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From bench to crib: translating human milk bioactive peptides into infant health interventions
Yasuri Amarasekara1,2, Anwar Sunna1,2, J Bruce German3,4
1School of Natural Sciences, Macquarie University, Sydney, Australia.
Insights
Human milk peptides are key for infant development beyond nutrition. This review proposes evaluating their function within infant physiology for better nutrition strategies.
Area of Science:
- Developmental Biology
- Nutritional Science
- Peptidomics
Background:
- Human milk (HM)-derived peptides significantly influence infant development, impacting immunity, gut health, and neurodevelopment.
- Current research often focuses narrowly on molecular aspects, neglecting the peptides' role in overall infant health outcomes.
- Existing discovery methods rely heavily on in vitro studies, adult models, and high doses, limiting translational relevance.
Purpose of the Study:
- To reframe bioactive milk peptides as evolutionarily adapted molecules evaluated within infant physiology.
- To identify limitations in current peptide discovery pipelines and propose a translational framework.
- To outline a roadmap for identifying clinically relevant peptides for next-generation infant nutrition.
Main Methods:
- Reviewing current literature on human milk peptides and infant development.
- Analyzing limitations of existing in vitro assays, adult models, and dosing strategies.
- Proposing integration of peptidomics, infant-specific models, and systems-level validation.
Main Results:
- Current methods for studying milk peptides are insufficient for understanding their developmental impact.
- A translational framework integrating developmental biology is needed.
- A roadmap combining advanced techniques can prioritize peptides for clinical relevance.
Conclusions:
- Shifting focus from molecular activity to developmental impact is crucial.
- This approach will enable precision therapeutics and next-generation nutrition strategies.
- Understanding peptide function in infant physiology is key to harnessing their full potential.
Abstract:
Human milk (HM)-derived peptides are emerging as potent modulators of infant development, with roles that extend beyond nutrition to include immune regulation, gut maturation, and neurodevelopment. Yet, the scientific exploration of these peptides remains largely molecular in scope, disconnected from their ultimate purpose: shaping healthy infant outcomes. This review reframes bioactive milk peptides as evolutionarily adapted, function-focused molecules whose effects should be evaluated within the context of infant physiology. We examine the limitations of current discovery pipelines, highlighting the overreliance on in vitro assays, adult-derived models, and supra-physiological dosing, and argue for a translational framework grounded in developmental biology. By integrating peptidomics, infant-specific models, and systems-level validation, we describe a roadmap to identify and prioritize peptides with clinical relevance. This shift in perspective, from molecular activity to developmental impact, establishes the basis for next-generation nutrition strategies and precision therapeutics that mirror the actual biological complexity of early life.
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