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How processing may affect milk protein digestion and overall physiological outcomes: A systematic review
Open accessAbstract
Dairy is one of the main sources for high quality protein in the human diet. Processing may, however, cause denaturation, aggregation, and chemical modifications of its amino acids, which may impact protein quality. This systematic review covers the effect of milk protein modifications as a result of heating, on protein digestion and its physiological impact. A total of 5363 records were retrieved through the Scopus database of which a total of 102 were included. Although the degree of modification highly depends on the exact processing conditions, heating of milk proteins can modify several amino acids. In vitro and animal studies demonstrate that glycation decreases protein digestibility, and hinders amino acid availability, especially for lysine. Other chemical modifications, including oxidation, racemization, dephosphorylation and cross-linking, are less well studied, but may also impact protein digestion, which may result in decreased amino acid bioavailability and functionality. On the other hand, protein denaturation does not affect overall digestibility, but can facilitate gastric hydrolysis, especially of β-lactoglobulin. Protein denaturation can also alter gastric emptying of the protein, consequently affecting digestive kinetics that can eventually result in different post-prandial plasma amino acid appearance. Apart from processing, the kinetics of protein digestion depend on the matrix in which the protein is heated. Altogether, protein modifications may be considered indicative for processing severity. Controlling dairy processing conditions can thus be a powerful way to preserve protein quality or to steer gastrointestinal digestion kinetics and subsequent release of amino acids. Related physiological consequences mainly point towards amino acid bioavailability and immunological consequences.
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“The decline from d 0 to d 20 likely resulted from the conversion of residual lactose into lactic acid, whereas the subsequent rise from d 20 to d 30 may be due to the formation of alkaline compounds from protein degradation (van Lieshout et al., 2020).”
From Impact of lactic acid bacteria coculture on the quality characteristics of goat cheese during ripening (2025) · cites this paper as van Lieshout et al., 2020
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“In a milk matrix, several in vitro studies show that, comparable to the gastric hydrolysis results, heating of liquid milk results in (small) increases of protein hydrolysis by pancreatic enzymes (Carbonaro et al. 1997; Rinaldi et al. 2015).”
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“Although progress has been made to establish a more quantitative relation between glycation and digestion (Deng et al. 2017), a harmonized in vitro digestion procedure would also allow to assess better the quantitative relation between processing-induced protein modifications and digestion among…”
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Whey Protein Processing Influences Formula-Induced Gut Maturation in Preterm Pigs
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“This was seen for WPI and a-lactalbumin (Cattaneo et al. 2017; Hiller and Lorenzen 2010; Joubran, Moscovici, and Lesmes 2015).”
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Effect of heat treatment and enzymatic digestion on the B cell epitopes of cow's milk proteins
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Heat Markers and Quality Indexes of Industrially Heat-Treated [15N] Milk Protein Measured in Rats
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“Post absorption, nitrogen metabolism may be affected by processing-induced protein modifications and result in a larger splanchnic extraction, as demonstrated in rats fed differentially processed milk protein preparations (Lacroix et al. 2006).”
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“This may affect other amino acids in the peptides as well, resulting in a decreased ileal protein digestibility (de Vrese et al. 2000).”
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“However, an in vitro infant digestion of infant formula model systems suggested that different protein crosslinking as assessed by LAL content did not change protein hydrolysis (Cattaneo et al. 2017).”
BackgroundAbsorption of Lysine and Deoxyketosyllysine in an Early-Maillard Browned Casein by the Growing Pig
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“…it is of major importance to distinguish between total and reactive lysine levels as standard methodology may not always distinguish between both, leading to an overestimated lysine content that could result in an underestimated lysine digestibility coefficient (Moughan and Rutherfurd 1996).”
BackgroundSeiquer, I., Delgado‐Andrade, C., Haro, A., & Navarro, M. P. (2010) · Journal of Dairy Science · doi:10.3168/jds.2010-3469 · Cited by 45 · cited 1×
“In a more recent study from the same authors, UHT milk was compared with overheated milk (3 severe sterilization heatings, 16minutes at 116 C) both in vitro and in vivo (Seiquer et al. 2010).”
