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.

Scientific Reports
|August 21, 2026
PubMed

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.

Related Concept Videos

Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Anatomy of the Intestines01:23

Anatomy of the Intestines

Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large 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 Antibiotics01:21

Microbiota Modulation by Antibiotics

Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...
Introduction to the Human Microbiota01:22

Introduction to the Human Microbiota

Microorganisms colonize various regions of the human body, including the mouth, nasal passages, throat, stomach, intestines, urogenital tract, and skin. The total number of microbial cells is estimated to range from 10¹³ to 10¹⁴—comparable to, or exceeding, the number of human somatic cells. This host–microbiome relationship has led to the conceptualization of humans as supraorganisms, wherein microbial communities perform vital roles in development, immunity, and disease...
Microbiota of the Stomach and Small Intestine01:27

Microbiota of the Stomach and Small Intestine

The human gastrointestinal (GI) tract is characterized by distinct physicochemical conditions that shape its microbial communities. Among these, the stomach presents a particularly challenging environment for microbial colonization due to its highly acidic pH, ranging from 1 to 3. This extreme acidity effectively limits microbial density. However, certain acid-tolerant microorganisms are capable of surviving in this niche. Notably, Helicobacter pylori can colonize the gastric mucosa,...