Nutritional formulations containing water-miscible lipid derivatives as anti-microbial agents

CROSS REFERENCE TO RELATED APPLICATIONS
The present application is related to "Nutritional Formulations Containing Water-Miscible Lipid Derivatives As Antibacterial Agents," "Water-Miscible Esters Of Mono- And Diglycerides Having Antimicrobial Activity And Their Use In Inhibiting Infection," "Water-Miscible Esters Of Monoglycerides Having Antimicrobial Activity," and "Water-Miscible Esters Of Mono-And Diglycerides Having Antibacterial Activity And Their Use In Inhibiting Infection," all of which are filed concurrently herewith, and the text of all of which are herein incorporated by reference.
TECHNICAL FIELD OF THE INVENTION
The present invention relates generally to the composition of nutritional products containing water-miscible lipid derivatives as agents having inhibitory activity against the infectious activity of pathogenic microorganisms, and to the process of formulating these agents in various nutritional matrices.
BACKGROUND OF THE INVENTION
It has been previously reported (Kabara, The Pharmacological Effects of Lipids, ed. 1987, and Nutritional Biochemistry, Vol. 6, July, 1995) that certain lipids have antimicrobial effects. Those lipids reported to have anti-bacterial and anti-viral activity are highly lipophilic, have HLB values of 2 to 4 and likely act by affecting the infectious organism's lipid envelope or membrane leading to changes in the organism's permeability resulting in loss of infectivity.
The high lipophilicity of those lipids, however, makes it difficult to carry out prophylactic studies because the lipids are insoluble in aqueous solutions. The solubility problems can be overcome to some extent through the use of non-aqueous solvents such as ethanol or dimethylsulfoxide (DMSO) (Isaacs, Litov, and Thormar, Nutritional Biochemistry, 1995). Such solvents, in many instances, are inappropriate for use in humans or animals. By way of example, ethanol and DMSO are contraindicated for use in infants.
Still another problem associated with the use of existing antimicrobial lipids is that the antimicrobial action is inhibited or greatly reduced in the presence of proteins (Kabara, The Pharmacological Effects of Lipids, ed. 1987; and U.S. Pat. No. 4,002,775, Fatty Acids and Derivatives as Antimicrobial Agents, 1977). Thus, such lipids cannot be administered together with proteins such as are present in enteral nutritional formulations. There continues to be a need in the art therefore for anti-microbial lipids that are soluble in aqueous formulations and those whose anti-bacterial and anti-viral activity is not adversely affected by the presence of intact protein.
BRIEF SUMMARY OF THE INVENTION
The present invention provides a nutritional formulation that contains an amount of water-miscible lipid derivatives effective to inhibit the infectious activity of pathogenic microorganisms. Preferred water-miscible lipid derivatives are diacetyltartaric acid esters of mono- and diglycerides. Diacetyltartaric acid esters of mono- and diglycerides can be those used as GRAS emulsifiers and known as DATEMs or can be novel such esters wherein 90% or more of the fatty acid content is accounted for by a single fatty acid. Where the latter form of diacetyltartaric acid esters of mono- and diglycerides are used, the fatty acid component preferably contains from 8 to 24 and, more preferably from about 10 to about 20 carbon atoms. The fatty acid can be saturated, unsaturated or hydroxylated.
The present invention further provides a process of inhibiting the infectious activity of pathogenic microorganisms in a subject in need of such treatment. In accordance with that process the subject is fed an effective amount of a nutritional formulation of the invention.
DETAILED DESCRIPTION OF THE INVENTION
I. Nutritional Formulation
The present invention provides a nutritional formulation that contains an amount of a water-miscible lipid derivative effective to inhibit the infectious activity of pathogenic microorganisms. The water-miscible lipid derivative comprises a lipophilic moiety linked via an ester or ether linkage to a hydrophilic moiety. The lipophilic moiety comprises a fatty acid, a monoacylglycerol (monoglyceride), a diacylglycerol (diglyceride), a monoetherglycerol derivative, or a dietherglycerol derivative. The hydrophilic moiety comprises an organic acid, an organic alcohol or a salt thereof.
In one embodiment, the water-miscible lipid derivative is a mono/diglyceride wherein one or two of the glycerol carbon atoms are linked to an alkyl or acyl group and at least one of the remaining glycerol carbon atoms is linked via an ester linkage to an organic acid. In a preferred embodiment, the organic acid is tartaric acid that has been derivatized with acetyl groups. In accordance with this embodiment, the water-miscible lipids are diacetyltartaric acid esters of mono- and diglycerides.
