Evidence map›Paper›PMID 42451199›Full record

ArticleNutrients2026

Dynamic Remodeling of the Human Milk Serum Proteome Across Lactation: A Paired Two-Stage DIA Proteomic Study in Term and Preterm Mothers.

Nina Mól, Magdalena Zasada, Maciej Suski, Wojciech Zasada, Przemko Kwinta

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In one paragraph

Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nina MólDepartment of Pediatrics, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Krakow, Poland.ORCID 0000-0003-0982-3348
Magdalena ZasadaDepartment of Pediatrics, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Krakow, Poland.ORCID 0000-0003-0459-7046
Maciej SuskiDepartment of Pharmacology, Jagiellonian University Medical College, Grzegórzecka 16 Street, 31-531 Krakow, Poland.ORCID 0000-0001-7575-2184
Wojciech ZasadaClinical Department of Cardiology and Cardiovascular Interventions, University Hospital, 30-688 Krakow, Poland.ORCID 0000-0002-6996-2879
Przemko KwintaDepartment of Pediatrics, Jagiellonian University Medical College, Wielicka 265 Street, 30-663 Krakow, Poland.ORCID 0000-0002-3017-0348

Funding

Jagiellonian University N41/DBS/000422
6 · The paper itself

Abstract

objectivesHuman milk composition changes across lactation, but paired within-subject proteomic analyses comparing longitudinal trajectories in term and preterm milk remain limited. We aimed to characterize stage-associated proteomic changes within each cohort and determine whether longitudinal remodeling is shared or divergent between term and preterm lactation.

methodsIn this single-center prospective study conducted at the Neonatal Intensive Care Unit, Jagiellonian University Medical College, Kraków, Poland (October 2020-November 2021), 40 lactating mothers (20 preterm, <32 weeks' gestation, mean age 29.4 ± 6.1 years; 20 term, 37-42 weeks, mean age 30.2 ± 5.5 years) provided paired milk samples at ≤10 days postpartum and week 5. Milk serum proteomes were analyzed by quantitative data-independent acquisition mass spectrometry; differential abundance was assessed using two-sample

resultsStage-associated differential abundance was identified for 108 proteins in term milk (58 increased, 50 decreased) and 103 in preterm milk (64 increased, 39 decreased). Of these, 87 were shared between cohorts (80.6% of term, 84.5% of preterm set) with concordant directionality. Shared upregulated pathways included oxidative stress response and glycolysis (e.g., PRDX5, fold change 2.49, q = 0.044); shared downregulated pathways related to mucosal immunity (e.g., tenascin, fold change 9.61-11.41, q < 0.0001). Cohort-specific pathway signals were limited relative to shared remodeling.

conclusionsThe human milk serum proteome undergoes substantial longitudinal remodeling in both term and preterm lactation, with most changes following a common temporal pattern; prematurity-related differences appear selective rather than global. These findings support lactation stage as a key determinant of milk proteomic composition and underscore the value of longitudinal, stage-aware study designs, although formal time-by-group interaction testing was not performed.

Indexed as

LactationMilk, HumanProteomeProteomicsAdultFemaleHumansInfant, NewbornPregnancyPremature BirthProspective StudiesProteomedata-independent acquisitionhuman milklactationmass spectrometrypreterm birthproteomics

Identifiers

PMID42451199
PMCPMC13363945

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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.