Article ; Online: Neonatal gut and immune responses to beta-casein enriched formula in piglets.
2024
Abstract: Background: β-casein is the main casein constituent in human milk (HM) and a source of bioactive peptides for the developing gastrointestinal tract and immune system. Infant formulas contain less β-casein than HM, but whether different levels of β- ... ...
Abstract | Background: β-casein is the main casein constituent in human milk (HM) and a source of bioactive peptides for the developing gastrointestinal tract and immune system. Infant formulas contain less β-casein than HM, but whether different levels of β-casein affect tolerability and gut and immune maturation in newborns is unknown. Objective: Using near-term piglets as a model for newborn infants, we investigate whether increasing the β-casein fraction in bovine-based formula is clinically safe and may improve gut and immune maturation. Methods: Three groups of near-term pigs (96% gestation) were fed formula with bovine casein and whey protein (ratio 40:60): 1) Standard skim milk casein (BCN-standard, 35% β-casein of total casein, n=18), 2) β-casein enrichment to HM levels (BCN-medium, 65%, n=19), and 3) high β-casein enrichment (BCN-high, 91%, n=19). A reference group was fed 100% whey protein concentrate as protein (WPC, n=18). Intestinal and immune parameters were assessed before and after euthanasia on day 5. Results: Clinical variables (mortality, activity, body growth, diarrhea) were similar among the groups, and no differences in intestinal or biochemical parameters were observed between BCN-standard and BCN-medium pigs. However, pigs receiving high amounts of β-casein (BCN-high) had lower small intestine weight, and tended to have more intestinal complications (highest gut pathology score, permeability, IL-8) than the other groups, particularly those receiving no casein (WPC pigs). Blood lymphocyte, thrombocyte and reticulocyte counts were increased with higher β-casein, while eosinophil counts were reduced. In vitro blood immune cell responses were similar among groups. Conclusions: β-casein enrichment of bovine-based formula to HM levels is clinically safe, as judged from newborn, near-term pigs, while no additional benefits to gut maturation were observed. However, excessive β-casein supplementation, beyond levels in HM, may potentially induce gut inflammation together with increased blood cell populations relative to natural β-casein levels or pure whey-based formula. |
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Language | English |
Publishing date | 2024-05-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 218373-0 |
ISSN | 1541-6100 ; 0022-3166 |
ISSN (online) | 1541-6100 |
ISSN | 0022-3166 |
DOI | 10.1016/j.tjnut.2024.04.036 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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