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Figure 1.

Flow chart study.
Flow chart study.

Characteristics of the studies included in the systematic review: bibliometric data, omics component analyzed, analytical platform, bioinformatics database, clinical characteristics, and main findings_

Bibliometric data (author, year, country and reference)OmicsMethod of technologyBioinformatics baseClinical characteristics. (lactation phase, healthy or sick).Results
Wieruszeski J et al., 1985, FranceGlycomicsFAB-MS and LC-MS.Not reportedNot reportedIdentified two novel oligosaccharides (lacto-N-sialylated fucopentaose I and II), likely reflecting mammary glycosyltransferase activity during lactation.
Grönberg G et al., 1990, SwedenGlycomicsSEC-IEC-HPLC-NMR.Not reportedNot reportedIdentified three novel disialylated oligosaccharides in human milk.
Finke B et al., 1999, GermanyGlycomicsMALDI-MS.Not reportedNot reportedDetected acidic and neutral oligosaccharides, including complex neutral structures of up to 35 monosaccharide units.
Chaturvedi P et al., 2001, USAGlycomicsrpHPLC.Not reportedTransitional and mature milk from healthy mothersOligosaccharides varied in quality and quantity during lactation, with higher fucosylated and sialylated forms early on, decreasing after 26 weeks postpartum; low concentrations may inhibit pathogen binding.
Niñonuevo M et al., 2008, USAGlycomicsHPLC-Chip/TOF-MS.Not reportedColostrum, transitional and mature milk from healthy mothersLNT, LNnT and LNFP I/V were most abundant and stable throughout lactation, with higher fucosylated vs. sialylated HMOs from day 1 to 71, potentially influenced by maternal or infant factors.
Albrecht S et al., 2010, NetherlandsGlycomicsOff-line CE-LIF, Online CE-LIF-ESI-MS.Not reportedNot reportedDetected major peaks of SL, DS-LNT, S-LNT, FL, LNDFH, LNT, LNFP I/III, LNFP II, and DF-L.
Dallas D et al., 2011, USAGlycomicsHPLC-Chip/TOF-MSIn-house Postgres relational databaseMature milk in healthy mothers.Identified 52 N-linked glycans (84% fucosylated, 47% sialylated); breast milk provides Neu5Ac, important for neonatal brain development.
Xu G et al., 2017, USAGlycomicsHPLC y UPLC/QqQ-MS.Not reportedTransitional and mature milk from healthy mothersMost oligosaccharides decreased over lactation, while fucosylation increased; secretor mothers had higher total and fucosylated HMOs.
Ma L et al., 2018, ChinaGlycomicsLC−MRM−MSNot reportedMature milk from healthy mothers.Observed high variability in BMH concentrations, influenced by genetic and ethnic factors and secretor/blood group status
Nijman et al., 2018, USAGlycomicsnano-LC-chip/Q-TOF MSIn-house HMOS databaseColostrum and mature milk from healthy mothersIdentified key health-related oligosaccharides (sialylated, α1,2-fucosylated, LNT), which declined from day 3 to 42.
Zhang W et al., 2019, ChinaGlycomicsLC–MS/MS MRMNot reportedMature milk from healthy mothersIdentified 12 oligosaccharides (including isomeric pairs); variations linked to donor ethnicity and timing of collection.
Yan J et al., 2019, ChinaGlycomicsERLIC−MS/MSNot reportedTransitional and mature milk from healthy mothersOligosaccharides declined during lactation, with neutral forms decreasing faster than sialylated ones.
Gao X et al., 2019, ChinaGlycomicsMALDI-TOF-MSNot reportedMature milk from healthy mothersSialylated HMOs (SHMO) reduced leukocyte adhesion; 3′-SL had antiviral effects; 2′-FL and 3′-SL improved memory and learning in infants.
Tonon M, 2019, BrazilGlycomicsLC-MSNot reportedTransitional and mature milk from healthy mothers and mothers with allergic diseaseHigher 2′-FL in mothers of girls, higher LNH in mothers of boys; allergic mothers had higher DFpLNnH; secretor phenotype linked to allergy incidence.
