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Updated: Nov 9, 2025

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
The Relationship Between Breast Milk Components and the Infant Gut Microbiota
Gaëlle Boudry1, Elise Charton1,2, Isabell Le Huerou-Luron1
1Institut NuMeCan, INRAE, INSERM, Univ Rennes, Saint-Gilles, France.
Insights
Early life gut microbiota assembly is crucial for infant health. Human milk components and maternal diet can be modulated to promote a healthy infant gut microbiome, offering a window of opportunity for long-term health programming.
Area of Science:
- Microbiology
- Human Physiology
- Nutritional Science
Background:
- The infant gut microbiota develops rapidly in early life, influencing long-term health outcomes.
- Early microbial colonization is sensitive to environmental factors, presenting a critical window for health interventions.
- Breastfeeding is linked to a healthier infant gut microbiome, suggesting a role for human milk components.
Purpose of the Study:
- To review the composition of human milk.
- To discuss the influence of human milk components on infant gut microbiota establishment.
- To examine how maternal diet impacts milk composition and, consequently, the infant gut microbiota.
Main Methods:
- Literature review of human milk composition.
- Analysis of studies on the effects of milk components on microbial growth.
- Review of research on maternal diet and its effect on human milk.
Main Results:
- Human milk contains numerous bioactive components that modulate infant gut microbiota.
- Specific milk components can selectively promote beneficial bacteria or inhibit pathogens.
- Maternal diet significantly influences human milk composition, offering a pathway to shape infant microbiota.
Conclusions:
- Human milk composition plays a vital role in shaping the infant gut microbiota.
- Modulating maternal diet is a feasible strategy to optimize human milk for infant gut health.
- Targeting the early life window through nutrition can program long-term host health via the gut microbiome.
Abstract:
The assembly of the newborn's gut microbiota during the first months of life is an orchestrated process resulting in specialized microbial ecosystems in the different gut compartments. This process is highly dependent upon environmental factors, and many evidences suggest that early bacterial gut colonization has long-term consequences on host digestive and immune homeostasis but also metabolism and behavior. The early life period is therefore a "window of opportunity" to program health through microbiota modulation. However, the implementation of this promising strategy requires an in-depth understanding of the mechanisms governing gut microbiota assembly. Breastfeeding has been associated with a healthy microbiota in infants. Human milk is a complex food matrix, with numerous components that potentially influence the infant microbiota composition, either by enhancing specific bacteria growth or by limiting the growth of others. The objective of this review is to describe human milk composition and to discuss the established or purported roles of human milk components upon gut microbiota establishment. Finally, the impact of maternal diet on human milk composition is reviewed to assess how maternal diet could be a simple and efficient approach to shape the infant gut microbiota.
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