COMPOSITION COMPRISING PROBIOTIC BACTERIA CAPABLE OF RESTORING THE BARRIER EFFECT OF THE STOMACH WHICH IS LOST DURING PHARMACOLOGICAL TREATMENT OF GASTRIC HYPERACIDITY

Abstract
A composition comprising probiotic bacteria for use in the pharmacological treatment of gastric hyperacidity is described. The composition is capable of restoring the barrier effect of the stomach which is lost during pharmacological treatment of gastric hyperacidity and minimizes the secondary effects due to said pharmacological treatment.
Description

The present invention relates to a composition comprising probiotic bacteria for use in the pharmacological treatment of gastric hyperacidity. Said composition is capable of restoring the barrier effect of the stomach which is lost during pharmacological treatment of gastric hyperacidity and of minimizing the secondary effects due to said pharmacological treatment.


Over the last decades various pharmacological approaches have been developed for pharmacologically treating gastric hyperacidity, a condition that, if present in an accentuated manner and for a long time, can give rise to various complications or pathologies such as peptic ulcer and gastroesophageal reflux disease.


Among the most widely used drugs there are those based on active ingredients capable of inhibiting histamine H2 receptor inhibitors such as, for example, cimetidine, famotidine, nizatidine and ranitidine or based on active ingredients capable of inhibiting prostaglandins such as, for example, misoprostol. Another category of drugs is based on active ingredients that perform a function of gastric mucosa protectors such as, for example, bismuth salts, sucralfate or antimuscarinic or parasympatholytic drugs based on pirenzepine and pipenzolate. Finally, there are also antacids such as, for example, sodium bicarbonate, aluminium hydroxide or magnesium hydroxide and proton pump inhibitors based on Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole. Proton pump inhibitors (PPI) are a group of molecules whose principal action is represented by a pronounced reduction of the acidity of gastric juices for a fairly long period of time (from 18 to 24 hours).


The group containing PPIs is the successor of the H2 antihistamines and PPI inhibitors are much more widespread than the latter given their greater effectiveness.


The above-mentioned medicines are used in the symptomatic and etiological treatment of various syndromes, such as (i) dyspepsia; and (ii) gastroduodenal ulcer. PPIs are used to treat or prevent gastric and duodenal ulcers. They are also used in association with several antibiotics in the treatment of gastritis caused by Helicobacter pylori; (iii) Zollinger-Ellison syndrome and (iv) gastroesophageal reflux disease.


PPIs are also used in patients treated with acetyl salicylic acid or other long-term NSAIDs. Such drugs, by inhibiting the function of the enzyme cyclooxygenase 1 (COX 1), have a side effect of reducing prostaglandin synthesis, a process that depends on that very enzyme. Since the functions of prostaglandins include protecting the gastric mucosa from acidity, PPIs are used to reduce acidity and protect the gastric mucosa. This type of medicine inhibits the gastric enzyme H+/K+-ATPase (proton pump), catalyser of the exchange of H+ and K+ ions. This creates an effective inhibition of acid secretion.


In the microchannel where the pH is low, close to 2, these inhibitors are ionized and transformed into molecules capable of establishing covalent bonds with the thiol group (SH) of cysteine of the subunit of the pump. Thus the pump is irreversibly inhibited. The resumption of pumping activity entails the production of new pumps, an event which requires 18 to 24 hours on average. A single dose of PPIs therefore enables gastric secretion to be inhibited for about 24 hours. The fact that the inhibitors are active only in an acidic environment explains why they have a minimal effect on the extra-gastric H+/K+-ATPase situated at the level of the rectum and colon.


In any case, above and beyond their specific mechanism of action, the final effect of nearly all of these classes of drugs for treating gastric hyperacidity or the other pathological conditions mentioned above is to increase the gastric pH, with kinetics and intensities that depend on the specific pharmacological molecule taken and the dosage thereof. Exceptions in this respect are prostaglandins and gastric mucosa protector drugs, which, instead of reducing the intraluminal hydrogen ion concentration, increase the synthesis of mucus and bicarbonate ions by the cells of the gastric wall, thereby increasing the protection of the mucosa against the acidity of the lumen. In any case, the drugs capable of reducing gastric hyperacidity constitute the treatment of choice in the case of peptic ulcers or gastroesophageal reflux, whereas mucosa protectors represent a complementary therapy.


It is well known, though, that a normal gastric acidity constitutes an effective barrier against potentially harmful or pathogenic microorganisms ingested in a normal diet. Many of them, in fact, are particularly sensitive to acidity and are not able to survive for more than 5 minutes, sometimes even less, at pH values lower than 3. It follows that many pathogens, including those belonging to the genus Salmonella, do not reach the intestine alive and, unless there are harmful effects on the human body mediated by secreted toxins already present in the food, they are not capable of giving rise to an intestinal infection and hence a full-blown food intoxication.


It should be said, however, that raising the gastric pH values typically found in subjects who take drugs to reduce or treat gastric hyperacidity renders the same subjects more exposed to risks of food toxinfections caused above all by the consumption of raw foods, especially fish, meat and eggs.


Subjects who take drugs such as, for example, proton pump inhibitors, to reduce or treat gastric hyperacidity, exhibit a stomach pH value of around 5. This pH value allows Enterobacteriaceae and particular strains of E. Coli, endowed with marked decarboxylase activity, to pass intact through the degraded gastric barrier. The proteins ingested in the diet are enzymatically degraded to amino acids, which, in the presence of decarboxylase activity, are modified into a series of biogenic amines such as, for example histamine, tyramine, putrescine and cadaverine, which range from potentially dangerous to very dangerous. The most common symptoms that these biogenic amines can cause are wholly similar to the secondary effects caused by the use of proton pump inhibitors (PPI) and they are: diarrhoea, headache, nausea, abdominal pains and flatulence. Moreover, when certain biogenic amines react with nitrites we have the formation of N-nitrosamines. These nitrosamines provoke a genetic mutation by alkylating DNA and their presence is associated with stomach, intestinal, pancreatic and bladder cancer as well as leukaemia.


Suspending the pharmacological therapy obviously does not represent a possible solution for these subjects, since that would once again expose the gastric or esophageal mucosa to the harmful effects mediated by gastric juices. On the other hand, it is unthinkable to continue the pharmacological therapy and leave the subjects exposed to such risks of infection.


Thus, there remains a necessity to enable subjects in need to take drugs to reduce or treat gastric hyperacidity, on the one hand, and to avoid being exposed to highly dangerous pathogenic infections or to risks of relapsing pathogenic infections, on the other hand.


The Applicant has provided an answer to the above-mentioned necessity thanks to a composition capable of restoring the functionality of the gastric barrier which has a protective effect against pathogenic or harmful microorganisms.







The composition of the present invention is capable of restoring the gastric barrier function which is normally performed by gastric juices and is particularly reduced in subjects who take drugs to reduce or treat gastric hyperacidity. Said composition is capable of minimizing the secondary effects associated with a pharmacological therapy based on proton pump inhibitor drugs (PPIs for short).


The composition of the present invention can be validly used in the treatment of peptic ulcer or gastroesophageal reflux.


After intense research activity, the Applicant surprisingly found that a selected combination of probiotic bacteria is capable of enabling subjects in need to take drugs to reduce or treat gastric hyperacidity, on the one hand, and to avoid being exposed to highly dangerous pathogenic infections or to risks of relapsing pathogenic infections, on the other hand.


