A1 Refereed original research article in a scientific journal

Impact of Environmental Exposures on Human Breast Milk Lipidome in Future Immune-Mediated Diseases




AuthorsHyötyläinen Tuulia, Ghaffarzadegan Tannaz, Karthikeyan Bagavathy Shanmugam, Triplett Eric, Orešič Matej, Ludvigsson Johnny

PublisherAmerican Chemical Society

Publication year2024

JournalEnvironmental Science and Technology

Journal name in sourceENVIRONMENTAL SCIENCE & TECHNOLOGY

Journal acronymENVIRON SCI TECHNOL

Volume58

Issue5

First page 2214

Last page2223

Number of pages10

ISSN0013-936X

eISSN1520-5851

DOIhttps://doi.org/10.1021/acs.est.3c06269

Web address https://pubs.acs.org/doi/full/10.1021/acs.est.3c06269

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/387077238


Abstract
The composition of human breast milk (HBM) exhibits significant variability both between individuals and within the same individual. While environmental factors are believed to play a role in this variation, their influence on breast milk composition remains inadequately understood. Herein, we investigate the impact of environmental factors on HBM lipid composition in a general population cohort. The study included mothers (All Babies In Southeast Sweden study) whose children later progressed to one or more immune-mediated diseases later in life: type 1 diabetes (n = 9), celiac disease (n = 24), juvenile idiopathic arthritis (n = 9), inflammatory bowel disease (n = 7), hypothyroidism (n = 6), and matched controls (n = 173). Lipidome of HBM was characterized by liquid chromatography combined with high-resolution mass spectrometry. We observed that maternal age, body mass index, diet, and exposure to perfluorinated alkyl substances (PFASs) had a marked impact on breast milk lipidome, with larger changes observed in the milk of those mothers whose children later developed autoimmune diseases. We also observed differences in breast milk lipid composition in those mothers whose offspring later developed autoimmune diseases. Our study suggests that breast milk lipid composition is modified by a complex interaction between genetic and environmental factors, and, importantly, this impact was significantly more pronounced in those mothers whose offspring later developed autoimmune/inflammatory diseases. Our findings also suggest that merely assessing PFAS concentration may not capture the full extent of the impact of chemical exposures; thus, the more comprehensive exposome approach is essential for accurately assessing the impact of PFAS exposure on HBM and, consequently, on the health outcomes of the offspring.

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