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Colostrum
Colostrum
from Wikipedia

On the left is breast milk of the human expressed on day 4 of lactation, and on the right is breast milk expressed on day 8. Colostrum gives the milk a yellowish hue
Bovine colostrum (beestings) next to spray-dried colostrum powder

Colostrum (from Latin, of unknown origin), also known as foremilk, is the first form of milk produced by the mammary glands of humans and other mammals immediately following delivery of the newborn.[1] Animal colostrum may be called beestings, the traditional word from Old English dialects.[2] Most species will begin to generate colostrum just prior to giving birth. Colostrum contains antibodies to protect the newborn against disease and infection, and immune and growth factors and other bioactives. The bioactives found in colostrum are beneficial for a newborn's health, growth and vitality.[1] Colostrum strengthens a baby's immune system.

At birth, the environment of the newborn mammal shifts from the sterile conditions of the mother's uterus, with a constant nutrient supply via the placenta, to the microbe-rich environment outside, with irregular oral intake of complex milk nutrients through the gastrointestinal tract.[3] This transition puts high demands on the gastrointestinal tract of the neonate, as the gut plays an important part in both the digestive system and the immune system.[4] Colostrum contributes significantly to initial immunological defense as well as to the growth, development, and maturation of the neonate's gastrointestinal tract by providing key nutrients and bioactive factors. Bovine colostrum powder is rich in protein and low in sugar and fat.[5][6] Bovine colostrum can also be used for nonorganic failure to thrive in children and acute non-steroidal anti-inflammatory drug-induced increase in intestinal permeability in males[7] and can boost a neonate's immunity.[8]

Colostrum also has a mild laxative effect, encouraging the passing of a baby's first stool, which is called meconium.[9] This clears excess bilirubin, a waste-product of dead red blood cells which is produced in large quantities at birth due to blood volume reduction[citation needed] from the infant's body, and which is often responsible for jaundice.

The importance of colostrum for humoral immunity varies by species. While human infants can be raised on milk substitutes or normal ruminant milk without issue, protected by the mother's immune system from the placenta, colostrum intake is far more important for newborn ruminants (cattle, sheep, goats, etc.). Calves denied colostrum almost universally die to bacterial infection.[10]

Research on possible health benefits and medical applications of bovine colostrum is ongoing. Currently, there is no accepted medical use of bovine colostrum to treat any condition in humans.

Composition

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Colostrum, like other forms of milk, is mostly water, and also contains lactose, fat, minerals and protein. It also contains bioactive components including antibodies to protect the newborn against disease and infection, and immune and growth factors.[1] Colostrum contains white blood cells.

Newborns have very immature and small digestive systems, and colostrum delivers its bioactives in a concentrated low-volume form. Colostrum is known to contain immune cells (as lymphocytes)[11] and many antibodies such as IgA, IgG, and IgM.[12][7] These are some of the components of the adaptive immune system. Other immune components of colostrum include the major components of the innate immune system, such as lactoferrin, lysozyme, lactoperoxidase,[13] complement, and proline-rich polypeptides (PRP).[14][15] A number of cytokines (small messenger peptides that control the functioning of the immune system) are found in colostrum as well, tumor necrosis factor, and others.[16][17]

Colostrum also contains a number of growth factors, such as insulin-like growth factor I (IGF-1),[18] and II,[19][17] transforming growth factor alpha,[20] beta 1 and beta 2, fibroblast growth factors, epidermal growth factor, granulocyte-macrophage-stimulating growth factor,[21] platelet-derived growth factor,[21] vascular endothelial growth factor,[21] and colony-stimulating factor 1.[19]

Proline-rich polypeptides

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Proline-rich polypeptides (PRPs) are small immune signaling peptides that were independently discovered in colostrum and other sources, such as blood plasma, in the United States, Czechoslovakia and Poland.[22] Hence they appear under various names in the literature, including Colostrinin, CLN, transfer factor and PRP. They function as signal transducing molecules that accelerate the maturation of cells of the immune system.[23]

Human colostrum

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In humans, colostrum is produced from around the 28th week of pregnancy and can be excreted around the 36th week, ideally following a consultation with a medical provider. The antibodies in colostrum protect infants from infection[24][25] and colostrum is hypothesized to have anti-inflammatory properties.[26] It is suggested infants fed with human colostrum have lower incidence of gastrointestinal infections.[26] Colostrum has a laxative effect, encouraging the baby's body to excrete stool, which helps eliminate excess bilirubin,[27][28][29] although jaundice lasts longer in breastfed infants than in those who are formula-fed.[30]

Bovine colostrum

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Upon exposure to pathogens, dairy cattle produce antibodies against the pathogens. These antibodies are present in the cow's bloodstream and colostrum. Some of these antibodies are specific to human pathogens, including Escherichia coli, Cryptosporidium parvum, Shigella flexneri, Salmonella species, Staphylococcus species,[31] and rotavirus (which causes diarrhea in infants). Albert Sabin, who developed the first oral vaccine against polio, used colostrum in an experiment to evaluate the protective effect of breastfeeding against the poliomyelitis virus. Sabin obtained blood serum and milk samples from 30 human nursing mothers at different times after delivery. He then mixed the serum and blood from each individual mother together, in systematically differing proportions, and added "a constant amount" of the Lansing strain of the poliomyelitis virus. The mixtures were then injected into the brains of mice. The results showed that 100% of the human colostrum samples had antipoliomyelitic activity whereas only "80 per cent of the milk specimens obtained between 101 and 340 days after delivery" had such activity. He also tested cow's milk (not specified as colostrum) and found that milk samples from 2 of 9 cows contained antipoliomyelitic activity.[32] When antibiotics began to appear, interest in colostrum waned, but after antibiotic-resistant strains of pathogens developed, interest turned to colostrum as a natural alternative to antibiotics.[33]

Health effects of consumption by humans

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Bovine colostrum and human colostrum contain many of the same antibodies, immune and growth factors, and nutrients.[34][35]

There is also research suggesting that a large proportion of colostrum is not fit for human consumption "due to tremendous bacterial loads". Salmonella was detected in 15% of unpasteurised samples.[36] Pasteurisation reduces the bioactive proteins many of the benefits rely upon, however.[37]

Respiratory system

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Colostrum may support respiratory health in adults and children.[38][39][40] One study of human subjects suggested that oral colostrum was effective in preventing influenza.[39] Bovine colostrum was shown to reduce symptoms of allergic rhinitis in children.[41]