Therefore, the subject matter of the present invention is a composition having the features described in the appended independent claim.


Other preferred embodiments of the present invention are described hereunder and will be claimed in the appended dependent claims.


Table 1 shows, by way of example, a group of microorganisms which has valid application in the context of the present invention.


The Applicant conducted an intense activity of research and selection, at the end of which it found that the probiotic bacterial strains belonging to a species selected from the group comprising L. acidophilus, L. crispatus, L. gasseri, L. delbrueckii, L. salivarius, L. casei, L. paracasei, L. plantarum, L. rhamnosus, L. reuteri, L. brevis, L. buchneri, L. fermentum, L. lactis, L. pentosus, B. adolescentis, B. angulatum, B. bifidum, B. breve, B. catenulatum, B. infantis, B. lactis, B. longum, B. pseudocatenulatum and S. thermophilus have valid application in the treatment of subjects who take drugs to reduce or treat gastric hyperacidity.


The bacterial strains were selected because they are capable of colonizing the stomach at a pH value comprised between 4.5 and 5. At this pH value the selected strains act by producing active substances such as bacteriocins and/or metabolites and/or hydrogen peroxide.


The composition of the present invention can be a food composition, for example a symbiotic composition, or else a supplement or a pharmaceutical composition or a medical device.


In a preferred embodiment, the composition can comprise one or more strains selected from among those listed in Table 1.















TABLE 1







Comm.
Depositing
Deposit
Deposit



No.
Name
code
institution
number
date
Depositor





















1

Lactobacillus casei

LF1i
CNCM I.P.
I-785
21 Jul. 1988
Anidral Srl


2

Lactobacillus gasseri

LF2i
CNCM I.P.
I-786
21 Jul. 1988
Anidral Srl


3

Lactobacillus crispatus

LF3i
CNCM I.P.
I-787
21 Jul. 1988
Anidral Srl


4

Lactobacillus fermentum

LF41
CNCM I.P.
I-788
21 Jul. 1988
Anidral Srl


5

Lactobacillus fermentum

LF5
CNCM I.P.
I-789
21 Jul. 1988
Anidral Srl


6

Lactobacillus casei ssp.

LFH.i
CNCM I.P.
I-790
21 Jul. 1988
Anidral Srl




pseudopiantarum



7

Streptococcus thermophilus


BCCM LMG
LMG P-18383
5 May 1998
Anidral Srl



B39


8

Streptococcus thermophilus


BCCM LMG
LMG P-18384
5 May 1998
Anidral Srl



T003


9

Lactobacillus pentosus


BCCM LMG
LMG P-21019
16 Oct. 2001
Mofin Srl



9/1 ei


10

Lactobacillus plantarum

LP 02
BCCM LMG
LMG P-21020
16 Oct. 2001
Mofin Srl



776/1 bi


11

Lactobacillus plantarum

LP 01
BCCM LMG
LMG P-21021
16 Oct. 2001
Mofin Srl



476LL/20 bi


12

Lactobacillus plantarum


BCCM LMG
LMG P-21022
16 Oct. 2001
Mofin Srl



PR ci


13

Lactobacillus plantarum


BCCM LMG
LMG P-21023
16 Oct. 2001
Mofin Srl



776/2 hi


14

Lactobacillus casei ssp.

LPC00
BCCM LMG
LMG P-21380
31 Jan. 2002
Anidral Srl




paracasei 181A/3 aiai



15

Lactobacillus belonging to

LA 02
BCCM LMG
LMG P-21381
31 Jan. 2002
Anidral Srl



the acidophilus group



192A/1 aiai


16

Bifidobacterium longum


BCCM LMG
LMG P-21382
31 Jan. 2002
Anidral Srl



175A/1 aiai


17

Bifidobacterium breve


BCCM LMG
LMG P-21383
31 Jan. 2002
Anidral Srl



195A/1 aici


18

Bifidobacterium lactis

BS 01
BCCM LMG
LMG P-21384
31 Jan. 2002
Anidral Srl



32A/3 aiai


19

Lactobacillus plantarum

COAKTIV
BCCM LMG
LMG P-21385
31 Jan. 2002
Mofin Srl



501/2 gi


20

Lactobacillus lactis ssp. lactis


BCCM LMG
LMG P-21388
31 Jan. 2002
Mofin Srl



501/4 ci


21

Lactobacillus lactis ssp. lactis


BCCM LMG
LMG P-21387
15 Mar. 2002
Mofin Srl



501/4 hi


22

Lactobacillus lactis ssp. lactis


BCCM LMG
LMG P-21388
31 Jan. 2002
Mofin Srl



501/4 ci


23

Lactobacillus plantarum


BCCM LMG
LMG P-21389
15 Mar. 2002
Mofin Srl



501/4 li


24

Lactobacillus acidophilus

LA08
BCCM LMG
LMG P-26144
03 Nov. 2010
Probiotical SpA


25

Lactobacillus paracasei ssp

LPC10
BCCM LMG
LMG P-26143
03 Nov. 2010
Probiotical SpA




paracasei



26

Streptococcus thermophilus

GB1
DSMZ
DSM 16506
18 Jun. 2004
Anidral Srl


27

Streptococcus thermophilus

GB5
DSMZ
DSM 16507
18 Jun. 2004
Anidral Srl


28

Streptococcus thermophilus

Y02
DSMZ
DSM 16590
20 Jul. 2004
Anidral Srl


29

Streptococcus thermophilus

Y03
DSMZ
DSM 16591
20 Jul. 2004
Anidral Srl


30

Streptococcus thermophilus

Y04
DSMZ
DSM 16592
20 Jul. 2004
Anidral Srl


31

Streptococcus thermophilus

YO5
DSMZ
DSM 16593
20 Jul. 2004
Anidral Srl


32 =

Bifidobacterium adolescentis

BA 03
DSMZ
DSM 16594
21 Jul. 2004
Anidral Srl


56


33

Bifidobacterium adolescentis

BA 04
DSMZ
DSM 16595
21 Jul. 2004
Anidral Srl


34

Bifidobacterium breve

BR 04
DSMZ
DSM 16596
21 Jul. 2004
Anidral Srl


35

Bifidobacterium pseudocatenulatum

BP 01
DSMZ
DSM 16597
21 Jul. 2004
Anidral Srl


36

Bifidobacterium pseudocatenulatum

BP 02
DSMZ
DSM 16598
21 Jul. 2004
Anidral Srl


37

Bifidobacterium longum

BL 03
DSMZ
DSM 16603
20 Jul. 2004
Anidral Srl


38

Bifidobacterium breve

BR 03
DSMZ
DSM 16604
20 Jul. 2004
Anidral Srl


39

Lactobacillus casei ssp.

