HMOs Impact the Gut Microbiome of Children and Adults Starting from Low Predicted Daily Doses

Danica Bajic1, Frank Wiens1, Eva Wintergerst1

  • 1DSM Nutritional Products Ltd., Wurmisweg 576, 4303 Kaiseraugst, Switzerland.

Metabolites
|April 26, 2024
PubMed

Insights

Low doses of human milk oligosaccharides (HMOs) significantly benefit the gut microbiome in children and adults. These beneficial changes, including increased short-chain fatty acids (SCFAs), occur at doses as low as 0.3 g/day.

Area of Science:

  • Microbiology and Gut Health
  • Nutritional Science
  • Metabolomics

Background:

  • Human milk oligosaccharides (HMOs) are recognized for health benefits extending from infancy to adulthood.
  • Previous research established effective adult gut microbiome modulation with 5-20 g/day of HMOs, with lower doses rarely studied.
  • Investigating lower HMO doses is crucial for understanding their full therapeutic potential across age groups.

Purpose of the Study:

  • To evaluate the efficacy of low dietary doses (0.3-5 g/day) of four specific HMOs (2'FL, LNnT, 3'SL, 6'SL) on the adult and pediatric gut microbiome.
  • To identify microbial fermentation products and metabolic changes induced by low-dose HMOs using ex vivo technology.
  • To explore the dose-response relationship and specific effects of individual HMOs on gut microbial metabolites.

Main Methods:

  • Utilized ex vivo SIFR® technology with bioreactor fermentation on fecal samples from children and adults (n=6 each).
  • Assessed four specific HMO molecular species: 2'-Fucosyllactose (2'FL), Lacto-N-neotetraose (LNnT), 3'-Sialyllactose (3'SL), and 6'-Sialyllactose (6'SL).
  • Analyzed short-chain fatty acids (SCFAs), untargeted metabolomics, and key microbial populations (e.g., Bifidobacteriaceae).

Main Results:

  • HMOs significantly increased SCFAs (acetate, propionate, butyrate) at predicted doses from 0.3-0.5 g/day onwards, with dose-dependent effects.
  • Specific HMOs showed distinct impacts: 6'SL on propionate, LNnT on butyrate, and 2'FL/3'SL on acetate.
  • Low-dose HMOs enhanced immune-related, gut-brain-axis-related metabolites, and vitamins, and stimulated keystone species like Bifidobacteriaceae at doses as low as 0.5 g/day.

Conclusions:

  • Dietary human milk oligosaccharides (HMOs) demonstrate significant beneficial effects on the gut microbiome at considerably lower doses than previously established.
  • Low-dose HMOs modulate gut microbial fermentation, producing beneficial SCFAs and other key metabolites, impacting immune function and the gut-brain axis.
  • These findings support the potential of low-dose HMO supplementation for promoting gut health in both children and adults.

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