BackgroundIn Vitro Digestion of Proteins in Human Milk Fortifiers and in Preterm Formula
Lindberg, T., Engberg, S., Sjöberg, L. B., & Lönnerdal, B. L. (1998) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199807000-00006 · Cited by 45 · cited 3×
“(Lindberg et al. 1998) In vitro static digestion with duodenal juice from adults WPCs WPC freeze-dried: 0% denaturation WPC spray-dried: 26% denaturation WPC heated 80 C 15 sec, freeze-dried: 55% denaturation WPC heated 80 C 30min, freeze-dried: 97% denaturation Digestion via polyacramide gradient…”
BackgroundMethodHellwig, M., & Henle, T. (2013) · European Food Research and Technology · doi:10.1007/s00217-013-2027-5 · Cited by 43
Digestibility and antigenicity of β-lactoglobulin as affected by heat, pH and applied shear
Rahaman, T., Vasiljevic, T., & Ramchandran, L. (2016) · Food Chemistry · doi:10.1016/j.foodchem.2016.08.129 · Cited by 42
Sarwar, G., Peace, R. W., & Botting, H. G. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/49.5.806 · Cited by 41 · cited 1×
“For example, protein digestibility of powdered infant formula was significantly higher than liquid concentrates of the same manufacturer in a rat balance study (Sarwar, Peace, and Botting 1989).”
BackgroundGerrard, J. A., Lassé, M., Cottam, J. R. A., Healy, J. P., Fayle, S. E., Rasiah, I. A., Brown, P. K., BinYasir, S. M., Sutton, K. H., & Larsen, N. G. (2012) · British Journal Of Nutrition · doi:10.1017/s000711451200236x · Cited by 41
Desrosiers, T., Savoie, L., Bergeron, G., & Parent, G. (1989) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf00089a039 · Cited by 39
Rytkönen, J., Karttunen, T. J., Karttunen, R. A., Valkonen, K. H., Jenmalm, M. C., Alatossava, T., Björkstén, B., & Kokkonen, J. (2002) · Pediatric Allergy and Immunology · doi:10.1034/j.1399-3038.2002.01028.x · Cited by 39
PROTEIN QUALITY IN COMMERCIAL MILK‐BASED INFANT FORMULAS
POMPEI, C., Rossi, M., & MARÈ, F. (1988) · Journal of Food Quality · doi:10.1111/j.1745-4557.1988.tb00298.x · Cited by 38 · cited 1×
“In another study, in vitro digestion of different infant formulas showed no direct correlation between digestibility and LAL content, lysine blockage, or HMF content (Pompei, Rossi, and Mare 1988).”
BackgroundBernasconi, E., Fritsché, R., & Corthésy, B. (2006) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2006.02504.x · Cited by 37 · cited 1×
“Epithelial degradation and transport of heating induced modified b-lactoglobulin may be affected, as demonstrated by in vitro studies using different intestinal epithelial cell-models (Bernasconi, Fritsch e, and Corth esy 2006; Rytk€onen et al. 2006).”
BackgroundMesías, M., Seiquer, I., & Navarro, M. P. (2009) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf9018646 · Cited by 35
Short-term effects of dietary advanced glycation end products in rats
Poulsen, M. W., Andersen, J. M., Hedegaard, R. V., Madsen, A. N., Krath, B. N., Monošík, R., Bak, M. J., Nielsen, J., Holst, B., Skibsted, L. H., et al. (2015) · British Journal Of Nutrition · doi:10.1017/s0007114515004833 · Cited by 35
Liu, F., Teodorowicz, M., Wichers, H. J., van Boekel, M. A. J. S., & Hettinga, K. A. (2016) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.6b02674 · Cited by 35
Self-citationSarriá, B., López‐Fandiño, R., & Vaquero, M. P. (2001) · Nutrition · doi:10.1016/s0899-9007(00)00585-2 · Cited by 34
Støy, A. C. F., Sangild, P. T., Skovgaard, K., Thymann, T., Bjerre, M., Chatterton, D. E. W., Purup, S., Boyé, M., & Heegaard, P. M. H. (2015) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001056 · Cited by 34
Rytkönen, J., Valkonen, K. H., Virtanen, V. T., Foxwell, R., Kyd, J. M., Cripps, A. W., & Karttunen, T. J. (2006) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf052309d · Cited by 33
Carbonaro, M., Cappelloni, M., Sabbadini, S., & Carnovale, E. (1997) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf950828i · Cited by 32 · cited 5×
“…al. (1998) showed that severe heating of whey protein extracts or WPC above a critical temperature ( 75 C) decreased overall digestibility of its proteins, probably due to formation of more compact whey proteins and aggregates (Carbonaro et al. 1997; Lindberg et al. 1998; Wada and L€onnerdal 2014).”
