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Updated: Feb 23, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
Breastfeeding increases microbial community resilience
Isabel I Carvalho-Ramos1, Rubens T D Duarte2, Katia G Brandt3
1Universidade de São Paulo (USP), Faculdade de Ciências Farmacêuticas, Departamento de Análises Clínicas e Toxicológicas, São Paulo, SP, Brazil.
Insights
Exclusive breastfeeding promotes a resilient infant gut microbiota, even with external factors like diet changes. Mixed feeding before five months disrupted this stability, highlighting the importance of continued exclusive breastfeeding.
Area of Science:
- Microbiology
- Infant Health
- Gut Microbiome
Background:
- Previous studies characterized the intestinal microbiota of Brazilian infants from low socioeconomic backgrounds.
- Understanding early-life microbial community development is crucial for infant health.
Purpose of the Study:
- To analyze changes in the infant gut microbial community structure during the first year of life.
- To investigate the impact of external factors on infant gut microbiota development.
- To assess the resilience of the infant gut microbiota to environmental influences.
Main Methods:
- Monthly fecal sample collection from 11 infants during their first year.
- Clinical, dietary, and breastfeeding information was recorded.
- DNA extraction followed by Polymerase Chain Reaction - Denaturing Gradient Gel Electrophoresis (PCR-DGGE) analysis.
Main Results:
- Infant gut microbiota showed stable patterns in infants exclusively or predominantly breastfed.
- Ecological succession occurred despite complementary feeding and antibiotic use, indicating microbiota resilience.
- Mixed feeding and early introduction of solids (before 5 months) disrupted microbial stability.
Conclusions:
- The infant intestinal microbiota exhibits resilience to external factors when exclusive breastfeeding is maintained.
- Probiotic and prebiotic effects of breast milk contribute to microbiota resilience.
- Exclusive breastfeeding until six months of age is crucial for establishing a stable and resilient gut microbiota.
Objective:
Since the present group had already described the composition of the intestinal microbiota of Brazilian infants under low social economic level, the aim of the present study was to analyze the microbial community structure changes in this group of infants during their early life due to external factors.
Methods:
Fecal samples were collected from 11 infants monthly during the first year of life. The infants were followed regarding clinical and diet information and characterized according to breastfeeding practices. DNA was extracted from fecal samples of each child and subjected to Polymerase Chain Reaction - Denaturing Gradient Gel Electrophoresis.
Results:
The results revealed a pattern of similarity between the time points for those who were on exclusive breastfeeding or predominant breastfeeding. Although there were changes in intensity and fluctuation of some bands, the Denaturing Gradient Gel Electrophoresis patterns in the one-year microbial analysis were stable for breastfeeding children. There was uninterrupted ecological succession despite the influence of external factors, such as complementary feeding and antibiotic administration, suggesting microbiota resilience. This was not observed for those children who had mixed feeding and introduction of solid food before the 5th month of life.
Conclusion:
These results suggested an intestinal microbiota pattern resilient to external forces, due to the probiotic and prebiotic effects of exclusive breastfeeding, reinforcing the importance of exclusive breastfeeding until the 6th month of life.
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