Mernie E, 2019, TaiwanGlycomicsTLC MALDI-MSNot reportedColostrum, transitional and mature milk from healthy mothersIdentified 25 neutral HMOs; early milk richer in large oligosaccharides; no sialylated HMOs detected.
Wang M et al., 2020, ChinaGlycomicsHPLC-ESI-MSNot reportedColostrum, transitional and mature milk from healthy mothersSecretor phenotype influenced by ethnicity; multiparity associated with higher LNT and LNnT, lower 3′FL.
Ferreira A et al., 2020, BrazilGlycomicsHPLC-FLIn-house HMOS databaseColostrum, transition milk and mature milk from healthy mothersSecretor pattern more common in Latin women; multiparity linked to higher LNT and LNnT, lower 3′FL; mechanism unclear.
Siziba L, 2021, GermanyGlycomicsLC-MS2Not reportedMature milk from healthy mothersOligosaccharides decreased at 6–12 months; secretor mothers produced more; early FUT-dependent HMO exposure may be beneficial.
Siziba L, 2022, GermanyGlycomicsLC-ESI-MSNot reportedMature milk from healthy mothersNo association found between HMOs and atopic dermatitis at 1–2 years; identified several key HMOs.
Xun Y et al., 2022, ChinaGlycomicsUPLC-MSNot reportedMature milk from healthy mothersMultiparous mothers had higher LNT and LNnT, lower 3FL, regardless of secretor status; explained by FUT2/FUT3 gene expression.
Vinjamuri A, 2022, USAGlycomicsnano–HPLC–time of flight (TOF)–MSNot reportedMature milk in healthy mothersHMO abundance decreased in first 6 months; α(1,2)-fucosylated species varied most; secretor mothers had higher 2′FL and LDFT, non-secretors had higher α(1,3)/α(1,4)-fucosylated HMOs.
Donatella Fortunato et al., 2003, ItalyProteomicsMALDI-TOF-MSPROSITE databaseColostrum from healthy mothersIdentified 107 proteins, mainly lactadherin, butyrophilin, lactoferrin, adipophilin, and carbonic anhydrase.
Gianluca Picariello et al., 2008, ItalyProteomicsMALDI-TOF-MSDatabases from the National Center for Biotechnology Information (nrNCBI)Colostrum from healthy mothers.Identified 32 glycoproteins with 63 N-glycosylation sites, mainly polymeric Ig receptor, lactoferrin, IgA2 chain, serum albumin, and caseins.
Liao et al., 2011, USAProteomicsLC-MS/MSUniprot databaseColostrum, transition milk and mature milk from healthy mothersIdentified 115 proteins; early lactation showed higher expression of R-1-antitrypsin, carbonic anhydrase, chordin-like protein 2, and galectin-3 binding protein; later lactation showed higher fatty acid-binding protein, lysozyme C, and monocyte differentiation antigen.
Liao et al., 2011, USAProteomicsLC-MS/MSUniprot databaseColostrum, transition milk and mature milk from healthy mothers.Identified 191 MFGM proteins: 21.5% involved in energy metabolism, 8.4% in growth, 19.9% in immune functions; novel proteins included polymeric immunoglobulin receptor and HLA antigens.
Liao et al., 2011, USAProteomicsLC-MS/MSNot reportedColostrum, transition milk and mature milk from healthy mothers.Identified 82 proteins (18 specific to casein fraction) grouped into nine functional categories, highlighting immune response (28%), metabolism (22%), and cell communication (18.3%); casein fraction lacked proteins regulating nucleic acid metabolism.
Smilowitz et al., 2013, USAProteomicsnanoLC-Chip/TOF MSNot reportedMature milk from healthy mothers and mothers with gestational diabetes mellitus (GDM)Compared to controls, GDM milk had 63.6% less sIgA, 45% more lactoferrin N-glycans, 36–72% more fucosylated and sialylated lactoferrin N-glycans, and 32–43% less sIgA and mannose, fucose, and sialic acid N-glycans.
Mandal et al., 2014, IndiaProteomicsMALDI-TOF-MSNCBI and SwissProt databasesMature milk from healthy mothersIdentified 24 peptides with antimicrobial, antioxidant, and growth-stimulating activities; lactoferrin- and casein-derived peptides showed antibacterial, proliferative, and antioxidant effects.
