Leukocyte Populations in Human Preterm and Term Breast Milk Identified by Multicolour Flow Cytometry.
BACKGROUND
Extremely preterm infants are highly susceptible to bacterial infections but breast milk provides some protection. It is unknown if leukocyte numbers and subsets in milk differ between term and preterm breast milk. This study serially characterised leukocyte populations in breast milk of mothers of preterm and term infants using multicolour flow cytometry methods for extended differential leukocyte counts in blood.


METHODS
Sixty mothers of extremely preterm (<28 weeks gestational age), very preterm (28-31 wk), and moderately preterm (32-36 wk), as well as term (37-41 wk) infants were recruited. Colostrum (d2-5), transitional (d8-12) and mature milk (d26-30) samples were collected, cells isolated, and leukocyte subsets analysed using flow cytometry.


RESULTS
The major CD45+ leukocyte populations circulating in blood were also detectable in breast milk but at different frequencies. Progression of lactation was associated with decreasing CD45+ leukocyte concentration, as well as increases in the relative frequencies of neutrophils and immature granulocytes, and decreases in the relative frequencies of eosinophils, myeloid and B cell precursors, and CD16- monocytes. No differences were observed between preterm and term breast milk in leukocyte concentration, though minor differences between preterm groups in some leukocyte frequencies were observed.


CONCLUSIONS
Flow cytometry is a useful tool to identify and quantify leukocyte subsets in breast milk. The stage of lactation is associated with major changes in milk leukocyte composition in this population. Fresh preterm breast milk is not deficient in leukocytes, but shorter gestation may be associated with minor differences in leukocyte subset frequencies in preterm compared to term breast milk.
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; School of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
Stephanie
S
Trend
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; School of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia; School of Veterinary and Life Sciences, Murdoch University, Perth, Western Australia, Australia.
Emma
E
de Jong
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; School of Pathology and Laboratory Medicine, The University of Western Australia, Perth, Western Australia, Australia.
Megan L
ML
Lloyd
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; Neonatal Clinical Care Unit, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia.
Chooi Heen
CH
Kok
School of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia.
Peter
P
Richmond
School of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia, Australia.
Dorota A
DA
Doherty
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; Neonatal Clinical Care Unit, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia.
Karen
K
Simmer
School of Chemistry and Biochemistry, The University of Western Australia, Perth, Australia.
Foteini
F
Kakulas
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; Neonatal Clinical Care Unit, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia.
Tobias
T
Strunk
Centre for Neonatal Research and Education, The University of Western Australia, Perth, Western Australia, Australia; School of Paediatrics and Child Health, The University of Western Australia, Perth, Western Australia, Australia; School of Veterinary and Life Sciences, Murdoch University, Perth, Western Australia, Australia.
Andrew
A
Currie
D000328:Adult; D001942:Breast Feeding; D003126:Colostrum / Q000166:cytology*; D004804:Eosinophils / Q000166:cytology; D005260:Female; D005434:Flow Cytometry; D005865:Gestational Age; D006098:Granulocytes / Q000166:cytology; D006801:Humans; D007234:Infant, Premature / Q000276:immunology*; D007774:Lactation; D017493:Leukocyte Common Antigens / Q000378:metabolism; D007958:Leukocyte Count; D007962:Leukocytes / Q000166:cytology*; D008895:Milk, Human / Q000166:cytology*; D022423:Myeloid Cells / Q000166:cytology; D009504:Neutrophils / Q000166:cytology; D011247:Pregnancy; D047928:Premature Birth; D047929:Term Birth
D017493:Leukocyte Common Antigens