Nature Communications (Sep 2024)

Human milk oligosaccharides are associated with maternal genetics and respiratory health of human milk-fed children

  • Amirthagowri Ambalavanan,
  • Le Chang,
  • Jihoon Choi,
  • Yang Zhang,
  • Sara A. Stickley,
  • Zhi Y. Fang,
  • Kozeta Miliku,
  • Bianca Robertson,
  • Chloe Yonemitsu,
  • Stuart E. Turvey,
  • Piushkumar J. Mandhane,
  • Elinor Simons,
  • Theo J. Moraes,
  • Sonia S. Anand,
  • Guillaume Paré,
  • Janet E. Williams,
  • Brenda M. Murdoch,
  • Gloria E. Otoo,
  • Samwel Mbugua,
  • Elizabeth W. Kamau-Mbuthia,
  • Egidioh W. Kamundia,
  • Debela K. Gindola,
  • Juan M. Rodriguez,
  • Rossina G. Pareja,
  • Daniel W. Sellen,
  • Sophie E. Moore,
  • Andrew M. Prentice,
  • James A. Foster,
  • Linda J. Kvist,
  • Holly L. Neibergs,
  • Mark A. McGuire,
  • Michelle K. McGuire,
  • Courtney L. Meehan,
  • Malcolm R. Sears,
  • Padmaja Subbarao,
  • Meghan B. Azad,
  • Lars Bode,
  • Qingling Duan

DOI
https://doi.org/10.1038/s41467-024-51743-6
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 15

Abstract

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Abstract Breastfeeding provides many health benefits, but its impact on respiratory health remains unclear. This study addresses the complex and dynamic nature of the mother-milk-infant triad by investigating maternal genomic factors regulating human milk oligosaccharides (HMOs), and their associations with respiratory health among human milk-fed infants. Nineteen HMOs are quantified from 980 mothers of the CHILD Cohort Study. Genome-wide association studies identify HMO-associated loci on chromosome 19p13.3 and 19q13.33 (lowest P = 2.4e–118), spanning several fucosyltransferase (FUT) genes. We identify novel associations on chromosome 3q27.3 for 6′-sialyllactose (P = 2.2e–9) in the sialyltransferase (ST6GAL1) gene. These, plus additional associations on chromosomes 7q21.32, 7q31.32 and 13q33.3, are replicated in the independent INSPIRE Cohort. Moreover, gene-environment interaction analyses suggest that fucosylated HMOs may modulate overall risk of recurrent wheeze among preschoolers with variable genetic risk scores (P < 0.01). Thus, we report novel genetic factors associated with HMOs, some of which may protect the respiratory health of children.