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Updated: May 30, 2026

Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation
Published on: February 15, 2018
Breast milk contains relevant neurotrophic factors and cytokines for enteric nervous system development
Michael Fichter1, Markus Klotz, David L Hirschberg
1Department of Biotechnology, University of Applied Sciences Kaiserslautern, Amerikastrasse 1, Zweibrücken, Germany.
Insights
Human breast milk contains growth factors and cytokines that promote the development of the enteric nervous system (ENS). These milk-borne proteins support neurite outgrowth and enhance the survival of enteric neurons and glial cells.
Area of Science:
- Neuroscience
- Developmental Biology
- Gastroenterology
Background:
- Breastfeeding is crucial for newborn development, with premature infants lacking breast milk facing higher risks of diseases like necrotizing enterocolitis.
- The enteric nervous system (ENS) development is vital for gut function, and its postnatal maturation is influenced by various factors.
- Human breast milk is a complex biological fluid containing numerous bioactive components.
Purpose of the Study:
- To determine the presence and concentration of neurotrophic factors and cytokines in human breast milk.
- To investigate the effects of breast milk protein extracts on the development of the enteric nervous system (ENS) in vitro.
- To assess the impact of breast milk components on neurite outgrowth, neuron survival, and glial cell proliferation.
Main Methods:
- Analysis of glial cell-line-derived neurotrophic factor (GDNF) and ciliary neurotrophic factor (CNTF) using ELISA.
- Quantification of various cytokines in breast milk samples.
- Culture of rat myenteric neurons with breast milk protein extracts.
- Measurement of neurite outgrowth, neuron survival, and nestin expression in glial cells.
Main Results:
- Neurotrophic factors and cytokines were detected in all analyzed breast milk samples at variable concentrations.
- Breast milk protein extracts significantly increased the survival and neurite outgrowth of cultured enteric neurons.
- Incubation with breast milk protein extracts led to a significant increase in nestin and S100-expressing glial cells.
Conclusions:
- Human breast milk contains essential neurotrophic factors and cytokines that support the development of the enteric nervous system (ENS).
- Milk-borne proteins play a supportive role in promoting neurite outgrowth, neuron survival, and glial cell proliferation, crucial for ENS maturation.
- These findings highlight the importance of breast milk in the postnatal development of the neonatal gut.
Abstract:
Breast-feeding plays an important role for the development of the newborn. Non-breast fed premature born infants show a significantly higher risk of developing diseases like infantile diarrhoea and necrotizing enterocolitis. In this study, the content of neurotrophic factors and cytokines, which might influence the postnatal development of the enteric nervous system (ENS), was determined in human breast milk. Glial cell-line-derived neurotrophic factor (GDNF), ciliary neurotrophic factor (CNTF) as well as a panel of cytokines were analyzed using single factor or multiplex ELISA. In order to link their presence in milk with possible effects on the development of the ENS, rat myenteric neurons were cultured in protein extracts from breast milk. Neurite outgrowth, neuron survival and nestin expression in glial cells were measured. Growth factors and cytokines were found in all breast milk samples at varying concentrations. It could be demonstrated that protein extracts of breast milk increased the amount of surviving enteric neurones as well as neurite outgrowth. Additionally it was shown, that the number of nestin and S100-expressing glial cells increased significantly after incubating in breast milk protein extracts. The data suggest that milk-born proteins support the development of the enteric nervous system.
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