Korraa Afaf A, Youssef Maha, Almorsy Eman A, Dosoqui Hoad A, ElSaied Amany M
Department of Pediatrics & Neonatology, Faculty of Medicine for girls, Al-Azhar University, Cairo, Egypt.
Department of Clinical Pathology, Faculty of Medicine for girls, Al-Azhar University, Cairo, Egypt.
Egypt J Immunol. 2018 Jan;25(1):105-111.
Human milk plays an important role in the development and differentiation of the neonatal immune system. The relative immaturity of the neonatal immune system is largely compensated for by the bioactive constituents of breast milk. Yet, little is known about the effect of breast feeding on cellular immunity. This study demonstrates the effects of various milk feedings (breast, formula, mixed) on peripheral lymphocyte subsets (CD3, CD4, CD8) in normal full-term infants at the age of 4 to 8 months. It is a comparative study conducted on randomly selected 61 healthy full-term infants categorized according to the type of milk feeding. Infants were subjected to full history taking, thorough clinical examination as well as laboratory investigations including CBC, total and differential WBC count, CD3, CD4 and CD8 assessment by flowcytometry. Results showed significantly lower CD4 and higher CD8 percentages among breast-fed in comparison with artificially-fed and mixed-fed infants, while no significant difference was found regarding CD3. Comparing the artificially-fed and mixed-fed infants, no significant difference found regarding CD3, CD4 and CD8. It is concluded that Lymphocyte subset profiles in the early stages of life could be modulated by milk-feeding practices. Therefore, it is recommended to encourage breast feeding for its immune-modulating effect on the developing of the immune system that minimizes risk of infection and allergy.
母乳在新生儿免疫系统的发育和分化中起着重要作用。新生儿免疫系统相对不成熟,很大程度上由母乳中的生物活性成分来弥补。然而,关于母乳喂养对细胞免疫的影响却知之甚少。本研究展示了不同类型的喂养方式(母乳喂养、配方奶喂养、混合喂养)对4至8个月正常足月婴儿外周淋巴细胞亚群(CD3、CD4、CD8)的影响。这是一项对随机选取的61名健康足月婴儿进行的比较研究,这些婴儿根据喂养方式进行分类。对婴儿进行了全面的病史采集、彻底的临床检查以及实验室检查,包括全血细胞计数、白细胞总数和分类计数,通过流式细胞术评估CD3、CD4和CD8。结果显示,与人工喂养和混合喂养的婴儿相比,母乳喂养婴儿的CD4百分比显著降低,CD8百分比升高,而CD3方面未发现显著差异。比较人工喂养和混合喂养的婴儿,CD3、CD4和CD8方面均未发现显著差异。研究得出结论,生命早期的淋巴细胞亚群分布可受喂养方式的调节。因此,建议鼓励母乳喂养,因为其对免疫系统发育具有免疫调节作用,可将感染和过敏风险降至最低。