Independent Immunotec Consultant website Jose Ribeiro · ID 1432246
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Clinical studies · English source

Immunocal studies, now in English and properly linked.

This index uses the English Immunotec clinical studies compilation so English-speaking visitors can review titles, evidence groups and PDF pages without being sent to the Spanish document.

How to read the evidence

Not all studies carry the same practical weight.

The English compilation separates human work, prehabilitation studies, pilot studies, case reports, reviews, animal studies and in-vitro laboratory work. This page keeps that hierarchy visible.

01

Human controlled studies

Stronger practical signal, especially when randomized, blinded or placebo-controlled.

02

Pilot and case material

Useful for direction and context, but not enough for broad claims.

03

Reviews and theory

Helpful for mechanism and scientific framing.

04

Animal and lab work

Mechanistic value, but must not be sold as human outcome proof.

English source documents

Official English material now supports the English science route.

These files let the visitor verify the English scientific narrative without being pushed into a Spanish PDF.

Clinical PDF

Clinical studies compilation

English PDF with the Immunocal research compilation, index, abstracts and Dr. Gutman commentary.

Open PDF
Science PDF

Science & well-being overview

English overview about the Scientific Advisory Board, flagship products, published studies, PDR/CPS, patents and certifications.

Open PDF
Numbers PDF

Immunocal by the numbers

English infographic material with research, publication, patents, servings and institutional figures.

Open PDF
Full English index

92 entries grouped by evidence type.

Human controlled evidence

Blinded human studies

Human studies with blinded, randomized or controlled designs deserve a stronger practical reading than exploratory material.

8 entries

The Effect of Supplementation with a Cysteine Donor on Muscular Performance

JOURNAL OF APPLIED PHYSIOLOGY, 87: 1381-1385, 1999PDF page 15

Oxidative stress contributes to muscular fatigue. Glutathione (GSH) is the major intracellular antioxidant, whose biosynthesis is dependent upon cysteine availability.

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Improved Glutathione Status in Young Adult Patients with Cystic Fibrosis Supplemented with Whey Protein

JOURNAL OF CYSTIC FIBROSIS, VOL 2, ISSUE 4, DECEMBER 2003PDF page 16

The results show that dietary supplementation with a whey-based product can increase glutathione levels in cystic fibrosis. This nutritional approach may be useful in maintaining optimal levels of GSH and counteract the deleterious effects of oxidative stress in the lung in cystic fibrosis.

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Effects of Cysteine Donor Supplementation on Exercise-Induced Bronchoconstriction

MEDICINE & SCIENCE IN SPORTS & EXERCISE, VOL. 37, NO. 9, PP. 1468-1473, 2005PDF page 17

Purpose Reactive oxygen/nitrogen species (ROS/ RNS) in resident airway cells may be important in bronchoconstriction following exercise. Glutathione (GSH) is a major lung antioxidant and could influence pathological outcomes in individuals with exercise- induced bronchoconstriction (EIB).This study examined the effects of supplementation with undenatured whey protein (UWP) in subjects exhibiting airway narrowing…

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Cysteine-Rich Protein Reverses Weight Loss in Lung Cancer Patients Receiving Chemotherapy or Radiotherapy

ANTIOXIDANTS & REDOX SIGNALING, 10:395-402, (2008)PDF page 18

Oxidative stress plays a role in the tumorcytotoxic effect of cancer chemotherapy and radiotherapy and also in certain adverse events. In view of these conflicting aspects, a double-blind trial over 6 months has been performed to determine whether a cysteine-rich protein (IMN1207) may have a positive or negative effect on the clinical outcome if compared with casein, a widely used protein supplement low in cysteine.

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Effect of Cysteine-Rich Whey Protein (Immunocal®) Supplementation in Combination with Resistance Training on Muscle Strength and Lean Body Mass in Non-Frail Elderly Subjects: A Randomized, Double-Blind Controlled Study

JOURNAL OF NUTRITION, HEALTH & AGING, 2015, 19(5):531-6sPDF page 19

Our findings showed increases in muscle strength in both groups after resistance training, however, significant additional increases were observed in muscle strength with the addition of a cysteine-rich whey protein (Immunocal®) versus casein.

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Biochemical and Clinical Effects of Whey Protein Supplementation in Parkinson’s Disease

JOURNAL OF THE NEUROLOGICAL SCIENCES 367, (2016) 162-170PDF page 20

This study is the first to report that Whey protein supplementation significantly increases plasma reduced glutathione, the reduced to oxidized glutathione ratio, BCAAs and EAAs in patients with PD, together with a concomitant significant reduction of plasma Hcy. However, there were no significant changes in clinical outcomes. Long-term, large randomized clinical studies are needed to explore the benefits of whey…

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ABD Bioactives Alleviate Chemotherapy-Induced Myelosuppression

ELECTRONIC JOURNAL OF METABOLISM & NUTRITION OF CANCER (6)3: 346-350, 2019PDF page 21

Objective To explore the effect of ABD Bioactives on myelosuppression alleviation in lung cancer patients during chemotherapy. Methods 44 lung cancer patients who received chemotherapywererandomlydividedintoanintervention group and a control group.

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Improving Antioxidant Capacity in Children with Autism: A randomized, double-blind controlled study with cysteine- rich whey protein

FRONTIERS IN PSYCHIATRY. 2021 VOL. 12, ARTICLE 669089, 1-15PDF page 22

Previous studies indicate that children with autism spectrum disorder (ASD) have lower levels of glutathione. Nutritional interventions aim to increase glutathione levels suggest a positive effect on ASD behaviors, but findings are mixed or nonsignificant.

