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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Plant Sci.</journal-id>
<journal-title>Frontiers in Plant Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Plant Sci.</abbrev-journal-title>
<issn pub-type="epub">1664-462X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpls.2024.1407506</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Plant Science</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Health and functional advantages of cheese containing soy protein and soybean-derived casein</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes" corresp="yes">
<name>
<surname>Messina</surname>
<given-names>Mark</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2612177"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Messina</surname>
<given-names>Virginia</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2021;</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Nutrition Science and Research, Soy Nutrition Institute Global</institution>, <addr-line>Jefferson, MO</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Nutrition Matters, Inc.</institution>, <addr-line>Pittsfield, MA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Neil E. Hoffman, United States Department of Agriculture (USDA), United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Michael Adesokan, International Institute of Tropical Agriculture (IITA), Nigeria</p>
<p>Winston John Craig, Loma Linda University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Mark Messina, <email xlink:href="mailto:mark.messina@SNIGlobal.org">mark.messina@SNIGlobal.org</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="other" id="fn004">
<p>&#x2021;ORCID: Mark Messina, <uri xlink:href="https://orcid.org//0000-0002-6975-6354">orcid.org//0000-0002-6975-6354</uri>; Virginia Messina, <uri xlink:href="https://orcid.org//0009-0004-7336-841X">orcid.org//0009-0004-7336-841X</uri>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>23</day>
<month>07</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1407506</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>06</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Messina and Messina</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Messina and Messina</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The global food system faces a challenge of sustainably producing enough food, and especially protein, to meet the needs of a growing global population. In developed countries, approximately 2/3 of protein comes from animal sources and 1/3 from plants. For an assortment of reasons, dietary recommendations call for populations in these countries to replace some of their animal protein with plant protein. Because it is difficult to substantially change dietary habits, increasing plant protein may require the creation of novel foods that meet the nutritional, orosensory, and functional attributes consumers desire. In contrast to plant-based milks, plant-based cheeses have not been widely embraced by consumers. The existing plant-based cheeses do not satisfactorily mimic dairy cheese as plant proteins are unable to replicate the functional properties of casein, which plays such a key role in cheese. One possible solution to overcome current constraints that is currently being explored, is to produce hybrid products containing soy protein and soybean-derived casein. Producing soybean-derived casein is possible by utilizing traditional genetic engineering tools, like <italic>Agrobacterium</italic>-mediated plant transformation, to express genes in soybeans that produce casein. If a cheese containing soy protein and soybean-derived casein satisfactorily mimics dairy, it presents an opportunity for increasing plant protein intake since US dairy cheese consumption has been steadily increasing. Soybeans are an excellent choice of crop for producing casein because soybeans are widely available and play a large role in the US and world food supply. Additionally, because a casein-producing soybean offers soybean farmers the opportunity to grow a value-added crop, expectations are that it will be welcomed by the agricultural community. Thus, there are benefits to both the consumer and farmer.</p>
</abstract>
<kwd-group>
<kwd>soybeans</kwd>
<kwd>cheese</kwd>
<kwd>soy protein</kwd>
<kwd>casein</kwd>
<kwd>animal-free</kwd>
<kwd>functional</kwd>
<kwd>orosensory</kwd>
<kwd>nutrition</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="110"/>
<page-count count="9"/>
<word-count count="4404"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Plant Biotechnology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>The global food system faces a major challenge of sustainably producing sufficient food, and especially protein, for a global population expected to reach nearly 10 people by 2050. Sustainable food patterns are those that are nutritionally adequate, economically affordable, socially acceptable, and compatible with goals to stem climate change (<xref ref-type="bibr" rid="B2">Auestad and Fulgoni, 2015</xref>). By one estimate, as much as 80% more protein needs to be produced by the year 2050 to meet global demand (<xref ref-type="bibr" rid="B42">Henchion et&#xa0;al., 2017</xref>).</p>
