Evidence map›Paper›PMID 30418545›Full record

ArticleJournal of Crohn's & colitis2019

The Profile of Human Milk Metabolome, Cytokines, and Antibodies in Inflammatory Bowel Diseases Versus Healthy Mothers, and Potential Impact on the Newborn.

Xuanyi Meng, Garett Dunsmore, Petya Koleva, Yesmine Elloumi, Richard You Wu, Reed Taylor Sutton, Lindsy Ambrosio, Naomi Hotte, Vivian Nguyen, Karen L Madsen and 4 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of Crohn's & colitis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  18. Nurturing the Gut, Moms with IBD and Their Babies.Journal of Crohn's & colitis · 2023
    Article
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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

14 authors at 4 institutions in 2 countries.

Xuanyi MengDepartment of Dentistry, University of Alberta, Edmonton, AB, Canada.
Garett DunsmoreDepartment of Medical Microbiology and Immunology, University of Alberta, Edmonton, AB, Canada.
Petya KolevaDepartment of Dentistry, University of Alberta, Edmonton, AB, Canada.
Yesmine ElloumiDivision of Gastroenterology, University of Alberta, AB, Canada.
Richard You WuFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Reed Taylor SuttonDivision of Gastroenterology, University of Alberta, AB, Canada.
Lindsy AmbrosioDivision of Gastroenterology, University of Alberta, AB, Canada.
Naomi HotteDivision of Gastroenterology, University of Alberta, AB, Canada.
Vivian NguyenDivision of Gastroenterology, University of Alberta, AB, Canada.
Karen L MadsenDivision of Gastroenterology, University of Alberta, AB, Canada.
Levinus A DielemanDivision of Gastroenterology, University of Alberta, AB, Canada.
Hongbing ChenState Key Laboratory of Food Science and Technology, Nanchang University. Nanchang, China.
Vivian HuangDivision of Gastroenterology, University of Alberta, AB, Canada.
Shokrollah ElahiDepartment of Dentistry, University of Alberta, Edmonton, AB, Canada.
University of Alberta · CANanchang University · CNMount Sinai Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsFor women with inflammatory bowel disease [IBD], it is not very well known how IBD or IBD treatment affects their breast milk components. We aimed to investigate whether breast milk composition differs in healthy control [HC] versus IBD mothers in terms of antibodies, cytokines, and metabolite,s to identify potential impact of IBD breast milk on neonatal immune system.

methodsBreast milk specimens from HC [n = 17] and IBD [n = 31 for Crohn's disease [CD]; and n = 41 for ulcerative colitis [UC]; were collected at 3 and 6 months postpartum [PP3] and [PP6], respectively. Faecal samples were also collected. Cytokines and immunoglobulins [IgA/IgG/IgE] were analysed by multiplex Meso Scale Discovery [MSD] and commercial kits. Moreover, breast milk metabolites were analysed by 1H nuclear magnetic resonance [NMR].

resultsWe found that breast milk from IBD mothers showed significantly lower levels of IgA, sugar metabolite [lactose], and 2-aminobutyrate. In contrast, we observed that breast milk from mothers with IBD had increased levels of pro-inflammatory cytokines and higher energy metabolites [lactate and succinate] than milk from healthy mothers. In addition, we noticed that the type of treatment [5-aminosalicylic acid versus biologics] influenced the milk cytokines and metabolites profile.

conclusionsThe reduction in immunoprotective components of IBD breast milk such as sIgA and lactose theoretically may modulate the potential protective effects of breastfeeding. On the other hand, presence of higher levels of pro-inflammatory cytokines, lactate, and succinate may predispose the offspring to an inflammatory condition or impact on the gut microbiome. Better understanding of the role of succinate in infants and its potential effects on microbiome or mucosal immunity merits further investigations.

Indexed as

MetabolomeAminobutyratesAnti-Inflammatory Agents, Non-SteroidalBiological ProductsCase-Control StudiesColitis, UlcerativeCrohn DiseaseCytokinesFecesFemaleHealthy VolunteersHumansImmunoglobulin AInfantInfant, NewbornLactic Acidalpha-aminobutyric acidAminobutyratesAnti-Inflammatory Agents, Non-SteroidalBiological ProductsCytokinesImmunoglobulin ALactic AcidLactoseLeukocyte L1 Antigen ComplexMesalamineSuccinic Acidhuman breast milkInflammatory bowel diseasemetabolites

Identifiers

PMID30418545
PMCPMC6441305
OpenAlexW2901094897

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.