Evidence map›Paper›PMID 23869537›Full record

Trial reportBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine2013

TGF-β2, a protective intestinal cytokine, is abundant in maternal human milk and human-derived fortifiers but not in donor human milk.

Aaron A Reeves, Marney C Johnson, Margarita M Vasquez, Akhil Maheshwari, Cynthia L Blanco

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Systematic Review of the Effect of Enteral Feeding on Gut Microbiota in Preterm Infants.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2018
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Transforming growth factor-β2 is sequestered in preterm human milk by chondroitin sulfate proteoglycans.American journal of physiology. Gastrointestinal and liver physiology · 2015
    Article
  8. Review
  9. Article
  10. Cytokines, Chemokines, and Growth Factors in Banked Human Donor Milk for Preterm Infants.Journal of human lactation : official journal of International Lactation Consultant Association · 2014
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Aaron A Reeves1 Division of Neonatology, Department of Pediatrics, University of Texas Health Science Center , San Antonio, Texas.
Marney C Johnson
Margarita M Vasquez
Akhil Maheshwari
Cynthia L Blanco
The University of Texas Health Science Center at San Antonio · USUniversity of Illinois Chicago · US

Funding

INSTITUTE FOR INTEGRATION OF MEDICINE & SCIENCE: A PARTNERSHIP TO IMPROVE HEALTHUL1RR025767 · NCRR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2008 to 2011
$23.8M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Role of Transforming Growth Factor-beta in Neonatal Necrotizing EnterocolitisR01HD059142 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MAHESHWARI, AKHIL · 2009 to 2013
$1.7M
NCATS NIH HHS UL1 TR001120NCRR NIH HHS UL1RR025767NICHD NIH HHS R01 HD059142NICHD NIH HHS R01 HD59142
6 · The paper itself

Abstract

objectiveThis study compared cytokines (in particular transforming growth factor [TGF]-β2) and lactoferrin in maternal human milk (MHM), human-derived milk fortifier (HDMF), and donor human milk (DHM). MATERIALS AND

methodsMHM was randomly collected from breastfeeding mothers who had no infectious illness at the time of milk expression. HDMF and DHM were products derived from human milk processed by Holder pasteurization. MHM samples were collected at different times (early/late) and gestations (preterm/term). Lactoferrin was analyzed by western blotting, and cytokines were quantified using commercial enzyme-linked immunosorbent assays. Significance was determined using analysis of variance.

resultsIn the 164 samples analyzed, TGF-β2 concentrations in HDMF and preterm MHM (at all collection times) were fivefold higher than in DHM (p<0.05). Early preterm MHM had levels of interleukin (IL)-10 and IL-18, 11-fold higher than DHM (p<0.05). IL-6 in DHM was 0.3% of the content found in MHM. IL-18 was fourfold higher in early MHM versus late MHM regardless of gestational age (p<0.05). Lactoferrin concentration in DHM was 6% of that found in MHM.

conclusionsPasteurization decreases concentrations of most cytokines and lactoferrin in DHM. TGF-β2, a protective intestinal cytokine, has comparable concentrations in HDMF to MHM despite pasteurization.

Indexed as

Breast FeedingAdultAnalysis of VarianceBlotting, WesternEnzyme-Linked Immunosorbent AssayFemaleFood, FortifiedHumansInfant, NewbornInterleukin-10Interleukin-18Interleukin-6LactoferrinMilk BanksMilk, HumanPasteurizationInterleukin-10Interleukin-18Interleukin-6LactoferrinLTF protein, humanTGFB2 protein, humanTransforming Growth Factor beta2

Identifiers

PMID23869537
PMCPMC3919475
OpenAlexW2070585894

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.