LR 04
DSMZ
DSM 16605
20 Jul. 2004
Anidral Srl




rhamnosus



40

Lactobacillus delbrueckii

LDB 01
DSMZ
DSM 16606
20 Jul. 2004
Anidral Srl



ssp. bulgaricus


41

Lactobacillus delbrueckii

LDB 02
DSMZ
DSM 16607
20 Jul. 2004
Anidral Srl



ssp. bulgaricus


42

Staphylococcus xylosus

SX 01
DSMZ
DSM 17102
01 Feb. 2005
Anidral Srl


43 =

Bifidobacterium adolescentis

BA 02
DSMZ
DSM 17103
01 Feb. 2005
Anidral Srl


57


44

Lactobacillus plantarum

LP 07
DSMZ
DSM 17104
01 Feb. 2005
Anidral Srl


45

Streptococcus thermophilus

YO8
DSMZ
DSM 17843
21 Dec. 2005
Anidral Srl


46

Streptococcus thermophilus

YO9
DSMZ
DSM 17844
21 Dec. 2005
Anidral Srl


47

Streptococcus thermophilus

YO100
DSMZ
DSM 17845
21 Dec. 2005
Anidral Srl


48

Lactobacillus fermentum

LF06
DSMZ
DSM 18295
24 May 2006
Anidral Srl


49

Lactobacillus fermentum

LF07
DSMZ
DSM 18296
24 May 2006
Anidral Srl


50

Lactobacillus fermentum

LF08
DSMZ
DSM 18297
24 May 2006
Anidral Srl


51

Lactobacillus fermentum

LF09
DSMZ
DSM 18298
24 May 2006
Anidral Srl


52

Lactobacillus gasseri

LGS01
DSMZ
DSM 18299
24 May 2006
Anidral Srl


53

Lactobacillus gasseri

LGS02
DSMZ
DSM 18300
24 May 2006
Anidral Srl


54

Lactobacillus gasseri

LGS03
DSMZ
DSM 18301
24 May 2006
Anidral Srl


55

Lactobacillus gasseri

LGS04
DSMZ
DSM 18302
24 May 2006
Anidral Srl


56 =

Bifidobacterium adolescentis

BA 03
DSMZ
DSM 18350
15 Jun. 2006
Anidral Srl



EI-3


32

Bifidobacterium catenulatum




sp./pseudocatenulatum EI-



3I, ID 09-255


57 =

Bifidobacterium adolescentis

BA 02
DSMZ
DSM 18351
15 Jun. 2006
Anidral Srl


43
EI-15


58

Bifidobacterium adolescentis

BA 05
DSMZ
DSM 18352
15 Jun. 2006
Anidral Srl



EI-18




Bifidobacterium animalis




subsp. lactis EI-18, ID 09-



256


59

Bifidobacterium catenulatum

BC 01
DSMZ
DSM 18353
15 Jun. 2006
Anidral Srl



EI-20


60

Streptococcus thermophilus

MO1
DSMZ
DSM 18613
13 Sep. 2006
Mofin Srl



FRai


61

Streptococcus thermophilus

MO2
DSMZ
DSM 18614
13 Sep. 2006
Mofin Srl



LB2bi


62

Streptococcus thermophilus

MO3
DSMZ
DSM 18615
13 Sep. 2006
Mofin Srl



LRci


63

Streptococcus thermophilus

MO4
DSMZ
DSM 18616
13 Sep. 2006
Mofin Srl



FP4


64

Streptococcus thermophilus

MO5
DSMZ
DSM 18617
13 Sep. 2006
Mofin Srl



ZZ5F8


65

Streptococcus thermophilus

MO6
DSMZ
DSM 18618
13 Sep. 2006
Mofin Srl



TEO4


66

Streptococcus thermophilus

MO7
DSMZ
DSM 18619
13 Sep. 2006
Mofin Srl



S1ci


67

Streptococcus thermophilus

MO8
DSMZ
DSM 18620
13 Sep. 2006
Mofin Srl



641bi


68

Streptococcus thermophilus

MO9
DSMZ
DSM 18621
13 Sep. 2006
Mofin Srl



277A/1ai


69

Streptococcus thermophilus

MO10
DSMZ
DSM 18622
13 Sep. 2006
Mofin Srl



277A/2ai


70

Streptococcus thermophilus

MO11
DSMZ
DSM 18623
13 Sep. 2006
Mofin Srl



IDC11


71

Streptococcus thermophilus

MO14
DSMZ
DSM 18624
13 Sep. 2006
Mofin Srl



ML3di


72

Streptococcus thermophilus

MO15
DSMZ
DSM 18625
13 Sep. 2006
Mofin Srl



TEO3


73

Streptococcus thermophilus

GG1
DSMZ
DSM 19057
21 Feb. 2007
Mofin Srl



G62


74

Streptococcus thermophilus

GG2
DSMZ
DSM 19058
21 Feb. 2007
Mofin Srl



G1192


75

Streptococcus thermophilus

GG3
DSMZ
DSM 19059
21 Feb. 2007
Mofin Srl



GB18
MO2


76

Streptococcus thermophilus

GG4
DSMZ
DSM 19060
21 Feb. 2007
Mofin Srl



CCR21


77

Streptococcus thermophilus

GG5
DSMZ
DSM 19061
21 Feb. 2007
Mofin Srl



G92


78

Streptococcus thermophilus

GG6
DSMZ
DSM 19062
21 Feb. 2007
Mofin Srl



G69


79

Streptococcus thermophilus

YO 10
DSMZ
DSM 19063
21 Feb. 2007
Anidral Srl


80

Streptococcus thermophilus

YO 11
DSMZ
DSM 19064
21 Feb. 2007
Anidral Srl


81

Streptococcus thermophilus

YO 12
DSMZ
DSM 19065
21 Feb. 2007
Anidral Srl


82

Streptococcus thermophilus

YO 13
DSMZ
DSM 19066
21 Feb. 2007
Anidral Srl


83

Weissella ssp.

EX
DSMZ
DSM 19067
21 Feb. 2007
Anidral Srl



WSP 01


84

Weissella ssp.

EX
DSMZ
DSM 19068
21 Feb. 2007
Anidral Srl



WSP 02


85

Lactobacillus ssp.

