Occurrence of aflatoxin M1 in human milk samples in Vojvodina, Serbia: Estimation of average daily intake by babies

ABSTRACT Aflatoxin B1 (AFB1) is the most potent of the dietary aflatoxins, and its major metabolite, aflatoxin M1 (AFM1), is frequently found in the breast milk of lactating mothers. The aim of this study was to assess the occurrence and factors associated with AFM1 contamination of breast milk collected from lactating mothers in Lebanon. A total of 111 breast milk samples were collected according to the guidelines set by the World Health Organization. Samples were analyzed with a competitive enzyme-linked immunosorbent assay between December 2015 and November 2016. A survey was used to determine the demographic and anthropometric characteristics of participating lactating mothers. Dietary habits were assessed using a semiquantitative food frequency questionnaire. Mean (±standard deviation) concentration of AFM1 in the breast milk samples was 4.31 ± 1.8 ng/L, and 93.8% of samples contained AFM1 at 0.2 to 7.9 ng/L. The mean concentration of AFM1 was significantly lower (P < 0.05) in fall and winter (4.1 ± 1.9 ng/L) than in spring and summer (5.0 ± 1.7 ng/L). None of the samples exceeded the European Commission regulation limit (25 ng/L) for infant milk replacement formula. AFM1 contamination was significantly associated (P < 0.05) with the daily consumption of white cheeses but not with the consumption of meat or cereal products. No significant association (P > 0.05) was observed between AFM1 concentrations in breast milk and anthropometric sociodemographic factors (age and level of education) or the governorate of residence of the nursing mothers. The mean AFM1 estimated daily intake was found to be 0.69 ng/day/kg of body weight. Although the incidence of AFM1 contamination was low, our first-of-its-kind study highlights the importance of conducting investigations on mycotoxin contamination in breast milk and of developing protection strategies to tackle the exposure of infants to this potent chemical hazard.

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Association of maternal blood pressure and hemoglobin level with organochlorines in human milk

Human & Experimental Toxicology ◽

10.1191/0960327102ht198oa ◽

2002 ◽

Vol 21 (1) ◽

pp. 1-6 ◽

Cited By ~ 21

Author(s):

M KJ Siddiqui ◽

U Nigam ◽

S Srivastava ◽

D S Tejeshwar ◽

Chandrawati

Keyword(s):

Blood Pressure ◽

Human Milk ◽

Daily Intake ◽

Negative Relationship ◽

Maternal Blood ◽

Gas Liquid Chromatography ◽

Maternal Characteristics ◽

Milk Samples ◽

Periodic Monitoring ◽

Maternal Blood Pressure

Milk samples of women from the general population in Lucknow were analysed by gas–liquid chromatography to determine the concentration of organochlorine pesticides and their possible association with maternal characteristics. p,p0-DDT (dichloro diphenyltrichloroethane),p,p-DDE (dichloro diphenyl trichloroethylene), p,p0-DDD (dichloro diphenyl dichloroethane), ¬, 00ad, fi and flisomers of hexachlorocyclohexane (HCH) and aldrin were detected. The calculated daily intake of DDT and HCH by the neonates exceeded their acceptable daily intake (ADI) set by the WHO. A statistically significant association was noted between ¬-HCH residues in milk and hemoglobin (Hb) level in maternal blood (P<0.001). Also, there was a significant association between fi-HCH and p,p0-DDT levels in milk and diastolic blood pressure of mother (P<0.05). An apparent negative relationship between p,p0-DDE level in mother's milk and birthweight of the baby was also noticed (P<0.05). These results highlight the need for periodic monitoring to determine organochlorine contamination in human milk and assess their impact on mother and on neonatal health.

