Lactoferrin: Benefits, Dosage, Contraindications

Updated on

Isolated in 1960, lactoferrin belongs to the transferrin family: lactoferrins (Lf) and transferrins (Tf) reversibly bind two ferric ions and possess not only a primary structure (59% homology) but also a spatial conformation with identical iron-binding sites. They differ in their surface charge and the stability of the protein-iron bond. The stability of ferric iron binding depending on the pH of Lf is superior to that of Tf. This characteristic, associated with a slightly higher iron affinity than that of Tf at neutral pH, assigns a role as an iron chelator to Lf, rather than that of an iron transporter, proper to Tf. Lf is continuously synthesized by glandular epithelia and present in milk, tears, bile, saliva, and secretions of reproductive organs, respiratory and gastrointestinal tracts. It is also synthesized during the differentiation of neutrophil polymorphs in which it is stored or by microglial cells. The serum concentration of Lf is low, but this level is increased during neutrophil degranulation, leading to a significant accumulation of Lf at the site of inflammation. Lactoferrin is an enigmatic molecule considered one of the most powerful bioactivators of external fluids and secretions in humans. It is known to have many beneficial properties. Indeed, it exhibits antiviral, antifungal, antibacterial, and even some direct anticancer activities. It can also promote wound healing and bone growth, or it can act as an iron transporter. Furthermore, lactoferrin shows an "alarmin" activity similar to that of cytokines, activating the immune system.

Other name(s) 

bovine lactoferrin, human lactoferrin

Scientific name(s)

lactoferrin

Family or group: 

Probiotics


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Anemia
✪✪✪✪

A meta-analysis of four clinical studies in patients with pregnancy-related iron deficiency anemia shows that taking bovine lactoferrin 200-250 mg per day for 4 to 8 weeks during the second or third trimester is as effective as ferrous sulfate 150-520 mg for improving hemoglobin levels. In another clinical study conducted on pregnant women suffering from iron deficiency anemia, it was observed that a lactoferrin supplementation of 100 mg, taken twice a day for 4 weeks during the second or third trimester of pregnancy, was as effective for increasing hemoglobin levels as standard treatment with a single infusion of iron-dextran. Another clinical study in adults with advanced cancer and chemotherapy-induced anemia receiving treatment with recombinant human erythropoietin shows that oral intake of lactoferrin at 200 mg per day for 12 weeks is as effective as intravenous ferric gluconate 125 mg per week for improving hemoglobin and iron levels.

Posologie

posologieOral route

posologie200 - 250 mg

formulationdry extract


Pregnancy
✪✪✪✪

Bovine lactoferrin, at doses of 200-250 mg per day for 4 to 8 weeks, has been shown to be as effective as ferrous sulfate in improving hemoglobin levels in pregnant women with iron-deficiency anemia. Moreover, a study found that taking 100 mg of lactoferrin twice a day for 4 weeks during the second or third trimester of pregnancy increases hemoglobin levels similarly to a single infusion of iron-dextran, highlighting lactoferrin's effectiveness in treating anemia during pregnancy.

Posologie

posologieOral route

posologie200 - 250 mg

formulationdry extract


Diarrhea
✪✪✪✪✪

A randomized double-blind study conducted on 30 long-term care patients showed that taking lactoferrin for eight weeks was more effective in preventing antibiotic-associated diarrhea compared to a placebo. A clinical study on infants with anemia who were exclusively breastfed at ages 4 to 6 months before weaning and transitioning to formula milk from 6 to 9 months shows that enriching every 100 grams of formula with 38 mg of bovine lactoferrin for 3 months improves vomiting and nausea compared to the non-enriched formula.

Posologie

posologieOral route

posologie48 - 500 mg

formulationliquid extract, dry extract


Hepatitis
✪✪✪✪✪

Some clinical research shows that lactoferrin decreases serum RNA levels of the hepatitis C virus and the alanine aminotransferase (liver enzyme) level in adults with hepatitis C. Lactoferrin doses of 1.8 or 3.6 grams per day seem necessary for efficacy and smaller doses do not appear to have an effect.

Posologie

posologieOral route

posologie1800 - 3600 mg

formulationdry extract


Acne
✪✪✪✪✪

In a randomized, double-blind, placebo-controlled trial, 168 subjects aged 13 to 40 with acne vulgaris were randomly assigned to take either a capsule formulation containing lactoferrin with vitamin E and zinc or a placebo twice a day for 3 months. The lactoferrin group showed a significant reduction in total lesions from 2 weeks compared to the placebo with maximum reduction of comedones and inflammatory lesions by the tenth week compared to the placebo. In another uncontrolled study conducted on 43 adolescents and young adults who received a formulation of chewable bovine lactoferrin tablets twice a day for 8 weeks, it was observed that lactoferrin in mild to moderate acne vulgaris is well tolerated and can lead to an overall improvement in the number of acne lesions in the majority of affected adolescents and young adults when administered as a dietary supplement.