Digestive system

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Colostrum may help to maintain and support intestinal integrity and improve nutrient absorption, while its naturally occurring prebiotics feed beneficial gut bacteria in adults and children.[42][43][44][45][46]

Older children

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Colostrum may have continued benefits in children over the age of one: to support children's immune systems, soothe digestive upsets, and otherwise support digestive health.[40][44][47][48][45]

Sports nutrition

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Bovine colostrum may help maintain a healthy immune system during athletic training, while supporting cellular proliferation as well as protein synthesis and soft tissue repair.[49][50][51] One study showed that one brand of concentrated bovine colostrum powder improved running performance in one test, on average, in thirty males but did not improve performance in another test.[52]

Skin

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Bovine colostrum (BC) affects skin. A study conducted in 2021 by Jogi Reena et al. found that bovine colostrum may help delay skin aging by reducing telomere shortening, which is a marker of cellular aging. The researchers attributed these benefits to the antioxidant properties of BC, which help maintain telomere length and boost fibroblast proliferation—a key element in collagen production and the maintenance of skin structure.[53]

A study argues that BC stimulates fibroblast activity, aiding in the repair of damaged skin and the creation of new tissue, making it effective for wound healing and scar reduction.[54] A 2024 study argued that topically applied BC to an ulcer improved the Bates-Jensen Wound Assessment score of chronic non-healing ulcers on day 21 of treatment, due to the immunoglobulins and lactoferrin in it.[55]

Use in animal husbandry

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Colostrum is beneficial for newborn farm animals. They receive no passive transfer of immunity via the placenta before birth, so any antibodies that they need have to be either ingested or supplied by injection or other artificial means. The ingested antibodies are absorbed from the intestine of the neonate.[56][57][58][59][60] Maximum absorption of colostral antibodies by the newborn animal occurs within 4 hours[61] or thirty minutes of birth.[62]

The role of colostrum for newborn animals is to provide nutrition, and protect against infection while the immune and digestive systems are developing and maturing. Bovine colostrum provides macro- and micro-nutrients, as well as growth factors, cytokines, nucleosides, oligosaccharides, natural antimicrobials, antioxidants; and a range of immunoglobulins such as IgG, IgA, IgD, IgM and IgE. Minimal levels of IgG are essential to prevent failure of passive transfer. The iron-binding glycoproteins lactoferrin and transferrin in bovine colostrum assist in attacking pathogens by impacting their cell membrane and making them more susceptible to the immune systems attack by neutrophils. Cytokines in bovine colostrum enhance B and T cell maturation and increase endogenous antibody production. They also help regulate epithelial cell growth and development, proliferation, and restitution. Transfer factors enhance the activity of T cells. Other growth and immune factors such as IGF-1, IGF-2, FGF, EGF, TGF, PDGF, etc.

Bovine Colostrum contains bioactive components that support immunity and gut health in animals, and fight bacteria, viruses, and other pathogens. Early, high-quality colostrum is beneficial for survival and healthy development. It repairs intestinal damage and improves nutrient absorption. In calves, colostrum helps develop their gut and prevents death. It reduces infections, antibiotic use, and diarrhea, leading to faster growth.

Hyperimmune

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Hyperimmune colostrum is natural bovine colostrum collected from a population of cows immunized repeatedly with a specific pathogen. The colostrum is collected within 24 hours of the cow giving birth. Antibodies towards the specific pathogens or antigens that were used in the immunization are present in higher levels than in the population before treatment. Although some papers have been published stating that specific human pathogens were just as high as in hyperimmune colostrum, and natural colostrum nearly always had higher antibody titers than did the hyperimmune version.[31] A 2011 clinical trial showed that if the immunization is by surface antigens of a strain of E. coli bacteria, the Bovine Colostrum Powder can be used to make tablets capable of binding to the bacteria so that they are excreted in stools, thus preventing diarrhea that is caused by this strain of E. coli. This prevents the successful colonization of the gut, which would otherwise lead to bacteria releasing enterotoxigenic materials which cause diarrhea.[63]

Potential applications

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Solidified colostrum in a sweet stall, Salem, Tamil Nadu.
Molozyvo—a traditional dish of Ukrainian cuisine. It is a sweet cheese made of cow colostrum.

Although bovine colostrum has been consumed by humans for centuries,[64] only in recent decades have we seen randomized clinical trials to test for health benefits. It is probable that little absorption of intact growth factors and antibodies into the bloodstream occurs, due to digestion in the gastrointestinal tract. However, two experiments, one using human pancreatic fluid and one using rats, suggested the presence of casein and other buffering proteins allows epidermal growth factor but not transforming growth factor α to survive degradation induced by human pancreatic fluid and allows epidermal growth factor to pass into the lumen of the small intestine in rats, where it can stimulate repair, working via local effects.[65] This provides a probable mechanism explaining reductions in gut permeability after colostrum administration in some published studies,[66][67][68] while another study found colostrum promising as treatment for distal colitis.[69] The effect of colostrum on extra-gastrointestinal problems has been studied in a small number of randomised double-blind studies.[70][71][72]

The gut can be affected by ulcers, inflammation, and infectious diarrhea.[73] There is currently much interest in the potential value of colostrum for the prevention and treatment of these conditions.,[21] As pointed out by Kelly, inconsistency between results in some published studies may be due in part to variation in dose given and to the timing of the colostrum collection being tested (first milking versus pooled colostrum collected up to day 5 following calving).[74]

Some athletes have used colostrum in an attempt to improve their performance,[75] decrease recovery time,[52] and prevent sickness during peak performance levels.[76][77] Supplementation with bovine colostrum, 20 grams per day (g/d), in combination with exercise training for eight weeks may increase bone-free lean body mass in active men and women.[75][78]

Low IGF-1 levels may be associated with dementia in the very elderly, although causation has not been established.[79] Malnutrition can cause low levels of IGF-1,[80] as can obesity.[81] Although IGF-1 is not absorbed intact by the body, some studies suggest it stimulates the production of IGF-1 when taken as a supplement[82] whereas others do not.[50]

Colostrum has antioxidant components, such as lactoferrin[83] and hemopexin, which binds free heme in the body.[84]

The Isle of Man had a local delicacy called "Groosniuys", a pudding made with colostrum.[85]

In Finland, a baked cheese called Leipäjuusto is traditionally made with either cow colostrum or reindeer milk.