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Nutrition, exercise and surgery

Blinded prehabilitation studies

Clinical work around functional preparation before surgery, often combining nutrition, exercise and stress-reduction strategies.

18 entries

Prehabilitation Versus Rehabilitation a Randomized Control Trial in Patients Undergoing Colorectal Resection for Cancer

ANESTHESIOLOGY, 2014, 121:937-47PDF page 24

Meaningful changes in postoperative functional exercise capacity can be achieved with a prehabilitation program.

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Prehabilitation with Whey Protein Supplementation on Perioperative Functional Exercise Capacity in Patients Undergoing Colorectal Resection For Cancer: A Pilot Double-Blinded Randomized Placebo-Controlled Trial

JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS 2015PDF page 25

Clinically meaningful improvements in functional walking capacity were achieved before surgery with whey protein supplementation. These pilot results are encouraging and justify larger- scale trials to define the specific role of nutrition prehabilitation on functional recovery after surgery.

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Multimodal Prehabilitation Improves Functional Capacity Before and After Colorectal Surgery for Cancer: A Five-Year Research Experience

ACTA ONCOLOGICA, 2017, FEBRUARY;56(2):295-300PDF page 26

In large secondary analysis, multimodal prehabilitation resulted in greater improvement in walking capacity throughout the whole perioperative period when compared to rehabilitation started after surgery.

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Four-Week Prehabilitation Program is Sufficient to Modify Exercise Behaviors and Improve Preoperative Functional Walking Capacity in Patients with Colorectal Cancer

SUPPORT CARE CANCER, 2017, JAN;25(1):33-40PDF page 27

These findings highlight the positive effects of a trimodal prehabilitation program on patients’ physical activity levels and functional walking capacity and demonstrate that modifying exercise behaviors and improving physical function within the 4-week preoperative period are an achievable goal.

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Effect Of Exercise and Nutrition Prehabilitation on Functional Capacity in Esophagogastric Cancer Surgery: A Randomized Clinical Trial

MASURG.2018. 1645PDF page 28

Is a key element in the care continuum for patients with esophagogastric cancer. Prehabilitation, a preoperative conditioning intervention aiming to optimize physical status, has not been tested in upper gastrointestinal surgery to date.

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Evaluation of Supervised Multimodal Prehabilitation Programme in Cancer Patients Undergoing Colorectal Resection: A Randomized Control Trial

ACTA ONCOLOGICA, 2018, JUNE;57(6) :849-859PDF page 29

Background Prehabilitation has been previously shown to be more effective in enhancing postoperative functional capacity than rehabilitation alone. The purpose of this study was to determine whether a weekly supervised exercise session could provide further benefit to our current prehabilition program, when comparing to standard post-surgical rehabilitation.

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Maximizing Patient Adherence To Prehabilitation: What Do The Patients Say?

SUPPORT CARE CANCER 2018 Aug;26(8):2717-2723PDF page 30

Purpose Multimodal prehabilitation programs (exercise, nutrition, and anxiety reduction) have been shown to be successful for enhancing patients’ physical function prior to surgery, although adherence remains a challenge. Given the short pre-operative period, maintaining adherence is critical to maximize program effectiveness.

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Effect of Exercise and Nutrition Prehabilitation on Functional Capacity in Esophagogastric Cancer Surgery: A Randomized Clinical Trial

JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION SURGERY 2018 Dec 1;153(12):1081-1089PDF page 31

Importance Preserving functional capacity is a key element in the care continuum for patients with esophagogastric cancer. Prehabilitation, a preoperative conditioning intervention aiming to optimize physical status, has not been tested in upper gastrointestinal surgery to date.

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Multimodal Prehabilitation to Enhance Functional Capacity Following Radical Cystectomy: A Randomized Controlled Trial

EUROPEAN UROLOGY FOCUS. 2019 Jun 8:S2405-4569 (19)30153-1PDF page 32

Background In patients with bladder cancer, poor functional status has remarkable deleterious effects on postoperative outcome and prognosis. Conditioning intervention initiated before surgery has the potential to reduce functional decline attributable to surgery.

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Trimodal Prehabilitation for Colorectal Surgery Attenuates Post-surgical Losses in Lean Body Mass: A Pooled Analysis of Randomized Controlled Trials

CLINICAL NUTRITION 2019 Jun;38(3):1053-1060PDF page 33

Background & aims Preservation of lean body mass is an important cancer care objective. The capacity for prehabilitation interventions to modulate the lean body mass (LBM) of colorectal cancer patients before and after surgery is unknown.

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Depression and Functional Status in Colorectal Cancer Patients Awaiting Surgery: Impact of a Multimodal Prehabilitation Program

HEALTH PSYCHOLOGY 2019 Oct;38(10):900-909PDF page 34

Objective Depression and poor functional status (FS) frequently co-occur. Though both predict adverse surgical outcomes, research examining preoperative functional performance (FP; self-reported) and functional capacity (FC; performance-based) measures in depressed cancer patients is lacking.

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Medical Supervision for Cancer Patient’s Healthy Lifestyle (MCL) Improves Postoperative Rehabilitation

ELECTRONIC JOURNAL OF METABOLISM & NUTRITION OF CANCER (6)1: 89-9, 2019PDF page 35

Objective to explore the effect of medical supervision for cancer (chronic disease) patients’ healthy lifestyle (Mcl) on the postoperative rehabilitation of tumor patients. Methods fifty patients with solid tumor were randomly assigned into the intervention group or the control group.

