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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Multi-Ontology framework of Maternal Milk for Immune Systems (MOMMIS) - Extended Abstract</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Emily Steliotes</string-name>
          <email>esteliotes@ucdavis.edu</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Daniela Barile</string-name>
          <email>dbarile@ucdavis.edu</email>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Matthew Lange</string-name>
          <email>matthew@ic-foods.org</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>International Center for Food Ontology Operability Data and Semantics (IC-FOODS)</institution>
          ,
          <addr-line>216 F St, Suite</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Maternal Milk</institution>
          ,
          <addr-line>Milk Composition, Immune Systems, Immune Health, Ontologies</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>University of California, Davis, Department of Food Science and Technology</institution>
          ,
          <addr-line>One Shields Ave, Davis, CA</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <fpage>199</fpage>
      <lpage>203</lpage>
      <abstract>
        <p>We propose a multi-ontology framework modeling the impacts of milk composition on immune health outcomes, using maternal milk as a case study. We evaluated the wide array of immunehealth promoting bioactive factors in mammalian milk and existing ontologies relevant to food, nutrition, and health. From here, we are aligning existing ontologies and developing new ontologies to fill notable gaps. MilkOligoDB, which allows for the comparison of milk oligosaccharide profiles among mammalian species and across the literature, demonstrates how the MOMMIS framework can be instantiated. MOMMIS will be useful for interdisciplinary and translational research at the intersection of food and health science disciplines.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Immune Health vs. Immune Disease</title>
      <p>
        Neonatal immune cells, with little immunological memory, a developing immune system, and
increased vulnerability to a vast array of infectious and non-infectious diseases and conditions, must
simultaneously mount responses against environmental stimuli while maturing (
        <xref ref-type="bibr" rid="ref1 ref2 ref3">1–3</xref>
        ). Establishment,
development, maturation, optimization and maintenance of immune system functions leads to improved
disease resistance, healthspan, and longevity (
        <xref ref-type="bibr" rid="ref4 ref5">4,5</xref>
        ). Current immune system ontological structures
annotate immune system components relative to their corresponding disease states and drug treatments
(
        <xref ref-type="bibr" rid="ref6 ref7">6,7</xref>
        ). Ontological structures are needed, which are capable of annotating immune health system
development, maturation, and improvement including both intrinsic and extrinsic factors.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Development of Ontologies at the Intersection of</title>
    </sec>
    <sec id="sec-3">
      <title>Milk Composition and Immune Health</title>
      <p>2023 Copyright for this paper by its authors.
CEUR</p>
      <p>ceur-ws.org
ISSN1613-0073</p>
      <p>Annotating milk is a worthwhile pursuit because milk plays a crucial role in the growth and development
of mammals. An ontologically based maternal milk ⇔ infant health informatics framework offers the
opportunity to links bodily tissues and fluids, as well as their packaging and delivery into nutritive foods
with the metabolic processes and health outcomes of the consuming organism. Specifically relating to
organismal immunological function, ontologically modeling maternal milk and its consumption affords the
opportunity to better understand establishment, development, maturation, optimization and maintenance
of immune system functions across molecular, cellular, organ, and systems levels. It will also be crucial for
interdisciplinary translational research efforts, i.e. determining how an increase in oligosaccharide content
in milk affects immune-mediated health outcomes or what immune health-promoting bioactive factor(s)
affect the development and/or treatment of emerging viruses such as COVID-19.</p>
    </sec>
    <sec id="sec-4">
      <title>2.1. Mammalian Milk Immune Components</title>
      <p>
        Mammalian milk contains a variety of immune-health promoting bioactive factors (milk immune
components) including but not limited to: hormones, cytokines, chemokines, lymphocytes, macrophages,
neutrophils, T cells, immunoglobulins, lactoferrin, lysozyme, bioactive peptides, antibodies, stem cells,
human milk oligosaccharides (HMOs), the microbiota, and microRNAs capable of the mechanisms by
which they drive immune maturation (
        <xref ref-type="bibr" rid="ref11 ref12">11,12</xref>
        ). For example, HMOs play an important role in the
prevention of necrotizing enterocolitis, a disease occurring in sick or premature babies (
        <xref ref-type="bibr" rid="ref13">13</xref>
        )(
        <xref ref-type="bibr" rid="ref14">14</xref>
        ).