A sweet cheese-like delicacy called 'Junnu' or 'Ginna' is made with colostrum in the south Indian states of Karnataka, Andhra Pradesh and Telangana. It is made with both cow and buffalo milk; in both cases milk produced on the second day after birth is considered ideal for preparing this pudding-like delicacy. Due to the combination of high demand and limited supply of colostrum, many products are adulterated with standard milk.[86]

A 2024 study concluded that for obtain the maximum health benefits, it is: "recommend collecting and processing the colostrum of primiparous cows and immature milk at the end of the milk transition separately."[87]

References

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Revisions and contributorsEdit on WikipediaRead on Wikipedia
from Grokipedia
Colostrum is the first milk produced by the mammary glands of mammals, including humans and other species like cows, immediately following parturition, and it serves as the initial nutritional and immunological lifeline for newborns. This thick, yellowish fluid, secreted in small volumes during the first 2 to 5 days postpartum, is richer in proteins and immunoglobulins than transitional or mature milk, while containing lower levels of lactose and fat. It plays a critical role in transferring passive immunity from mother to offspring, helping to protect against infections during the vulnerable neonatal period when the infant's own immune system is immature. In humans, colostrum begins forming during late pregnancy, around the 12th to 16th week, under the influence of hormonal changes, and its production ramps up sharply after delivery as progesterone levels drop. Composed primarily of water (about 87%), it features high concentrations of secretory immunoglobulin A (IgA), leukocytes, cytokines, and growth factors such as epidermal growth factor (EGF), alongside essential nutrients including vitamins A, D, and E. These components not only bolster the newborn's gut barrier—coating the intestines to prevent pathogen adhesion—but also support the establishment of a healthy microbiome and aid in the maturation of the digestive system. The World Health Organization emphasizes colostrum as the ideal first food for infants, recommending its exclusive provision in the initial hours and days after birth to maximize immune benefits and reduce risks of conditions like diarrhea and respiratory infections. Bovine colostrum, harvested from cows shortly after calving, shares similar bioactive profiles with human colostrum but is notably higher in immunoglobulins like IgG, making it a valuable resource for veterinary and human applications. Its constituents include antimicrobial peptides (e.g., lactoferrin), oligosaccharides, and minerals such as calcium and zinc, which contribute to its use in supplements for enhancing gut health, reducing inflammation, and supporting athletic recovery in adults. Research highlights its potential in preventing gastrointestinal disorders, such as NSAID-induced permeability, and modulating immune responses, though human studies underscore the need for pasteurization to ensure safety without diminishing bioactivity. Across species, colostrum's transition to mature milk underscores its specialized, time-limited role in early-life development.

Overview and Physiology

Definition and Characteristics

Colostrum is the first form of milk secreted by the mammary glands of female mammals immediately following parturition, characterized as a nutrient-dense fluid rich in antibodies and bioactive compounds essential for neonatal health. This initial secretion, often referred to as the "first milk," is produced for a limited period, typically lasting 1 to 5 days in humans and up to 3 to 7 days in other species such as cows, before transitioning to mature milk. Physically, colostrum appears as a thick, sticky, yellowish fluid due to its high content of proteins and pigments like carotenoids, contrasting with the thinner, whiter consistency of mature milk. In terms of composition, it features elevated protein levels—reaching up to 14-16 g/L in humans and 12-15% (120-150 g/L) in bovines—compared to 8-10 g/L and about 3.3% in mature milk, respectively; fat content is relatively low at 15-20 g/L in human colostrum versus 35-40 g/L in mature milk, while carbohydrates, primarily lactose, are also lower at 20-30 g/L versus 67-70 g/L. In humans, the volume produced is small initially, with newborns receiving about 10-50 mL per feeding in the first few days, sufficient for their minute stomach capacity and gradual increase in demand. Biologically, colostrum serves as a critical source of passive immunity by transferring maternal antibodies, primarily immunoglobulins like IgG and IgA, to protect the newborn from infections during the early vulnerable period when their own immune system is immature. It coats the intestinal mucosa, preventing pathogen adhesion and invasion, while also promoting gut maturation and the process of gut closure, which limits further absorption of large molecules after initial immunoglobulin uptake. Evolutionarily, colostrum has played a pivotal role in enhancing neonatal survival across mammalian species by compensating for limited in utero immunity transfer, with notable adaptations such as elevated IgG concentrations in herbivores like cows to support systemic absorption before rumen development and gut closure occur. Historically, colostrum's properties were first noted in ancient texts, with physicians like Hippocrates recognizing benefits of early breast milk, such as its use in treating certain conditions; observations of lower infection rates in breastfed infants in the late 19th century led to recognition of colostrum's antibacterial components, laying groundwork for modern immunology by highlighting its role in passive protection.

Production Process

Colostrum production is initiated by the withdrawal of progesterone following parturition, which removes the inhibitory effect on mammary gland secretion during pregnancy, allowing prolactin to stimulate the synthesis of colostrum components in alveolar cells. Oxytocin, released in response to suckling, facilitates the ejection of colostrum by contracting myoepithelial cells surrounding the alveoli, ensuring its delivery to the newborn. This hormonal interplay marks the transition from pregnancy-induced mammary inactivity to active colostrogenesis across mammals. In the mammary glands, alveolar epithelial cells undergo significant changes during late pregnancy, shifting from a state of secretory differentiation to active production of colostrum through upregulated expression of genes involved in protein synthesis and secretion. These cellular adaptations enable the gland to produce a nutrient-dense, viscous fluid initially, with synthesis beginning weeks before birth in many species as alveolar proliferation peaks under the influence of rising prolactin and falling progesterone levels. Timing of colostrum production varies by species due to differences in placental structure; in humans with a hemochorial placenta, colostrum secretion begins within hours of birth as placental separation triggers hormonal shifts, whereas in ruminants with an epitheliochorial placenta, colostrogenesis occurs prepartum over 3-4 weeks, making colostrum immediately available at birth but with potential delays in post-partum ejection up to 24 hours in some cases due to limited prenatal antibody transfer needs. Several factors influence colostrum yield and quality, including maternal nutrition, which supports mammary development and secretion capacity; inadequate prepartum feeding can reduce volume, while stress hormones like cortisol may suppress prolactin release and lower output. Parity also plays a key role, with first-time mothers typically producing smaller volumes compared to multiparous individuals, as repeated pregnancies enhance mammary gland efficiency. Pathophysiological conditions can disrupt colostrum production; for instance, mastitis causes inflammation that impairs alveolar function and reduces secretion, while premature birth often leads to delayed onset of lactogenesis and lower yields due to incomplete hormonal priming of the mammary glands.