BackgroundResultInfluentialSeiquer, I., Aspe, T., Vaquero, M. P., & Navarro, P. (2001) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf001008v · Cited by 29 · cited 1×
“In vitro experiments using heated casein-glucosefructose solutions revealed that calcium solubility was lowered which resulted in a decreased in vitro absorption of calcium (Seiquer et al. 2001).”
BackgroundBioactive Whey Protein Concentrate and Lactose Stimulate Gut Function in Formula‐fed Preterm Pigs
Li, Y., Nguyen, D. N., Obelitz‐Ryom, K., Andersen, A. D., Thymann, T., Chatterton, D. E. W., Purup, S., Heckmann, A. B., Bering, S. B., & Sangild, P. T. (2017) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001699 · Cited by 29 · cited 4×
“Immaturity of the gut predisposes these animals to gut complications and milk protein preparations (particular sow milk or minimally processed bovine milk protein preparations and colostrum) have been demonstrated to reduce the risk for such complications (Li, Ostergaard, et al. 2013; Li et al. 2018; Støy et al. 2016).”
BackgroundInfluentialTaylor, C. M., & Woonton, B. W. (2009) · International Dairy Journal · doi:10.1016/j.idairyj.2009.06.010 · Cited by 28
Rutherfurd, S. M., Montoya, C. A., & Moughan, P. J. (2014) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf403146u · Cited by 28 · cited 2×
“To date, several studies applying different experimental oxidation strategies have demonstrated effects of oxidation on digestibility and protein quality (Chang and Zhao 2012; Feng et al. 2015; Rutherfurd, Montoya, and Moughan 2014).”
BackgroundMethodStender, E. G. P., Koutina, G., Almdal, K., Hassenkam, T., Mackie, A. R., Ipsen, R., & Svensson, B. (2018) · Food & Function · doi:10.1039/c7fo01451a · Cited by 28
Deo, P., Glenn, J. V., Powell, L. A., Stitt, A. W., & Ames, J. M. (2009) · Journal of Biochemical and Molecular Toxicology · doi:10.1002/jbt.20301 · Cited by 25 · cited 1×
“In an in vitro setting, Deo et al. (2009) demonstrated that digested dietary AGE, as prepared by dry-heating casein and glucose, complexed with serum albumin, may regulate expression of RAGE (receptor for AGE) and downstream inflammatory pathways.”
BackgroundIn vitro Digestibility of Whey Protein/ K ‐Casein Complexes Isolated from Heated Concentrated Milk
Singh, H., & Creamer, L. K. (1993) · Journal of Food Science · doi:10.1111/j.1365-2621.1993.tb04260.x · Cited by 24
Effect of heat treatment on the nutritional quality of milk proteins
Efigênia, M., Povoa, B., & Moraes-Santos, T. (1997) · International Dairy Journal · doi:10.1016/s0958-6946(97)00049-6 · Cited by 24 · cited 2×
“…score Heat treatment increased plasma IAA bioavailability; made b-lactoglobulin more susceptible for hydrolysis; increased stomach retention time (Efigenia, Povoa, and Moraes-Santos 1997) In vivo digestion in Weanler Holtzman male rats Whole milk Raw milk Pasteurized milk (72 C for 15 sec)…”
BackgroundMethodFerrer, E., Alegrı́a, A., FARRÉ, R., Abellán, P., & Romero, F. (1999) · Food Science and Technology International · doi:10.1177/108201329900500602 · Cited by 23
Processing of whey modulates proliferative and immune functions in intestinal epithelial cells
Nguyen, D. N., Sangild, P. T., Li, Y., Bering, S. B., & Chatterton, D. E. W. (2015) · Journal of Dairy Science · doi:10.3168/jds.2015-9965 · Cited by 22 · cited 1×
“Further in vitro work by the same group demonstrates that, at least in part, these observations could be explained by direct effects of the preparations on intestinal epithelial cells (Nguyen et al. 2016).”
