Related Experiment Video
Updated: Aug 23, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
Published on: February 7, 2025
Impact of Infant Feeding Mode on Gut Microbiome Composition in Early Life: Evidence from an Egyptian Cohort
Shorok ELHindi1, Salah Abdalla2, Marwa M Azab2
1Department of microbiology and immunology, Faculty of pharmacy, Port-Said University, Port-Said, Egypt. Shorok.ELHindi@pharm.psu.edu.eg.
Insights
Infant gut microbiome composition in Egyptian babies is strongly influenced by feeding type. Breastfeeding promotes higher microbial diversity and richness compared to formula feeding, supporting infant health.
Area of Science:
- Microbiome research
- Infant immunology
- Gut microbiota development
Background:
- The infant gut microbiome is crucial for immune and metabolic development.
- Limited data exists on Middle Eastern infant gut microbiomes.
- Feeding practices significantly impact early microbial colonization.
Purpose of the Study:
- To investigate feeding-related differences in the gut microbiome of Egyptian infants (1-6 months).
- To characterize the impact of breastfeeding, formula feeding, and mixed feeding on infant gut microbiota composition and diversity.
Main Methods:
- 16S rRNA gene sequencing (V3-V4 region) of infant stool samples.
- Bioinformatic analysis using QIIME2 for sequence processing and taxonomic assignment.
- Statistical analysis including LEfSe, alpha/beta diversity, and network analysis to compare feeding groups.
Main Results:
- Feeding mode was the primary determinant of gut microbiome structure.
- Breastfeeding was linked to higher microbial richness, diversity, and a balanced phylum distribution.
- Formula feeding resulted in lower diversity, Actinobacteria dominance, and absence of Bacteroidetes.
- Mixed feeding showed the highest alpha diversity with a Firmicutes-dominated profile.
Conclusions:
- Feeding practices profoundly shape the infant gut microbiome in Egyptian infants.
- Exclusive breastfeeding is associated with superior microbial richness and ecological structure.
- Formula feeding leads to reduced diversity and a narrower microbial community profile.
- Findings support promoting breastfeeding for optimal infant immune development.
Abstract:
The infant gut microbiome develops rapidly in early life, shaping immune maturation and metabolic pathways. Data from Middle Eastern populations remain limited. We studied Egyptian infants aged 1 to 6 months to assess feeding related differences in gut microbiome composition. Stool samples were collected and the gut microbiota was profiled using 16S rRNA gene sequencing targeting the V3-V4 region. Sequence processing, denoising, and taxonomic assignment were performed in QIIME2. Differentially abundant taxa between feeding groups were identified using LEfSe. Alpha and beta diversity, and co-occurrence networks were analyzed. Feeding mode was the dominant factor shaping microbiome composition and diversity. Artificial feeding showed Actinobacteria dominance, near absence of Bacteroidetes, and lowest diversity. Breastfeeding was associated with a more balanced phylum distribution, detectable Bacteroidetes, increased Proteobacteria, and significantly higher richness and diversity. Mixed feeding showed the highest alpha diversity and a Firmicutes dominated profile, consistent with a transitional microbial state. Beta diversity clearly separated breastfed from artificially fed infants, with mixed feeding intermediate. Genus level signatures differed by feeding mode. Artificial feeding enriched Bifidobacterium. Breastfeeding enriched facultative anaerobes including Escherichia Shigella and Enterobacter. Mixed feeding enriched fermentative genera such as Subdoligranulum and Eubacterium. Network analysis revealed structured co-variation among anaerobic commensals in breastfed infants and denser opportunistic connectivity in artificially fed infants. Feeding mode strongly influences gut microbiome development in Egyptian infants. Exclusive breastfeeding is associated with greater microbial richness and broader ecological structure, whereas formula feeding is linked to reduced diversity and a narrower community profile. Mixed feeding reflects an intermediate configuration. These findings support breastfeeding promotion for optimal early immune development.
Related Concept Videos
Development of Human Microbiota
Development of the Oral Microbiota
Anatomy of the Intestines
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the small...
Microbiota Modulation by Antibiotics
Introduction to the Human Microbiota
Microbiota of the Stomach and Small Intestine