Transition to Mature Milk

The transition from colostrum to mature milk represents a critical physiological adaptation in mammary glands, occurring over a defined timeline that varies by species. In humans, colostrum is secreted for the first 3 to 5 days postpartum, followed by a transitional phase lasting until approximately 10 to 14 days, after which mature milk predominates. In cows, this shift happens more rapidly, with colostrum production limited to the first 5 to 7 days post-calving, marked by the onset of increased lactose synthesis and the formation of larger fat globules as the mammary epithelium matures. These timelines ensure that newborns receive the specialized nutrients and immunoprotective elements of colostrum before the milk shifts to support sustained growth. This biological shift is triggered by hormonal and mechanical factors that regulate mammary gland function. The expulsion of the placenta causes a sharp decline in progesterone levels, removing inhibition on prolactin and enabling lactogenesis stage II, which promotes the transition to mature milk production. Rising prolactin concentrations, stimulated by suckling, further drive this process, while feedback inhibition from local mammary factors—such as the feedback inhibitor of lactation (FIL)—modulates synthesis rates based on nursing frequency. In both humans and cows, mammary epithelial cells undergo changes in membrane permeability, reducing the leakage of serum-derived proteins into milk and favoring the secretion of synthesized components like lactose. Compositional alterations during this transition profoundly affect milk's nutritional profile. Protein content decreases markedly, from 14-16 g/L (1.4-1.6%) in human colostrum to 8-10 g/L (0.8-1%) in human mature milk, and from 120-150 g/L (12-15%) in bovine colostrum to ~33 g/L (3.3%) in bovine mature milk, reflecting diminished immunoglobulin and serum protein transfer, while fat rises to 3-4% with the development of milk fat globules for enhanced energy delivery. Lactose levels increase simultaneously, rising from lower concentrations in colostrum to provide carbohydrates for neonatal energy needs, accompanied by a gradual loss of immunological potency as bioactive factors like growth hormones and cytokines decline. These changes optimize milk for long-term nutrition but underscore the irreplaceable role of early colostrum intake. Improper transition can have significant neonatal consequences, such as agalactia—a failure of milk let-down or production—leading to inadequate nutrition and heightened infection risk. Timely colostrum consumption is vital before gut closure, which occurs within 12-24 hours after birth in most species, limiting the absorption window for immunoglobulins and other macromolecules. In veterinary practice, this transition and colostrum quality are monitored through clinical assessments, including visual evaluation of milk appearance (from thick, yellowish colostrum to thinner, whiter mature milk), pH measurement (colostrum pH around 6.0-6.5 decreasing to 6.6-6.8), and refractometry using Brix scales to estimate immunoglobulin concentration (≥22% Brix indicating high-quality colostrum).

Chemical Composition

Immunological Components

Colostrum serves as a primary source of passive immunity for newborns, rich in immunoglobulins and other bioactive molecules that protect against pathogens. The major immunoglobulins include IgG, IgA, and IgM, with their proportions and functions varying by species. In ruminants such as cows, IgG predominates, comprising 70-80% of total immunoglobulins, primarily as IgG1, which facilitates systemic absorption into the calf's bloodstream. In contrast, human colostrum emphasizes secretory IgA (sIgA), which accounts for about 90% of immunoglobulins, providing localized mucosal protection in the respiratory and gastrointestinal tracts. IgM is present in both but at lower levels, contributing to early complement activation and broad antimicrobial activity. Concentrations of these immunoglobulins are notably higher in colostrum than in mature milk, enabling efficient transfer to the neonate. Bovine colostrum can contain up to 100 mg/mL of IgG, with averages around 50-90 mg/mL in the first milking post-calving, while IgA and IgM are present at 1-5 mg/mL and 0.5-2 mg/mL, respectively. In human colostrum, IgA levels reach 10-30 mg/mL on average, IgG is much lower at approximately 0.01-0.04 mg/mL, and IgM is around 0.01-0.03 mg/mL. This selective transport occurs via the neonatal Fc receptor (FcRn), which binds IgG in the acidic environment of the intestinal lumen and facilitates transcytosis across the gut epithelium into the bloodstream, a process most efficient in the first 24-48 hours after birth. Beyond immunoglobulins, colostrum contains antimicrobial proteins like lactoferrin and lysozyme, which enhance innate immunity. Lactoferrin, an iron-binding glycoprotein, sequesters free iron to starve bacteria and modulates inflammation by influencing cytokine production and immune cell maturation. Lysozyme enzymatically degrades peptidoglycan in bacterial cell walls, particularly effective against Gram-positive pathogens, and synergizes with lactoferrin for broader antimicrobial action. Cytokines such as IL-6 and transforming growth factor-beta (TGF-β) are also present, promoting immune regulation, T-cell differentiation, and gut barrier integrity to mitigate excessive inflammation. These components collectively prevent conditions like necrotizing enterocolitis by neutralizing pathogens and reducing gut permeability, while also lowering allergy risk through immune tolerance induction. Species-specific adaptations reflect evolutionary needs for immunity. In ungulates like ruminants, the high IgG content supports systemic circulation via intestinal absorption, providing broad protection before the immune system matures. Humans, however, prioritize sIgA for non-invasive mucosal defense against respiratory and enteric pathogens, as placental transfer already supplies some IgG in utero. This dichotomy ensures tailored passive immunity suited to each species' environmental exposures.

