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357 Human Milk Bile Salt-Stimulated Lipase: the Dynamic Changes During Lactation
  1. P Piemontese1,
  2. P Roncada2,
  3. A Soggiu3,
  4. L Bonizzi3,
  5. A Budelli4,
  6. C Agostoni5,
  7. ML Giannì1,
  8. P Roggero1,
  9. F Mosca1
  1. 1Department of Maternal and Pediatric Sciences, NICU Fondazione IRCCS ‘Ca’ Granda’ Ospedale Maggiore Policlinico, University of Milan
  2. 2Istituto Sperimentale Italiano Lazzaro Spallanzani
  3. 3DIPAV, University of Milan
  4. 4Heinz Italia Spa
  5. 5Institute of Pediatrics, University of Milan, Fondazione IRCCS ‘Ca’ Granda’ Ospedale Maggiore Policlinico Milan, Milan, Italy


Background and Aims The efficient digestion of milk triglycerides is guaranteed by the combined action of gastric lipase, colipase-dependent pancreatic lipase, and bile salt-stimulated lipase (BSSL). Human milk contains the major part of BSSL. Data regarding the dynamic changes of human milk BSSL are scarce.

The aim of this study was to evaluate the changes of human milk BSSL content at different stages of lactation by proteomic techniques.

Methods We designed a prospective longitudinal study. Human milk samples were collected from 18 healthy mothers who delivered a singleton term newborn (Gestational age 37–41 weeks) on the 3th, 7th, 15th, and 60th postpartum day. Proteomic techniques were carried out to evaluate different profile expression of BSSL in milk: in particular SDS-PAGE analysis coupled with LC-MS MS mass spectrometry.

Results BSSL levels increased significantly from the 3th to the 60th postpartum day (figure).

Abstract 357 Figure 1

Human milk BSSL at different study points

Conclusions The increased levels of human milk BSSL could compensate for low endogenous capacity to digest dietary fat in early life as efficient absorption of lipids is important, not only for energy utilization but also for optimal growth and functional neurodevelopment.

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