Related Experiment Video
Updated: Apr 28, 2026

A Method for Targeted 16S Sequencing of Human Milk Samples
Published on: March 23, 2018
The impact of breastfeeding on nasopharyngeal microbial communities in infants
Giske Biesbroek1, Astrid A T M Bosch, Xinhui Wang
11 Department of Pediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Insights
Breastfeeding significantly shapes infant nasopharyngeal microbiota, increasing beneficial bacteria like Dolosigranulum and Corynebacterium. These changes may explain breastfeeding
Area of Science:
- Microbiology
- Pediatrics
- Immunology
Background:
- Breastfeeding offers crucial protection against infant respiratory infections.
- Microbiota modulation is a potential mechanism behind breastfeeding's protective effects.
Purpose of the Study:
- To investigate the association between breastfeeding and nasopharyngeal microbial communities in infants.
- To analyze both cultivable and non-cultivable bacteria in the nasopharynx.
Main Methods:
- Observational study comparing exclusively breastfed (n=101) and formula-fed (n=101) infants.
- Analysis of nasopharyngeal microbiota at 6 weeks and 6 months using 16S-based GS-FLX-titanium-pyrosequencing.
Main Results:
- Significant differences in bacterial community composition were observed at 6 weeks.
- Breastfed infants showed higher Dolosigranulum and Corynebacterium, and lower Staphylococcus and anaerobic bacteria.
- Dolosigranulum abundance correlated with fewer respiratory infections and wheezing symptoms.
Conclusions:
- Breastfeeding strongly influences the upper respiratory tract's microbial community in early infancy.
- These microbiota alterations likely contribute to breastfeeding's protective role against respiratory issues.
Rationale:
Breastfeeding elicits significant protection against respiratory tract infections in infancy. Modulation of respiratory microbiota might be part of the natural mechanisms of protection against respiratory diseases induced by breastfeeding.
Objectives:
To study the association between breastfeeding and nasopharyngeal microbial communities, including all cultivable and noncultivable bacteria.
Methods:
In this observational study, we analyzed the microbiota of infants that had received exclusive breastfeeding (n = 101) and exclusive formula feeding (n = 101) at age 6 weeks and 6 months by 16S-based GS-FLX-titanium-pyrosequencing.
Measurements And Main Results:
At 6 weeks of age the overall bacterial community composition was significantly different between breastfed and formula-fed children (nonmetric multidimensional scaling, P = 0.001). Breastfed children showed increased presence and abundance of the lactic acid bacterium Dolosigranulum (relative effect size [RES], 2.61; P = 0.005) and Corynebacterium (RES, 1.98; P = 0.039) and decreased abundance of Staphylococcus (RES, 0.48; P 0.03) and anaerobic bacteria, such as Prevotella (RES, 0.25; P < 0.001) and Veillonella (RES, 0.33; P < 0.001). Predominance (>50% of the microbial profile) of Corynebacterium and Dolosigranulum was observed in 45 (44.6%) breastfed infants compared with 19 (18.8%) formula-fed infants (relative risk, 2.37; P = 0.006). Dolosigranulum abundance was inversely associated with consecutive symptoms of wheezing and number of mild respiratory tract infections experienced. At 6 months of age associations between breastfeeding and nasopharyngeal microbiota composition had disappeared.
Conclusions:
Our data suggest a strong association between breastfeeding and microbial community composition in the upper respiratory tract of 6-week-old infants. Observed differences in microbial community profile may contribute to the protective effect of breastfeeding on respiratory infections and wheezing in early infancy. Clinical trial registered with www.clinicaltrials.gov (NCT 00189020).
Related Concept Videos
Development of the Oral Microbiota
Development of Human Microbiota
Microbiota of the Respiratory Tract
Introduction to the Human Microbiota
Anatomy of the Intestines
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
The Oral Microbiota

