Gold standard for nutrition: a review of human milk oligosaccharide and its effects on infant gut microbiota

Microb Cell Fact. 2021 May 28;20(1):108. doi: 10.1186/s12934-021-01599-y.

Abstract

Human milk is the gold standard for nutrition of infant growth, whose nutritional value is mainly attributed to human milk oligosaccharides (HMOs). HMOs, the third most abundant component of human milk after lactose and lipids, are complex sugars with unique structural diversity which are indigestible by the infant. Acting as prebiotics, multiple beneficial functions of HMO are believed to be exerted through interactions with the gut microbiota either directly or indirectly, such as supporting beneficial bacteria growth, anti-pathogenic effects, and modulation of intestinal epithelial cell response. Recent studies have highlighted that HMOs can boost infants health and reduce disease risk, revealing potential of HMOs in food additive and therapeutics. The present paper discusses recent research in respect to the impact of HMO on the infant gut microbiome, with emphasis on the molecular basis of mechanism underlying beneficial effects of HMOs.

Keywords: Bifidobacterium; Human milk; Human milk oligosaccharides (HMOs); Infant formula; Infant gut microbiota; Oligosaccharides (OS); Prebiotics.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / pharmacology
  • Bifidobacterium
  • Gastrointestinal Microbiome / drug effects*
  • Gastrointestinal Microbiome / immunology*
  • Humans
  • Infant
  • Infant, Newborn
  • Intestines / immunology*
  • Intestines / microbiology*
  • Milk, Human / chemistry*
  • Oligosaccharides / chemistry
  • Oligosaccharides / genetics
  • Oligosaccharides / metabolism*
  • Oligosaccharides / pharmacology*
  • Prebiotics / analysis

Substances

  • Anti-Infective Agents
  • Oligosaccharides
  • Prebiotics