ORIGINAL ARTICLES
Evaluation of the presence of bovine proteins in human milk as a possible cause of allergic symptoms in breast-fed children

https://doi.org/10.1016/S1081-1206(10)62786-XGet rights and content

Background

It is generally believed that the elimination of certain foods from the diet of mothers during the lactation period produces a significant improvement in breast-fed children who develop allergic symptoms. Several studies have shown the presence of food proteins in human milk; on the other hand, no study has been able to correlate unequivocally the presence of these allergens in human milk with newborn sensitization.

Objective

The aim of this study was to evaluate the presence of bovine proteins in breast milk.

Methods

Milk samples were separated by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). To detect bovine proteins in human milk, immunoblotting was performed by using monoclonal antibodies (MA) specific for β-lactoglobulin and bovine caseins.

Results

The results of this study do not confirm the presence of bovine proteins in breast milk suggested by other authors and shows unequivocally that the conflicting results reported in the literature about the presence of β-lactoglobulin in human milk are due to cross-reactivity between bovine milk proteins and human proteins.

Conclusions

Components other than bovine β-lactoglobulin or caseins could be involved in the induction of allergic symptoms in exclusively breast-fed children.

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      Some researchers have reported that native bovine proteins such as β-lactoglobulin can be transferred from the maternal bloodstream to breast milk but others point to cross-reactivity between human milk proteins and cow's milk proteins (Picariello et al., 2016). However, at the moment, no study has been able to correlate unequivocally the presence of these allergens in human milk with new-born sensitization (Restani et al., 2000). Mothers who consume >950 mL of bovine milk daily will result in the passage of bovine milk protein antigens into human milk and hence expose the infant to these antigens at a very early stage of life (Ronzio, 2003); nonetheless, it should be mentioned that its highly unlikely that such a quantity of milk could be consumed on a daily basis.

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