<p>Developing countries derive approximately 2/3 of protein from animal sources and 1/3 from plants (<xref ref-type="bibr" rid="B39">Halkjaer et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B81">Salome et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B46">Hoy et&#xa0;al., 2022</xref>). For an assortment of reasons, but especially because of the postulated health benefits, authorities call for populations in developed countries to consume more plant protein (<xref ref-type="bibr" rid="B107">Willett et&#xa0;al., 2019</xref>). In support of these recommendations are numerous epidemiologic studies that have found plant-based diets are associated with reduced chronic disease risks. For example, among the 126,394 participants of the UK Biobank, adherence to a healthful plant-based diet was associated with lower risks of total mortality, cancer and cardiovascular disease (<xref ref-type="bibr" rid="B94">Thompson et&#xa0;al., 2023</xref>). In the US, long-term follow up of women in the Nurses&#x2019; Health Study I (n=69,949) and II (n=90,239) and men in the Health Professionals Follow-Up Study (n=40,539), revealed that a healthy plant-based diet was associated with a reduced risk of developing type 2 diabetes (T2D) (<xref ref-type="bibr" rid="B83">Satija et&#xa0;al., 2016</xref>). Finally, a systematic review and meta-analysis of observational studies involving 2,230,443 participants with 60,718 cases of incident T2D, 157,335 CVD cases, 57,759 cancer cases, and 174,435 deaths, found that higher adherence to a healthy plant-based dietary pattern was associated with lower risks of each of those diseases (<xref ref-type="bibr" rid="B104">Wang et&#xa0;al., 2023</xref>).</p>
<p>However, it is well established that consumers have a difficult time substantially changing their diet. For example, in the United States, the recommendation to consume no more than 10% of calories as saturated fat has never been met (<xref ref-type="bibr" rid="B44">Honors et&#xa0;al., 2014</xref>), and Americans consume only about half the recommended fiber intake and markedly lower amounts of whole grains, and fruits and vegetables than recommended (<xref ref-type="bibr" rid="B93">Tao et&#xa0;al., 2022</xref>). To effect dietary change, new practices should not diverge too much from consumers&#x2019; usual behavior (<xref ref-type="bibr" rid="B79">Ryan and Deci, 2000</xref>).</p>
<p>Therefore, for plant protein intake to increase, and to achieve a dietary animal to plant protein of 1:1, as some have recommended for developed countries, novel foods may need to be created (<xref ref-type="bibr" rid="B35">Grasso et&#xa0;al., 2021</xref>). These foods need to allow individuals to consume more plant protein without requiring them to compromise on taste, nutrition, or functionality. Developing foods that combine plant and animal protein is one possible solution.</p>
<p>Although such hybrid products, such as ground beef combined with soy protein (<xref ref-type="bibr" rid="B95">Thrane et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B36">Grasso et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B4">Bakhsh et&#xa0;al., 2021</xref>), and cow&#x2019;s milk combined with plant milks (<xref ref-type="bibr" rid="B1">Abdulqader et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B103">Wan et&#xa0;al., 2022</xref>) are available, they have not yet been accepted on a wide scale. However, the results of a recent Swiss survey provide reason for optimism about their increased acceptance. Of the 1,000 respondents, 2/3 consume animal foods and plant-based substitute products at the same meal (<xref ref-type="bibr" rid="B30">Finkel, 2024</xref>). This observation suggests people may be willing to try hybrid meats.</p>
<p>One novel approach to producing hybrid products that is currently being explored is to combine soy protein with soybean-derived casein, the primary protein in cow&#x2019;s milk (<xref ref-type="bibr" rid="B21">Daniloski et&#xa0;al., 2021</xref>). Producing soybean-derived casein is possible by utilizing traditional genetic engineering tools, like <italic>Agrobacterium</italic>-mediated plant transformation, to express this protein in plants, also known as &#x201c;molecular farming&#x201c; (<xref ref-type="bibr" rid="B32">Gelvin, 2003</xref>; <xref ref-type="bibr" rid="B48">Hwang et&#xa0;al., 2017</xref>) or plant-grown proteins.</p>
<p>Soybeans are a crop of immense importance to the world&#x2019;s food supply, both in the form of animal feed and as food directly consumed by humans (<xref ref-type="bibr" rid="B64">Messina, 2022</xref>). Growing soybeans to produce casein as well as other non-plant proteins taps into infrastructure that already exists, and therefore is likely to be cost effective. Further, this technology benefits the farming and agricultural communities, by producing value-added crops. This brief narrative review highlights the public health advantages of producing a cheese comprised of soy protein and soybean-derived casein.</p>
</sec>
<sec id="s2">
<title>Changes in the type but not amount of animal protein consumed</title>
