Microbiota of Human Breast Tissue

Abstract

f ; Preclinical Imaging, Perkin Elmer, Alameda, California, USA g In recent years, a greater appreciation for the microbes inhabiting human body sites has emerged. In the female mammary gland, milk has been shown to contain bacterial species, ostensibly reaching the ducts from the skin. We decided to investigate whether there is a microbiome within the mammary tissue. Using 16S rRNA sequencing and culture, we analyzed breast tissue from 81 women with and without cancer in Canada and Ireland. A diverse population of bacteria was detected within tissue collected from sites all around the breast in women aged 18 to 90, not all of whom had a history of lactation. The principal phylum was Proteobacteria. The most abundant taxa in the Canadian samples were Bacillus (11.4%), Acinetobacter (10.0%), Enterobacteriaceae (8.3%), Pseudomonas (6.5%), Staphylococcus (6.5%), Propionibacterium (5.8%), Comamonadaceae (5.7%), Gammaproteobacteria (5.0%), and Prevotella (5.0%). In the Irish samples the most abundant taxa were Enterobacteriaceae (30.8%), Staphylococcus (12.7%), Listeria welshimeri (12.1%), Propionibacterium (10.1%), and Pseudomonas (5.3%). None of the subjects had signs or symptoms of infection, but the presence of viable bacteria was confirmed in some samples by culture. The extent to which these organisms play a role in health or disease remains to be determined.T he human body is home to a large and diverse population of bacteria with properties that are both harmful and beneficial to health (1-6), and for this reason there has been a strong push in recent years to fully characterize the bacteria associated with different parts of the body under different health conditions. These studies have been made possible with the use of deep-sequencing technologies, and sites once thought of as sterile, such as the stomach, bladder, and lungs, have now been shown to harbor an indigenous microbiota (7-9). We hypothesized that microbes may also be present in breast tissue given the known presence of bacteria in human milk (10). This is not surprising considering that skin and oral bacteria have access to the mammary ducts through the nipple (11), with some recent studies suggesting their source to be from the mother's gastrointestinal tract (12). We rationalized that given the nutrient-rich fatty composition of the female breast, the widespread vasculature and lymphatics, and the diffuse location of the lobules and ducts leading from the nipple, bacteria would be widespread within the mammary glands, irrespective of lactation. Thus, the objective of the study was to determine, using culture and nonculture methods, whether breast tissue contains a microbiome. To ensure that the results obtained were not an artifact of a single demographic, tissue was collected from two distant countries, Canada and Ireland. MATERIALS AND METHODS Clinical samples and study design (Canadian samples). Ethical approval for this study was obtained from Western Research Ethics Board andLawson Health Research Institute, London, Ontario, Canada. Patie...

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