Table 1 Comparison of mammary organoids derived from mammoplasty tissue, induced pluripotent stem cells (iPSCs), and human milk based on key properties.61,114,127,128,129,130

From: Human milk: insights on cell composition, organoids and emerging applications

Properties

Mammoplasty tissue

Induced pluripotent stem cells (ipsc)

Human milk

Stemness

Multipotent

Pluripotent

Multipotent

Teratoma formation

No risk

High risk

No risk

Differentiation

Already differentiated

Needs multiple growth factors and differentiation protocols

Already differentiated

Collection

Invasive (requires surgery)

Non-invasive (requires reprogramming of somatic cells)

Non-invasive (milk is collected from lactating women)

Production cost

Moderate to high cost

Very expensive

Low to moderate cost

Long-term propagation

Difficult, as they are primary cells

Easy, stable lines may be established

Difficult, as they are primary cells

Cell isolation

Easy, via digestion or mincing method

Reprogramming is challenging

Difficult, due to low viability and cell count

Variation

Donor dependent variation

Low variation once cell line is established

Donor and batch dependent variation

Breast physiology

Mimics breast tissue closely

Close, but not 100% (requires precise differentiation cues)

Mimics lactating cell physiology

Cell availability

Limited to tissue donors

Unlimited with proper culture methods

Limited by availability and lactation stage

Ethical considerations

Involves surgical procedures, raising ethical concerns

Ethical concerns related to reprogramming and genetic modifications

Few ethical concerns because of non-invasive collection

Application in research

Suitable for direct mammary studies and personalized medication

Highly versatile for modeling and regenerative studies

Useful for studying lactation specific pathways