Human milk is considered as ‘gold standard’ as it is the best form of nutrition for infants. WHO and UNICEF recommend exclusive breastfeeding for the first 6 months of life with introduction of complementary food at 6 months of age and continuation of breastfeeding up to 2 years.1

Human milk composition is unique and acts as a complete source of energy, provides several nutrients which acts as bioactive components that are specifically adapted and formulated to support infant’s growth and development.2 Some of these bioactive compounds are human milk oligosaccharides, α-lactalbumin, lactoferrin, taurine, milk fat globule membrane, folates, polyamines, long-chain polyunsaturated fatty acids (DHA & ARA), prebiotics and probiotics etc.3

prebiotics

What are Human Milk
Oligosaccharides?

Human milk oligosaccharides (HMOs) have become a topic of research due to its nutritional and health benefits for almost a century.4

HMOs are natural occurring prebiotics found in abundance in human milk.

3rd Largest solid
component In human Milk4,5

HMO content of colostrum is around 20g/L which later drops to 12-15g/L in mature human milk4.

More than 1000 different oligosacharides are present in human milk5,6, of which around 162 different structures have been characterized.7 2’-Fucosyllactose (2’-FL) is the most predominant oligosaccharide present in human milk.8

prebiotics
 
prebiotics
  • Fucosylation HMOs
  • Non-Fucosylated HMOs
  • Non-Fucosylated HMOs

HMOs are classified into 3 main types namely9

  • Neutral N-containing or Non-fucosylated HMOs
  • Neutral or Fucosylated HMOs
    (e.g. 2’-Fucosyllactose)
  • Acidic or Sialylated HMOs
    (e.g. 2’-Sialyllactose)

Each HMO has a unique profile which varies over time & is influenced by several factors4, 10

prebiotics
HMOs can resist digestion in the upper GI tract and retain their structural configuration in the proximal intestine11. Upon reaching the distal intestine, they are fermented by bacteria like Bifidobacterium spp. This explains the diverse role of HMOs on gut microbiota, immunity, growth and cognitive development during early life.9,11
benefits HOMS
References:
  • WHO 2000
  • Greer FR. et al. Pediatrics. 2008;121(1):183-9.
  • Almeida CC. et al. Int J Food Sci. 2021 May 14;2021:8850080.
  • Sprenger N. et al. J Hum Nutr Diet. 2022 Apr;35(2):280-299.
  • Stahl B. et al. Anal Biochem. 1994;223(2):218-26.
  • Thurl S. et al. Nutr Rev. 2017:920-33.
  • Urashima. et al. Glycotechnol. 2018, 30, SJ11–SJ24.
  • Erney RM. et al. J Pediatr Gastroenterol Nutr. 2000;30(2):181-92.
  • Wiciński M. et al. Nutrients. 2020 Jan 20;12(1):266.
  • Coppa GV. et al. Acta paediatrica. 1999;88(430):89-94.
  • Zhang S. et al. Microb Cell Fact. 2021 Jul 21;20(1):140

Read Articles

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scGOS/lcFOS (9:1) and 2’-FL Combination Mimics Structural Diversity of Infant Feeds

scGOS/lcFOS (9:1) and 2’-FL Combination Mimics Structural Diversity of Infant Feeds

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Effect of Human Milk Oligosaccharides on Infant Gut

Effect of Human Milk Oligosaccharides on Infant Gut

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Impact of Prebiotic Oligosaccharides on Local Immunity

Human milk oligosaccharides (HMO) contribute to developing beneficial intestinal microflora and building immunity.

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Favorable Effect Of Prebiotic Oligosaccharides On Gut Microbiota

Favorable Effect Of Prebiotic Oligosaccharides On Gut Microbiota

Nutricia Pioneering Innovation


Publications

Efficacy And Safety Of Hydrolyzed Cow Milk And Amino Acid-derived Formulas In Infants With Cow Milk Allergy

Author: E Isolauri, Y Sütas, S Mäkinen-Kiljunen, S S Oja, R Isosomppi, K Turjanmaa

Journal: J Pediatr. 1995 Oct;127(4):550-7

DOI: 10.1016/s0022-3476(95)70111-7

Dosage-related Bifidogenic Effects Of Galacto- And Fructooligosaccharides In Formula-fed Term Infants

Author: G Moro, I Minoli, M Mosca, S Fanaro, J Jelinek, B Stahl, G Boehm

Journal: Journal of pediatric gastroenterology and nutrition. 2002 Mar;34(3):291-5.

DOI: DOI: 10.1097/00005176-200203000-00014

PREBIOTICS, GUT,
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