Skip to main content
Lipids in Health and Disease logoLink to Lipids in Health and Disease
. 2012 Sep 11;11:113. doi: 10.1186/1476-511X-11-113

Fat content, energy value and fatty acid profile of donkey milk during lactation and implications for human nutrition

Giovanni Martemucci 1, Angela Gabriella D’Alessandro 1,
PMCID: PMC3545721  PMID: 22963037

Abstract

Background and aims

Milk contains numerous nutrients. The content of n-3 fatty acids, the n-6/n-3 ratio, and short- and medium-chain fatty acids may promote positive health effects. In Western societies, cow’s milk fat is perceived as a risk factor for health because it is a source of a high fraction of saturated fatty acids. Recently, there has been increasing interest in donkey’s milk. In this work, the fat and energetic value and acidic composition of donkey’s milk, with reference to human nutrition, and their variations during lactation, were investigated. We also discuss the implications of the acidic profile of donkey’s milk on human nutrition.

Methods

Individual milk samples from lactating jennies were collected 15, 30, 45, 60, 90, 120, 150, 180 and 210days after foaling, for the analysis of fat, proteins and lactose, which was achieved using an infrared milk analyser, and fatty acids composition by gas chromatography.

Results

The donkey’s milk was characterised by low fat and energetic (1719.2kJ·kg-1) values, a high polyunsaturated fatty acids (PUFA) content of mainly α-linolenic acid (ALA) and linoleic acid (LA), a low n-6 to n-3 FA ratio or LA/ALA ratio, and advantageous values of atherogenic and thrombogenic indices. Among the minor PUFA, docosahesaenoic (DHA), eicosapentanoic (EPA), and arachidonic (AA) acids were present in very small amounts (<1%). In addition, the AA/EPA ratio was low (0.18). The fat and energetic values decreased (P < 0.01) during lactation.

The fatty acid patterns were affected by the lactation stage and showed a decrease (P < 0.01) in saturated fatty acids content and an increase (P < 0.01) in the unsaturated fatty acids content. The n-6 to n-3 ratio and the LA/ALA ratio were approximately 2:1, with values <1 during the last period of lactation, suggesting the more optimal use of milk during this period.

Conclusions

The high level of unsaturated/saturated fatty acids and PUFA-n3 content and the low n-6/n-3 ratio suggest the use of donkey’s milk as a functional food for human nutrition and its potential utilisation for infant nutrition as well as adult diets, particular for the elderly.

Keywords: Donkey’s milk, Energetic value, Fatty acids, Nutritional remarks

Background

The relationship between diet and health is one of the keys for preventing disease and promoting well-being. There is an increasing awareness of the role of dietary lipids in health maintenance and disease prevention. Evidence suggests that a high intake of saturated fatty acids (SFA) from the diet may be associated with elevated cardiovascular disease risk [1], and the association between diet and health is a decisive factor in consumer food selection. In addition to the reduction of fat intake, a change in the saturated/unsaturated fatty acid ratio may contribute to improved human health [2].

A European study on fatty acid consumption reported that milk and dairy products are great sources of SFAs [3].

Cow milk possesses poor polyunsaturated fatty acid (PUFA) levels [4]. Donkey’s milk appears to contain lower SFA amounts and higher essential fatty acid (EFA) amounts than cow’s milk, although it appears to feature limited amounts of long-chain PUFA; overall these findings suggest that donkey’s milk is more like human milk than is cow’s milk [5].

Recently, there has been increasing interest in donkey’s milk due to its potential role in human nutrition and especially in paediatric dietetics [6-8].

The determination of the characteristics of donkey’s milk is important for economic interest in human diets and pharmaceuticals. Moreover, the milk composition is affected by the stage of lactation [9,10].

Few studies on the characterisation of the lipid content and energetic value of donkey’s milk [11,12] or on the variation in milk fat content, energetic value and fatty acid composition during lactation have been reported [11,13]. Thus, a deeper knowledge of the fat and energetic composition of this milk is necessary to understand the physiological features of milk, particularly the fatty acid composition, which is of great importance from a nutritional standpoint [14].

The aim of this study was to investigate the fat and energetic value and acidic composition of donkey’s milk over seven months of lactation, and several parameters that could be of interest to human nutrition were highlighted.

Methods

The experiment was conducted according to protocols approved by the Italian Minister for Scientific Research in accordance with EC regulations.

Milk samples and analyses

Milk samples were collected during an entire lactation period of seven months (210 days) from nine healthy pluriparous jennies of the Martina Franca breed, aged from 6 to 12 year, with good body conditions (average weight = 320 ± 30 kg; the average body condition was 3.3 ± 0.2 on a scale of 0 to 5 [15]). The animals were reared under the semi-extensive conditions commonly used in the typical breeding area (south-eastern Murgia, Apulia region, southern Italy) (40°37’20” latitude; 60°17’44” longitude), based on natural grazing (7 to 10h of pasture in one grazing session on natural scrub of Ligustrum vulgare L., Arbustus unedo L., Pistacia Lentiscus, Quercus ilex L., Fraxinus ornu and Cistus s.p.) with added oats (2 times per day; 2.0 to 2.5 kg grain· d-1· jenny-1) and water ad libitum. The animals were selected according to a close foaling date (± 7 days). During the lactation period the foals were with their dams and were separated from them before milking (3 h). The asses were milked twice a day, in the presence of foals placed in an adjacent box to allow visual contact, using a mechanical milker with a vacuum level of 42 kPa, a pulse ratio of 50% and a pulse rate of 120 cycles/min [16].

Individual milk samples, from morning and evening milkings, were collected 15, 30, 45, 60, 90, 120, 150, 180, and 210 days after foaling. Milk from the two daily milkings was pooled and split into two aliquots for the analyses of fat, protein and lactose content and for the determination of fatty acid composition. The milk samples were then preserved (−20°C) until analysis.

The fat, protein and lactose contents were determined using an infrared milk analyser (Milkoscan 6000), previously standardised for donkey’s milk according to FIL-IDF 141C [17] to determine the gross energetic value. The gross energetic value of milk, expressed in kJ·kg–1, was calculated by the Perrin [18] formula, which considers a coefficient of 9.11 for the fat percentage, 5.86 for the protein percentage and 3.95 for the lactose percentage.

The fatty acids composition of the collected milk samples was determined using capillary gas chromatography. The fat content of milk was extracted with chloroform-methanol (2:1, vol/vol) using the method described by Folch et al. [19]. The fatty acid composition in milk was estimated using methyl esters prepared by direct transesterification, according to IUPAC method 2.301 [20]. The analyses were performed using a Fison HRGC Mega 2 series gas chromatograph (Milan, Italy) with a flame-ionisation detector fitted with WCOT fused-silica capillary column (FFAP-CB coating, 25 m × 0.32 mm i.d. × 0.30 μm film thickness, Chrompack, Middleburg, The Netherlands) using the analytical conditions used by Caponio et al. [21]. The separation was performed at pre-programmed temperatures: 50°C for 3 min; 50–100°C at a rate of 20°C/min; 100°C for 2 min; 100–240°C at a rate of 20°C/min; 240°C for 15 min. Hydrogen was the carrier gas (flow rate, 2mL/min). The injector temperature was 270°C (splitting ratio, 1:17) and the detector temperature was 300°C. Fatty acid peaks were identified using a comparative analysis with standard reference mixtures. The fatty acid content is expressed as percentage of the total identified fatty acids.

The desaturase index was calculated for three pairs of fatty acids representing the products and substrates for Δ9-desaturase as follows: cis-9 14:1/14:0, cis-9 16:1/16:0, cis-9 18:1/18:0. For example the desaturase index for cis-9 18:1 was (cis-9 18:1)/(cis-9 18:1+18:0). The atherogenic (AI) and thrombogenic (TI) indices were calculated using the Ulbricht and Southgate [22] equations.

Statistical analysis

Changes over time in the fat, energetic values and classes or the individual fatty acids of milk from the jennies were analysed by PROC MIXED for repeated measurements of SAS [23]. A GLM procedure was used. The fixed effect included the stage of lactation which was divided into 8 controls considering post-foaling days (d 15, 30, 60, 90, 120, 150, 180 and 210) for the fat composition and gross energy content of milk and into 9 controls (d 15, 30, 45, 60, 90, 120, 150, 180 and 210) for the fatty acid composition, with the residual error being individual within a given control of lactation. The differences among the means were compared using Student’s t tests. The results were considered significant when P ≤ 0.05.

Results

Milk fat content and gross energy

The average percentage of milk fat is provided in Table 1 and was low (an average of 0.54%). The highest value occurred at 15 and 30 days with a gradual decreasing trend throughout the lactation period, becoming significant (P < 0.05) at 210 days.

Table 1.

Average fat (%, w/w) and gross energy content of milk during the lactation period (210 d)

Lactation stage Fat X ± SD Gross Energy (kJ·kg-1)
15 d
0.72 ± 0.09 a
1857.3 a
30 d
0.71 ± 0.10 a
1831.5 a
60 d
0.65 ± 0.15
1780.9
90 d
0.54 ± 0.15
1749.6
120 d
0.55 ± 0.17
1764.1
150 d
0.50 ± 0.22
1690.6
180 d
0.48 ± 0.06
1668.4
210 d 0.42 ± 0.33 b 1645.6 b

a, b Means with different letters within the column differ significantly for P < 0.05.

