Submitted:
01 May 2026
Posted:
08 May 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Study Design and Ethical Approval
2.2. Animals, Housing, and Diet
2.3. Experimental Design and Supplementation with Immunonutraceutical Formulation
2.4. Blood Sampling and Laboratory Analyses
2.5. Immunological Analyses
2.6. Statistical Analysis
3. Results
3.1. Total Serum Immunoglobulins (Ig)
3.2. Serum Lysozyme (LZM)
3.3. Biochemical Profile
3.4. Hematological Profile
3.5. Integrated Correlation and Systems Analyses
3.5.1. Innate–Adaptive Immune Coherence
3.5.2. Innate–Adaptive Immune
3.5.3. Immune-Hematology Coupling
3.5.4. Systems Integration Network
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Magrone, T.; Jirillo, E. The Interaction between Gut Microbiota and Age-Related Changes in Immune Function and Inflammation. Immun. Ageing 2013, 10, 31. [Google Scholar] [CrossRef]
- Childs, C.E.; Calder, P.C.; Miles, E.A. Diet and Immune Function. Nutrients 2019, 11, 1933. [Google Scholar] [CrossRef]
- Calder, P.C.; Carr, A.C.; Gombart, A.F.; Eggersdorfer, M. Optimal Nutritional Status for a Well-Functioning Immune System Is an Important Factor to Protect against Viral Infections. Nutrients 2020, 12, 1181. [Google Scholar] [CrossRef]
- Gombart, A.F.; Pierre, A.; Maggini, S. A Review of Micronutrients and the Immune System–Working in Harmony to Reduce the Risk of Infection. Nutrients 2020, 12, 236. [Google Scholar] [CrossRef]
- Di Renzo, L.; Franza, L.; Monsignore, D.; Esposito, E.; Rio, P.; Gasbarrini, A.; Gambassi, G.; Cianci, R.; De Lorenzo, A. Vaccines, Microbiota and Immunonutrition: Food for Thought. Vaccines 2022, 10, 294. [Google Scholar] [CrossRef]
- Wu, D.; Lewis, E.D.; Pae, M.; Meydani, S.N. Nutritional Modulation of Immune Function: Analysis of Evidence, Mechanisms, and Clinical Relevance. Front Immunol. 2018, 9, 3160. [Google Scholar] [CrossRef]
- Calder, P.C. Nutrition, Immunity and COVID-19. BMJ Nutr. Prev. Health 2020, 3, 74–92. [Google Scholar] [CrossRef]
- Kaźmierczak-Siedlecka, K.; Roviello, G.; Catalano, M.; Polom, K. Gut Microbiota Modulation in the Context of Immune-Related Aspects of Lactobacillus Spp. and Bifidobacterium Spp. in Gastrointestinal Cancers. Nutrients 2021, 13, 2674. [Google Scholar] [CrossRef]
- Kiewiet, M.B.G.; Faas, M.M.; Vos, P.D. Immunomodulatory Protein Hydrolysates and Their Application. Nutrients 2018, 10. [Google Scholar] [CrossRef]
- Nieman, D.C.; Wentz, L.M. The Compelling Link between Physical Activity and the Body’s Defense System. J. Sport Health Sci. 2019, 8, 201–217. [Google Scholar] [CrossRef]
- Jayawardena, R.; Sooriyaarachchi, P.; Chourdakis, M.; Jeewandara, C.; Ranasinghe, P. Enhancing Immunity in Viral Infections, with Special Emphasis on COVID-19: A Review. Diabetes Metab. Syndr. 2020, 14, 367–382. [Google Scholar] [CrossRef]
- Martini, M.; Altomonte, I.; Tricò, D.; Lapenta, R.; Salari, F. Current Knowledge on Functionality and Potential Therapeutic Uses of Donkey Milk. Animals 2021, 11. [Google Scholar] [CrossRef]
- Živkov Baloš, M.; Ljubojević Pelić, D.; Jakšić, S.; Lazić, S. Donkey Milk: An Overview of Its Chemical Composition and Main Nutritional Properties or Human Health Benefit Properties. J. Equine Vet. Sci. 2023, 121, 104225. [Google Scholar] [CrossRef]
- Singh, M.P.; Vashisht, P.; Singh, L.; Awasti, N.; Sharma, S.; Mohan, C.; Singh, T.P.; Sharma, S.; Shyam, S.; Charles, A.P.R. Donkey Milk as a Non-Bovine Alternative: A Review of Its Nutri-Functional Properties, Applications, and Challenges. J. Food Sci. Technol. 2024, 61, 1652–1661. [Google Scholar] [CrossRef]
- Plotuna, A.-M.; Hotea, I.; Ban-Cucerzan, A.; Imre, K.; Herman, V.; Nichita, I.; Popa, I.; Tîrziu, E. Bioactive Protein Profile and Compositional Evolution of Donkey Milk Across Lactation Reflecting Its Nutritional and Functional Food Value. Foods 2025, 14. [Google Scholar] [CrossRef]
- Ferraboschi, P.; Ciceri, S.; Grisenti, P. Applications of Lysozyme, an Innate Immune Defense Factor, as an Alternative Antibiotic. Antibiotics 2021, 10. [Google Scholar] [CrossRef]
