H3Africa Research Project

Breast Milk Microbiota Influence on Infant Immunity and Growth (BEAMING)

The Goal: To understand how breast milk affects a child’s gut microbiome, and the effects this has on the child’s immune system, response to vaccinations, and overall development.

Project Leads

Dr. Alash'le Abimiku

Institute of Human Virology


Dr. Clive Gray

University of Cape Town


Dr. Jonathan Blackburn

University of Cape Town


The Problem

While modern HIV prevention and treatment have dramatically reduced the transmission of HIV from infected mothers to their infants, these children (also known as HIV exposed uninfected, or HEU) face much higher mortality rates than their HIV unexposed (HU) counterparts. Furthermore, HEU children have been shown to have different responses to vaccines than HU children. Finally, while it is known that breastfeeding these HEU children can improve their immune systems, it is unclear how this mechanism of protection operates, indicating that there is much to learn about the effect of breastmilk on the immune systems of HEU children.

Project Strategy

  1. To compare the microbes of breastmilk of mothers and gut microbiomes of infants (in both HIV+/HEU and HIV-/HU pairs) to understand the role of the breastmilk in child development.
  2. To investigate the immune response of vaccines in HEU and HU children, specifically monitoring how they affect microbial composition.
  3. To investigate the association between the genes of HEU children how their immune systems respond to vaccines.

Outcomes to Date

While the BEAMING project is in its infancy, the group has begun to lay the foundation upon which they will conduct their research in the coming years, establishing their core personnel and infrastructures that will efficiently enable them to execute out their strategy. Additionally, the project has made promising first steps into their key research aims with preliminary results indicating an effect of breastmilk microbiota on the gut microbiome of newborns. In the coming years, BEAMING will continue to make headway in answering their research questions, which could inform and influence public health policy in Africa and globally for generations to follow.

Project Sites

A: Nigeria
Institute of Human Virology

B: South Africa
University of Cape Town

Funding

This work is supported by the U.S. National Institutes of Health (NIH), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Human Genome Research Institute (NHGRI) grant number U01HD094658.

Additional Resources

October 8, 2020

Breast Milk Microbiota Influence on Infant Immunity and Growth (BEAMING)

Understanding microbial shifts and how they affect vaccine response is central to this study. We will determine if gut microbial communities associated with breastfeeding in the HEU infant follows the same successional trajectory as HU controls and resolve the differences at functional level. How the continuous conditioning of the infant gut by the microbiota from the breast milk affects the infant microbiome and subsequent
October 7, 2020

Intergenerational Epigenomics of Trauma and PTSD in Rwanda

The goal of the proposed work is to characterize the transgenerational genomic impact of genocide exposure and post-traumatic stress disorder (PTSD) in women survivors of the Rwandan genocide and their offspring. PTSD is a common and debilitating mental disorder that has a profound public health impact. Between April and June 1994, almost one million people died in the Rwandan genocide against ethnic Tutsi.
October 6, 2020

Transgenerational Effects of Maternal Stressors: Investigating the Role of Infant Gene Expression

This collaborative project, between Emory University in the USA and the University of Cape Town (UCT) in South Africa, proposes to investigate biological mechanisms underlying the transgenerational effects of exposure to prenatal maternal psychological stress, anxiety, or depression. We propose to examine
October 1, 2020

Immunoglobulin Gene Diversity in an African Population and Impact Antibody Function in HIV Infection

Antibodies are critical components of immune defense and are mediators of vaccine-elicited protection as well as autoimmunity. The heavy and light chains that comprise an antibody molecule are encoded by germline immunoglobulin (Ig) gene fragments that recombine and undergo somatic mutation thereby generating billions of specificities able to contend with a multitude of foreign antigens.
September 22, 2020

Clinical and Genetic Studies of Hereditary Neurological Disorders in Mali

Hereditary neurological disorders are very disabling diseases that are under-studied in Africa. Our first aim is to clinically characterize these disorders in the Malian population in order to establish a comprehensive clinical description of the diseases in this region. Our second aim is to identify gene mutations related to neurological diseases, and to explore their effects in cell culture models to further our understanding of their function and interactions and our knowledge of
September 22, 2020

Deciphering Developmental Disorders in Africa (DDD-Africa) – Evaluating Clinical Exome Sequencing in an African Setting

Developmental disorders are severe, chronic disabilities that are systematically increasing in prevalence in low-and middle-income countries. Due to the high burden of infectious disease in many African countries, active research into rare disorders such as DD has been neglected. The genetic aetiology of DD is complex and therefore traditional diagnostic tests have a low success yield.
August 18, 2020

African Female Breast Cance Epidermiology (AFBRECANE) Study

African Female Breast Cancer Epidemiology (AFBRECANE) Study Project summary Breast cancer is the commonest cancer in women globally and it is increasingly overtaking cervical cancer as the commonest female cancer in low and middle income countries (LMIC). The incidence of breast cancer Nigeria was 54.3 per 100,000 per year (24,750 new cases per year) in 2014 representing a rise from 20 per 100,000 in the 1970s (3,000 new cases per year).
April 4, 2018

The Genomics of Schizophrenia in the South African Xhosa People

The goal of this multisite, collaborative project is to identify genes responsible for schizophrenia in the Xhosa population of South Africa. The vast majority of the genetic basis for schizophrenia has yet to be explained. Strong evidence suggests that individually rare, severely deleterious mutations are responsible for a substantial portion of cases.
April 4, 2018

Transgenerational Effects of Maternal Stressors: Invesigating the Role of Infant Gene Expression

This collaborative project, between Emory University in the USA and the University of Cape Town (UCT) in South Africa, proposes to investigate biological mechanisms underlying the transgenerational effects of exposure to prenatal maternal psychological stress, anxiety, or depression. We propose to examine