The gross energetic value of donkey’s milk on average was 1748.5 kJ·kg-1, with a significant (P < 0.05) decrease (− 10%) from day 15 to 210 (Table 1).

Fatty acid composition

The acid classes of fat milk were statistically different (P < 0.05) and were influenced by the lactation stage (P<0.01). Overall, the average SFA content was higher than the monounsaturated fatty acid (MUFA) and PUFA content (Table 2).

Table 2.

Summarized data of milk fatty acid composition (X ± SD)

Fatty acid composition  
 Saturated (SFA, %)
51.98 ± 5.13
 Unsaturated (UFA, %)
48.02 ± 2.97
 Monounsaturated (MUFA, %)
28.00 ± 3.91
 Polyunsaturated (PUFA, %)
20.02 ± 2.04
 of which
 
 PUFA n-3 (%)
7.12 ± 1.96
 PUFA n-6 (%)
12.90 ± 2.13
 PUFA n-3/n-6 ratio
0.59 ± 0.08
 UFA/SFA ratio
0.92 ± 0.07
 Desaturase index1
 
 cis-9 14:1
0.04 ± 0.01
 cis-9 16:1
0.14 ± 0.03
 cis-9 18:1
0.93 ± 0.01
 Atherogenic index (AI)2
1.16 ± 0.28
 Thrombogenic index (TI)3 0.70 ± 0.14

1Ratio of Δ9-desaturase product divided by the sum of the Δ9-desaturase product and product.

2, 3Calculated using the equation described by Ulbricht and Southgate (1991).

Saturated fatty acids

The SFA content in the milk decreased significantly (P < 0.01) during the lactation period (−33.9%), from an average mean of 62.88% at day 15 to 41.54% at day 180 after foaling and then decreased slightly at day 210 (Figure  1, Table 3a).

Figure 1.

Figure 1

Variations of fatty acid composition and indices for human health of milk during the lactation period: (A) saturated (SFA), unsaturated (UFA), monounsaturated (MUFA) and polyunsaturated fatty acids (PUFA); (B) UFA/SFA and PUFA n-3/n-6 fatty acids ratios; (C) atherogenic (AI) and thrombogenic (TI) indices (mean ± SD).

Table 3.

Statistical differences in (a) SFA (saturated fatty acids), (b) C8:0, (c) C10:0, (d) C12:0, (e) C14:0, (f) C16:0 and (g) UFA (unsaturated fatty acids)/SFA ratio of milk in relation to the lactation stage of jennies (*: P < 0.05; **: P < 0.01; ns: not significant)

(a) SFA   (c) C10:0
(b) C8:0
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(d) C12:0
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
 
15d
 
ns
ns
ns
**
**
**
**
**
 
15d
 
ns
ns
ns
ns
**
**
**
**
 
30d
ns
 
ns
ns
**
**
**
**
**
 
30d
ns
 
ns
ns
ns
**
**
**
**
 
45d
ns
ns
 
ns
ns
**
**
**
**
 
45d
ns
ns
 
ns
ns
**
**
**
**
 
60d
*
ns
ns
 
ns
**
**
**
**
 
60d
ns
ns
ns
 
 
**
**
**
**
 
90d
ns
ns
ns
ns
 
ns
ns
**
*
 
90d
*
ns
ns
ns
 
**
*
**
*
 
120d
ns
ns
ns
**
**
 
ns
*
ns
 
120d
**
ns
*
ns
ns
 
ns
ns
ns
 
150d
ns
**
**
**
*
ns
 
ns
ns
 
150d
**
*
**
*
ns
ns
 
ns
ns
 
180d
ns
**
**
**
**
ns
ns
 
ns
 
180d
**
**
**
**
*
ns
ns
 
ns
 
210d
ns
**
*
**
*
ns
ns
ns
 
 
210d
**
*
**
**
ns
ns
ns
ns
 
(e) C14:0
 
(g) UFA/SFA
 
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
 
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(f) C16:0
15d
 
ns
ns
*
**
**
**
**
**
 
15d
 
ns
ns
ns
*
**
**
**
**
 
30d
**
 
ns
ns
*
*
**
**
**
 
30d
 
 
ns
ns
ns
**
**
**
**
 
45d
ns
ns
 
ns
ns
ns
**
**
**
 
45d
 
 
 
ns
ns
**
**
**
**
 
60d
**
ns
ns
 
ns
ns
*
**
*
 
60d
 
 
 
 
ns
**
**
**
**
 
90d
**
ns
ns
ns
 
ns
ns
*
ns
 
90d
 
 
 
 
 
ns
ns
**
ns
 
120d
**
ns
ns
ns
ns
 
ns
ns
ns
 
120d
 
 
 
 
 
 
ns
*
ns
 
150d
ns
**
ns
ns
**
ns
 
ns
ns
 
150d
 
 
 
 
 
 
 
ns
ns
 
180d
*
ns
ns
ns
ns
ns
ns
 
ns
 
180d
 
 
 
 
 
 
 
 
ns
  210d ** ns ns ns ns ns ns ns     210d                  

Among the SFA, palmitic acid was observed to be the most concentrated (C16:0 = 19.94% average, data not presented). Lower concentration levels were observed for capric (C10:0 = 10.78% average), lauric (C12:0 = 8.78% average), myristic (C14:0 = 6.98% average) and caprylic (C8:0=6.20%) acids, with the lowest level observed for stearic acid (C18:0=1.82% average) (data not presented).

Among the fatty acids found at concentrations greater than 1%, palmitic acid (C16:0) exhibited a significant decrease in concentration at day 30 and day 90 (Tables  4, 3f). The myristic acid (C14:0) concentration decreased significantly from day 15 to day 120, day 150 and day 180 (Tables  4, 3e). Lauric acid (C12:0) exhibited a significant decrease in concentration from day 15 to day 180 (Tables  4, 3d). Caprylic acid (C8:0) showed a slight increase in concentration at day 30, followed by a significant decrease until reaching 3.79% at day 180 (Tables  4, 3b). Capric acid (C10:0), after a slight increase between 15 and 30 days, declined in concentration significantly to 5.86% at day 180 (Tables  4, 3c). The stearic acid concentration did not vary significantly over time (Table 4).

Table 4.

Saturated, monounsaturated, polyunsaturated fatty acid profile (% of fatty acids) and desaturase index during the lactation period (210days)

  LACTATION STAGE Effect of Lactation stage1
 
 
15 d
30 d
45 d
60 d
90 d
120 d
150 d
180 d
210 d
 
Saturated Fatty Acids (SFA)
 
 
 
 
 
 
 
 
 
 
 Butyric Acid
C4:0
0.51
0.61
0.28
0.51
0.4
0.57
0.59
0.15
0.23
*
 Caproic Acid
C6:0
0.52
0.72
0.58
0.72
0.71
0.64
0.61
0.37
0.59
*
 Heptanoic Acid
C7:0
0.02
0.01
0.02
0.01
0.01
0.03
0.02
0.01
0.03
ns
 Caprylic Acid
C8:0
5.30
6.76
6.13
6.87
6.07
4.57
4.39
3.79
4.73
*
 Nonanoic Acid
C9:0
0.04
0.03
0.03
0.03
0.03
0.03
0.03
0.04
0.03
ns
 Capric acid
C10:0
12.01
13.46
11.75
11.93
9.82
7.62
7.19
5.82
6.66
**
 Undecanoic acid
C11:0
0.03
0.03
0.02
0.02
0.02
0.02
0.02
0.02
0.01
ns
 Lauric acid
C12:0
10.82
10.87
9.47
9.27
7.55
6.42
5.84
4.44
5.32
**
 Tridecanoic acid
C13:0
0.04
0.05
0.06
0.06
0.05
0.04
0.03
0.03
0.04
ns
 Myristic Acid
C14:0
8.66
7.80
7.20
6.82
5.79
5.60
5.08
3.91
4.95
**
 Pentadecanoic Acid
C15:0
0.22
0.23
0.23
0.23
0.24
0.23
0.23
0.20
0.22
ns
 Palmitic Acid
C16:0
22.37
18.33
19.56
19.06
18.53
19.61
20.83
19.82
19.47
*
 Margaric acid
C17:0
0.22
0.22
0.24
0.24
0.26
0.26
0.24
0.22
0.22
ns
 Stearic Acid
C18:0
1.88
1.48
1.64
1.99
1.68
1.75
1.52
1.49
1.44
ns
 Arachidic Acid
C20:0
0.10
0.09
0.08
0.09
0.09
0.10
0.08
0.09
0.07
ns
 Heneicosanoic Acid
C21:0
0.03
0.04
0.02
0.04
0.03
0.02
0.02
0.03
0.02
ns
 Behenic Acid
C22:0
0.04
0.10
0.15
0.06
0.07
0.19
0.15
0.05
0.04
ns
 Lignoceric Acid
C24:0
0.06
0.11
0.07
0.08
0.09
0.09
0.06
0.08
0.06
ns
Monounsaturated Fatty Acids (MUFA)
 
 
 
 
 
 
 
 
 
