Evidence map›Paper›PMID 32316028›Full record

ArticlePediatric research2021

Immune profiling of breast milk from mothers with treated celiac disease.

Emilia Villamil, Claudio Rodríguez-Camejo, Arturo Puyol, Laura Fazio, Valentina Colistro, Ana Hernández

Abstract read
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In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Emilia VillamilCátedra de Inmunología. Instituto de Química Biológica, Facultad de Ciencias/Departamento de Biociencias, Facultad de Química, Universidad de la República, Instituto de Higiene. Avda. Alfrado Navarro 3051, Montevideo, Uruguay.
Claudio Rodríguez-CamejoCátedra de Inmunología. Instituto de Química Biológica, Facultad de Ciencias/Departamento de Biociencias, Facultad de Química, Universidad de la República, Instituto de Higiene. Avda. Alfrado Navarro 3051, Montevideo, Uruguay.
Arturo PuyolBanco de Leche Humana "Ruben Panizza", Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay.
Laura FazioBanco de Leche Humana "Ruben Panizza", Centro Hospitalario Pereira Rossell, Administración de los Servicios de Salud del Estado, Montevideo, Uruguay.
Valentina ColistroDepartamento de Métodos Cuantitativos, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
Ana HernándezCátedra de Inmunología. Instituto de Química Biológica, Facultad de Ciencias/Departamento de Biociencias, Facultad de Química, Universidad de la República, Instituto de Higiene. Avda. Alfrado Navarro 3051, Montevideo, Uruguay. aherna@fq.edu.uy.
Universidad de la República · UYCentro Hospitalario Pereira Rossell · UY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe protective effect of breastfeeding on celiac disease (CD) onset is controversial. We studied a wide range of milk components in milk produced by celiac mothers following long-term gluten-free diet (GFD) in comparison to milk produced by healthy mothers.

methodsBreast-milk samples from celiac (n = 33) and healthy (n = 41) mothers were obtained during the first year of lactation. A panel of bioactive components was analyzed by enzyme-linked immunosorbent assay in the aqueous fraction. We studied molecules involved in defenses, immunoregulation, and strengthening of the gut-epithelial barrier.

resultsDuring late lactation (from 6 to 12 months after delivery), the content of total immunoglobulin A (IgA) and IgM was significantly lower in the milk produced by celiac patients. Nevertheless, gliadin (GFD)-specific IgA relative contribution was higher in this group, in contrast to tetanus toxoid-specific antibodies. The balance between pro-inflammatory and anti-inflammatory molecules was different. While interleukin-6, tumor necrosis factor-α, and monocyte chemoattractant protein-1 were most frequently found in samples from celiac mothers, soluble Toll-like receptor-2 prevalence was lower.

conclusionsWe describe differences between the innate and adaptive immune profile of milk produced by celiac and healthy mothers. These results might explain previous controversial reports about breastfeeding and CD protection. IMPACT: In spite of a long-term adherence to GFD, the milk produced by mothers with CD exhibit a different immune profile, in relation with some immunoregulatory factors and antibody content. This work shows a more comprehensive characterization of milk from celiac mothers, including macronutrients, lysozymes, growth factors, and immunoregulatory components that had not been studied before. The present study widens the available data regarding the characteristics of human milk of celiac mothers following GFD. Further follow-up studies of the health of children who were breastfed by celiac mothers will be necessary in order to also estimate the impact of the present results therein.

Indexed as

AdultAntibodies, BacterialAutoantibodiesBreast FeedingCeliac DiseaseCytokinesDiet, Gluten-FreeFemaleGliadinHumansImmunoglobulin AImmunoglobulin MMilk, HumanMuramidaseTetanus ToxoidToll-Like Receptor 2Antibodies, BacterialAutoantibodiesCytokinesGliadinImmunoglobulin AImmunoglobulin MMuramidaseTetanus ToxoidTLR2 protein, humanToll-Like Receptor 2

Identifiers

PMID32316028
OpenAlexW3016283552

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.