Nutritional and Bioactive Components

Colostrum is characterized by a distinct macronutrient profile that differs markedly from mature milk, prioritizing immunological and trophic support over caloric density for the neonate. It contains high levels of protein, typically around 2% (14-25 g/L) in human colostrum, primarily composed of caseins and whey proteins, with the latter enriched in proline-rich polypeptides that aid in tissue repair and development. In contrast, lactose content is low at 2-3%, compared to approximately 7% in mature milk, reflecting colostrum's focus on gut closure and microbiome establishment rather than energy provision. Fat levels are minimal, often around 2-3% in early colostrum, contributing to its lower overall energy density of about 60 kcal per 100 mL. Bovine colostrum exhibits a similar pattern, with elevated protein (up to 14-16%) and reduced lactose (around 2.5-4%), alongside higher fat (around 6-7%) than in mature milk. Micronutrients in colostrum are concentrated to support early enzymatic functions and antioxidant defense in the newborn. Vitamins A and E are notably elevated, with vitamin A levels in human colostrum reaching approximately 1-2 mg/L—higher than in mature milk (≈0.6 mg/L)—providing essential antioxidant protection and vision support. Vitamin E, present as tocopherols and tocotrienols at concentrations around 77 mg/kg in bovine colostrum, further bolsters cellular protection against oxidative stress. Minerals such as zinc and magnesium are also enriched; zinc transfers approximately 4 mg daily via colostrum, aiding immune enzyme activity and growth, while magnesium supports metabolic processes at levels higher than in transitional milk. Beyond basic nutrients, colostrum harbors bioactive peptides that promote neonatal development and homeostasis. Proline-rich polypeptides (PRPs), found at concentrations of 0.1-1 mg/mL in bovine colostrum, modulate immune responses by influencing cytokine production and T-cell differentiation without direct antimicrobial action. Epidermal growth factor (EGF) facilitates gut epithelial maturation and repair, enhancing mucosal barrier integrity in the immature intestine. Transforming growth factor (TGF), particularly TGF-β isoforms, exerts anti-inflammatory effects by regulating immune cell migration and promoting wound healing at injury sites. Colostrum also contains oligosaccharides, complex carbohydrate structures that serve as prebiotics to foster beneficial gut microbiota. These neutral and acidic oligosaccharides, present at levels of 0.7-1.2 mg/mL in bovine colostrum, selectively promote the growth of bifidobacteria and lactobacilli, thereby supporting microbial diversity and intestinal health in the neonate. In human colostrum, fucosylated oligosaccharides exhibit similar prebiotic properties, modulating pathways that enhance barrier function and reduce pathogen adhesion. This prebiotic role complements the nutritional framework, ensuring colostrum's holistic contribution to early development.

Colostrum in Humans

Role in Newborn Immunity and Health

Colostrum plays a pivotal role in conferring passive immunity to newborns by providing secretory immunoglobulin A (SIgA), which coats the infant's gastrointestinal tract and mucosal surfaces, thereby blocking pathogen adhesion and reducing the risk of enteric infections such as those caused by rotavirus and enteropathogenic Escherichia coli. This protective mechanism is particularly effective in the first months of life, with studies indicating that exclusive breastfeeding, which begins with colostrum, can reduce hospitalization for lower respiratory tract infections by up to 72% compared to non-breastfed infants. In low-resource settings, this early immune transfer is crucial, as colostrum-derived SIgA has been shown to lower overall infection incidence by promoting immune exclusion at the intestinal barrier. Beyond immediate pathogen defense, colostrum supports gut health by facilitating the establishment of a beneficial microbiome and mitigating allergy risks through bioactive factors like transforming growth factor-beta (TGF-β). TGF-β in colostrum regulates inflammation and promotes tolerance, with higher levels associated with reduced incidence of allergic diseases in infancy, such as atopic dermatitis and food allergies. Additionally, colostrum's mild laxative properties, attributed to its high mineral and protein content, aid in clearing meconium—the newborn's first stool—thus reducing the risk of jaundice by eliminating excess bilirubin. This process also supports microbiome maturation, as colostrum's oligosaccharides and immunoglobulins foster a diverse, anti-inflammatory gut flora that protects against dysbiosis-related conditions. Nutritionally, colostrum meets the newborn's initial low-volume requirements with concentrated bioactive compounds, including high levels of vitamin A, which is essential for vision and immune function in vitamin-deficient populations. In regions with prevalent vitamin A deficiency, colostrum supplementation or exclusive feeding helps prevent xerophthalmia—a leading cause of childhood blindness—by providing bioavailable retinol that supports epithelial integrity and reduces infection susceptibility. Its low volume aligns with the newborn's small stomach capacity, ensuring efficient absorption without overwhelming the immature digestive system. Long-term, colostrum intake is linked to sustained health advantages, including lower rates of respiratory infections and improved cognitive development, as evidenced by associations between early exclusive breastfeeding and enhanced neurodevelopmental outcomes. The World Health Organization recommends initiating breastfeeding within the first hour of birth to ensure colostrum consumption, emphasizing exclusive feeding for the first six months to optimize these benefits and reduce chronic disease risks later in life. Conversely, deprivation of colostrum in low-resource settings heightens vulnerability, with non-breastfed or delayed-fed infants facing approximately a 33% increased risk of neonatal mortality from infections, including sepsis, and substantially higher neonatal mortality rates. For preterm infants, who often face feeding challenges and higher sepsis incidence, colostrum administration—such as via oropharyngeal methods—has been shown to mitigate these risks by bolstering local immunity and gut maturation.

