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Colostrum
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| General Info | ||||||||||||||
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Active Forms Not applicable Absorption Colostrum is readily absorbed from the gastrointestinal tract. Dietary Sources Colostrum does not occur in foods. Colostrum supplements consumed by humans are derived from bovine or sheep colostrum. |
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| Dosage Info | Back to Top | |||||||||||||
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| Overview | Back to Top | |||||||||||||
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Colostrum is the fluid that is produced in the breast during the final weeks of pregnancy. Bovine colostrum is the form of colostrum that is usually collected and made commercially available for human consumption. However, the structure and activity of many of the biologically active substances in bovine colostrum have been determined to be similar or identical to those found in the colostrum of humans and other mammals.(1, 2, 3) Humans produce relatively small amounts of colostrum compared to a cow, which produces approximately 9 gallons of colostrum. Also, bovine colostrum reportedly contains a much higher concentration of the biologically active compounds compared to human colostrum. These benefits are the reason why bovine colostrum has become so popular in the dietary supplement market. The production of colostrum in a pregnant cow begins about 3 to 4 weeks before birth when growth factors from the cow's body stimulate the development of specific receptors on the surface of the cells lining the mammary glands. These activated receptors facilitate the transfer of immune antibodies, hormones and other important growth factors from the mother's blood into the colostrum that is developing in the breast. This process is how a mother transfers her immunoglobulins, such as IgG, IgA and IgM antibodies to her infant, which conveys passive immunity and initiates the development of a healthy immune system. This process is much the same in humans. About two days before birth, hormonal changes cause a sharp decline in colostrum production and signal mammary cells to begin producing a different mix of substances, including lactose. At birth, progesterone levels fall dramatically and one of the consequences of this change is that cells lining the mammary glands receive a signal that essentially blocks any further transfer of substances from the mother's blood into the breast. Hence, the fluid that is in the breast at the time of birth is true colostrum. Milking during the first six hours removes approximately 80% of the true colostrum. Subsequent milkings contain much less colostrum as milk production dilutes the colostrum that was left in the mammary glands. It is important to realize that nature has designed colostrum to be the first food ingested by newborn mammals. In addition to nutritional factors, colostrum is reported to contain many other important constituents such as antibodies, enzymes, proteins, and growth factors. These factors play an important role in various aspects of an infant's growth and development. An important issue differentiating the various commercial colostrum products is the time of collection. Colostrum is generally recognized as the fluid that is delivered from the breasts during the first 24 to 48 hours. However, research documents the fact that the concentration of active substances is much greater within the first six hours. Thereafter, the amount of active substances unique to colostrum declines rapidly as lactation begins the process of producing milk in the breasts. For example, at 6 hours, the total protein content, which contains the important immune components, is 49% of the total dried colostrum. At 24 hours, the total protein content has dropped down to 35% of the total dried colostrum.(4) In another example, the first milking after calving yielded 248-1850 ng/ml of Insulin-like Growth Factor-1 (IGF-1) and 12.4-42.6 ng/ml of Transforming Growth Factlor-beta (TGF-beta). However, the fifth milking only contained 27-101 ng/ml of IGF-1 and 0.80-3.49 ng/ml of TGF-beta.(5) Colostrum also contains elevated concentrations of important hormones and growth-promoting peptides, such as insulin, cortisol, epidermal growth factor (EGF) and insulin-like growth factor I (IGF-I), which play important roles in the developing newborn.(6) Studies have not been conducted to determine t |
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| Toxicities & Precautions | Back to Top | |||||||||||||
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Colostrum is readily absorbed from the gastrointestinal tract. General There are no known toxicities or adverse affects associated with colostrum. The authors of one study state the following, "Through hundreds of years of use and over 1,000 clinical studies, colostrum has been demonstrated to be completely safe, without drug interactions or side effects at any level of ingestion."(7) |
