Clinical Medicine IV. Lectures
Dr. Vass, Réka
Department of Obstetrics and Gynecology, University of Pécs
+36302532000
rekaanna.vass@gmail.com
All Breast Milk Designed Equally?
Vass R.A.1,2, Kiss G.3, Takács T.1, Dombai F.1, Kiss A.A. 1, Miseta A.3, Ertl T.1,2
1 Department of Obstetrics and Gynecology, University of Pécs, Pécs, Hungary
2 MTA-PTE Human Reproduction Scientific Research Group
3 Department of Laboratory Medicine, University of Pécs, Pécs, Hungary
Clinical Medicine IV. Lectures
Hungarian
Clinical Medicine
Theoretical and Translational Medicine
Introduction: After birth breastfeeding is the only direct biological connection between the mother and newborn infant. Preterm birth disrupts intrauterine development, therefore preterm infants are deprived of transplacental hormonal exposure. Our investigation focused on the presence of pituitary hormones, like folliculus stimulating hormone (FSH), luteinizing hormone (LH), thyroid stimulating hormone (TSH), and thyroxin in breast milk during the first 6 month of lactation.
Methods: Mothers of term (n=15) and preterm (n=10) infants donated samples monthly from a midday breastfeeding during the first 6 months of lactation. Donors were recruited at the Department of Gynecology, University of Pécs, Hungary.
Results: Total protein levels (10.139±0.364 g/l vs 9.542±0.297 g/l; p=0.207) and TSH concentrations (0.018±0.001 vs 0.024±0.002 mU/l; p=0.096) were similar in the two groups. LH concentrations were significantly higher in the preterm samples (0.04±0.009 vs 0.015±0.004 U/l; p=0.041), respectively. In contrast, the FSH level was significantly higher in breast milk produced for term infants (0.179±0.014 vs 0.122±0.008 ng/ml; p=0.001). Thyroxin concentration was significantly higher in the preterm samples (0.671±0.061 vs 1.124±0.073 ng/ml; p<0.001). We did not detect significant monthly changes in the distribution of the investigated hormones during the study period.
Discussion: Breast milk contains hormones produced by the pituitary gland and thyroxin as well, and we detected the presence of these hormones in both groups during the examination period. Differences between the hormonal composition of term and preterm breast milk were found. The immature gastrointestinal tract and the reduced enzyme production may facilitate the absorption of these hormones or they may influence the development of the gastrointestinal tract directly.
Ethical Committee: PTE KK RIKEB 2018/7271.
Acknowledgements: We acknowledge the essential help of Katalin Szalaváry and Ágnes Rózsai. This work is supported by the grant GINOP 2.3.2-15-2016-00021 from the Economic Development and Innovation Operational Program and by the ÚNKP-19-3-I. This work is also supported by the New National Excellence Program of the Ministry for Innovation of the Government of Hungary.
Supervisor: Tibor Ertl
tibor.ertl@aok.pte.hu
Szóbeli
Szabad
elfogadva
szóbeli
nem rendelkezett róla
4757
17:00
17:15
Vass R.A.1,2, Kiss G.3, Takács T.1, Dombai F.1, Kiss A.A. 1, Miseta A.3, Ertl T.1,2
1 Department of Obstetrics and Gynecology, University of Pécs, Pécs, Hungary
2 MTA-PTE Human Reproduction Scientific Research Group
3 Department of Laboratory Medicine, University of Pécs, Pécs, Hungary