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CN115137757A - Probiotic composition assisting in reducing blood sugar - Google Patents

Probiotic composition assisting in reducing blood sugar Download PDF

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CN115137757A
CN115137757A CN202210903020.4A CN202210903020A CN115137757A CN 115137757 A CN115137757 A CN 115137757A CN 202210903020 A CN202210903020 A CN 202210903020A CN 115137757 A CN115137757 A CN 115137757A
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lactobacillus
bifidobacterium
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肖传兴
张帮周
林昊
李源涛
何剑全
柴明亮
薛行影
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Chengge Health Technology Guangdong Co ltd
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Abstract

The invention relates to a probiotic composition for assisting in reducing blood sugar, which mainly comprises composite probiotic freeze-dried powder, wherein the composite probiotic freeze-dried powder comprises a flora consisting of bifidobacterium adolescentis, bifidobacterium longum, bifidobacterium breve, lactobacillus acidophilus, bifidobacterium bifidum, lactobacillus reuteri, lactobacillus rhamnosus, lactobacillus plantarum, streptococcus thermophilus and lactobacillus delbrueckii subsp. The invention can improve the human body immune response, is beneficial to preventing intestinal diseases, enhancing the immune function, regulating the function of an immune system and inhibiting the growth and the reproduction of pathogenic bacteria.

Description

一种辅助降血糖的益生菌组合物A kind of probiotic composition for auxiliary hypoglycemic

技术领域technical field

本发明涉及益生菌的领域,特别涉及一种用于改善糖尿病、辅助降血糖的益生菌组合物。The invention relates to the field of probiotics, in particular to a probiotic composition for improving diabetes and assisting in lowering blood sugar.

背景技术Background technique

糖尿病是一种以高血糖症为特征的异质性代谢疾病,当胰腺不能产生足够的胰岛素或身体不能有效地使用它所产生的胰岛素时,就会导致糖尿病的发生。在过去的几十年里,糖尿病的发病率在全球范围内逐年增高,有研究显示其在中国不同地区的患病率可高达8.3%到12.7%。随着时间的推移,糖尿病也会损害患者的诸多身体系统,进一步引发各种并发症。所以,糖尿病已成为全球健康面临的重大威胁之一,并给个人和国家带来相当大的经济和医疗负担。Diabetes mellitus is a heterogeneous metabolic disease characterized by hyperglycemia, which occurs when the pancreas does not produce enough insulin or the body cannot effectively use the insulin it produces. In the past few decades, the incidence of diabetes has increased year by year worldwide, and studies have shown that its prevalence in different regions of China can be as high as 8.3% to 12.7%. Over time, diabetes can also damage many of a patient's body systems, leading to further complications. Therefore, diabetes has become one of the major threats to global health and imposes considerable economic and medical burden on individuals and countries.

糖尿病主要有1型和2型糖尿病(type 2diabetes mellitus,T2DM)两种类型,当自身反应性T细胞攻击胰岛β细胞导致胰岛素产生不足时,发生1型糖尿病;而以低度炎症、胰岛素抵抗和低度细胞衰竭为特征的2型糖尿病则是一种复杂的代谢性紊乱疾病。其中2型糖尿病又叫成人发病型糖尿病,占所有糖尿病患者的90%以上。研究表明,除了遗传因素在糖尿病易感性中发挥重要作用,还有许多决定因素可推动2型糖尿病的发展。其中,肠道微生物被认为是2型糖尿病病理生理学中一种新的、潜在的驱动因素。There are two main types of diabetes, type 1 and type 2 diabetes (type 2diabetes mellitus, T2DM). Type 1 diabetes occurs when autoreactive T cells attack islet beta cells resulting in insufficient insulin production. Type 2 diabetes, characterized by low-grade cellular failure, is a complex metabolic disorder. Type 2 diabetes, also known as adult-onset diabetes, accounts for more than 90% of all diabetic patients. Research has shown that in addition to genetic factors playing an important role in diabetes susceptibility, there are many determinants that drive the development of type 2 diabetes. Among them, the gut microbiota has been identified as a novel and potential driver in the pathophysiology of type 2 diabetes.

