Understanding the Elements of Maternal Protection from Systemic Bacterial Infections during Early Life

Sierra A Kleist1, Kathryn A Knoop1

  • 1Department of Immunology, Mayo Clinic, Rochester, MN 55905, USA.

Nutrients
|April 16, 2020
PubMed

Insights

Breastfeeding may protect newborns from late-onset sepsis (LOS) by preventing gut bacteria from entering the bloodstream. This review explores how breast milk components combat infant infections.

Area of Science:

  • Neonatal Health
  • Microbiology
  • Immunology

Background:

  • Late-onset sepsis (LOS) is a significant cause of death in premature infants.
  • Breastfeeding offers numerous short-term and long-term health advantages for newborns.
  • The protective mechanisms of breastfeeding against LOS are not fully understood.

Purpose of the Study:

  • To review how gut pathogens contribute to infant sepsis.
  • To explore breast milk components that prevent pathogen dissemination.
  • To understand the link between breastfeeding and reduced LOS risk.

Main Methods:

  • Literature review of studies on infant sepsis, gut microbiota, and breast milk composition.
  • Analysis of pathogen translocation from the infant gut.
  • Examination of bioactive components in breast milk.

Main Results:

  • Gut microbiota can be a source of pathogens causing sepsis in infants.
  • Specific breast milk components can inhibit pathogen growth and adhesion.
  • Breast milk may prevent the spread of bacteria from the intestine into the bloodstream.

Conclusions:

  • Breastfeeding is crucial for reducing the risk of late-onset sepsis in newborns.
  • Understanding breast milk's role in preventing pathogen dissemination can inform infant feeding strategies.
  • Further research can elucidate specific bioactive factors in breast milk for enhanced protection.

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