 Decenoic Acid
C10:1
1.38
1.64
1.25
1.36
1.08
0.91
0.84
0.76
1.20
*
 Dodecenoic Acid
C12:1
0.17
0.18
0.14
0.15
0.11
0.11
0.10
0.08
0.13
ns
 Tridecenoic acid
C13:1
0.04
0.04
0.04
0.04
0.04
0.04
0.03
0.09
0.05
ns
 Myristoleic Acid
C14:1
0.38
0.34
0.29
0.26
0.21
0.26
0.25
0.21
0.32
*
 Pentadecenoic acid
C15:1
0.07
0.08
0.08
0.06
0.07
0.07
0.06
0.06
0.08
ns
 Palmitoleic Acid
C16:1
3.02
2.79
2.98
2.36
2.28
3.22
4.23
4.48
5.67
*
 Heptadecenoic Acid
C17:1
0.30
0.29
0.33
0.33
0.31
0.34
0.38
0.31
0.40
ns
 Oleic Acid
C18:1 n-9
17.55
16.65
18.62
19.36
21.29
23.74
25.05
27.57
23.73
**
 Gadoleic Acid
C20:1 n-9
0.25
0.31
0.37
0.42
0.45
0.49
0.38
0.39
0.34
ns
 Erucic Acid
C22:1 n-9
0.40
0.31
0.64
0.44
0.75
0.81
0.59
0.46
0.37
ns
 Nervonic Acid
C24:1
0.01
0.02
0.03
0.01
0.02
0.01
0.01
0.05
0.02
ns
Polyunsaturated Fatty Acids (PUFA)
 
 
 
 
 
 
 
 
 
 
 Linoleic Acid
C18:2 n-6
8.83
9.76
10.76
11.20
15.15
14.64
12.93
17.20
11.03
**
 Linolenic Acid
C18:3 n-3
3.85
5.71
5.63
4.81
5.20
5.99
6.96
6.36
11.17
**
 Stearidonic Acid
C18:4 n-3
0.01
0.02
0.02
0.02
0.02
0.03
0.03
0.03
0.03
ns
 Eicosadienoic Acid
C20:2 n-6
0.22
0.20
0.30
0.29
0.36
0.34
0.23
0.24
0.19
ns
 Eicosatrienoic Acid
C20:3 n-3
0.03
0.03
0.03
0.03
0.04
0.03
0.03
0.04
0.03
ns
 Arachidonic Acid
C20:4 n-6
0.08
0.13
0.08
0.08
0.08
0.08
0.09
0.10
0.11
ns
 Eicosatetraenoic Acid
C20:4 n-3
0.10
0.10
0.14
0.14
0.13
0.13
0.16
0.14
0.24
ns
 Eicosapentaenoic Acid
C20:5 n-3
0.23
0.30
0.56
0.48
0.65
0.71
0.49
0.55
0.51
ns
 Docosadienoic Acid
C22:2 n-6
0.05
0.06
0.08
0.06
0.10
0.11
0.12
0.10
0.09
ns
 Docosatrienoic Acid
C22:3 n-3
0.00
0.01
0.00
0.02
0.01
0.01
0.01
0.01
0.01
ns
 Docosatetraenoic Acid
C22:4 n-6
0.05
0.05
0.05
0.04
0.07
0.09
0.03
0.05
0.03
ns
 Docosapentaenoic Acid
C22:5 n-3
0.04
0.03
0.07
0.03
0.03
0.04
0.04
0.13
0.05
ns
 Docosahesaenoic Acid
C22:6 n-3
0.04
0.01
0.03
0.02
0.02
0.02
0.02
0.03
0.02
ns
Δ9-desaturase ratiosa
 
 
 
 
 
 
 
 
 
 
 
cis-9 14:1
0.04
0.04
0.04
0.04
0.03
0.04
0.05
0.06
0.06
*
 
cis-9 16:1
0.12
0.13
0.13
0.11
0.11
0.14
0.16
0.17
0.22
**
  cis-9 18:1 0.90 0.92 0.92 0.91 0.93 0.93 0.94 0.95 0.94 **

a Ratio of the Δ9-desaturase product divided by the sum of Δ9-desaturase product and product as described in Materials and Methods.

1ns (non-significant): P>0.05; * P<0.05; ** P<0.01.

Unsaturated fatty acid

The overall unsaturated fatty acid (UFA) content of the milk was 48.02 ± 2.97% (Table 2) and increased during the lactation period (Figure  1A). The mean UFA/SFA ratio was 0.92, which underwent a significant increase over time, reaching a value greater than 1% at day 120 and a peak of 1.50% at day 180 (Figure  1B, Table 3g).

The overall MUFA content was 28.00 ± 3.91% (Table 2). The stage of lactation affected (0.05 > P < 0.01) the MUFA content. The total MUFA increased (P<0.01) during lac-tation from 23.58% at day 15 to 34.40% at day 180 and then decreased slightly at day 210 (Figure  1A, Table 5a). The individual MUFA profiles are reported in Table 4. Oleic acid (C18:1 n-9) was the most representative of MUFA (21.50%, average), with a significant (Table 5g) increase at day 90 and maximum level at day 180 (27.57%). The average palmitoleic acid (C16:1) content was 3.45%. It decreased from early lactation to day 90, then increased significantly (Table 5e), reaching its maximum level at day 210.

Table 5.

Statistical differences in (a) MUFA (monounsaturated fatty acids), (b) C10:1, (c) C14:1, (d) C14:1/C14:0, (e) C16:1, (f) C16:1/C16:0, (g) C18:1 and (h) C18:1/C18:0 of milk in relation to the lactation stage of jennies (*: P < 0.05; **: P < 0.01; ns: not significant)

(a) MUFA   (c) C14:1
(b) C10:1
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(d) C14:1/ C14:0
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
 
15d
 
ns
ns
ns
ns
*
**
**
**
 
15d
 
ns
ns
*
**
*
*
**
ns
 
30d
ns
 
ns
ns
ns
**
**
**
**
 
30d
ns
 
ns
ns
**
ns
ns
*
ns
 
45d
ns
ns
 
ns
ns
ns
**
**
**
 
45d
ns
ns
 
ns
ns
ns
ns
ns
ns
 
60d
ns
ns
ns
 
ns
ns
**
**
**
 
60d
ns
ns
ns
 
ns
ns
ns
ns
ns
 
90d
ns
**
ns
ns
 
ns
*
**
*
 
90d
ns
ns
ns
ns
 
ns
ns
ns
*
 
120d
**
**
**
**
**
 
ns
ns
ns
 
120d
ns
ns
ns
ns
ns
 
ns
ns
ns
 
150d
**
**
**
**
*
ns
 
ns
ns
 
150d
ns
ns
ns
*
*
ns
 
ns
ns
 
180d
**
**
**
**
**
ns
ns
 
ns
 
180d
ns
ns
ns
*
*
ns
ns
 
*
 
210d
**
**
**
**
*
ns
ns
ns
 
 
210d
**
**
**
**
**
**
**
*
 
 
(e) C16:1
 
(g) C18:1
 
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(h) C18:1/ C18:0
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(f) C16:1/ C16:0
15d
 
ns
ns
ns
ns
ns
ns
ns
**
 
15d
 
ns
ns
ns
ns
**
**
**
**
 
30d
ns
 
ns
ns
ns
ns
ns
ns
**
 
30d
ns
 
ns
ns
*
**
**
**
**
 
45d
ns
ns
 
ns
ns
ns
ns
ns
**
 
45d
ns
ns
 
ns
ns
*
**
**
**
 
60d
ns
ns
ns
 
ns
ns
ns
*
**
 
60d
*
ns
ns
 
ns
*
**
**
*
 
90d
ns
ns
ns
ns
 
ns
*
*
**
 
90d
ns
ns
ns
ns
 
ns
ns
**
ns
 
120d
ns
ns
ns
ns
ns
 
ns
ns
**
 
120d
*
ns
ns
ns
ns
 
ns
ns
ns
 
150d
ns
ns
ns
*
*
ns
 
ns
ns
 
150d
**
*
*
**
ns
ns
 
ns
ns
 
180d
ns
ns
ns
*
*
ns
ns
 
ns
 
180d
**
**
*
**
ns
ns
ns
 
ns
  210d ** ** ** ** ** ** ** *     210d ** * * ** ns ns ns ns  

Among the MUFAs found at a concentration greater than 1%, the content of decenoic acid (C10:1=1.16%, average) decreased significantly during lactation (Tables  4, 5b). The miristoleic acid (C14:1) content exhibited a decreasing trend, from day 15 to day 180, and then increased at day 210 (Tables  4, 5c).

With respect to milk fatty acid pairs representing product/substrate ratios and related to the Δ9-desaturase system (Table 2), a higher desaturase index was observed (P < 0.01) for cis-9 18:1 (0.93, average) than for cis-9 16:1 (0.14, average) and cis-9 14:1 (0.04, average). The stage of lactation affected (P < 0.01) the Δ9-desaturase ratios (Table 4), with a significant increase mainly in cis-9 18:1/18:0 (Table 5h) and cis-9 16:1/16:0 (Table 5f) as lactation progressed.

Among the observed UFAs, the contents of PUFAs were lower (P < 0.05) than those of MUFAs (Table 2). The total PUFA contents were affected by the stage of lactation (P < 0.01), increasing (P < 0.01) from day 15 to day 45 and then until day 180 (Figure  1A, Table 6a).

Table 6.

