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Breast Milk Oligosaccharides: Structure-Function Relationships in the Neonate
Open accessAbstract
In addition to providing complete postnatal nutrition, breast milk is a complex biofluid that delivers bioactive components for the growth and development of the intestinal and immune systems. Lactation is a unique opportunity to understand the role of diet in shaping the intestinal environment including the infant microbiome. Of considerable interest is the diversity and abundance of milk glycans that are energetically costly for the mammary gland to produce yet indigestible by infants. Milk glycans comprise free oligosaccharides, glycoproteins, glycopeptides, and glycolipids. Emerging technological advances are enabling more comprehensive, sensitive, and rapid analyses of these different classes of milk glycans. Understanding the impact of inter- and intraindividual glycan diversity on function is an important step toward interventions aimed at improving health and preventing disease. This review discusses the state of technology for glycan analysis and how specific structure-function knowledge is enhancing our understanding of early nutrition in the neonate.
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“This bacteria grows exceptionally well in the presence of complex milk oligosaccharides to the exclusion of other potentially harmful bacteria [27–29].”
From Pilot study of probiotic/colostrum supplementation on gut function in children with autism and gastrointestinal symptoms (2019) · cites this paper as [29]
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Sun, W. C., Tao, L., Qian, C., Xue, P., Du, S.-S., & Tao, Y. (2025) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1386421 · Cited by 16
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Anti-Angiogenic Property of Free Human Oligosaccharides
Bae, B., Kim, H., Park, H., Koh, Y. J., Bae, S., & Ha, K. (2021) · Biomolecules · doi:10.3390/biom11060775 · Cited by 11
“Currently, accumulated data suggest that human milk oligosaccharides (HMOs) are prebiotics, as well as modulators of the intestinal mucosal and systemic immune response [4,6].”
BackgroundCao, C., Cheng, Y., Zheng, Y., Huang, B., Guo, Z., Yu, L., Mulloy, B., Tajadura‐Ortega, V., Chai, W., Yan, J., et al. (2024) · Analytical Chemistry · doi:10.1021/acs.analchem.3c05008 · Cited by 9
Mass spectrometry imaging of N ‐linked glycans: Fundamentals and recent advances
Palomino, T. V., & Muddiman, D. C. (2024) · Mass Spectrometry Reviews · doi:10.1002/mas.21895 · Cited by 12
“This article is written in honor of Carlito Lebrilla, for all his outstanding and revolutionary contributions to the glycomics field (Charbonneau et al., 2016; Marcobal et al., 2011; Smilowitz et al., 2014; Zivkovic et al., 2011).”
Dimitratos, S. M., Brown, H. K., Shafizadeh, T., Kazi, S., Altmann, T., & Ostrer, B. (2021) · Beneficial Microbes · doi:10.3920/bm2020.0229 · Cited by 10
Temporal alterations in the bovine buttermilk glycome from parturition to milk maturation
Ross, S. A., Gerlach, J. Q., Gill, S. K., Lane, J. A., Kilcoyne, M., Hickey, R. M., & Joshi, L. (2016) · Food Chemistry · doi:10.1016/j.foodchem.2016.05.027 · Cited by 9
An examination of breastmilk composition among high altitude Peruvian women
Schafrank, L. A., Washabaugh, J. R., & Hoke, M. K. (2020) · American Journal of Human Biology · doi:10.1002/ajhb.23412 · Cited by 11
“The coefficient of variance indicated 3% variance in fat, total protein (PRO), true protein (TRP), and lactose (LAC) which is consistent with acceptable levels (Smilowitz et al., 2014).”
BackgroundComparison of Different Labeling Techniques for the LC-MS Profiling of Human Milk Oligosaccharides
Lang, Y., Zhang, Y., Wang, C., Huang, L., Liu, X., Song, N., Li, G., & Yu, G. (2021) · Frontiers in Chemistry · doi:10.3389/fchem.2021.691299 · Cited by 9
“, 2000; Bode, 2006), where the five monosaccharides can be linked in various ways through at least 12 α- and β-glycosidic linkages, resulting in a structurally complex array of linear, branched, and isomeric structures (Bode, 2012; Smilowitz et al., 2014).”