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Effect of Multimodal Prehabilitation vs Postoperative Rehabilitation on 30-Day Postoperative Complications for Frail Patients Undergoing Resection of Colorectal Cancer: A Randomized Clinical Trial

JOURNAL OF AMERICAN MEDICAL ASSOCIATION SURGERY 2020 Jan 22;155(3):233-42PDF page 36

Importance Research supports use of prehabilitation to optimize physical status before and after colorectal cancer resection, but its effect on postoperative complications remains unclear. Frail patients are a target for prehabilitation interventions owing to increased risk for poor postoperative outcomes.

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Multimodal Prehabilitation for Lung Cancer Surgery: A Randomized Controlled Trial

THE ANNALS OF THORACIC SURGERY, 2020. DEC 13;S0003-4975(20)32108-1, 10-25PDF page 38

In patients undergoing surgical resection for lung cancer within the context of ERP, multimodal prehabilitation initiated four weeks prior to surgery is as effective in recovering FC as multimodal rehabilitation.

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Functional capacity of prediabetic patients: effect of multimodal prehabilitation in patients undergoing colorectal cancer resection

ACTA ONCOL. 2021 AUG;60(8):1025-1031PDF page 39

Multimodal prehabilitation favored clinical recovery of FC after surgery in CRC patients, especially prediabetic patients.

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Older frail prehabilitated patients who cannot attain a 400m 6-min walking distance before colorectal surgery suffer more postoperative complications

EUROPEAN JOURNAL OF SURGICAL ONCOLOGY. 2021 Apr;47(4):874-881PDF page 40

Several preoperative characteristics were identified in the <400 m 6MWD group that could be useful in screening and targeting future prehabilitative treatments. Future trials should investigate use of a 400 m standard for the 6MWD as a minimal treatment target for prehabilitation

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Malnourished lung cancer patients have poor baseline functional capacity but show greatest improvements with multimodal prehabilitation

NUTRITION IN CLINICAL PRACTICE. 2021 Oct;36(5):1011-1019PDF page 41

Lung cancer patients at high-nutrition- risk awaiting surgery had significantly lower baseline FC compared with low-nutrition-risk patients but experienced significant improvements in preoperative FC upon receiving multi- modal prehabilitation.

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Effect of Multimodal Prehabilitation on Reducing Postoperative Complications and Enhancing Functional Capacity Following Colorectal Cancer Surgery - The PREHAB Randomized Clinical Trial

JAMA SURGERY. March 2023 doi:10.1001/jamasurg.2023.0198PDF page 42

IImportance: Colorectal surgery is associated with substantial morbidity rates and a lowered functional capacity. Optimization of the patient’s condition in the weeks prior to surgery may attenuate these unfavorable sequelae.

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Clinical exploration

Non-blinded human studies

Human studies without the same control level as blinded trials; useful context, read with proportion.

5 entries

Treatment of Chronic Hepatitis Using Whey Protein (Non-Heated)

JOURNAL OF MEDICINCE, 2000, 31(5-6):283-302PDF page 45

In an open study, the clinical efficacy of whey protein (Immunocal: cysteine content; 7.6-fold that of casein) isolated from fresh milk and purified without being heated was evaluated based on liver function test, immunological parameters, plasma or lymphocyte GSH concentrations and hepatitis virus markers in 25 patients with chronic hepatitis B or C. Immunocal (12 g as protein) food (mousse) was given twice a day,…

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Effect of Whey Protein to Modulate Immune Response in Children with Atopic Asthma

INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION, 2006; 57(3/4): 204211PDF page 46

Background: Levels of glutathione (GSH) in antigen- presenting cells promote a T-helper type 2 (Th2) cytokine response in mice. We have previously demonstrated that we can increase intracellular GSH levels in healthy young adults using a wheybased oral supplement (HMS90TM).

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Open-Labeled Pilot Study of Cysteine-Rich Whey Protein Isolate Supplementation for Nonalcoholic Steatohepatitis Patients

JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY 24:1045-1050 (2009)PDF page 47

The results indicate that oral supplementation of cysteine-rich whey protein isolate leads to improvements in liver biochemistries, increased plasma GSH, total antioxidant capacity and reduced hepatic macrovesicular steatosis in NASH patients. The results support the role of oxidative stress in the pathogenesis of this disease.

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The effects of glutathione enhancement on sensorineural hearing loss

EAR NOSE THROAT J. 2010 SEP;89(9):422-33PDF page 48

Previous research has demonstrated the benefits of antioxidant treatment in the prevention of hearing loss in animals. Our study tested the effects of an undenatured whey protein supplement rich in glutathione on human patients with hearing loss.

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Cysteine/Cystine-Rich Undenatured Whey Protein Supplement in Patients’ Pressure Ulcers Outcomes: An Open Label Study

JOURNAL OF WOUND CARE, 2019 JUL 1;28 (SUP7):S16-S23. DOI: 10.12968/JOWC.2019.28.PDF page 49

By providing the necessary amino acids to rebuild tissues and bioactive cysteine (cystine) to promote synthesis of intracellular GSH and positive nitrogen balance, improvement in PUs healing was achieved.

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Early signal

Pilot studies

Smaller exploratory human studies that can justify larger trials.

4 entries

Whey Proteins as a Food Supplement in HIV-Seropositive Individuals

CLINICAL INVESTIGATIVE MEDICINE, 16:204-209, 1993PDF page 51

On the basis of numerous animal experiments, a pilot study was undertaken to evaluate the effect of undenatured, biologically active, dietary whey protein in 3 HIV-seropositive individuals over a period of 3 months. Whey protein concentrate was prepared so that the most thermosensitive proteins, such as serum albumin which contains 6 glutamylcysteine groups, would be in undenatured form.

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The Use of a Whey Protein Concentrate in the Treatment of Patients with Metastatic Carcinoma: A Phase I-II Clinical Study

ANTICANCER RESEARCH 15, 2643-2650, 1995PDF page 52

Glutathione (GSH) concentration is high in most tumor cells and this may be an important factor in resistance to chemotherapy. Previous in-vitro and animal experiments have shown a differential response of tumor versus normal cells to various cysteine delivery systems.

