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Published on: December 5, 2025
Characteristics and potential functions of human milk adiponectin
David S Newburg1, Jessica G Woo, Ardythe L Morrow
1Massachusetts General Hospital, Charlestown, MA, USA. dnewburg@partners.org
The Journal of Pediatrics
|January 29, 2010
Summary
Human milk contains high-molecular-weight adiponectin, a hormone that enhances insulin sensitivity. This milk adiponectin is transferred to infants, potentially protecting them from obesity by influencing infant metabolism.
Area of Science:
- Endocrinology and Metabolism
- Human Lactation Biology
Background:
- Adiponectin, a protein hormone from adipose tissue, regulates adiposity, inflammation, and insulin sensitivity.
- Adiponectin exists in various oligomeric forms, with high-molecular-weight forms exhibiting potent metabolic activities.
- Human milk contains adiponectin, predominantly in its active high-molecular-weight form.
Purpose of the Study:
- To investigate the presence and potential role of adiponectin in human milk.
- To explore the transfer and metabolic impact of milk-derived adiponectin on breast-fed infants.
- To examine the relationship between milk adiponectin levels and infant adiposity.
Main Methods:
- Analysis of adiponectin concentrations and oligomeric forms in human milk.
- Administration of human adiponectin to infant mice to assess intestinal transport.
- Correlation analysis between maternal milk adiponectin levels and infant body mass index (weight-for-height).
Main Results:
- Human milk contains significantly higher concentrations of adiponectin compared to leptin, primarily as high-molecular-weight oligomers.
- Oral administration of human adiponectin to infant mice resulted in its transfer into the serum.
- A notable inverse correlation was observed between adiponectin levels in breast milk and the adiposity of breast-fed infants.
Conclusions:
- Human milk adiponectin, particularly the high-molecular-weight form, is bioavailable to infants.
- Milk adiponectin may play a crucial role in modulating infant metabolism, contributing to the protective effects of breastfeeding against obesity.
- Human milk serves as a conduit for maternal hormonal signaling, influencing infant metabolic programming and adaptation.
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