It is generally agreed that breastfeeding reduces the incidence and severity of gastrointestinal and respiratory infections in infants,1 including those caused by respiratory syncytial virus, rotavirus and enteroviruses.2 Protection against viral infection is provided by a multiplicity of protective factors including secretory antibodies, lipids, lactoferrin, secretory leukocyte protease inhibitor (SLPI), and oligosaccharides.3, 4 Despite the presence of antiviral compounds in human milk, some viruses are transmitted from mother to infant via milk. Reports in the literature suggest that most milk-transmitted viruses are enveloped (Table 1). Table 1. Some Enveloped Viruses Transmitted Through Milka Virus Typeb Human Immunodeficiency Virus Type 1 (HIV) 5 R Human T-Lymphotrophic Virus Type 1 (HTLV-l) 6 R Human T-Lymphotrophic Virus Type 2 (HTLV-2) 7 R Murine Leukemia Virus8 R Feline Immunodeficiency Virus9 R Maedi/Visna Virus 10 R Caprine Arthritis-Encephalitis Virus 11 R Mouse Mammary Tumor ViruS 12 R Rubella Virus 2 R Cytomegalovirus (CMV) 2, 13, 14 R a There are conflicting reports as to whether a number of other enveloped viruses are transmitted by human milk including herpes simplex viruses 1 and 2, hepatitis C virus, Varicella-Zoster virus and Epstein-Barr virus.3. 15-19 b Retrovirus (R); Herpes virus (H); Togavirus (T) KeywordsHuman Immunodeficiency VirusHuman Immunodeficiency Virus TypeBreast MilkHuman MilkBreast FeedingThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Read full abstract