随着近年来高通量测序和宏基因组分析技术以及无菌设施和无菌小鼠的应用,对肠道微生物群的信息也有了更加全面的认识,肠道微生物群的改变与患者和动物模型的疾病发展有密切联系。研究表明,每一个人的肠道微生物组成不仅是独特的,而且也可能是疾病风险的一个预测因子,肠道微生物群可能导致肥胖和2型糖尿病等代谢疾病的发展,选择特定的肠道细菌菌株对肠道微生态的平衡进行调节是一种很有前景的治疗方法。如专利申请202110878469.5公开了一种肠道宏观基因组特征作为二型糖尿病患者的粪菌移植疗效筛选标志,所述肠道微生物宏基因特征为Rinkenellaceae科和Anaerotruncus属肠道菌群,根据这些特定肠道菌群标志物的表达水平,来选择适合粪菌移植治疗的二型糖尿病患者。根据此肠道菌群生物标志物和不同的检测技术平台,设计开发相应的检测试剂盒。此系统和产品可用于基于个体化的二型糖尿病精准治疗。With the application of high-throughput sequencing and metagenomic analysis technologies in recent years, as well as the application of germ-free facilities and germ-free mice, a more comprehensive understanding of the information of the gut microbiota has also been obtained, and the changes in the gut microbiota are related to changes in patients and animal models. Disease development is closely linked. Research shows that each individual's gut microbiome composition is not only unique, but may also be a predictor of disease risk, and that gut microbiota may contribute to the development of metabolic diseases such as obesity and type 2 diabetes, select for specific gut bacteria The regulation of intestinal microbiota balance by bacterial strains is a promising therapeutic approach. For example, patent application 202110878469.5 discloses an intestinal macrogenome feature as a screening marker for the efficacy of fecal bacterial transplantation in patients with type 2 diabetes. The expression levels of microbiota markers can be used to select patients with type 2 diabetes who are suitable for fecal microbiota transplantation. According to this intestinal flora biomarker and different detection technology platforms, corresponding detection kits are designed and developed. This system and product can be used for individualized precision treatment of type 2 diabetes.

然而,通过药物单一的治疗手段并不能达到很好的治疗效果,在实际的治疗过程中,往往需要辅助的治疗手段。是或多或少因此,在常规药物进行治疗的基础上,选择一些患者易于接受的辅助治疗手段,如食用益生菌、益生元和合生元,可通过改善肠道微生物平衡和改变结肠微生物的组成来改善患者症状,达到辅助治疗2型糖尿病的目的。However, a single drug treatment method cannot achieve a good therapeutic effect. In the actual treatment process, auxiliary treatment methods are often required. Yes, more or less. Therefore, on the basis of conventional drug treatment, choosing some adjuvant treatments that are easy for patients to accept, such as consumption of probiotics, prebiotics and synbiotics, can improve the balance of intestinal microbes and change the composition of colonic microbes. To improve the symptoms of patients, to achieve the purpose of adjuvant treatment of type 2 diabetes.

发明内容SUMMARY OF THE INVENTION

为解决上述问题,本发明的首要目的是提供一种辅助降血糖的益生菌组合物,该益生菌组合物在常规药物进行治疗的基础上,选择一些患者易于接受的食用益生菌、益生元和合生元,可通过改善肠道微生物平衡和改变结肠微生物的组成能有效缓解2型糖尿病症状,达到辅助治疗2型糖尿病的目的。In order to solve the above-mentioned problems, the primary purpose of the present invention is to provide a probiotic composition for assisting hypoglycemia. The probiotic composition selects some edible probiotics, prebiotics and prebiotics that are easy for patients to accept on the basis of conventional medicine treatment. Synbiotics can effectively relieve the symptoms of type 2 diabetes by improving the balance of intestinal microbes and changing the composition of colonic microbes, and achieve the purpose of adjuvant treatment of type 2 diabetes.

为实现上述目的,本发明采用的技术方案是:For achieving the above object, the technical scheme adopted in the present invention is:

一种辅助降血糖的益生菌组合物,该复合益生菌组合物主要包含有复合益生菌冻干粉,所述复合益生菌冻干粉包括有青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌、德氏乳杆菌保加利亚亚种构成的菌群。A probiotic composition for auxiliary hypoglycemic, the composite probiotic composition mainly comprises composite probiotic freeze-dried powder, the composite probiotic freeze-dried powder includes Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve Bacillus, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, Lactobacillus delbrueckii subspecies bulgaricus flora.

申请人在经过深入的研究工作之后,发现上述菌种所构成的特定的益生菌菌株,能够形成良好的益生菌环境,对肠蠕动具有刺激作用,抑制病原菌的生长繁殖,从而改善人体免疫反应并有助于预防肠道疾病。After in-depth research work, the applicant found that the specific probiotic strains formed by the above-mentioned strains can form a good probiotic environment, have a stimulating effect on intestinal peristalsis, inhibit the growth and reproduction of pathogenic bacteria, thereby improving the immune response of the human body. Helps prevent intestinal diseases.

进一步,青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种,按照配比1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1配置益生菌。Further, Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, German Lactobacillus bulgaricus subsp. bulgaricus, according to the ratio of 1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1 to prepare probiotics.

进一步,所述益生菌组合物还包括D-甘露糖醇、抗性糊精、硬脂酸镁。Further, the probiotic composition further includes D-mannitol, resistant dextrin, and magnesium stearate.

其中,D-甘露糖醇:目前唯一用于在临床上的糖质营养素,具有低热量、低甜度,可代替食糖用于糖尿病、肥胖症患者的特殊食品,也是口香糖添加剂。Among them, D-mannitol: the only glyconutrient currently used in clinical practice, with low calorie and low sweetness, can replace sugar for special food for diabetic and obese patients, and is also a chewing gum additive.

