Table 5.
Overview of studies that did not report statistically significant preventative effects of enteral feeding interventions on NEC incidence, histological injury scores, clinical disease scores or signs and symptoms or survival in experimental animal models of NEC.
NEC Incidence | |
---|---|
Carbohydrate/sugar-based interventions | 2′-FL [133] Gangliosides [100] SL [100] Lactose [92] Mixture of 4 HMO [134] Mixture of 25 HMO [134] IFOS [49] |
Protein/amino acid-based interventions | OPN [100,129] CGMP [129] Bovine lactoferrin [35,36] |
Probiotic interventions | Lactobacillus reuteri DSM 20016 [71,72] |
Other interventions | amniotic fluid [123] |
NEC histological injury scores | |
Fat-based interventions | |
Carbohydrate/sugar-based interventions | 2′-FL [133] GOS [42,89] Lactose [38] 0 HMO (no sialic acids) [42] −1 HMO (one sialic acid) [42] −3 HMO (three sialic acids) [42] −4 HMO (four sialic acids) [42] Mixture of 4 HMO [134] Mixture of 25 HMO [134] 3‴-sLNnT [89] GD3 [89] DSLac [89] Neu5GC-DS’LNT [90] DS’LNnT [90] DSTa [90] DSGalB [90] Gangliosides [100] SL [100] |
Protein/amino acid-based interventions | Bovine lactoferrin [35,36] (even higher score for [36]) OPN [129] CGMP [129] |
Probiotic interventions | Lactobacillus reuteri DSM 20016 [71] |
NEC clinical disease score or signs and symptoms | |
Fat-based interventions | BCFA [46] |
carbohydrate/sugar based interventions | Lactose [92] HMO [38,42] Mixture of four HMO [134] Mixture of 25 HMO [134] 2′-FL [133] GOS/FOS [135,136] GOS [42] |
Protein/amino acid-based interventions | Glutamine [96] OPN [129] CGMP [129] |
Probiotic interventions | Saccharomyces Boulardii [135,136] |
Other interventions | Resveratrol [127] |
NEC survival | |
Fat-based interventions | Pomegranate seed oil [47] DHA [131] DHA or EPA maternal intervention during pregnancy [43] |
Carbohydrate/sugar-based interventions | GOS/FOS [135] GOS [42] IFOS [49] |
Hormone/growth factor/vitamin-based interventions | EGF [104,137] |
Probiotic interventions |
Saccharomyces boulardii [135] Lactobacillus reuteri DSM 20016 [72] Lactobacillus reuteri biofilm on unloaded microspheres [72] |
DHA, docosahexaenoic acid; EPA, eicosapentaenoic acid; BCFA, branched chain fatty acids; HMO, human milk oligosaccharides; 2′-FL, 2′-fucosyllactose; SL, sialic acids; GOS, galacto-oligosaccharides; FOS, fructo-oligosaccharides; IFOS, infant formula oligosaccharides; GD3, ganglioside D3; EGF, epidermal growth factor; DSLac, disialyllactose; DSTa, disialyl T-antigen tetraose; 3‴-sLNnt, 3‴-sialyllacto-N-neotetraose; DSGalB, disialyl galactobiose; DS’LNnT, a2–6-linked disialyllacto-N-neotetraose; DS’LNT, a2–6-linked disialyllacto-N-tetraose; CGMP: caseinoglycomacropeptide; OPN: osteopontin.