Harvesting, Storage, and Supplementation

Harvesting of human colostrum typically occurs within the first 24 to 72 hours postpartum, using manual expression or breast pumping to collect the small volumes produced initially. Manual expression involves gently massaging the breasts to stimulate the milk ejection reflex, followed by hand compression to express colostrum into a clean container, which is effective for early collection when volumes are low. Hand expressing is particularly recommended in the early postpartum days if the baby is sleepy, having trouble latching, or if the breasts feel full. Mothers can gently express a few drops to soften the areola or collect for feeding; this method is often more effective than pumping when volumes are low, as it collects every drop without requiring equipment. Breast pumps, either manual or electric, can also be used, with mothers positioned upright or on their side to facilitate drainage, and collection often into syringes or 35 ml cups for precise measurement. Hygiene protocols are essential to prevent contamination; mothers must wash hands thoroughly with soap and water before expression, and pump parts should be sterilized using microwave disinfection bags at 800–1100 W for 3 minutes or boiled. Collected colostrum is transferred to sterile, labeled containers and transported in one-way delivery boxes disinfected with alcohol pads to avoid microbial growth. Storage of human colostrum follows guidelines similar to those for mature breast milk, emphasizing refrigeration or freezing to preserve bioactive components. Fresh colostrum can be refrigerated at 4°C for up to 4 days optimally, or frozen at -20°C for up to 6 months, with acceptable extension to 12 months under clean conditions, leaving space in containers for expansion. For donor colostrum in milk banks, the Human Milk Banking Association of North America (HMBANA) mandates holder pasteurization at 62.5°C for 30 minutes to eliminate pathogens while retaining nutritional value, followed by rapid chilling and bacteriological testing by accredited labs. Post-thawing, frozen colostrum should be used within 24 hours if kept refrigerated at 4°C, and never refrozen, as immunologic factors like IgA remain stable for 48 hours refrigerated or 6 months frozen but degrade after prolonged thawing. Shelf-life data indicate that thawed colostrum maintains viability for feeding within this window, with no significant loss in key components if handled properly. Supplementation with human colostrum is particularly vital in neonatal intensive care units (NICUs) for preterm infants when maternal supply is insufficient, using pasteurized donor colostrum as a bridge to support early immunity. In NICUs, small volumes of fresh or donor colostrum are administered orally or via micro-tube feeding to very low birth weight infants, increasing feeding rates from around 44% to over 70% with optimized protocols and reducing adverse events. The American Academy of Pediatrics recommends pasteurized donor human milk, including colostrum, when mother's own milk is unavailable, as it provides essential immunological benefits for preterm infants at risk of necrotizing enterocolitis. Donor programs ensure screened, pasteurized supplies, with family training to maintain collection continuity. Global practices for human colostrum promotion face challenges from cultural taboos, such as beliefs in India that colostrum is impure or "dirty milk" due to ritual pollution concepts, leading some mothers to discard it initially. In parts of Africa, like The Gambia, similar perceptions view colostrum as harmful or watery, influenced by traditional beliefs that delay its feeding. Initiatives in India, supported by health organizations, promote colostrum through education on its benefits, achieving higher acceptance rates in community programs. In Africa, WHO-backed campaigns in countries like Uganda address taboos by integrating cultural sensitization, encouraging early feeding to combat malnutrition. Quality assessment of human colostrum in milk banks emphasizes donor screening for infectious diseases (e.g., HIV, syphilis, hepatitis B and C), microbial safety through pasteurization and post-processing bacterial cultures, rather than routine immunoglobulin quantification. While Brix refractometry can estimate total solids in human milk (typically 12-15% Brix for colostrum indicating high solids), it is not a standard tool for immunological quality assessment as in veterinary practice. For research purposes, IgA concentrations average 5-30 mg/mL in early colostrum, measured via ELISA if needed. HMBANA standards require post-pasteurization bacterial cultures to ensure sterility, with visual inspection for color and consistency as initial checks.

Colostrum in Animals

Bovine Colostrum Production and Management

Bovine colostrum is produced by dairy cows immediately following parturition, with the first milking typically yielding 2 to 5 liters, though this volume can vary by factors such as breed and parity. In Holstein cows, yields often range from 2.5 to 7.6 kg, while Jersey cows may produce slightly less on average but with higher concentrations of immunoglobulins. The immunoglobulin G (IgG) concentration in first-milking colostrum generally falls between 50 and 150 mg/mL, with Holsteins averaging around 48 g/L and Jerseys around 66 g/L; however, Jersey breeds tend to have higher overall IgG percentages (9.0%) compared to Holsteins (5.6%). Yield and IgG content decline rapidly after the initial milking, dropping by approximately 58% in the second milking and up to 94% by the fourth, necessitating prompt collection to maximize quality. Effective management of bovine colostrum in cattle farming emphasizes timely feeding to newborn calves to ensure passive immunity transfer. Calves should receive their first feeding within 1 to 2 hours of birth, ideally 10% to 12% of their body weight—approximately 3 to 4 liters for a Holstein calf—to achieve adequate IgG absorption before gut closure. A second feeding of 2 to 3 liters is recommended 6 to 12 hours later, using methods such as nipple bottles for vigorous calves or esophageal tubing for weaker ones to guarantee intake. For storage, excess colostrum must be refrigerated at 4°C immediately after collection and used within 24 hours to minimize bacterial growth, or frozen at -20°C for longer-term preservation up to one year, with thawing in warm water to avoid IgG denaturation. Quality control is critical in bovine colostrum production to prevent failure of passive transfer (FPT), with testing methods focusing on IgG levels and contamination. The radial immunodiffusion (RID) assay serves as a gold-standard laboratory method for precise IgG quantification, targeting concentrations above 50 g/L for high-quality colostrum. On-farm tools like the Brix refractometer provide rapid estimates, where readings greater than 22% indicate adequate IgG (>50 g/L), offering a practical alternative with high correlation to RID results. The California Mastitis Test (CMT) is employed to detect subclinical mastitis by assessing somatic cell counts, ensuring colostrum from infected quarters is discarded to avoid bacterial contamination. Failure of passive transfer (FPT) occurs when calves absorb insufficient IgG (<10 g/L in serum), affecting 20% to 40% of dairy calves due to inadequate intake, poor colostrum quality, or delayed feeding. This condition substantially elevates mortality risk, with FPT calves experiencing up to 2 to 5 times higher preweaning death rates compared to those with successful transfer, alongside increased morbidity from diseases like scours and pneumonia. Interventions include immediate supplementation with high-quality colostrum or commercial IgG products via tubing, and in severe cases, intravenous plasma transfusion to provide antibodies directly, particularly for calves identified via serum total protein testing (below 5.5 g/dL). Industry standards for bovine colostrum production differentiate between organic and conventional systems, with both prioritizing IgG levels above 50 g/L but varying in sourcing and health protocols. Conventional operations often involve routine cow vaccinations against common pathogens like bovine rhinotracheitis, which can enhance colostrum potency by increasing specific antibody titers by up to 11 g/L in total protein. Organic standards, governed by USDA regulations, prohibit synthetic antibiotics and hormones, requiring pasture access and potentially leading to lower overall yields due to reduced productivity, though colostrum quality remains comparable if vaccination alternatives like natural exposure are managed effectively. In both systems, colostrum from multiparous cows is preferred for its higher IgG yield, and herd-level monitoring via calf serum testing ensures compliance with benchmarks to minimize FPT rates.