EX
DSMZ
DSM 19069
21 Feb. 2007
Anidral Srl



WSP 03


86

Lactobacillus plantarum

OY
DSMZ
DSM 19070
21 Feb. 2007
Anidral Srl



LP 09


87

Lactobacillus plantarum

OY
DSMZ
DSM 19071
21 Feb. 2007
Anidral Srl



LP 10


88

Lactobacillus lactis

NS 01
DSMZ
DSM 19072
21 Feb. 2007
Anidral Srl


89

Lactobacillus fermentum

LF 10
DSMZ
DSM 19187
20 Mar. 2007
Anidral Srl


90

Lactobacillus fermentum

LF 11 1251
DSMZ
DSM 19188
20 Mar. 2007
Anidral Srl


127

Lactobacillus crispatus

CRL 1266
DSMZ
DSM 24439
04 Jan. 2011
Probiotical SpA


128

Lactobacillus paracasei

CRL 1289
DSMZ
DSM 24440
04 Jan. 2011
Probiotical SpA


129

Lactobacillus salivarius

CRL 1328
DSMZ
DSM 24441
04 Jan. 2011
Probiotical SpA


130

Lactobacillus gasseri

CRL 1259
DSMZ
DSM 24512
25 Jan. 2011
Probiotical SpA


131

Lactobacillus acidophilus

CRL 1294
DSMZ
DSM 24513
25 Jan. 2011
Probiotical SpA


132

Lactobacillus salivarius

LS04
DSMZ
DSM 24618
02 Mar. 2011
Probiotical SpA


133

Lactobacillus crispatus

LCR01
DSMZ
DSM 24619
02 Mar. 2011
Probiotical SpA


134

Lactobacillus crispatus

LCR02
DSMZ
DSM 24620
02 Mar. 2011
Probiotical SpA


135

Lactobacillus acidophilus

LA09
DSMZ
DSM 24621
02 Mar. 2011
Probiotical SpA


136

Lactobacillus gasseri

LGS05
DSMZ
DSM 24622
02 Mar. 2011
Probiotical SpA


137

Lactobacillus paracasei

LPC11
DSMZ
DSM 24623
02 Mar. 2011
Probiotical SpA


138

Bifidobacterium infantis

BI 02
DSMZ
DSM 24687
29 Mar. 2011
Probiotical SpA


139

Bifidobacterium bifidum

BB 06
DSMZ
DSM 24688
29 Mar. 2011
Probiotical SpA


140

Bifidobacterium longum

BL 06
DSMZ
DSM 24689
29 Mar. 2011
Probiotical SpA


141

Bifidobacterium lactis

BS 07
DSMZ
DSM 24690
29 Mar. 2011
Probiotical SpA


142

Bifidobacterium longum

PCB133
DSMZ
DSM 24691
29 Mar. 2011
Probiotical SpA


143

Bifidobacterium breve

B632
DSMZ
DSM 24706
07 Apr. 2011
Probiotical SpA


144

Bifidobacterium breve

B2274
DSMZ
DSM 24707
07 Apr. 2011
Probiotical SpA


145

Bifidobacterium breve

B7840
DSMZ
DSM 24708
07 Apr. 2011
Probiotical SpA


146

Bifidobacterium longum

B1975
DSMZ
DSM 24709
07 Apr. 2011
Probiotical SpA


147

Lactobacillus salivarius

DLV1
DSMZ
DSM 25138
02 Sep. 2011
Probiotical SpA


148

Lactobacillus reuteri

LRE05
DSMZ
DSM 23139
02 Sep. 2011
Probiotical SpA


149

Lactobacillus reuteri

LRE06
DSMZ
DSM 25140
02 Sep. 2011
Probiotical SpA


150

Lactobacillus reuteri

RC 14
DSMZ
DSM 25141
02 Sep. 2011
Probiotical SpA


151

Streptococcus thermophilus

ST 10
DSMZ
DSM 25246
19 Sep. 2011
Probiotical SpA


152

Streptococcus thermophilus

ST 11
DSMZ
DSM 25247
19 Sep. 2011
Probiotical SpA


153

Streptococcus thermophilus

ST 12
DSMZ
DSM 25282
20 Oct. 2011
Probiotical SpA


154

Lactobacillus salivarius

DLV8
DSMZ
DSM 25545
12 Jan. 2012
Probiotical SpA


155

Bifidobacterium longum

DLBL 07
DSMZ
DSM 25669
16 Feb. 2012
Probiotical SpA


156

Bifidobacterium longum

DLBL 08
DSMZ
DSM 25670
16 Feb. 2012
Probiotical SpA


157

Bifidobacterium longum

DLBL 09
DSMZ
DSM 25671
16 Feb. 2012
Probiotical SpA


158

Bifidobacterium longum

DLBL 10
DSMZ
DSM 25672
16 Feb. 2012
Probiotical SpA


159

Bifidobacterium longum

DLHL 11
DSMZ
DSM 25673
16 Feb. 2012
Probiotical SpA


160

Bifidobacterium longum

DLBL 12
DSMZ
DSM 25674
16 Feb. 2012
Probiotical SpA


161

Bifidobacterium longum

DLBL 13
DSMZ
DSM 25675
16 Feb. 2012
Probiotical SpA


162

Bifidobacterium longum

DLBL 14
DSMZ
DSM 25676
16 Feb. 2012
Probiotical SpA


163

Bifidobacterium longum

DLBL 15
DSMZ
DSM 25677
16 Feb. 2012
Probiotical SpA


164

Bifidobacterium longum

DLBL 16
DSMZ
DSM 25678
16 Feb. 2012
Probiotical SpA


165

Bifidobacterium longum

DLBL 17
DSMZ
DSM 25679
16 Feb. 2012
Probiotical SpA


166

Lactobacillus johnsonii

DLLJO 01
DSMZ
DSM 25680
16 Feb. 2012
Probiotical SpA


167

Lactobacillus rhamnosus

DLLR 07
DSMZ
DSM 25681
16 Feb. 2012
Probiotical SpA


168

Lactobacillus rhamnosus

DLLR 08
DSMZ
DSM 25682
16 Feb. 2012
Probiotical SpA


169

Lactobacillus reuteri

DLLRE 07
DSMZ
DSM 25683
16 Feb. 2012
Probiotical SpA


170

Lactobacillus reuteri

DLLRE 08
DSMZ
DSM 25684
16 Feb. 2012
Probiotical SpA


171

Lactobacillus reuteri

DLLRE 09
DSMZ
DSM 25685
16 Feb. 2012
Probiotical SpA


172

Bifidobacterium longum

DLBL 18
DSMZ
DSM 25708
24 Feb. 2012
Probiotical SpA


173

Bifidobacterium infantis

BI 03
DSMZ
DSM 25709
24 Feb. 2012
Probiotical SpA


174

Lactobacillus plantarum

LP 09
DSMZ
DSM 25710
24 Feb. 2012
Probiotical SpA


175

Bifidobacterium longum

DLBL 19
DSMZ
DSM 25717
01 Mar. 2012
Probiotical SpA


176

Bifidobacterium longum

DLBL 20
DSMZ
DSM 25718
01 Mar. 2012
Probiotical SpA









Preferably, the composition comprises from one to six strains, even more preferably from two to five strains among those listed in Table 1.


Particularly preferred strains are selected from among those listed in Table 2.












TABLE 2






Deposit
Antagonized
Strain


Strain
Number
pathogen
properties








Lactobacillus pentosus

DSM 21980

Escherichia coli,

Probiotical


LPS 01

coliformi
S.p.A.



Lactobacillus plantarum

LMG

Escherichia coli,

Probiotical


LP 01
P-21021

Listeria

S.p.A.





monocytogenes




Lactobacillus plantarum

LMG

Escherichia coli,

Probiotical


LP 02
P-21020

Listeria

S.p.A.





monocytogenes




Lactobacillus plantarum

LMG

Escherichia coli,

Probiotical


LP 03 (See Table 1)
P-21022

Listeria

S.p.A.





monocytogenes




Lactobacillus plantarum

LMG

Escherichia coli,

Probiotical


LP 04 (See Table 1)
P-21023

Listeria

S.p.A.





monocytogenes




Lactobacillus pentosus

DSM 21980
Producer of
Probiotical


LPS 01

bacteriocins and
S.p.A.




hydrogen peroxide



Lactobacillus fermentum

CNCM I-

Candida albicans,

Probiotical


LF 5
789

Candida krusei,

S.p.A.





Candida glabrata,






Candida parapsilosis




Lactobacillus fermentum

DSM 19187

Candida albicans,

Probiotical


LF 10


Candida krusei,

S.p.A.





Candida glabrata,






Candida






parapsilosis,






Salmonella,






Staphylococcus






aureus




Lactobacillus fermentum

DSM 18298

Candida albicans

Probiotical


LF 09


S.p.A.



Lactobacillus fermentum

DSM 19188

Candida albicans,

Probiotical


LF 11


Candida krusei,

S.p.A.





