RT Journal Article SR Electronic T1 Human milk inhibits some enveloped virus infections, including SARS-CoV-2, in an intestinal model JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201432 DO 10.26508/lsa.202201432 VO 5 IS 12 A1 Ikrame Aknouch A1 Adithya Sridhar A1 Eline Freeze A1 Francesca Paola Giugliano A1 Britt J van Keulen A1 Michelle Romijn A1 Carlemi Calitz A1 Inés García-Rodríguez A1 Lance Mulder A1 Manon E Wildenberg A1 Vanesa Muncan A1 Marit J van Gils A1 Johannes B van Goudoever A1 Koert J Stittelaar A1 Katja C Wolthers A1 Dasja Pajkrt YR 2022 UL https://www.life-science-alliance.org/content/5/12/e202201432.abstract AB Human milk is important for antimicrobial defense in infants and has well demonstrated antiviral activity. We evaluated the protective ability of human milk against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a human fetal intestinal cell culture model. We found that, in this model, human milk blocks SARS-CoV-2 replication, irrespective of the presence of SARS-CoV-2 spike-specific antibodies. Complete inhibition of both enveloped Middle East respiratory syndrome coronavirus and human respiratory syncytial virus infections was also observed, whereas no inhibition of non-enveloped enterovirus A71 infection was seen. Transcriptome analysis after 24 h of the intestinal monolayers treated with human milk showed large transcriptomic changes from human milk treatment, and subsequent analysis suggested that ATP1A1 down-regulation by milk might be of importance. Inhibition of ATP1A1 blocked SARS-CoV-2 infection in our intestinal model, whereas no effect on EV-A71 infection was seen. Our data indicate that human milk has potent antiviral activity against particular (enveloped) viruses by potentially blocking the ATP1A1-mediated endocytic process.