Related Experiment Video
Updated: Jul 17, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
Prebiotics in human milk: a review
G V Coppa1, L Zampini, T Galeazzi
1Institute of Maternal-Infantile Sciences, Polytechnic University of Marche, Via F. Corridoni, 11, 60123 Ancona, Italy. g.v.coppa@univpm.it
Insights
Newborn gut microbes are influenced by delivery method and feeding. Human milk, particularly oligosaccharides, promotes beneficial bifidobacteria in infants, establishing a healthy gut microbiome.
Area of Science:
- Microbiology
- Human Gut Microbiome
- Infant Nutrition
Background:
- The human intestinal tract is colonized by microbes shortly after birth.
- Mode of delivery and infant feeding significantly shape early gut flora composition.
- Breast milk is known to promote a specific microbial profile in infants.
Purpose of the Study:
- To investigate the factors influencing the establishment of the infant gut microbiome.
- To understand the role of human milk components in promoting beneficial bacteria.
Main Methods:
- Observational study comparing gut microbiota composition based on delivery mode and feeding type.
- Analysis of human milk components and their potential prebiotic effects.
Main Results:
- Delivery method impacts initial intestinal flora.
- Breast-fed infants exhibit a higher prevalence of bifidobacteria and lactobacilli compared to bottle-fed infants.
- Human milk oligosaccharides are confirmed as key drivers of bifidobacteria-dominant microflora.
Conclusions:
- Infant gut microbiome development is a complex process influenced by early-life exposures.
- Human milk provides essential factors, especially oligosaccharides, that selectively promote beneficial gut bacteria.
- Understanding these factors is crucial for infant health and microbiome modulation strategies.
Abstract:
The microbic colonization of human intestine begins at birth, when from a sterile state the newborn is exposed to an external environment rich in various bacterial species. The kind of delivery has an important influence on the composition of the intestinal flora in the first days of life. Thereafter, the microflora is mainly influenced by the kind of feeding: breast-fed infants show a predominance of bifidobacteria and lactobacilli, whereas bottle-fed infants develop a mixed flora with a lower number of bifidobacteria. The "bifidogenic effect" of human milk is not related to a single growth-promoting substance, but rather to a complex of interacting factors. In particular the prebiotic effect has been ascribed to the low concentration of proteins and phosphates, the presence of lactoferrin, lactose, nucleotides and oligosaccharides. The real prebiotic role of each of these substances is not yet clearly defined, with the exception of oligosaccharides which undoubtedly promote a bifidobacteria-dominant microflora.
Related Concept Videos
Development of Human Microbiota
Probiotics
Introduction to the Human Microbiota
Microbiota Modulation by Antibiotics
Anatomy of the Intestines
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...
Development of the Oral Microbiota

