Is breast milk so different from infant formula? The ability to track
which genes are operating in an infant’s intestine has allowed
scientists to compare the early development of breast-fed and
formula-fed babies. They say the difference is very real.
For the first time, researchers can see that breast milk induces
genetic pathways that are quite different from those in formula-fed
infants. Although formula makers have tried to develop a product that’s
as much like breast milk as possible, hundreds of genes were expressed
differently in the breast-fed and formula-fed groups.
Although both breast-fed and formula-fed babies gain weight and seem
to develop similarly, scientists have known for a long time that breast
milk contains immune-protective components that make a breast-fed
infant’s risk lower for all kinds of illnesses.
The intestinal tract of the newborn undergoes marked changes in
response to feeding. And the response to human milk exceeds that of
formula, suggesting that the bioactive components in breast milk are
important in this response.
What is not known is how breast milk protects the infant and
particularly how it regulates the development of the intestine.
Understanding those differences should help formula makers develop a
product that is more like the real thing, she said. The scientists hope
to develop a signature gene or group of genes to use as a biomarker for
breast-fed infants.
Many of the differences found b were in fundamental genes that
regulate the development of the intestine and provide immune defense for
the infant.
In the study, a new technique was used to examine intestinal gene
expression in 22 healthy infants — 12 breast-fed, 10 formula-fed.
The technique involved isolating intestinal cells shed in the
infants’ stools, then comparing the expression of different genes
between the two groups. Mothers in the study collected fecal samples
from their babies at one, two, and three months of age. Scientists were
then able to isolate high-quality genetic material, focusing on the RNA
to get a gene expression or signature.
Understanding early intestinal development is important for many
reasons. An infant’s gut has to adapt very quickly. A new baby is coming
out of a sterile environment, having received all its nutrients
intravenously through the placenta. At that point, babies obviously must
begin eating, either mother’s milk or formula.
Of potential clinical importance is that the gene expressed most
often in breast-fed infants is involved in the cell’s response to oxygen
deprivation. Lack of oxygen is a factor in the development of a kind of
gangrene of the intestine that can be fatal in premature babies.
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