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幼儿摄入乳脂肪球膜(MFGM)与脑髓鞘形成增强及认知发展相关:一项队列随访研究。

Enhanced brain myelination and cognitive development in young children associated with milk fat globule membrane (MFGM) intake: a temporal cohort study.

作者信息

Deoni Sean C L, Beauchemin Jennifer, D'Sa Viren

机构信息

Advanced Baby Imaging Lab, Warren Alpert Medical School at Brown University, Providence, RI, 02912, USA.

Department of Pediatrics, Warren Alpert Medical School at Brown University, Providence, RI, USA.

出版信息

Brain Struct Funct. 2025 Apr 19;230(4):52. doi: 10.1007/s00429-025-02907-7.

Abstract

Myelination is an important neurodevelopmental process that facilitates efficient brain messaging and connectivity, and contributes to the emergence and refinement of cognitive skills and abilities. Healthy maturation of the myelinated white matter requires coordinated delivery of key nutritional building blocks, including short and long-chain polyunsaturated fatty acids, phospholipids, and sphingolipids. While many of these nutrients are amply supplied by breastmilk, they may not be present in sufficient quantity in infant formula milk. Milk fat globule membrane (MFGM) is a rich source of phospholipids, including sphingomyelin and has been associated with improved cognitive development in infants and children when added to infant formula. To determine if added bovine MFGM is also associated with improved myelination, this study used myelin-sensitive MRI to compare myelination trends in healthy infants and toddlers, 0-2 years of age, who received the same branded infant formula with and without added bovine MFGM in two temporal cohorts: Without Added MFGM between 2010 and 2017; and With Added MFGM between 2018-2020. Concurrent with imaging, cognitive development was assessed using the Mullen Scales of Early Learning (MSEL). Matched for important demographic and socioeconomic characteristics, we found that children who received infant formula with added MFGM showed improved myelination in motor-related areas (motor cortices, internal capsule, and cerebellum) and improved MSEL gross and fine motor scores. No significant differences in verbal or overall cognitive ability scores were noted. These results support the importance of phospholipids, sphingolipids, and sphingomyelin in promoting brain myelination and cognitive development.

摘要

髓鞘形成是一个重要的神经发育过程,它促进大脑高效传递信息和建立连接,并有助于认知技能和能力的出现与完善。有髓鞘白质的健康成熟需要关键营养成分的协同供应,包括短链和长链多不饱和脂肪酸、磷脂和鞘脂。虽然母乳能充分提供其中许多营养物质,但婴儿配方奶粉中这些营养物质的含量可能不足。乳脂肪球膜(MFGM)是磷脂的丰富来源,包括鞘磷脂,在添加到婴儿配方奶粉中时,与婴幼儿认知发育的改善有关。为了确定添加牛源MFGM是否也与髓鞘形成的改善有关,本研究使用对髓鞘敏感的磁共振成像(MRI),比较了年龄在0至2岁的健康婴幼儿在两个时间段接受相同品牌的添加和未添加牛源MFGM的婴儿配方奶粉时的髓鞘形成趋势:2010年至2017年未添加MFGM组;2018年至2020年添加MFGM组。在进行成像的同时,使用早期学习穆伦量表(MSEL)评估认知发育情况。在重要的人口统计学和社会经济特征相匹配的情况下,我们发现,接受添加MFGM的婴儿配方奶粉的儿童在与运动相关的区域(运动皮层、内囊和小脑)的髓鞘形成得到改善,并且MSEL粗大运动和精细运动得分也有所提高。在语言或整体认知能力得分方面未发现显著差异。这些结果支持了磷脂、鞘脂和鞘磷脂在促进脑髓鞘形成和认知发育方面的重要性。

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