Host-microbial co-metabolites modulated by human milk oligosaccharides relate to reduced risk of respiratory tract infections

Human milk oligosaccharides (HMOs) are structurally diverse oligosaccharides present in breast milk, supporting the development of the gut microbiota and immune system. Previously, 2-HMO (2'fucosyllactose, lacto-N-neotetraose) compared to control formula feeding was associated with reduced risk of lower respiratory tract infections (LRTIs), in part linked to lower acetate and higher bifidobacteria proportions. Here, our objective was to gain further insight into additional molecular pathways linking the 2-HMO formula feeding and LRTI mitigation. From the same trial, we measured the microbiota composition and 743 known biochemical species in infant stool at 3 months of age using shotgun metagenomic sequencing and untargeted mass spectrometry metabolomics. We used multivariate analysis to identify biochemicals associated to 2-HMO formula feeding and LRTI and integrated those findings with the microbiota compositional data. Three molecular pathways stood out: increased gamma-glutamylation and N-acetylation of amino acids and decreased inflammatory signaling lipids. Integration of stool metagenomic data revealed some Bifidobacterium and Bacteroides species to be implicated. These findings deepen our understanding of the infant gut/microbiome co-metabolism in early life and provide evidence for how such metabolic changes may influence immune competence at distant mucosal sites such as the airways.

Automated summary

Human milk oligosaccharides (HMOs) in breast milk, specifically 2-HMO (2'fucosyllactose, lacto-N-neotetraose), have been found to reduce the risk of lower respiratory tract infections (LRTIs) in infants. This study aimed to further investigate the molecular pathways linking 2-HMO formula feeding and LRTI mitigation. The researchers found that 2-HMO formula feeding increased gamma-glutamylation and N-acetylation of amino acids, while decreasing inflammatory signaling lipids. Additionally, specific Bifidobacterium and Bacteroides species were implicated in these metabolic changes. These findings contribute to our understanding of infant gut and microbiome metabolism and how it may impact immune competence.