Certain of such diacetyltartaric acid esters of mono- and diglycerides are known in the art as DATEMs and are GRAS emulsifiers for foodstuffs. DATEMs are formed by reacting diacetyltartaric anhydride with partial glycerides of edible oils, fats or fat-forming fatty acids. Sources of glycerides for the production of DATEMs include soy oil, palm oil, sunflower oil, beef tallow and monoglycerides. DATEMs can also be obtained from commercial sources. For example, DATEM SOY, Panodan FDP Kosher (derived from fully hydrogenated soybean oil). DATEM SUNF, SDK (derived from unhydrogenated sunflower oil), DATEM-C12 (derived from 90% C.sub.12 monoglyceride) and DATEM-C08 (derived from 90% C.sub.8 monoglyceride) are commercially available from Danisco Ingredients, Grinsted Division.
In another embodiment, the water-miscible lipid derivative corresponds to Formula I, below. ##STR1##
In formula I, each of R.sup.A and R.sup.B can independently be hydrogen, an acyl group having from 6 to 26 carbon atoms (C.sub.6 -C.sub.26 acyl), an alkyl group having from 6 to 26 carbon atoms (C.sub.6 -C.sub.26 alkyl), or an inorganic anion. Exemplary such anions are halides, nitrates, sulfates and phosphates. The acyl and alkyl groups can be saturated, unsaturated or hydroxylated. Preferably, the acyl and alkyl groups have from 8 to 24 carbon atoms and, more preferably from 10 to 20 carbon atoms. R.sup.A and R.sup.B can link to any of the C.sup.A, C.sup.B or C.sup.C carbons of the glycerol backbone. Similarly, the organic acid moiety (shown as tartaric acid in Formula I) can link to any of the C.sup.A, C.sup.B or C.sub.C carbons not linked to an acyl or alkyl group. One of ordinary skill in the art will recognize that other organic acids can be used in place of tartaric acid. Each of R.sup.C and R.sup.D can independently be an acyl or an alkyl group containing from 2 to 6 carbon atoms, which groups can be saturated, unsaturated or hydroxylated. Exemplary R.sup.C and R.sup.D groups are acetyl and succinyl esters. In a compound of Formula I, 90% or more of the total fatty acid content is in the form a single fatty acid.
Where only one of R.sup.A or R.sup.B is an acyl group, the molecule is a monoacylglycerol (or monoglyceride) derivative. Where both of R.sup.A and R.sup.B are acyl groups, the molecule is a diacylglycerol (or diglyceride) derivative. Where only one of R.sup.A or R.sup.B is an alkyl group, it is a monoetherglycerol derivative, and if both R.sup.A and R.sup.B are alkyl groups, it is a dietherglycerol derivative. It is possible that the R.sup.A and R.sup.B can be one acyl group and one alkyl group. The linkage for the acyl group to the glycerol backbone is an ester linkage, and the linkage for the alkyl group to the glycerol backbone is an ether linkage.
In a preferred embodiment of Formula I, R.sup.A is a C.sub.8 -C.sub.24 acyl, R.sup.B is hydrogen, R.sup.C and R.sup.D are both acetyl and the lipids are diacetyltartaric acid esters of monoglycerides.
As used herein, the term "DATEM" will be used to mean those lipids known in the art as GRAS emulsifiers and which lipids have been approved as emulsifiers by the FDA and the EEC. These DATEMs are characterized by containing a mixture of fatty acids. The phrase "diacetyltartaric acid esters of mono- and diglycerides" means DATEMs as well as novel lipids as defined above by Formula I.
Diacetyltartaric acid esters of mono- and diglycerides are made using standard techniques well known in the art (See, e.g., Schuster and Adams, Rev. Fr. Corps Gras, 29(9): 357-365, 1981). Diacetyltartaric acid esters of mono- and diglycerides, produced either from glycerides of edible fats or from fatty acids can exist in a variety of isomer forms (See, e.g., Food Emulsions, Second Edition, Revised and Expanded, ed. by Larsson and Friberg, Marcel Dekker, Inc., New York, 1990). Thus, a lipid of Formula I can exist in different isomeric forms.
In another embodiment, the water-miscible lipid derivative is a modified glyceride such as a fatty acid acyl lactylate or a salt thereof. Particular such lactylates (e.g., sodium stearoyl-2-lactylate) are well known GRAS emulsifiers, stabilizers and dough conditioners. The fatty acid component of the lactylate can be any fatty acid and is not limited to stearic acid. A preferred fatty acid component of a lactylate is lauric acid. Fatty acid acyl lactylates can be made using standard procedures well known in the art (See, e.g., U.S. Pat. No. 4,146,548, the disclosure of which is incorporated herein by reference).
A nutritional formulation of the present invention contains edible macronutrients, vitamins and minerals in amounts desired for a particular use. The amounts of such ingredients will vary depending on whether the formulation is intended for use with normal, healthy infants, children, or adults or subjects having specialized needs such as accompany certain pathological conditions (e.g., metabolic disorders). It will be understood by persons skilled in the art that the components utilized in a nutritional formulation of the present invention are of semi-purified or purified origin. By semi-purified or purified is meant a material which has been prepared by purification of a natural material or by synthesis. These techniques are well known in the art (See. e.g., Code of Federal Regulations for Food Ingredients and Food Processing; Recommended Dietary Allowances, 10th Ed., National Academy Press, Washington D.C., 1989).
