Evidence map›Paper›PMID 42354885›Full record

ReviewMicroorganisms2026

Human Milk Oligosaccharides: Shaping the Anti-Infective Status in Infancy.

Oana-Raluca Temneanu, Otilia Novac, Adriana Mihai, Felicia Trofin, Otilia Elena Frăsinariu, Paula Popovici, Roxana Șerban, Alice Nicoleta Grudnicki, Ileana Katerina Ioniuc, Carmen Liliana Barbacariu and 1 more

Abstract readReview
In one paragraph

Review in Microorganisms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Oana-Raluca TemneanuGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Otilia NovacGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Adriana MihaiGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.ORCID 0009-0007-6133-8784
Felicia TrofinGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.ORCID 0000-0002-8551-3053
Otilia Elena FrăsinariuGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.ORCID 0000-0002-5836-1517
Paula PopoviciGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Roxana ȘerbanGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Alice Nicoleta GrudnickiGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Ileana Katerina IoniucGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Carmen Liliana BarbacariuGrigore T. Popa University of Medicine and Pharmacy, 700115 Iași, Romania.
Bianca SimionescuDepartment of Mother and Child Medicine, Faculty of Medicine, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.ORCID 0000-0001-7853-0632

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human milk is widely recognised as the optimal source of nutrition for newborns and infants, providing not only an ideal macronutrient composition but also a range of bioactive components that exert important non-nutritional functions, and as such it represents the first functional food consumed in early life. Among these bioactive components, the human milk oligosaccharides (HMOs)-a structurally diverse family of glycans present in human milk at concentrations 100- to 1000-fold higher than in the milk of other mammalian species-have emerged as multifunctional contributors to the establishment of the intestinal microbiome, immune development, anti-infective defence, and epithelial barrier integrity during a developmental window characterised by immune immaturity. The aim of the present narrative review is to synthesise current evidence on the anti-infective properties of HMOs in infancy and to integrate, within a single framework, five interconnected mechanisms through which HMOs protect the infant against infection: glycan-mimicry-based competitive inhibition of pathogen adhesion, direct antimicrobial and antibiofilm activity, selective prebiotic shaping of the gut microbiome, modulation of innate and adaptive immune responses, and reinforcement of mucosal barrier integrity in the gut and lungs. Breastfeeding constitutes a natural strategy for anti-infective protection in early childhood, while infant formulas supplemented with biotechnologically produced HMOs that are structurally identical to those in human milk provide measurable benefits for non-breastfed infants.

Indexed as

anti-infectivehuman milk oligosaccharidesimmunityinfant formulainfant microbiome

Identifiers

PMID42354885
PMCPMC13303834

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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.