Abstract
In the U.S., bovine milk is processed using thermal pasteurization to ensure microbial safety. However, this process alters the structure of heat-sensitive bioactive proteins associated with the functional benefits of raw milk, including antimicrobial, immunomodulatory, and antioxidant proteins. Given the risks associated with raw milk consumption and the negative effects of thermal processing on protein functionality, there is a growing interest in high-pressure processing (HPP), an alternative treatment that may better preserve milk's functional qualities. HPP is widely used in other food sectors but is not yet approved for milk in the U.S. Most studies have investigated either the microbial safety or the preservation of bioactive protein structure in HPP-treated milk, rarely considering both outcomes together. Therefore, optimization of HPP treatments for dairy remains incomplete. The goal of this systematic review was to identify optimal HPP operating parameters for simultaneously achieving microbial inactivation and preserving bioactive proteins in bovine milk. Eighty-nine articles met inclusion criteria from Web of Science, Medline, EMBASE, and PubMed based on a specified search strategy. Pressures ≥600 MPa achieved >5-log average reductions in Listeria monocytogenes, Salmonella enterica, and Staphylococcus aureus, yet often caused considerable denaturation of proteins such as β-lactoglobulin and immunoglobulin G and lesser denaturation of lactoferrin and alkaline phosphatase. Future research on HPP and bovine milk should evaluate both microbial reductions and impacts on nutrients within the same manuscript to facilitate regulatory evaluation and possible commercial adoption.