The Effect of Infant Gastric Digestion on Human Maternal Milk Cells

SCOPE: Human breast milk contains a variety of cell types that have potential roles in infant immunity and development. One challenge associates with defining the purpose(s) of milk cells in the infant is a poor understanding of the effect of digestion on cell fate. METHODS AND RESULTS: This study first demonstrates that milk cell death occurs after gastric digestion in mice. Then flow cytometry and RT‐PCR are used to understand the mechanism of human milk cell death and quantify live cell types before and after simulated gastric digestion. This study finds that digestion in simulated gastric fluid for 30 min reduces cell viability from 72% to 27%, with most cell death is caused by the acidic pH. The primary mechanism of cell death is caspase‐mediated apoptosis. The non‐cellular components of milk offer only mild protection against cell death from stomach acid. CONCLUSIONS: Gastric digestion does not select for a specific resilient cell population to survive—most cell types die in equal proportions in the gastric environment. Taken together, these results provide a foundation with which to understand the fate of human breast milk cells in the infant's intestine and beyond.