Poulsen Katrine Overgaard, Sundekilde Ulrik Kræmer
Department of Food Science, Aarhus University, Agro Food Park 48, DK-8200, Aarhus N, Denmark.
Sino-Danish Center for Education and Research, Niels Jensens Vej 2, DK-8000 Aarhus C, Copenhagen, Denmark.
Curr Nutr Rep. 2021 Mar;10(1):12-29. doi: 10.1007/s13668-020-00345-x. Epub 2021 Feb 8.
Human milk is the gold standard of infant nutrition. The milk changes throughout lactation and is tailored for the infant providing the nutrients, minerals and vitamins necessary for supporting healthy infant growth. Human milk also contains low molecular weight compounds (metabolites) possibly eliciting important bioactivity. Metabolomics is the study of these metabolites. The purpose of this review was to examine recent metabolomics studies and cohort studies on human milk to assess the impact of human milk metabolomic analyses combined with investigations of infant growth and development.
The metabolite profile of human milk varies among other factors according to lactation stage, gestation at birth, and maternal genes, diet and disease state. Few studies investigate how these variations impact infant growth and development. Several time-related factors affecting human milk metabolome are potentially ubiquitous among mothers, although maternal-related factors are heavily confounded, which complicates studies of metabolite abundancies and variabilities and further possibilities of observing cause and effect in infants.
母乳是婴儿营养的黄金标准。母乳在整个哺乳期会发生变化,并根据婴儿的需求进行调整,提供支持婴儿健康成长所需的营养、矿物质和维生素。母乳还含有可能具有重要生物活性的低分子量化合物(代谢物)。代谢组学就是对这些代谢物的研究。本综述的目的是审视近期关于母乳的代谢组学研究和队列研究,以评估母乳代谢组学分析与婴儿生长发育研究相结合所产生的影响。
母乳的代谢物谱会因哺乳期阶段、出生时的孕周、母亲的基因、饮食和疾病状态等因素而有所不同。很少有研究探讨这些差异如何影响婴儿的生长发育。影响母乳代谢组的几个与时间相关的因素在母亲中可能普遍存在,尽管与母亲相关的因素存在严重的混杂情况,这使得代谢物丰度和变异性的研究以及观察婴儿因果关系的进一步可能性变得复杂。