Evidence map›Paper›PMID 33556125›Full record

Trial reportPloS one2021

Gut microbiota comparison of vaginally and cesarean born infants exclusively breastfed by mothers secreting α1-2 fucosylated oligosaccharides in breast milk.

Karina M Tonon, Tania B Morais, Carla R Taddei, Humberto B Araújo-Filho, Ana Cristina F V Abrão, Antonio Miranda, Mauro B de Morais

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Therapeutic effect ofFrontiers in pharmacology · 2026
    Article
  7. Gut Microbiota Modulation in Asthma-An In Vitro Study.Pharmaceuticals (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
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

7 authors at 2 institutions in 1 country.

Karina M TononNutrition Postgraduate Program, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID 0000-0002-5938-7831
Tania B MoraisFood Quality Control Laboratory, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID 0000-0003-1694-8851
Carla R TaddeiDepartment of Clinical and Toxicological Analysis, Universidade de São Paulo, São Paulo, Brazil.
Humberto B Araújo-FilhoDivision of Pediatric Gastroenterology, Universidade Federal de São Paulo, São Paulo, Brazil.
Ana Cristina F V AbrãoBreastfeeding Incentive and Support Center, Universidade Federal de São Paulo, São Paulo, Brazil.
Antonio MirandaDepartment of Biophysics, Universidade Federal de São Paulo, São Paulo, Brazil.
Mauro B de MoraisDivision of Pediatric Gastroenterology, Universidade Federal de São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExclusive breastfeeding promotes beneficial modifications on the microbiota of cesarean born infants, but little is known about the role of specific breast milk components in this modulation. Women with an active FUT2 gene (called secretors) secrete α1-2 fucosylated human milk oligosaccharides (HMOs), which promote Bifidobacterium in the infant's gut and may modulate the microbiota of cesarean born infants.

objectiveTo compare the microbiota composition of cesarean and vaginally born infants breastfed by secretor mothers.

methodsMaternal secretor status was determined by the occurrence of 4 different α1-2 fucosylated HMOs in breast milk by LC-MS. The fecal microbiota composition from cesarean and vaginally born infants was analyzed by 16S rRNA gene sequencing and qPCR, stratified by the maternal secretor status, and compared.

resultsAlpha and beta diversity were not significantly different in cesarean born, secretor-fed infants (CSe+) compared to vaginally born, secretor-fed infants (VSe+). There were no significant differences in the fecal relative abundance of Bifidobacterium between CSe+ and VSe+ infants, but the prevalence of the species B. longum was lower in CSe+. The fecal relative abundance of Bacteroides was also lower, while Akkermansia and Kluyvera were higher in CSe+ infants.

conclusionCesarean and vaginally born infants fed with breast milk containing the α1-2 fucosylated HMOs fraction present similar amounts of Bifidobacterium in the feces, but differences are observed in other members of the microbiota.

Indexed as

Breast FeedingCesarean SectionGastrointestinal MicrobiomeMothersParturitionAdultBacteriaFemaleHumansInfantInfant, NewbornMaleMilk, HumanOligosaccharidesOligosaccharides

Identifiers

PMID33556125
PMCPMC7870049
OpenAlexW3128378077

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.