New research on gut bacteria and breast milk - NY times

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..The details of this three-way relationship between mother, child and gut

microbes are being worked out by three researchers at the University of

California, — Bruce German, Carlito Lebrilla and Mills. They and

colleagues have found that a particular strain of bacterium, a subspecies of

Bifidobacterium longum, possesses a special suite of genes that enable it to

thrive on the indigestible component of milk.

This subspecies is commonly found in the feces of breast-fed infants. It coats

the lining of the infant's intestine, protecting it from noxious bacteria.

Infants presumably acquire the special strain of bifido from their mothers, but

strangely, it has not yet been detected in adults. " We're all wondering where it

hides out, " Dr. Mills said.

The indigestible substance that favors the bifido bacterium is a slew of complex

sugars derived from lactose, the principal component of milk. The complex sugars

consist of a lactose molecule on to which chains of other sugar units have been

added. The human genome does not contain the necessary genes to break down the

complex sugars, but the bifido subspecies does, the researchers say in a review

of their progress in today's Proceedings of the National Academy of Sciences.

The complex sugars were long thought to have no biological significance, even

though they constitute up to 21 percent of milk. Besides promoting growth of the

bifido strain, they also serve as decoys for noxious bacteria that might attack

the infant's intestines. The sugars are very similar to those found on the

surface of human cells, and are constructed in the breast by the same enzymes.

Many toxic bacteria and viruses bind to human cells by docking with the surface

sugars. But they will bind to the complex sugars in milk instead. " We think

mothers have evolved to let this stuff flush through the infant, " Dr. Mills

said.

Dr. German sees milk as " an astonishing product of evolution, " one which has

been vigorously shaped by natural selection because it is so critical to the

survival of both mother and child. " Everything in milk costs the mother — she is

literally dissolving her own tissues to make it, " he said. From the infant's

perspective, it is born into a world full of hostile microbes, with an untrained

immune system and lacking the caustic stomach acid which in adults kills most

bacteria. Any element in milk that protects the infant will be heavily favored

by natural selection.

" We were astonished that milk had so much material that the infant couldn't

digest, " Dr. German said. " Finding that it selectively stimulates the growth of

specific bacteria, which are in turn protective of the infant, let us see the

genius of the strategy — mothers are recruiting another life-form to baby-sit

their baby. "

Dr. German and his colleagues are trying to " deconstruct " milk, on the theory

that the fluid has been shaped by 200 million years of mammalian evolution and

holds a wealth of information about how best to feed and defend the human body.

Though milk itself is designed for infants, its lessons may apply to adults.

The complex sugars, for instance, are evidently a way of influencing the gut

microflora, so they might in principle be used to help premature babies, or

those born by caesarean, who do not immediately acquire the bifido strain. It

has long been thought there was no source of the sugars other than human milk,

but they have recently been detected in whey, a waste byproduct of cheesemaking.

The three researchers plan to test the complex sugars for benefit in premature

infants and in the elderly.

The proteins in milk also have special roles. One, called Alpha-lactalbumin, can

attack tumor cells and those infected by viruses by restoring their lost ability

to commit cell suicide. The protein, which accumulates when an infant is weaned,

is also the signal for the breast to remodel itself back to normal state.

Such findings have made the three researchers keenly aware that every component

of milk probably has a special role. " It's all there for a purpose, though we're

still figuring out what that purpose is, " Dr. Mills said. " So for God's sake,

please breast-feed. "