4.6 Article

Human milk H2O2 content: does it benefit preterm infants?

Journal

PEDIATRIC RESEARCH
Volume 83, Issue 3, Pages 687-692

Publisher

NATURE PUBLISHING GROUP
DOI: 10.1038/pr.2017.303

Keywords

-

Categories

Funding

  1. Canadian Institutes of Health Research [MOP 133664]
  2. NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL133664] Funding Source: NIH RePORTER

Ask authors/readers for more resources

BACKGROUND: Human milk has a high content of the antimicrobial compound hydrogen peroxide (H2O2). As opposed to healthy full-term infants, preterm neonates are fed previously expressed and stored maternal milk. These practices may favor H2O2 decomposition, thus limiting its potential benefit to preterm infants. The goal of this study was to evaluate the factors responsible for H2O2 generation and degradation in breastmilk. METHODS: Human donors' and rats' milk, along with rat mammary tissue were evaluated. The role of oxytocin and xanthine oxidase on H2O2 generation, its pH-dependent stability, as well as its degradation via lactoperoxidase and catalase was measured in milk. RESULTS: Breast tissue xanthine oxidase is responsible for the H2O2 generation and its milk content is dependent on oxytocin stimulation. Stability of the human milk H2O2 content is pH-dependent and greatest in the acidic range. Complete H2O2 degradation occurs when human milk is maintained, longer than 10 min, at room temperature and this process is suppressed by lactoperoxidase and catalase inhibition. CONCLUSION: Fresh breastmilk H2O2 content is labile and quickly degrades at room temperature. Further investigation on breastmilk handling techniques to preserve its H2O2 content, when gavage-fed to preterm infants is warranted.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Gastroenterology & Hepatology

The newborn rat gastric emptying rate is volume and not developmentally dependent

C. H. F. Ferreira, Y. Shifrin, J. Pan, J. Ivanovska, P. J. McNamara, J. Belik

NEUROGASTROENTEROLOGY AND MOTILITY (2018)

Article Gastroenterology & Hepatology

Gavage Feed Volume Determines the Gastric Emptying Rate in Preterm Infants

Cristina H. F. Ferreira, Francisco E. Martinez, Gerson C. Crott, Jaques Belik

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION (2018)

Article Pediatrics

Prevalence, risk factors and outcomes associated with pulmonary hemorrhage in newborns

Cristina Helena Ferreira, Fabio Carmona, Francisco Eulogio Martinez

JORNAL DE PEDIATRIA (2014)

Article Pediatrics

Low technology, mild controlled hypothermia for necrotizing enterocolitis treatment: an initiative to improve healthcare to preterm neonates.

Walusa Assad Goncalves-Ferri, Cristina Helena Faleiros Ferreira, Laryssa de Carli de Almeida Couto, Thaissa Rodrigues Souza, Thayane de Castro Peres, Fabio Carmona, Davi Casale Aragon, Gerson Crott, Marisa M. Mussi-Pinhata, Jose Simon Camelo Junior, Anelise Roosch, Lourenco Sbragia Neto

Summary: In this study, low technology, mild controlled hypothermia was found to be a feasible, safe, and effective treatment for NEC Modified Bell's Stage II/III. It reduced the need for surgery, bowel perforation, extensive intestinal resection, mortality, and shortened the duration of parenteral nutrition. New approaches like mild controlled hypothermia may provide a promising alternative to conventional treatments for NEC.

EUROPEAN JOURNAL OF PEDIATRICS (2021)

Article Medicine, General & Internal

Methylene Blue to Neonatal Septic Shock treatment in neonate pigs

Walusa Assad Goncalves-Ferri, Agnes Afrodite Sumarelli Albuquerque, Renata Sayuri Ansai Pereira de Castro, Cristina Helena Faleiros Ferreira, Luis K. Oharomari Jr, Diego Fernando Silva Lessa, Paulo Renata Barbosa Evora

Summary: The authors designed an animal model of neonatal sepsis and analyzed the treatment of neonatal septic shock with Methylene Blue (MB) in a swine model. The study showed that MB improved biomarkers related to septic shock prognosis, although no improvement in blood levels could be detected. This suggests that MB might be a beneficial drug for treating hemodynamic instability in infants.

CLINICS (2022)

Article Pediatrics

Mild controlled hypothermia for necrotizing enterocolitis treatment to preterm neonates: low technology technique description and safety analysis

Walusa Assad Goncalves-Ferri, Cristina Helena Faleiros Ferreira, Lara Malosso Sgarbi Albuquerque, Julia Belcavelo Contin Silva, Mariel Versiane Caixeta, Fabio Carmona, Cristina Calixto, Davi Casale Aragon, Gerson Crott, Marisa M. Mussi-Pinhata, Anelise Roosch, Lourenco Sbragia

Summary: This study describes the steps and management of applying hypothermia in preterm infants using low technology and presents the safety aspects of the initiative. The results show that controlled hypothermia for preterm infants with NEC is safe when performed through passive methods with incubator servo-control for temperature management.

EUROPEAN JOURNAL OF PEDIATRICS (2022)

Meeting Abstract Pediatrics

Mild therapeutic hypothermia is safe for preterm infants with NEC stage

Lara Malosso Sgarbi Albuquerque, Cristina Calixto, Gerson Claudio Crott, Julia Belcavelo Contin Silva, Mariel Versiane Caixeta, Cristina Helena Faleiros Ferreira, Thayane de Castro Peres, Lisianne Virginia Pereira Monte Costa, Davi Aragon, Walusa Assad Goncalves-Ferri

PEDIATRIC RESEARCH (2021)

Meeting Abstract Pediatrics

Evaluation of late outcomes in premature patients undergoing mild therapeutic hypothermia as a treatment for necrotizing enterocolitis

Mariel Versiane Caixeta, Julia Belcavelo Contin Silva, Lara Malosso Sgarbi Albuquerque, Lisianne Virginia Pereira Monte Costa, Davi Casale Aragon, Cristina Calixto, Thayanne de Castro Peres, Cristina Helena Faleiros Ferreira, Walusa Assad Goncalves Ferri

PEDIATRIC RESEARCH (2021)

Meeting Abstract Pediatrics

HEMODYNAMIC STUDY OF NEONATAL PIGS WITH SEPTIC SHOCK TREATED WITH METHYLENE BLUE: NEOPIG STUDY

Walusa Goncalves-Ferri, Agnes Albuquerque, Sayuri de Castro, Cristina Helena Faleiros Ferreira, Diego Lessa, Paulo Roberto Evora

PEDIATRIC RESEARCH (2019)

No Data Available