ABSTRACT. The lymphocytes of human breast milk have been previously shown to be immunologically competent while the monocytes have been described as actively motile in some reports but not in another. Cells were separated from milk samples collected by lactating women 2 to 9 days postpartum. Milk cell migration and production of the lymphokine, monocyte chemotactic factor, by milk cells were assayed using membrane filters. Milk cells were poorly motile although prior culturing improved their migratory ability. Cell-free milk was chemotactic for blood monocytes. Chemotactic factor production was detected in only two of 16 phytohemagglutinin-stimulated milk cell cultures. (Pediatr Res 19: 996-999,1985) Abbreviations PHA, phytohemagglutinin HBSS, Hanks' balanced salt solution MCF, monocyte chemotactic factor Human milk contains a large number of immunologically active components (I). Soluble factors include secretory component, immunoglobulins, and complement. Cells identified in colostrum and milk are predominantly mononuclear phagocytes with small proportions of lymphocytes and neutrophils. Functional studies of these cells were first described by Smith and Goldman (2). They found that the mononuclear phagocytes, comprising about 80% of the milk leucocytes, ranged in size up to 30 pm diameter, with a prominent nucleolus and cytoplasm containing many fat globules. They adhered to and spread on glass, extending a cytoplasmic veil, and were described as exhibiting ameboid movements. Adherence and spreading on glass (4), who also studied capillary tube migration, it has been assumed that milk mononuclear phagocytes are actively motile. Pitt (6), however, found that they were not motile in capillary tubes or under agarose. Milk cells are actively phagocytic and microbicidal (2-4, 7, 8). Milk mononuclear cells react with the commercially available monoclonal antibodies OKMI and OKIa and present antigens to T-cell blasts (9).The lymphocytes, which comprise between 5 and 35% of the total milk cells (10-13) also exhibit in vitro activity. They proliferate in response to stimulation by PHA, antigens, and allogeneic cells (2, 10, 1 1, 14-16) and produce the lymphokines, migration inhibition factor (4), interferon (17-19), and MCF (19). It has been postulated that these cellular activities are of benefit to the breast-fed neonate. Thus, the described transmission of Received September 24, 1984; accepted May 16, 1985. Reprint requests Dr. C. S. Hawes, Department of Obstetrics and Gynaecology, Hinders Medical Centre, Bedford Park, South Australia, 5042. cellular immunity to purified protein derivative via breast milk may possibly be mediated by lymphokine transfer (20, 2 1).In view of the contrasting findings regarding milk cell motility and the indication that lymphokine is produced by milk cells, we decided to investigate milk cell migration and production of monocyte chemotactic factor using Millipore membrane filters to assay migration.
METHODSSamples of breast milk were collected from healthy lactating women 2-9 days ...