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Cow Milk Can Protect the Gut from Alcohol-Induced Gastric Ulcers

    Person holding stomach while holding glass of milk; drinking cow milk may protect against gastric ulcers

    Written by: Sandeep Ravindran, Ph.D. | Issue # 76 | 2018

    • Certain dairy products and bioactive components of milk have been shown to have a protective effect on the gastric mucosa, but the gastroprotective effects of cow milk are still unclear.
    • A new study finds that pretreatment with cow milk can prevent the development of gastric ulcers caused by acid and alcohol in mice.
    • The protective effects of cow milk appear to occur through the modulation of antioxidant enzymes and anti-inflammatory processes.

    Ulcers can be a real pain in the gut, and they’re unfortunately quite common, affecting more than 10% of the world’s population [1]. Drinking alcohol, smoking, stress, and microbial infections are all known to exacerbate these ulcers [2].

    Alcohol can be particularly damaging to the gastric mucosa [3,4]. Alcohol increases the generation of reactive oxygen species and suppresses the activity of antioxidants that play a crucial role in protecting the stomach [5,6].

    Studies have shown that dairy products—such as yogurt—and certain bioactive components of milk can help protect the gut mucosa [7-10]. A couple of recent studies found that multiple milk components, including casein, whey protein concentrate, and hydrolysates from casein and whey protein, showed protective anti-ulcerative effects on the gastric mucosa in rodent models of ethanol-induced ulcer [11,12]. However, there have been few animal studies of the gastroprotective effects of cow milk itself, particularly against gastric damage induced by acid and alcohol.

    In a new study, Professor Hae-Jeung Lee and her colleagues at Gachon University in South Korea hypothesized that cow milk may protect the gastric mucosa by modulating antioxidant enzymes and anti-inflammatory processes [13]. They tested the protective effects of fresh, commercially available cow whole milk against gastric ulcers induced by acidified alcohol in mice.

    The researchers gave mice either 5, 10, or 20 mL/kg of body weight of commercial fresh cow milk once a day for 14 days. An hour after the 14th dose of milk, the mice were given a single dose of a hydrochloric acid-ethanol mixture intended to provoke severe gastric damage.

    The treatment with acidified ethanol did indeed cause severe gastric damage in mice. However, pretreatment with all doses of the cow milk significantly prevented the alcohol-induced gastric damage and significantly suppressed the formation of lesions in the gastric mucosa.

    Acidified ethanol greatly increased the stomach activity of myeloperoxidase, an enzyme that can serve as an indicator of injury to the gastric mucosa. Pretreatment with cow milk significantly ameliorated myeloperoxidase activity. Acidified ethanol also inhibited the antioxidant enzymes superoxide dismutase and catalase, and pretreatment with cow milk increased the activity of these enzymes.

    Pretreatment with cow milk affected the activity of several protective gastric factors. For instance, cow milk increased the levels of gastric mucus, which plays an important role in protecting the gastric mucosa against stimulating substances such as acidified ethanol [14]. Cow milk pretreatment also increased levels of nitric oxide, which is known to mediate the protection of the gastric mucosa [15].

    Alcohol is known to upregulate the levels of inflammatory cytokines, and mucosal inflammation is associated with the activation of the Nfkb1 gene that encodes the regulatory protein NF-κB [16,17]. The researchers found that acidified ethanol significantly increased the expression of gastric Nfkb1, as well as two NF-κB-regulated genes, Cox2 and iNOS. Pretreatment with cow milk significantly downregulated all three of these genes, suggesting that cow milk’s anti-inflammatory effects might be mediated via the NF-κB signaling pathway.

    These findings suggest that cow milk has a protective effect on the gastric mucosa and can prevent the development of gastric ulcers caused by acid and alcohol in mice. This protective effect appears to occur through the modulation of the antioxidant defense system and anti-inflammatory enzymes, possibly via the NF-κB signaling pathway. Understanding the mechanisms by which cow milk protects against gastric damage could potentially help find new ways to ameliorate gastric ulcers.


