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Archives of Disease in Childhood - Fetal and Neonatal Edition 2004;89:F136-F138; doi:10.1136/adc.2002.018390
Copyright © 2004 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood Fetal and Neonatal Edition 2004;89:F136
© 2004 Archives of Disease in Childhood Fetal and Neonatal Edition

ORIGINAL ARTICLE

Suppressive effects of breast milk on oxidative DNA damage in very low birthweight infants

H Shoji, T Shimizu, K Shinohara, S Oguchi, S Shiga, Y Yamashiro

Department of Paediatrics, Juntendo University School of Medicine, Tokyo, Japan

Correspondence to:
Correspondence to:
Dr Shimizu
Department of Pediatrics, Juntendo University, School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan; tsimizut{at}aol.com

Background: Human milk contains many kinds of antioxidant and is considered to prevent diseases mediated by oxygen free radicals in very low birthweight (VLBW) infants.

Aims: To examine the antioxidant effects of breast milk in VLBW infants by determining urinary 8-hydroxydeoxyguanosine (8-OHdG) excretion, which is known to be a non-invasive marker for in vivo oxidative DNA damage.

Methods: Urinary 8-OHdG concentrations were measured in 15 breast fed and 14 formula fed VLBW infants at 2, 7, 14, and 28 days of age.

Results: Urinary 8-OHdG excretion at 14 and 28 days of age was significantly lower than at 2 and 7 days of age in the breast fed group, and significantly lower than in the formula fed group.

Conclusion: This is the first direct evidence of the antioxidant action of human milk in VLBW infants.

Keywords: antioxidants; 8-hydroxydeoxyguanosine; milk; oxygen free radicals; very low birthweight infants

Abbreviations: 8-OHdG, 8-hydroxydeoxyguanosine; VLBW, very low birth weight; NEC, necrotising enterocolitis; CLD, chronic lung disease; ROP, retinopathy of prematurity; IVH, intraventricular haemorrhage; ELISA, enzyme linked immunosorbent assay


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