Candida glabrata,






Candida parasilosis




Lactobacillus lactis

DSM 19072

Bacillus brevis, Bacillus

Probiotical


NS 01


cereus, Bacillus

S.p.A.





coagulans,






Enterococcus faecalis &






faecium, Staphylococcus






aureus, Clostridium






botulinum, Clostridium






butyricum, Listeria




Lactobacillus salivarius

DSM 24618

Candida,

Probiotical


LS04


Enterococcus

S.p.A.





faecalis & faecium,






Neisseria






gonorrhoeae




Lactobacillus crispatus

DSM 24619
Strong producer of
Probiotical


LCR01

hydrogen peroxide/
S.p.A.




non-specific, broad-




spectrum inhibition



Lactobacillus crispatus

DSM 24620
Strong producer of
Probiotical


LCR02

hydrogen peroxide/
S.p.A.




non-specific, broad-




spectrum inhibition



Lactobacillus acidophilus

DSM 24621

Candida by

Probiotical


LA09

coaggregation
S.p.A.



Lactobacillus gasseri

DSM 24622
Strong producer of
Probiotical


LGS05

lactic acid/
S.p.A.




non-specific, broad-




spectrum inhibition



Lactobacillus paracasei

DSM 24623

Staphylococcus

Probiotical


LPC11


aureus

S.p.A.




Strong producer of




hydrogen peroxide/




non-specific, broad-




spectrum inhibition



Lactobacillus rhamnosus

DSM 21981

Candida krusei,

Probiotical


LR 06


Candida albicans,

S.p.A.





Candida glabrata,






Escherichia coli,






Gardnerella






vaginalis




Lactobacillus reuteri

DSM 17938

Escherichia coli,

BioGaia



Lactobacillus reuteri

PTA ATCC 6475
other colifoms
BioGaia



Lactobacillus reuteri

DSM 23877

Helicobacter pylori,

Probiotical


LRE 01


Listeria

S.p.A.



Lactobacillus reuteri

DSM 23878

monocytogenes,

Probiotical


LRE 02


Salmonella

S.p.A.



Lactobacillus reuteri

DSM 23879

typhimurium,

Probiotical


LRE 03


Pseudomona

S.p.A.



Lactobacillus reuteri

DSM 23880

aeruginosa, Shigella

Probiotical


LR 04

spp. Campylobacter
S.p.A.





jejuni, Bacillus






subtilis, Clostridium






perfringens, Candida






albicans, Aspergillus






flavus, Tripanosoma






cruzi, Eimeria tenella




Lactobacillus reuteri

ATCC 5730

BIOGAIA



Lactobacillus delbrueckii

DSM 22106

Klebsiella oxytoca,

Probiotical


ssp. delbrueckii DSMZ


Enterobacter

S.p.A.


20074


cloacae, Klebsiella






pneumoniae






Escherichia coli




Bifidobacterium longum

DSM 24691

Campylobacter jejuni

Probiotical


PCB 133


S.p.A.



Bifidobacterium longum

DSM 24689

Campylobacter jejuni

Probiotical


BL06


S.p.A.



Bifidobacterium longum

DSM 24709

Klebsiella oxytoca,

Probiotical


B1975


Enterobacter

S.p.A.



Bifidobacterium breve

DSM 24707

cloacae, Klebsiella

Probiotical


B2274


pneumoniae,

S.p.A.



Bifidobacterium breve

DSM 24706

Escherichia coli

Probiotical


B632


S.p.A.



Bifidobacterium breve

DSM 24708

Probiotical


B7840


S.p.A.









The strains in Table 2 were individually tested in order to identify the pathogen they are capable of antagonizing (by inhibiting growth or reducing the number of one or more harmful or pathogenic microbial species/genera), as shown in column 3 of Table 2. Table 2 shows that the bacteria are capable of producing hydrogen peroxide or at least one bacteriocin with an inhibiting activity on one or more harmful or pathogenic microbial species/genera.


All of the strains described and/or claimed in the present patent application have been deposited in accordance with the Budapest Treaty and are made available to the public, on request, by the competent Depositing Authority.


The compositions of the present invention have valid application for use both in the treatment of subjects who take drugs to reduce or treat gastric hyperacidity and in the treatment of an ulcer caused by a deficiency in the protective mechanisms of the mucosa (e.g. reduced secretion or responsiveness to prostaglandin E, as in the case of the intake of aspirin or other NSAIDs) or an H. pylori infection. In other words, the composition of the present invention has application also in subjects whom are prescribed PPIs/other antacid drugs though they do not have gastric hyperacidity, but rather a lesion of the gastric and/or duodenal mucosa resulting from an altered ratio between gastric acidity and the protector mechanisms of the mucosa.


In a preferred embodiment, the composition comprises from one to six strains, preferably from two to five strains, even more preferably three or four, selected from the group comprising or, alternatively, consisting of:


1. Lactobacillus pentosus LPS01 DSM 21980


2. Lactobacillus plantarum LP01 LMG P-21021


3. Lactobacillus plantarum LP02 LMG P-21020


4. Lactobacillus plantarum LP03 LMG P-21022


5. Lactobacillus plantarum LP04 LMG P-21023


6. Lactobacillus rhamnosus LR06 DSM 21981


7. Lactobacillus delbrueckii LDD 01 (MB386) DSM 20074


8. Bifidobacterium longum B1975 DSM 24709


9. Bifidobacterium breve B2274 DSM 24707


10. Bifidobacterium breve B632 DSM 24706


11. Bifidobacterium breve B7840 DSM 24708


12. Bifidobacterium longum PCB 133 DSM 24691


13. Bifidobacterium longum BL06 DSM 24689


In another preferred embodiment, the composition of the present invention comprises from one to six strains, preferably from two to five strains, even more preferably three or four, selected from those indicated above as 1 to 13, in association with the strain Lactobacillus fermentum LF 09 DSM 18298 and/or the strain Lactococcus lactis NS 01 DSM 19072.


In another preferred embodiment, the composition of the present invention comprises from one to six strains, preferably from two to five strains, even more preferably three or four, selected from those indicated above as 1 to 13, in association with at least one strain selected from the group comprising or, alternatively, consisting of:


a. Lactobacillus reuteri LRE 01 DSM 23877


b. Lactobacillus reuteri LRE 02 DSM 23878


c. Lactobacillus reuteri LRE 03 DSM 23879


d. Lactobacillus reuteri LRE 04 DSM 23880


In the composition of the present invention, the mixture of bacterial strains is present in an amount comprised from 0.5 to 20% by weight, relative to the total weight of the composition, preferably from 2.5 to 8%.


In a preferred embodiment, the composition can further comprise at least one prebiotic fibre and/or carbohydrates with bifidogenic action.


The prebiotic fibre that has application in the composition of the present invention is a fibre that must be used by the bacterial strains present in the composition, but not by the pathogens they are intended to antagonize.