In a preferred embodiment, a nutritional formulation of the present invention is an infant enteral nutritional product. Accordingly in a further aspect of the invention, a nutritional formulation is provided that is suitable for feeding infants. The formula comprises, in addition to diacetyltartaric acid esters of mono- and diglycerides, macronutrients, vitamins and minerals in amounts designed to provide the daily nutritional requirements of infants. It is important to note that antimicrobial factors in human milk, or in infant formulas, may reach an infant's respiratory tract directly as a result of regurgitation and inhalation of these factors during and after feeding. The mucosa of the respiratory tract may gain direct protection in this way.
The macronutritional components include edible fats, carbohydrates and proteins. Exemplary edible fats are coconut oil, soy oil, and mono- and diglycerides. Exemplary carbohydrates are glucose, edible lactose and hydrolyzed cornstarch. Atypical protein source would be soy protein, electrodialysed whey or electrodialysed skim milk or milk whey, or the hydrolysates of these proteins, although other protein sources are also available and may be used. These macronutrients would be added in the form of commonly accepted nutritional compounds in amount equivalent to those present in human milk on an energy basis, i.e., on a per calorie basis.
The infant formula would preferably include the following vitamins and minerals: calcium, phosphorous, potassium, sodium, chloride, magnesium, manganese, iron, copper, zinc, selenium, iodine, and Vitamins A, E, D, C, and the B complex.
The infant formula can be sterilized and subsequently utilized on a ready-to-feed (RTF) basis or stored in a concentrated liquid or a powder. The powder can be prepared by spray drying the infant formula prepared as indicated above, and the formula can be reconstituted by rehydrating the concentrate. Infant nutritional formulas are well known in the art and commercially available (e.g., Similac.RTM. and Alimentum.RTM. from Ross Products Division, Abbott Laboratories).
Actual dosage levels of diacetyltartaric acid esters of mono- and diglycerides ingredients in the compositions of the present invention may be varied so as to obtain an amount of active ingredient that is effective to obtain a desired prophylactic response for a particular composition and method of administration. The selected dosage level therefore depends upon the desired therapeutic effect, on the route of administration, and on the desired duration of administration and other factors.
In a preferred embodiment, where the water-miscible esterified derivatives are diacetyltartaric acid esters of mono- and diglycerides, an effective antimicrobial amount for use in a nutritional formulation is from about 1,000 to about 1,000 to 5,000 milligrams per liter (micrograms per milliliter). Where the nutritional formulation contains intact protein, a more preferred level is from about 2,000 to about 4,000 milligrams per liter. Where the nutritional formulation contains protein hydrolysates such as casein, an effective anti-bacterial concentration is from about 1,500 to about 3,000 milligrams per liter. Preferably, the amount of water-miscible esterified mono- and diglyceride derivative should be equal to or less than 10% of the total fat present in the nutritional composition. More preferably, the water-miscible derivative should account for no less than about 6% of the total fat Where the nutritional formulation contains protein, the weight ratio of water-miscible lipid to protein is equal to or greater than about 1:4.2.
II. Process of Inhibiting Pathogenic Microorganisms
In another aspect, the present invention provides a process of inhibiting an infection caused by a pathogenic microorganism in a subject in need of such treatment. In accordance with that process, the subject is fed a nutritional composition of the present invention. Preferred such compositions are the same as set forth above. A preferred subject is a human infant.
As disclosed herein, a formulation of the present invention can be used to inhibit the infectious activity of pathogenic microorganisms. As used herein, the term "inhibit" means treat or prevent. A pathogenic microorganism can be a protozoa, a fungus, a parasite, a bacteria or a virus. The nutritional formulation is particularly effective in inhibiting infections of the upper gastrointestinal tract, the respiratory tract or the ear. As used herein the term "upper gastrointestinal tract" means the mouth, throat, esophagus, stomach and duodenum. As used herein the term "respiratory tract" means the nose, sinuses, eustachian tube, middle ear, mouth, throat, trachea and other airways and the lung (including the alveoli). A process of the present invention has particular utility in inhibiting viral infections of the nose, mouth, sinuses, throat, middle ear, stomach and lung.