Posologie

posologieOral route

posologie200 - 200 mg

formulationdry extract


Synergies


Helicobacter pylori Infection
✪✪✪✪✪

Research shows that the use of lactoferrin in combination with a quadruple therapy based on esomeprazole, amoxicillin, metronidazole, and clarithromycin or in combination with a triple therapy based on esomeprazole, amoxicillin, and clarithromycin is associated with eradication rates of 95% or 86%, respectively, compared to eradication rates of 83% and 70%, respectively, with the use of either regimen alone.

Posologie

posologieOral route

posologie200 mg

formulationdry extract


Skin Health
✪✪✪✪✪

Preliminary clinical research in healthy adults shows that daily intake of 200 to 600 mg of lactoferrin for 12 weeks improves skin hydration status.

Posologie

posologieOral route

posologie200 - 600 mg

duration12 - weeks

formulationdry extract


Eczema
✪✪✪✪✪

A small clinical study in adults with atopic dermatitis shows that taking a combination of 250 mg of lactoferrin and a whey-derived immunoglobulin-rich fraction 250 mg per day for 56 days improves symptoms in 13 out of 22 patients, compared to 4 out of 13 patients taking a placebo.

Posologie

posologieOral route

posologie250 mg

formulationdry extract


Psoriasis
✪✪✪✪✪

A small clinical study in patients with mild to moderate psoriasis shows that daily application of 10% or 20% lactoferrin ointment in addition to a daily intake of 100 mg of bovine lactoferrin orally for 4 weeks improves psoriasis symptoms, such as redness and scaling, by up to 37% compared to using oral lactoferrin alone.

Posologie

posologieOral

posologie100 mg

formulationdry extract


Vaginal infections
✪✪✪✪✪

Preliminary clinical research in adults with recurrent bacterial vaginosis shows that taking a specific combination containing 50 mg of bovine lactoferrin and Lactobacillus acidophilus LA-14 and Lactobacillus rhamnosus HN001 over 6 months, together with metronidazole 500 mg twice daily for the first 7 days, reduces vaginal discharge, itching, and recurrent genital infection episodes compared to placebo.

Posologie

posologieOral

posologie50 - 200 mg

formulationdry extract


Bone Health
✪✪✪✪✪

In vivo, bovine lactoferrin stimulates osteoblast proliferation by promoting bone growth. It also limits bone resorption by inhibiting osteoclastogenesis. These results are encouraging, but the mechanism of action remains to be elucidated. Nonetheless, Lf seems to play a key physiological role in bone formation and could be a potential therapeutic agent in the fight against osteoporosis.

Posologie

posologieOral

posologie100 - 400 mg

duration12 weeks

formulationdry extract


Properties


Antibacterial

full-leaffull-leaffull-leafempty-leaf

Lf is both bacteriostatic and bactericidal. The main mechanism by which it exerts its bacteriostatic action is iron deprivation. Secreted in biological fluids in an unsaturated form (apo-Lf), it inhibits bacterial growth by competing with bacterial siderophores (these are iron chelators synthesized and secreted by microorganisms for iron sequestration). Besides this bacteriostatic activity, Lf also exerts a bactericidal activity independent of its iron chelating function. Through its ability to bind directly to lipopolysaccharides, lipoteichoic acids (bacterial wall molecules), or porins (membrane proteins forming channels), Lf destabilizes the bacterial membrane, causing their weakening and increasing their permeability. Lf's bactericidal activity also involves inhibiting bacterial attachment to host cells.

Usages associés

Helicobacter pylori infection

Antiviral

full-leaffull-leafempty-leafempty-leaf

Lactoferrin exerts antiviral activity against DNA and RNA viruses, particularly those of hepatitis, herpes, and HIV (human immunodeficiency virus). Although the precise mechanism of its antiviral action is not entirely elucidated, studies have shown that it prevents viruses from attaching and entering target cells. It achieves this by interacting with specific structures on the cell surface, called glycosaminoglycans (GAG) and integrins, which viruses typically use to infect cells. Additionally, lactoferrin has demonstrated its ability to inhibit the replication of certain viruses, such as HIV-1, chronic hepatitis C virus, and rotaviruses, under experimental laboratory conditions.

Usages associés

Hepatitis

Antifungal

full-leaffull-leafempty-leafempty-leaf

Oral consumption of bovine lactoferrin (bLf) proves very effective in significantly reducing cases of oral candidiasis. This effectiveness is explained by several actions of lactoferrin: it binds to yeasts, disrupts their cell wall structure, and induces apoptosis, meaning the programmed death of these fungal organisms.