BackgroundAloğlu, H. Ş. (2012) · International Journal of Dairy Technology · doi:10.1111/1471-0307.12021 · Cited by 21
Digestibility of Modified Milk Proteins: Nutritional Implications
Swaisgood, H. E., & Catignani, G. L. (1985) · Journal of Dairy Science · doi:10.3168/jds.s0022-0302(85)81166-8 · Cited by 20
Extent of damage to amino acid availability of whey protein heated with sugar
Desrosiers, T., & Savoie, L. (1991) · Journal of Dairy Research · doi:10.1017/s002202990003003x · Cited by 20
Chang, C., & Zhao, X. (2012) · International Dairy Journal · doi:10.1016/j.idairyj.2012.07.004 · Cited by 19
Sarriá, B., López‐Fandiño, R., & Vaquero, M. P. (2000) · Food Science and Technology International · doi:10.1177/108201320000600102 · Cited by 19
Culver, C. A., & Swaisgood, H. E. (1989) · Journal of Dairy Science · doi:10.3168/jds.s0022-0302(89)79442-x · Cited by 19
Characterization of caseinomacropeptides released from renneted raw and UHT treated milks
Ferron-Baumy, C., Mollé, D., Garric, G., & Maubois, J. (1992) · Le Lait · doi:10.1051/lait:1992211 · Cited by 19
Trends in infant formulas: a dairy perspective
Floris, R., Lambers, T. T., Alting, A. C., & Kiers, J. L. (2010) · Elsevier eBooks · doi:10.1533/9781845699437.3.454 · Cited by 18
Self-citationHernández‐Hernández, O., Moreno, F. J., Kolida, S., Rastall, R. A., & Sanz, M. L. (2011) · International Dairy Journal · doi:10.1016/j.idairyj.2011.06.002 · Cited by 18 · cited 2×
“Hernandez-Hernandez et al. (2011) demonstrated that b-lactoglobulin conjugated with GOS showed similar fecal fermentation effects as purified GOS.”
BackgroundDietary protein precipitation properties have effects on gastric emptying in healthy volunteers
Fox, M. R., Georgi, G., Boehm, G., Menne, D., Fried, M., & Thumshirn, M. (2003) · Clinical Nutrition · doi:10.1016/j.clnu.2003.10.013 · Cited by 18
Digestive diversity and kinetic intrigue among heated and unheated β-lactoglobulin species
Loveday, S. M., Peram, M. R., Singh, H., Ye, A., & Jameson, G. B. (2014) · Food & Function · doi:10.1039/c4fo00362d · Cited by 17 · cited 3×
“Above a critical temperature (approximately 75 C) irreversible conformational changes occur as a result of initiated aggregation processes (Loveday et al. 2014).”
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Balance Experiments on Human Volunteers with ε-Fructoselysine (FL) and Lysinoalanine (LAL)
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Nutrition and Health | Effects of Processing on Protein Quality of Milk and Milk Products
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Li, Z., Luo, Y., Feng, L., & Liao, P. (2012) · Food and Agricultural Immunology · doi:10.1080/09540105.2012.712951 · Cited by 14
Rutherfurd, S. M., & Moughan, P. J. (2008) · Journal of Dairy Science · doi:10.3168/jds.2007-0612 · Cited by 14 · cited 1×
“Most research on storage-induced changes in protein modification has been done on dried dairy products and to a lesser extent sterilized products (Erbersdobler 1989; Ferrer et al. 1999; Mehta and Deeth 2016; Rutherfurd and Moughan 2008).”
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Portal absorption of 45Ca from labelled milk, yoghurt or heat treated yoghurt in the growing pig
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Dairy bioactive proteins and peptides: a narrative review
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Metadata
- Authors
- van Lieshout, G. A. A., Lambers, T. T., Bragt, M. C. E., & Hettinga, K. A.
- Affiliations
- FrieslandCampina, Amersfoort, the Netherlands
- FrieslandCampina (Netherlands) (NL)
- Wageningen University & Research (NL)
- Corresponding author
- Hettinga, Kasper A.
- Venue
- Critical Reviews in Food Science and Nutrition
- Publisher
- Informa UK Limited
- Published
- 2019-08-22
- Volume
- 60
- Issue
- 14
- Pages
- 2422-2445
- ISSN
- 1040-8398 (ISSN-L)
- 1549-7852
- OpenAlex
- W2969873245
- Cited by
- 254
- References
- 127
- Citations by year
- 2026: 30 · 2025: 40 · 2024: 34 · 2023: 48 · 2022: 41 · 2021: 36 · 2020: 24 · 2019: 1
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Critical Reviews in Food Science and Nutrition (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Proteins in Food Systems
- Life Sciences › Agricultural and Biological Sciences › Food Science › Protein Hydrolysis and Bioactive Peptides
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Nutrient Composition and Product Development
- Keywords
- milk protein digestion, dairy processing, heat treatment (food and biological processing), protein denaturation, glycation, amino acid bioavailability, lysine, protein oxidation, protein cross-linking, β-lactoglobulin, gastric emptying, protein quality
- MeSH terms
- Amino Acids, Animals, Digestion, Hot Temperature, Heating, Humans, Milk, Milk Proteins, Protein Denaturation, Pasteurization
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