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Updated: Mar 13, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
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When infant microbes guide mom's milk.

Rosemary Abdoul Ahad1, Nora Joseph1, Ziad Al Nabhani1

  • 1Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern 3010, Switzerland; Maurice Müller Laboratories, Department for Biomedical Research, University of Bern, Bern 3008, Switzerland.

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Early infant gut microbiome composition influences maternal milk nutrient and metabolite levels. This finding reveals a bidirectional communication within the mother-infant dyad, challenging previous assumptions.

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Area of Science:

  • Microbiome Research
  • Maternal-Infant Health
  • Nutritional Science

Background:

  • The maternal milk microbiome is traditionally viewed as a primary driver of infant gut microbial colonization.
  • Limited understanding exists regarding potential feedback mechanisms from the infant gut to maternal milk composition.

Purpose of the Study:

  • To investigate whether early infant gut microbiome states can predict subsequent changes in maternal milk nutrients and metabolites.
  • To explore the concept of developmentally timed feedback loops within the mother-infant dyad.

Main Methods:

  • Longitudinal analysis of infant gut microbiome composition.
  • Measurement of maternal milk nutrient and metabolite profiles over time.
  • Statistical modeling to identify correlations between infant microbiome and maternal milk parameters.

Main Results:

  • Early infant gut microbiome states were found to significantly predict later alterations in maternal milk nutrient and metabolite concentrations.
  • Evidence suggests a feedback mechanism originating from the infant gut influencing maternal milk composition.

Conclusions:

  • The study challenges the unidirectional model of milk influencing infant gut microbes.
  • A bidirectional communication system between the infant gut microbiome and maternal milk exists, highlighting a dynamic mother-infant dyad.
  • These findings have implications for understanding infant development, maternal health, and nutritional programming.