Breastfeeding promotes early neonatal regulatory T cell expansion and
immune tolerance of non-inherited maternal antigens
Abstract
Background: Breastfeeding is associated with long-term health benefits,
such as a lower incidence of allergy, asthma, diabetes or celiac
disease. However, little is known regarding how the maternal and
neonatal immune systems interact after parturition when the neonate
receives nutrition from maternal breastmilk. Methods: We undertook a
comparative analysis of immune repertoire and function at birth and 3
weeks of age in a cohort of 38 term neonates born by caesarean section
grouped according to feeding method (breastmilk versus formula). We used
flow cytometry to study the immune phenotype in neonatal and maternal
blood samples and mixed lymphocyte reactions to establish the
proliferation response of neonatal versus maternal lymphocytes and vice
versa. The microbiome of neonatal stool samples was also investigated
using 16S rRNA sequencing. Results: We show that the proportion of
regulatory T cells (Tregs) increases in this period and is nearly
two-fold higher in exclusively breastfed neonates compared to those who
received formula milk only. Moreover, breastfed neonates show a specific
and Treg-dependent reduction in proliferative T cell responses to
non-inherited maternal antigens (NIMA), associated with a reduction in
inflammatory cytokine production. Conclusions: These data indicate that
exposure of the neonate to maternal cells through breastfeeding acts to
drive the maturation of Tregs and ‘tolerizes’ the neonate towards NIMA.