Dmitry Grapov et al., 2014, USAProteomicsLC/MS/MSUniprot and Repository of Adventitious Proteins databasesColostrum from GDM and non-GDM mothers.Identified 27 proteins, with 10 differing between GDM and controls; GDM milk had more apolipoprotein A1, heavy chain Ig V–II region, and prostatin.
Kasper A. Hettinga et al., 2015, USAProteomicsLC/MS/MSUniprot databaseMature milk from allergic and non-allergic mothersIdentified 357 proteins in allergic mothers and 355 in non-allergic mothers; 9 were unique to allergic and 7 to non-allergic mothers.
Lingli Chen et al., 2018, USAProteomicsLC-MS/MSUniProt databaseColostrum from hypothyroid and non-hypothyroid mothersIdentified 44 proteins; 29 related to energy metabolism and cell structure decreased in hypothyroid mothers, while 15 immune-related proteins increased.
Laura Di Francesco et al., 2018, ItalyProteomicsMALDI-TOF-MSNot reportedColostrum and mature milk from healthy mothersEarly milk showed higher signals for peptides, proteins, and vitamins compared to mature milk, with a higher proportion of proteins <10 kDa in colostrum.
Jing Zhu et al., 2019, NetherlandsProteomicsLC-MS/MSUniProt databaseMature milk from healthy mothersIdentified 109 non-human peptides grouped into 36 proteins, mainly bovine caseins and β-lactoglobulin, likely from maternal diet.
Lina Zhang et al., 2019, ChinaProteomicsLC-MS/MSUniProt databaseMature milk from healthy mothersIdentified 693 proteins, most abundant were lactoferrin, serum albumin, polymeric Ig receptor, macrophage mannose receptor 1, and bile salt-activated lipase; 34 proteins varied by geography and ethnicity.
Jing Zhu et al., 2020, NetherlandsProteomicsLC/MS/MSUniprot Swiss-Prot databaseColostrum, transition milk and mature milk from healthy mothers.Identified 1,320 proteins and 2,096 peptides, adding 60 novel proteins to the human milk peptidome; 65% of peptides belonged to caseins, followed by osteopontin.
Kelly A. Dingess et al., 2021, NetherlandsProteomicsLC-MS/MSUniProt database, Byonic databaseTransitional and mature milk from healthy mothersObserved decreased phosphosite occupancy and O-glycosylation of β-casein during lactation, which may influence calcium binding; O-glycans localized to the β-casein C-terminal.
Vaksha Patel et al., 2021, EnglandProteomicsLC-MS/MSUniProt databaseMature milk from healthy mothersIdentified 136 previously unreported proteins, 21 linked to calcium metabolism; main proteins included serum albumin, lysozyme, lactotransferrin, and lactalbumin; FAM20A detected in all samples.
Juanjuan Guo et al., 2022, ChinaProteomicsLC-MS/MSUniprot Swiss-Prot database, Byonic databaseColostrum and mature milk from healthy mothers and mothers with COVID-19COVID-19 colostrum had 4.1× higher total protein, 3.9× lower caseins, and 7.2× higher whey proteins compared to controls; differences diminished by 1 month postpartum.
Marincola et al., 2012, ItalyMetabolomicsH-NRM and GC-MSHuman Metabolome DatabaseTransitional and mature milk from healthy mothers with preterm newbornObserved transient changes in carbohydrate composition (increased lactose) during the first 3 weeks of life; fatty acid profile was dominated by oleic and linoleic acids; no differences between late and extreme preterm infants.
Villaseñor A, 2014, United KingdomMetabolomicsLC-MS and GC-MSKEGG, METLIN, and LipidMAPS databasesColostrum, transitional and mature milk from healthy mothersIdentified previously undescribed metabolites, including fatty esters, aldehydes, ceramides, PG and PA; also detected amino acids, organic acids, fatty acids, sugars, TCA intermediates, cholesterol, and disaccharides across lactation.
