Volume: 30 Issue: 1_ supplement DOI: NA Background: Human milk oligosaccharides (HMOs) may provide benefits to formula-fed infants in part by influencing the establishment of the intestinal microbiota. We evaluated effects of infant formula with 2 HMOs (2′Fucosyllactose [2′FL] and Lacto-N-neotetraose [LNnT]) on the early intestinal microbiota in infants. Objective and methods: Healthy term infants ages 0–14 days were randomly assigned to intact protein cow’s milk-based infant formula (Control, n 87) or the same formula with 1.0 g/L 2′FL and 0.5 g/L LNnT (Test, n 88); a reference group of breastfed infants was also included (n 38). Stool samples were collected at age 3 months for assessment of microbiota using 16S rRNA gene sequencing and metagenomics; metabolic signature was assessed using proton NMR-based metabolite profiling. Results: The global average microbial composition profile, established for infants with available stool samples who had adhered to the study protocol, showed a similar pattern for Control (n 65) and Test (n 58) at the genus level, although Test was closer to breastfed (n 34) than Control. Calculation of microbial alpha diversity and comparison of the global microbiota composition using random permutations of the redundancy analysis (RDA) confirmed that Test was different from Control at the genus level (P<.001) and closer to the breastfed group. Statistical analyses identified several taxa differentially present in Control and Test: Bifidobacterium(P=.01), Escherichia (P=.008), unclassified Coprobacillaceae (P=.01), unclassified Peptostreptococcaceae (P=.026), Dorea (P=.033), and Megamonas(P=.035). Correction for False Discovery Rate confirmed the first three observations. Main discriminants between Test and Control by random forest analysis were Bifidobacterium, Escherichia and Peptostreptococcaceae. Clinically relevant pathogens were rare; however, Clostridium difficile toxin A/B was detected in 14% of Test and 26% of Control (OR 0.47, CI 0.17–1.27, P=.15). Read More
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