BackgroundAndrews, K., & González, A. (2019) · Developmental Psychobiology · doi:10.1002/dev.21823 · Cited by 9
Missed Opportunities: The Cost of Suboptimal Breast Milk Feeding in the Neonatal Intensive Care Unit
Underwood, M. A. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.05.016 · Cited by 9
Milk: A Scientific Model for Diet and Health Research in the 21st Century
German, J. B., Lebrilla, C. B., & Mills, D. A. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.922907 · Cited by 8
Analysis of human milk oligosaccharides from women with gestational diabetes mellitus
Ma, X., Lu, Y., Huang, C., Guo, Z., Xiang, Z., Gao, H., Zhao, K., Zhao, Y., & Li, Y. (2024) · Analytical Biochemistry · doi:10.1016/j.ab.2024.115689 · Cited by 8
Metabolic engineering of Priestia megaterium for 2’-fucosyllactose production
Park, B.-S., Yoon, J., Lee, J.-M., Cho, S.-H., Choi, Y., Cho, B., & Oh, M. (2025) · Microbial Cell Factories · doi:10.1186/s12934-024-02620-w · Cited by 8
Synthesising human milk oligosaccharide using biotechnology-driven enzymes
Niharika, J., & Singh, R. P. (2025) · Systems Microbiology and Biomanufacturing · doi:10.1007/s43393-024-00328-x · Cited by 8
“[31].”
Jo, S. H., Kim, K. J., Park, S.-Y., Paik, H., & Kim, J. Y. (2022) · Journal of Microbiology and Biotechnology · doi:10.4014/jmb.2211.11049 · Cited by 8
“Thus, 2'-FL in HMOs is now available in some commercial infant formulas in addition to nondigestible carbohydrates (NDCs), such as galactooligosaccharide and fructooligosaccharide.”
InfluentialLeong, A., Mori, C., Pillidge, C. J., & Gill, H. (2024) · Food Reviews International · doi:10.1080/87559129.2024.2386023 · Cited by 8
Gut ecosystem during infancy: The role of “biotics”
Toca, M. D. C., Burgos, F., Fernández, A., Giglio, N., Orsi, M., Sosa, P., Tabacco, O., Ursino, F., Ussher, F., & Vinderola, G. (2020) · Archivos Argentinos de Pediatria · doi:10.5546/aap.2020.eng.278 · Cited by 8
Exploring Bacterial Attributes That Underpin Symbiont Life in the Monogastric Gut
Tannock, G. W. (2022) · Applied and Environmental Microbiology · doi:10.1128/aem.01128-22 · Cited by 8
“milk into acidic and neutral fractions (140).”
Preclinical Safety Evaluation of the Human-Identical Milk Oligosaccharide Lacto-N-Triose II
Fang, X., Zhu, W. J., Zhao, H., Yin, W., Song, X., & Liu, F. (2023) · International Journal of Toxicology · doi:10.1177/10915818231203515 · Cited by 7
“12 This issue is further compounded by ethical and logistical hurdles surrounding the extraction of LNT II from human milk, highlighting the need for alternative production methodologies.”
