Meta-analysis of effects of exclusive breastfeeding on infant gut microbiota across populations

From BugSigDB
Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
Authors
Ho NT, Li F, Lee-Sarwar KA, Tun HM, Brown BP, Pannaraj PS, Bender JM, Azad MB, Thompson AL, Weiss ST, Azcarate-Peril MA, Litonjua AA, Kozyrskyj AL, Jaspan HB, Aldrovandi GM, Kuhn L
Journal
Nature communications
Year
2018
Previous studies on the differences in gut microbiota between exclusively breastfed (EBF) and non-EBF infants have provided highly variable results. Here we perform a meta-analysis of seven microbiome studies (1825 stool samples from 684 infants) to compare the gut microbiota of non-EBF and EBF infants across populations. In the first 6 months of life, gut bacterial diversity, microbiota age, relative abundances of Bacteroidetes and Firmicutes, and predicted microbial pathways related to carbohydrate metabolism are consistently higher in non-EBF than in EBF infants, whereas relative abundances of pathways related to lipid metabolism, vitamin metabolism, and detoxification are lower. Variation in predicted microbial pathways associated with non-EBF infants is larger among infants born by Caesarian section than among those vaginally delivered. Longer duration of exclusive breastfeeding is associated with reduced diarrhea-related gut microbiota dysbiosis. Furthermore, differences in gut microbiota between EBF and non-EBF infants persist after 6 months of age. Our findings elucidate some mechanisms of short and long-term benefits of exclusive breastfeeding across different populations.

Experiment 1


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/02

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Subjects

Location of subjects
Bangladesh
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Feces Cow dung,Cow pat,Droppings,Dung,Excrement,Excreta,Faeces,Fecal material,Fecal matter,Fewmet,Frass,Guano,Matières fécales@fr,Merde@fr,Ordure,Partie de la merde@fr,Piece of shit,Porción de mierda@es,Portion of dung,Portion of excrement,Portion of faeces,Portion of fecal material,Portion of fecal matter,Portion of feces,Portion of guano,Portion of scat,Portionem cacas,Scat,Spoor,Spraint,Stool,Teil der fäkalien@de,Feces,feces
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Breastfeeding duration Breastfeeding duration,breastfeeding duration
Group 0 name Corresponds to the control (unexposed) group for case-control studies
Exclusive Breast Feeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Non_Exclusive Breast Feeding (Non-EBF)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Infants who was feed breast milk with either formula or solid.
Group 0 sample size Number of subjects in the control (unexposed) group
138
Group 1 sample size Number of subjects in the case (exposed) group
178

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Random Forest Analysis
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes
Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
age, sex

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
unchanged
Richness Number of species
unchanged
Faith Phylogenetic diversity, takes into account phylogenetic distance of all taxa identified in a sample
unchanged

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/02

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Source: Table 11, Table 2, Table 3

Description: Gut bacterial taxa with differential relative abundances from 6 months to 2 years of age between infants with duration of exclusive breastfeeding >2 months vs. ≤2 months from birth.

Abundance in Group 1: increased abundance in Non_Exclusive Breast Feeding (Non-EBF)

NCBI Quality ControlLinks
Bifidobacterium
Enterococcus

Revision editor(s): Shulamite, Peace Sandy

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/08

Curator: Shulamite

Revision editor(s): Shulamite, Rahila, Peace Sandy

Source: Table 11, Table 2, Table 3

Description: Gut bacterial taxa with differential relative abundances from 6 months to 2 years of age between infants with duration of exclusive breastfeeding >2 months vs. ≤2 months from birth.

Abundance in Group 1: decreased abundance in Non_Exclusive Breast Feeding (Non-EBF)

NCBI Quality ControlLinks
Blautia
Catenibacterium
Collinsella
Lactobacillus
Prevotella
Ruminococcus
unclassified Clostridiaceae
unclassified Coriobacteriaceae
unclassified Lachnospiraceae

Revision editor(s): Shulamite, Rahila, Peace Sandy

Experiment 2


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/02

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Differences from previous experiment shown

Subjects

Location of subjects
Canada


Group 0 name Corresponds to the control (unexposed) group for case-control studies
Increasing Exclusive Breast Feeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Reduced exclusivity of beast feeding to none breastfeeding
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Introducing other foods or liquids while still breastfeeding
Group 0 sample size Number of subjects in the control (unexposed) group
86
Group 1 sample size Number of subjects in the case (exposed) group
48

Lab analysis

Statistical Analysis

Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.005
Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
age

Alpha Diversity

Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/03

Curator: Shulamite

Revision editor(s): Shulamite, Rahila, Peace Sandy

Source: Table 3, Table 2

Description: Meta-analysis of five studies that included a non-breastfeeding group for gut bacterial taxa with trend in relative abundance across exclusive breastfeeding, nonexclusive breastfeeding and non breastfeeding groups.

