Colostrum

Synonym(s): first milk, beestings, bisnings, bovine colostrum
Nutrient group: immunomodulators

Sources and physiological effects

Dietary sources 
Colostrum is the first milk that mammalian mothers produces in the first 24-36 hours after birth. For orthomolecular use bovine colostrum (also: cow milk colostrum) is used. This is almost identical to human colostrum and can be supplied in large quantities and making it suitable for therapeutic purposes.              
Physiological functions
Immunomodulation
  • Immunoglobulins (IgG, IgM, IgA) have antibacterial and antiviral effects
  • Proline-rich polypeptide (PRP) stimulates the humoral and cellular immune response
  • Increase of NK cell activity
  • Lactoferrin influences NO and prostaglandin E2 synthesis

Detailed information

Colostrum - general information
Colostrum is characterized by special substances including immunoglobulins (IgG, IgA, IgM), glycoproteins such as lactoferrin and proline-rich polypeptides (PRP), whose spectrum of action lies primarily in broadband immunomodulation (1) (2). The components of bovine colostrum are almost identical to those of human colostrum, but are found in greater quantities in animal form and can therefore be used for therapeutic purposes. In a gentle cold production process, colostrum is first prepared and then processed according to special standards. The resulting powder can then be used in capsule form to accompany therapy for various indications.
Increase and activation of immunological parameters
Among the therapeutically relevant components are immunoglobulins (IgG, IgM, IgA), which show antibacterial and antiviral effects against a broad spectrum of microorganisms. Immunoglobulins can survive the digestive processes in the intestines largely unchanged (3) and have strengthening effects on the intestinal immune defense. Another immunologically active component of colostrum is the proline-rich polypeptide PRP, which can positively influence the humoral and cellular immune response as well as cytokine production and thus contributes to immune modulation (4). Lactoferrin from colostrum is also absorbed into the body and promotes a positive systemic immune effect through a proven influence on NO and prostaglandin E2 synthesis (5).
Colostrum as an NK cell activator
The most important function of NK cells (natural killer cells, lymphocytes) is the spontaneous defense of virus-infected cells and tumor cells by lysis (6). In older people, the number and activity of NK cells is a biomarker of biological age. Low NK activity correlates with increased mortality rates after infections. The body’s natural protection against tumor cells can also decrease. The function of NK cells can be significantly enhanced by immune-activating substances such as bovine colostrum.
Colostrum for the treatment and prevention of diarrhea
Targeted colostrum supplementation can protect against diarrhea of differing causes  (8) (11). The use of colostrum in HIV-associated diarrhea (9) and against a large number of diarrhea-inducing bacteria is well documented. This is due to the high content of immunoglobulins, which can both support the immune system and directly inhibit bacterial growth (10). 
Influenza and influenza prophylaxis
A well-received Italian study comparing the effectiveness of orally administered colostrum with flu vaccinations for influenza in winter concluded that colostrum supplementation is at least three times more effective in terms of days of illness and treatment costs than vaccination (12). Also, significantly fewer respiratory diseases occured during 8-week supplementation with colostrum, which attributed to the increase in immunological defense mechanisms (13).
A sensible nutritional support for competitive sports
Colostrum is used in high-performance sports to strengthen and optimize the immune system. This is particularly important for the prevention of infection in endurance athletes who have increased susceptability (14). Colostrum supplementation can prevent a decrease in serum IgG2 concentration in the post-training phase, which correlates with a lower incidence of respiratory diseases in competitive athletes taking colostrum supplements (15). Long-distance runners showed improved IgA levels in saliva after 12 weeks of colostrum administration, reducing the risk of upper respiratory tract disease (16). There is also increasing evidence that colostrum has performance-enhancing effects in endurance sports (17) and that strength athletes can benefit from colostrum intake (18).

Administration

General mode of administration
 
When
 
Colostrum should be taken on an empty stomach or between meals to improve absorption.
Side effects
According to the current state of knowledge, no side effects are known.
Contraindications

Do not take if you are allergic to milk protein. 

Since colostrum contains a small amount of milk sugar (lactose), it is also not recommended for people with lactose intolerance.

Interactions

Drug interactions 
None No interactions are known to date 
Nutrient interactions 
None No interactions are known to date .

Description and related substances

Description
First form of milk produced by the mammary glands of mammals with a high content of immunoglobulins (IgG, IgA, IgM), glycoproteins such as lactoferrin and proline-rich polypeptides (PRP).
Raw materials used at Biogena
Biogena colostrum comes from certified German producers. It contains at least 18 % IgG.

