SummaryIn a study of human milk obtained in the first month of lactation, lipase and esterase activity were assayed. Bile saltstimulated lipase (BSSL) and bile salt-stimulated esterase (BSSE) activities in colostrum were similar to corresponding enzyme activities in transitional milk and in mature milk. BSSL and BSSE were significantly (P < 0.001) correlated to one another, which suggests that lipase and esterase activities in milk are due to the same enzyme. When milk was allowed to stand at room temperature, in a refrigerator, or subjected to freezing and thawing, wide fluctuations were observed in lipase and esterase activities, but there was no systematic tendency for enzyme activity to increase or decrease. Heating milk to various temperatures between 40-55°C resulted in progressive loss of enzyme activity. The activation energy for the process which inactivates the enzyme was found by linear regression to the Arrhenius plot to be 2 x 105J.mole-'. Our findings suggest that lipase and esterase activity in human milk which is donated to hospitals and stored frozen can make a valuable contribution to fat digestion in the newborn infant, but pasteurization destroys the enzyme.
AbbreviationsBSSE, bile salt-stimulated esterase BSSL, bile salt-stimulated lipase It is well known that human milk contains two different lipases. A serum-stimulated lipase, which has properties similar to lipoprotein lipases, is found in milk fat globules whereas BSSL occurs in the aqueous fraction of milk (19). These enzymes have been characterised (4, 12, 13, 2 1, 22), and it seems that BSSL could make an important contribution to fat digestion in the newborn infant (14). BSSL has properties which suggest that it is active in the small intestines of newborn infants. This enzyme is stable at pH values as low as 3.5 and is not affected by trypsin, provided that bile-salts are present. The two primary bile-salts, cholate and chenodeoxycholate can, at relatively low concentrations that are known to occur in the intestines in early infancy, activate BSSL.In the present study, esterase and lipase activities were determined in milk specimens donated by mothers who gave birth at our hospital. We investigated possible differences between colostrum, transitional milk, and mature milk. The relationship of lipase to esterase activity was studied because these two activities in milk may be due to the same enzyme. Human milk donated to hospitals is stored frozen in milk banks after pasteurization.This milk is fed to preterm infants in special care nurseries. Further studies were, therefore, undertaken to investigate the effects on lipase and esterase activity of standing milk at room temperature or in a refrigerator, freezing and thawing milk, and heating milk.
MATERIALS AND METHODSMilk samples were donated during the first month of lactation by mothers who had given birth at term, at St. Mary's Hospital. Milk samples were collected after the babies were breast fed, and immediately after collection the milk was centrifuged at 20,000 g for 30 min at...