As disclosed herein, water-miscible lipid derivatives are virucides against infections caused by a wide range of viruses. Exemplary such viruses are Influenza Virus, Parainfluenza Virus, Herpes Simplex Virus Type I, Vesicular Stomatitis Virus, Human Immunodeficiency Virus (HIV) and Respiratory Syncytial Virus (RSV). RSV is the single most frequent cause of acute respiratory tract infection in infants and children. Infants less than one year of age are most frequently and seriously affected. In most immunologically normal subjects, infection with RSV is limited to the respiratory mucosa and is associated with the development of bronchiolitis, pneumonia and reactive airway disease. RSV infection in immuno-compromised subjects has until recently been associated with increased mortality in infants and increased morbidity in other age groups. It has been reported (Pediatric Notes, January, 1994) that periods of high incidence of acute respiratory disease and numbers of deaths in elderly people were followed within 2-3 weeks by reports of high numbers of RSV or influenza virus isolates. The analyses indicate that RSV is as important as influenza viruses in causing morbidity and deaths among the elderly.
As also disclosed herein, water-miscible lipid derivatives are effective bactericides against infections caused by a wide range of bacteria, including gram-positive and gram-negative bacteria. Exemplary such bacteria are members of the genus Streptococcus, Haemophilus, Helicobacter, Staphylococcus, Enterococcus, Micrococcus, Enterobacter, Klebsiella, Providensia, Pseudomonas, Acinetobacter, Candida, Mycobacterium, Nocardia, and Eschericia. Exemplary particular bacteria are S. aureus, S. epidermis, S. bovis, S. agalactiae, S. pyogenes, M. luteus, P. aeruginosa, M. smegmatis, N. asteroides, S. pneumoniae, H. influenzae, and H. pylori.
Streptococcus pneumoniae (S. pneumoniae) is a gram-positive coccus that usually initiates infection by colonization of the nasopharynx followed by aerosolized spread to the respiratory tract. Clinical manifestations include localized and systemic infections including otitis media, pneumonia, sepsis and meningitis (Geelen, Bhattacharyya, and Tuomanen, Infection and Immunity, 1993; Cundell, Weiser, Shen, Young, and Tuomanen, Infection and Immunity, 1995). Additionally, S. pneumoniae is the single most frequent cause of otitis media (OM), a common and significant illness in infants and children that accounts for more than one third of office visits to pediatricians (Thoene and Johnson, 1991; Kaleida, Nativio, Chao, and Cowden, Jr. of Clinical Microbiology, 1993). Haemophilus influenzae (H. influenzae) is another common bacterial agent known to cause otitis media in infants and young children. Helicobacter pylori (H. pylori) is a microaerophilic gram-negative bacterium that infects 50% of the population at age 60 in the US (Blaser, Clinical Infectious Diseases, 1992), and 90% of children by age 5 in the developing countries (Thomas et al., Lancet, 1992). H. pylori is a major cause of gastritis, plays a key role in the etiology of peptic ulcer and is a risk factor for gastric cancer.

The following examples illustrate preferred embodiments of the present invention and are not limiting of the claims and specification in any way.
EXAMPLE 1
Bactericidal Effects of Diacetyltartaric Acid Esters of Mono- and Diglycerides on S. pneumoniae
Bactericidal Assay
Streptococcus pneumoniae (S. pneumoniae) (strain 6303, American Type Culture Collection, Rockville, Md.) was cultured overnight on TSA II (with 5% Sheep Blood) agar plates and harvested at approximately 18 hours after incubation at 37.degree. C./5% CO.sub.2 using 10 ml of sterile Dulbecco's Phosphate buffered saline (D-PBS). The bacterial suspension was centrifuged at 595.times.g for 15 minutes at room temperature. The supernatant was discarded and the pellet re-suspended in 2 ml of sterile D-PBS. The re-suspended suspension was pipetted into two sterile microcentrifuge vials and centrifuged for 4 minutes using an Eppendorf microcentrifuge (8800.times.g). The supernatant was discarded and the bacterial pellet was resuspended in 2 ml of sterile PBS.
The bacterial count was typically 10.sup.9 colony forming units (CFU) /ml. 180 .mu.l of each test product or control was added to sterile microcentrifuge vials followed by 20 .mu.l of the S. pneumoniae suspension (9 parts infant formula: 1 part bacterial suspension). Each vial was mixed and incubated for 1 hour at 37.degree. C. 100 .mu.l of each test product was then plated on TSA II agar and the inoculum spread over the agar surface.
The inoculum was quantitated by serially diluting the initial bacterial suspension to a final dilution of 10.sup.-4, 10.sup.-5, 10.sup.-6, 10.sup.-7, and 10.sup.-8 and plated on TSA II agar. The plates were then inverted and incubated at 37.degree. C./CO.sub.2 5% incubator for 18 to 24 hours. Growth of bacteria was recorded as growth versus no growth for each of the variables. In some assays, the formula-bacterial suspension ratio was changed to 6.6 parts infant formula to 3.3 parts bacterial suspension changing the final protein concentration in the assay from 13.5 to 9.9 mg/mL.