Background3-Fucosyllactose-mediated modulation of immune response against virus infection
Moon, S., Lee, K. W., Park, M., Moon, J., Park, S. H., Kim, S., Hwang, J., Yoon, J.-W., Jeon, S.-M., Kim, J., et al. (2024) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2024.107187 · Cited by 8
Bhanu, L. S. M., Nishimura, S., & Aparna, H. S. (2016) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2016.03.049 · Cited by 7
Nutritional Requirements of Bifidobacteria
Levantovsky, R. M., Allen‐Blevins, C. R., & Sela, D. A. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-805060-6.00006-5 · Cited by 8
Emerging Field – Synthesis of Complex Carbohydrates. Case Study on HMOs
Molnár-Gábor, D., Hederos, M. J., Bartsch, S., & Vogel, A. (2019) · Wiley eBooks · doi:10.1002/9783527813780.ch2_5 · Cited by 7
Human milk oligosaccharides produced by synthetic biology
Bensimon, J., & Lu, X. (2024) · Journal of Agriculture and Food Research · doi:10.1016/j.jafr.2024.101361 · Cited by 6
Holvöet, S., Foata, F., Nutten, S., Cléirigh, E. N., Shevlyakova, M., Chung, C. K. C. K., Lefevre, G., Sprenger, N., Bourdeau, T., Donnicola, D., et al. (2024) · Food and Agricultural Immunology · doi:10.1080/09540105.2023.2301703 · Cited by 7
“Mothers carrying inactivating mutations in this gene are referred to as non-secretors (Se) and consequently, their breast milk is partly de fi cient in 2 ’ - Fucosyllactose (2 ′ -FL) and Lacto-N-fuctopentaose I (LNFP-I) (Morrow, 2011; Smilowitz et al., 2014).”
Structural characterization of novel milk oligosaccharide Aurose from cow colostrum
Gunjan, Kumar, K., & Deepak, D. (2018) · Journal of Molecular Structure · doi:10.1016/j.molstruc.2018.08.004 · Cited by 6
Brüssow, H. (2015) · Microbial Biotechnology · doi:10.1111/1751-7915.12259 · Cited by 6
“One interpretation is that HMO act as decoys for gut pathogens, preventing them from docking on receptors of the gut epithelia.”
BackgroundMethodInfluentialMicrobiota de la glándula mamaria
Osorio, L. M., & Umbarila, A. S. (2015) · Pediatría · doi:10.1016/j.rcpe.2015.07.001 · Cited by 6
“…de los cuales diferentes artículos des-tacan: inmunoglobulinas, células inmunitarias 11 , probióticos, carbohidratos, ácidos grasos 2 , minerales, vitaminas 16,21 y pre-bióticos como los galacto-oligosacáridos 1 , que inducen el desa-rrollo y la actividad metabólica de las bacterias benéficas en la”
InfluentialEffects of human milk oligosaccharides HMOs on gastrointestinal health
Nardo, V. D. (2020) · Frontiers in Bioscience-Elite · doi:10.2741/e866 · Cited by 6
Metadata
- Authors
- Smilowitz, J. T., Lebrilla, C. B., Mills, D. A., German, J. B., & Freeman, S. L.
- Affiliations
- Department of Food Science and Technology,
- Department of Chemistry, and
- University of California, Davis (US)
- Venue
- Annual Review of Nutrition
- Publisher
- Annual Reviews
- Published
- 2014-07-17
- Volume
- 34
- Issue
- 1
- Pages
- 143-169
- ISSN
- 0199-9885 (ISSN-L)
- 1545-4312
- PMC
- PMC4348064
- OpenAlex
- W2157542971
- Cited by
- 410
- References
- 154
- Citations by year
- 2026: 15 · 2025: 19 · 2024: 30 · 2023: 33 · 2022: 27 · 2021: 57 · 2020: 64 · 2019: 51 · 2018: 36 · 2017: 29 · 2016: 33 · 2015: 15 · 2014: 1
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Bill and Melinda Gates Foundation
- California Dairy Research Foundation
- National Institutes of Health
- University of California, Davis
- National Center for Complementary and Integrative Health (R01AT007079, R21AT006180)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD065122, R01HD061923, R01HD059127)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Nursing › Nutrition and Dietetics › Microbial Metabolites in Food Biotechnology
- Keywords
- human milk oligosaccharides, structure-function relationship, neonatal nutrition, infant microbiome, intestinal development, immune system development, glycoproteins, glycopeptides, glycolipids, lactation
- MeSH terms
- Bifidobacterium, Breast Feeding, Carbohydrate Sequence, Child Development, Female, Glycolipids, Glycopeptides, Glycoproteins, Humans, Immunity, Innate, Infant, Newborn, Intestinal Mucosa, Lactation, Male, Milk Proteins, Milk, Human, Models, Biological, Oligosaccharides
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