Li K et al., 2018, ChinaMetabolomicsUPLC-Q-TOF-MS2002 Chinese food composition databaseColostrum, transitional milk and mature milk from healthy mothersIdentified 84 metabolites, including glycerolipids, glycerophospholipids, sphingolipids, vitamins, nucleotides, amino acids, dipeptides, steroid hormones, and others; tryptophan, histidine, and glycerolipids increased over lactation.
Gaitan A et al., 2018, USAMetabolomicsLC-MSNot reportedTransitional milk and mature milk from healthy mothersIdentified ARA as main metabolite; DHA, a DHEA precursor, may support infant brain and cognitive development; OEA predominated over PEA in mature milk; glycerol group accounted for > 90% of PG glycerols.
Wen L et al., 2019, ChinaMetabolomicsGC-MS-NMRHMDB and NIST databaseColostrum, transitional milk and mature milk from healthy mothers and women with gestational diabetes mellitus.Demonstrated dynamic milk metabolome over early lactation; colostrum enriched in fatty amino acids, mature milk enriched in saturated/unsaturated fatty acids and TCA intermediates; 28 metabolites differed in GDM mothers.
Isganaitis E et al., 2019, USAMetabolomicsLC-GC-MSKyoto Encyclopedia of Genes and GenomesMature milk, from obese and healthy mothers.Found 20 metabolites that were elevated in obese mothers’ milk; adenine positively correlated with maternal BMI and infant adiposity; suggested potential milk-mediated mechanisms for obesity transmission.
Arias-Borrego A, 2021, SpainMetabolomicsUHPLC-MSMETLIN and HMDB databaseColostrum, from iodine-deficient mothers.Identified 31 altered metabolites (e.g., glycerophospholipids) in iodine-deficient mothers, distinguishing them from normal, even with normal urine iodine levels; alterations may impact neurodevelopment.
Wu Y et al., 2021, ChinaMetabolomicsLC-MS/MSHuman Metabolome DatabaseColostrum, transitional and mature milk from healthy mothers and mothers with diabetes mellitusIdentified 620 components — including keto acids, carboxylated acids, glycerophospholipids, fatty acids, organic compounds, nucleotides, and benzenoids — in healthy and diabetic mothers over the course of lactation.
Li M, 2022, ChinaMetabolomicsGC-TOF-MSLECO-Fiehn Rtx5 databaseColostrum and mature milk from healthy mothersCharacterised 159 metabolites in colostrum and mature milk; 17 up-regulated and 55 down-regulated in colostrum; observed pathway differences in amino acid, lipid, inositol phosphate, glutathione, and galactose metabolism.
Zhang W, 2022, ChinaMetabolomicsHPLC-MS/MSIn-house MS2 databaseMature milk from healthy mothersIdentified two metabolites; PC1 associated with linoleic and α-linolenic acid derivatives; PC2 associated with phospholipids including glycerophospholipids and sphingomyelins, which may facilitate allergen absorption.
Koulman A, 2019, EnglandLipidomicsLESA-MS and CIDNot reportedTransitional milk and mature milk of healthy mothersLESA-MS revealed that mammary glands within an individual can produce distinct triacylglycerol (TG) profiles; also identified very long-chain fatty acids (C26:0 and C26:1), not previously reported in human milk.
George A et al., 2020, AustraliaLipidomicsLC-IM-MSLIPID MAPS structure database, Australian Food Composition DatabaseMature milk from healthy mothers with preterm newbornIdentified 205 TAGs, including 98 novel species; observed high levels of odd-chain fatty acids likely from diet; TAGs varied across the day, lactation stage, and between breasts; fish intake linked to DHA levels.
Xu L et al., 2020, ChinaLipidomicsLC-MS/MSNot reportedColostrum from healthy mothers with term newborn and preterm newbornFound significant differences in 16 lipid subclasses between term and preterm milk; preterm milk had higher phosphatidylethanolamine and phosphatidylcholine but lower diacylglycerol and ceramide; dysregulated lipids were related to metabolism, neuronal signaling, and LXR/RXR pathways.