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Oral Tolerability of Cysteine-Rich Whey Protein Isolate in Autism: A Pilot Study

JOURNAL OF THE AMERICAN NEUTRACEUTICAL ASSOCIATION, VOL. 11, NO. 1, (2008)PDF page 53

This study suggests that NWPI can be used as a supplement for this small population of children with autism without high rates of side effects, which means that further studies to determine its safety and efficacy in larger populations might yield the same promising result. Larger studies are planned to determine its efficacy in raising glutathione levels.

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Immunocal scientific publication

JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY, 2013, 6(10):23-26)PDF page 54

The positive preliminary outcomes from this pilot study suggest a randomized, double-blind, clinical trial would be worthwhile in evaluating whether this protein isolate would result in statistically significant improvement for patients with psoriasis.

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Clinical observation

Case reports

Individual or small-group observations, useful for direction but not general proof.

4 entries

Psoriasis Improvement in Patients Using Glutathione-Enhancing, Nondenatured Whey Protein Isolate: A Pilot Study .54 Treatment of Obstructive Airway Disease with a Cysteine Donor Protein Supplement: A Case Report

CHEST, 2000, MARCH; 117(3):914-6PDF page 56

Oxidant/antioxidant imbalance can occur in obstructive airways disease, as a result of ongoing inflammation. Glutathione plays a major role in pulmonary antioxidant protection.

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Whey Protein Concentrate (WPC) and Glutathione Modulation in Cancer Treatment

ANTICANCER RESEARCH 20, 4785-4792, 2000PDF page 57

The glutathione (GSH) antioxidant system is foremost among the cellular protective mechanisms. Depletion of this small molecule is a common consequence of increased formation of reactive oxygen species during increased cellular activities.

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Does the use of cysteine-rich whey protein supplements (Immunocal) improve the health well-being of COVID-19 patients? A qualitative study

ELECTRONIC JOURNAL OF GENERAL MEDICINE. 2023, 20(1). Em433PDF page 58

Following the daily dosage indications of the consultants, the participants who have consumed Inmunocal® have presented a partial improvement of the symptoms related to COVID-19, however, they feel the need to consume the supplement daily to improve their quality of life.

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Use of a Cysteine-Rich whey Protein Isolate as Adjuvant Therapy in Patients with COVID-19 Pneumonia: A Case Series

EC PULMONOLOGY AND RESPIRATORY MEDICINE 11.4 (2022)PDF page 59

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 has infected more than 283 million people world- wide and is responsible for nearly 5.5 million deaths. While a significant number of people have recovered from this infection, nearly 40% of the patients who leave the ICU have important complications that compromise their activity of daily living.

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Context and mechanism

Theoretical papers, opinion papers and reviews

Papers that help frame glutathione, cysteine, whey protein and oxidative stress.

19 entries

Evolutionary Traits in Human Milk Proteins

MEDICAL HYPOTHESES, 1988, OCT;27(2):133-40PDF page 61

Human milk has the lowest concentration of protein of any mammalian species. Since the rate of growth of the offspring is negatively related to the protein content of the milk, the time required to double the birth weight is greater in the infant than in any other mammal in which it has been measured.

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Whey Proteins in Cancer Prevention

CANCER LETTERS, 57: 91-94, 1991PDF page 62

Epidemiological and experimental studies suggest that dietary milk products may exert an inhibitory effect on the development of several types of tumors. Some recent experiments in rodents indicate that the antitumor activity of the dairy products is in the protein fraction and more specifically in the whey protein component of milk.

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Place for an Antioxidant Therapy in Human Immunodeficiency Virus (HIV) Infection

C. PASQUIER ET AL. (EDS) • ©1994 BIRKHÄUSER VERLAG BASEL/SWITZERLANDPDF page 63

Oxidative stress, a known activator of HIV replication in vitro, has a potential role as a cofactor of HIV disease progression. Arguments supporting the role of oxidative stress as a cofactor in HIV activation are summarized in this review.

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Nutriceutical Modulation of Glutathione With a Humanized Native Milk Serum Protein Isolate, Immunocal™: Application in AIDS and Cancer

LUC MONTAGNIER ET AL., (ED.) MARCEL DEKKER INC., NEW YORK: 447-461, 1998PDF page 64

The biological activity of the proteins isolated from cow’s milk in Immunocal™ depends on the preservation of those labile proteins which share with the predominant human milk proteins the same extremely rare glutathione (GSH)-promoting components. Cellular GSH depletion has been implicated in the pathogenesis of a number of degenerative conditions and disease states including Parkinson’s, Alzheimer’s,…

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Competition for Glutathione Precursors Between the Immune System and the Skeletal Muscle: Pathogenesis of Chronic Fatigue Syndrome

MEDICAL HYPOTHESES, 1999, 53(4): 347-349PDF page 65

Thechronicfatiguesyndrome(CFS)istypicallyassociatedor follows a recognized or presumed infection. Abnormalities of both humoral and cellular immunity have been demonstrated in a substantial proportion of patients with CFS.

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Therapeutic Functions of Whey Proteins (Turkish)

PDF page 66

Recent studies have indicated that whey proteins show some very important therapeutic functions. The antioxidant properties of these protein isolates are essential for nutrition.

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The Antioxidant System

ANTICANCER RESEARCH 23, 1411-1416 (2003)PDF page 67

The glutathione (GSH) antioxidant system is the principal protective mechanism of the cell and is a crucial factor in the development of the immune response by the immune cells. Experimental data demonstrate that a cysteine-rich whey protein concentrate represents an effective cysteine delivery system for GSH replenishment during the immune response.

