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| ID | Type | Description | Link |
|---|---|---|---|
| 2024-A01159-38 | Other Identifier | ID-RCB |
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Exclusive breastfeeding during the first six months of life and continued breastfeeding for at least 24 months constitute the optimal feeding method for infants and young children.
However, breast milk and breastfeeding can be significant pathways for the transmission of certain viruses.
The objective of this study is to examine the influence of human breast milk and its composition on viral infectivity and viral transmission of the HTLV-1 virus and arboviruses such as Zika virus, yellow fever, dengue, and tick-borne encephalitis.
Exclusive breastfeeding during the first six months of life and continued breastfeeding for at least 24 months constitute the optimal feeding method for infants and young children.
However, breast milk and breastfeeding can be significant pathways for the transmission of at least three human viruses: HTLV-1, HIV, and human cytomegalovirus (CMV).
To address the following main objective: to study the influence of human breast milk and its composition on viral infectivity and viral transmission of the HTLV-1 virus and arboviruses such as Zika virus, yellow fever, dengue, and tick-borne encephalitis.The study plans to collect milk samples from lactating women who are registered with the Lactarium of Île-de-France to donate their breast milk.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lactating women | Lactating adult women who donate their milk |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Collection breast milk | Other | Collection of a milk sample taken as part of women's donation |
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| Measure | Description | Time Frame |
|---|---|---|
| Study the influence of breast milk and its composition on viral infectivity and oral transmission of HTLV-1 and arboviruses such as Zika virus, yellow fever virus, dengue virus, and tick-borne encephalitis virus. | Various viruses will be incubated with milk samples. The influence of milk on the different viruses will be studied. The capacity of these viruses incubated with milk to infect the target cells (immune or epithelial cells, depending on the virus) will be measured (measurement of the number of infected cells). | 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the antiviral or proviral mechanisms of certain biological factors in breast milk. | The level of proteins, carbohydrates and fatty acids will be measured in the milk using an infrared spectrometer. The aim is to find out whether the composition of the milk can influence its antiviral or proviral mechanisms. | 36 months |
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Inclusion Criteria:
No inclusion criteria:
- Women opposing participation in the study
Exclusion Criteria:
- Positive HIV, HBV, HCV and HTLV serologies (Lactarium exclusion criteria)
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Breastfeeding adult women who register with the Île-de-France Milk Bank to donate their milk.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aurore VIDY-ROCHE, PhD | Contact | 0145688906 | +33 | aurore.vidy@pasteur.fr |
| Pierre-Emmanuel CECCALDI, PhD | Contact | 0145688782 | +33 | pierre-emmanuel.ceccaldi@pasteur.fr |
| Name | Affiliation | Role |
|---|---|---|
| Virginie RIGOURD, Dr | Lactarium Ile-de-France, Necker-Enfents Malades Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lactarium Ile-de-France, Necker-Enfents Malades Hospital | Recruiting | Paris | 75015 | France |
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| ID | Term |
|---|---|
| D061186 | Breast Milk Expression |
| D014777 | Virus Diseases |
| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| D005247 | Feeding Behavior |
| D001519 | Behavior |
| D007239 | Infections |
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| Determine the role of breast milk in the mechanisms by which the relevant viruses cross an epithelium. |
Following the addition of viral particles or infected cells to the apical side of an "in vitro" intestinal model, the impact of breastmilk on crossing efficacy and underlying mechanisms will be assessed. Measurement of the number of viruses that cross the barrier of the intestinal epithelium in the presence of milk by comparing the number of viruses that cross the barrier of the intestinal epithelium without being incubated with milk. |
| 36 months |
| Determine the influence of a few hours of incubation at 4°C (refrigeration) on the previously mentioned mechanisms. | Milk samples will be incubated at 4°C. It has been demonstrated for several enveloped viruses, including the Zika virus, that refrigeration of breast milk (4°C) induces an antiviral effect. However, some experiments seem to indicate major differences in the kinetics of this effect, depending on milk factors. Kinetics will be measured. | 36 months |