母乳喂养史与循环炎症和代谢生物标志物的关系。

Nan Lin, Allison F Vitonis, Jennifer M Mongiovi, Leslie V Farland, Tianyi Huang, Kathryn L Terry, A Heather Eliassen, Mary K Townsend, Cuilin Zhang, Frank B Hu, Naoko Sasamoto
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引用次数: 0

摘要

背景:母乳喂养史与慢性疾病风险降低有关,尽管潜在的生物学联系尚不清楚。方法:该研究包括16165名参加护士健康研究的产妇,她们报告了泌乳史,并使用中年收集的血浆样本测量了生物标志物。我们计算了10种炎症生物标志物(高敏c反应蛋白(hsCRP)、白介素-6 (IL6)、IL8、IL10、胰岛素样生长因子-1 (IGF1)、可溶性肿瘤坏死因子α受体2 (sTNFR2)、b细胞活化因子、C-X-C基板趋化因子配体13 (CXCL13)、sil2受体α (Rα)、sIL6Rα)和8种代谢生物标志物(甘油三酯、总胆固醇、高、低密度脂蛋白(HDL和LDL)、瘦素、可溶性瘦素受体、脂联素,视黄醇结合蛋白[4]与采血前母乳喂养史的自我报告有关。错误发现率(FDR)用于多次测试更正。结果:平均采血年龄为52.6岁。与从不母乳喂养相比,曾经母乳喂养与更高的IGF1相关(149.22 vs 143.76 ng/mL, p值=0.0002/FDR=0.004)。母乳喂养时间越长,IL10越低(p-trend=0.001/FDR=0.01), IGF1越高(p-trend=0.0005/FDR=0.01)。其他生物标志物未观察到显著相关性。较长的母乳喂养时间与绝经前妇女较高的IGF1相关,但与绝经后妇女无关(p相互作用=0.02)。在BMI≥25kg/m2的人群中,较长的母乳喂养时间与较低的可溶性瘦素受体水平相关(p-trend=0.01/FDR=0.09),但在BMI≥25kg/m2的人群中则不然。结论:曾经母乳喂养和较长的母乳喂养时间与中年时较高的IGF1水平相关。影响:我们的研究结果支持母乳喂养对循环IGF1水平的潜在长期系统性影响,这可能影响未来的慢性疾病风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
History of breastfeeding in relation to circulating inflammatory and metabolic biomarkers.

Background: Breastfeeding history has been associated with reduced risk of chronic diseases, although the underlying biological link is unclear.

Methods: The study included 16,165 parous women in the Nurses' Health Studies who reported lactation history and biomarkers measured using plasma samples collected at mid-life. We calculated multivariable-adjusted geometric means of ten inflammatory biomarkers [high sensitivity C-reactive protein(hsCRP), interleukin-6 (IL6), IL8, IL10, insulin-like growth factor-1 (IGF1), soluble tumor necrosis factor α receptor 2 (sTNFR2), B-cell activating factor, C-X-C motif chemokine ligand 13 (CXCL13), sIL2-receptor-α (Rα), sIL6Rα] and eight metabolic biomarkers[triglyceride, total cholesterol, high- and low-density lipoprotein (HDL and LDL), leptin, soluble leptin receptor, adiponectin, retinol-binding protein 4] by self-reported history of breastfeeding prior to blood collection. False discovery rate (FDR) was used for multiple testing corrections.

Results: Average age at blood collection was 52.6 years. Ever breastfeeding was associated with higher IGF1 (149.22 vs. 143.76 ng/mL, p-value=0.0002/FDR=0.004) compared with never breastfeeding. Longer breastfeeding duration was associated with lower IL10 (p-trend=0.001/FDR=0.01) and higher IGF1 (p-trend=0.0005/FDR=0.01). No significant associations were observed for other biomarkers. Longer breastfeeding duration was associated with higher IGF1 among premenopausal women but not among postmenopausal women (p-interaction=0.02). Longer breastfeeding duration was associated with lower soluble leptin receptor levels among those with BMI≥25kg/m2 (p-trend=0.01/FDR=0.09) but not among those with BMI<25 kg/m2 (p-interaction=0.0002).

Conclusion: Ever breastfeeding and longer breastfeeding duration was associated with higher IGF1 levels measured in mid-life.

Impact: Our results support the potential long-term systemic impact of breastfeeding on circulating IGF1 levels, which may influence future chronic disease risk.

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