<p>Perceived barriers that are specific to consuming more plant protein include meat enjoyment and difficulties in preparing vegetarian foods (<xref ref-type="bibr" rid="B29">Feh&#xe9;r et&#xa0;al., 2020</xref>) and the belief that meat is essential to a healthy diet (<xref ref-type="bibr" rid="B34">Gra&#xe7;a et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B99">Valli et&#xa0;al., 2021</xref>). Both meat and dairy products play important culinary and cultural roles in society (<xref ref-type="bibr" rid="B86">Sobal, 2005</xref>; <xref ref-type="bibr" rid="B52">Kumar et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B90">Stoll-Kleemann and Schmidt, 2017</xref>; <xref ref-type="bibr" rid="B40">Hargreaves et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B70">Nungesser and Winter, 2021</xref>). In fact, meat eating has been linked with traditional views of masculinity whereas eating less meat and more plant foods is linked to views of femininity (<xref ref-type="bibr" rid="B77">Rothgerber, 2013</xref>; <xref ref-type="bibr" rid="B96">Timeo and Suitner, 2018</xref>; <xref ref-type="bibr" rid="B80">Salmen and Dhont, 2023</xref>; <xref ref-type="bibr" rid="B87">Stanley et&#xa0;al., 2023</xref>), although there is some evidence suggesting these attitudes are changing (<xref ref-type="bibr" rid="B100">Van Der Horst et&#xa0;al., 2023</xref>). Consumers associate dairy products with bone health and prevention of osteoporosis (<xref ref-type="bibr" rid="B38">Hagy et&#xa0;al., 2000</xref>).</p>
<p>It is notable that although total meat consumption has remained relatively stable over the past 20 years in the US, the type of meat consumed has changed. This shift suggests some willingness among US consumers toward making some dietary changes. Specifically, consumption of beef has declined whereas chicken intake has increased (<xref ref-type="bibr" rid="B51">Kuck and Schnitkey, 2021</xref>). Between 1999 and 2019&#x2013;2020, annual beef consumption declined from 97 pounds per capita to 83 pounds (pork consumption remained relatively stable at about 67 pounds) whereas chicken consumption increased from 89 pounds per capita to 112 pounds (<xref ref-type="bibr" rid="B51">Kuck and Schnitkey, 2021</xref>).</p>
<p>Likewise, there has been a marked change in the types of dairy products consumed in the United States. Total milk intake decreased from 0.73 servings/day in 2011&#x2013;2012 to 0.59 servings/day in 2017&#x2013;2018 (<xref ref-type="bibr" rid="B93">Tao et&#xa0;al., 2022</xref>). This decrease continues a long-term decline in milk intake that began in the 1970s because of changing cultural practices (<xref ref-type="bibr" rid="B88">Stewart et&#xa0;al., 2013</xref>, <xref ref-type="bibr" rid="B89">Stewart et&#xa0;al., 2021</xref>). This decline occurred long before plant-based milks began to take market share from cow&#x2019;s milk. Marked declines in cow&#x2019;s milk intake have also been seen in Germany (<xref ref-type="bibr" rid="B91">Taeger and Thiele, 2024</xref>) and other European countries (<xref ref-type="bibr" rid="B3">Autio et&#xa0;al., 2023</xref>). Further, there is evidence this trend will continue (<xref ref-type="bibr" rid="B84">Schiano et&#xa0;al., 2022</xref>).</p>
<p>However, despite the decline in cow&#x2019;s milk intake, overall US dairy consumption has increased because of the increase in cheese consumption (<xref ref-type="bibr" rid="B108">Wolf et&#xa0;al., 2020</xref>), driven largely by the increased intake of mozzarella cheese on pizza. US per capita intake of non-American type cheese (e.g., not cheddar, Colby or similar cheeses) increased from 6.1 pounds in 1975 to 23.6 pounds in 2022 (2023) <xref ref-type="bibr" rid="B97">U.S. Department of Agriculture and U.S. Department of Health and Human Services, 2020</xref>. According to an analysis of the National Health and Nutrition Examination Survey (NHANES) 2017&#x2013;2020, cheese and pizza are the 5<sup>th</sup> and 6<sup>th</sup> largest contributors of saturated fat, respectively, in the US diet (<xref ref-type="bibr" rid="B102">Wambogo et&#xa0;al., 2023</xref>). The rise in cheese consumption suggests that producing a cheese containing soy protein and soybean-derived casein that mimics dairy cheese represents potentially fertile ground for increasing plant protein intake.</p>
</sec>
<sec id="s3">
<title>Nutritional and functional limitations of existing plant-based cheeses</title>
<p>Plant-based milk alternatives have experienced considerable acceptance among US consumers. Sales of plant-based milks account for 15.3% of total milk sales and over 40% of the US plant foods market whereas plant-based cheese accounted for only 3.8% (<xref ref-type="bibr" rid="B62">Mcclements and Grossmann, 2021</xref>) and accounts for less than 1% of all total dollar sales of retail cheese (<xref ref-type="bibr" rid="B85">Short et&#xa0;al., 2021</xref>). Short et&#xa0;al. recently noted that the plant-based cheese category is in its infancy compared to plant-based meat and non-cheese dairy alternatives (<xref ref-type="bibr" rid="B85">Short et&#xa0;al., 2021</xref>).</p>
<p>Cheese represents a significant obstacle for people interested in consuming more plant protein. Among participants in the UK Biobank study, vegetarians ate almost double the amount of cheese as meat-eaters (<xref ref-type="bibr" rid="B12">Bradbury et&#xa0;al., 2017</xref>). Also, a small study of vegetarians found cheese was by far the animal product to which they were most attached (<xref ref-type="bibr" rid="B25">Docherty and Jasper, 2023</xref>). To date, both the inferior taste and functional properties of plant-based cheeses have negatively impacted their acceptance by consumers. Yanni et&#xa0;al. (<xref ref-type="bibr" rid="B110">Yanni et&#xa0;al., 2024</xref>) have commented that the plant-based cheese industry has not yet been able to replicate the melting and elasticity of cheese and they consider most plant-based cheeses on the market to have a chalky, pasty, and plastic-like texture.</p>
