“…The expression of the ica locus and biofilm formation is highly variable and can be induced by variations in the culture conditions of CNS, such as media used, minor differences in media composition and source, such as the manufacturer [27], low concentrations of iron [21,28], concentration of sugars, sodium chloride, and ethanol [3,29], or other substances that induce stress conditions [30,31], which, in turn, stimulate or inhibit fermentation, thus increase or depress the production of PIA, with a consequent impact on biofilm production [32]. Therefore, variations in the milk composition during the lactation period could hypothetically induce a significant effect on biofilm formation [33].…”