Early Effect of Supplemented Infant Formulae on Intestinal Biomarkers and Microbiota: A Randomized Clinical Trial.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
20 May 2020
Historique:
received: 20 04 2020
revised: 11 05 2020
accepted: 16 05 2020
entrez: 24 5 2020
pubmed: 24 5 2020
medline: 17 2 2021
Statut: epublish

Résumé

Post-natal gut maturation in infants interrelates maturation of the morphology, digestive, and immunological functions and gut microbiota development. Here, we explored both microbiota development and markers of gut barrier and maturation in healthy term infants during their early life to assess the interconnection of gut functions during different infant formulae regimes. A total of 203 infants were enrolled in this randomized double-blind controlled trial including a breastfed reference group. Infants were fed starter formulae for the first four weeks of life, supplemented with different combination of nutrients (lactoferrin, probiotics ( Infants fed formula containing BMOS had lower mean calprotectin levels over the first two to four weeks compared to the other formula groups. Elastase and AAT levels were closer to levels observed in breastfed infants. No differences were observed for neopterin. Global differences between the bacterial communities of all groups were assessed by constrained multivariate analysis with hypothesis testing. The canonical correspondence analysis (CCA) at genus level showed overlap between microbiota profiles at one and four weeks of age in the BMOS supplemented formula group with the breastfed reference, dominated by bifidobacteria. Microbiota profiles of all groups at four weeks were significantly associated with the calprotectin levels at 4 (CCA, A meaningful correlation was observed between changes in microbiota composition and gut maturation marker calprotectin. The supplementation with BMOS seems to favor gut maturation closer to that of breastfed infants.

Sections du résumé

BACKGROUND BACKGROUND
Post-natal gut maturation in infants interrelates maturation of the morphology, digestive, and immunological functions and gut microbiota development. Here, we explored both microbiota development and markers of gut barrier and maturation in healthy term infants during their early life to assess the interconnection of gut functions during different infant formulae regimes.
METHODS METHODS
A total of 203 infants were enrolled in this randomized double-blind controlled trial including a breastfed reference group. Infants were fed starter formulae for the first four weeks of life, supplemented with different combination of nutrients (lactoferrin, probiotics (
RESULTS RESULTS
Infants fed formula containing BMOS had lower mean calprotectin levels over the first two to four weeks compared to the other formula groups. Elastase and AAT levels were closer to levels observed in breastfed infants. No differences were observed for neopterin. Global differences between the bacterial communities of all groups were assessed by constrained multivariate analysis with hypothesis testing. The canonical correspondence analysis (CCA) at genus level showed overlap between microbiota profiles at one and four weeks of age in the BMOS supplemented formula group with the breastfed reference, dominated by bifidobacteria. Microbiota profiles of all groups at four weeks were significantly associated with the calprotectin levels at 4 (CCA,
CONCLUSION CONCLUSIONS
A meaningful correlation was observed between changes in microbiota composition and gut maturation marker calprotectin. The supplementation with BMOS seems to favor gut maturation closer to that of breastfed infants.

Identifiants

pubmed: 32443684
pii: nu12051481
doi: 10.3390/nu12051481
pmc: PMC7284641
pii:
doi:

Substances chimiques

Biomarkers 0
Leukocyte L1 Antigen Complex 0
Oligosaccharides 0
Prebiotics 0

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Société des produits Nestlé S.A.
ID : N/A

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Auteurs

Mireille Castanet (M)

CIC INSERM U1404, Department of Pediatric, Rouen University Hospital Charles Nicolle, 76031 Rouen, France.

Christos Costalos (C)

Department of Neonatology, Alexandra Regional General Hospital, 11528 Athens, Greece.

Nadja Haiden (N)

Department of Clinical Pharmacology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.

Jean-Michel Hascoet (JM)

Department of Neonatology, Maternite Regionale, CHRU Nancy, 54035 Nancy, France.

Bernard Berger (B)

Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.

Norbert Sprenger (N)

Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.

Dominik Grathwohl (D)

Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.

Harald Brüssow (H)

Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.

Nanda De Groot (N)

SBU Nutrition, Nestlé, 1800 Vevey, Switzerland.

Philippe Steenhout (P)

Nestlé Health Science, 1066 Epalinges, Switzerland.

Sophie Pecquet (S)

SBU Nutrition, Nestlé, 1800 Vevey, Switzerland.

Jalil Benyacoub (J)

Nestlé Research, Société des Produits Nestlé S.A., 1000 Lausanne, Switzerland.
Nestlé Health Science, 1066 Epalinges, Switzerland.

Jean-Charles Picaud (JC)

Department of Neonatology, University Hospital Croix Rousse, Hospices Civils de Lyon, 69317 Lyon France.
INSERM U1060, INRA U1397, Claude Bernard University Lyon 1, Lyon, 69100 Villeurbanne, France.

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