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Levels of Pesticide Residues in Egyptian Human Milk Samples and Infant Dietary Intake

Journal of AOAC INTERNATIONAL ◽

10.1093/jaoac/74.1.89 ◽

1991 ◽

Vol 74 (1) ◽

pp. 89-91 ◽

Cited By ~ 1

Author(s):

Salwa M Dogheim ◽

Mohamed EL-Shafeey ◽

Abla M H Afifi ◽

Fatma E Abdel-Aleem

Keyword(s):

Human Milk ◽

Dietary Intake ◽

Pesticide Residues ◽

Daily Intake ◽

Heptachlor Epoxide ◽

Dietary Intakes ◽

Acceptable Daily Intake ◽

Milk Samples ◽

Hexachlorocyclohexane Isomers ◽

Breast Fed

Abstract Contamination of human milk with residues of organochlorlne pesticides and polychlorlnated blphenyls was studied In a series of Investigations concerned with the monitoring of these chemicals In Egyptian food. The DDT complex was the most frequently found pesticide, followed by total hexachlorocyclohexane Isomers. Heptachlor and its epoxide, dleldrln, hexachlorobenzene, and oxychlordane were also found but less frequently. Estimated dietary Intakes (EDIs) of these contaminants by the breast-fed Infants were compared to acceptable dally Intakes (ADIs). EDIs of DDT complex, lindane (gamma-HCH), heptachlor + heptachlor epoxide, and oxychlordane were below ADIs. Dleldrln EDI exceeded the acceptable daily intake.

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Organochlorine Pesticide Residues in Human Milk in Kayseri

Human & Experimental Toxicology ◽

10.1177/096032719401300501 ◽

1994 ◽

Vol 13 (5) ◽

pp. 299-302 ◽

Cited By ~ 11

Author(s):

H. Basri üstünbas ◽

M. Adnan Öztürk ◽

E. Hasanoglu ◽

M. Dogan

Keyword(s):

Human Milk ◽

Milk Fat ◽

Daily Intake ◽

World Health ◽

Similar Data ◽

Acceptable Daily Intake ◽

Chlorinated Pesticides ◽

Lactating Women ◽

Milk Samples ◽

Health Organization

In this study: dichlorodiphenyltrichloroethane (DDT) and its metabolites [DDT + dichlorodiphenyl-dichloroethylene (DDE)], BHC (HCH) and their main isomers such as alpha, beta, gamma BHC, aldrin and its metabolite dieldrin, heptachloride, heptachloride epoxide, were investigated in 51 samples of breast milk of 51 lactating women during 1988. The ages of the mothers, who were working in agriculture, ranged from 17 to 33 y (mean 24.2 y). The concentrations of hexachlorobenzene (HCB), alpha BHC, beta BHC, gamma BHC, heptachloride, aldrin, heptachloride epoxide, pp'DDE, dieldrin, op'DDT, pp'DDT were found as 84± 23, 96± 20, 522± 120, 156± 20, 198± 130, 47± 9, 11 ± 4, 2389± 280, 6.7± 3, 70± 12, 410± 60 ?g kg-1 milk, fat, respectively, measured by gas chromatography (GC) method. The concentrations of chlorinated pesticides in human milk samples from Kayseri were compared with similar data obtained from other countries. The amounts of total BHC and aldrin derivatives were below the acceptable daily intake (ADI), whereas the amount of total DDT derivates was above, of the World Health Organization (WHO).

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COVID-19 Vaccine mRNABNT162b2 Elicits Human Antibody Response in Milk of Breastfeeding Women

Vaccines ◽

10.3390/vaccines9070785 ◽

2021 ◽

Vol 9 (7) ◽

pp. 785

Author(s):

Maurizio Guida ◽

Daniela Terracciano ◽

Michele Cennamo ◽

Federica Aiello ◽

Evelina La Civita ◽

...

Keyword(s):

