Evidence map›Paper›PMID 32503420›Full record

ArticleBMC microbiology2020

Human milk fungi: environmental determinants and inter-kingdom associations with milk bacteria in the CHILD Cohort Study.

Shirin Moossavi, Kelsey Fehr, Hooman Derakhshani, Hind Sbihi, Bianca Robertson, Lars Bode, Jeffrey Brook, Stuart E Turvey, Theo J Moraes, Allan B Becker and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. A Framework for Evaluation of New Processing Technologies in Human Milk Banking.Comprehensive reviews in food science and food safety · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Neonatal Microbiome: Is it Still Beneficial?Endocrine, metabolic & immune disorders drug targets · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Frontiers in microbiology · 2022
    Article
  17. Article
  18. Review
  19. Review
  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

15 authors at 6 institutions in 3 countries.

Shirin MoossaviDepartment of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada.
Kelsey FehrChildren's Hospital Research Institute of Manitoba, Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Winnipeg, MB, Canada.
Hooman DerakhshaniDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Hind SbihiDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Bianca RobertsonDepartment of Pediatrics and Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence (MOMI CORE), University of California San Diego, La Jolla, CA, USA.
Lars BodeDepartment of Pediatrics and Larsson-Rosenquist Foundation Mother-Milk-Infant Center of Research Excellence (MOMI CORE), University of California San Diego, La Jolla, CA, USA.
Jeffrey BrookDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Stuart E TurveyDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Theo J MoraesDivision of Respiratory Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Allan B BeckerChildren's Hospital Research Institute of Manitoba, Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Winnipeg, MB, Canada.
Piushkumar J MandhaneDepartment of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Malcolm R SearsDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Ehsan KhafipourChildren's Hospital Research Institute of Manitoba, Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Winnipeg, MB, Canada.
Padmaja SubbaraoDivision of Respiratory Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Meghan B AzadChildren's Hospital Research Institute of Manitoba, Developmental Origins of Chronic Diseases in Children Network (DEVOTION), Winnipeg, MB, Canada. Meghan.Azad@umanitoba.ca.ORCID 0000-0002-5942-4444
Children's Hospital Research Institute of Manitoba · CAUniversity of Toronto · CAMcMaster University · CAUniversity of British Columbia · CAUniversity of California San Diego · USUniversity of Alberta · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundFungi constitute an important yet frequently neglected component of the human microbiota with a possible role in health and disease. Fungi and bacteria colonise the infant gastrointestinal tract in parallel, yet most infant microbiome studies have ignored fungi. Milk is a source of diverse and viable bacteria, but few studies have assessed the diversity of fungi in human milk.

resultsHere we profiled mycobiota in milk from 271 mothers in the CHILD birth cohort and detected fungi in 58 (21.4%). Samples containing detectable fungi were dominated by Candida, Alternaria, and Rhodotorula, and had lower concentrations of two human milk oligosaccharides (disialyllacto-N-tetraose and lacto-N-hexaose). The presence of milk fungi was associated with multiple outdoor environmental features (city, population density, and season), maternal atopy, and early-life antibiotic exposure. In addition, despite a strong positive correlation between bacterial and fungal richness, there was a co-exclusion pattern between the most abundant fungus (Candida) and most of the core bacterial genera.

conclusionWe profiled human milk mycobiota in a well-characterised cohort of mother-infant dyads and provide evidence of possible host-environment interactions in fungal inoculation. Further research is required to establish the role of breastfeeding in delivering fungi to the developing infant, and to assess the health impact of the milk microbiota in its entirety, including both bacterial and fungal components.

Indexed as

Breast FeedingCohort StudiesDNA, FungalDNA, RibosomalFemaleFungiHigh-Throughput Nucleotide SequencingHumansInfantMicrobiotaMilk, HumanMothersOligosaccharidesRisk FactorsRNA, Ribosomal, 16SSequence Analysis, DNADNA, FungalDNA, RibosomalOligosaccharidesRNA, Ribosomal, 16SBreastfeedingBreastmilkCHILD cohort studyEnvironmentFungiHuman milkMycobiota

Identifiers

PMID32503420
PMCPMC7275434
OpenAlexW3033832948

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.