Test Agents
Monoglyceride C12:0, was obtained from Grinsted Division of Danisco containing a minimum of 90% monoester of C12:0. DATEM SOY, Panodan FDP Kosher was obtained from Danisco Ingredients, Grinsted Division. It is derived from fully hydrogenated soybean oil (U.S. DATEM SPECIFICATIONS). DATEM SUNF, SDK was obtained from Danisco Ingredients, Grinsted Division. SDK is derived from unhydrogenated sunflower oil (U.S. DATEM SPECIFICATIONS). DATEM-C12 was obtained from Danisco Ingredients and is derived from 90% C.sub.12 monoglyceride. DATEM-C08 was obtained from Danisco Ingredients and is derived from 90% C.sub.8 monoglyceride which was obtained from Hullis America.
The results of these studies are summarized below in Tables 1 and 2.
TABLE 1______________________________________S. PNEUMONIAE BACTERICIDAL ASSAY IN DILUTEINFANT FORMULA (9.9 MG PROTEIN/ML) FINAL CONCENTRATION LOGTREATMENT OF DATEM in .mu.g/ml REDUCTION.sup.a______________________________________INFANT FORMULA 0 0CONTROLDATEM SUNF 2400 4.3DATEM-C12 2400 4.9DATEM-C08 2400 2.4______________________________________ .sup.aLog reduction is the reduction of bacteria titer in log.sub.10. The S. pneumoniae inoculum was 4.9 log.sub.10.
TABLE 2______________________________________S. PNEUMONIAE BACTERICIDAL ASSAY IN INFANTFORMULA (13.5 MG PROTEIN/ML) FINAL CONCENTRATION LOGTREATMENT OF DATEM in .mu.g/ml REDUCTION______________________________________INFANT FORMULA 0 0CONTROLDATEM SOY 3300 0DATEM SUNF 3300 0DATEM C12 3300 6.8DATEM-C08 3300 0C12 MONOGLYCERIDE 4500 0______________________________________ The S. pneumoniae inoculum was 6.8 log.sub.10.
The data from Tables 1 and 2 show that diacetyltartaric acid esters of mono- and diglycerides are effective as a S. pneumoniae bactericidal agents in an aqueous enteral formulation. The data also show that the bactericidal action of diacetyltartaric acid esters of mono- and diglycerides is retained in the presence of protein. Each of the diacetyltartaric acid esters of mono- and diglycerides tested at lower protein concentrations (9.9 mg/ml) had significant bactericidal activity versus S. pneumoniae. Only DATEM-C12 produced from C.sub.12 monoglyceride demonstrated bactericidal activity at protein concentrations normally found in infant formula at an inoculum of 6.8 log.sub.10.
Animal Studies
Neonatal (24 hours-old) rats (10 rats per group) were inoculated with various test samples containing one of two strains of S. pneumoniae (Sp DB31 and Sp DB40 at 5.72 and 4.74 log.sub.10 inoculum dose, respectively). These mixtures were incubated at 37.degree. C. for one hour before intranasal inoculation. Nasopharyngeal lavage fluid of the rat was collected 24 hours after S. pneumoniae inoculation and analyzed for S. pneumoniae population. Three different test samples were studied: Similac.RTM. RTF alone as a control; DATEM-C12 added to the basic control at 3650 mg/L, and DATEM-C12 (1825 mg/L) and sunflower monoglyceride (5000 mg/L). The results from these animal studies are summarized below in Table 3.
TABLE 3______________________________________DATEM INHIBITS S. PNEUMONIAEINFECTION IN NEONATAL RATSTreatment Sp strain DB31 Sp strain DB40______________________________________ Log.sub.10 CFU/mlSIM RTF (Control) 5.75 .+-. 0.10 6.29 .+-. 0.26DATEM-C12 (3650 ppm) 3.75 .+-. 0.94 2.57 .+-. 0.70DATEM-C12 + MG 0.00 .+-. 0.00 0.66 .+-. 0.45(1825 ppm + 5000 ppm)______________________________________
The data from Table 3 show that diacetyltartaric acid esters of mono- and diglycerides alone are effective in suppressing S. pneumoniae infection in vivo and that the combination of DATEM-C12 and monoglyceride provided the greatest bactericidal activity.
EXAMPLE 2
Bactericidal Effects of Diacetyltartaric Acid Esters of Mono- And Diglycerides on Haemophilus Influenzae
The bactericidal effects of diacetyltartaric acid esters of mono- and diglycerides against H. influenzae were determined in vitro using the procedures set forth above in Example 1. The results of these studies are summarized below in Table 4.