Colostrum in Other Mammals

In equine species, colostrum is particularly rich in immunoglobulin G (IgG), with concentrations often exceeding 4,000 mg/dL, providing essential passive immunity to foals whose own immune systems are immature. This IgG is critical for protecting against infections, as foals rely on intestinal absorption during a limited window of approximately 18 hours post-birth, after which gut closure significantly reduces uptake efficiency. Failure of passive transfer (FPT), defined as serum IgG below 400 mg/dL at 24 hours, occurs in 3-24% of foals, with rates around 9-10% in typical populations, often due to insufficient intake or poor colostrum quality. Such cases are commonly treated with oral supplementation using frozen mare colostrum or commercial IgG products to boost serum levels and mitigate infection risks. Porcine colostrum supports piglet immunity through IgG absorption, but the process is confined to a shorter window of about 24 hours after birth, during which intact immunoglobulins can pass through the gut epithelium before closure. Piglets typically ingest lower volumes of colostrum—around 200-300 mL in the first day—due to competition in large litters, increasing FPT risk in intensive farming systems where stress or poor management can limit intake. In ovine species, the absorption window for colostral IgG in lambs is similarly brief, up to 24 hours post-partum, with efficient uptake requiring at least 200 mL of high-quality colostrum within the first 6-12 hours. Lambs produce or ingest smaller colostrum volumes compared to larger ruminants, heightening FPT vulnerability, particularly in intensive operations with multiple births or delayed nursing, where failure rates can exceed 20% without intervention. Marine mammals like seals and whales exhibit colostrum that is highly concentrated and energy-dense to sustain pups during prolonged fasting periods post-weaning. In seals, such as the northern elephant seal, initial secretions feature elevated fat content (25-50%) from the outset, facilitating rapid blubber accumulation in pups that nurse intensely for short durations. Whale colostrum, as observed in species like the bowhead, maintains high fat levels (up to 30%) alongside moderate proteins, differing from terrestrial mammals by lacking a low-fat transitional phase and instead prioritizing lipid-rich nutrition for aquatic adaptations. In companion animals, canine and feline colostrum delivers vital immunoglobulins and nutrients to puppies and kittens, with absorption possible primarily in the first 12-16 hours after birth to establish passive immunity against early pathogens. When maternal issues like agalactia or rejection occur, commercial colostrum replacers—often bovine-derived—provide IgG and bioactive factors to support neonatal health and reduce mortality. Wildlife conservation efforts for orphaned marsupials, such as kangaroo joeys, frequently employ artificial colostrum formulated from bovine sources to mimic maternal IgG and growth factors, administered via bottle-feeding to bridge the gap until natural weaning equivalents. These substitutes, including products like Wombaroo, have proven effective in hand-rearing, with antimicrobial proteins from bovine colostrum offering cross-species protection against common infections.

Therapeutic and Commercial Applications

Human Health Benefits and Supplements

Bovine colostrum supplements, primarily derived from cows, have been investigated for their potential to support adult human health through bioactive components like immunoglobulins and growth factors. Clinical trials indicate benefits in gastrointestinal protection, immune enhancement, and exercise recovery, with hyperimmune variants targeting specific pathogens showing promise in preventing infections. These effects stem from colostrum's ability to modulate gut barrier function and inflammation, though results vary by dosage and population. In gut health applications, bovine colostrum reduces the incidence and severity of diarrhea, particularly traveler's diarrhea caused by enterotoxigenic Escherichia coli. A study using hyperimmune bovine colostrum at 400 mg three times daily provided 90.9% protection against such diarrhea in volunteers. Broader reviews confirm efficacy in infectious diarrhea, with reductions in duration and frequency observed in children and adults. For leaky gut and inflammatory bowel disease (IBD), colostrum promotes mucosal repair; trials show it reverses exercise-induced intestinal permeability and improves symptoms in IBD patients through anti-inflammatory mechanisms and growth factor support. Immune modulation is another key benefit, with meta-analyses demonstrating that bovine colostrum supplementation shortens upper respiratory infections in athletes and children. One systematic review of randomized controlled trials found a 38% reduction in infection episodes and 44% fewer symptomatic days over 8-12 weeks. Anti-inflammatory effects further contribute, as colostrum lowers markers like C-reactive protein in stressed individuals, potentially via lactoferrin and cytokines. In sports nutrition, bovine colostrum aids recovery by mitigating exercise-induced gut damage and reducing reliance on nonsteroidal anti-inflammatory drugs (NSAIDs). Studies show it prevents NSAID-related gastrointestinal injury, with one trial noting no permeability increase compared to a threefold rise in placebo groups. Doses of 10-20 g per day for 4-12 weeks have improved performance metrics like time trials in cyclists and reduced muscle damage markers in endurance athletes. Recent meta-analyses and studies from 2020-2024 confirm additional benefits for immune function, recovery, and performance in athletes, including reduced incidence and duration of upper respiratory tract infections (URTIs), with one systematic review reporting a 38% reduction in URTI episodes and 44% fewer symptomatic days. A randomized controlled trial showed greater improvements in leg press strength with colostrum (19.8% increase) compared to whey protein (5.6% increase). Effectiveness has been demonstrated in runners and endurance athletes, where supplementation enhances post-exercise immune markers like salivary IgA, and in soccer players, leading to increased IgG levels, reduced inflammation, fewer infections, and improved lean mass. Doses providing 500-2000 mg of IgG per day, typically achieved with 10-20 g of colostrum, have shown these effects. Skin applications leverage colostrum's growth factors for healing. Topical bovine colostrum dressings accelerate chronic wound closure, reducing discharge and dressing frequency in case-control studies over 21 days. Orally, it shows potential for eczema management; case reports and animal models indicate reduced inflammation via extracellular vesicles modulating allergic responses. Bovine colostrum is generally safe for most adults, with self-affirmed GRAS status for use in food products, though individuals with lactose intolerance may experience digestive discomfort due to residual sugars. Typical dosing in trials ranges from 10-20 g daily, up to 60 g for short periods, with no significant adverse effects reported. Recent 2020s studies on COVID-19 symptom relief remain inconclusive, showing limited immune support but no definitive efficacy. Commercial products include powders and capsules, often from hyperimmune cows vaccinated against pathogens like E. coli for targeted antibody content. The global colostrum market, driven by supplement demand, reached approximately USD 3.81 billion in 2025 (as of projections).