- Garhwal, R.; Bhardwaj, A.; Sangwan, K.; Mehra, R.; Pal, Y.; Nayan, V.; Iquebal, M.A.; Jaiswal, S.; Kumar, H. Milk from Halari Donkey Breed: Nutritional Analysis, Vitamins, Minerals, and Amino Acids Profiling. Foods 2023, 12. [Google Scholar] [CrossRef]
- Papademas, P.; Mousikos, P.; Aspri, M. Valorization of Donkey Milk: Technology, Functionality, and Future Prospects. JDS Commun. 2022, 3, 228–233. [Google Scholar] [CrossRef]
- Khan, M.Z.; Chen, W.; Li, M.; Ren, W.; Huang, B.; Kou, X.; Ullah, Q.; Wei, L.; Wang, T.; Khan, A.; et al. Is There Sufficient Evidence to Support the Health Benefits of Including Donkey Milk in the Diet? Front Nutr. 2024, 11, 1404998. [Google Scholar] [CrossRef]
- Główka, N.; Durkalec-Michalski, K.; Woźniewicz, M. Immunological Outcomes of Bovine Colostrum Supplementation in Trained and Physically Active People: A Systematic Review and Meta-Analysis. Nutrients 2020, 12, 1023. [Google Scholar] [CrossRef]
- Skarpańska-Stejnborn, A.; Cieślicka, M.; Dziewiecka, H.; Kujawski, S.; Marcinkiewicz, A.; Trzeciak, J.; Basta, P.; Maciejewski, D.; Latour, E. Effects of Long-Term Supplementation of Bovine Colostrum on the Immune System in Young Female Basketball Players. Randomized Trial. Nutrients 2020, 13, 118. [Google Scholar] [CrossRef]
- Duan, H.; Sun, Q.; Chen, C.; Wang, R.; Yan, W. A Review: The Effect of Bovine Colostrum on Immunity in People of All Ages. Nutrients 2024, 16, 2007. [Google Scholar] [CrossRef]
- Yalçıntaş, Y.M.; Baydemir, B.; Duman, H.; Eker, F.; Bayraktar Biçen, A.; Ertürk, M.; Karav, S. Exploring the Impact of Colostrum Supplementation on Athletes: A Comprehensive Analysis of Clinical Trials and Diverse Properties. Front Immunol. 2024, 15, 1395437. [Google Scholar] [CrossRef]
- Pasupuleti, V.R.; Sammugam, L.; Ramesh, N.; Gan, S.H. Honey, Propolis, and Royal Jelly: A Comprehensive Review of Their Biological Actions and Health Benefits. Oxid. Med. Cell Longev. 2017, 2017, 1259510. [Google Scholar] [CrossRef]
- Guo, J.; Wang, Z.; Chen, Y.; Cao, J.; Tian, W.; Ma, B.; Dong, Y. Active Components and Biological Functions of Royal Jelly. J. Funct. Foods 2021, 82, 104514. [Google Scholar] [CrossRef]
- Botezan, S.; Baci, G.-M.; Bagameri, L.; Pașca, C.; Dezmirean, D.S. Current Status of the Bioactive Properties of Royal Jelly: A Comprehensive Review with a Focus on Its Anticancer, Anti-Inflammatory, and Antioxidant Effects. Molecules 2023, 28. [Google Scholar] [CrossRef]
- Wang, W.; Li, X.; Li, D.; Pan, F.; Fang, X.; Peng, W.; Tian, W. Effects of Major Royal Jelly Proteins on the Immune Response and Gut Microbiota Composition in Cyclophosphamide-Treated Mice. Nutrients 2023, 15, 974. [Google Scholar] [CrossRef]
- Oršolić, N.; Jembrek, M.J. Royal Jelly: Biological Action and Health Benefits. Int. J. Mol. Sci. 2024, 25. [Google Scholar] [CrossRef]
- O’Neill, L.A.J.; Kishton, R.J.; Rathmell, J. A Guide to Immunometabolism for Immunologists. Nat. Rev. Immunol. 2016, 16, 553–565. [Google Scholar] [CrossRef]
- Buck, M.D.; Sowell, R.T.; Kaech, S.M.; Pearce, E.L. Metabolic Instruction of Immunity. Cell 2017, 169, 570–586. [Google Scholar] [CrossRef]
- Hotamisligil, G.S. Foundations of Immunometabolism and Implications for Metabolic Health and Disease. Immunity 2017, 47, 406–420. [Google Scholar] [CrossRef]
- Makowski, L.; Chaib, M.; Rathmell, J.C. Immunometabolism: From Basic Mechanisms to Translation. Immunol. Rev. 2020, 295, 5–14. [Google Scholar] [CrossRef] [PubMed]
- Hu, C.; Xuan, Y.; Zhang, X.; Liu, Y.; Yang, S.; Yang, K. Immune Cell Metabolism and Metabolic Reprogramming. Mol. Biol. Rep. 2022, 49, 9783–9795. [Google Scholar] [CrossRef]
- Esteves, P.J.; Abrantes, J.; Baldauf, H.-M.; BenMohamed, L.; Chen, Y.; Christensen, N.; González-Gallego, J.; Giacani, L.; Hu, J.; Kaplan, G.; et al. The Wide Utility of Rabbits as Models of Human Diseases. Exp. Mol. Med. 2018, 50, 1–10. [Google Scholar] [CrossRef]
- Directive 2010/63/EU of the European Parliament and of the Council of 22 September 2010 on the Protection of Animals Used for Scientific Purposes. Off. J. Eur. Union 2010, 276, 33–79. Available online: https://eur-lex.europa.eu/eli/dir/2010/63/oj (accessed on 15 February 2026).