Hewelt-Belka W et al., 2020, PolandLipidomicsRPLC-Q-TOF-MSLIPID MAPS Structure Database (LMSD)Colostrum, transitional milk and mature milk from healthy mothersMature milk contained 76 lipids at higher levels compared to colostrum, which had 40 lipids elevated; colostrum was richer in TGs with > 20 carbons, ether glycerophospholipids, and LC-PUFAs like eicosatetraenoic acid.
Song S et al., 2021, ChinaLipidomicsLC-MS-MSLIPID MAPS Structure DatabaseColostrum, transitional milk and mature milk from healthy mothersPhosphatidylcholine was the most abundant lipid; plasmalogens and polyunsaturated phospholipids decreased over lactation; early changes included declines in phosphatidylcholines and phosphatidylglycerols and increases in lysophosphatidylethanolamines and lysophosphatidylcholines; lipid profile stabilized after ~200 days.
Alexandre-Gouabau M et al., 2019, FranceGlycomics, lipidomics, metabolomics, proteomicsLC-HR-MSLIPID Metabolites and Pathways Strategy Database (LipidMaps), Human Metabolite Data base (HMDB), Biofluid Metabolites Database (MetLin), Milk Metabolome Database (MCDB)Mature milk from healthy mothersIdentified biomarkers (arginine, tyrosine, hydroxybutyrate, niacinamide, choline, and lacto-N-fucopentaose I) predictive of infant weight gain; arginine, tyrosine, medium-chain fatty acids, triglycerides, and phospholipids were associated with faster growth, whereas oleic acid, plasmalogens, ceramide, and very long-chain TGs were associated with slower growth. Non-secretor mothers had very low 2′-FL, while secretors had high 2′-FL levels.
McJarrow P et al., 2019, New ZealandGlycomic, lipidomicHPLC-MSNot reportedTransitional milk and mature milk from healthy mothersFound higher concentrations of HMOs and ganglioside GD3 in transitional milk compared to mature milk, except for 3-fucosyllactose and GM3, which were higher in mature milk.

Summary of the main findings organized by omics component, maternal health status, and lactation phase_

OmicsMaternal health: healthyMaternal health: with comorbiditiesLactation phase: colostrumLactation phase: transitionalLactation phase: mature
GlycomicsHigh diversity of HMOs; ↑ fucosylation early; ↓ over time; neutral and sialylated HMOs decrease progressively↑ DFpLNnH in allergic mothers; differences in secretor/non-secretor patterns; ethnic variationHigh HMO concentrations, fucosylated and sialylated; immune protectionHMOs decrease, shifting patterns (e.g., LNT, LNFP)3′-FL increases over time; ↓ total HMOs
ProteomicsHigh levels of immune proteins (lactoferrin, IgA, etc.); proteins supporting development and metabolism↑ protease inhibitors in allergic mothers; ↑ apolipoproteins in diabetes; ↓ IgA in diabetes; ↑ immune proteins in COVID-19High diversity of low-molecular-weight and immune proteinsDecline of early proteins; stabilizationPredominance of growth and metabolism-related proteins
MetabolomicsAmino acids, essential fatty acids, endocannabinoids support growth and development↑ lipids in obesity; alterations in diabetes, hypothyroidism, and iodine deficiency↑ carbohydrates, amino acids, essential fatty acidsGradual decline of initial lipids and metabolites↑ vitamins D3, D2, biotin; ↓ cholesterol, tocopherols
LipidomicsHigh lipid diversity: very long-chain fatty acids identified; ↑ saturated and unsaturated fatty acidsMinor variations reportedHigh in phosphatidylcholine, triglycerides, ether-phospholipidsDecrease in plasmalogens and polyunsaturated lipidsStabilized lipid profile; predominance of lipids supporting microbiota and development
DOI: https://doi.org/10.34763/jmotherandchild.20252901.d-24-00044 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 126 - 142
Submitted on: Nov 3, 2024
Accepted on: Jul 25, 2025
Published on: Sep 12, 2025
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Julián Manuel Espitia Angel, Sergio Agudelo-Pérez, Laura Manuela Olarte Bermúdez, Daniela Del Pilar Chaparro Rojas, Sandy Daniela Bonilla Herrera, Mariana Gómez Merchán, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.