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Maternal and Donor Human Milk Support Robust Intestinal Epithelial Growth and Differentiation in a Fetal Intestinal Organoid Model
Maternal and Donor Human Milk Support Robust Intestinal Epithelial Growth and Differentiat...
Maternal and Donor Human Milk Support Robust Intestinal Epithelial Growth and Differentiation in a Fetal Intestinal Organoid Model

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20250211151102
ISBN  
9798382327686
DDC  
610
저자명  
Smith, Lauren.
서명/저자  
Maternal and Donor Human Milk Support Robust Intestinal Epithelial Growth and Differentiation in a Fetal Intestinal Organoid Model
발행사항  
[Sl] : Yale University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
60 p
주기사항  
Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
주기사항  
Advisor: Konnikova, Liza.
학위논문주기  
Thesis (D.Med.)--Yale University, 2024.
초록/해제  
요약Necrotizing enterocolitis (NEC) is a severe gastrointestinal complication of prematurity. Using small intestinal organoids derived from fetal tissue of a gestational age similar to an extremely preterm infant, this study aims to assess the effect of diet on intestinal epithelial growth and differentiation to elucidate the role nutrition type plays in intestinal development and modifies the risk for NEC.  Organoids were cultured for 5 days in organoid growth media and 5 days in organoid differentiation media supplemented 1:40 with four different diet conditions: maternal milk (MM), donor human milk (DHM), standard formula (SF), or extensively hydrolyzed formula (HF). 4x images were captured daily and organoids were quantified via manual counting and measurement. Organoids from both the growth and differentiation phase were preserved for RNA bulk sequencing and immunofluorescence staining with Ki67, chromogranin A, and cleaved caspase 3. Media was saved from day 5 of growth and differentiation for cytokine and growth factor analysis.Human milk supplementation improved growth and differentiation of fetal intestinal organoids generating larger organoids during the growth phase and organoids with longer and wider buds during differentiation compared to formula. Ki67 staining confirmed the proliferative nature of milk-supplemented organoids and chromogranin A staining proved that MM-supplemented organoids induced highest enteroendocrine differentiation. Human milk supplementation also upregulated genes involved in proliferation and promoted a homeostatic immune landscape while those supplemented with formula had a downregulation of cell-cycle-promoting genes and a more inflammatory immune signature. Our results show that MM, and to a lesser extent DHM, support robust intestinal epithelial proliferation and differentiation, suggesting a critical role for factors enriched in human milk in intestinal epithelial health.
일반주제명  
Medicine
일반주제명  
Biochemistry
일반주제명  
Bioengineering
일반주제명  
Obstetrics
키워드  
Hydrolyzed formula
키워드  
Epithelial growth
키워드  
Necrotizing enterocolitis
키워드  
Intestinal organoids
키워드  
Maternal milk
기타저자  
Yale University Yale School of Medicine
기본자료저록  
Dissertations Abstracts International. 85-11B.
전자적 위치 및 접속  
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MARC

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■006m          o    d                
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■020    ▼a9798382327686
■035    ▼a(MiAaPQ)AAI31143065
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a610
■1001  ▼aSmith,  Lauren.
■24510▼aMaternal  and  Donor  Human  Milk  Support  Robust  Intestinal  Epithelial  Growth  and  Differentiation  in  a  Fetal  Intestinal  Organoid  Model
■260    ▼a[Sl]▼bYale  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a60  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-11,  Section:  B.
■500    ▼aAdvisor:  Konnikova,  Liza.
■5021  ▼aThesis  (D.Med.)--Yale  University,  2024.
■520    ▼aNecrotizing  enterocolitis  (NEC)  is  a  severe  gastrointestinal  complication  of  prematurity.  Using  small  intestinal  organoids  derived  from  fetal  tissue  of  a  gestational  age  similar  to  an  extremely  preterm  infant,  this  study  aims  to  assess  the  effect  of  diet  on  intestinal  epithelial  growth  and  differentiation  to  elucidate  the  role  nutrition  type  plays  in  intestinal  development  and  modifies  the  risk  for  NEC.  Organoids  were  cultured  for  5  days  in  organoid  growth  media  and  5  days  in  organoid  differentiation  media  supplemented  1:40  with  four  different  diet  conditions:  maternal  milk  (MM),  donor  human  milk  (DHM),  standard  formula  (SF),  or  extensively  hydrolyzed  formula  (HF).  4x  images  were  captured  daily  and  organoids  were  quantified  via  manual  counting  and  measurement.  Organoids  from  both  the  growth  and  differentiation  phase  were  preserved  for  RNA  bulk  sequencing  and  immunofluorescence  staining  with  Ki67,  chromogranin  A,  and  cleaved  caspase  3.  Media  was  saved  from  day  5  of  growth  and  differentiation  for  cytokine  and  growth  factor  analysis.Human  milk  supplementation  improved  growth  and  differentiation  of  fetal  intestinal  organoids  generating  larger  organoids  during  the  growth  phase  and  organoids  with  longer  and  wider  buds  during  differentiation  compared  to  formula. Ki67  staining  confirmed  the  proliferative  nature  of  milk-supplemented  organoids  and  chromogranin  A  staining  proved  that  MM-supplemented  organoids  induced  highest  enteroendocrine  differentiation.  Human  milk  supplementation  also  upregulated  genes  involved  in  proliferation  and  promoted  a  homeostatic  immune  landscape  while  those  supplemented  with  formula  had  a  downregulation  of  cell-cycle-promoting  genes  and  a  more  inflammatory  immune  signature. Our  results  show  that  MM,  and  to  a  lesser  extent  DHM,  support  robust  intestinal  epithelial  proliferation  and  differentiation,  suggesting  a  critical  role  for  factors  enriched  in  human  milk  in  intestinal  epithelial  health.
■590    ▼aSchool  code:  0265.
■650  4▼aMedicine
■650  4▼aBiochemistry
■650  4▼aBioengineering
■650  4▼aObstetrics
■653    ▼aHydrolyzed  formula
■653    ▼aEpithelial  growth  
■653    ▼aNecrotizing  enterocolitis
■653    ▼aIntestinal  organoids
■653    ▼aMaternal  milk
■690    ▼a0564
■690    ▼a0202
■690    ▼a0487
■690    ▼a0380
■71020▼aYale  University▼bYale  School  of  Medicine.
■7730  ▼tDissertations  Abstracts  International▼g85-11B.
■790    ▼a0265
■791    ▼aD.Med.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160695▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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