If the pathogen to be antagonized belongs to the genus Candida, fructo-oligosaccharides (FOS) and galacto-oligosaccharides (GOS) have valid application, since said fibres are not utilized by Candida. Whereas, gluco-oligosaccharides (GOSα) are capable of directly inhibiting E. coli by means of several metabolites. Therefore, the prebiotic fibre can be selected, depending on circumstances and the pathogen to be antagonized, from among: inulin, fructo-oligosaccharides (FOS), galacto- and trans-galacto-oligosaccharides (GOS and TOS), gluco-oligosaccharides (GOSα), xylo-oligosaccharides (XOS), chitosan oligosaccharides (COS), soy oligosaccharides (SOS), isomalto-oligosaccharides (IMOS), resistant starch, pectin, psyllium, arabinogalactans, glucomannans, galactomannans, xylans, lactosucrose, lactulose, lactitol and various other types of gums, acacia, carob, oat or bamboo fibre, citrus fibres and, in general, fibres containing a soluble and an insoluble portion, in a variable ratio to each other.


In a preferred embodiment of the invention, the composition comprises at least one prebiotic fibre selected from among the ones mentioned above and/or suitable mixtures thereof in any relative percentage. The amount of the prebiotic fibres and/or carbohydrates having a bifidogenic action, if present in the composition, is comprised from 0 to 60% by weight, preferably from 5 to 45% and even more preferably from to 30%, relative to the total weight of the composition. In this case the composition or supplement has symbiotic activity and functional properties. Moreover, the composition can further comprise other active ingredients and/or components, such as vitamins, minerals, bioactive peptides, substances having antioxidant, hypocholesterolemizing, hypoglycemizing, anti-inflammatory or anti-sweetener activity in an amount by weight generally comprised from 0.001% to 20% by weight, preferably from 0.01% to 5%, depending in any case on the type of active component and the recommended daily dose thereof, if defined, relative to the total weight of the composition.


The food composition of the present invention, for example a symbiotic composition, or a supplement or a pharmaceutical composition, is prepared using techniques and equipment known to a person skilled in the art.


In a preferred embodiment, the composition contains bacteria in a concentration comprised from 1×106 to 1×1011 CFU/g of mixture, preferably from 1×108 to 1×1010 CFU/g of mixture.


In a preferred embodiment, the composition contains bacteria in a concentration comprised from 1×106 to 1×1011 CFU/dose, preferably from 1×108 to 1×1010 CFU/dose.


The dose can be comprised from 0.2 to 10 g; for example it is 0.25 g, 1 g, 3 g, 5 g or 7 g.


The probiotic bacteria used in the present invention can be in solid form, in particular in powder, dehydrated powder or lyophilized form.


All of the compositions of the present invention are prepared according to techniques known to a person skilled in the art and using known equipment.


In a preferred embodiment, the composition of the present invention further comprises a drug to reduce or treat gastric hyperacidity.


In a preferred embodiment, said drug is selected from the group comprising or, alternatively, consisting of:

    • H2 receptor inhibitors, preferably cimetidine, famotidine, nizatidine or ranitidine;
    • prostaglandins, preferably misoprostol;
    • gastric mucosa protectors, preferably bismuth salts or sucralfate;
    • muscarinic antagonists or parasympatholytic agents, preferably pirenzepine or pipenzolate;
    • antacids, preferably sodium bicarbonate, aluminium hydroxide, magnesium hydroxide;
    • proton pump inhibitors, preferably Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole. Preferably, said drug is selected from the group comprising or, alternatively, consisting of:
    • H2 receptor inhibitors, preferably cimetidine, famotidine, nizatidine or ranitidine;
    • muscarinic antagonists or parasympatholytic agents, preferably pirenzepine or pipenzolate;
    • antacids, preferably sodium bicarbonate, aluminium hydroxide, magnesium hydroxide;
    • proton pump inhibitors, preferably selected from the group comprising Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole.


Even more preferably, said drug is selected from the group comprising or, alternatively, consisting of:

    • H2 receptor inhibitors, preferably cimetidine, famotidine, nizatidine or ranitidine;
    • proton pump inhibitors, preferably selected from the group comprising Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole.


In a preferred embodiment, the composition of the present invention is a pharmaceutical composition comprising the bacteria described in Table 1 or in Table 2 or in the preferred embodiments set forth above, said bacteria being in association with a drug indicated for reducing or treating gastric hyperacidity, as specified above. Advantageously, the drug is a proton pump inhibitor selected from the group comprising Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole. Both the bacteria and the drug are intimately present in the same composition. For example, the bacteria and the drug are present together in a tablet, lozenge or granulate in a pharmaceutical form suitable for oral administration. It is essential that the bacteria and the drug be administered simultaneously and act simultaneously, since it is necessary to restore the barrier effect removed by the proton pump inhibitors (PPI) thanks to the action of the probiotic bacteria of the present invention, which produce bacteriocins and are capable of colonizing the stomach thanks to the fact that the proton pump inhibitors have raised the pH to a value of about 4.5-5.0.


In another preferred embodiment, the composition of the present invention is in the form of a medical device. In this case the bacteria are present in a composition suitable for oral administration, such as, for example, a tablet, lozenge or granulate and, separately, the drug indicated for reducing or treating gastric hyperacidity, as specified above, is present in another composition suitable for oral administration. Advantageously, the drug is a proton pump inhibitor selected from the group comprising Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole. Therefore, for example, two tablets are administered, one containing the bacteria and the other containing the drug.


In any case, the two tablets must be administered simultaneously, given that it is necessary for the bacteria to act simultaneously with the proton pump inhibitors.


In the case of a medical device as well, it is essential that the bacteria and the drug be administered within a short space of time from each other, since it is necessary to restore the barrier effect removed by the proton pump inhibitors (PPI) thanks to the action of the bacteria, which produce bacteriocins and are capable of colonizing the intestine thanks to the fact that the proton pump inhibitors have raised the pH to a value of about 4.5-5.0.


The Applicant has found that the bacteria selected and listed in Table 1 or Table 2 or in the preferred embodiments mentioned above, are capable of colonizing the stomach at a pH value of around 5 in such a way as to restore the barrier effect reduced or eliminated by the rise in the pH level resulting from the action of the drugs indicated for reducing or treating gastric hyperacidity, such as, for example, a proton pump inhibitor drug selected from the group comprising Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole.


In a preferred embodiment, the composition containing the probiotic bacterial strains of the present invention—said strains being capable of producing specific bacteriocins—is also a useful adjuvant to treatments aimed at definitively eliminating Helicobacter pylori and avoiding recurrences thereof.


Therefore, the subject matter of the present invention is a composition comprising at least one strain of bacteria listed in Table 1 or in Table 2 or in one of the embodiments mentioned above, for use in the preventive and/or curative treatment of infections, disorders or diseases caused by the presence of Helicobacter pylori, in particular in the preventive and/or curative treatment of relapses of infections caused by Helicobacter pylori.


In the broadest sense of the term, antibiotics are defined as molecular species which are produced by an organism and are active against the growth of other organisms. In practice, however, antibiotics are generally considered secondary metabolites that are active at low concentrations in blocking the growth of microorganisms. Secondary products of metabolism such as organic acids, ammonia and hydrogen peroxide are not to be included in the category of antibiotics. Antibiotics are molecules, also peptide molecules (penicillin), produced by multi-enzymatic systems whose biosynthesis is not blocked by protein synthesis inhibitors. Bacteriocins, on the other hand, are products of ribosomal synthesis.


Bacteriocins are peptide molecules synthesized by ribosomes which can also be associated with lipids or carbohydrates. Although some bacteriocins produced by Gram-positive bacteria (Lactobacillus, Lactocoocus) possess inhibition spectra limited to some strains belonging to the same species as the producer microorganism, most of them show a broad spectrum of action against various bacterial species, both Gram-positive and Gram-negative. The present classification of bacteriocins is based both on their chemical nature and spectrum of action.

