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Crit Rev Food Sci Nutr · 2025

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Yang M, Yang Z, Everett DW, Gilbert EP, Singh H, Ye A

Digestion of food proteins: the role of pepsin

65(30). 6919-6940.

DOI PMID: 39836113 Open original source
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Narrative review
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Full text reviewed

Protein digestion depends on more than the number of grams on a food label. Pepsin, an enzyme in the stomach, cuts proteins into smaller fragments before digestion continues in the intestine. Evidence from human and animal studies and laboratory digestion models shows that the protein's structure, surrounding food and processing history affect this first stage. Many proteins are most readily attacked under strongly acidic conditions, around pH 2. Milk behaves differently: pepsin can start forming a curd around pH 6, well before conditions become that acidic.

That curd is not just a by-product. Its structure changes how easily the enzyme reaches protein and how material leaves the stomach. Loose curds generally break down faster than dense ones. Individual proteins also differ: some tightly folded whey proteins resist pepsin until their structure changes. These findings describe the timing and accessibility of digestion, rather than proving that faster stomach digestion always gives a food greater nutritional value.

How Does This Show Up in Real Life?

A glass of milk, an egg and a piece of meat do not present their proteins to the stomach in the same way. Heating can unfold a protein and expose places where pepsin can cut it. Yet stronger aggregation can hide those places again. This helps explain why processing sometimes improves digestion and sometimes slows it, depending on the food and treatment. Milk processing can also change the firmness of the curd formed during digestion. The research mainly helps explain these differences and informs food development; it does not provide a cooking prescription for individual readers. Nor does easier breakdown establish that a food is safe for someone with an allergy. Some allergenic proteins or fragments can remain after digestion or heating.

Much of the detailed evidence comes from simulated digestion, often using pig pepsin. Laboratory acidity, enzyme amounts and food structures do not reproduce every feature of a human meal. Methods also vary between studies, making comparisons difficult. The authors call for more consistent processing conditions and further studies in living systems, particularly for newer proteins and mixtures of animal and plant proteins.

Treat this evidence as an explanation of how food structure changes the stomach's work. It gives substance to the idea that equal protein amounts can behave differently during digestion, while leaving questions about a person's overall nutritional benefit or allergy risk to evidence beyond these digestion experiments.

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