- Law 43 11/04/2014—Portal Legislativ. Available online: https://legislatie.just.ro/Public/DetaliiDocumentAfis/157944 (accessed on 24 March 2026).
- EFSA Panel on Animal Health and Welfare (AHAW); Saxmose Nielsen, S.; Alvarez, J.; Bicout, D.J.; Calistri, P.; Depner, K.; Drewe, J.A.; Garin-Bastuji, B.; Gonzales Rojas, J.L.; Gortázar Schmidt, C.; et al. Health and Welfare of Rabbits Farmed in Different Production Systems. EFSA J. 2020, 18, e05944. [Google Scholar] [CrossRef]
- Nelson, E.A.; Keller, G.L.; Mitchell, T.W.; Pennypacker, B.; Rebbeck, P.; Rogers, I.T. A Jugular Bleeding Technique in Rabbits. Lab Anim. (NY) 2010, 39, 17–22. [Google Scholar] [CrossRef]
- Hafsa, S.H.A.; Mahmoud, A.E.M.; Fayed, A.M.A.; Abdel-Azeem, A.-A.S. The Effect of Exogenous Lysozyme Supplementation on Growth Performance, Caecal Fermentation and Microbiota, and Blood Constituents in Growing Rabbits. Animals 2022, 12. [Google Scholar] [CrossRef] [PubMed]
- Playford, R.J.; Weiser, M.J. Bovine Colostrum: Its Constituents and Uses. Nutrients 2021, 13. [Google Scholar] [CrossRef]
- Arslan, A.; Kaplan, M.; Duman, H.; Bayraktar, A.; Ertürk, M.; Henrick, B.M.; Frese, S.A.; Karav, S. Bovine Colostrum and Its Potential for Human Health and Nutrition. Front Nutr. 2021, 8, 651721. [Google Scholar] [CrossRef]
- Méndez López, L.F.; González Llerena, J.L.; Vázquez Rodríguez, J.A.; Medellín Guerrero, A.B.; González Martínez, B.E.; Solís Pérez, E.; López-Cabanillas Lomelí, M. Dietary Modulation of the Immune System. Nutrients 2024, 16, 4363. [Google Scholar] [CrossRef] [PubMed]
- Xu, Q.; Wei, L.; Chen, X.; Zhu, H.; Wei, J.; Zhu, M.; Khan, M.Z.; Wang, C.; Zhang, Z. Nutritional Composition and Biological Activities of Donkey Milk: A Narrative Review. Foods 2025, 14. [Google Scholar] [CrossRef]
- El-Deep, M.H.; Amber, K.A.; Eid, Y.Z.; Alrashood, S.T.; Khan, H.A.; Sakr, M.S.; Dawood, M.A.O. The Influence of Dietary Chicken Egg Lysozyme on the Growth Performance, Blood Health, and Resistance Against Escherichia Coli in the Growing Rabbits’ Cecum. Front Vet. Sci. 2020, 7, 579576. [Google Scholar] [CrossRef]
- Oliver, W.T.; Wells, J.E. Lysozyme as an Alternative to Growth Promoting Antibiotics in Swine Production. J. Anim. Sci. Biotechnol. 2015, 6, 35. [Google Scholar] [CrossRef]
- Bagameri, L.; Botezan, S.; Bobis, O.; Bonta, V.; Dezmirean, D.S. Molecular Insights into Royal Jelly Anti-Inflammatory Properties and Related Diseases. Life 2023, 13, 1573. [Google Scholar] [CrossRef]
- Kumar, R.; Thakur, A.; Kumar, S.; Hajam, Y.A. Royal Jelly a Promising Therapeutic Intervention and Functional Food Supplement: A Systematic Review. Heliyon 2024, 10, e37138. [Google Scholar] [CrossRef]
- Gasic, S.; Vucevic, D.; Vasilijic, S.; Antunovic, M.; Chinou, I.; Colic, M. Evaluation of the Immunomodulatory Activities of Royal Jelly Components in Vitro. Immunopharmacol. Immunotoxicol. 2007, 29, 521–536. [Google Scholar] [CrossRef]
