Evidence map›Paper›PMID 31048004›Full record

ReviewAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2019

Immunomodulatory effects of breast milk on food allergy.

Kirsi M Järvinen, Hayley Martin, Michiko K Oyoshi

Open access · greenAbstract readReview
In one paragraph

Review in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 104 citations in OpenAlex.

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  12. [Risk factors for cow's milk protein allergy in infants: a multicenter prospective nested case-control study].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
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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

3 authors at 2 institutions in 1 country.

Kirsi M JärvinenDivision of Pediatric Allergy and Immunology & Center for Food Allergy, University of Rochester School of Medicine and Dentistry, Rochester, New York. Electronic address: Kirsi_jarvinen-seppo@URMC.Rochester.edu.
Hayley MartinDepartment of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Michiko K OyoshiDivision of Immunology, Boston Children's Hospital and the Departments of Pediatrics, Harvard Medical School, Boston, Massachusetts.
University of Rochester · USHarvard University · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Sally W Thurston · 1985 to 2026
$42.8M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
University of Rochester Mentoring Environment: Nurturing Training Opportunities in Research (UR-MENTOR)T32GM007356 · NIGMS · UNIVERSITY OF ROCHESTER · PI O'BANION, M. KERRY · 1985 to 2023
$15.1M
Impact of Maternal Diet and Supplements on Breast Milk CompositionU01AI131344 · NIAID · UNIVERSITY OF ROCHESTER · PI JARVINEN-SEPPO, KIRSI · 2017 to 2021
$3.0M
Induction of food allergen-specific neonatal tolerance through breast milkR01AI142872 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI OYOSHI, MICHIKO · 2019 to 2021
$2.0M
Impact of Breast Milk on Infant Gut MicrobiomeR21TR002516 · NCATS · UNIVERSITY OF ROCHESTER · PI JARVINEN-SEPPO, KIRSI, LOONEY, RICHARD JOHN · 2018 to 2019
$462k
NCATS NIH HHS R21 TR002516NCATS NIH HHS UL1 TR000170NIAID NIH HHS R01 AI142872NIAID NIH HHS U01 AI131344NIEHS NIH HHS P30 ES001247NIGMS NIH HHS T32 GM007356
6 · The paper itself

Abstract

objectiveTo summarize the literature on immunomodulatory effects of breast milk on sensitization and possible mechanisms of action. DATA SOURCES: Animal and human studies in PubMed that assessed breastfeeding or breast milk composition in food allergy. STUDY SELECTIONS: All recent studies and some older key publications focusing on this topic.

resultsHuman milk composition is highly variable among mothers, which can affect the developing infant immune system. Human milk also affects the infant gut microbiome, which is associated with food allergy. High levels of human milk immune factors (IgA, cytokines, oligosaccharides) are associated with reduced risk of food allergy in the infant; it remains uncertain whether these are directly protective or biomarkers of transferred protection. Animal studies highlight potential mechanisms of protection provided by antigens, transforming growth factor β, and immunocomplexes, yet their relevance is poorly understood in humans. The role of food antigens in human milk in initial sensitization or tolerance induction is unclear.

conclusionThe protection against allergy development provided by human milk may be attributable to the effect on the infant gut microbiome or direct effects on immune system. Studies evaluating the effect of breastfeeding and human milk composition on food allergy are needed.

Indexed as

AnimalsAntigensBreast FeedingFood HypersensitivityGastrointestinal MicrobiomeHumansImmune ToleranceInfantInfant, NewbornMilk, HumanModels, AnimalAntigens

Identifiers

PMID31048004
PMCPMC6693634
OpenAlexW2943311609

What OpenQuestion holds

Textmetadata
LicenceTDM
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.