Bifidobacteria infantis, a probiotic that grows selectively on specific HMOs, is currently used to treat
necrotizing enterocolitis (
        <xref ref-type="bibr" rid="ref15">15</xref>
        ).
      </p>
    </sec>
    <sec id="sec-5">
      <title>2.1.1. Existing food, nutrition, and health ontologies related to milk immune components</title>
      <p>
        Annotating maternal milk components for their relationships to immune health using ontologies lays
the groundwork for a comprehensive food, nutrition, and health informatics framework describing any
food components and their corresponding immune health outcomes. Connecting multiple ontologies by
building multi-ontology food informatics frameworks allows researchers to ask and answer more
interdisciplinary questions (
        <xref ref-type="bibr" rid="ref16 ref17 ref18 ref19">16–19</xref>
        ). The Multi-Ontology framework of Maternal Milk for Immune
Systems (MOMMIS) connects the following biological ontologies: FoodOn (20), Uberon (21),
Compositional Dietary Nutrition Ontology (CDNO) (
        <xref ref-type="bibr" rid="ref17">17</xref>
        ), the Mass spectrometry ontology (HUPO) (22),
the Mammalian phenotype ontology (23), and the Gene Ontology (GO) (
        <xref ref-type="bibr" rid="ref6">6</xref>
        ). Ontologies related to
nutrition interventions and personalized nutrition experiments will also be crucial. These include but are
not limited to: the Ontology of Precision Medicine and Investigation (OPMI) (24), the Ontology for
Biomedical Investigations (OBI) (25), the Ontology for Nutritional Epidemiology (ONE) (26), the
Ontology for Nutritional Studies (ONS) (27), the Food Biomarker Ontology (FOBI) (28), the Human
Disease Ontology (DO) (29), and the Medical Action Ontology (MaXO) (
        <xref ref-type="bibr" rid="ref7">7</xref>
        ), and the Ontology of
HostMicrobiome Interactions (OHMI) (30).
      </p>
    </sec>
    <sec id="sec-6">
      <title>2.1.2. Connecting UC Milk and MilkOligoDB: Oligosaccharides as key milk immune components</title>
      <p>UC Milk is an ontology that was developed to characterize mammalian milk components and the
biological processes giving rise to their creation. The ontology describes both the production and
processing of milk itself as well as the role of milk throughout the life cycle, including during three key
stages: infant, pregnancy, and lactation (31). MilkOligoDB allows for the comparison of milk
oligosaccharide profiles among mammalian species and across the literature. It demonstrates the
considerable variation in oligosaccharide profiles both between species and within species (32). Building
off of the data model for MilkOligoDB (32), we extend CheBI oligosaccharide classes to cover known
classes of mammalian oligosaccharides and then instantiate these classes in the oligosaccharide class
(prebiotics) to probiotics in the gut that confer immunological health benefits, including for different
types of mammalian milks. Ontologies that allow us to model milk processing conditions such as
pasteurization, which are especially relevant for mothers who cannot breastfeed, are being built as well
(33).</p>
    </sec>
    <sec id="sec-7">
      <title>3. Acknowledgements</title>
      <p>We are grateful to the US National Science Foundation, NSF Award numbers RCN 1737573 OAC
2112606, for funding this research and the conceptualization and editing of this Special Collection, both of
which were underpinned by our NSF-funded Research Coordination Network, “Developing Informational
Infrastructure for Building Smart Regional Foodsheds”.</p>
    </sec>
    <sec id="sec-8">
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