Evidence map›Paper›PMID 38602306›Full record

ArticleJournal of extracellular vesicles2024

Neonatal enteroids absorb extracellular vesicles from human milk-fed infant digestive fluid.

Claire Yung, Yang Zhang, Madeline Kuhn, Randall J Armstrong, Amy Olyaei, Molly Aloia, Brian Scottoline, Sarah F Andres

Open access · goldAbstract read
In one paragraph

Article in Journal of extracellular vesicles, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Milk-Derived Extracellular Vesicles and microRNAs: Potential Modulators of Intestinal Homeostasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  15. Article
  16. Review
  17. Gut-X axis.iMeta · 2025
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Claire YungDepartment of Pediatrics, Pediatric GI Division, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Yang ZhangDepartment of Pediatrics, Pediatric GI Division, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0002-0434-931X
Madeline KuhnDepartment of Pediatrics, Pediatric GI Division, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Randall J ArmstrongKnight Cancer Institute, Oregon Health and Science University, Portland, Oregon, USA.
Amy OlyaeiDivision of Neonatology, Department of Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
Molly AloiaDivision of Neonatology, Department of Pediatrics, Oregon Health and Science University, Portland, Oregon, USA.
Brian ScottolineDepartment of Pediatrics, Pediatric GI Division, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Sarah F AndresDepartment of Pediatrics, Pediatric GI Division, School of Medicine, Oregon Health and Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0001-7587-2637
Oregon Health & Science University · US

Funding

Effects of human milk handling practices on peptide release and bioactivity in the preterm infant intestineR01HD097367 · NICHD · OREGON STATE UNIVERSITY · PI David Charles Dallas · 2022 to 2026
$3.0M
The role of the RNA binding protein IMP1 in intercellular communication and necrotizing enterocolitisK01DK129401 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI Sarah Andres · 2022 to 2026
$873k
NICHD NIH HHS R01 HD097367NIDDK NIH HHS K01 DK129401NIDDK NIH HHS K01DK129401
6 · The paper itself

Abstract

Human milk contains extracellular vesicles (HMEVs). Pre-clinical models suggest that HMEVs may enhance intestinal function and limit inflammation; however, it is unknown if HMEVs or their cargo survive neonatal human digestion. This limits the ability to leverage HMEV cargo as additives to infant nutrition or as therapeutics. This study aimed to develop an EV isolation pipeline from small volumes of human milk and neonatal intestinal contents after milk feeding (digesta) to address the hypothesis that HMEVs survive in vivo neonatal digestion to be taken up intestinal epithelial cells (IECs). Digesta was collected from nasoduodenal sampling tubes or ostomies. EVs were isolated from raw and pasteurized human milk and digesta by density-gradient ultracentrifugation following two-step skimming, acid precipitation of caseins, and multi-step filtration. EVs were validated by electron microscopy, western blotting, nanoparticle tracking analysis, resistive pulse sensing, and super-resolution microscopy. EV uptake was tested in human neonatal enteroids. HMEVs and digesta EVs (dEVs) show typical EV morphology and are enriched in CD81 and CD9, but depleted of β-casein and lactalbumin. HMEV and some dEV fractions contain mammary gland-derived protein BTN1A1. Neonatal human enteroids rapidly take up dEVs in part via clathrin-mediated endocytosis. Our data suggest that EVs can be isolated from digestive fluid and that these dEVs can be absorbed by IECs.

Indexed as

Body FluidsExtracellular VesiclesCaseinsHumansInfantInfant, NewbornMilk, HumanCaseinsabsorptiondigestionextracellular vesicleshuman milkintestinal organoidnecrotizing enterocolitisneonatal enteroids

Identifiers

PMID38602306
PMCPMC11007820
OpenAlexW4394717595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.