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Updated: May 30, 2026

Analysis of Fucosylated Human Milk Trisaccharides in Biotechnological Context Using Genetically Encoded Biosensors
Published on: April 13, 2019
Oligosaccharides in feces of breast- and formula-fed babies
Simone Albrecht1, Henk A Schols, Diny van Zoeren
1Laboratory of Food Chemistry, Wageningen University, Bomenweg 2, 6703 HD Wageningen, The Netherlands.
Insights
Fecal oligosaccharide profiles differ between breast- and formula-fed preterm infants. Human milk oligosaccharides (HMOs) show genetic patterns, while formula feeding results in similar, low-abundance profiles, indicating diet influences gut adaptation.
Area of Science:
- Human infant nutrition
- Gut microbiome studies
- Glycomics
Background:
- Limited knowledge exists on infant fecal oligosaccharide fate.
- Human milk oligosaccharides (HMOs) are complex and vary based on maternal genetics.
- Formula-fed infants may have different gut oligosaccharide profiles.
Purpose of the Study:
- To investigate the fecal oligosaccharide profiles in preterm infants.
- To compare profiles between breast-, formula-, and mixed-fed infants.
- To understand the role of diet and gastrointestinal adaptation.
Main Methods:
- Capillary electrophoresis with laser-induced fluorescence detection coupled to mass spectrometry (CE-LIF-MS(n)) was used.
- Agglomerative hierarchical clustering (AHC) aided complex profile interpretation.
- Fecal samples from 27 preterm infants (2 months old) were analyzed.
Main Results:
- Breast-fed infants exhibited characteristic HMO profiles reflecting secretor/non-secretor status.
- Formula-fed infants showed similar, low-abundance oligosaccharide profiles, irrespective of galactooligosaccharide (GOS) supplementation.
- Specific oligosaccharides (HexNAc-Hex-Hex, Hex-[Fuc]-HexNAc-Hex, HexNAc-[Fuc]-Hex-Hex, HexNAc-[Fuc]-Hex-HexNAc-Hex-Hex) indicated active gastrointestinal metabolization and linkage to host genotype-associated mucus layer.
Conclusions:
- Infant feeding method significantly impacts fecal oligosaccharide presence.
- Gastrointestinal adaptation plays a crucial role in metabolizing diet-related oligosaccharides.
- Identified oligosaccharides may serve as biomarkers for gut mucus layer composition and host genetics.
Abstract:
So far, little is known on the fate of oligosaccharides in the colon of breast- and formula-fed babies. Using capillary electrophoresis with laser induced fluorescence detector coupled to a mass spectrometer (CE-LIF-MS(n)), we studied the fecal oligosaccharide profiles of 27 two-month-old breast-, formula- and mixed-fed preterm babies. The interpretation of the complex oligosaccharide profiles was facilitated by beforehand clustering the CE-LIF data points by agglomerative hierarchical clustering (AHC). In the feces of breast-fed babies, characteristic human milk oligosaccharide (HMO) profiles, showing genetic fingerprints known for human milk of secretors and non-secretors, were recognized. Alternatively, advanced degradation and bioconversion of HMOs, resulting in an accumulation of acidic HMOs or HMO bioconversion products was observed. Independent of the prebiotic supplementation of the formula with galactooligosaccharides (GOS) at the level used, similar oligosaccharide profiles of low peak abundance were obtained for formula-fed babies. Feeding influences the presence of diet-related oligosaccharides in baby feces and gastrointestinal adaptation plays an important role herein. Four fecal oligosaccharides, characterized as HexNAc-Hex-Hex, Hex-[Fuc]-HexNAc-Hex, HexNAc-[Fuc]-Hex-Hex and HexNAc-[Fuc]-Hex-HexNAc-Hex-Hex, highlighted an active gastrointestinal metabolization of the feeding-related oligosaccharides. Their presence was linked to the gastrointestinal mucus layer and the blood-group determinant oligosaccharides therein, which are characteristic for the host's genotype.
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