Osteopontin Levels in Human Milk Vary Across Countries and Within Lactation Period: Data From a Multicenter Study.
J Pediatr Gastroenterol Nutr
; 67(2): 250-256, 2018 08.
Article
en En
| MEDLINE
| ID: mdl-29668569
OBJECTIVES: Osteopontin (OPN) is a multifunctional protein expressed in many cell types, tissues and body fluids with the highest concentrations found in milk; significantly higher in human than in bovine milk. Intervention studies have indicated beneficial effects of supplementing infant formula with bovine OPN. In this multicenter study, we determined the OPN content in human milk samples from 629 Chinese, Danish, Japanese and Korean mothers. METHODS: At each study site, milk samples were collected and analyzed for OPN and protein concentration using ELISA and infrared spectroscopy, respectively. RESULTS: A total of 829 milk samples from 629 women were included. When delivering the first sample, mean maternal age was 31.4 years (SD 4.0), and median infant age was 13.4 weeks (interquartile range 4.6-17.9). The median OPN concentration varied across sites; from 99.7âmg/L in Danish, 185.0âmg/L in Japanese, 216.2âmg/L in Korean to 266.2âmg/L in Chinese mothers (Pâ<â0.001), corresponding to 1.3%, 2.4%, 1.8% and 2.7% of the total protein content (OPN/protein%) (Pâ<â0.05), respectively. Based on 75 Chinese and 33 Japanese mothers delivering more than 1 sample, multilevel (mixed model) linear regression analysis showed a decrease in OPN concentration with infant age (ßâ=â(-11.3), 95% confidence interval (CI)â=â(-13.9) to (-8.8) and ßâ=â(-2.1), 95% CIâ=â(-3.2) to (-0.9), respectively). CONCLUSIONS: In this large multicenter study, we observed statistically significant differences in the OPN concentration and the OPN/protein% in human milk samples between countries. Based on mothers delivering more than 1 sample, a significant decrease within the lactation period was observed.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Lactancia
/
Osteopontina
/
Leche Humana
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Female
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Humans
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Male
/
Newborn
País/Región como asunto:
Asia
/
Europa
Idioma:
En
Revista:
J Pediatr Gastroenterol Nutr
Año:
2018
Tipo del documento:
Article
Pais de publicación:
Estados Unidos