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Molecular Pathogenesis and Prevention of Prostate Cancer

CancerPDF page 68

Studiesinlaboratoryanimalsindicateinhibitionofchemically- induced carcinoma by cystine-rich diets enhancing the cysteine-GSH antioxidant system. The progression of carcinoma of the prostate is also inhibited by these diets, which were later found to raise the level of GSH in the prostate epithelium of man.

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Oxidative Stress and Ageing: Is Ageing a Cysteine Deficiency Syndrome?

2355-2372 (2005)PDF page 69

Reactiveoxygenspecies(ROS)areconstantlyproduced in biological tissues and play a role in various signaling pathways. Abnormally high ROS concentrations cause oxidative stress associated with tissue damage and dysregulation of physiological signals.

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Children’s Oncology Group (COG) Nutrition Committee

PEDIATRIC BLOOD CANCER, 50:447-450 (2008)PDF page 70

Children’s Oncology Group (COG) Nutrition Committee was established to further the knowledge of nutrition in children with cancer by education and conduct of clinical trials. A survey of COG institutions revealed lack of conformity in evaluationandcategorizationofnutritionalstatus,andcriteria for nutritional intervention.

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Aberrant Insulin Receptor Signaling and Amino Acid Homeostasis as a Major Cause Of Oxidative Stress in Aging?

ANTIOXIDANTS & REDOX SIGNALING, 10:661-675 (2008)PDF page 71

The mechanisms leading to the increase in free-radical- derived oxidative stress in “normal aging” remained obscure. Here we present our perspective on studies from different fields which reveal a previously unnoticed vicious cycle of oxidative stress.

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Bringing Evidence to Complementary and Alternative Medicine in Children With Cancer: Focus on Nutrition-Related Therapies

PEDIATRIC BLOOD CANCER, 2008, 50:490-493PDF page 72

Children with cancer frequently use complementary and alternative medicine (CAM), especially in conjunction with conventional therapy. Dietary supplements are a commonly used CAM modality, with the prevalence of supplement use ranging from 35% to 50% of children with cancer in surveys completed in the United States.

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Immunocal® and Preservation of Glutathione as a Novel Neuroprotective Strategy for Degenerative Disorders of the Nervous System

RECENT PATENTS ON CENTRAL NERVOUS SYSTEM DRUG DISCOVERY, 2012, DEC;7(3):230-5PDF page 73

Oxidative stress and glutathione (GSH) depletion are both recognized as significant contributors to the pathogenesis of many devastating neurodegenerative diseases. In particular, mitochondrial dysfunction leads to the aberrant production and accumulation of reactive oxygen species (ROS) which are capable of oxidizing key cellular proteins, lipids, and DNA, ultimately triggering cell death.

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Editorial: Therapeutic Antioxidants for Neurodegenerative Disease

RECENT PATENTS ON CENTRAL NERVOUS SYSTEM DRUG DISCOVERY, 2012, DEC: 7(1)PDF page 74

The aberrant production of reactive oxygen species (ROS) within a cell can cause significant oxidative damage to key cellular proteins, lipids, and DNA. Harmful free radical species like ROS can be generated intrinsically via inadvertent “leakage” from the mitochondrial electron transport chain or by oxidant-generating enzymatic systems like NADPH oxidase, xanthine oxidase, glucose oxidase, or nitric oxide…

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Progress in Application of Whey Protein Concentrate in the Treatment For Malignancies

CHINA CANCER. (24)12:1026-1030, 2015PDF page 75

As a safe and effective cysteine carrier, whey protein concentrate (WPC) effectively promote the body’s glutathione synthesistherebyelevatingglutathionelevelinserumandtissue and enhancing lymphocyte proliferation and phagocytosis, as well as T helper cells and cytotoxic activity of natural killer T cells, which finally improve the immune system. Second, as quality nitrogen source, WPC significantly improve the…

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Therapeutic Potential of Glutathione Augmentation in Cancer Patients Receiving Chemotherapy or Radiotherapy

JOURNAL OF NUTRITIONAL ONCOLOGY, NOVEMBER 15, 2016, VOLUME 1, NUMBER 1PDF page 76

The majority of cancer patients receiving conventional medical therapy receive chemotherapy, radiotherapy, surgery or palliative support. Nutritional support is increasingly recognized as vital to successful treatment.

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Trimodal Prehabilitation for Colorectal Surgery Attenuates Post-Surgical Losses in Lean Body Mass: A Pooled Analysis of Randomized Controlled Trials

CLINICAL NUTRITION, 2018 JULY 9, Pii:S0261-5614(18)31201-9PDF page 77

Trimodal prehabilitation attenuated the post-surgical LBM loss compared to the loss observed in patients who received the rehabilitation intervention. Patients who receive neither intervention (i.e., standard of care) would belikelytolosemoreLBM.Offeringaprehabilitationprogramto colorectalcancerpatientsawaitingresectionisausefulstrategy to mitigate the impact of the surgical stress response on lean tissue in an ERAS…

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Glutathione Precursors Shield the Brain from Trauma

NEURAL REGENERATION RESEARCH, 2019, doi:10.4103PDF page 78

In the United States, approximately onethird of all injury- related deaths are due to traumatic brain injury (TBI). Anyone is at risk for TBI; however, the risk is higher for athletes in contact sports, military personnel, children and the elderly.

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Effect of Whey Protein Supplementation on Perioperative Outcomes in Patients with Cancer— A Systematic Review and Meta-Analysis (PROSPERO 2020: CRD42020188666)

NUTR CANCER. 2021 DEC 28;1-14.PDF page 79

Whey protein has several biochemical characteristics which make it an ideal nutritional supplement in cancer. This metaanalysis aims to evaluate the effects of whey on perioperative outcomes in cancer.