Veterinary and Animal Husbandry Uses

In veterinary medicine and animal husbandry, colostrum plays a critical role in supporting neonatal health across various species by providing passive immunity and essential nutrients, particularly in cases of failure of passive transfer (FPT), where calves fail to absorb sufficient immunoglobulins from maternal sources. Bovine colostrum replacers are widely used to address FPT in calves, targeting a minimum intake of 200 g of IgG within the first 24 hours postpartum to achieve serum IgG concentrations above 10 g/L, which is essential for preventing morbidity and mortality. These replacers, often derived from bovine serum or pooled colostrum, have been shown to improve average daily gain (ADG) in preweaning calves by approximately 100 g/d compared to controls without supplementation, contributing to better overall growth performance and reduced treatment needs. For disease prevention, colostrum supplementation effectively mitigates gastrointestinal issues in multiple species. In piglets, bovine or porcine colostrum substitutes reduce the incidence and severity of scours (diarrhea), with studies demonstrating a tendency toward lower prevalence of diarrhea and improved gut health when administered early postpartum. Similarly, in foals, colostrum from mares vaccinated against rotavirus during late gestation provides passive antibody protection, significantly decreasing the risk of rotaviral diarrhea outbreaks, which are a leading cause of neonatal equine morbidity. In companion animals, colostrum supplements are vital for orphaned or compromised neonates, particularly puppies, where IgG absorption from the gut remains efficient for up to 24 hours after birth. Bovine colostrum products support immune function during this window and help alleviate weaning stress by enhancing gut integrity and reducing vulnerability to infections as maternal antibodies wane. Hyperimmune colostrum variants, produced by vaccinating dams against specific pathogens like enterotoxigenic E. coli (K99 strain), offer targeted protection in livestock. Oral administration of such colostrum-derived immunoglobulins to calves has been shown to reduce morbidity and mortality from colibacillosis by providing pathogen-specific antibodies, with field studies indicating substantial decreases in disease incidence and associated deaths. Husbandry innovations have enhanced colostrum utilization on farms, including the establishment of colostrum banks for storing high-quality frozen reserves to ensure availability during low-yield periods or emergencies, and automated feeders that deliver precise volumes of colostrum or replacers to neonates. These practices address FPT, which affects up to 20-35% of calves and incurs economic costs estimated at €60-€80 per affected case (approximately $65-87 USD as of 2016 exchange rates) due to increased veterinary treatments, growth delays, and mortality.

Research and Future Directions

Current Studies and Evidence

Meta-analyses have examined the effects of bovine colostrum supplementation on athletes, particularly in reducing the incidence of upper respiratory tract infections (URTIs). A 2016 systematic review and meta-analysis in BMJ Open Sport & Exercise Medicine analyzed randomized controlled trials (RCTs) and found that bovine colostrum reduced URS incidence with a pooled relative risk (RR) of 0.56 (95% CI 0.43 to 0.72). A 2022 meta-analysis in the Journal of Functional Foods across multiple studies reported an RR of 0.68 (p=0.001) for URTI risk reduction. These findings suggest potential benefits for immune modulation, such as increased salivary IgA levels, though evidence quality is moderate and more pronounced in endurance athletes. No comprehensive Cochrane review on bovine colostrum exists as of 2025. Evidence on bovine colostrum's role in gut health has advanced, but gaps persist, particularly in long-term data for chronic diseases. Reviews from 2023-2025, such as one in Critical Reviews in Food Science and Nutrition, note insufficient RCTs exceeding 6 months for conditions like inflammatory bowel disease or diabetes, with only short-term trials showing inconsistent improvements. Variability in supplement quality is a concern, as a 2024 analysis identified immunoglobulin content varying 20-80% across commercial products, limiting reproducibility. Omics studies have revealed new bioactives; a 2023 proteomics analysis in Journal of Proteome Research identified exosomes in bovine colostrum carrying microRNAs that modulate immune gene expression, present at 10^9 particles/mL and stable in supplements. Post-2020 research has explored colostrum in COVID-19 contexts through reviews suggesting potential for mucosal immunity enhancement, though clinical trials are limited. Microbiome studies, such as a 2024 metagenomic analysis in Gut Microbes, demonstrated colostrum's prebiotic effects in preterm infants, increasing Bifidobacterium abundance by 30% and correlating with reduced necrotizing enterocolitis risk. In veterinary contexts, a 2023 review in Equine Veterinary Journal summarized evidence where supplemented foals had improved IgG absorption, aiding prevention of failure of passive transfer. Regulatory aspects include EFSA opinions in 2024-2025 on the safety of whey protein hydrolysates for use in infant formulas, supporting their nutritional suitability based on clinical data. General guidelines recommend pasteurization for dairy supplements to mitigate bacterial risks, with processed forms showing low adverse event rates in studies. Overall, evidence quality is moderate, with strengths in acute immune applications but needing larger, standardized trials for broader claims. As of 2025, recent reviews highlight promising but inconclusive benefits for adult gut and immune health, emphasizing the need for more robust research.

Potential Innovations and Challenges

Recent advancements in biotechnology have enabled the development of lab-engineered colostrum mimics, such as recombinant secretory IgA produced in CHO-K1 cells, which achieves titers comparable to therapeutic IgGs and could serve as a scalable alternative to natural sources. A 2024 patent describes an IgA production promoting agent derived from biotech processes, highlighting potential for synthetic colostrum components to enhance mucosal immunity without relying on animal-derived materials. Additionally, nanoparticle delivery systems utilizing colostrum-derived exosomes have emerged as a promising platform for transporting bioactives, with bovine colostrum exosomes demonstrating high abundance and cost-effectiveness for targeted therapeutic applications. Emerging applications include the use of colostrum in cancer adjunct therapy, where bovine colostrum modulates immune responses and inhibits tumor growth in preclinical models, with ongoing clinical trials exploring its role in mitigating therapy-induced injuries such as mucositis. For vegan alternatives, precision fermentation techniques produce plant-based lactoferrin, a key colostrum bioactive, offering an animal-free option that replicates immune-supporting properties without ethical concerns associated with dairy sourcing. Challenges in colostrum research and commercialization encompass ethical sourcing issues, particularly in hyperimmune production where cow welfare is compromised by pathogen immunization and potential diversion from calf nutrition, necessitating "calf-first" protocols to ensure ethical practices. Contamination risks remain significant, with bacterial pathogens like coliforms frequently exceeding safe thresholds in colostrum samples, while prions from scrapie-affected ewes have been detected in mammary secretions, posing zoonotic concerns. High production and supplementation costs, often exceeding $1.50 per gram for commercial products, limit accessibility in developing regions despite colostrum's potential for addressing malnutrition and infections. Future directions involve personalized colostrum formulations tailored to maternal microbiome profiles, informed by studies showing probiotic supplementation during pregnancy alters breast milk microbiota and infant gut development, potentially extendable to customized bovine colostrum interventions. Global issues include climate-induced disruptions to dairy colostrum supply, as heat stress from rising temperatures reduces milk yield by up to 10% even with cooling measures, threatening consistent production. Regulatory harmonization for international trade faces barriers from non-tariff measures like varying sanitary standards and tariff quotas on dairy imports, impeding global access and commercialization.

References

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