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Clinical and Translational Allergy

Open Access

PD01 - Respiratory allergens in human milk: potential impact on susceptibility to allergic airway disease

  • Patricia Macchiaverni1,
  • Akila Rekima2,
  • Mathilde Turfkruyer2,
  • Laurent Mascarell3,
  • Sabi Airouche3,
  • Philippe Moingeon3,
  • Karine Adel-Patient4,
  • Antonio Condino-Neto1,
  • Isabella Annesi-Maesano5, 6,
  • Susan L Prescott7, 8,
  • Meri K Tulic2, 7, 8 and
  • Valérie Verhasselt2, 8
Contributed equally
Clinical and Translational Allergy20144(Suppl 1):P1

Published: 28 February 2014


Milk SampleHuman MilkAllergic AsthmaAllergic SensitizationAllergic Airway Inflammation


Impact of exposure to environmental allergens during early life on allergic sensitization and disease development is controversial.


We investigated whether airborne allergen from Dermatophagoides pteronyssinus (Der p), a major cause of allergic asthma, is found in human breast-milk and examined its impact on allergic outcome in a mouse model.


Der p 1 was quantified in human colostrum and milk samples from Brasil, Australia and France by ELISA. Basophil degranulation assay was used to confirm immunogenicity of Der p. BALB/c mice were fostered by mothers exposed to Der p during lactation. Progeny allergic response to Der p was measured at 6-weeks.


Der p 1 was present in 58% Brazilian, 70% French, and 78% Australian colostrum. Median [Der p 1] was similar between countries (96 pg/mL). In mature milk, Der p1 was found in 55% of samples, median [Der p 1] was 65·9 pg/mL and was significantly lower than in colostrum (p=0·0001). Der p 1-containing milks were able to induce basophils degranulation. Mice breastfed by Der p-exposed mothers had 5-fold increased levels of Der p specific IgE and IgG1 compared to mice breastfed by naïve mothers. Their allergic airway inflammation was not affected.


Early life exposure to ubiquitous respiratory allergens can take place through breastfeeding. An animal model mimicking the human situation shows early life exposure to Der p through milk primes the immune system. The presence of respiratory allergens in breast-milk may be an important factor in driving the early immune function towards allergic disease.


Authors’ Affiliations

Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
EA 6302 "Tolérance Immunitaire", Université de Nice Sophia-Antipolis, Hôpital de l'Archet, Nice, France
Research and Development, Stallergenes SA, Antony, France
INRA, UR496 Immuno-Allergie Alimentaire, CEA/IBiTeC-S/SPI, CEA de Saclay, Gif sur Yvette cedex, France
EPAR UMR-S 707 UPMC Paris6, Medical School Saint-Antoine, Paris, France
School of Pediatrics and Child Health, University of Western Australia, Perth, Australia
The International Inflammation “in-FLAME” Network, Worldwide Universities Network (WUN, USA


© Macchiaverni et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.