TABLE 4______________________________________DATEM-C12 INHIBITS H. INFLUENZAE GROWTH Concen- Log.sub.10 tration Count/Treatment (.mu.g/ml) Reduction Temperature______________________________________66% Similac .RTM. RTF 0 6.8/no reduction 37.degree. C.DATEM-C12 2400 0/6.8 log reduction 37.degree. C.DATEM-C12 + C12 MG 1200/3300 0/6.8 log reduction 37.degree. C.DATEM-C12 + C12 MG 1200/3300 6.8/ no reduction 22.degree. C.______________________________________
The data in Table 4 show that diacetyltartaric acid esters of mono- and diglycerides are effective bactericidal agents against H. influenzae. In addition, when a 90% Similac.RTM. RTF formula was used, diacetyltartaric acid esters of mono- and diglycerides were found to be inactive against H. influenzae.
EXAMPLE 3
Bactericidal Effects of Diacetyltartaric Acid Esters of Mono- and Diglycerides on Helicobacter pylori
The bactericidal effects of diacetyltartaric acid esters of mono- and diglycerides on H. pylori were studied in vitro using the procedure as described below.
MIC, minimum inhibitory concentration, was determined by adding a series of concentrations of the test compound to the H. pylori culture medium. After a 5 day incubation period at 37.degree. C., H. pylori growth was judged by opacity of the culture medium. When 50% Similac.RTM. was used, the MIC could not be determined. MBC, minimum bactericidal concentration, was determined by adding test compound to H. pylori medium and incubating at 37.degree. C. for 4 hours. An aliquot of the mixture was plated in H. pylori culture media. The end point was bacterial growth.
The results of these studies are summarized below in Table 5.
TABLE 5______________________________________THE MIC AND MBC OF DATEM-C12 AGAINST H. PYLORI MIC/MBC MIC/MBC in 50% Broth.sup.a Similac.sup.b Similac .RTM. onlyOrganism (.mu.g/ml) (.mu.g/ml) (% dilution)______________________________________H. pylori 2597 19.5/39.1 ND*/19.5 25%, no inhibition 50%, slight inhibitionH. pylori 3921 78.1/78.1 ND*/78.1 50%, no inhibition______________________________________ ND = not done. .sup.a,b MIC, minimum inhibitory concentration; MBC, minunum bactericidal concentration. Because MIC is judged by clearness of the culture medium, MIC cannot be judged in 50% Similac .RTM.. The MBC can be determined because a liquid of the mixture is plated in culture media and the end point is bacterial growth.
The data in Table 5 show that DATEM-C 12's MIC (minimum inhibitory concentration) and MBC (minimum bactericidal concentration) in the bacterial culture medium and in Similac.RTM. indicate that diacetyltararic acid esters of mono- and diglycerides are strong compounds in inhibiting H. pylori. The data also show that Similac.RTM. does not affect DATEM-C12's bactericidal activity against H. pylori.
EXAMPLE 4
Inhibition of Respiratory Syncytial Virus Infection in HEp-2 Cells
HEp-2, human laryngeal epidermal carcinoma cells were obtained from the American Type Culture Collection (Rockville, Md.). HEp-2 cells seeded at a density of 10,000 cells per well in a 96 well plate (Costar, Cambridge, Mass.) were cultured in Dulbecco's Modified Eagle's (DME) medium supplemented with 10% fetal bovine serum (FBS). The HEp-2 plates were incubated for two days at 37.degree. C. in a humidified incubator in a 5% CO.sub.2 : 95% air atmosphere until the monolayers were confluent. RSV stock and test sample prepared at two times their desired final concentrations were pre-mixed at equal volumes and incubated for 1 hour at 2.degree.-8.degree. C. Virus stock was prepared to yield approximately 90% cell death in control wells which contained no virus inhibitors. 100 .mu.l of virus/test sample mixture were added to wells containing HEp-2 monolayers previously washed in serum free minimal essential medium. The pre-incubation mixture was allowed to absorb onto the cell monolayer for two hours and then removed and replaced with serum-free minimal essential medium. The cell/virus plates were incubated at 37.degree. C. for 4 days before quantification of virus induced cytopathic effect.
Cell survival, quantified spectrophotometrically in each well, was determined by adding 100 .mu.l of a 20% solution of Alamar Blue dye over the virus inoculum. Alamar Blue dye measures the metabolic activity of living cells employing an oxidation/reduction color indicator that measures metabolic reduction of the growth medium. Cell metabolic activity is indicated by a color change from blue to red. Plates incubated for 4 hours at 37.degree. C. were read on a Molecular Devices (Menlo Park, Calif.) plate reader using a dual endpoint format at 570 nm subtracting the 600 nm wavelength. The percent cell survival correlates directly to the percent virus inhibition by the sample. The percent cell survival in each well was calculated based upon the no virus cell control. Each sample was tested using replicates of four wells. Control wells containing no test agent with and without virus were completed in replicates of eight wells.