Claims
  • 1. A pharmaceutical or food composition or a supplement comprising at least one bacterial strain belonging to the species: L. acidophilus, L. crispatus, L. gasseri, L. delbrueckii, L. salivarius, L. casei, L. paracasei, L. plantarum, L. rhamnosus, L. reuteri, L. brevis, L. buchneri, L. fermentum, L. lactis, L. pentosus, B. adolescentis, B. angulatum, B. bifidum, B. breve, B. catenulatum, B. infantis, B. lactis, B. longum, B. pseudocatenulatum and S. Thermophilus, which is capable of colonizing the stomach at a pH value comprised from 4.5 to 5 and of producing bacteriocins and/or metabolites and/or hydrogen peroxide,the pharmaceutical food composition or supplement being in a form suitable for administration of the at least one bacterial strain to the stomach of a subject.
  • 2. The pharmaceutical or food composition or a supplement according to claim 1, wherein said at least one bacterial strain is selected from: 1. Lactobacillus pentosus LPS 01 DSM 219802. Lactobacillus plantarum LP 01 LMG P-210213. Lactobacillus plantarum LP 02 LMG P-210204. Lactobacillus plantarum LP 03 LMG P-210225. Lactobacillus plantarum LP 04 LMG P-210236. Lactobacillus pentosus LPS 01 DSM 219807. Lactobacillus fermentum LF 5 CNCM I-7898. Lactobacillus fermentum LF 10 DSM 191879. Lactobacillus fermentum LF 11 DSM 1829810. Lactobacillus fermentum LF 11 DSM 1918811. Lactobacillus lactis NS 01 DSM 1907212. Lactobacillus salivarius LS04 DSM 2461813. Lactobacillus crispatus LCR01 DSM 2461914. Lactobacillus crispatus LCR02 DSM2462015. Lactobacillus acidophilus LA09 DSM 2462116. Lactobacillus gasseri LGS05 DSM 2462217. Lactobacillus paracasei LPC11 DSM 2462318. Lactobacillus rhamnosus LR 06 DSM 2198119. Lactobacillus reuteri DSM 1793820. Lactobacillus reuteri PTA ATCC 647521. Lactobacillus reuteri LRE 01 DSM 2387722. Lactobacillus reuteri LRE 02 DSM 2378723. Lactobacillus reuteri LRE 03 DSM 2387924. Lactobacillus reuteri LRE 04 DSM 2388025. Lactobacillus reuteri ATCC 573026. Lactobacillus delbrueckii ssp. Delbrueckii DSMZ 2007427. Bifidobacterium longum PCB 133 DSM 2469128. Bifidobacterium longum BL06 DSM 2468929. Bifidobacterium longum B1975 DSM 2470930. Bifidobacterium breve B2274 DSM 2470731. Bifidobacterium breve B632 DSM 24706, and32. Bifidobacterium breve B7840 DSM 24708.
  • 3. The pharmaceutical or food composition or a supplement use according to claim 1, wherein said composition comprises from one to six strains selected from the group consisting of: 1. Lactobacillus pentosus LPS01 DSM 219802. Lactobacillus plantarum LP01 LMG P-210213. Lactobacillus plantarum LP02 LMG P-210204. Lactobacillus plantarum LP03 LMG P-210225. Lactobacillus plantarum LP04 LMG P-210236. Lactobacillus rhamnosus LR06 DSM 219817. Lactobacillus delbrueckii LDD 01 (MB386) DSM 200748. Bifidobacterium longum B1975 DSM 247099. Bifidobacterium breve B2274 DSM 2470710. Bifidobacterium breve B632 DSM 2470611. Bifidobacterium breve B7840 DSM 2470812. Bifidobacterium longum PCB 133 DSM 2469113. Bifidobacterium longum BL06 DSM 24689in association with the strain Lactobacillus fermentum LF 09 DSM 18298 and/or the strain Lactococcus lactis NS 01 DSM 19072.
  • 4. The pharmaceutical or food composition or a supplement according to claim 3, wherein said composition comprises the one to six strains in association with at least one strain selected from the group consisting of: a. Lactobacillus reuteri LRE 01 DSM 23877b. Lactobacillus reuteri LRE 02 DSM 23878c. Lactobacillus reuteri LRE 03 DSM 23879d. Lactobacillus reuteri LRE 04 DSM 23880.
  • 5. The pharmaceutical or food composition or a supplement according to claim 1, in a combination with a drug reducing or treating gastric hyperacidity.
  • 6. The pharmaceutical or food composition or a supplement according to claim 5, wherein said drug is selected from the group consisting of: H2 receptor inhibitors,muscarinic antagonists, or parasympatholytic agentsantacids, andproton pump inhibitors.
  • 7. A method to treat a subject taking drugs to reduce or treat gastric hyperacidity, the method comprising administering to the subject an effective amount of the composition according to claim 1.
  • 8. A pharmaceutical composition comprising at least one strain belonging to the species: L. acidophilus, L. crispatus, L. gasseri, L. delbrueckii, L. salivarius, L. casei, L. paracasei, L. plantarum, L. rhamnosus, L. reuteri, L. brevis, L. buchneri, L. fermentum, L. lactis, L. pentosus, B. adolescentis, B. angulatum, B. B. breve, B. catenulatum, B. infantis, B. lactis, B. longum, B. pseudocatenulatum and S. Thermophilus, and a drug suitable to reduce or treat gastric hyperacidity.
  • 9. The composition according to claim 8, wherein said bacterial strains and said drug are present together in a pharmaceutical form for oral use.
  • 10. The method according to claim 7, wherein the composition is administered in an effective amount for preventive and/or curative treatment of infections, disorders or diseases caused by the presence of Helicobacter pylori.
  • 11. The pharmaceutical or food composition or a supplement according to claim 5, wherein said composition comprises at least one bacterial strain selected from 1. Lactobacillus pentosus LPS 01 DSM 219802. Lactobacillus plantarum LP 01 LMG P-210213. Lactobacillus plantarum LP 02 LMG P-210204. Lactobacillus plantarum LP 03 LMG P-210225. Lactobacillus plantarum LP 04 LMG P-210236. Lactobacillus pentosus LPS 01 DSM 219807. Lactobacillus fermentum LF 5 CNCM I-7898. Lactobacillus fermentum LF 10 DSM 191879. Lactobacillus fermentum LF 11 DSM 1829810. Lactobacillus fermentum LF 11 DSM 1918811. Lactobacillus lactis NS 01 DSM 1907212. Lactobacillus salivarius LS04 DSM 2461813. Lactobacillus crispatus LCR01 DSM 2461914. Lactobacillus crispatus LCR02 DSM2462015. Lactobacillus acidophilus LA09 DSM 2462116. Lactobacillus gasseri LGS05 DSM 2462217. Lactobacillus paracasei LPC11 DSM 2462318. Lactobacillus rhamnosus LR 06 DSM 2198119. Lactobacillus reuteri DSM 1793820. Lactobacillus reuteri PTA ATCC 647521. Lactobacillus reuteri LRE 01 DSM 2387722. Lactobacillus reuteri LRE 02 DSM 2378723. Lactobacillus reuteri LRE 03 DSM 2387924. Lactobacillus reuteri LRE 04 DSM 2388025. Lactobacillus reuteri ATCC 573026. Lactobacillus delbrueckii ssp. Delbrueckii DSMZ 2007427. Bifidobacterium longum PCB 133 DSM 2469128. Bifidobacterium longum BL06 DSM 2468929. Bifidobacterium longum B1975 DSM 2470930. Bifidobacterium breve B2274 DSM 2470731. Bifidobacterium breve B632 DSM 2470632. Bifidobacterium breve B7840 DSM 24708.
