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Published on: February 15, 2018
Breast-fed and formula-fed infants do not differ in immunocompetent cell cytokine production despite differences in
1Department of Pediatrics, Hadassah University Hospital, and the Department of Human Nutrition and Metabolism, Hebrew University-Hadassah Medical School, Jerusalem. etgranot@md.huji.ac.il
Insights
Infant feeding methods, breast milk vs. formula, impact red blood cell membrane fatty acids. However, cytokine production by immune cells remains similar between breast-fed and formula-fed infants.
Area of Science:
- Immunology
- Nutritional Science
- Pediatrics
Background:
- Infant nutrition, specifically breast milk versus formula, influences polyunsaturated fatty acid (PUFA) intake.
- Dietary fatty acids affect cell membrane composition, which in adults is linked to immune responses via cytokine production.
Purpose of the Study:
- To investigate differences in the production of proinflammatory cytokines, interleukin-1 (IL-1) and tumor necrosis factor (TNF), by immunocompetent cells in breast-fed versus formula-fed infants.
Main Methods:
- A study of 26 healthy infants (2-4 months old), divided into breast-fed and formula-fed groups.
- Analysis of red blood cell (RBC) membrane phospholipid fatty acid composition using gas-liquid chromatography.
- Measurement of IL-1 and TNF release from whole blood cultures stimulated with bacterial endotoxin.
Main Results:
- Breast-fed infants had significantly higher levels of n-3 fatty acids, particularly docosahexaenoic acid (22:6n-3), in their RBC membranes compared to formula-fed infants.
- Formula-fed infants showed a higher percentage of oleic acid (18:1) in their RBC membranes.
- No significant differences were observed in the release of IL-1 and TNF between the two groups of infants.
Conclusions:
- Despite distinct differences in red blood cell membrane fatty acid profiles, the production of key proinflammatory cytokines (IL-1 and TNF) by immunocompetent cells is comparable in breast-fed and formula-fed infants.
Background:
Breast-fed and formula-fed infants differ in the amount and type of polyunsaturated fatty acids consumed. The fatty acid composition of cell membranes is related to dietary fatty acids and, in adults, changes in membrane fatty acid composition are accompanied by changes in monocyte cytokine production and hence a modification of the immunologic response.
Objective:
Our objective was to determine whether production by immunocompetent cells of the proinflammatory cytokines interleukin 1 (IL-1) and tumor necrosis factor (TNF) differs between breast-fed and formula-fed infants.
Design:
Twenty-six healthy infants (13 breast-fed and 13 fed modified cow-milk formula) aged 2-4 mo were studied. The fatty acid composition of red blood cell (RBC) membrane phospholipids was measured by gas-liquid chromatography and IL-1 and TNF release were measured in whole blood culture in bacterial-endotoxin-stimulated and unstimulated cells.
Results:
The infants' ages, weights, hemoglobin concentrations, and white blood cell counts did not differ significantly between groups. The percentage of n-3 fatty acids of total RBC phospholipid fatty acids was significantly higher in breast-fed than in formula-fed infants (6.31 +/- 2.5% compared with 2.98 +/- 0.97%); docosahexaenoic acid (22:6n-3) concentrations were also markedly higher in breast-fed infants (5.1 +/- 1.2% compared with 2.2 +/- 0.9%, P: < 0.001), but eicosapentaenoic acid (20:5n-3) and docosapentaenoic acid (22:5n-3) concentrations did not differ significantly between groups. The percentage of n-6 fatty acids was not significantly different between groups. The percentage of oleic acid (18:1) was higher in formula-fed than in breast-fed infants (16.2 +/- 0.7% compared with 20.6 +/- 1.1%; P: < 0.001). IL-1 and TNF release in whole blood culture did not differ significantly between groups.
Conclusion:
The release of proinflammatory cytokines by immunocompetent cells does not differ significantly in breast-fed and formula-fed infants despite differences in cell membrane fatty acid composition.
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