Statistical differences in (a) PUFA (polyunsaturated fatty acids), (b) PUFA n3/n6 ratio, (c) C18:2, (d) C18:3, (e) AI (atherogenic index) and (f) TI (thrombogenic index) of milk in relation to the lactation stage of jennies (*: P < 0.05; **: P < 0.01; ns: not significant)

(a) PUFA (c) C18:2
 
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(d) C18:3
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
(b) n3/n6
15d
 
ns
**
*
**
**
**
**
**
 
15d
 
ns
ns
ns
**
**
**
**
**
 
30d
ns
 
ns
ns
**
**
**
**
**
 
30d
ns
 
ns
ns
**
**
*
**
ns
 
45d
ns
ns
 
ns
**
**
*
**
**
 
45d
ns
ns
 
ns
**
**
ns
**
ns
 
60d
ns
ns
ns
 
**
**
**
**
**
 
60d
ns
ns
ns
 
**
*
ns
**
ns
 
90d
ns
ns
ns
ns
 
ns
ns
*
ns
 
90d
ns
ns
ns
ns
 
ns
ns
ns
**
 
120d
ns
ns
ns
ns
ns
 
ns
ns
ns
 
120d
ns
ns
ns
ns
ns
 
ns
ns
ns
 
150d
ns
ns
ns
ns
ns
ns
 
**
ns
 
150d
*
ns
ns
ns
ns
ns
 
ns
ns
 
180d
ns
ns
ns
ns
ns
ns
ns
 
ns
 
180d
ns
ns
ns
ns
ns
ns
ns
 
**
 
210d
**
**
ns
ns
ns
ns
**
**
 
 
210d
**
**
**
**
**
**
**
**
 
 
(e) AI
 
 
 
 
 
 
 
 
 
 
 
 
 
15d
30d
45d
60d
90d
120d
150d
180d
210d
 
 
 
 
 
 
 
 
 
 
 
(f) TI
15d
 
ns
*
**
**
**
**
**
**
 
 
 
 
 
 
 
 
 
 
 
 
30d
**
 
ns
ns
**
**
**
**
**
 
 
 
 
 
 
 
 
 
 
 
 
45d
**
ns
 
ns
**
**
**
**
**
 
 
 
 
 
 
 
 
 
 
 
 
60d
**
ns
ns
 
ns
*
*
**
**
 
 
 
 
 
 
 
 
 
 
 
 
90d
**
ns
ns
ns
 
ns
ns
ns
ns
 
 
 
 
 
 
 
 
 
 
 
 
120d
**
ns
ns
ns
ns
 
ns
ns
ns
 
 
 
 
 
 
 
 
 
 
 
 
150d
**
ns
ns
ns
ns
ns
 
ns
ns
 
 
 
 
 
 
 
 
 
 
 
 
180d
**
**
**
**
ns
ns
ns
 
ns
 
 
 
 
 
 
 
 
 
 
 
  210d ** ** ** ** ** ns ** ns                        

The PUFA n-6 content of milk fat was higher than that of the PUFA n-3 series (Table 2); both increased during lactation. The PUFA n-6 content underwent a significant increase from day 15 (9.19%) to day 90 (15.70%; P < 0.01), reached a maximum value at day 180 (17.65%; P < 0.01) and then decreased at day 210 (11.44%) (data not provided). The PUFA n-3 content increased during the lactation period, reaching a peak at day 210 (12.08%; P < 0.01).

Among the PUFA of the n-6 series, the most abundant acid was linoleic acid (C18:2 n-6, LA=18.38%, average). The LA content was 8.83% at day 15, with a significant increase at day 90 and the highest level at day 180 (17.20%), which was followed by a marked decrease at day 210 (Tables  4, 6c).

Among the PUFAs of the n-3 series, alpha-linolenic acid (ALA, C18:3 n-3) was the most represented (6.19%, average). The ALA content underwent a significant increase from 3.85% at day 15 to 6.36% at day 150 and reached a maximum level at day 210 (11.17%) (Tables  4, 6d).

Among the minor PUFAs, eicosadienoic (C20:2 n-6), arachidonic (AA, C20:4 n-6), eicosapentanoic (EPA, C20:5 n-3), eicosatetranoic (ETA, C20:4 n-3) and docosahesaenoic (DHA, C22:6 n-3) acid were present at mean concentrations of 0.26%, 0.09%, 0.50%, 0.14% and 0.02%, respectively (data not presented); no significant variations were observed during the lactation period (Table 4).

The overall PUFA n-3/n-6 ratio was 0.59 (Table 2), with a significant increase from early lactation to a maximum value at day 210 (Figure  1B, Table 6b).

The means of the AI and TI were 1.16 and 0.70, respectively (data not presented) and were significantly (P < 0.01) affected by the lactation stage. The AI decreased markedly from day 15 to day 45, reaching values less than 1 at day 120 and a minimum at day 180 (0.68) (Figure  1c, Table 6e). The TI decreased over time showing a significant drop at day 30 until reaching the lowest value of 0.44 at day 210 of lactation (Figure  1C, Table 6f).

Discussion

The observed low average milk fat content is consistent with that reported in the literature for donkey’s milk [24,25] and lower than that reported for mares [26], cows and humans [27].

The fat content was affected by the stage of lactation, showing a decreasing trend, which is in agreement with the results observed for the Ragusana breed [10,28], Litoral-Dinaric donkeys [25], mares [9,29,30] and cows [31].

The low fat content of milk and its variations during the lactation period corresponded to a low energetic value with the same trend during lactation. The gross energy content of the milk was similar to that recorded by Salimei et al. [11]. Compared with the energetic value of milk from different species, that of donkey milk is slightly lower than that of mare milk [29,32] and lower than that of cow and human milk [27]. This finding could be a limiting factor in its use in infant nutrition within a diet exclusively based on milk. Thus, it has been suggested that an appropriate modification in the composition of donkey’s milk be made for infant feeding [33] by adding medium-chain triglycerides or sunflower oil [34,35]. However, the low fat content and energetic value of this milk suggests its potential use in hypocaloric human diets.

The decreasing energy content of donkey’s milk during lactation agrees with the trend observed in mares [29,32], although Salimei et al. [11] did not observe any considerable variation in fat content or energy value during lactation, which is likely due to different experimental conditions.

The SFAs were the most representative fatty acids, in agreement with the results of other studies [36,37] and comparable to the composition of mare [38] and human milk [27]; however, its content were observed to be lower than those observed in ruminant milk [5]. The short-chain fatty acids and medium-chain fatty acids contents as in mares, were observed to be lower than those observed in cow’s milk and higher than those observed in human milk [26,39]. The high fatty acid content < C16 content observed in this study, with respect to other monogastric species [9], agrees with the results from equine studies and could be attributed to their synthesis from acetate and 3-hydroxybutyrate, as observed in ruminants, and not from glucose as occurs in monogastrics [9,40]. Furthermore, instead of ruminants, fatty acid de novo synthesis in equines includes parts of C18 next to C4 and C14 and parts of C16 fatty acids [40].

Among the observed SFA, butyric (C4:0) and caproic (C6:0) acids were observed in concentrations less than 1%, as has been observed in mares [26]. The average amounts of caprylic (C8:0), capric (C10:0) and lauric (C12:0) acids were lower than those reported for Ragusana jennies (12.80%, 18.65%, and 10.67%, respectively; [41]); this finding is likely related to differences in breed and/or body conditions. The caprylic (C8:0) acid content was higher compared with that reported for mares (3.1%), cows (1.3%) and human milk (traces) [40]. Among the observed SFAs, palmitic acid (C16:0) was observed at the highest concentration, in agreement with the results reported in other related studies [28,37] and in studies on mares [26]; however, the content was less than that of cow and human milk [26,39].

During the early lactation period (15–30days), the milk was observed to contain more C4:0 to C14:0 than during the middle (day 120) and late (day 210) lactation periods, most likely due to an increased synthesis of C4 to C14 fatty acids in the mammary gland during the early lactation period, as has been observed in cows [42].

Long-chain fatty acids such as stearic acid (C18:0) were observed in modest amounts, consistent with the results reported for other breeds [37,41] as well as for mares (1.55%) [9,43], while it has been recorded at higher levels in cow and human milk (7-13%) [26,27,37]. As in equines, the low stearic acid content could be attributed to a low stearic acid content in the animals’ diets and to a high activity of Δ9-desaturase on the conversion of stearic acid (C18:0) into oleic acid (C18:1), which is further enhanced by a high palmitoleic acid (C16:1) content [26], as was observed in this study.

The SFA content decreased during lactation. A higher decrease was observed for lauric (C12:0, -59%) and myristic (C14:0, -54.5%) acids and a lower decrease for palmitic acid (C16:0, -17%), likely due to a decrease in the concentration of the precursors of de novo synthesis. A decrease in the short- and medium-chain fatty acid contents during lactation has also been reported in mares [9,44], while small changes in the SFA content have been observed in human milk [45]; additionally, increases in these fatty acid contents have been observed in cow’s milk [46].

From a nutritional standpoint, it has been reported that C18 SFA has a neutral health effect, while C4 to C10 SFAs have positive effects and C12 to C16 SFAs have negative health effects [47]. In particular, SFAs C14 - C16 are considered dangerous because they are associated with high serum LDL-cholesterol concentrations in human subjects [48]. Medium-chain fatty acids are characterised by better absorption than long-chain fatty acids [49]. Furthermore, it has been suggested that equids’ milk is more digestible than cow’s milk, according to experiments performed on rats, and allows for faster evacuation of the stomach [26].

The UFA content, in agreement with other studies (50.69%) [13], was similar to that of mare’s and human milk but higher than that reported for ruminant’s milk (23-32%) [27,41].

