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Comprehensive review

Unravelled facets of milk derived opioid peptides: a focus on gut physiology, fractures and obesity

ORCID Icon, , ORCID Icon, ORCID Icon, , & ORCID Icon show all
Pages 36-49 | Received 18 Mar 2019, Accepted 30 Apr 2019, Published online: 03 Jun 2019
 

Abstract

Beyond being a source of key nutrients, bovine milk influences physiological functions by synthesising bioactive peptides during the process of digestion. Some of the claimed negative health outcomes associated with milk consumption, such as cardiovascular diseases and type 1 diabetes may be attributed to an opioid peptide, beta-casomorphin-7 (BCM-7), derived from A1 beta-casein. BCM-7 exerts its function by binding to the μ-opioid receptors in the body. It is hypothesised that activation of the μ-opioid receptors in the gut can alter gut microbial composition, impair gut barrier integrity and bile acid metabolism, in addition to increasing gastrointestinal transit time and gut inflammation. Further, it is hypothesised that BCM-7 may influence fractures and obesity via μ-opioid receptor pathways. In conclusion, it appears that BCM-7 might have multiple functions pertinent to human health; however, the evidence is limited and warrants further pre-clinical and clinical studies for hypothesis confirmation.

Disclosure statement

The Food & Mood Centre at the IMPACT SRC has received funding from the A2 Milk Company for an investigator-initiated randomised controlled trial (2018–2020).The agreement strictly ensures the independence of the researchers at the Food & Mood Centre and the A2 Milk Company does not influence the design, content or outcomes of research arising from the Food & Mood Centre. Authors Hajara Aslam, Anu Ruusunen, Michael Berk, Amy Loughman, Julie A. Pasco and Felice N. Jacka all acknowledge this conflict of interest. Leni Rivera reports no conflict of interest.

Additional information

Funding

HA is supported by Deakin University Postgraduate Industry Research Scholarship, AR is supported by a Deakin University Postdoctoral Fellowship, MB is supported by a NHMRC Senior Principal Research Fellowship [APP1059660 and 1156072], AL is supported by the Wilson Foundation. FNJ is supported by an NHMRC Career Development Fellowship (2) [#1108125].

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