Breast Milk ◽

Antibody Response ◽

Human Milk ◽

Human Antibody ◽

Serum Antibodies ◽

Serum Samples ◽

Low Concentration ◽

Milk Samples ◽

Milk Antibodies ◽

Roche Diagnostics

Objective: The objective of this research is to demonstrate the release of SARS-CoV-2 Spike (S) antibodies in human milk samples obtained by patients who have been vaccinated with mRNABNT162b2 vaccine. Methods: Milk and serum samples were collected in 10 volunteers 20 days after the first dose and 7 seven days after the second dose of the mRNABNT162b2 vaccine. Anti-SARS-CoV-2 S antibodies were measured by the Elecsys® Anti-SARS-CoV-2 S ECLIA assay (Roche Diagnostics AG, Rotkreuz, Switzerland), a quantitative electrochemiluminescence immunometric method. Results: At first sample, anti-SARS-CoV-2 S antibodies were detected in all serum samples (103.9 ± 54.9 U/mL) and only in two (40%) milk samples with a low concentration (1.2 ± 0.3 U/mL). At the second sample, collected 7 days after the second dose, anti-SARS-CoV-2 S antibodies were detected in all serum samples (3875.7 ± 3504.6 UI/mL) and in all milk samples (41.5 ± 47.5 UI/mL). No correlation was found between the level of serum and milk antibodies; the milk antibodies/serum antibodies ratio was on average 2% (range: 0.2–8.4%). Conclusion: We demonstrated a release of anti-SARS-CoV-2 S antibodies in the breast milk of women vaccinated with mRNABNT162b2. Vaccinating breastfeeding women could be a strategy to protect their infants from COVID-19 infection.

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Diet among oil-workers on off-shore oil installations in the Norwegian sector of the North Sea

British Journal Of Nutrition ◽

10.1079/bjn19920062 ◽

1992 ◽

Vol 68 (1) ◽

pp. 11-19 ◽

Cited By ~ 2

Author(s):

A. Oshaug ◽

L. I. Østgård ◽

K. U. Trygg

Keyword(s):

North Sea ◽

Heart Diseases ◽

Daily Intake ◽

Minor Role ◽

Coronary Heart Diseases ◽

Average Daily Intake ◽

The North ◽

The North Sea ◽

Oil Workers ◽

A Minor

Dietary studies based on 24 h recalls were carried out on four oil installations in the Norwegian sector of the North Sea. Two hundred and three persons were interviewed about what they had eaten the previous 24 h. Food purchased for the installations in the previous 5 months was recorded. Results based on 24 h recalls showed that average daily intake of energy was 12.2 MJ of which 17% came from protein, 44% from fat and 39% from carbohydrate, including 8% from sugar. Meat, vegetables, fresh fruits, seafood (shellfish), french fries, eggs, cream and ice-cream were important components of the diet, while bread, fish and cereals played a minor role. Average daily intake (mg) of nutrients were: calcium 1244, iron 15, vitamin A 1049 μg, vitamin D 4.1 μg, thiamin 1.6, riboflavin 2.2, nicotinic acid 22, ascorbic acid 143. Dietary fibre intake, estimated as unavailable carbohydrate, was on average 19 g, and the average daily intake of cholesterol was 755 mg. Intakes were compared with the Norwegian recommended dietary allowance. Most of the employees chose a diet which when eaten over a longer period of time may contribute to the development of coronary heart diseases (CHD) and thereby increase the morbidity and mortality from CHD in the oil industry.

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Longitudinal Changes in the Concentration of Major Human Milk Proteins in the First Six Months of Lactation and Their Effects on Infant Growth

Nutrients ◽

10.3390/nu13051476 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1476

Author(s):

Jian Zhang ◽

Ai Zhao ◽

Shiyun Lai ◽

Qingbin Yuan ◽

Xiaojiang Jia ◽

...

Keyword(s):

Human Milk ◽

Maternal Education ◽

Mode Of Delivery ◽

Milk Proteins ◽

Protein Composition ◽

Infant Growth ◽

Term Infants ◽

Longitudinal Changes ◽

Milk Samples ◽

The Impact

Our knowledge related to human milk proteins is still limited. The present study determined the changes in multiple human milk proteins during the first six months of lactation, investigated the influencing factors of milk proteins, and explored the impact of milk proteins on infant growth. A total of 105 lactating women and their full-term infants from China were prospectively surveyed in this research. Milk samples were collected at 1–5 days, 8–14 days, 1 month, and 6 months postpartum. Concentrations of total protein and α-lactalbumin were measured in all milk samples, and concentrations of lactoferrin, osteopontin, total casein, β-casein, αs−1 casein, and κ-casein were measured in milk from 51 individuals using ultra performance liquid chromatography coupled with mass spectrometry. The concentration of measured proteins in the milk decreased during the first six months of postpartum (p-trend < 0.001). Maternal age, mode of delivery, maternal education, and income impacted the longitudinal changes in milk proteins (p-interaction < 0.05). Concentrations of αs−1 casein in milk were inversely associated with the weight-for-age Z-scores of the infants (1 m: r −0.29, p 0.038; 6 m: r −0.33, p 0.020). In conclusion, the concentration of proteins in milk decreased over the first six months postpartum, potentially influenced by maternal demographic and delivery factors. Milk protein composition may influence infant weights.