The UFA/SFA ratio is comparable to mare’s milk [27] and higher than that recorded in the Ragusana donkey (0.48) and that reported for ruminant’s milk (0.26-0.41) [41,47].

The MUFA content and oleic (C18:1 n-9) and palmitoleic (C16:1 n-7) acid contents were higher than those observed in donkey’s milk by other researchers [11,41], likely due to different experimental conditions; these contents were observed to be similar to those reported for mares but lower than those in human milk (C18:1, 46%) [30].

The MUFA content increased during the lactation period, whereas Chiofalo et al. [28] did not find significant variability throughout lactation in the Ragusana breed, most likely due to different experimental conditions.

In this study, the amount of desaturation, calculated from the ratio of Δ9-desaturase product/sum of Δ9-desaturase product and substrate, was relatively high for C18:1 and C16:1 and increased as lactation progressed, reaching higher values at 150 to 210 days of lactation. This result may explain the observed high value of these MUFAs in milk and their increased trend during lactation. Moreover, it has been reported that preformed fatty acids, such as oleic acid, could be derived from mobilisation from adipose tissue or from absorption from the digestive tract, with an increase being observed for a forage diet [26,44], which likely occurred in this study for the asses fed on pasture.

It has been reported that in the human diet the high relative percentage of MUFA has beneficial effects with respect to arterial disease, i.e., it lowers plasma LDL cholesterol and total cholesterol as well as the fibrinolytic activity of circulating plasma by modifying vascular endothelial physiology [50], while the intake of SFA is a risk factor in contracting coronary heart disease [51].

Among PUFAs and EFAs, LA (C18:2 n-6) and ALA (C18:3 n-3) acid were the most representative of PUFA n-6 and PUFA n-3, respectively, exhibiting higher values than those of the Ragusana breed [41] and comparable to the range recorded in mares [30] but higher than that reported in ruminant’s milk [47]. Furthermore, the n-3/n-6 fatty acid ratio was higher than that recorded in Ragusana asses (0.19) [52] and higher than that reported in humans (0.012) or in cows (0.28) [37]. As in equines, according to other researchers [19,30], the reasons for this difference could be related to the amounts of these acids in the animals’ diets and the absence of biohydrogenation of fatty acids in the digestive tract before absorption, unlike what occurs in ruminants [53].

In humans, LA has been reported to play a role in the prevention of gastric ulcers. It is a precursor of prostaglandin E that increases with stimulation by linoleic acid [54]. Prostaglandins are involved in the prevention of gastric ulcers through a rise in mucosal protective factors; this prevention is important in foals, which have a certain incidence of gastric ulcers [55].

In agreement with the results of Gastaldi et al. [37], the percentage of ALA was higher compared with that of human’s (1.14%) and cow’s milk (0.48%) whereas the LA content was similar to that reported for human milk.

The ALA content increased during the lactation period, consistent with the results observed for mares [56], and the maximum level was achieved late in the lactation period. This result reflects the higher PUFA n-3/n-6 ratio at the 7th month of lactation (day 210). This higher ratio may be explained by the increase in pasture feeding by jennies on richer grass during the late lactation period. Grass is rich in ALA content, and no biohydrogenation occurs before absorption [30]. Furthermore, higher ALA contents have been reported in milk from asses [57] and mares [26] fed on herbage rather than hay.

AI and TI, which indicate the healthfulness of milk with respect to fatty acid content and their potential to prevent or cause atherosclerosis and thrombosis, were observed to be present in lower quantities than in cow’s milk (2.51 and 1.86, respectively) [58].

It should be noted that LA is the precursor of PUFA n-6, and AA (C20:4 n-6) and ALA are the precursors of PUFA n-3, EPA (C20:5 n-3) and DHA (C22:6 n-3) acids. AA and EPA/DHA are substrates for the formation of eicosanoids [59]. Prostaglandins and leukotrienes are important in controlling several cell activities [60], and DHA is important in the development of the central nervous system [61]. The role of PUFA is important in the development of the neonatal brain as well as in the development of the retina and cognitive functions [62-64]. The high content of n-3 fatty acids in donkey milk could have a significant effect on the development of the neural system, vision and infant growth.

Among the minor PUFA observed in this study, small amounts of EPA, DHA and AA were observed, consistent with other studies on donkey’s milk [11,37,41] and mare’s milk [26]. The percentage of EPA was higher compared with human milk (0.27%); in contrast, the DHA and AA contents were lower (0.40 and 0.59%) [37]. The reasons for this result are likely due to the different elongation and desaturation processes in mammary glands. A higher AA/EPA ratio in breast milk from the mothers of atopic infants compared with non-atopic infants [65] and the relationship between lower levels of EPA and the early development of atopic disease have been reported. The low AA/EPA ratio observed in this study (0.18), with respect to those reported for human’s and cow’s milk (29.5 and 3.67) [37], suggests that donkey milk could be used in childhood nutrition to prevent the risk of developing atopical diseases. Moreover, donkey’s milk could be useful in pre-term infants’ diets because premature infants seem able to form AA from linoleic acid and EPA and DHA from α-linolenic acid [66,67]. The positive effects of donkey’s milk in infant nutrition has been demonstrated in the treatment of multiple food intolerances [34,68,69] and in selected cases of cow’s milk allergies [7,70].

The high recorded amounts of PUFAs in donkey milk suggest that this milk may also be used adult human diets. From a nutritional point of view, it has been reported that the rapid changes in the diet of the Western industrialised society, mainly over the last 150 years with respect to the ancestor-constituted genetic profile, involve a particular increase in saturated fats and n-6 fatty acids and a decrease in n-3 fatty acids [71-74]. The levels of long-chain n-6 to n-3 (mainly LA compared with ALA) fatty acids are important, particularly n-3 fatty acids [75], in maintaining cardiovascular health [76,77] and they influence the ratios of ensuing eicosanoids and metabolic functions [59]. The dietary balance of the ratios of n-6 to n-3 PUFA affects the regulation of metabolic functions [78] and the development of metabolic syndrome, including lipid profile and adiposity, insulin sensitivity and inflammation [79,80]. It has been estimated that the ratio of n-6 to n-3 fatty acids in the Western diet is 15-20/1, and more n-3 than n-6 fatty acids have been suggested, with a ratio that tends towards 1:1 [81].

In this study, the PUFA n-6 to n-3 ratio and the LA/ALA ratio, in particular, were approximately 2:1, with a lower value (< 1) during the 7th month of lactation due to a high increase in the ALA content, potentially suggesting the more optimal use of milk collected during this period.

In addition to the benefits related to coronary health disease, the beneficial health effects of n-3 fatty acids include those related to inflammatory disease, such as rheumatoid arthritis [82], dermatitis [83,84], cancer [85], depression and dementia, and may be potentially used to treat late-onset Alzheimer’s disease [86,87].

Long-chain PUFA n-3 has been shown to induce immunomodulatory activity on natural and acquired immunity [88,89] through the synthesis of lipid mediators (pros-taglandins, leukotrienes), peptide mediators (cytokines), reactive oxygen species (superoxide), and enzymes. The metabolites of n-3 fatty acids are less inflammatory than those of n-6 (in particular, AA). The eicosanoid derived from AA, i.e, prostaglandin E2 and leukotriene B4, promote atopic inflammation; in contrast, PUFA n-3 and their derived eicosanoid influence AA metabolism, promoting anti-inflammatory properties [90,91]. The high PUFA n-3 content in donkey’s milk could have a functional effect on the immunological system. In our study on an in vitro model of human peripheral blood mononuclear cells [6,92], donkey milk exhibited the ability to induce IgG secretion and the release of interleukins (IL-12, IL-1β, IL-10) and TNF-α - important to the immunotreatment of immune-related disease - and a high release of nitric oxide (NO), a potent promoter in the prevention of atherosclerosis. Indeed, NO is a strong vasodilator of terminal vessels, improves blood flow, and is an effective antimicrobial agent in the development of atherosclerosis [93]. In combination, these results support the concept that donkey’s milk, likely due to its high PUFA n-3 content, can prevent atherosclerosis via the production of NO and, at moderate intake level (200 mL/d; [94]), can up-regulate the immune response in elderly hosts.

Conclusions

Donkey milk is characterised by low fat and energetic values, a high PUFA content composed mainly of ALA (18:3 n-3) and LA (18:2 n-6), a low ratio of n-6 to n-3 fatty acids or LA/ALA ratio and advantageous values of AI and TI. Among minor PUFA, DHA, EPA, and AA were present in minute amounts.

The fat and energetic values decreased during lactation. The fatty acids patterns were influenced by the lactation stage, showing a decrease in SFA content and an increase in UFA content, with higher values being recorded during the late lactation period. During this period, lower values of the n-6/n-3 ratio (<1) were also observed. The higher PUFA n-3 content and lower PUFA n-6/n-3 and AA/EPA ratios of donkey’s milk with respect to cow’s milk may be of particular interest in adopting donkey’s milk for infant nutrition. Considering the low lipid and energetic value content, donkey’s milk could be used within well-balanced and integrated hypocaloric diets. The recorded high PUFA content and low n-6/n-3 or LA/ALA ratios in donkey milk could make it interesting for adult human nutrition.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

All authors have read and approved the final manuscript. AGD is the leading scientist in this study. AGD and GM contributed and approved the final manuscript. They conceived and carried out the study design, participated in the chemical analysis of milk lipids, as well as analyzing the data, performing the statistical analysis and drafting the manuscript.

