PMID- 36552874 OWN - NLM STAT- MEDLINE DCOM- 20221226 LR - 20230115 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 24 DP - 2022 Dec 17 TI - The Association between Maternal Oral Inflammation and Neutrophil Phenotypes and Poly-Unsaturated Fatty Acids Composition in Human Milk: A Prospective Cohort Study. LID - 10.3390/cells11244110 [doi] LID - 4110 AB - This prospective cohort study aimed to investigate the impact of maternal oral inflammation on human milk composition including neutrophil counts, activation state (based on cluster of differentiation (CD) markers expression), and fatty acid levels. Fifty mothers were recruited from St. Michael's hospital, Toronto, and followed up from 2-4 weeks until 4 months postpartum. Oral rinse and human milk samples were collected at both timepoints. Oral polymorphonuclear neutrophils (oPMNs) within the rinses were quantified using flow cytometry and the participants' oral health state was categorized into three groups (i.e., healthy, moderate, and severe) based on the oPMNs counts. Fatty acids were identified and quantified using a gas chromatography-flame ionization detector (GC-FID). Compared to mothers with a healthy oral health state, mothers with moderate to severe oral inflammation had a statistically significant decrease in the expression of CD64 biomarker, an increase in the expression of CD14 biomarker on human milk neutrophils and a decrease in the levels of eicosapentaenoic acid (C20:5n-3) in their human milk at follow-up compared to baseline. This study demonstrates for the first time that maternal oral inflammation can affect human milk composition. The mechanism by which these alterations can affect infant health outcomes in the long term critically needs to be considered. FAU - Badewy, Rana AU - Badewy R AD - Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Azarpazhooh, Amir AU - Azarpazhooh A AD - Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. AD - Department of Dentistry, Centre for Advanced Dental Research and Care, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada. FAU - Tenenbaum, Howard AU - Tenenbaum H AD - Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. AD - Department of Dentistry, Centre for Advanced Dental Research and Care, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada. FAU - Connor, Kristin L AU - Connor KL AD - Department of Health Sciences, Carleton University, Ottawa, ON K1S 5B6, Canada. FAU - Lai, Jim Yuan AU - Lai JY AD - Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Sgro, Michael AU - Sgro M AD - Department of Pediatrics, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1W8, Canada. AD - Department of Pediatrics, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Bazinet, Richard P AU - Bazinet RP AD - Department of Nutritional Sciences, University of Toronto, Toronto, ON M5S 1A8, Canada. FAU - Fine, Noah AU - Fine N AD - Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Watson, Erin AU - Watson E AD - Department of Dental Oncology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada. FAU - Sun, Chunxiang AU - Sun C AD - Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Saha, Sourav AU - Saha S AD - Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. FAU - Glogauer, Michael AU - Glogauer M AUID- ORCID: 0000-0002-6248-5977 AD - Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. AD - Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada. AD - Department of Dental Oncology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221217 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Fatty Acids, Unsaturated) RN - 0 (Biomarkers) SB - IM MH - Infant MH - Female MH - Humans MH - *Neutrophils/metabolism MH - *Milk, Human/metabolism MH - Prospective Studies MH - Fatty Acids, Unsaturated/metabolism MH - Phenotype MH - Biomarkers/metabolism MH - Inflammation/metabolism PMC - PMC9777263 OTO - NOTNLM OT - breast milk OT - breastfeeding OT - gingivitis OT - human milk OT - neutrophils OT - oral inflammatory load OT - oral polymorphonuclear neutrophils OT - periodontal diseases OT - periodontitis COIS- The authors declare no conflict of interest. EDAT- 2022/12/24 06:00 MHDA- 2022/12/27 06:00 PMCR- 2022/12/17 CRDT- 2022/12/23 01:18 PHST- 2022/11/11 00:00 [received] PHST- 2022/12/09 00:00 [revised] PHST- 2022/12/15 00:00 [accepted] PHST- 2022/12/23 01:18 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/27 06:00 [medline] PHST- 2022/12/17 00:00 [pmc-release] AID - cells11244110 [pii] AID - cells-11-04110 [pii] AID - 10.3390/cells11244110 [doi] PST - epublish SO - Cells. 2022 Dec 17;11(24):4110. doi: 10.3390/cells11244110.