<p>Recently published results of sensory trials in which consumers evaluated 5 different raw plant-based cheeses (100 participants) and 5 different melted cheeses (93 participants) indicated that although the perception was that the cheeses were healthier than dairy cheese, the participants did not like the flavor or textural properties of the plant-based cheeses. (<xref ref-type="bibr" rid="B27">Falkeisen et&#xa0;al., 2022</xref>) In agreement, the results of an online survey in Central, Western and Northern European countries, show that for plant-based milks and yogurts, consumers demanded only minor sensory modifications, specifically, towards a less beany and sweet taste. (<xref ref-type="bibr" rid="B101">Waehrens et&#xa0;al., 2023</xref>) These products received high liking scores of 7.1 and 7.0 out of 9, respectively. In contrast, lower liking scores were reported for plant-based semi-hard cheeses (5.3 out of 9). The authors of this survey concluded that sensory improvements of plant-based semi-hard cheese alternatives should be directed towards more cheese-like, less artificial and less bland attributes. Finally, a 2023 US consumer survey conducted for the Plant Based Food Association revealed that 73% of plant-based consumers agree with the statement &#x201c;I wish there was a better plant-based cheese alternative that tasted like regular cheese, melted well, and didn&#x2019;t have a grainy texture&#x201d; (<xref ref-type="bibr" rid="B72">Plant Based Food Association, 2023</xref>).</p>
<p>The characteristic organoleptic properties of cow&#x2019;s milk cheese are directly linked to production processes and the different microorganisms used during the fermentation process. According to Masia et&#xa0;al., the colloidal dispersion of fat globules stabilized by casein micelles presents particular behavior upon heat treatment or acidification, and its replication with plant raw materials remains a difficult challenge (<xref ref-type="bibr" rid="B60">Masia et&#xa0;al., 2023</xref>). Plant proteins have a higher molecular weight and different functional properties than milk proteins, making it difficult to mimic the texture of cheese. For more information about the role of casein in cheese making please see the reference (<xref ref-type="bibr" rid="B53">Lamichhane et&#xa0;al., 2018</xref>).</p>
<p>Many plant-based cheeses are also nutritionally inferior to cow&#x2019;s milk cheese. Most plant-based cheeses are based on vegetable oils rather than protein. Among the 245 plant-based cheeses in the US market evaluated by Craig et&#xa0;al (<xref ref-type="bibr" rid="B17">Craig et&#xa0;al., 2022</xref>), 106 (43%) were based on coconut oil, and another 61 (25%) were comprised of a combination of cashews and coconut oil (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Only 3 of 245 plant-based cheeses provided 10% of the daily value (DV) for protein and 75% had less than 5% of the DV. Also, only 19, 1, and 14 plant-based cheeses were fortified with calcium, vitamin D, and vitamin B12, respectively.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Composition of US plant-based cheeses*.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">Kcal</th>
<th valign="top" align="center">Protein (g)</th>
<th valign="top" align="center">Fat (g)</th>
<th valign="top" align="center">SFA (g)</th>
<th valign="top" align="center">Sodium (mg)</th>
<th valign="top" align="center">Calcium (mg)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">All (N=245)</td>
<td valign="top" align="center">80 (60&#x2013;100)</td>
<td valign="top" align="center">0 (0&#x2013;3)</td>
<td valign="top" align="center">7 (5&#x2013;8)</td>
<td valign="top" align="center">4 (2&#x2013;5)</td>
<td valign="top" align="center">190 (150&#x2013;240</td>
<td valign="top" align="center">0 (0&#x2013;0))</td>
</tr>
<tr>
<td valign="top" align="left">Almond (n=7)</td>
<td valign="top" align="center">70 (60&#x2013;70)</td>
<td valign="top" align="center">2 (2&#x2013;2)</td>
<td valign="top" align="center">6 (6&#x2013;6)</td>
<td valign="top" align="center">0 (0&#x2013;0)</td>
<td valign="top" align="center">180 (125&#x2013;190)</td>
<td valign="top" align="center">0 (0&#x2013;0)</td>
</tr>
<tr>
<td valign="top" align="left">Cashew (n=35)</td>
<td valign="top" align="center">90 (65&#x2013;120)</td>
<td valign="top" align="center">3 (2&#x2013;4)</td>
<td valign="top" align="center">7 (5&#x2013;10)</td>
<td valign="top" align="center">1 (1&#x2013;2)</td>
<td valign="top" align="center">130 (98&#x2013;190)</td>
<td valign="top" align="center">0 (0&#x2013;0)</td>
</tr>
<tr>
<td valign="top" align="left">Cashew and coconut oil (n=61)</td>
<td valign="top" align="center">100 (80&#x2013;120)</td>
<td valign="top" align="center">3 (1&#x2013;3)</td>
<td valign="top" align="center">8 (7&#x2013;11)</td>
<td valign="top" align="center">4 (3&#x2013;5)</td>
<td valign="top" align="center">150 (110&#x2013;200)</td>
<td valign="top" align="center">0 (0&#x2013;0)</td>
</tr>
<tr>
<td valign="top" align="left">Coconut oil (n=106)</td>
<td valign="top" align="center">70 (60&#x2013;80)</td>
<td valign="top" align="center">0 (0&#x2013;0)</td>
<td valign="top" align="center">6 (5&#x2013;7)</td>
<td valign="top" align="center">5 (4&#x2013;6)</td>
<td valign="top" align="center">215 (180&#x2013;258)</td>
<td valign="top" align="center">0 (0&#x2013;5)</td>
</tr>
<tr>
<td valign="top" align="left">Oat (n=16)</td>
<td valign="top" align="center">70 (70&#x2013;83)</td>
<td valign="top" align="center">0.4 (0&#x2013;3)</td>
<td valign="top" align="center">5 (5&#x2013;6)</td>