    1. Liu E.S., Cho C.H. Relationship between ethanol-induced gastritis and gastric ulcer formation in rats. Digestion. 2000;62(4):232-9.
    2. Kim S.J., Kim J.M., Shim S.H., Chang H.I. Anthocyanins accelerate the healing of naproxen-induced gastric ulcer in rats by activating antioxidant enzymes via modulation of Nrf2. J. Funct. Foods. 2014 Mar;7(1):569–79.
    3. Szabo S., Trier J.S., Brown A., Schnoor J. Early vascular injury and increased vascular permeability in gastric mucosal injury caused by ethanol in the rat. Gastroenterology. 1985 Jan;88(1 Pt 2):228-36.
    4. Bode J.C. 1980. Alcohol and the gastrointestinal tract. Pages 1–75 in Ergebnisse der Inneren Medizin und Kinderheilkunde (Advances in Internal Medicine and Pediatrics). Frick P., von Harnack G.A., Martini G.A., Prader A., ed. Springer, Berlin, Germany.
    5. Pan J.S., He S.Z., Xu H.Z., Zhan X.J., Yang X.N., Xiao H.M., Shi H.X., Ren J.L. Oxidative stress disturbs energy metabolism of mitochondria in ethanol-induced gastric mucosa injury. World J Gastroenterol. 2008 Oct 14;14(38):5857-67.
    6. Alirezaei M., Dezfoulian O., Neamati S., Rashidipour M., Tanideh N., Kheradmand A. Oleuropein prevents ethanol-induced gastric ulcers via elevation of antioxidant enzyme activities in rats. J Physiol Biochem. 2012 Dec;68(4):583-92.
    7. Uchida M., Kurakazu K. Yogurt containing Lactobacillus gasseri OLL2716 exerts gastroprotective action against acute gastric lesion and antral ulcer in rats. J Pharmacol Sci. 2004 Sep;96(1):84-90.
    8. Gomi A., Harima-Mizusawa N., Shibahara-Sone H., Kano M, Miyazaki K., Ishikawa F. Effect of Bifidobacterium bifidum BF-1 on gastric protection and mucin production in an acute gastric injury rat model. J Dairy Sci. 2013 Feb;96(2):832-7.
    9. Marshall K. Therapeutic applications of whey protein. Altern Med Rev. 2004 Jun;9(2):136-56.
    10. Rosaneli C.F., Bighetti A.E., Antônio M.A., Carvalho J.E., Sgarbieri V.C. Protective effect of bovine milk whey protein concentrate on the ulcerative lesions caused by subcutaneous administration of indomethacin. J Med Food. 2004 Fall;7(3):309-14.
    11. Carrillo W., Monteiro K.M., Martínez-Maqueda D., Ramos M., Recio I., Carvalho J.E. Antiulcerative activity of milk proteins hydrolysates. J Med Food. 2018 Apr;21(4):408-15.
    12. Carrillo W., Monteiro K.M., Spindola H., Ramos M., de Carvalho J.E. Antiulcerative and antinociceptive activities of casein and whey proteins. J Med Food. 2018 Jun;21(6):605-611.
    13. Yoo J.H., Lee J.S., Lee Y.S., Ku S., Lee H.J. Protective effect of bovine milk against HCl and ethanol-induced gastric ulcer in mice. J Dairy Sci. 2018 May;101(5):3758-70.
    14. Ichikawa T., Ishihara K. 2011. Protective effects of gastric mucus. Chapter 1 in Gastritis and Gastric Cancer—New Insights in Gastroprotection, Diagnosis and Treatments. Tonino P., ed. In-Tech, Rijeka, Croatia.
    15. Wallace J.L., Miller M.J. Nitric oxide in mucosal defense: a little goes a long way. Gastroenterology. 2000 Aug;119(2):512-20.
    16. Kawaratani H., Tsujimoto T., Douhara A., Takaya H., Moriya K., Namisaki T., Noguchi R., Yoshiji H., Fujimoto M., Fukui H. The effect of inflammatory cytokines in alcoholic liver disease. Mediators Inflamm. 2013;2013:495156.
    17. Sokolova O., Naumann M. NF-κB signaling in gastric cancer. Toxins (Basel). 2017 Mar 28;9(4). pii: E119.