which also donated the colostrum for the study. Biofiber-Damino had no role in the design, analysis or writing of this article. University of Copenhagen has filed a patent application regarding the use of bovine colostrum for paediatric patients. Per Sangild is listed as sole inventor but has declined Copyright © ESPGHAN and NASPGHAN. All rights reserved.
AbstractObjective: Feeding bovine colostrum (BC) improves gut maturation and function, and protects against necrotizing enterocolitis (NEC), relative to formula in newborn preterm pigs. Before BC can be used for preterm infants, it is important to test if the milk processing, required to reduce bacterial load and increase shelf life, may affect bioactivity and efficacy of a BC product.
Methods:We investigated if spray dried, and pasteurised, spray dried BC had protective effects on gut function in preterm pigs, relative to formula. After a 2-day total parenteral nutrition period, preterm pigs were fed formula for a few hours (to induce a pro-inflammatory state) followed by 2 days of formula (FORM, n = 14), BC (COLOS, n = 14), spray dried BC (POW, n = 8), or pasteurised, spray dried BC (POWPAS, n = 9).Results: Spray drying and pasteurisation of BC decreased the concentration of TGF-β1, TGF-β2 and increased protein aggregation. All three BC groups had reduced NEC severity, small intestinal levels of IL-1β, IL-8 and colonic lactic acid levels, and increased intestinal villus height, hexose Copyright © ESPGHAN and NASPGHAN. All rights reserved.3 absorption, and digestive enzyme activities, relative to the FORM group (all P < 0.05). All three BC diets stimulated epithelial cell migration in a wound-healing model with IEC-6 cells.
Conclusion:Spray drying and pasteurisation affect BC proteins, but do not reduce the trophic and anti-inflammatory effects on the immature intestine. It remains to be studied if BC products will benefit preterm infants just after birth when human milk is often not available.
Keywords: animal model, necrotizing enterocolitis, formula, diet, prematurity
What is known• Mother's milk and bovine colostrum have a high level of bioactive factors while formula lacks such factors.• Bovine colostrum improves gut maturation, function and necrotizing enterocolitis resistance, relative to formula in preterm pigs.• Processing of milk products is required for use in clinical settings, but this may also reduce their bioactivity.
What is new• Pasteurised, spray dried bovine colostrum reduces necrotizing enterocolitis and inflammation and increases gut function, relative to infant formula in preterm pigs.• Spray drying does not markedly damage colostrum milk proteins, while pasteurisation results in some protein aggregation and reduced concentration of bioactive factors.