
@Article{ecn.2013.0324,
AUTHOR = {İbrahim Etem Pişkin, Hande Nur Karavar, Mehmet Araslı, Bahri Ermiş},
TITLE = {Effect of maternal smoking on colostrum and breast milk cytokines},
JOURNAL = {European Cytokine Network},
VOLUME = {23},
YEAR = {2012},
NUMBER = {4},
PAGES = {187--190},
URL = {http://www.techscience.com/ECN/v23n4/65694},
ISSN = {1952-4005},
ABSTRACT = {Background: Breast milk contains several immune modulator components. The transfer of numerouscytokines via mother’s milk may add to an active stimulation of the infant’s immune system. There are many factorsin breast milk that could either facilitate or inhibit cytokine activities. Smoking negatively inﬂuences the immunesystem and changes the concentrations of important cytokines. Objective: The objective of this study was to assessthe effect of smoking during pregnancy on the cytokines found in colostrum and mature human milk. Methods: Thestudy population included 25 smoker and 27 non-smoker nursing mothers who gave birth to a term healthy infantvia cesarean section. Breast milk was collected from the mothers on the 2nd-3rd and 21st-25th days postpartumduring visits to examine the newborns. Samples were analyzed for IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, TNF-α and TNF-β cytokines byﬂow cytometric bead array. Results: Weﬁrst saw that concentrations of IL-1β, IL-2, IL-4,IL-5, IL-6, IL-8, IL-10, IFN-γ, TNF-α, and TNF-β cytokines, but not IL-12, were measurable both in colostrumand in mature milk, being higher in colostrum. Next we observed that IL-1β and IL-8 levels were signiﬁcantly lowerin colostrum, and IL-6 was found to be signiﬁcantly lower in the mature milk of smoking mothers. No signiﬁcanteffects of maternal smoking on breast milk concentrations of IL-2, IL-4, IL-5, IL-10, IFN-γ, TNF-α, and TNF-β were observed. Conclusions: Theseﬁndings indicate that maternal smoking alters the colostrum and mature milklevels of some cytokines. Therefore, it is thought that active smoking during pregnancy decreases the concentrationof certain cytokines in breast milk, which might account for the newborn’s increased susceptibility to infections.},
DOI = {10.1684/ecn.2013.0324}
}