Contributor Information

Giovanni Martemucci, Email: giovanni.martemucci@uniba.it.

Angela Gabriella D’Alessandro, Email: angelagabriella.dalessandro@uniba.it.

Acknowledgements

This research was supported by INTERREG IIIA Greece-Italy (Project Code: I2101030) Paper N. 34 and by a grant from the University of Bari Aldo Moro (Bari, Italy).

We would like to thank Dr C Summo and M T Bilancia for performing the gas chromatographic analysis of the milk fatty acids.

References

  1. Mensink RP, Zock PL, Kester AD, Katan MB. A meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003;77:1146–1155. doi: 10.1093/ajcn/77.5.1146. [DOI] [PubMed] [Google Scholar]
  2. Noble RC. Animal supplies of omega-3 fatty acids for human nutrition. Progr Nutr. 1999;1:4–13. [Google Scholar]
  3. Hulsof KF, van Erp-Baart MA, Anttolainen M, Becker W, Church SM, Couet C, Hermann-Kunz E, Kesteloot H, Leth T, Martins I, Moreiras O, Moschandreas J, Pizzoferrato L. Rimestad A H, Thorgeirsdottir H, Van Amelsvoort JM, Aro A, Kafatos A G, Lanzmann-Petithory D, Van Poppel G: Intake of fatty acids in Western Europe with emphasis on trans fatty acids: The TRANSFAIR study. Eur J Clin Nutr. 1999;53:143–157. doi: 10.1038/sj.ejcn.1600692. [DOI] [PubMed] [Google Scholar]
  4. Chilliard Y, Ferlay A, Mansbridge RM, Doreau M. Ruminant milk fat plasticity: nutritional control of saturated, polyunsaturated, trans and conjugated fatty acids. Ann Zootech. 2000;49:181–205. doi: 10.1051/animres:2000117. [DOI] [Google Scholar]
  5. Chiofalo B, Salimei E, Chiofalo L. Acidi grassi nel latte d’asina: proprietà bio-nutrizionali ed extranutrizionali. Large Animals Review. 2003;6:21–26. [Google Scholar]
  6. Tafaro A, Magrone T, Jirillo F, Martemucci G, D’Alessandro AG, Amati L, Jirillo E. Immunological properties of donkey’s milk: its potential use in the prevention of atherosclerosis. Curr Pharm Des. 2007;13:3711–3717. doi: 10.2174/138161207783018590. [DOI] [PubMed] [Google Scholar]
  7. Tesse R, D’Alessandro AG, Paglialunga C, Rizzi D, Bozza S, Martemucci G, Armenio L. Does donkey’s milk may represent an alternative dietary support in patients with cow’s milk-induced IgE-mediated and non- IgE- mediated disorders? Case reports [abstract] Barcelona, Spain: In Proceedings of the XXVII Congress European Academy of Allergology and Clinical Immunology; 2008. p. 467. [Google Scholar]
  8. D’Alessandro AG, Martemucci G, Jirillo E, De Leo V. Major whey proteins in donkey’s milk: effect of season and lactation stage. Implications for potential dietary interventions in human diseases. Immunopharmacol Immunotoxicol. 2011;33(2):259–265. doi: 10.3109/08923973.2010.499365. [DOI] [PubMed] [Google Scholar]
  9. Doreau M, Boulot S. Recent knowledge on mare milk production: a review. Livest Prod Sci. 1989;22:213–235. doi: 10.1016/0301-6226(89)90057-2. [DOI] [Google Scholar]
  10. Giosué C, Alabiso M, Russo G, Alicata ML, Torrisi C. Jennet milk production during the lactation in a Sicilian farming system. Animal. 2008;2:1491–1495. doi: 10.1017/S1751731108002231. [DOI] [PubMed] [Google Scholar]
  11. Salimei E, Fantuz F, Coppola R, Chiofalo B, Polidori P, Varisco G. Composition and characteristics of ass’s milk. Anim Res. 2004;53:67–68. doi: 10.1051/animres:2003049. [DOI] [Google Scholar]
  12. Dugo P, Kumm T, Chiofalo B, Cotroneo A, Mondello L. Separation of triacylglycerols in a complex lipidic matrix by using comprehensive two-dimensional liquid chromatography coupled with atmospheric pressure chemical ionization mass spectrometric detection. J Sep Sci. 2006;29:1146–1154. doi: 10.1002/jssc.200500476. [DOI] [PubMed] [Google Scholar]
  13. Pinto F, Lestingi A, Caputi Jambrenghi A, Marsico G, Vonghia G. Conservazione e valorizzazione dell’asino di Martina Franca: influenza dell’integrazione alimentare su alcuni aspetti quanti-qualitativi del latte. I. Alghero, Sassari, Italy: Indagine preliminare. In Proceedings of the 4th Congress on Biodiversity; 1998. pp. 1173–1176. [Google Scholar]
  14. Emken EA, Adlof RO, Duval SM, Shane GM, Walker PM, Becher C. Effect of triacylglycerol structure on absorption and metabolism of isotope-labeled palmitic and linoleic acids by human. Lipids. 2004;39:1–9. doi: 10.1007/s11745-004-1194-6. [DOI] [PubMed] [Google Scholar]
  15. The Donkey Sanctuary. Consultation on the draft equine welfare code of practice: a consultation document issued by the rural directorate of the Scottish Government. Appendix B; http://www.scotland.gov.uk/Resource/Doc/200239/0053531.pdf. [Google Scholar]
  16. D’Alessandro AG, Martemucci G. Lactation curve and effects of milking regimen on milk yield and quality, and udder health in Martina Franca jennies (Equus asinus) J Anim Sci. 2012;90:669–681. doi: 10.2527/jas.2011-4283. [DOI] [PubMed] [Google Scholar]
  17. FIL – IDF, Federation Internationale dé Laiterie – International Dairy Federation. Whole milk. Brussels, Standard: Determination of milk fat, protein and lactose content; 2000. p. 141. [Google Scholar]
  18. Perrin DR. The caloric value of milk of different species. J Dairy Sci. 1958;25:215–220. [Google Scholar]
  19. Folch J, Lees M. Sloane Stanley GH: A simple method for isolation and purification of total lipids from animal tissues. J Biol Chem. 1957;226:497–509. [PubMed] [Google Scholar]
  20. IUPAC. Standard methods for the analysis of oil, fats and derivates. Oxford, UK: IUPAC Method 2.301 Report of IUPAC Working Group WG 2/87. 7th edition, Blackwell Scientific Pubblications; 1987. [Google Scholar]
  21. Caponio F, Alloggio V, Pallavicini C. Modification of goat milk fat triglycerides by immobilized lipase. Fett/Lipid. 1998;100:74–78. doi: 10.1002/(SICI)1521-4133(199803)100:3&#x0003c;74::AID-LIPI74&#x0003e;3.0.CO;2-8. [DOI] [Google Scholar]
  22. Ulbricht TLV, Southgate DAT. Coronary hearth disease: seven dietary factors. Lancet. 1991;338:985–992. doi: 10.1016/0140-6736(91)91846-M. [DOI] [PubMed] [Google Scholar]
  23. SAS. SAS/STAT TM Guide for Personal Computers, Version 8.1 Edn. Cary, NC: SAS Institute Inc; 1999–2000. [Google Scholar]
  24. Salimei E, Chiofalo B, Asses: milk yield and composition. In Nutrition and feeding of the broodmare. Wageningen, The Netherlands: N. Miraglia and W. Martin-Rosset, Wageningen Academy Press; [Google Scholar]
  25. Ivanković A, Ramljak J, Štulina I, Antunac N, Bašić I, Kelava N, Miljenko K. Characteristics of the lactation, chemical composition and milk hygiene quality of the Littoral-Dinaric ass. Mljekarstvo. 2009;59(2):107–113. [Google Scholar]
  26. Doreau M, Gaillard JM, Chobert JM, Léonil J, Egito AS, Hartlé T. Composition of mare and donkey milk fatty acids and consequences on milk utilisation. Campobasso, Italy: In Proceedings of the 4th Congress ‘New findings in equine practice; 2002. pp. 51–65. [Google Scholar]
  27. Malacarne M, Martuzzi F, Summer A, Mariani P. Protein and fat composition of mare's milk: some nutritional remarks with reference to human and cow's milk. Intern Dairy J. 2002;12:869–877. doi: 10.1016/S0958-6946(02)00120-6. [DOI] [Google Scholar]
  28. Chiofalo B, Azzara V, Liotta L, Chiofalo L. The chemical and physical parameters of Ragusana ass’s milk during lactation. Campobasso, Italy: In Proceedings of the 6th Congress ‘New findings in equine practice; 2004. pp. 77–84. [Google Scholar]
  29. Mariani P, Summer A, Martuzzi F, Formaggioni P, Sabbioni A, Catalano AL. Physicochemical properties, gross composition, energy value and nitrogen fractions of Haflinger nursing mare milk throughout 6 lactation months. Anim Res. 2001;50:415–425. doi: 10.1051/animres:2001140. [DOI] [Google Scholar]
