We analyzed IL-18 levels of human milk. Colostrum. contained significantly
higher levels of IL-18 compared with early milk and mature milk. By stepwis
e. multiple linear regression analysis, preterm delivery and pregnancy comp
lications of mothers significantly correlated with high levels of IL-18 in
human milk (p = 0.0007 and 0.0018, respectively). There was a significant c
orrelation between the, levels of IL-18 and soluble Fas ligand in colostrum
(p = 0.0003) IL-18 was detected in actively secreting epithelial cells in
lactating mammary gland by immunohistochemical staining. These results sugg
est that IL-18 in colostrum plays an important role in host defense of high
-risk neonates.