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Preclinical science

In vivo animal studies

Animal studies that explore biological mechanisms before human conclusions.

27 entries

Influence of Dietary Lactalbumin Hydrolysate on The Immune System of Mice and Resistance to Salmonellosis

LactalbuminPDF page 81

In the present study we investigated the effect of four weeks of treatment with a diet containing lactalbumin hydrolysate (LAH: Nestlé, Vevey, Switzerland) on the immune response of C3H/HeN mice. Our data indicate that it was possible to increase the level of this type of protein in the diet above the minimum requirement (12% LAH) and thus produce augmented humoral immune responsiveness and resistance to…

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Influence of Dietary Proteins on the Immune System of Mice

PDF page 82

Theeffectofgradedamountsofdietarylactalbumin(L)and casein (C) hydrolysates on the immune responsiveness of C3H/ HeN and DBA/2 strain mice has been investigated by measuring both the specific humoral immune response to sheep red blood cells (SRBC) and the nonspecific splenic cell responsiveness to phytohemagglutinin, concanavalin A and Escherichia coli lipopolysaccharide after stimulation with Mycobacteriurn bovis,…

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Influence of Dietary Protein Type on the Immune System of Mice

PDF page 83

The effect of graded amounts of dietary lactalbumin (L), casein (C), soy (S), wheat (W) protein and Purina rodent chow (stock diet) on the immune responsiveness of C3H/ HeN mice has been investigated by measuring the specific humoral immune response to sheep red blood cells (SRBC), and horse red blood cells (HRBC) as well as the nonspecific splenic cell responsiveness to phyto-hemagglutinin (PHA) and concanavalin A…

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Differential Effect of Dietary Protein Type on the B-Cell and T-Cell Immune Responses in Mice

JOURNAL OF NUTRITION, 115: 1403-1408, 1985PDF page 84

The effect of graded amounts of dietary lactalbumin (L), casein (C), soy (S), wheat (W) protein and Purina rodent chow (stock diet) on the immune responsiveness of C3H/HeN mice has been investigated by measuring the specific humoral immune response to sheep red blood cells (SRBC), and horse red blood cells (HRBC) as well as the nonspecific splenic cell responsiveness to phyto-hemagglutinin (PHA) and concanavalin A…

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Mechanism of Altered B-Cell Response Induced By Changes in Dietary Protein Type in Mice

PDF page 85

The effect of 20 g/100 g dietary lactalbumin (L) or casein (C) diets or a nonpurified (NP) diet on the immune responsiveness of C57B1/6J, C3H/HeJ and BALB/cJ mice has been investigated by measuring the response to the T cell-independent antigen, TNP-Ficoll. To investigate the possible influence of dietary protein type on the supply of B lymphocytes, bone marrow lymphocyte production has been examined by a…

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Glutathione Augments the Activation of Cytotoxic T Lymphocytes ‘In Vivo’

IMMUNOLOGY, 172:151-156, (1986)PDF page 86

The activation of cytotoxic T lymphocytes (CTL) in vivo was found to be augmented by glutathione if injected i.p. in the late phase but not in the early phase of the response.

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The Immunoenhancing Property of Dietary Whey Protein Concentrate

PDF page 87

The plaque-forming cell response to sheep red blood cells was found to be enhanced in mice fed a formula diet containing 20 g lactalbumin /100 g diet in comparison to mice fed equivalent formula diets of similar nutritional efficiency containing 20 g / 100 g diet of either casein, soy, wheat or corn protein, egg albumin, beef or fish protein, Spirulina maxima, or Scenedesmus protein, or Purina mouse chow. This…

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Immunoenhancing Property of Dietary Whey Protein in Mice: Role of Glutathione

PDF page 88

The spleen cells immune response to sheep red blood cells of C3H/HeJ mice fed a 20 g whey protein/100 g diet is substantially higher than that of mice fed an equivalent casein diet of similar nutritional efficiency. The present study indicates that the observed immunoenhancing effect of the whey protein mixture is dependent on the overall amino acid pattern resulting from the contribution of all its protein…

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The Influence of Dietary Whey Protein on Tissue Glutathione and the Diseases of Aging

CLINICAL AND INVESTIGATIVE MEDICINE, 12: 343-349, 1989PDF page 89

This study compared the effects of a wheyrich diet (20 g / 100 g diet), with that of Purina mouse chow or casein-rich diet (20 g / 100 g diet), on the liver and heart glutathione content and on the survival of old male C57BL / 6 NIA mice. The study was performed during a limited observation period of 6.3 months.

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Changes in Biliary Secretory Immunoglobulins a in Mice Fed Whey Proteins

PDF page 90

Background: A whey protein diet has been shown to enhance splenic immune response to sheep red blood cells (SBRC) in mice. This study was designed to investigate the influence of the type of dietary protein on the biliary secretory IgA.

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Dietary Milk Proteins Inhibit the Development of Dimethylhydrazine-Induced Malignancy

TUMOR BIOLOGY 11: 129-136, 1990PDF page 91

This study investigated the influence of two formula diets containing 20 g/100 g diet of either whey protein concentrate or casein, or Purina mouse chow on 1,2dimethylhydrazine (DMH)-induced colon carcinoma in A/J mice. Four weeks after the 24th DMH treatment the incidence of tumour and tumour area in the whey protein-fed mice was substantially less in comparison to either the casein or Purina groups.

