Human milk H2O2 content: does it benefit preterm infants?

Background Human milk has a high content of the antimicrobial compound hydrogen peroxide (H 2 O 2 ). As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H 2 O 2 decomposition, thus limiting its potential benefit t...

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Veröffentlicht in:Pediatric research 2018-03, Vol.83 (3), p.687-692
Hauptverfasser: Cieslak, Monika, Ferreira, Cristina H F, Shifrin, Yulia, Pan, Jingyi, Belik, Jaques
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container_end_page 692
container_issue 3
container_start_page 687
container_title Pediatric research
container_volume 83
creator Cieslak, Monika
Ferreira, Cristina H F
Shifrin, Yulia
Pan, Jingyi
Belik, Jaques
description Background Human milk has a high content of the antimicrobial compound hydrogen peroxide (H 2 O 2 ). As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H 2 O 2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H 2 O 2 generation and degradation in breastmilk. Methods Human donors’ and rats’ milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H 2 O 2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk. Results Breast tissue xanthine oxidase is responsible for the H 2 O 2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H 2 O 2 content is pH-dependent and greatest in the acidic range. Complete H 2 O 2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition. Conclusion Fresh breastmilk H 2 O 2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H 2 O 2 content, when gavage-fed to preterm infants is warranted.
doi_str_mv 10.1038/pr.2017.303
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As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H 2 O 2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H 2 O 2 generation and degradation in breastmilk. Methods Human donors’ and rats’ milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H 2 O 2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk. Results Breast tissue xanthine oxidase is responsible for the H 2 O 2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H 2 O 2 content is pH-dependent and greatest in the acidic range. Complete H 2 O 2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition. Conclusion Fresh breastmilk H 2 O 2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H 2 O 2 content, when gavage-fed to preterm infants is warranted.</description><identifier>ISSN: 0031-3998</identifier><identifier>EISSN: 1530-0447</identifier><identifier>DOI: 10.1038/pr.2017.303</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/1720/3185 ; 692/700/2814 ; Baby foods ; basic-science-investigation ; Breastfeeding &amp; lactation ; Hydrogen peroxide ; Medicine ; Medicine &amp; Public Health ; Newborn babies ; Pediatric Surgery ; Pediatrics ; Premature babies ; Premature birth</subject><ispartof>Pediatric research, 2018-03, Vol.83 (3), p.687-692</ispartof><rights>International Pediatric Research Foundation, Inc. 2018</rights><rights>Copyright Nature Publishing Group Mar 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-62e8403c0767c6b33be49a4df1d43f9281b4238ba82aa6698ef65a032abf8db63</citedby><cites>FETCH-LOGICAL-c326t-62e8403c0767c6b33be49a4df1d43f9281b4238ba82aa6698ef65a032abf8db63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/pr.2017.303$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/pr.2017.303$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Cieslak, Monika</creatorcontrib><creatorcontrib>Ferreira, Cristina H F</creatorcontrib><creatorcontrib>Shifrin, Yulia</creatorcontrib><creatorcontrib>Pan, Jingyi</creatorcontrib><creatorcontrib>Belik, Jaques</creatorcontrib><title>Human milk H2O2 content: does it benefit preterm infants?</title><title>Pediatric research</title><addtitle>Pediatr Res</addtitle><description>Background Human milk has a high content of the antimicrobial compound hydrogen peroxide (H 2 O 2 ). As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H 2 O 2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H 2 O 2 generation and degradation in breastmilk. Methods Human donors’ and rats’ milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H 2 O 2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk. Results Breast tissue xanthine oxidase is responsible for the H 2 O 2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H 2 O 2 content is pH-dependent and greatest in the acidic range. Complete H 2 O 2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition. Conclusion Fresh breastmilk H 2 O 2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H 2 O 2 content, when gavage-fed to preterm infants is warranted.</description><subject>692/700/1720/3185</subject><subject>692/700/2814</subject><subject>Baby foods</subject><subject>basic-science-investigation</subject><subject>Breastfeeding &amp; lactation</subject><subject>Hydrogen peroxide</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Newborn babies</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Premature babies</subject><subject>Premature birth</subject><issn>0031-3998</issn><issn>1530-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kEFLxDAQRoMouK6e_AMFL4J2nWTSNPUisqgrLOxFzyFtE-napjVpD_57WyoIIp4-Bh6P4RFyTmFFAeVN51cMaLpCwAOyoAlCDJynh2QBgDTGLJPH5CSEPQDlieQLkm2GRruoqer3aMN2LCpa1xvX30Zla0JU9VFunLHjdt70xjdR5ax2fbg7JUdW18Gcfe-SvD4-vKw38Xb39Ly-38YFMtHHghnJAQtIRVqIHDE3PNO8tLTkaDMmac4ZylxLprUQmTRWJBqQ6dzKMhe4JJezt_Ptx2BCr5oqFKautTPtEBTNRCoFAp3Qi1_ovh28G79TDBEgSccw_1LAxmaUi8l1NVOFb0PwxqrOV432n4qCmmKPt5piq9l5PdNhpNyb8T_Ov_AvtwR8qA</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Cieslak, Monika</creator><creator>Ferreira, Cristina H F</creator><creator>Shifrin, Yulia</creator><creator>Pan, Jingyi</creator><creator>Belik, Jaques</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Human milk H2O2 content: does it benefit preterm infants?</title><author>Cieslak, Monika ; 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As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H 2 O 2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H 2 O 2 generation and degradation in breastmilk. Methods Human donors’ and rats’ milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H 2 O 2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk. Results Breast tissue xanthine oxidase is responsible for the H 2 O 2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H 2 O 2 content is pH-dependent and greatest in the acidic range. Complete H 2 O 2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition. Conclusion Fresh breastmilk H 2 O 2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H 2 O 2 content, when gavage-fed to preterm infants is warranted.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><doi>10.1038/pr.2017.303</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects 692/700/1720/3185
692/700/2814
Baby foods
basic-science-investigation
Breastfeeding & lactation
Hydrogen peroxide
Medicine
Medicine & Public Health
Newborn babies
Pediatric Surgery
Pediatrics
Premature babies
Premature birth
title Human milk H2O2 content: does it benefit preterm infants?
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