<td valign="top" align="center">4 (1&#x2013;5)</td>
<td valign="top" align="center">200 (200&#x2013;700)</td>
<td valign="top" align="center">0 (0&#x2013;10)</td>
</tr>
<tr>
<td valign="top" align="left">Soy and coconut oil (n=6)</td>
<td valign="top" align="center">110 (110&#x2013;110)</td>
<td valign="top" align="center">1 (1&#x2013;2)</td>
<td valign="top" align="center">10 (10&#x2013;10)</td>
<td valign="top" align="center">8 (8&#x2013;8)</td>
<td valign="top" align="center">205 (190&#x2013;220)</td>
<td valign="top" align="center">0-(0&#x2013;0)</td>
</tr>
<tr>
<td valign="top" align="left">Others (n=14)</td>
<td valign="top" align="center">80 (80&#x2013;90)</td>
<td valign="top" align="center">0 (0&#x2013;1)</td>
<td valign="top" align="center">6 (6&#x2013;7)</td>
<td valign="top" align="center">3 (2&#x2013;4)</td>
<td valign="top" align="center">270 (193&#x2013;298)</td>
<td valign="top" align="center">20 (0&#x2013;20)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Values represent medians (Quartile 1 &#x2013; Quartile 3).</p>
</fn>
<fn>
<p>(<xref ref-type="bibr" rid="B17">Craig et&#xa0;al., 2022</xref>).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The findings by Craig et&#xa0;al. (<xref ref-type="bibr" rid="B17">Craig et&#xa0;al., 2022</xref>) align with those from surveys of plant-based cheeses in the United Kingdom (<xref ref-type="bibr" rid="B33">Glover et&#xa0;al., 2022</xref>), Spain (<xref ref-type="bibr" rid="B31">Fresan and Rippin, 2021</xref>) and Greece (<xref ref-type="bibr" rid="B50">Katidi et&#xa0;al., 2023</xref>). These surveys highlight the markedly lower protein and calcium content of plant-based cheeses compared to dairy cheeses. In the Greek market, 71% of plant-based cheeses were classified in the Nutri-Score Category E, the lowest score using this scale (A-E) (<xref ref-type="bibr" rid="B50">Katidi et&#xa0;al., 2023</xref>). There are notable differences in protein content among the various types of plant-based cheeses as those based on nuts tend to be much higher in protein than those based on oil but are still much lower in protein than dairy cheese.</p>
<p>Among Americans, cheese is the leading source of protein within the dairy group (<xref ref-type="bibr" rid="B71">Pasiakos et&#xa0;al., 2015</xref>). Although protein is not considered a short fall nutrient, some US sub-populations may not be meeting protein needs (<xref ref-type="bibr" rid="B106">Weiler et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B69">Moughan et&#xa0;al., 2024</xref>). Further, some evidence indicates that the recommended dietary allowance is not sufficient for optimal health (<xref ref-type="bibr" rid="B109">Wolfe et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B61">Matsumoto et&#xa0;al., 2023</xref>). Finally, cheese accounts for 13% of calcium intake of Americans according to an analysis of NHANES 2013&#x2013;2014, which is second only to milk (19%) (<xref ref-type="bibr" rid="B45">Hoy and Goldman, 2014</xref>). Calcium intake of vegans is considerably lower than that of omnivores, a difference that is especially pronounced for females (<xref ref-type="bibr" rid="B6">Bickelmann et&#xa0;al., 2023</xref>).</p>
</sec>
<sec id="s4">
<title>Producing cheese containing soy protein and soybean-derived casein</title>
<p>Replacing dairy cheese with cheese containing soy protein and soybean-derived casein is one way to increase plant protein intake. However, plant-based cheeses are likely to serve as viable replacements for cow&#x2019;s milk cheese only with improvements in taste, texture, and functionality. As noted by McClements and Grossmann &#x201c;The creation of plant-based foods is being held back by a lack of high-quality plant-derived ingredients, particularly proteins, as well as large-scale manufacturing processes to convert these ingredients into desirable end products. In particular, it is still challenging to create analogs of whole muscle meat, fish, yogurt, and cheese because of their complex structural hierarchies&#x201d; (<xref ref-type="bibr" rid="B62">Mcclements and Grossmann, 2021</xref>).</p>
<p>According to Duluins and Baret, strategies to increase consumption of plant protein include 3 narratives: 1) consumer-focused narrative 2) technocentric narrative and 3) socio-technological narrative (<xref ref-type="bibr" rid="B26">Duluins and Baret, 2024</xref>). Novel approaches that focus on the production of bioidentical animal protein in plants aligns with the technocentric narrative, which includes development of alternative proteins for food and feed through research, development, technology, and infrastructure. Because of their nutritional value, availability and sustainability, soybeans serve as an ideal plant for these types of processes. As noted previously, soybeans play a major role in the US and world food supply. In the United States, disappearance data indicate that soybean oil alone accounts for 7% of caloric intake (<xref ref-type="bibr" rid="B8">Blasbalg et&#xa0;al., 2011</xref>).</p>