Abundance in Group 1: increased abundance in Reduced exclusivity of beast feeding to none breastfeeding

NCBI Quality ControlLinks
Akkermansia
Bacillota
Bacteroidia
Blautia
Coprococcus
Eubacterium
Verrucomicrobiota
Bacteroides
Clostridium
Megasphaera
Veillonella
Eubacterium sp.

Revision editor(s): Shulamite, Rahila, Peace Sandy

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/03

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Source: Table 3, Table 2

Description: Meta-analysis of five studies that included a non-breastfeeding group for gut bacterial taxa with trend in relative abundance across exclusive breastfeeding, nonexclusive breastfeeding and non breastfeeding groups.

Abundance in Group 1: decreased abundance in Reduced exclusivity of beast feeding to none breastfeeding

NCBI Quality ControlLinks
Haemophilus
Staphylococcus

Revision editor(s): Shulamite, Peace Sandy

Experiment 3


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/03

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Differences from previous experiment shown

Subjects

Location of subjects
Haiti


Group 0 name Corresponds to the control (unexposed) group for case-control studies
Exclusively Breastfeeding (EBF), Vaginally Born and C-section Born
Group 1 name Corresponds to the case (exposed) group for case-control studies
Non-Exclusive Breastfeeding (Non-EBF), Vaginally Born and C-section Born
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Infants fed with breast milk plus solid or formula
Group 0 sample size Number of subjects in the control (unexposed) group
37
Group 1 sample size Number of subjects in the case (exposed) group
11

Lab analysis

Statistical Analysis

Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05


Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/03

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Source: Table 2, Table 3.

Description: Meta-analysis of all seven included studies for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age.

Meta-analysis of five studies that included a non-breastfeeding group for gut bacterial taxa with trend in relative abundance across exclusive breastfeeding, non-exclusive breastfeeding and non-breastfeeding groups.

Abundance in Group 1: increased abundance in Non-Exclusive Breastfeeding (Non-EBF), Vaginally Born and C-section Born

NCBI Quality ControlLinks
Akkermansia
Bacillota
Blautia
Coprococcus
Eubacterium
Verrucomicrobiota

Revision editor(s): Shulamite, Peace Sandy

Experiment 4


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/03

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Differences from previous experiment shown

Subjects

Location of subjects
South Africa


Group 0 name Corresponds to the control (unexposed) group for case-control studies
Exclusive Breastfeeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Non-Exclusive Breastfeeding (Non-EBF)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Infants fed with breast milk plus solid or formula
Group 0 sample size Number of subjects in the control (unexposed) group
86
Group 1 sample size Number of subjects in the case (exposed) group
57

Lab analysis

Statistical Analysis

Confounders controlled for Confounding factors that have been accounted for by stratification or model adjustment
Not specified

Alpha Diversity

Chao1 Abundance-based estimator of species richness
increased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/05

Curator: Shulamite

Revision editor(s): Shulamite, Rahila, Peace Sandy

Source: Table 2, Table 3.

Description: Meta-analysis of all seven included studies for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age.

Meta-analysis of five studies that included a non-breastfeeding group for gut bacterial taxa with trend in relative abundance across exclusive breastfeeding, non-exclusive breastfeeding and non-breastfeeding groups.

Abundance in Group 1: increased abundance in Non-Exclusive Breastfeeding (Non-EBF)

NCBI Quality ControlLinks
Bacteroides
Clostridium
Eubacterium
Megasphaera
Veillonella
Akkermansia
Bacillota
Blautia
Coprococcus
Verrucomicrobiota

Revision editor(s): Shulamite, Rahila, Peace Sandy

Signature 2

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-20

Curated date: 2024/11/19

Curator: Peace Sandy

Revision editor(s): Peace Sandy

Source: Table 2, Table 3.

Description: Meta-analysis of all seven included studies for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age.