  • 12. The pharmaceutical or food composition or a supplement according to claim 5 wherein said drugs are selected from the group consisting of: an H2 receptor inhibitor, a prostaglandin, a gastric mucosa protector, a muscarinic antagonist or parasympatholytic agents, an antacid, and a proton pump inhibitor.
  • 13. The pharmaceutical or food composition or a supplement according to claim 12, wherein, the H2 receptor inhibitor is selected from the group consisting of cimetidine, famotidine, nizatidine, and ranitidine,the prostaglandin is misoprostol,the gastric mucosa protectors, is selected from the group consisting of bismuth salts, and sucralfate,the muscarinic antagonists, or parasympatholytic agents, from the group consisting of pirenzepine, or pipenzolatethe antacids is selected from the group consisting of sodium bicarbonate, aluminium hydroxide, and magnesium hydroxide, andthe proton pump inhibitor is selected from the group consisting of Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole
  • 14. The pharmaceutical or food composition or a supplement according to claim 6, wherein the H2 receptor inhibitor is selected from the group consisting of cimetidine, famotidine, nizatidine, and ranitidine,the muscarinic antagonist or parasympatholytic agents, is pirenzepine, or pipenzolatethe antacids is selected from the group consisting of sodium bicarbonate, aluminium hydroxide, and magnesium hydroxide, andthe proton pump inhibitor is selected from the group consisting of Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole
  • 15. The method according to claim 7, wherein said composition comprises at least one bacterial strain selected from 1. Lactobacillus pentosus LPS 01 DSM 219802. Lactobacillus plantarum LP 01 LMG P-210213. Lactobacillus plantarum LP 02 LMG P-210204. Lactobacillus plantarum LP 03 LMG P-210225. Lactobacillus plantarum LP 04 LMG P-210236. Lactobacillus pentosus LPS 01 DSM 219807. Lactobacillus fermentum LF 5 CNCM I-7898. Lactobacillus fermentum LF 10 DSM 191879. Lactobacillus fermentum LF 11 DSM 1829810. Lactobacillus fermentum LF 11 DSM 1918811. Lactobacillus lactis NS 01 DSM 1907212. Lactobacillus salivarius LS04 DSM 2461813. Lactobacillus crispatus LCR01 DSM 2461914. Lactobacillus crispatus LCR02 DSM2462015. Lactobacillus acidophilus LA09 DSM 2462116. Lactobacillus gasseri LGS05 DSM 2462217. Lactobacillus paracasei LPC11 DSM 2462318. Lactobacillus rhamnosus LR 06 DSM 2198119. Lactobacillus reuteri DSM 1793820. Lactobacillus reuteri PTA ATCC 647521. Lactobacillus reuteri LRE 01 DSM 2387722. Lactobacillus reuteri LRE 02 DSM 2378723. Lactobacillus reuteri LRE 03 DSM 2387924. Lactobacillus reuteri LRE 04 DSM 2388025. Lactobacillus reuteri ATCC 573026. Lactobacillus delbrueckii ssp. Delbrueckii DSMZ 2007427. Bifidobacterium longum PCB 133 DSM 2469128. Bifidobacterium longum BL06 DSM 2468929. Bifidobacterium longum B1975 DSM 2470930. Bifidobacterium breve B2274 DSM 2470731. Bifidobacterium breve B632 DSM 24706, and32. Bifidobacterium breve B7840 DSM 24708.
  • 16. The method of claim 7, wherein gastric hyperacidity is associated to dyspepsia, gastroduodenal ulcer, gastric ulcer, peptic ulcer, duodenal ulcer, gastritis caused by Helicobacter pylori and gastroesophageal reflux disease.
  • 17. The method of claim 7, wherein the composition is in a combination or pharmaceutical composition further comprising the drug suitable to reduce or treat gastric hyperacidity.
  • 18. The pharmaceutical or food composition or a supplement according to claim 8, wherein said composition comprises at least one bacterial strain selected from 1. Lactobacillus pentosus LPS 01 DSM 219802. Lactobacillus plantarum LP 01 LMG P-210213. Lactobacillus plantarum LP 02 LMG P-210204. Lactobacillus plantarum LP 03 LMG P-210225. Lactobacillus plantarum LP 04 LMG P-210236. Lactobacillus pentosus LPS 01 DSM 219807. Lactobacillus fermentum LF 5 CNCM I-7898. Lactobacillus fermentum LF 10 DSM 191879. Lactobacillus fermentum LF 11 DSM 1829810. Lactobacillus fermentum LF 11 DSM 1918811. Lactobacillus lactis NS 01 DSM 1907212. Lactobacillus salivarius LS04 DSM 2461813. Lactobacillus crispatus LCR01 DSM 2461914. Lactobacillus crispatus LCR02 DSM2462015. Lactobacillus acidophilus LA09 DSM 2462116. Lactobacillus gasseri LGS05 DSM 2462217. Lactobacillus paracasei LPC11 DSM 2462318. Lactobacillus rhamnosus LR 06 DSM 2198119. Lactobacillus reuteri DSM 1793820. Lactobacillus reuteri PTA ATCC 647521. Lactobacillus reuteri LRE 01 DSM 2387722. Lactobacillus reuteri LRE 02 DSM 2378723. Lactobacillus reuteri LRE 03 DSM 2387924. Lactobacillus reuteri LRE 04 DSM 2388025. Lactobacillus reuteri ATCC 573026. Lactobacillus delbrueckii ssp. Delbrueckii DSMZ 2007427. Bifidobacterium longum PCB 133 DSM 2469128. Bifidobacterium longum BL06 DSM 2468929. Bifidobacterium longum B1975 DSM 2470930. Bifidobacterium breve B2274 DSM 2470731. Bifidobacterium breve B632 DSM 24706, and32. Bifidobacterium breve B7840 DSM 24708.
  • 19. The pharmaceutical composition of claim 8, wherein the drug suitable to reduce or treat gastric hyperacidity is selected from the group consisting of H2 receptor inhibitors, prostaglandins, gastric mucosa protectors, muscarinic antagonists, or parasympatholytic agents, antacids, and proton pump inhibitors.
  • 20. The pharmaceutical composition of claim 19, wherein the H2 receptor inhibitor is selected from the group consisting of cimetidine, famotidine, nizatidine, and ranitidine,the muscarinic antagonists, or parasympatholytic agents, is pirenzepine or pipenzolatethe antacids is selected from the group consisting of sodium bicarbonate, aluminium hydroxide, and magnesium hydroxide, andthe proton pump inhibitor is selected from the group consisting of Lansoprazole, Esomeprazole, Rabeprazole, Pantoprazole and Omeprazole
Priority Claims (1)
Number Date Country Kind
MI2011A000679 Apr 2011 IT national
PCT Information
Filing Document Filing Date Country Kind 371c Date
PCT/IB12/00779 4/18/2012 WO 00 11/26/2013