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Functional roles and nutritional potential of human milk oligosaccharides in swine gut health

Published online by Cambridge University Press:  30 July 2026

Romaissaa El Bouhi
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
Qinfeng Hu
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
Jie Zhong
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
Pan Zhou
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
Yong Zhang
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
Lingbin Liu
Affiliation:
Chongqing Key Laboratory of Herbivore Science, College of Animal Science and Technology, Southwest University, Beibei, 400700, China
Honglin Yan*
Affiliation:
College of Life Science and Agri-forestry, Southwest University of Science and Technology, Mianyang, 621010, China
*
Corresponding author: Honglin Yan; Email: honglinyan@swust.edu.cn
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Abstract

Content of image described in text.

Human milk oligosaccharides (HMO) are a prominent class of bioactive glycans recognised for their pivotal roles as prebiotics, anti-adhesive antimicrobials and immunomodulators in neonatal development. While traditionally studied in the context of infant nutrition, scalable biotechnological production now allows for their evaluation in swine production to address the relatively lower structural complexity of the porcine milk glycome compared with humans. This review critically evaluates the structural diversity and biosynthesis of HMO, detailing how specific fucosylated and sialylated structures modulate the porcine gut microbiome and reinforce intestinal barrier integrity. We synthesise current evidence regarding the metabolic fate of these glycans in the piglet and address the translational relevance of using swine as high-fidelity models for human gastrointestinal physiology. Furthermore, the review identifies critical knowledge gaps, specifically the lack of large-scale longitudinal studies and comprehensive cost–benefit analyses required to validate the economic feasibility of HMO in commercial agriculture. By consolidating these mechanistic insights within the context of global efforts to reduce reliance on antibiotic growth promoters, this work underscores the potential of HMO as precision nutritional tools to enhance resilience and productivity in sustainable animal production systems.

Information

Type
Review Article
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society
Figure 0

Figure 1. Structural divergence between human milk oligosaccharides (HMO) and porcine milk oligosaccharides (PMO). (a) HMO exhibit high structural diversity, characterised by a high degree of fucosylation (α1–2 and α1–3/4 linkages) and complex branching that facilitate pathogen decoy activity and immune signalling. (b) PMO are structurally less diverse, predominantly composed of sialylated core like 3’-SL, 6’-SL and neutral oligosaccharides such as isoglobotriose. Key glycosidic linkages are indicated: α1–2 fucose, α2–3/6 sialic acid, β1–3/4/6 N-acetylglucosamine, β1–4 glucose and β1–3/4 galactose. Figure is created with BioRender.com. 2’-FL, 2’-fucosyllactose; 3’-SL, 3’-sialyllactose; 6’-SL, 6’-sialyllactose; Fuc, L-fucose; Gal, D-galactose; Glc, D-glucose; GlcNAc, N-acetylglucosamine; LDFT, lacto-N-difucohexaose I; LNH, lacto-N-hexaose; LNFP, lacto-N-fucopentaose; LNT, lacto-N-tetraose; Neu5Ac, N-acetylneuraminic acid.

Figure 1

Table 1. Comparative abundance of human and porcine milk oligosaccharidesTable 1 long description.

Figure 2

Figure 2. Advanced mechanisms of human milk oligosaccharides (HMO) in supporting porcine intestinal homeostasis. Supplemental HMO fortify the intestinal barrier by upregulating the expression of tight junction proteins (ZO-1, Occludin, Claudin-5, Claudin-8), thereby reducing paracellular permeability. They modulate immune ontogeny by suppressing pro-inflammatory mediators (IL-1, IL-6, IL-8, IL-4 and TNF-α) through inhibition of the TLR4/MyD88/NF-κB signalling axis, while promoting anti-inflammatory pathways by enhancing IFN-γ and IL-10 secretion. Fermentation of HMO by Bifidobacteria produces SCFA, transported via MCT1/SMCT1, which support enterocyte energetics, MUC production and nutrient acquisition via SGLT1. Figure created with BioRender.com. 2’-FL, 2’-fucosyllactose; 3’-SL, 3’-sialyllactose; Fuc, L-fucose; Gal, D-galactose; Glc, D-glucose; GlcNAc, N-acetylglucosamine; IFN-γ, interferon-gamma; LNH, lacto-N-hexaose; LPS, lipopolysaccharide; MCT1, monocarboxylate transporter 1; MUC, mucin; MyD88, myeloid differentiation primary response 88; Neu5Ac, N-acetylneuraminic acid; PRR, pattern recognition receptors; SGLT1, sodium-glucose linked transporter 1; SMCT1, sodium-coupled monocarboxylate transporter 1; TLR4, Toll-like receptor 4; ZO-1, zonula occludens-1.

Figure 3

Table 2. Functional roles of human milk oligosaccharides (HMO) in swine modelsTable 2 long description.

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Table 3. Modulation of the porcine gut microbiome by milk oligosaccharidesTable 3 long description.

Figure 5

Figure 3. Figure 3 long description.Multifaceted mechanisms and production applications of human milk oligosaccharides (HMO) in swine. Supplemental HMO function as soluble decoy receptors, utilising their structural homology to host glycans to trap pathogens such as E. coli and prevent fimbriae-mediated adherence to the intestinal epithelium. This protective effect facilitates the establishment of a MOM, selectively enriching beneficial taxa such as Bifidobacterium and Akkermansia. In the absence of HMO (without HMO), the porcine gut is susceptible to pathogen adherence, intestinal atrophy (short, atrophied villi) and increased paracellular permeability (leaky gut), leading to a pro-inflammatory state characterised by the up-regulation of TNF-α, IL-6 and IL-1β. Conversely, with HMO supplementation (with HMO), microbial fermentation generates SCFA like acetate and butyrate. These metabolites travel through the systemic circulation (SCFA uptake by muscle) to regulate the gut–muscle metabolic axis, enhancing IMF deposition (marbling) and improving oxidative stability. This systemic programming ultimately optimises production outcomes, including significantly improved ADG and feed efficiency. Figure created with BioRender.com. 2’-FL, 2’-fucosyllactose; ADG, average daily gain; IMF, intramuscular fat; MOM, milk-oriented microbiome.