<p>Some understanding of the health and environmental advantages of soybeans is relevant to this manuscript because the soybean plant producing casein will also produce soy protein and the cheese made using soybean-derived casein will contain soy protein. Foods made from soybeans have been consumed for centuries throughout much of Asia beginning first in China and then spreading to Japan and other neighboring countries (<xref ref-type="bibr" rid="B37">Guo et&#xa0;al., 2022</xref>). Soybeans, like all legumes, fix atmospheric nitrogen due to bacterial symbionts (rhizobia) that inhabit soybean root nodules (<xref ref-type="bibr" rid="B55">Leip et&#xa0;al., 2021</xref>), reducing reliance on chemical fertilizer. An estimated half the nitrogen used for crop fertilization globally is lost into the environment, creating environmental concerns (<xref ref-type="bibr" rid="B54">Lassaletta et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B63">Melillo, 2021</xref>). Soybeans are also widely available as the acreage devoted to soybean production dwarfs that of other dry beans (<xref ref-type="bibr" rid="B41">Hartman et&#xa0;al., 2011</xref>). In fact, four times more soybeans are produced globally than all pulses combined. The large number of varieties of this plant allows soybeans to be grown in a wide range of climates and latitudes.</p>
<p>Soybeans also have nutritional advantages over other legumes and plant foods. They are higher in protein (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>) and the quality of soy protein is similar to animal protein and higher than that of nearly all other plant proteins (<xref ref-type="bibr" rid="B47">Hughes et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B78">Rutherfurd et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B43">Herreman et&#xa0;al., 2020</xref>). Protein quality, which is determined by digestibility and amino acid composition, refers to the ability of a protein to meet the biological requirements for amino acids, and specifically, for the 9 that are indispensable because they cannot be endogenously produced in the quantities needed by the body. In addition to its high quality, soy protein has been investigated for a variety of health benefits, most notably, its ability to directly lower blood cholesterol levels (<xref ref-type="bibr" rid="B7">Blanco Mejia et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B49">Jenkins et&#xa0;al., 2019</xref>). This attribute of soy protein was formally recognized by the US Food and Drug Administration in 1999 (<xref ref-type="bibr" rid="B28">FDA, 1999</xref>). Soy protein also promotes gains in muscle mass and strength in individuals engaged in resistance exercise on par with animal protein including whey (<xref ref-type="bibr" rid="B66">Messina et&#xa0;al., 2018</xref>), which is often viewed as the optimal protein for such purposes (<xref ref-type="bibr" rid="B23">Devries and Phillips, 2015</xref>).</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Calorie and protein content of selected legumes (raw per 100&#xa0;g).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" rowspan="2" align="left">Legume</th>
<th valign="top" rowspan="2" align="center">USDA<break/>FDC ID</th>
<th valign="bottom" rowspan="2" align="center">Kcal</th>
<th valign="top" colspan="2" align="center">Protein</th>
</tr>
<tr>
<th valign="top" align="center">g</th>
<th valign="top" align="center">% kcal</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Soybeans</td>
<td valign="top" align="center">174270</td>
<td valign="top" align="center">446</td>
<td valign="top" align="center">36.5</td>
<td valign="top" align="center">32.7</td>
</tr>
<tr>
<td valign="top" align="left">Lentils</td>
<td valign="top" align="center">172420</td>
<td valign="top" align="center">352</td>
<td valign="top" align="center">24.6</td>
<td valign="top" align="center">28.0</td>
</tr>
<tr>
<td valign="top" align="left">Pinto beans</td>
<td valign="top" align="center">175199</td>
<td valign="top" align="center">347</td>
<td valign="top" align="center">21.4</td>
<td valign="top" align="center">24.7</td>
</tr>
<tr>
<td valign="top" align="left">Great Northern</td>
<td valign="top" align="center">175190</td>
<td valign="top" align="center">339</td>
<td valign="top" align="center">21.9</td>
<td valign="top" align="center">25.8</td>
</tr>
<tr>
<td valign="top" align="left">Kidney beans (red)</td>
<td valign="top" align="center">173744</td>
<td valign="top" align="center">337</td>
<td valign="top" align="center">22.5</td>
<td valign="top" align="center">26.7</td>
</tr>
<tr>
<td valign="top" align="left">Black beans</td>
<td valign="top" align="center">173734</td>
<td valign="top" align="center">341</td>
<td valign="top" align="center">21.6</td>
<td valign="top" align="center">25.3</td>
</tr>
<tr>
<td valign="top" align="left">Mung beans</td>
<td valign="top" align="center">174256</td>
<td valign="top" align="center">347</td>
<td valign="top" align="center">23.9</td>
<td valign="top" align="center">27.6</td>
</tr>
<tr>
<td valign="top" align="left">Peas (green)</td>
<td valign="top" align="center">170419</td>
<td valign="top" align="center">81</td>
<td valign="top" align="center">5.42</td>
<td valign="top" align="center">26.8</td>
</tr>
<tr>
<td valign="top" align="left">Navy beans</td>
<td valign="top" align="center">173745</td>
<td valign="top" align="center">337</td>
<td valign="top" align="center">22.3</td>
<td valign="top" align="center">26.5</td>
</tr>
<tr>
<td valign="top" align="left">Adzuki beans</td>
<td valign="top" align="center">173727</td>
<td valign="top" align="center">329</td>
<td valign="top" align="center">19.9</td>
<td valign="top" align="center">24.2</td>
</tr>
<tr>
<td valign="top" align="left">Lima beans</td>
<td valign="top" align="center">168396</td>
<td valign="top" align="center">113</td>
<td valign="top" align="center">6.84</td>
<td valign="top" align="center">24.2</td>
</tr>
<tr>
