Farmacología, Departamento de Medicina, Universidad de Oviedo, 33006 Oviedo, Spain.
Instituto Universitario de Oncología del Principado de Asturias (IUOPA), 33006 Oviedo, Spain.
Br J Nutr. 2019 Nov 28;122(10):1130-1141. doi: 10.1017/S0007114519001879.
Breast-feeding is the ideal nutrition for a newborn's integral necessities. It seems crucial therefore to know its composition in order to provide suitable infant formula when required. Of these, polyamines (with lactation and the microbiota being its intestinal source) are involved in the development of gut epithelium and immunity. Safety concerns limit human intervention studies. Therefore, we studied the amounts of polyamines supplied by breast milk (varying among mothers) or infant formula feeding, up to day 30 postpartum, in the faeces of newborns. Independent samples (68) of breast milk from fifty-nine healthy Caucasian woman (day 0, 1, 3, 5, 7, 15 and 30 postpartum) who had natural deliveries after week 38, same-day faeces of newborns when available (eighty-one from breast milk and fifty-five from infant formula fed) and six infant formulas were collected and the polyamine content was determined by HPLC. In breast milk, polyamines and isoamylamine (a primary amine), with inter-individual variations, increased over time (with a higher content of spermidine; no other amines were present). Overall, they were much higher than in infant formula. By the 2nd week after birth, polyamines, cadaverine and tyramine, but not isoamylamine, were higher in the faeces of those fed infant formula compared with those fed breast milk. Cadaverine and tyramine could be used to predict the feeding type used for newborns. The differences in the content may be related to distinct colonisation of amine-producing bacteria, which can be established by polyamines. Further studies are required to determine the clinical utility of these findings.
母乳喂养是新生儿整体营养的理想来源。因此,了解其组成成分对于在需要时提供合适的婴儿配方奶粉至关重要。其中,多胺(以哺乳期和肠道微生物群为其肠道来源)参与肠道上皮细胞和免疫的发育。安全性问题限制了对人类干预研究的进行。因此,我们研究了母乳喂养(因母亲而异)或婴儿配方奶粉喂养在产后 30 天内提供的多胺量,通过检测新生儿粪便中的多胺含量来实现。我们收集了 59 位健康白种妇女(产后第 0、1、3、5、7、15 和 30 天)的 68 份独立母乳样本(自然分娩,第 38 周后),并在新生儿出生当天收集了他们的粪便样本(81 份来自母乳喂养,55 份来自婴儿配方奶粉喂养),同时还收集了 6 种婴儿配方奶粉,并通过 HPLC 测定了多胺含量。在母乳中,多胺和异戊胺(一种伯胺)随着个体差异,随着时间的推移而增加(其中精胺含量较高;不存在其他胺类)。总体而言,其含量远高于婴儿配方奶粉。出生后第 2 周,与母乳喂养的新生儿相比,食用婴儿配方奶粉的新生儿粪便中的多胺、尸胺和酪胺含量较高,而异戊胺含量则较低。尸胺和酪胺可以用来预测新生儿的喂养类型。这些差异可能与产生胺的细菌的定植不同有关,而这种定植又与多胺有关。需要进一步的研究来确定这些发现的临床应用价值。