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Probiotic Supplementation and Human Milk Cytokine Profiles in Japanese Women: A Retrospective Study from an Open-Label Pilot Study

Nutrients ◽

10.3390/nu13072285 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2285

Author(s):

Tomoki Takahashi ◽

Hirofumi Fukudome ◽

Hiroshi M. Ueno ◽

Shiomi Watanabe-Matsuhashi ◽

Taku Nakano ◽

...

Keyword(s):

Human Milk ◽

Regression Models ◽

Bifidobacterium Longum ◽

Pilot Trial ◽

Bacillus Coagulans ◽

Open Label ◽

Probiotic Supplementation ◽

Lactating Women ◽

Milk Samples ◽

Cytokine Levels

The benefits of probiotic supplementation to lactating mothers on human milk cytokines are inconclusive. Thus, we performed a comprehensive open-label pilot trial analysis of 27 human milk cytokines in lactating women with allergies (one to three months postpartum) to determine the effect of supplementation with a mixture of new probiotic strains. Participants voluntarily joined the probiotic (n = 41) or no supplementation control (n = 19) groups. The probiotic group took three probiotic tablets (Lactobacillus casei LC5, Bifidobacterium longum BG7, and Bacillus coagulans SANK70258) daily for one to three months postpartum. Milk samples were collected at one, two, and three months postpartum, and cytokine levels were measured using multiplex assays. The effects were analyzed using multivariate regression models. Eleven cytokines showed a positive rate of over 50% in the milk samples throughout testing in both groups. The positive rates of IL-1 receptor antagonist and IL-7 changed significantly with lactation progression in logistic regression models after adjusting for time and supplementation, whereas rates of other cytokines showed no significant differences. The lactational change patterns of IL-10 concentrations differed significantly between the two groups. A short-term supplementation of probiotics affects human milk cytokine levels in lactating women with a possible placebo effect still existing. Future placebo-controlled studies are needed to support these results, based on the estimated sample sizes in this study.

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Human Breast Milk Contains Bovine lgG. Relationship to Infant Colic?

PEDIATRICS ◽

10.1542/peds.87.4.439 ◽

1991 ◽

Vol 87 (4) ◽

pp. 439-444

Author(s):

Patrick S. Clyne ◽

Anthony Kulczycki

Keyword(s):

Breast Milk ◽

Human Milk ◽

Milk Protein ◽

Cow’S Milk ◽

Human Breast Milk ◽

Human Breast ◽

Cow's Milk ◽

Milk Samples ◽

Infant Colic ◽

Β Lactoglobulin

Previous studies have suggested that an unidentified cow's milk protein, other than β-lactoglobulin and casein, might play a pathogenetic role in infant colic. Therefore, a radioimmunoassay was used to analyze human breast milk and infant formula samples for the presence of bovine IgG. Milk samples from 88 of the 97 mothers tested contained greater than 0.1 µg/mL of bovine IgG. In a study group of 59 mothers with infants in the colic-prone 2- to 17-week age group, the 29 mothers of colicky infants had higher levels of bovine IgG in their breast milk (median 0.42 µg/mL) than the 30 mothers of noncolicky infants (median 0.32 µg/mL) (P < .02). The highest concentrations of bovine IgG observed in human milk were 8.5 and 8.2 µg/mL. Most cow's milk-based infant formulas contained 0.6 to 6.4 µg/mL of bovine IgG, a concentration comparable with levels found in many human milk samples. The results suggest that appreciable quantities of bovine IgG are commonly present in human milk, that significantly higher levels are present in milk from mothers of colicky infants, and that bovine IgG may possibly be involved in the pathogenesis of infant colic.

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