Test Agents
Monoglyceride of unhydrogenated sunflower oil was obtained from Eastman Chemical as Myverol 18-92 distilled glycerol monolinoleate containing, by assay, 90% monoester derived from sunflower oil with a fatty acid distribution of 7.0% glycerol monopalmitate, C16:0; 4.5% glycerol monostereate, C18:0; 18.7% glycerol monooleate, C18:1; 67.5% glycerol monolinoleate, C18:2. Monoglyceride C12:0, was obtained from Grinsted Division of Danisco containing a minimum of 90% monoester of C12:0. DATEM SOY, Panodan FDP Kosher was obtained from Danisco Ingredients, Grinsted Division. It is derived from fully hydrogenated soybean oil (U.S. DATEM SPECIFICATIONS). DATEM PALM, Myvatem 35, was obtained from Eastman Chemical Co. It is derived from fully hydrogenated palm oil (U.S. DATEM SPECIFICATIONS). DATEM SUNF, SDK was obtained from Danisco Ingredients, Grinsted Division. SDK is derived from unhydrogenated sunflower oil (U.S. DATEM SPECIFICATIONS). DATEM BEEF was obtained from Henkel Corp. and is derived from fully hydrogenated beef tallow (EUROPEAN DATEM SPECIFICATIONS). DATEM-C12 was obtained from Danisco Ingredients and is derived from 90% C-.sub.12 monoglyceride. DATEM-C08 was obtained from Danisco Ingredients and is derived from 90% C.sub.8 monoglyceride which was obtained from Hullis America.
The various test agents were prepared by adding the test compound to various forms of an infant nutritional product (Similac.RTM.). The samples were hand shaken and then retorted utilizing a Steritort continuous sterilizer simulator (FMC, Princeton, N.J.) at a minimum product temperature of 258.degree. F. and F.sub.o greater than or equal to 6. The Steritort system utilizes a gradient water preheat, followed by a saturated steam cook, and a gradient water cool. All cycles were continuously agitated. Carrageenan (previously found to contain anti-RSV activity) was removed from the formulation to allow testing of the agents. The pre-incubation mixture was allowed to absorb onto the cell monolayer for two hours and then removed and replaced with serum-free minimal essential medium. The results of these cell culture studies are summarized below in Table 6.
TABLE 6______________________________________INHIBITION OF RSV BY LIPID AGENTS IN INFANTFORMULA MATRIX (SIMILAC .RTM.) CONCENTRATION PERCENTTEST AGENT (.mu.g/ml) INHIBITION______________________________________DATEM SOY 1825 98 608 0 203 -17 68 -13 23 -12 7.4 -12DATEM PALM 1825 84 912 36 456 11 228 1 114 2 57 10DATEM SUNF 1825 99 912 100 456 34 228 5 114 -8 57 -3DATEM BEEF 1825 100 912 100 456 52 228 -3 114 -5 57 0DATEM-C12 1825 99 912 100 456 42 228 -9 114 -8 57 -13DATEM-C08 1825 78 912 -14 456 -6 228 -6 114 -4 57 -5C.sub.18 MONOGLYCERIDE* 229 -8 115 -13 57 -18 29 -21 0 -22MONOGLYCERIDE C.sub.12 1000 96 500 42 250 2 125 -18 63 -16______________________________________ *Monoglyceride C18:0 mixed with equal weight of soy fatty acid to aid in solubility. The listed concentration is that of monoglyceride only.
The data in Table 6 were obtained using a 1:1 mixture of infant formula and virus in diluted cell culture medium. These data show that diacetyltartaric acid esters of mono- and diglycerides has significant anti-RSV activity in an infant nutritional formula that contains protein. To assure that anti-RSV activity would not disappear in full strength infant formula, additional studies were performed whereby the virus was diluted directly into infant formula in place of cell culture medium and the virus neutralization assay performed as described above. All diacetyltartaric acid esters of mono- and diglycerides, with the exception of those derived from C.sub.8 monoglyceride, retained activity in infant formula.
To compare the anti-RSV activity of different forms of diacetyltartaric acid esters of mono- and diglycerides, the DATEM suppliers were asked to make 4 forms of diacetyltartaric acid esters of mono- and diglycerides differing in the length and saturation of fatty acid chains by using different oils. These diacetyltartaric acid esters of mono- and diglycerides forms were: DATEM-C12:0, DATEM-PALM OIL, DATEM-SUNFLOWER OIL, and DATEM-SOY. The forms of diacetylatartaric acid esters of mono- and diglycerides were mixed individually into Similac.RTM. and the activity against RSV infectivity was determined as described above. The results of these studies are summarized in Table 7 below.
TABLE 7______________________________________DIFFERENT FORMS OF DATEM ON RSV INFECTIVITYIN SIMILAC .RTM.Forms of DATEM IC.sub.50, in Similac .RTM. (.mu.g/ml)______________________________________DATEM-C12:0 450DATEM-Soy (C18:0/C16:0) 110DATEM-Sunflower (C18:2) 540DATEM-Palm (C16:0) 1120______________________________________
The data in Table 7 show that diacetyltartaric acid esters of mono- and diglycerides made from the different fats all have inhibitory activity against RSV infection in infant formula.