Meta-analysis of five studies that included a non-breastfeeding group for gut bacterial taxa with trend in relative abundance across exclusive breastfeeding, non-exclusive breastfeeding and non-breastfeeding groups.

Abundance in Group 1: decreased abundance in Non-Exclusive Breastfeeding (Non-EBF)

NCBI Quality ControlLinks
Haemophilus
Staphylococcus

Revision editor(s): Peace Sandy

Experiment 5


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/04

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

Subjects

Location of subjects
United States of America


Group 0 name Corresponds to the control (unexposed) group for case-control studies
Increasing Exclusive Breast Feeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Reduced exclusivity of beast feeding to none breastfeeding
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Exclusive breastfeeding to infants were reduced.
Group 0 sample size Number of subjects in the control (unexposed) group
150
Group 1 sample size Number of subjects in the case (exposed) group
68

Lab analysis

Statistical Analysis

Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.005


Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/04

Curator: Shulamite

Revision editor(s): Shulamite

Source: Table 7

Description: Meta-analysis stratified by mode of delivery for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age.

Abundance in Group 1: increased abundance in Reduced exclusivity of beast feeding to none breastfeeding

NCBI Quality ControlLinks
Acidaminococcus
Eubacterium
unclassified Lachnospiraceae
Bacteroides
Erysipelotrichaceae
unclassified Clostridiaceae
Aggregatibacter
Lactococcus
Blautia

Revision editor(s): Shulamite

Signature 3

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/08

Curator: Shulamite

Revision editor(s): Shulamite, Rahila

Source: Table 7

Description: Meta-analysis stratified by mode of delivery for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age.

Abundance in Group 1: decreased abundance in Reduced exclusivity of beast feeding to none breastfeeding

NCBI Quality ControlLinks
Anaerotruncus
Phascolarctobacterium
Proteus
Pseudomonadota
Staphylococcus
unclassified Enterobacteriaceae

Revision editor(s): Shulamite, Rahila

Experiment 6


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/04

Curator: Shulamite

Revision editor(s): Shulamite

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Exclusive BreastFeeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Non-Exclusive Breastfeeding (Non-EBF)
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Infants fed with breast milk plus solid or formula.
Group 0 sample size Number of subjects in the control (unexposed) group
38
Group 1 sample size Number of subjects in the case (exposed) group
66

Lab analysis

16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-V5
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Roche454

Statistical Analysis

Statistical test
Not specified
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
No


Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/04

Curator: Shulamite

Revision editor(s): Shulamite

Source: Table 6

Description: Meta-analysis of six studies without data from VDAART trial study for gut bacterial taxa with differential relative abundances between non-exclusively breastfed vs. exclusively breastfed infants ≤6 months of age (sensitivity analysis).

Abundance in Group 1: increased abundance in Non-Exclusive Breastfeeding (Non-EBF)

NCBI Quality ControlLinks
Acidaminococcus
Bacteroides
Clostridium
Coprococcus
Eubacterium
Megasphaera
Veillonella

Revision editor(s): Shulamite

Experiment 7


Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/05

Curator: Shulamite

Revision editor(s): Shulamite, Peace Sandy

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
Increasing Exclusive Breast Feeding (EBF)
Group 1 name Corresponds to the case (exposed) group for case-control studies
Reduced exclusivity of beast feeding to none breastfeeding
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Not specified
Group 0 sample size Number of subjects in the control (unexposed) group
12
Group 1 sample size Number of subjects in the case (exposed) group
8

Lab analysis

16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V1-V2
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Statistical test
Random Forest Analysis
MHT correction Have statistical tests be corrected for multiple hypothesis testing (MHT)?
Yes

Alpha Diversity

Richness Number of species
increased

Signature 1

Reviewed Marked as Reviewed by Peace Sandy on 2024-11-19

Curated date: 2024/10/06

Curator: Shulamite

Revision editor(s): Shulamite, Rahila

Source: Table 4

Description: Meta-analysis of six studies without data from North Carolina study for gut bacterial taxa with differential relative abundances between non-exclusivelybreastfed vs. exclusively breastfed infants ≤6 months of age (sensitivity analysis).

Abundance in Group 1: increased abundance in Reduced exclusivity of beast feeding to none breastfeeding

NCBI Quality ControlLinks
Bacteroides
Clostridium
Eubacterium
Lachnospiraceae
Megasphaera
unclassified Clostridiaceae
Eubacteriales
Bacteroidia

Revision editor(s): Shulamite, Rahila