Immunity & Metabolism Human Microbiome Systems Nutrition. Food Bioactives Asian Consumers
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1 INFANT HEALTH Clare Wall, PhD, Assoc. Professor, The University of Auckland, and Martin Kussmann, PhD, Professor, The Liggins Institute, The University of Auckland. Chief Scientist HVN On behalf of the HVN ICF Team
2 Immunity & Metabolism Human Microbiome Systems Nutrition Food Bioactives Asian Consumers
3 Outline Weaning Introduction of Solid Food Infant Health Programme
4 Early Life Nutrition Optimal growth, health and development Healthy Adults Altered growth, metabolism and development Diseased Adults -9 months Birth Weaning Adults
5 Breast Feeding
6 Weaning: Introduction of Solid Food Development of feeding skills Taste Nutrients Gut maturation Immune maturation
7 Introduction of Solid Food Breast Milk (Infant formulae) Months 6 12 Breast Milk / Cows Milk / Toddler Milk 24 WHO MoH 2008.
8 Tamburini, Nature Medicine 22, (2016) Weaning and Microbiota
9 Host-Microbe Metabolism Kevin D. Kohl, Hannah V. Carey. J. Exp. Biol. 2016;219: Published by The Company of Biologists Ltd
10 Infant Immunity & Microbiota Immune system co-evolves with microbiota. Questions How do microbiota-immune interactions in early life regulate immune homeostasis? Can establishment of the pioneer microbiota in early life have lifelong consequences for the function of the host s immune system?
11 Collaborative Programme Systems Biology Identify immune health beneficial bacteria in infant gut microbiome around and after weaning. Identify candidate prebiotic feeds for these bacteria. Food Science Design and deliver experimental prebiotic complementary feed based on upstream Systems Biology. Clinical Research Pilot trial on benefits of experimental CF in weaning infants for microbiome and immunity. Measurements: Clinics, microbiomics, metabolomics, immune parameters incl. BCR seq. Leverage into full EU JPI proposal
12 Workflow Informs Applied to Samples for Systems Biology & Reverse Genomics Immune benefits Probiotics around weaning Probiotic metabolism Prebiotic feed Prebiotic source Prebiotic candidates Experimental Diet Safety Palatability Acceptance Compliance Pilot CT - 50 infants - 40 Food - 10 Probiotic Control Omics and Cell Biology - Metabonomics - Microbiomics - Immunology - Clinical Assessment Informs Delivers PREbiotics PRObiotics Immune Benefits PREbiotics PRObiotics Immune Benefits Full CT - Design Conduct Molecular and Clinical Phenotypes - Microbiome - Immunity - Metabolism
13 Project Gantt Chart Q3 Q4 Q1 Q2 Q3 Q4 Q1 Reverse Genomics ECF Design Clinical Pilot Clinical Pilot Clinical Pilot Data Acquisition Data Acquisition Data Acquisition Data Analysis Data Analysis Reporting Pubication
14 Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Base n=8 CF 1 CF 2 CF 3 B (8) CF 1 CF 2 CF 3 B (8) CF 1 CF 2 CF 3 B (8) CF 1 CF 2 CF 3 B (8) CF 1 CF 2 CF 3 Baseline 2-3 months CF months CF 2 9 months CF 3 12 months Questionnaires Anthropometry Diet (Adherence) Stool Saliva Health Breast Milk Blood Urine Primary Health Data Clinical Pilot: Gantt Chart & Samples
15 Achievements since June 2017 Bioinformatic proof-of-concept delivered > PubMed microbiome publications ~2000 papers on infant gut microbiome & immunity ~50 bacterial genera ~500 bacterial species in human gut ~8 bacterial genera ~80 bacterial species related to infant gut microbiome & immunity Including positive controls e.g. Lactobacilli and Bifidobacteria
16 Bioinformatics: Exogenous Metabolites Example: Bacteroides fragilis Netseed
17 Next 18 Months Validate reverse genomics proof-of-concept Q PREbiotics PRObiotics Immune Benefits Advance from PRObiotics to PREbiotic feed via Human Metabolome Database Q Inform design of complementary feed Q Back up complementary feed by known prebiotics Classical proof-of-concept: PREbiotics PRObiotics Immune Benefits Design and deliver complementary feed Q Clinical trial Q : Metagenomics, metabolomics, immune parameters, clinical assessment Data analysis and integration Q Q Reporting, publications Q1 2019
18 Industry Engagement Programme set up with industry consultation: Infant Nutrition Workshop October 2016 HVN Industry Advisory Panel Infant Complementary Feeding Workshop Nov Industry Reference Group to be established
19 Weaning Foods NZ Inc. Optimal Goodness Determine the optimal age and food for increasing intestinal microbial diversity Optimize effects on gut microbiota, immune maturation and later health outcomes.
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