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| Functions in the Body | Back to Top | |||||||||||||
Colostrinine Colostrum contains colostrinine, which is a proline-rich polypeptide (PRP) that has been found to play an important role in the development of humoral and cellular immune responses.(8, 9) Cytokines Colostrum contains numerous cytokines such as interlukin 1b, IL-6, TNF-a, and INF-g that help the infant develop immunity and the ability to regulate inflammatory activity. The concentration of these factors is significantly higher in colostrum than in mature milk.(10) Growth factors Bovine colostrum contains insulin-like growth factor I and II, (IGF-I and IGF-II) and epidermal growth factor (EGF).(11) Other identified growth factors include transforming growth factors alpha and beta (TGF-a and TGF-b), tumor necrosis factor (TNF), basic fibroblast growth factor (FGF) and platelet derived growth factor (PDGF).(12) Immunoglobulins Colostrum contains a wide range of immunoglobulins (antibodies) including IgA, IgD, IgE, IgG, and IgM, which provide infants with passive immunity and protection against microbial infections while their own immature immune systems are developing. IgG neutralizes toxins and bacteria in the lymph and circulatory system. IgM destroys bacteria, while IgE and IgD are strongly antiviral.(13, 14) Lactoferrin and lactoperoxidase Lactoferrin and lactoperoxidase are agents in colostrum that provide significant antiviral, antibacterial, and anti-inflammatory activity.(15, 16) Production of interleukin-2 Colostrum has been shown to influence the production of interleukin-2 (IL-2) and natural killer (NK) cell activity, which may effect the development of an infant's immune system.(17) |
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| Clinical Applications | Back to Top | |||||||||||||
| Alzheimer's Disease In animal(18) and human(19) studies, a proline-rich polypeptide (PRP) complex named colostrinin, that is isolated from sheep colostrum, has demonstrated the ability to improve cognitive function. At the conclusion of the yearlong human trial, 53% (8 of 15) Alzheimer's disease patients exhibited improvement, the disease process was stabilized in 47% (7 of 15) patients, and none of the patients worsened. In a controlled animal study, colostrum resulted in improved learning in aged rats but not in young rats, which provides additional evidence that colostrum might help improve cognitive function in the elderly.(20) |
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| Enhanced Immunity Bovine colostrum products contain antibodies that have proven effective against a wide range of bacterial diseases.(21, 22) They also contain lactoferrin and lactoperoxidase, which have known antiviral activity.(23) These properties explain why immune system support is one of the primary reasons why people take bovine colostrum products. |
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| Infectious diarrhea Several types of diarrheagenic conditions respond to colostrum therapy. In children with rotavirus diarrhea(24) or diarrheagenic E. coli(25), and AIDS patients with Cryptosporidium parvum,(26, 27) the administration of bovine colostrum significantly reduces total stool output, stool frequency and the need for oral rehydration. |
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| Non-Steroidal Anti-Inflammatory (NSAID) induced intestinal damage Administration of indomethacin (50 mg three times daily) to volunteers resulted in intestinal injury with a consequent 3-fold increase in intestinal permeability but when colostrum was co-administered with indomethacin there was no increase in intestinal permeability.(28) |
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| Symptoms & Causes of Deficiency | ||||||||||||||
| Newborn infants who do not receive colostrum from their mothers have a higher incidence of allergies and immune-related problems later in life.(29, 30) However, humans normally consume colostrum only during the first stages of breast-feeding. Therefore, there is no deficiency condition associated with colostrum. | ||||||||||||||
| Footnotes | Back to Top | |||||||||||||
