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Updated: Mar 28, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
Human Breast Milk miRNA, Maternal Probiotic Supplementation and Atopic Dermatitis in Offspring
Melanie Rae Simpson1, Gaute Brede2, Jostein Johansen2
1Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Insights
Perinatal probiotic use may prevent infant atopic dermatitis (AD), but this study found breast milk micro-RNAs (miRNAs) are unlikely to be the primary mediators. Further research is needed to understand the mechanisms behind probiotic-induced allergy prevention.
Area of Science:
- Immunology
- Genetics
- Neonatal Health
Background:
- Perinatal probiotic supplementation has demonstrated efficacy in preventing infant atopic dermatitis (AD).
- The Probiotics in the Prevention of Allergy among Children in Trondheim (ProPACT) trial showed a significant risk reduction in AD with maternal probiotic intake.
- The underlying mechanisms for this preventative effect remain largely unknown, prompting investigation into potential mediators like micro-RNAs (miRNAs) in breast milk.
Purpose of the Study:
- To characterize the micro-RNA (miRNA) profile of human breast milk.
- To explore the role of breast milk miRNAs as potential mediators in the probiotic-induced prevention of atopic dermatitis (AD).
Main Methods:
- Small RNA sequencing was performed on breast milk samples from 54 mothers in the ProPACT trial (3 months postpartum).
- Differential expression analysis of miRNAs was conducted comparing probiotic vs. placebo groups and AD vs. non-AD groups.
- Functional prediction techniques were employed to analyze the biological significance of identified miRNAs.
Main Results:
- A stable core group of highly expressed miRNAs, including miR-148a-3p, miR-22-3p, and miR-30d-5p, was identified in human breast milk.
- Functional analysis indicated these miRNAs are involved in diverse biological processes and molecular functions.
- While some miRNAs showed differential expression, none met statistical significance thresholds, and their direct role in AD prevention via probiotics was not evident.
Conclusions:
- Breast milk miRNAs possess the potential for broad biological activity.
- However, individual miRNAs in breast milk at 3 months postpartum are unlikely to be the primary mechanism through which perinatal probiotic ingestion prevents atopic dermatitis in infants.
Background:
Perinatal probiotic ingestion has been shown to prevent atopic dermatitis (AD) in infancy in a number of randomised trials. The Probiotics in the Prevention of Allergy among Children in Trondheim (ProPACT) trial involved a probiotic supplementation regime given solely to mothers in the perinatal period and demonstrated a ~40% relative risk reduction in the cumulative incidence of AD at 2 years of age. However, the mechanisms behind this effect are incompletely understood. Micro-RNAs (miRNA) are abundant in mammalian milk and may influence the developing gastrointestinal and immune systems of newborn infants. The objectives of this study were to describe the miRNA profile of human breast milk, and to investigate breast milk miRNAs as possible mediators of the observed preventative effect of probiotics.
Methods:
Small RNA sequencing was conducted on samples collected 3 months postpartum from 54 women participating in the ProPACT trial. Differential expression of miRNA was assessed for the probiotic vs placebo and AD vs non-AD groups. The results were further analysed using functional prediction techniques.
Results:
Human breast milk samples contain a relatively stable core group of highly expressed miRNAs, including miR-148a-3p, miR-22-3p, miR-30d-5p, let-7b-5p and miR-200a-3p. Functional analysis of these miRNAs revealed enrichment in a broad range of biological processes and molecular functions. Although several miRNAs were found to be differentially expressed on comparison of the probiotic vs placebo and AD vs non-AD groups, none had an acceptable false discovery rate and their biological significance in the development of AD is not immediately apparent from their predicted functional consequences.
Conclusion:
Whilst breast milk miRNAs have the potential to be active in a diverse range of tissues and biological process, individual miRNAs in breast milk 3 months postpartum are unlikely to play a major role in the prevention of atopic dermatitis in infancy by probiotics ingestion in the perinatal period.
Trial Registration:
ClinicalTrials.gov NCT00159523.
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