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The Biological Activity of Undenatured Dietary Whey Proteins: Role of Glutathione

PDF page 92

This study compared the effects of different sources of wheyproteinconcentrate(20g/100gdiet)andofcaseinon thespleen,liver,andheartglutathionecontentofC3H/HeJ mice, and on the immune response of their spleen cells to sheepredbloodcells.Bodyweightcurvesweresimilarinall dietary groups. Our data indicate that the humoral immune response is highest in mice fed a dietary whey protein concentrate exhibiting the highest…

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Milk Whey Protein Decreases Oxygen Free Radical Production in a Murine Model of Chronic Iron-Overload Cardiomyopathy

CANADIAN JOURNAL OF CARDIOLOGY VOL 19, NO 10, 1163-1168, SEPTEMBER 2003PDF page 93

Chronic iron overload is a major cause of organ failure worldwide, but its pathogenesis remains to be elucidated. To examine in an experimental murine model of iron-overload cardiomyopathy the relation between milk whey protein and, first, the production of reactive oxygen free radical species and, second, antioxidant reserve status.

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Dietary protein, immune function and colon carcinogenesis in the mouse

Department of Food and Nutrition, Faculty ofPDF page 94

Immune stimulation and colon cancer development were studied in A/J mice injected with azoxymethane (AOM) which were maintained on undenatured whey protein concentrate (WPC), Immunocal (IM), soy protein isolate (SPI) and a commercial casein (CC) as the only source of dietary protein for 32 weeks. No difference in growth rate and body weight was found for the different treatments.

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Effects of Whey Protein Concentrate (WPC) on the Distributions of Lymphocyte Subpopulations in Rats with Excessive Alcohol Intake

JOURNAL OF AGRICULTURAL AND FOOD CHEMISTRY, 58:12729-12734 (2010)PDF page 95

To investigate the effects of whey protein concentrate (WPC) on antioxidant statuses and the lymphocyte subpopulations in the rats with alcohol intake, the antioxidant statuses in the peripheral blood (PB) and the lymphocyte subpopulations in the PB, spleen, and bone marrow (BM) of the rats fed with WPC (0.334 g/ kg) and alcohol (6 g/kg) for 3 months were analyzed. Results showed that the effects of WPC on the…

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A whey-based glutathione-enhancing diet decreases allergen-induced airway contraction in a guinea-pig model of asthma

Research Centre for Specialised Nutrition, Wageningen,PDF page 96

Since an allergen-induced early asthmatic reaction is likely to be accompanied by oxidative stress and since levels of the endogenous anti- oxidant glutathione can be enhanced by a whey-based diet (undenatured whey protein concentrate, UWPC), it was investigated whether UWPC could alleviate allergen-induced lung contractions. Guinea pigs were fed water or UWPC twice a day starting at day 23 up to day 20.

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A Cysteine-Rich Whey Supplement (Immunocal®) Delays Disease Onset and Prevents Spinal Cord Glutathione Depletion in the Hsod1 (G93a) Mouse Model of Amyotrophic Lateral Sclerosis

ANTIOXIDANTS (BASEL) 2014 DEC 12;3(4) :843-65PDF page 97

Background: Depletion of the endogenous antioxidant, glutathione (GSH), underlies progression of the devastating neurodegenerative disease, amyotrophic lateral sclerosis (ALS). Thus, strategies aimed at elevating GSH may yield new therapeutics for ALS.

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Cysteine-Rich Whey Protein Isolate (Immunocal®) Ameliorates Deficits in The GFAP.HMOX1 Mouse Model of Schizophrenia

FREE RADICAL BIOLOGY AND MEDICINE, 2017 SEP;110:162-175PDF page 98

Background: Depletion of the endogenous antioxidant, glutathione (GSH), underlies progression of the devastating neurodegenerative disease, amyotrophic lateral sclerosis (ALS). Thus, strategies aimed at elevating GSH may yield new therapeutics for ALS.

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Whey Protein Concentrate and Dexamethasone Protected Rat Cerebellum from Gamma-radiation Injury

PDF page 99

The possible radioprotective effect of Immunocal® (whey protein]) supplement and dexamethasone on gamma- irradiated cerebellar tissue of Wistar rat was investigated in this study. Forty male albino rats were acclimatized and randomized into four groups of 10 animals each.

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Selective effects of whey protein concentrate on glutathione levels and apoptosis in rats with mammary tumors

FOOD CHEM TOXICOL. 2017 SEP;107(PT A):440-448PDF page 100

Glutathione (GSH) plays an important role in antioxidant defense and regulation of apoptosis. GSH deficiency is related to many diseases, including cancer, and increased GSHlevelsincancercellsareassociatedwithchemotherapy resistance because of resistance to apoptosis.

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The Nutritional Activity of Active Whey Protein in Pancreatic Tumor-Bearing Nude Mice

Military Medical University, Department of Clinical Nutrition/PDF page 101

Active whey protein can prevent the weight loss in transplanted pancreatic mice, prolong the survival time, and this may be associated with preventing and curing cancer cachexia. Key words: whey protein, cancer, nutritional therapy, glutathione.

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The Cysteine-Rich Whey Protein Supplement, Immunocal® , Preserves Brain Glutathione and Improves Cognitive, Motor, and Histopathological Indices of Traumatic Brain Injuury in a Mouse Model of Controlled Cortical Impact

FREE RADIC BIOLOGY AND MEDICINE, 2018 AUG 20;124:328-341PDF page 102

Background: Traumatic brain injury (TBI) is a major public health problem estimated to affect nearly 1.7 million people in the United States annually. Due to the often debilitating effects of TBI, novel preventative agents are highly desirable for at risk populations.

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Effect study of active whey protein on the nutritional therapy of pancreatic cancer xenografts in nude mice

4Department of General Surgery / Nutrition, BeijingPDF page 103

Objective Active whey protein preserved the active ingredients in cow milk processed with patented low temperature extraction technology. Protein contents up to 90%.