References

References

1) Struff, W.G., Sprotte, G. 2007. Bovine colostrum as a biologic in clinical medicine: a review. Part I: biotechnological standards, pharmacodynamic and pharmacokinetic characteristics and principles of treatment. Int J Clin Pharmacol Ther. 45(4):193-202.
2) Struff, W. G, Sprotte, G. 2008. Bovine colostrum as a biologic in clinical medicine: a review--Part II: clinical studies. Int J Clin Pharmacol Ther. 46(5):211-25.
3) Roos, N. et al. 1995. N-labelled immunolglobulins from bovine colostrum are partially resistant to digestion in human intestine. J Nutr. 125:1238-44.
4) Korhonen, H. et al. 2000. Bovine milk antibodies for health. Br J Nutr. 84 Suppl 1:S135-46.
5) Talukder, M. J., Harada, E. 2007.  Bovine lactoferrin protects lipopolysaccharide-induced diarrhoea modulating nitric oxide and prostaglandin E2 in mice. Can J Physiol Pharmacol. 85(2):200-8.
6) Lee, S. K, Gasser, S. 2010.  The role of natural killer cells in cancer therapy. Front Biosci (Elite Ed). 2:380-91.
7) Dörrschuck, A. 2010. Stimulation der NK-Aktivität durch bovines Colostrum im Vergleich zu Proleukin. In-vitro Studie. GANZIMMUN März.
8) Rawal, P. et al. 2008. Role of colostrum in gastrointestinal infections. Indian J Pediatr. 75(9):917-21.
9) Floren, C. H. et al. 2006.  Coloplus, a new product based on bovine colostrum, alleviates HIV-associated diarrhoea. Scand J Gastroenterol. 41(6):682-6.
10) Xu, L. B. et al. 2006. Bovine immune colostrum against 17 strains of diarrhoea bacteria and in vitro and in vivo effects of its specific IgG. Vaccine. 24(12):2131-40.
11) Playford, R. J., MacDonald, C. E. et al. 2001. Co-administration of the health food supplement, bovine colostrum, reduces the acute non-steroidal anti-inflammatory drug-induced increase in intestinal permeability. Clin Sci (Lond). 100(6):627-33.
12) Cesarone, M.R. et al. 2007. Prevention of influenza episodes with colostrum compared with vaccination in healthy and high risk cardiovascular subjects: the epidemiologic study in San Valentino. Clin Appl Thromb Hemost. 13(2):130-6.
13) Brinkworth, G. D., Buckley, J. D. 2003. Concentrated bovine colostrum protein supplementation reduces the incidence of self-reported symptoms of upper respiratory tract infection in adult males. Eur J Nutr. 42(4):228-32.
14) Davison, G., Diment, B. C. 2009. Bovine colostrum supplementation attenuates the decrease of salivary lysozyme and enhances the recovery of neutrophil function after prolonged exercise. Br J Nutr. 24:1-8.
15) Shing, C. M. et al. 2007. Effects of bovine colostrum supplementation on immune variables of highly trained cyclists. J Appl Physiol. 102(3):1113-22.
16) Crooks, C. V. et al. 2006. The effect of bovine colostrum supplementation on salivary IgA in distance runners. Int J Sport Nutr Exerc Metabol. 16(1):47-64.
17) Shing, C. M. et al. 2006. The influence of bovine colostrum supplementation on exercise performance in highly trained cyclists. Br J Sports Med. 40(9):797-891.
18) Schmidtbleicher, D., Schmidt, L. 2001. Effekt von Colostrum auf die Maximalkraft der Skelettmuskulatur. Ergebnisse einer mehrwöchigen Doppel-Kreuz-Blindstudie.

References Interactions
Stargrove, M. B. et al. Herb, Nutrient and Drug Interactions: Clinical Implications and Therapeutic Strategies, 1. Auflage. St. Louis, Missouri: Elsevier Health Sciences, 2008.
Gröber, U. Mikronährstoffe: Metabolic Tuning –Prävention –Therapie, 3. Auflage. Stuttgart: WVG Wissenschaftliche Verlagsgesellschaft Stuttgart, 2011.
Gröber, U. Arzneimittel und Mikronährstoffe: Medikationsorientierte Supplementierung, 3. aktualisierte und erweiterte Auflage. Stuttgart: WVG Wissenschaftliche Verlagsgesellschaft Stuttgart, 2014.

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