Breastmilk influences development and composition of the oral microbiome

Catherine A Butler1, Geoffrey G Adams1, Jordan Blum1

  • 1Centre for Oral Health Research, Melbourne Dental School, University of Melbourne, Carlton, Vic, Australia.

Insights

Breast milk influences infant oral microbiome development, promoting beneficial bacteria like Streptococcus mitis. Never breastfed infants show higher early bacterial diversity, with differences diminishing after solid food introduction.

Area of Science:

  • Microbiology
  • Human Microbiome Research
  • Infant Health

Background:

  • Human microbiomes develop predictably, but early oral microbiome assembly remains understudied.
  • Understanding infant oral microbiome development is crucial for long-term health.
  • Breast milk's role in shaping the infant oral microbiome is not fully understood.

Purpose of the Study:

  • To investigate the impact of breast milk exposure on the infant oral microbiome.
  • To analyze oral microbiome composition in breastfed versus never-breastfed infants over 20 months.
  • To identify specific bacterial taxa affected by breast milk in early life.

Main Methods:

  • Longitudinal study of 39 infants (13 never breastfed, 26 breastfed >10 months).
  • Oral microbiomes analyzed at four time points up to 20 months of age.
  • Bacterial 16S rRNA gene sequencing (V4 region) to identify and quantify 519 taxa in saliva.

Main Results:

  • Significant differences observed in oral microbiome development between breastfed and never-breastfed infants.
  • Higher bacterial diversity in never-breastfed infants at 2 months, notably increased Veillonella and Bacteroidetes.
  • Breast milk likely promotes the growth of health-associated bacteria, such as the Streptococcus mitis group.

Conclusions:

  • Breast milk may act as a prebiotic, selectively promoting beneficial early-colonizing oral bacteria.
  • Introduction of solid foods led to increased microbiome heterogeneity in both infant groups.
  • Breast milk plays a significant role in shaping the early-life oral microbiome composition and diversity.
Abstract

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