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Published on: November 29, 2013
Effect of providing a formula supplemented with long-chain polyunsaturated fatty acids on immunity in full-term
Catherine J Field1, John E Van Aerde, Lindsay E Robinson
1Nutrition and Metabolism Research Group, University of Alberta, Edmonton, Alberta T6G 2P5, Canada. Catherine.field@ualberta.ca
Insights
Formula supplemented with long-chain PUFA (LCP) partially restored infant immune responses. Early formula feeding, regardless of LCP, significantly altered immune cell profiles and cytokine production in infants.
Area of Science:
- Immunology
- Pediatrics
- Nutritional Science
Background:
- Infant immune system development is influenced by early nutrition.
- Long-chain polyunsaturated fatty acids (LCP) are crucial for immune function.
- Standard infant formulas may not fully replicate the immune benefits of human milk.
Purpose of the Study:
- To investigate the impact of LCP-supplemented formula on infant immune responses.
- To compare immune cell distribution and cytokine production between different feeding groups.
- To assess the influence of early formula feeding on immune parameters.
Main Methods:
- Randomized controlled trial comparing standard formula, LCP-supplemented formula, and human milk.
- Measurement of immune cell proliferation ([3H]thymidine uptake) and cytokine production (TNF-alpha, IL-2, interferon-gamma) after phytohaemagglutinin (PHA) stimulation.
- Analysis of immune cell populations (e.g., CD3+CD44+, CD4+CD28+, CD11c+, CD14+) at 2 and 6 weeks of age.
Main Results:
- LCP-supplemented formula partially normalized T-cell proliferation and cytokine profiles compared to standard formula.
- Infants fed standard formula showed altered immune cell distribution and increased TNF-alpha production.
- Early formula feeding within the first 10 days of life significantly impacted immune cell percentages and cytokine responses.
Conclusions:
- LCP supplementation in infant formula can modulate immune cell function towards a profile similar to human milk-fed infants.
- Early dietary interventions significantly influence the developing infant immune system.
- These immune changes may have long-term physiological implications for infant health.
Abstract:
To determine the effect of feeding formula containing long-chain PUFA (LCP) on immune function, healthy term infants were randomised at age 2 weeks to either a standard term formula (Formula; n 14) or the same formula supplemented with the LCP 20 : 4n-6 and 22 : 6n-3 (Formula+LCP; n 16). Peripheral blood was collected at 2 and 6 weeks to measure immune cell response (the rate of [3H]thymidine uptake and cytokine production after stimulation with phytohaemagglutinin (PHA)). Compared with cells from infants receiving only human milk (HM), the rate of [3H]thymidine uptake in response to PHA, but not IL-2 production, was lower for Formula+LCP infants (P < 0.05). Compared with HM-fed infants, Formula-fed infants (but not Formula+LCP infants) produced more TNF-alpha (unstimulated) and had a fewer CD3+CD44+ cells before stimulation and fewer CD11c+ cells post-stimulation (P < 0.05). However, compared with Formula-fed infants, the Formula+LCP infants had an immune cell distribution (higher percentage CD3+CD44+ and CD4+CD28+ cells) and cytokine profile (lower production of TNF-alpha post-stimulation) that did not differ from HM infants. Additionally, it was found that feeding infants formula during the first 10 d of life influenced immune function. These infants had a higher percentage of CD3+, CD4+CD28+, and lower percentage of CD14+ cells and produced more TNF-alpha and interferon-gamma after PHA stimulation than HM-fed infants (P < 0.05). These results demonstrate that early diet influences both the presence of specific cell types and function of infant blood immune cells. Since many diseases have a strong immunological component, these immune changes may be of physiological importance to the developing infant.
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