<td valign="top" align="left">Garbanzo beans</td>
<td valign="top" align="center">173756</td>
<td valign="top" align="center">378</td>
<td valign="top" align="center">20.5</td>
<td valign="top" align="center">21.7</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>(<xref ref-type="bibr" rid="B98">U.S. Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center and FoodData Central., 2019</xref>)</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>By producing plant-grown animal protein, and specifically casein from soybeans, it is possible to produce a cheese that addresses the primary nutritional and functional limitations of existing plant-based cheeses. The generally poor nutritional quality of existing plant-based cheeses, and particularly their low protein content, will be addressed as the new cheese will be based on two concentrated sources of high-quality protein. Functionality will not be a limitation because the cheese will contain casein, the protein in dairy cheese that gives it its unique qualities &#x2013; such as elasticity and melting.</p>
</sec>
<sec id="s5">
<title>Possible benefits of combining soy protein and casein</title>
<p>Combining soy protein and casein into one product may provide a health advantage because the digestion rate of these two proteins differs. Soy protein is digested more quickly than casein, which is slowly digested, likely because gastric acidity causes it to coagulate in the stomach (<xref ref-type="bibr" rid="B58">Mahe et&#xa0;al., 1991</xref>, <xref ref-type="bibr" rid="B59">Mahe et&#xa0;al., 1996</xref>). Casein digestion may also be impacted by active opioid regulatory peptides, contained in the sequence of some of the casein fractions, and which could play a role by modulating gastrointestinal motility (<xref ref-type="bibr" rid="B20">Daniel et&#xa0;al., 1990</xref>). Soy protein is more quickly digested than casein, but more slowly digested than whey protein (<xref ref-type="bibr" rid="B11">Bos et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B92">Tang et&#xa0;al., 2009</xref>), as the latter is highly soluble in acidic conditions and therefore passes through the stomach and is rapidly hydrolyzed in the duodenum, causing rapid absorption and significant but transient aminoacidemia (<xref ref-type="bibr" rid="B9">Boirie et&#xa0;al., 1997</xref>).</p>
<p>Consuming proteins with different digestion rates may favorably impact muscle protein synthesis. Deanne at al. concluded that &#x201c;Protein blends harnessing the biological benefits of distinct protein sources may represent a means by which to maximise the health benefits of dietary proteins in relation to musculoskeletal health (<xref ref-type="bibr" rid="B22">Deane et&#xa0;al., 2020</xref>).&#x201d; When a slowly digested protein such as casein is ingested, it produces a slower but more prolonged (~6 h) aminoacidemia that results in higher nitrogen retention and less oxidation (<xref ref-type="bibr" rid="B9">Boirie et&#xa0;al., 1997</xref>; <xref ref-type="bibr" rid="B19">Dangin et&#xa0;al., 2001</xref>) and is effective in stimulating postexercise muscle protein fractional synthetic rate (<xref ref-type="bibr" rid="B24">Dideriksen et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B75">Reitelseder et&#xa0;al., 2011</xref>). However, because soy protein is more quickly digested than casein, there will be a faster rise in circulating amino acid levels, which may also help to stimulate muscle protein synthesis. Although it remains to be determined whether a soy-casein blend will affect muscle protein synthesis differently than either protein alone, some existing work with protein blends suggests this will be the case (<xref ref-type="bibr" rid="B74">Reidy et&#xa0;al., 2013</xref>, <xref ref-type="bibr" rid="B73">Reidy et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B10">Borack et&#xa0;al., 2016</xref>).</p>
</sec>
<sec id="s6">
<title>Possible headwinds against cheese containing soy protein and soybean-derived casein</title>
<p>In recent years, there has been increased focus on the impact of processing on the nutritional and health attributes of food, largely because of the increasing acceptance of the Nova food classification system, which was created by Brazilian researchers in 2009 (<xref ref-type="bibr" rid="B68">Monteiro et&#xa0;al., 2016</xref>). Nova classifies all foods into 1 of 4 categories based entirely on the degree to which they have been processed, with the most processed foods belonging to group 4 or the ultra-processed food (UPF) group. Interest in Nova is directly relevant to the development of cheese containing soy protein and soybean-derived casein because regardless of the overall nutritional quality of a food, if it contains concentrated sources of protein, be it whey, casein, soy, wheat, or pea protein, it falls into the ultra-processed category.</p>
<p>Those aligned with Nova discourage the consumption of UPFs and encourage the consumption of group 1, or unprocessed/minimally processed foods. Numerous observational studies have reported positive associations between the intake of UPFs and a range of adverse health outcomes (<xref ref-type="bibr" rid="B5">Barbaresko et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B105">Wang et&#xa0;al., 2024</xref>). The extent to which these associations are due primarily to differences in diet quality is unclear. Furthermore, in many observational studies, some categories of ultra-processed foods are either not associated with adverse effects or associated with beneficial effects (<xref ref-type="bibr" rid="B67">Monge et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B57">Lo et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B13">Canhada et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B14">Chen et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B16">Cordova et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B82">Samuthpongtorn et&#xa0;al., 2023</xref>; <xref ref-type="bibr" rid="B15">Cho et&#xa0;al., 2024</xref>; <xref ref-type="bibr" rid="B56">Li et&#xa0;al., 2024</xref>)</p>
