Evidence map›Paper›PMID 30133470›Full record

ArticlePloS one2018

Effects of lactoferrin on neonatal pathogens and Bifidobacterium breve in human breast milk.

Tabitha Woodman, Tobias Strunk, Sanjay Patole, Benjamin Hartmann, Karen Simmer, Andrew Currie

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Review
  7. Review
  8. Lactoferrin: Properties and Potential Uses in the Food Industry.International journal of molecular sciences · 2025
    Review
  9. Article
  10. Review
  11. Antimicrobial peptides in livestock: a review with a one health approach.Frontiers in cellular and infection microbiology · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Interaction ofInternational journal of environmental research and public health · 2022
    Article
  18. Article
  19. Fortification With Bovine Colostrum Enhances Antibacterial Activity of Human Milk.JPEN. Journal of parenteral and enteral nutrition · 2021
    Article
  20. Review
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

6 authors at 3 institutions in 1 country.

Tabitha WoodmanMedical & Molecular Sciences, Murdoch University, Perth, Western Australia.
Tobias StrunkCentre for Neonatal Research and Education, School of Medicine, University of Western Australia, Perth, Western Australia.
Sanjay PatoleCentre for Neonatal Research and Education, School of Medicine, University of Western Australia, Perth, Western Australia.
Benjamin HartmannThe Perron Rotary Express Milk Bank, King Edward Memorial Hospital for Women, Perth, Western Australia.
Karen SimmerCentre for Neonatal Research and Education, School of Medicine, University of Western Australia, Perth, Western Australia.
Andrew CurrieMedical & Molecular Sciences, Murdoch University, Perth, Western Australia.ORCID 0000-0002-5193-3404
The University of Western Australia · AUMurdoch University · AUKing Edward Memorial Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Supplementation with probiotics in preterm infants reduces necrotizing enterocolitis and sepsis. Bovine lactoferrin is a promising supplement that may further reduce disease burden, but its effects on probiotic bacteria in human breast milk has not been evaluated. We aimed to characterise the antimicrobial activity of bovine and human lactoferrin in human breast milk against probiotics and typical neonatal sepsis pathogens. Lactoferrin levels were determined by enzyme linked immunosorbent assay in fresh and pasteurised human breast milk. The neonatal pathogens Staphylococcus epidermidis and Escherichia coli, and the probiotic Bifidobacterium breve strain M-16V were cultured in human breast milk or infant formula in the presence or absence of clinically relevant doses of bovine or human lactoferrin. Standard microbiological methods were used to determine the effects of lactoferrin on bacterial growth. Unpasteurised human breast milk contained significantly higher lactoferrin levels and resulted in superior inhibition of pathogenic bacterial growth compared to infant formula and pasteurised human breast milk. Human lactoferrin was significantly more effective at inhibiting bacterial growth, when compared to bovine lactoferrin. Supplementation with human lactoferrin or high dose bovine lactoferrin inhibited growth of the probiotic strain B. breve M-16V in pasteurised human breast milk. Although unpasteurised human breast milk and human lactoferrin had the greatest antimicrobial activity against all bacterial species tested, higher doses of bovine lactoferrin also showed activity against B. breve and. S. epidermidis. This study suggests that simultaneous administration of lactoferrins and probiotics may affect colonisation with probiotic bacteria, warranting further investigations.

Indexed as

LactoferrinProbioticsAnimalsBifidobacterium breveCattleEscherichia coliHumansInfantInfant FormulaMilk, HumanPasteurizationSpecies SpecificityStaphylococcus epidermidisLactoferrin

Identifiers

PMID30133470
PMCPMC6104981
OpenAlexW2888563801

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.