In-vitro digestion modeling assesses protein breakdown in older adults, highlighting the need for adapted protocols.
The aims of this study were to adapt current in-vitro digestion protocols to replicate older adults suffering from gastrointestinal infections or those on polypharmacy. The whey protein breakdown was characterised within simulated gastric and intestinal phases, by measuring degree of hydrolysis, bio-accessible peptides, molecular weight distribution by Size Exclusion Chromatography, as well as peptide sequencing using High Resolution LC-MS. Differences due to older adult digestive conditions significantly affected the digestion of whey protein, seen by the presence of some aggregates and intact proteins, and less bio accessible peptides at the end of the gastric phase. These differences were also seen in the intestinal digesta, albeit to a lesser extent where. Distinct proteolytic profiles were seen. This study shows the importance of adapting the simulated gastrointestinal conditions to better represent the ageing gastrointestinal systems of our elderly population, and to better understand the poor protein assimilation by this ageing cohort. • Current in-vitro digestion (SGID) protocols adapted to replicate older adults suffering from gastrointestinal infections or those on polypharmacy. • Elderly gastric conditions affected the breakdown of whey protein with increased presence of large aggregates and intact proteins.. • Smaller differences seen in intestinal digesta. • Antimicrobial peptides found to significantly increase in intestinal digesta of older adult SGID.
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Gunning et al. (2026) studied this question.
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