How the gut and liver affect fat absorption in very premature babies

Liver-Gut-Microbiome Axis and Fatty acid absorption in Preterm Infants

NIH-funded research Baylor College of Medicine · NIH-11290329

This project tests whether immature gut bacteria, altered bile acids, and pasteurized donor milk make it harder for very low birth weight preterm babies to absorb essential fats.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBaylor College of Medicine NIH-funded
Lab location1 site (Houston, United States)
Project IDNIH-11290329 on NIH RePORTER

What this research studies

From the parent’s perspective, this work follows very low birth weight preterm infants in the NICU and collects stool, blood, and feeding information to link gut microbes and bile acids with fat absorption and growth. The team will compare infants fed maternal milk versus pasteurized donor milk and measure key long-chain fatty acids, bile acids, and microbiome diversity. Laboratory tests will examine how pasteurization affects milk lipase and how microbes change lipid digestion and uptake. The goal is to find feeding or treatment changes that could improve fat absorption and support better growth and development.

Who could benefit from this research

Good fit: Ideal candidates are very low birth weight preterm infants cared for in the NICU, especially those receiving donor milk or showing poor weight gain or cholestasis.

Not a fit: Full-term infants, older infants not in the NICU, or babies whose growth problems are unrelated to fat absorption are unlikely to get direct benefit from this work.

Why it matters

Potential benefit: If successful, this research could lead to feeding changes or therapies that improve fat absorption, growth, and brain/eye development in very premature infants.

How similar studies have performed: Prior work shows pasteurization can reduce milk lipase and that donor-fed VLBW infants may have lower microbiome diversity and poorer growth, but targeted fixes for fatty-acid absorption remain relatively new.

Where this research is happening

Houston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.