 2
DOIs
Publication statusPublished - Oct 2014

Keywords

  • Animals
  • Female
  • Humans
  • Infant Formula/chemistry
  • Infant, Newborn
  • Infant, Premature
  • Metabolomics/methods
  • Milk/chemistry
  • Milk, Human/chemistry
  • Principal Component Analysis
  • Proton Magnetic Resonance Spectroscopy
  • Term Birth

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