Maternal milk-derived lipids dictate neonatal macrophage phenotype and function
Lunhua Liu1, Jiyeon Yang1, Jiro Sakai1
1US FDA/CBER/OVRR/DBPAP, Silver Spring, MD 20993, USA.
Iscience
|December 16, 2025
Summary
Neonatal serum converts adult macrophages to a neonatal phenotype, increasing infection susceptibility. Maternal milk lipids are key drivers of these immunomodulatory macrophage changes.
Area of Science:
- Immunology
- Macrophage Biology
- Neonatal Development
Background:
- Neonatal macrophages possess unique properties crucial for tissue regeneration and immune responses.
- Adult macrophages differ significantly from neonatal ones, impacting their role in health and disease.
- Understanding the factors that induce neonatal macrophage phenotypes is vital for immune modulation.
Purpose of the Study:
- To investigate the role of neonatal serum components in inducing a neonatal macrophage phenotype in adult macrophages.
- To determine if lipids, particularly those derived from maternal milk, are responsible for these phenotypic changes.
- To assess the impact of these induced phenotypic changes on susceptibility to parasitic infections.
Main Methods:
- Incubation of adult mouse macrophages with neonatal mouse serum.
- Analysis of lipid droplet accumulation in macrophages.
- Feeding adult mice cow's milk and analyzing their serum's effect on macrophages.
- Challenging mice with *Leishmania major* and evaluating immune responses (macrophage phenotype, T cell responses).
Main Results:
- Exposure to neonatal serum induced a neonatal macrophage phenotype in adult macrophages, characterized by lipid droplet accumulation.
- High lipid content in neonatal serum was identified as a key factor.
- Sera from adult mice fed cow's milk mimicked the effect of neonatal serum.
- Induced M2-like macrophage phenotype in adult mice increased susceptibility to cutaneous *Leishmania major* infection, with diminished Th1 responses.
Conclusions:
- Maternal milk-derived lipids in serum are sufficient to confer a neonatal macrophage phenotype onto adult macrophages.
- This lipid-induced phenotype alters immune responses, increasing susceptibility to certain infections.
- Dietary lipid modulation, informed by maternal milk composition, may offer therapeutic strategies for immune regulation.