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Effects of Active Whey Protein on Nutritional and Immune Status of Mice Bearing Triple-Negative Breast Cancer with Chemotherapy

CHINA CANCER. (28)6:476-482, 2019PDF page 104

PurposeToinvestigatetheeffectofactivewheyprotein(ABD) on nutritional and immune status of mice bearing triple- negative breast cancer(TNBC) undergoing chemotherapy. Methods The triple-negative breast cancer 4T1 cells were inoculated in BALB/c mice.

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Glutathione Augments the Activation of Cytotoxic T Lymphocytes ‘in Vivo’

PDF page 105

The activation of cytotoxic T lymphocytes (CTL) in vivo was found to be augmented by glutathione if injected i.p. in the late phase but not in the early phase of the response.

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Dietary Whey Protein Inhibits the Development of Dimethylhydrazine-Induced Malignancy

CLINICAL AND INVESTIGATIVE MEDICINE, 11: 213-217, 1988PDF page 106

This study investigates the influence of two formula diets containing 20 g/100 g diet of either whey protein concentrate or casein or Purina mouse chow, on the humoral immune responsiveness and dimethylhydrazine induced colon carcinogenesis in A/J mice. After 20 weeks of dimethylhydrazine treatment, the number of plaque forming cells per spleen, following intravenous inoculation with 5 x 106 sheep red blood cells,…

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Cysteine-Rich Whey Protein Isolate (CR-WPI) Ameliorates Erectile Dysfunction by Diminishing Oxidative Stress via DDAH/ADMA/NOS Pathway

Diminishing OxidativePDF page 107

Objective Nitric oxide synthase- (NOS-) dependent endothelial dysfunction induced by oxidative stress (OS) is assumed to play a pivotal role in the pathogenesis and progression of diabetes mellitus-related erectile dysfunction (DMED). Cysteine-rich whey protein isolate (CR-WPI) is a OXIDATIVE MEDICINE AND CELLULAR LONGEVITY, Mar 21;2022:8151917 widely used protein supplement and has been confirmed to reduce reactive…

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Cellular mechanism

In vitro laboratory studies

Cell and biochemical work, useful for mechanism but not equivalent to human outcomes.

7 entries

Immunocal scientific publication

which represent the foundation of Immunotec’s clinicalPDF page 109

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Anti-HIV and Anti-Apoptotic Activity of the Whey Protein Concentrate: Immunocal

PRESENTED AT THE INTERNATIONAL CONFERENCE ON AIDS, AUGUST 7-12, 1994PDF page 110

Immunocal (WPC) possesses antiviral and anti-apoptotic activities which may be related to its glutathione promoting activity. A clinical trial is currently going on with children with AIDS and wasting syndrome.

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In Vitro Selective Modulation of Cellular GSH by a Humanized Native Milk Protein Isolate in Normal Cells and Rat Mammary Carcinoma Model

Pediatrics and Oncology and Montreal Children’sPDF page 111

We report the in vitro selective inhibitory activity of a humanized whey protein concentrate ImmunocalTM on growth of mammary carcinoma cells and Jurkat T cells in comparison to normal peripheral blood mononuclear cells. We related this inhibitory activity to a selective depletion of intracellular glutathione synthesis.

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Enhancing Effect of Patented Whey Protein Isolate (Immunocal® ) on the Cytotoxicity of Anti-Cancer Drug

NUTRITION AND CANCER, 2000, VOL 38(2):200-208PDF page 112

To determine the enhancing effect of a whey protein isolate on the cytotoxicity of a potential anti-cancer drug, baicalein, human hepatoma cell line HepG2 was assigned to grow in different media for four days, followed by the investigation of cell growth and apoptosis. Excluding the control group with normal medium, other three treatment media included whey protein isolate (marketed as Immunocal®) medium, baicalein…

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Whey Protein Concentrate Promotes the Production of Glutathione (GSH) By Gsh Reductase in The PC12 Cell Line after Acute Ethanol Exposure

FOOD & CHEMICAL TOXICOLOGY, 44:574-578, (2006)PDF page 113

Excessive ethanol consumption may increase the production of reactive oxygen species (ROS), which results in the damage of tissues, especially the neurons and glial cells in the central nervous system (CNS). The purpose of this study is to evaluate the effects of whey protein concentrate (WPC) on the glutathione (GSH) status after acute ethanol exposure in the pheochromocytoma (PC12) cell line.

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Effects of Alcohol-Induced Human Peripheral Blood Mononuclear Cell (PBMC) Pretreated Whey Protein Concentrate (WPC) on Oxidative Damage

FOOD & CHEMICAL TOXICOLOGY, 44:574-578, (2006)PDF page 114

Excessive alcohol consumption can induce apoptosis in a variety of tissues and influence the antioxidant status in peripheral blood mononuclear cells (PBMC). This paper investigates the effects of whey protein concentrate (WPC) pretreated in PBMC on the apoptosis and antioxidant status after the treatment of alcohol.

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Whey Protein Concentrate Renders MDA-MB-231 Cells Sensitive to Rapamycin by Altering Cellular Redox State and Activating GSK3ẞ/ mTOR Signaling

PDF page 115

Whey protein concentrate (WPC) is an amino acid-rich supplement that has been shown to increase cellular antioxidantcapacity.Mammaliantargetofrapamycin(mTOR) is a crucial regulator of signaling in mammalian cells, and servesasatherapeutictargetfortriple-negativebreastcancer (TNBC). This study was designed to investigate the effect of combining WPC with rapamycin on MDA-MB-231 human breast cancer cells.

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