Evidence map›Paper›PMID 27814344›Full record

ArticlePediatric research2017

Subclinical mastitis occurs frequently in association with dramatic changes in inflammatory/anti-inflammatory breast milk components.

Edouard Tuaillon, Johanes Viljoen, Pierre Dujols, Gilles Cambonie, Pierre-Alain Rubbo, Nicolas Nagot, Ruth M Bland, Stéphanie Badiou, Marie-Louise Newell, Philippe Van de Perre

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In one paragraph

Article in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. The impact of environmental pollution on the quality of mother's milk.Environmental science and pollution research international · 2019
    Pooled it
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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

10 authors at 5 institutions in 3 countries.

Edouard TuaillonUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Johanes ViljoenUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Pierre DujolsUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Gilles CambonieCHRU de Montpellier, Département de Néonatologie, Montpellier, France.
Pierre-Alain RubboUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Nicolas NagotUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Ruth M BlandAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Stéphanie BadiouDépartement de Biochimie, CHRU Montpellier, Université de Montpellier, Montpellier, France.
Marie-Louise NewellFaculty of Medicine, University of Southampton, Southampton, UK.
Philippe Van de PerreUMR Inserm U1058, EFS, Université Montpellier 1, Montpellier, France.
Université de Montpellier · FRInserm · FRCentre Hospitalier Universitaire de Montpellier · FRUniversity of KwaZulu-Natal · ZAUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubclinical mastitis (SCM) is a frequent, but poorly characterized entity that may influence immune development of breastfed infants. Mechanisms driving the emergence of SCM and changes in immunological content of human milk during SCM remain to be explored. In this study, the breast milk environment was to describe during SCM.

methodsOne hundred and ten samples of mature breast milk were collected from 44 healthy, HIV-negative mothers, included in a large infant feeding intervention cohort (ANRS 1271/Vertical Transmission Study). Immune markers related to inflammatory/anti-inflammatory balances and secreted in response to bacterial exposure were explored in SCM breast milk samples (Na/K ratio > 1) and compared to non-SCM controls.

resultsSCM was observed in 23% of women (95% confidence interval (CI): 21-24) and associated with higher levels of inflammatory markers (β2 microgobulin, PS100A9, TNF-α, IL-6, IL-8, IL-17, and RANTES) and Th1-related cytokines (IL-2R, IL-12p40/70, IFN-α, IFN-γ, CXCL-9, andIP-10). High levels of factors secreted in response to bacteria and lipopolysaccharide (LPS) exposure were observed in SCM breast milk samples (MIP-1α, MIP-1β, LPS binding protein, α-defensins, and antileukoproteinase 1).

conclusionSCM is associated with important changes in breast milk microenvironment, with a proinflammatory/Th1-cytokine predominant profile. During SCM, cytokine imbalances in breast milk may have a notable influence on mucosal immune system of the infant early in life.

Indexed as

AdolescentAdultBreast FeedingCohort StudiesCytokinesFemaleHumansInflammationLactationLipopolysaccharidesMastitisMilk, HumanMucous MembranePotassiumSensitivity and SpecificitySodiumCytokinesLipopolysaccharidesPotassiumSodium

Identifiers

PMID27814344
OpenAlexW2548158791

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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.