Abstract
Background
Human milk oligosaccharides (HMOs) in breast milk contribute to the development of neonatal microbiota and immune system. However, longitudinal studies examining HMOs profiles of Chinese mothers remain scarce.
Objective
To analyze HMOs profiles including their composition, concentrations, and changes during lactation in milk of Chinese mothers.
Methods
A total of 822 milk samples from 222 mothers were collected, of which 163 mothers provided single samples. Samples from remaining 59 mothers were collected on day3, day7 and thereafter every 7 or 14 days until day168. 24 HMOs were studied using high-performance anion-exchange chromatography (HPAEC). Secretor and non-secretor status were determined based on Lewis blood types and a defined 2’-Fucosyllactose (2’-FL) threshold.
Results
77% of the 222 mothers were secretors and 23% were non-secretors. Longitudinal study involving 59 mothers showed that the total HMOs in secretors were significantly greater than those in non-secretors during the first two weeks. Acidic HMOs decreased significantly during lactation and were similar between secretors and non-secretors. Among neutral HMOs, distinctive differences were observed. Non-fucosylated and α-1–3/4-fucosylated HMOs in non-secretors were significantly higher than those in secretors during the first month. In contrast, α-1–2-fucosylated HMOs in secretors were significantly higher than those in non-secretors throughout 168 days. In secretors, 2'-FL levels peaked at 3.02 ± 0.14 g/L (day3) followed by significant decreases. In non-secretors, 2'-FL levels were fairly low throughout 168 days. Of the 24 studied HMOs, only 3-Fucosyllactose (3-FL) levels increased during lactation in both secretor and non-secretor mothers.
Conclusions
Our study showed dynamic changes of 24 HMOs in secretors and non-secretors during lactation and revealed unique features of these HMOs profiles in the milk of Chinese mothers. Interestingly, 2'-FL levels in secretors were found to be lower than those of western populations but higher than those of African populations.