EXAMPLE 5
In vivo Prevention of RSV Infection in Cotton Rats
Cotton rats have been used as an RSV research animal model for about 20 years. The cotton rat has a similar pathological change in the lung to that observed in human infants when infected by RSV (Prince et al., 1978). Also, RSV vaccine-treated cotton rats develop severe histological damage when exposed to RSV, which is similar to what occurs in human infants (Prince et al., 1986). It has also been observed that the intravenously-administered RSV-IgG has to reach a titer of .gtoreq.1:100 concentration to show the preventive effect (Prince et al., 1985). The same serum concentration of RSV-IgG in human infants is protective (Groothuis et al., 1993, 1995). Due to these similarities, the FDA has recommended the cotton rat as an appropriate model for RSV studies.
To have a repeatable RSV nasal and lung infection, a high RSV dose (10.sup.4 pfu/animal) was intra-nasally inoculated to all animals. The inoculum (100 .mu.l) consisted of 50 .mu.l of RSV stock solution and 50 .mu.l of test product. The test products, DATEM, monoglyceride (MG) and carrageenan, were suspended respectively in an infant formula that did not contain carrageenan, soy lecithin, or Myverol (a modified Similac.RTM., or M. Similac.RTM.). In addition, some studies were performed in an infant formula in which the intact protein was replaced with a casein hydrolysate (Alimentum.RTM.). All animals consumed the regular rodent chow diet throughout the experimental period. Four days after RSV challenge, all animals were sacrificed. Their lung and nasal tissue were isolated for determination of RSV titers. As a positive control, a 5% RSV-IgG was always used. A negative control group (without any treatment before and after RSV challenge) was also employed for each experiment. RSV titers in the lung and nasal tissues from the negative control group must be at the regular high level to validate the data. Also, a very low RSV titer in the lung and nasal tissues from the positive control group was used to validate the experiment data. The results of these studies are summarized in Table 8 below.
TABLE 8______________________________________DATEM (C18:0/C16:0) INHIBITION OF RSV INFECTIONIN COTTON RATS # of RSV RSVTreatment Rats titer in Lung titer in Nose______________________________________ (Log.sub.10 PFU/g tissue)Negative Control 12 3.05 .+-. 0.28 4.20 .+-. 0.25IgG Positive Control 100% inhi- 100% inhibition bitionFormula Control 12 3.22 .+-. 0.19.sup.A 3.21 .+-. 0.70.sup.a(M. Similac .RTM.)*DATEM in M. Similac .RTM. 12 3.23 .+-. 0.24.sup.A 2.90 .+-. 0.68.sup.a(1825 mg/L)DATEM in M. Similac .RTM. 2.68 .+-. 0.41.sup.B 2.00 .+-. 0.66.sup.b(3650 mg/L)DATEM 1825 mg/L + MG 3650 12 2.50 .+-. 0.40.sup.B 100% inhibition.sup.bmg/L in M. Similac .RTM.(DATEM & MG pre-mix withwater)DATEM 1825 mg/L + MG 3650 12 2.69 .+-. 0.41.sup.B 100% inhibition.sup.bmg/L in M. Similac .RTM.(DATEM & MG pre-mixwith oil)DATEM 1825 mg/L + MG 5000 11 2.50 .+-. 0.40.sup.B 100% inhibition.sup.bmg/L in M. Similac .RTM.(DATEM & MG pre-mix withwaterDATEM in Alimentum .RTM. 6 2.72 .+-. 0.31.sup.B 2.31 .+-. 0.51.sup.bPowder (1825 mg/L)1000 mg/L Carrageenan in M. 11 3.06 .+-. 0.16.sup.A 3.78 .+-. 0.47.sup.aSimilac .RTM.______________________________________ *This formula control was used as a base for comparison with other treatment groups. Values in a column labeled with a different superscript letter differ at P < 0.05.
The data from Table 8 show that diacetyltartaric acid esters of mono- and diglycerides inhibit RSV infection in vivo. The data also show that diacetyltartaric acid esters of mono- and diglycerides and MG act synergistically to inhibit RSV activity. Pre-mixing diacetyltartaric acid esters of mono- and diglycerides and MG in water or in oil does not result in a difference in anti-RSV activity. Diacetyltartaric acid esters of mono- and diglycerides are effective virucides in infant nutritional products both in the presence (Similac.RTM.) and absence (Alimentum.RTM.) of intact protein.

Number	Name	Date
4497800	Larson et al.	Feb 1985
5120763	Yehuda	Jun 1992
5468776	Yehuda	Nov 1995

Number	Date	Country
0 626 175	Nov 1994	EPX
0 626 177	Nov 1994	EPX
WO 9426129	Nov 1994	WOX

Nutritional formulations containing water-miscible lipid derivatives as anti-microbial agents

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