<p>In addition, there is clinical research showing that consumption of plant-based meat alternatives, despite being classified as UPFs, leads to several health benefits (<xref ref-type="bibr" rid="B18">Crimarco et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B76">Roberts et&#xa0;al., 2022</xref>). Finally, a recent analysis in which soymilk (group 4) was compared with cow&#x2019;s milk (group 1) and soy burgers (group 4) with ground beef (group 1), showed that the soy products do not possess any of the undesirable attributes associated with UPFs more so than their dairy and meat-based counterparts (<xref ref-type="bibr" rid="B65">Messina et&#xa0;al., 2023</xref>). The attributes considered were energy density, palatability, eating rate, energy intake rate, satiety, cost, snackability/convenience, and glycemic index. Whether Nova will continue to influence nutrition thinking in the years to come is unknowable, but the existing evidence shows that not all UPFs similarly affect health.</p>
</sec>
<sec id="s7">
<title>Summary and conclusions</title>
<p>In recent years a consensus has emerged that for an assortment of reasons, populations of developed countries need to increase their intake of plant protein. Although recommendations vary, moving from a dietary animal to plant protein ratio of 2:1, which is typical in developed countries, to a 1:1 ratio, is a reasonable goal. However, achieving this goal may require the creation of novel foods because consumers have a difficult time making dietary changes.</p>
<p>The introduction of genes into soybeans that code for casein is one way to create novel foods that allow consumers to increase plant protein intake without compromising on taste, functionality, or nutrition. The cheese described in this review, which is based on soy protein and soybean-derived casein, fills a void in the marketplace because plant-based cheeses have not made the inroads into the mainstream that plant-based milks have made. Several reasons have contributed to the relatively weak acceptance of plant-based cheeses.</p>
<p>One is that orosensory properties of plant-based cheeses do not compare well to dairy cheese whereas plant-based milks and cow&#x2019;s milk are much more comparable. Another is that surveys indicate that consumers of dairy find it more difficult to reduce their intake of cheese than their intake of cow&#x2019;s milk. For plant-based cheeses to appeal to a broader audience, significant improvements in the quality of plant-based cheeses are needed. Producing casein in soybeans is one way to achieve this goal. Quality in this context refers to functional (melting, stretching, free-oil formation, elasticity and browning), orosensory, and nutritional properties.</p>
<p>Existing plant-based cheeses suffer nutritionally in comparison to cheese produced from cow&#x2019;s milk. In addition to protein, dairy cheese is a significant source of several nutrients, including calcium, riboflavin, and vitamin B12. Producing cheese containing both soy protein and soybean-derived casein will address the protein deficit. Ideally, these cheeses will be fortified with calcium, riboflavin, and vitamin B12, and perhaps also vitamin D, as these nutrients can be inadequately provided by plant-based diets. Although cost is a major driver of food purchasing decisions, if a cheese containing soy protein and soybean-derived casein can be produced that tastes and functions like dairy cheese and is nutritionally comparable, there is ample reason to think this product will be embraced by consumers who are interested in increasing their intake of plant protein but have not yet been successful at doing so.</p>
<p>Finally, for cheese containing soybean-derived casein to be available in adequate supply, enough soybeans encoded with genes that produce casein need to be grown. Because this soybean offers soybean farmers the opportunity to grow a value-added crop, expectations are that it will be welcomed by the agricultural community. Thus, there are benefits to both the consumer and farmer.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>MM: Conceptualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. VM: Writing &#x2013; review &amp; editing.</p>
</sec>
</body>
<back>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The authors declare that this study received funding from Alpine Bio. The funder was not involved in the study design, collection, analysis, interpretation of data, the writing of this article, or the decision to submit it for publication.</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>Author MM was employed by Soy Nutrition Institute Global, which received a contribution from Alpine Bio for the writing of this manuscript.</p>
<p>The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be constructed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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