Usages associés

Vaginal infections

Immunostimulant

full-leaffull-leafempty-leafempty-leaf

The production of lactoferrin is positively regulated in response to inflammatory stimuli. It seems to bind to epithelial cells at the site of infection and inhibits the production of inflammatory cytokines. Preliminary evidence suggests that lactoferrin supplementation could increase the phagocytic activity of polymorphonuclear leukocytes and the proportion of natural killer cells in the host's defense system.


Antiparasitic

full-leaffull-leafempty-leafempty-leaf

Lactoferrin (Lf) demonstrates a complex and effective antiparasitic activity, acting against several parasites responsible for specific diseases. It attaches to the membrane of the amoeba Entamoeba histolytica, which causes amoebiasis, an intestinal infection that can lead to symptoms like diarrhea and abdominal pain. It also inhibits the growth of Toxoplasma gondii, the parasite responsible for toxoplasmosis, an infection that can be severe for pregnant women and immunocompromised individuals. Lastly, lactoferrin interacts with specific receptors on Trichomonas vaginalis, the parasite behind trichomoniasis, a sexually transmitted infection, and Trypanosoma cruzi, responsible for Chagas disease, a potentially fatal condition affecting the heart and other organs.


Anti-inflammatory

full-leafempty-leafempty-leafempty-leaf

Lactoferrin (Lf) plays an important role in regulating inflammation. It acts by interacting with lipopolysaccharides and various receptors present on epithelial cells (cells lining body surfaces) and immune cells. This interaction influences the production of cytokines, proteins that play a key role in controlling immune and inflammatory responses. Studies on animal models have shown that oral administration of bovine lactoferrin (bLf) can reduce inflammation in various tissues. This reduction of inflammation is mainly due to a decrease in the production of certain inflammatory cytokines, notably TNF-α (tumor necrosis factor) and IL-1β (interleukin-1 beta), and an increase in IL-10, an anti-inflammatory cytokine. Lactoferrin also helps reduce the recruitment of immune cells, such as leukocytes, to the site of inflammation, thereby contributing to attenuating the inflammatory response.

Usages associés

Psoriasis, Eczema

Dermatological effect

full-leafempty-leafempty-leafempty-leaf

Preliminary clinical research in healthy adults shows that daily intake of 200 to 600 mg of lactoferrin for 12 weeks improves skin hydration condition.

Usages associés

Acne, Psoriasis, Eczema, Skin health

Antioxidant

full-leafempty-leafempty-leafempty-leaf

The activation of monocytes/macrophages by lipopolysaccharides or TNF-α triggers phagocytic activity and leads to increased production of reactive oxygen species, which can be amplified in the presence of free iron. Lf released at the site of inflammation, by trapping iron, limits this process and the damage caused to cell membranes by preventing lipid peroxidation. Recently, a clinical study on a cohort of 90 patients with chronic hepatitis C showed that subjects who ingested bLf presented an improvement in their hepatic oxidative status.

Usages associés

Hepatitis, Pregnancy

Bone density

full-leafempty-leafempty-leafempty-leaf

In vivo, bovine lactoferrin stimulates osteoblast proliferation by promoting bone growth. It also limits bone resorption by inhibiting osteoclastogenesis. These results are encouraging, but the mechanism of action remains to be elucidated. Nonetheless, Lf seems to play a key physiological role in bone formation and could be a potential therapeutic agent in combating osteoporosis.

Usages associés

Bone health

Anticancer

full-leafempty-leafempty-leafempty-leaf

Lactoferrin (Lf) plays an important role in cancer prevention and inhibition of metastasis formation, acting as a potential tumor suppressor. It monitors and controls cell growth, which is crucial in fighting carcinogenesis. The antitumor properties of lactoferrin are notably due to its immuno-modulatory effect. It enhances the cytotoxicity of NK (Natural Killer) cells, which are essential in the immune defense against tumor cells. Furthermore, when administered (as in the case of bovine lactoferrin, bLf), it can inhibit angiogenesis. Angiogenesis is the process of forming new blood vessels, which is vital for tumor growth and metastasis spread. Moreover, lactoferrin can limit the growth of cancer cells by inducing a G1/S phase cell cycle arrest. This means it prevents cancer cells from multiplying, a key mechanism to curb cancer progression.


Safety dosage

Adult: 100 undefined - 400 undefined

Lactoferrin is generally used at doses of 100 to 400 mg per day for up to 12 weeks.


Precautions

Pregnant women: use with caution

Lactoferrin has been used safely during the second or third trimester of pregnancy at doses up to 250 mg per day for 8 weeks. Additionally, bovine lactoferrin has been used with apparent safety during all trimesters of pregnancy at doses up to 200 mg per day.

Breastfeeding women: avoid

There is not enough reliable information available on the safety of lactoferrin when used for medical purposes during breastfeeding.