Evidence map›Paper›PMID 39043677›Full record

ArticleNature communications2024

Human cytomegalovirus in breast milk is associated with milk composition and the infant gut microbiome and growth.

Kelsey E Johnson, Nelmary Hernandez-Alvarado, Mark Blackstad, Timothy Heisel, Mattea Allert, David A Fields, Elvira Isganaitis, Katherine M Jacobs, Dan Knights, Eric F Lock and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Gut-X axis.iMeta · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Kelsey E JohnsonDepartment of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA. kej@umn.edu.ORCID 0000-0001-9180-6381
Nelmary Hernandez-AlvaradoDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
Mark BlackstadDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
Timothy HeiselDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
Mattea AllertDepartment of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA.
David A FieldsDepartment of Pediatrics, Section of Diabetes and Endocrinology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Elvira IsganaitisJoslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
Katherine M JacobsDepartment of Obstetrics, Gynecology and Women's Health, Division of Maternal-Fetal Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Dan KnightsBioTechnology Institute, College of Biological Sciences, University of Minnesota, Minneapolis, MN, USA.
Eric F LockDivision of Biostatistics and Health Data Science, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Michael C RudolphHarold Hamm Diabetes Center, Department of Biochemistry and Physiology, Oklahoma University Health Sciences Center, Oklahoma City, OK, USA.ORCID 0000-0002-6147-212X
Cheryl A GaleDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.ORCID 0000-0002-0185-8645
Mark R SchleissDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.ORCID 0000-0002-2108-9433
Frank W AlbertDepartment of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA.
Ellen W DemerathDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Ran BlekhmanSection of Genetic Medicine, Division of Biological Sciences, University of Chicago, Chicago, IL, USA.

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI CHANG, EUGENE B · 1990 to 2025
$29.8M
Maternal Obesity, Milk Composition, and Infant GrowthR01HD080444 · NICHD · UNIVERSITY OF MINNESOTA · PI ELLEN W. DEMERATH, DAVID A FIELDS · 2014 to 2026
$6.4M
Optimizing Immunity and Maternal Host Defense Against Congenital Cytomegalovirus InfectionR01HD098866 · NICHD · UNIVERSITY OF MINNESOTA · PI Craig John Bierle, Michael A McVoy · 2019 to 2026
$3.9M
Milk-Omics: Systems Biology of Human Milk and Its Links to Maternal and Infant HealthR01HD109830 · NICHD · UNIVERSITY OF MINNESOTA · PI Ran Blekhman, ELLEN W. DEMERATH · 2022 to 2026
$3.5M
Probing short and long term consequences of Small and Large Bowel Microbiota Transplants on Host Physiology: Implications for the development of future live biotherapeuticsR01DK138072 · NIDDK · UNIVERSITY OF CHICAGO · PI EUGENE B CHANG, Kristina Brooke Martinez-Guryn · 2024 to 2026
$2.1M
Gut Microbiomes and Early Human NeurodevelopmentR21HD099473 · NICHD · UNIVERSITY OF MINNESOTA · PI GALE, CHERYL A., GEORGIEFF, MICHAEL K. · 2019 to 2020
$424k
Genetics and genomics of human breast milk compositionF32HD105364 · NICHD · UNIVERSITY OF MINNESOTA · PI JOHNSON, KELSEY ELIZABETH · 2021 to 2023
$165k
NICHD NIH HHS F32 HD105364NICHD NIH HHS L50 HD099866NICHD NIH HHS R01 HD080444NICHD NIH HHS R01 HD098866NICHD NIH HHS R01 HD109830NICHD NIH HHS R21 HD099473NIDDK NIH HHS P30 DK036836NIDDK NIH HHS P30 DK042086NIDDK NIH HHS R01 DK138072U.S. Department of Health & Human Services | National Institutes of Health (NIH) F32HD105364
6 · The paper itself

Abstract

Human cytomegalovirus (CMV) is a highly prevalent herpesvirus that is often transmitted to the neonate via breast milk. Postnatal CMV transmission can have negative health consequences for preterm and immunocompromised infants, but any effects on healthy term infants are thought to be benign. Furthermore, the impact of CMV on the composition of the hundreds of bioactive factors in human milk has not been tested. Here, we utilize a cohort of exclusively breastfeeding full-term mother-infant pairs to test for differences in the milk transcriptome and metabolome associated with CMV, and the impact of CMV in breast milk on the infant gut microbiome and infant growth. We find upregulation of the indoleamine 2,3-dioxygenase (IDO) tryptophan-to-kynurenine metabolic pathway in CMV+ milk samples, and that CMV+ milk is associated with decreased Bifidobacterium in the infant gut. Our data indicate two opposing CMV-associated effects on infant growth; with kynurenine positively correlated, and CMV viral load negatively correlated, with infant weight-for-length at 1 month of age. These results suggest CMV transmission, CMV-related changes in milk composition, or both may be modulators of full-term infant development.

Indexed as

Breast FeedingCytomegalovirusCytomegalovirus InfectionsGastrointestinal MicrobiomeKynurenineMilk, HumanAdultFemaleHumansIndoleamine-Pyrrole 2,3,-DioxygenaseInfantInfant, NewbornMaleMetabolomeTryptophanViral LoadIndoleamine-Pyrrole 2,3,-DioxygenaseKynurenineTryptophan

Identifiers

PMID39043677
PMCPMC11266569

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Registered trials

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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.