  30. Doreau M, Martuzzi F, In Nutrition and feeding of the broodmare. Milk yield of nursing and dairy mares. N. Miraglia, W. Martin-Rosset, EAAP publication No. 120, Wageningen Academy Publishers; 2006. pp. 57–64. [Google Scholar]
  31. Freeze BS, Richards TJ. Lactation curve estimation for use in economic optimization models in the dairy industry. J Dairy Sci. 1992;75:2984–2989. doi: 10.3168/jds.S0022-0302(92)78062-X. [DOI] [PubMed] [Google Scholar]
  32. Burns HD, Gibbs PG, Potter GD. Milk-energy production by lactating mares. JEq Vet Sci. 1992;12:118–120. [Google Scholar]
  33. Restani P, Beretta B, Fiocchi A, Ballabio C, Galli CL. Cross-reactivity between mammalian proteins. Ann Allergy Asthma Immunol. 2002;89(6 Suppl 1):11–15. doi: 10.1016/s1081-1206(10)62116-3. [DOI] [PubMed] [Google Scholar]
  34. Carroccio A, Cavataio F, Montalto G, D’Amico D, Alabrese L, Iacono G. Intolerance to hydrolised cow’s milk proteins in infants: clinical characteristics and dietary treatment. Clin Exp Allergy. 2000;30:1597–1603. doi: 10.1046/j.1365-2222.2000.00925.x. [DOI] [PubMed] [Google Scholar]
  35. Iacono G, Scalici C, D’Amico D, D’Amico A, Di Prima L, Pirrone G, Ambrosiano G, Carroccio A, Iannolino G. Il latte di asina nel trattamento della stipsi allergica in età pediatrica: efficacia e valore nutrizionale. Palermo, Italy: In Proceedings of the 2nd “Congresso Nazionale sull’Asino; 2006. pp. 108–110. [Google Scholar]
  36. Chiofalo B, Drogoul C, Salimei E, In Nutrition and feeding of the broodmare. Other utilisation of mare’s and ass’s milk. Wageningen Academy Publishers: N. Miraglia, W. Martin-Rosset, EAAP publication No. 120; 2006. pp. 133–147. [Google Scholar]
  37. Gastaldi G, Bertino E, Monti G, Baro C, Fabris C, Lezo A, Medana C, Baiocchi C, Mussap M, Galvano F, Conti A. Donkey’s milk detailed lipid composition. Front Biosci. 2010;E2:537–546. doi: 10.2741/e112. [DOI] [PubMed] [Google Scholar]
  38. Pikul J, Wójtowski J. Fat and cholesterol content and fatty acid composition of mares' colostrums and milk during five lactation months. Livest Prod Sci. 2008;113:285–290. doi: 10.1016/j.livsci.2007.06.005. [DOI] [Google Scholar]
  39. Jensen RG, Ferris AM, Lammi-Keef CJ, Henderson RA. Lipids of bovine and human milks: a comparison. J Dairy Sci. 1990;73:223–240. doi: 10.3168/jds.S0022-0302(90)78666-3. [DOI] [PubMed] [Google Scholar]
  40. Linzell JL, Annison F, Bickerstaffe R, Jeffcott LB. Mammary and whole-body metabolism of glucose, acetate, palmitate in the lactating horse. Proc Nutr Soc. 1972;31:72A–73A. [PubMed] [Google Scholar]
  41. Chiofalo B, Salimei E. Ass’s milk: exploitation of an alimentary resource. Rivista Folium. 2001;1(Suppl 3):235–241. [Google Scholar]
  42. Palmquist DL, Beaulieu AD, Barbano DM. Feed and animal factors influencing milk fat composition. J Dairy Sci. 1993;76:1753–1771. doi: 10.3168/jds.S0022-0302(93)77508-6. [DOI] [PubMed] [Google Scholar]
  43. Csapò J, Stefler J, Martin TG, Makray S, Csapò-Kiss Z. Composition of mares’colostrum and milk. Fat content, fatty acids composition and vitamin content. Int Dairy J. 1995;5:393–402. doi: 10.1016/0958-6946(94)00008-D. [DOI] [Google Scholar]
  44. Doreau M, Boulot S, Bauchart D, Barlet JP, Martin-Rosset W. Voluntary intake, milk production and plasma metabolites in nursing mares fed two different diets. J Nutr. 1992;122:992–999. doi: 10.1093/jn/122.4.992. [DOI] [PubMed] [Google Scholar]
  45. Spear ML, Hamosh M, Bitman J, Spear ML, Wood DL. Milk and blood fatty composition during two lactations in the same woman. Am J Clin Nutr. 1992;56:65–70. doi: 10.1093/ajcn/56.1.65. [DOI] [PubMed] [Google Scholar]
  46. Auldist MJ, Walsh BJ, Thomson NA. Seasonal and lactational influences on bovine milk composition in New Zealand. J Dairy Res. 1998;65:401–411. doi: 10.1017/S0022029998002970. [DOI] [PubMed] [Google Scholar]
  47. Shingfield KJ, Chilliard Y, Toivonen V, Kairenius P, Givens DI. Trans fatty acids and bioactive lipids in ruminant milk. Adv Exp Med Biol. 2008;606:3–65. doi: 10.1007/978-0-387-74087-4_1. [DOI] [PubMed] [Google Scholar]
  48. Temme EHM, Mensink RP, Hornstra G. Comparison of the effects of diets enriched in lauric, palmitic, or oleic acids on serum lipids and lipoproteins in healthy women and men. Am J Clin Nutr. 1996;63:897–903. doi: 10.1093/ajcn/63.6.897. [DOI] [PubMed] [Google Scholar]
  49. Beermann C, Jelinek J, Reinecker T, Hauenschild A, Boehm G, Klör HU. Short term effects of dietary medium-chain fatty acids and n-3 long-chain polyunsaturated fatty acids on the fat metabolism of healthy volunteers. Lipids Health Dis. 2003;2:10–19. doi: 10.1186/1476-511X-2-10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Perez-Jiminez F, Castro P, Lopez-Miranda J, Paz-Rojas F, Blanco A, Lopez-Segura F, Velasco F, Marin C, Fuentes F, Ordovas JM. Circulating levels of endothelial function are modulated by dietary monounsaturated fat. Atherosclerosis. 1999;145:351–358. doi: 10.1016/S0021-9150(99)00116-1. [DOI] [PubMed] [Google Scholar]
  51. Metcalf PA, Scragg RKR, Swinburn B. Modifiable risk factor levels of coronary heart disease survivors in a middle-aged workforce. Nutr Metab Cardiovasc Dis. 1999;9:125–132. [PubMed] [Google Scholar]
  52. Giosuè C, Capper JL, Maniaci G, Bauman DL, Mazza F, Alabiso M. Effects of foal presence at milking and dietary extra virgin olive oil on jennet milk fatty acids profile. Ital J Anim Sci. 2009;8(Suppl 2):712–714. [Google Scholar]
  53. Palmquist DL, Lock AL, Shingfield KJ, Bauman DE, In Advances in Food and Nutrition Research. Biosynthesis of conjugated linoleic acid in ruminants and humans. San Diego, California: Elsevier Academic Press: Taylor SL; 2005. pp. 179–217. [DOI] [PubMed] [Google Scholar]
  54. Grant HW, Palmer KR, Kelly RW, Wilson NH, Misiewicz JJ. Dietary linoleic acid, and prostaglandin secretion. Gastroenterology. 1988;94:955–959. doi: 10.1016/0016-5085(88)90553-7. [DOI] [PubMed] [Google Scholar]
  55. Sanchez LC, Lester GD, Merritt AM. Effect of ranitidine on intragastric pH in clinically normal neonatal foals. J Am Vet Med Assoc. 1998;212:1407–1412. [PubMed] [Google Scholar]
  56. Orlandi M, Goracci J, Curadi M. Fat composition of mare's milk with reference to human nutrition. Ann Fac Med Vet Univ. Pisa. 2003;20:97–105. [Google Scholar]
  57. Chiofalo B, Polidori M, Costa R, Salimei E. Fresh forage in dairy ass’s ration: effect on milk fatty acid composition and flavours. Ital J Anim Sci. 2005;4(Suppl 2):433–435. [Google Scholar]
  58. Allred SL, Dhiman TR, Brennand CP, Khanal RC, McMahon DJ, Luchini ND. Milk and cheese from cows fed calcium salts of palm and fish oil alone or in combination with soybean products. J Dairy Sci. 2006;89:234–248. doi: 10.3168/jds.S0022-0302(06)72088-4. [DOI] [PubMed] [Google Scholar]
  59. Williams CM. Dietary fatty acids and human health. Ann Zootech. 2000;49:165–180. doi: 10.1051/animres:2000116. [DOI] [Google Scholar]
  60. Innis SM. Polyunsaturated fatty acids in human milk: an essential role in infant development. Adv Exp Med Biol. 2004;554:27–43. doi: 10.1007/978-1-4757-4242-8_5. [DOI] [PubMed] [Google Scholar]
  61. Wurtman RJ. Synapse formation and cognitive brain development: effect of docosahexaenoic acid and other dietary constituents. Metabolism. 2008;57(Suppl 2):S6–S10. doi: 10.1016/j.metabol.2008.07.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  62. Neuriger M, Connor WE, Lin DS, Barstad L, Luck S. Biochemical and functional effects of prenatal and postnatal omega-3 fatty acyd deficiency on retina and brain rhesus monkeys. Proc Nat Acad Sci USA. 1986;83(11):4021–4025. doi: 10.1073/pnas.83.11.4021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Al MD, van Houwelingen AC, Hornstra G. Long-chain polyunsaturated fatty acids, pregnancy, and pregnancy outcome. Am J Clin Nutr. 2000;71(Suppl 1):285S–291S. doi: 10.1093/ajcn/71.1.285s. [DOI] [PubMed] [Google Scholar]