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1 Francis GL, Upton FM, Ballard FJ, et al. Insulin-like growth factors 1 and 2 in bovine colostrum. Sequences and biological activities compared with those of a potent truncated form. Biochem J. Apr1988;251(1):95-103. View Abstract 2 Marcotty C, Frankenne F, Van Beeumen J, et al. Insulin-like growth factor I (IGF-I) from cow colostrum: purification and characterization. Growth Regul. Jun1991;1(2):56-61. View Abstract 3 Gopal PK, Gill HS. Oligosaccharides and glycoconjugates in bovine milk and colostrum. Br J Nutr. Nov2000;84(Suppl 1):S69-74. View Abstract 4 Johnson AH. Composition of Milk-Table: Transition from Colostrum to Normal Milk, in Fundamentals of Dairy Chemistry 2nd Edition. West Port, CT: AVI Publishing; 1974:14. 5 Ginjala V, Pakkanen R. Determination of transforming growth factor-beta 1 (TGF-beta 1) and insulin-like growth factor (IGF-1) in bovine colostrum samples. J Immunoassay. May1998;19(2-3):195-207. View Abstract 6 Xu RJ. Development of the newborn GI tract and its relation to colostrum/milk intake: a review. Reprod Fertil Dev. 1996;8(1):35-48. View Abstract 7 Rona Z. Bovine colostrum emerges as immune system modulator. Am J of Natural Medicine. Mar1998;5(2):19-23. 8 Inglot AD, Janusz M, Lisowski J. Colostrinine: a proline-rich polypeptide from ovine colostrum is a modest cytokine inducer in human leukocytes. Arch Immunol Ther Exp. 1996;44(4):215-24. View Abstract 9 Janusz M, Lisowski J. Proline-rich polypeptide (PRP) - An immunomodulatory peptide from bovine colostrum. Arch Immun et Ther Exper. 1993;41:275-9. View Abstract 10 Hagiwara K, Kataoka S, Yamanaka H, et al. Detection of cytokines in bovine colostrum. Vet Immunol Immunopathol. Oct2000;76(3-4):183-90. View Abstract 11 Xu RJ. Development of the newborn GI tract and its relation to colostrum/milk intake: a review. Reprod Fertil Dev. 1996;8(1):35-48. View Abstract 12 Schams D. Growth factors in milk. Endocr Regul. Mar1994;28(1):3-8. View Abstract 13 Rona Z. Bovine colostrum emerges as immune system modulator. American Journal of Natural Medicine. Mar1998;5(2):19-23. 14 Korhonen H, Marnila P, Gill HS. Milk immunoglobulins and complement factors. Br J Nutr. Nov2000;84(Suppl 1):S75-80. View Abstract 15 van Hooijdonk AC, Kussendrager KD, Steijns JM. In vivo antimicrobial and antiviral activity of components in bovine milk and colostrum involved in non-specific defence. Br J Nutr. Nov2000;84(Suppl 1):S127-34. View Abstract 16 Ronayne de Ferrer PA, Baroni A, Sambucetti ME, et al. Lactoferrin levels in term and preterm milk. J Am Coll Nutr. Jun2000;19(3):370-3. View Abstract 17 Sirota L, Straussberg R, Notti I, Bessler H. Effect of human colostrum on interleukin-2 production and natural killer cell activity. Arch Dis Child Fetal Neonatal Ed. Sep1995;73(2):F99-102. View Abstract 18 Popik P, Galoch Z, Janusz M, et al. Cognitive effects of Colostral-Val nonapeptide in aged rats. Behav Brain Res. Jan2001;118(2):201-8. View Abstract 19 Leszek J, Inglot AD, Janusz M, et al. Colostrinin: a proline-rich polypeptide (PRP) complex isolated from ovine colostrum for treatment of Alzheimer's disease. A double-blind, placebo-controlled study. Arch Immunol Ther Exp. 1999;47(6):377-85. View Abstract 20 Popik P, Bobula B, Janusz M, et al. Colostrinin, a polypeptide isolated from early milk, facilitates learning and memory in rats. Pharmacol Biochem Behav. Sep1999;64(1):183-9. View Abstract 21 Korhonen H, Marnila P, Gill HS. Bovine milk antibodies for health. Br J Nutr. Nov2000;84(Suppl 1):S135-46. View Abstract 22 Brinkworth GD, Buckley JD. Concentrated bovine colostrum protein supplementation reduces the incidence of self-reported symptoms of upper respiratory tract infection in adult males. Eur J Nutr. Aug2003;42(4):228-32. View Abstract 23 van Hooijdonk AC, Kussendrager KD, Steijns JM. In vivo antimicrobial and antiviral activity of components in bovine milk and colostrum involved in non-specific defence. Br J Nutr. Nov2000;84(Suppl 1):S127-34. View Abstract 24 Sarker SA, Casswall TH, Mahalanabis D, et al. Successful treatment of rotavirus diarrhea in children with immunoglobulin from immunized bovine colostrum. Pediatr Infect Dis J. Dec1998;17(12):1149-54. View Abstract 25 Huppertz HI, Rutkowski S, Busch DH, et al. Bovine colostrum ameliorates diarrhea in infection with diarrheagenic Escherichia coli, shiga toxin-producing E. Coli, and E. coli expressing intimin and hemolysin. J Pediatr Gastroenterol Nutr. Oct1999;29(4):452-6. View Abstract 26 Greenberg PD, Cello JP. Treatment of severe diarrhea caused by Cryptosporidium parvum with oral bovine immunoglobulin concentrate in patients with AIDS. J Acquir Immune Defic Syndr Hum Retrovirol. Dec1996;13(4):348-54. View Abstract 27 Nord J, Ma P, DiJohn D, et al. Treatment with bovine hyperimmune colostrum of cryptosporidial diarrhea in AIDS patients. AIDS. Jun1990;4(6):581-4. View Abstract 28 Playford RJ, MacDonald CE, Calnan DP, et al. Co-administration of the health food supplement, bovine colostrum, reduces the acute non-steroidal anti-inflammatory drug-induced increase in intestinal permeability. Clin Sci. Jun2001;100(6):627-33. View Abstract 29 Kelly D, Coutts AG. Early nutrition and the development of immune function in the neonate. Proc Nutr Soc. May2000;59(2):177-85. View Abstract 30 Vidal K, van den Broek P, Lorget F, Donnet-Hughes A. Osteoprotegerin in human milk: a potential role in the regulation of bone metabolism and immune development. Pediatr Res. Jun2004;55(6):1001-8. View Abstract |
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