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Updated: May 21, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
Human milk oligosaccharide consumption by intestinal microbiota.
1Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA. marcobal@stanford.edu
Human milk oligosaccharides (HMOs) are key nutrients in breast milk. This review explores how Bifidobacterium and Bacteroides bacteria in infant guts metabolize these undigested carbohydrates.
Area of Science:
- Microbiology
- Nutritional Science
- Human Physiology
Background:
- Human milk oligosaccharides (HMOs) are the third most abundant component of human milk.
- Infants lack enzymes to digest HMOs, allowing them to reach the lower intestinal tract.
- Specific gut bacteria utilize HMOs as a nutrient source.
Purpose of the Study:
- To review proposed mechanisms of HMO depletion and metabolism.
- To focus on the roles of Bifidobacterium and Bacteroides genera in HMO utilization.
Main Methods:
- Literature review of existing studies on HMO metabolism in infant gut microbiota.
- Analysis of proposed biochemical pathways for HMO breakdown by key bacteria.
- Synthesis of current understanding of bacterial-HMO interactions.
Main Results:
- Bifidobacterium and Bacteroides species possess unique enzymatic machinery to degrade diverse HMO structures.
- Metabolism of HMOs by these bacteria influences the overall infant gut microbiome composition.
- Specific HMO structures are preferentially consumed, shaping microbial ecology.
Conclusions:
- Bifidobacterium and Bacteroides play critical roles in processing HMOs within the infant gut.
- Understanding these metabolic pathways is crucial for infant nutrition and gut health.
- Further research can elucidate targeted prebiotic strategies based on HMO metabolism.
Related Concept Videos
Development of Human Microbiota
Microbiota of the Large Intestine
Development of the Oral Microbiota
Introduction to the Human Microbiota
Microbiota of the Stomach and Small Intestine
Functions of the Gut Microbiota