- Ma, X.; Pei, B.; Wu, N.; Wang, C.; Yu, Y.; Yang, W. Current Research and Future Prospects of Immunonutrition in Gastrointestinal Malignancies. Front Immunol. 2024, 15, 1420415. [Google Scholar] [CrossRef] [PubMed]
- Abd El-Aziz, A.; Allam, A.A.; Elbaz, A.; Abo Ghanima, M.; Youssef, I.M.; Alawam, A.S.; Rudayni, H.A.; Abd El-Hack, M.E. Lysozyme as a Natural Feed Additive in Poultry and Rabbit Production: Implications for Growth, Health and Sustainability—a Review. Trop. Anim. Health Prod. 2026, 58, 44. [Google Scholar] [CrossRef] [PubMed]
- Hu, T.; Liu, C.-H.; Lei, M.; Zeng, Q.; Li, L.; Tang, H.; Zhang, N. Metabolic Regulation of the Immune System in Health and Diseases: Mechanisms and Interventions. Signal Transduct. Target Ther. 2024, 9, 268. [Google Scholar] [CrossRef]
- Rousseau, A.-F.; Martindale, R. Nutritional and Metabolic Modulation of Inflammation in Critically Ill Patients: A Narrative Review of Rationale, Evidence and Grey Areas. Ann. Intensive Care 2024, 14, 121. [Google Scholar] [CrossRef] [PubMed]
- Skenderidou, I.; Leontopoulos, S.; Skenderidis, P. Functional Food Ingredients Enhancing Immune Health: A Systematic Review. Int. J. Mol. Sci. 2025, 26. [Google Scholar] [CrossRef] [PubMed]
- Guthrie, G.J.K.; Charles, K.A.; Roxburgh, C.S.D.; Horgan, P.G.; McMillan, D.C.; Clarke, S.J. The Systemic Inflammation-Based Neutrophil-Lymphocyte Ratio: Experience in Patients with Cancer. Crit. Rev. Oncol. Hematol. 2013, 88, 218–230. [Google Scholar] [CrossRef]
- Dalimunthe, A.; Tan, M.W.; Lu, F.C.; Angiosaki, Y.; Usman, A.N.; Nugraha, S.E.; Mahani, M.; Halim, P.; Yuandani; Nurkolis, F.; et al. Immunonutrients as Modulators of Inflammation, Barrier Integrity, and Immune Regulation: Toward Precision Nutrition. J. Funct. Foods 2026, 136, 107119. [Google Scholar] [CrossRef]







| Feed Ingredients | % |
|---|---|
| Alfalfa meal | 24.5 |
| Soybean hulls | 19.5 |
| Sunflower meal | 14.0 |
| Wheat | 12.0 |
| Barley | 10.0 |
| Corn | 8.0 |
| Wheat bran | 6.0 |
| Vegetable oil | 1.5 |
| Limestone (CaCO₃) | 1.5 |
| Monocalcium phosphate | 1.0 |
| Salt | 0.5 |
| L-lysine HCl | 0.5 |
| DL-methionine | 0.5 |
| Premix | 0.5 |
| Total | 100 |
| Chemical composition (% as dry matter basis) | |
| Dry matter | 90.3 |
| Crude protein | 16.5 |
| Ether extract | 3.5 |
| Crude fiber | 17.5 |
| Ash | 7.3 |
| Calcium | 1.0 |
| Phosphorus | 0.60 |
| Sodium | 0.21 |
| Methionine | 0.3 |
| Lysine | 0.9 |
| Group No. | Abbreviation | Full Description | Intervention Scheme |
|---|---|---|---|
| G1 | V | Vaccinated only | Vaccination at T0; no IMN supplementation |
| G2 | IMN | Immunonutraceutical only | IMN administered for 6 weeks; no vaccination |
| G3 | V+IMN | Vaccination + Immunonutraceutical | Vaccination at T0; IMN started the day after vaccination and continued for 6 weeks |
| G4 | IMN+V+IMN | Pre-conditioned Immunonutraceutical + Vaccination + Continued IMN | IMN administered from T0–T3; vaccination after T3; IMN resumed the day after vaccination and continued until T5 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).