  64. Fleith M, Clandinin MT. Dietary PUFA for preterm and term infants: review of clinical studies. Crit Rev Food Sci Nutr. 2005;45:205–229. doi: 10.1080/10408690590956378. [DOI] [PubMed] [Google Scholar]
  65. Duchén K, Björkstén B. Polyunsaturated n-3 fatty acids and the development of atopic disease. Lipids. 2001;36:1033–1042. doi: 10.1007/s11745-001-0814-5. [DOI] [PubMed] [Google Scholar]
  66. Carnielli VP, Wattimna JJ, Luijendijk IHT, Desenhrat HJ, Sauer PJJ. The very low birth weight premature infant is capable of synthesizing arachidonic and docosahexaenoic acids from linoleic and α-linolenic. Pediat Res. 1996;10:169–174. doi: 10.1203/00006450-199607000-00029. [DOI] [PubMed] [Google Scholar]
  67. Giovannini M, Riva E, Agostoni C. The role of dietary polyunsaturated fatty acids during the first 2years of life. Early Hum Dev. 1998;53(Suppl 1):99–107. doi: 10.1016/s0378-3782(98)00068-1. [DOI] [PubMed] [Google Scholar]
  68. Iacono G, Carroccio A, Cavataio F, Montalto G, Soresi M, Balsamo V. Use of ass’ milk in multiple food allergy. J Pediatr Gastroenterol Nutr. 1992;14:177–181. doi: 10.1097/00005176-199202000-00010. [DOI] [PubMed] [Google Scholar]
  69. Carroccio A, Cavataio F, Montalto G, Soresi M, Balsamo V. Use of ass’milk in multiple food allergy. J Pediatr Gastroenterol Nutr. 1992;14:177–181. doi: 10.1097/00005176-199202000-00010. [DOI] [PubMed] [Google Scholar]
  70. Monti G, Bertino E, Muratore MC, Coscia A, Cresi F, Silvestro L, Fabris C, Fortunato D, Giuffrida MG, Conti A. Efficiency of donkey’s milk in treating highly problematic cow’s milk allergic children: an vivo and in vitro study. Pediatr Allergy Immunol. 2007;18:258–264. doi: 10.1111/j.1399-3038.2007.00521.x. [DOI] [PubMed] [Google Scholar]
  71. Eaton SB, Konner M. Paleolithic nutrition. A consideration of its nature and current implications. N Engl J Med. 1985;312:283–289. doi: 10.1056/NEJM198501313120505. [DOI] [PubMed] [Google Scholar]
  72. Eaton SB, Konner M, Shostak M. Stone agers in the fast lane: chronic degenerative diseases in evolutionary perspective. Am J Med. 1988;84:739–749. doi: 10.1016/0002-9343(88)90113-1. [DOI] [PubMed] [Google Scholar]
  73. Simopoulos AP. Overview of evolutionary aspects of w3 fatty acids in the diet. World Rev Nutr Diet. 1998;83:1–11. doi: 10.1159/000059674. [DOI] [PubMed] [Google Scholar]
  74. Simopoulos AP. Genetic variation and evolutionary aspects of diet. Boca Raton: CRC Press: Papas A; 1999. pp. 65–88. (In Antioxidants in Nutrition and Health). [Google Scholar]
  75. Willett WC. The role of dietary n-6 fatty acids in the prevention of cardiovascular disease. J Cardiov Med (Hagerstown) 2007;8(Suppl 1):S42–S45. doi: 10.2459/01.JCM.0000289275.72556.13. [DOI] [PubMed] [Google Scholar]
  76. Okuyama H. High n−6 to n−3 ratio of dietary fatty acids rather than serum cholesterol as a major risk factor for coronary heart disease. Eur J Lipid Sci Technol. 2001;103:418–422. doi: 10.1002/1438-9312(200106)103:6&#x0003c;418::AID-EJLT418&#x0003e;3.0.CO;2-#. [DOI] [Google Scholar]
  77. Griffin BA. How relevant is the ratio of dietary n−6 to n−3 polyunsaturated fatty acids to cardiovascular disease risk? Evidence from the OPTILIP study. Curr Opin Lipidol. 2008;19:57–62. doi: 10.1097/MOL.0b013e3282f2e2a8. [DOI] [PubMed] [Google Scholar]
  78. Burghardt PR, Kemmerer ES, Buck BJ, Osetek AJ, Yan C, Koch LG, Britton SL, Evans SJ. Dietary n-3:n-6 fatty acid ratios differentially influence hormonal signature in a rodent model of metabolic syndrome relative to healthy controls. Nutr Metab. 2010;7:53. doi: 10.1186/1743-7075-7-53. [DOI] [PMC free article] [PubMed] [Google Scholar]
  79. Carpentier YA, Portois L, Malaisse WJ. n-3 fatty acids and the metabolic syndrome. Am J Clin Nutr. 2006;83(Suppl 6):1499S–1504S. doi: 10.1093/ajcn/83.6.1499S. [DOI] [PubMed] [Google Scholar]
  80. Hibbeln JR, Nieminen LR, Blasbalg TL, Riggs JA, Lands WE. Healthy intakes of n-3 and n-6 fatty acids: estimations considering worldwide diversity. Am J Clin Nutr. 2006;83(Suppl 6):1483S–1493S. doi: 10.1093/ajcn/83.6.1483S. [DOI] [PubMed] [Google Scholar]
  81. Simopoulos AP. The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med. 2008;233:674–688. doi: 10.3181/0711-MR-311. [DOI] [PubMed] [Google Scholar]
  82. Simopoulos AP. Omega-3 fatty acids in inflammation an autoimmune diseases. J Am Coll Nutr. 2002;21:495–505. doi: 10.1080/07315724.2002.10719248. [DOI] [PubMed] [Google Scholar]
  83. Horrobin DF. Essential fatty acid metabolism and its modification in atopic eczema. Am J Clinical Nutr. 2000;71(Suppl 1):S367–372. doi: 10.1093/ajcn/71.1.367s. [DOI] [PubMed] [Google Scholar]
  84. Olivry T, Marsella R, Hillier A. The ACVD task force on canine atopic dermatitis: are essential fatty acids effective? Vet Immunol Immunopathol. 2001;81:347–362. doi: 10.1016/S0165-2427(01)00316-6. [DOI] [PubMed] [Google Scholar]
  85. Dupertuis YM, Meguid MM, Pichard C. Colon cancer therapy: new perspectives of nutritional manipulations using polyunsaturated fatty acids. Curr Opin Clin Nutr Metab Care. 2007;10:427–432. doi: 10.1097/MCO.0b013e3281e2c9d4. [DOI] [PubMed] [Google Scholar]
  86. Ma QL, Teter B, Ubeda OJ, Morihara T, Dhoot D, Nyby MD, Tuck ML, Frautschy SA, Cole GM. Omega-3 fatty acid docosahexaenoic acid increases SorLA/LR11, a sorting protein with reduced expression in sporadic Alzheimer’s disease (AD): relevance to AD prevention. J Neurosci. 2007;27:14299–14307. doi: 10.1523/JNEUROSCI.3593-07.2007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  87. Ruxton CH, Reed SC, Simpson MJ, Millington KJ. The health benefits of omega-3 polyunsaturated fatty acids: a review of the evidence. J Hum Nutr Diet. 2007;20:275–285. doi: 10.1111/j.1365-277X.2007.00770.x. [DOI] [PubMed] [Google Scholar]
  88. Calder PC. Dietary fatty acids and the immune system. Lipids. 1999;34(Suppl 6):S137–S140. doi: 10.1007/BF02562264. [DOI] [PubMed] [Google Scholar]
  89. Calder PC. Polyunsaturated fatty acids, inflammation and immunity. Lipids. 2001;36:1007–1024. doi: 10.1007/s11745-001-0812-7. [DOI] [PubMed] [Google Scholar]
  90. Das UN. Essential fatty acids: biochemistry, physiology and pathology. Biotechnology J. 2006;1:420–439. doi: 10.1002/biot.200600012. [DOI] [PubMed] [Google Scholar]
  91. Calder PC. Omega-3 fatty acids and inflammatory processes. Nutrients. 2010;2:355–374. doi: 10.3390/nu2030355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  92. Amati L, Marzulli G, Martelli M, Tafaro A, Jirillo F, Pugliese V, Martemucci G, D’Alessandro AG, Jirillo E. Donkey and goat milk intake and modulation of the human aged immune response. Curr Pharm Des. 2010;16:864–869. doi: 10.2174/138161210790883651. [DOI] [PubMed] [Google Scholar]
  93. Tumer C, Bilgin HM, Obay BD, Diken H, Amaca M, Kelle M. Effect of nitric oxide in phagocytic activity of lipopolysaccharide induced macrophages: possibile role of exogenous L-arginine. Cell Biol Int. 2007;31:565–569. doi: 10.1016/j.cellbi.2006.11.029. [DOI] [PubMed] [Google Scholar]
  94. Jirillo E, D'Alessandro AG, Amati L, Tafaro A, Jirillo F, Pugliese V, Martemucci G. Modulation of the human aged immune response by donkey milk intake [abstract] Crete, Greece: In Proceedings of the 61st Annual EAAP Meeting; 2010. p. 45. [DOI] [PubMed] [Google Scholar]

Articles from Lipids in Health and Disease are provided here courtesy of BMC

RESOURCES