所述益生菌组合物,进一步包括维生素C和抗性糊精,以使益生菌组合物的稳定性较好。The probiotic composition further comprises vitamin C and resistant dextrin, so that the stability of the probiotic composition is better.

其中,维生素C:是一种临床常用的水溶性维生素,具有抗氧化和增强机体免疫力的作用,提高肠道粘膜屏障防御功能,并能够提高肠道内有益菌比例。Among them, vitamin C: is a water-soluble vitamin commonly used in clinical practice. It has antioxidant and immune-enhancing effects, improves the defense function of the intestinal mucosal barrier, and can increase the proportion of beneficial bacteria in the intestinal tract.

抗性糊精:是具有代表性的低粘度水溶性膳食纤维,因含有消化酶难以消化的成分,不会被消化道消化吸收,能够直接进入肠道被肠道内的微生物发酵利用,具有降低血糖与调节血脂、调整肠道环境、控制体重,预防肥胖等功能。Resistant dextrin: It is a representative low-viscosity water-soluble dietary fiber. Because it contains ingredients that are difficult to digest by digestive enzymes, it will not be digested and absorbed by the digestive tract. It can directly enter the intestinal tract and be fermented and utilized by microorganisms in the intestinal tract. It has functions such as regulating blood lipids, adjusting the intestinal environment, controlling body weight, and preventing obesity.

更进一步,所述青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种,按照配比1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1配置益生菌,将其混合均匀,再与D-甘露糖醇、抗性糊精、硬脂酸镁按照D-甘露糖醇:抗性糊精:硬脂酸镁=0.5:2:0.2的比例进行混合,包装成产品。Further, the Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Lactobacillus thermophilus Coccus, Lactobacillus delbrueckii subsp. bulgaricus, according to the ratio of 1: 0.5: 1.5: 1: 0.5: 0.5: 1.5: 1.5: 1: 1 to prepare probiotics, mix them evenly, and then mix with D-mannitol, anti- The synthetic dextrin and magnesium stearate are mixed according to the ratio of D-mannitol: resistant dextrin: magnesium stearate=0.5:2:0.2, and packaged into a product.

本发明采用青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种构建益生菌组合物,这些菌群均为人体肠道内的有益菌,可使用于一般食品类,具有刺激肠蠕动,可改善人体免疫反应并有助于预防肠道疾病,增强免疫功能,有助于调节免疫系统功能,抑制病原菌的生长繁殖。The present invention adopts Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, Lactobacillus delbrueckii subsp. bulgaricus constructs a probiotic composition, these flora are beneficial bacteria in the human gut, can be used in general food, can stimulate bowel movements, can improve human immune response and help prevent intestinal diseases , enhance immune function, help to regulate immune system function, inhibit the growth and reproduction of pathogenic bacteria.

附图说明Description of drawings

图1为本发明加速试验活性变化示意图。Figure 1 is a schematic diagram of the activity change of the accelerated test of the present invention.

图2为本发明益生菌对STZ小鼠的影响示意图。Figure 2 is a schematic diagram of the effect of the probiotics of the present invention on STZ mice.

图3为本发明小鼠粪便菌群丰度图。Fig. 3 is a graph showing the abundance of fecal flora in mice of the present invention.

具体实施方式Detailed ways

为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention, but not to limit the present invention.

本发明所制作的辅助降血糖的益生菌组合物,该复合益生菌组合物主要包含有复合益生菌冻干粉,还包括D-甘露糖醇、抗性糊精、硬脂酸镁;所述复合益生菌冻干粉包括有青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌、德氏乳杆菌保加利亚亚种构成的菌群。The probiotic composition for auxiliary hypoglycemic prepared by the present invention mainly comprises freeze-dried composite probiotic powder, and also includes D-mannitol, resistant dextrin and magnesium stearate; Compound probiotic lyophilized powder includes Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, The flora composed of Streptococcus thermophilus and Lactobacillus delbrueckii subsp. bulgaricus.

其中,青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种,按照配比1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1配置益生菌。将其混合均匀,再与D-甘露糖醇、抗性糊精、硬脂酸镁按照D-甘露糖醇:抗性糊精:硬脂酸镁=0.5:2:0.2的比例进行混合,包装成产品。Among them, Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, German Lactobacillus bulgaricus subsp. bulgaricus, according to the ratio of 1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1 to prepare probiotics. Mix it evenly, and then mix with D-mannitol, resistant dextrin, and magnesium stearate according to the ratio of D-mannitol: resistant dextrin: magnesium stearate = 0.5: 2: 0.2, package into a product.

实验部分(Ⅰ):保质期试验。Experimental part (I): Shelf life test.

为了确保本产品活菌活性保存,以及探究维生素C和抗性糊精是否对菌群活性有保护作用,将本实验分为两组,第一组为不添加维生素C和抗性糊精组,第二组为本产品含维生素C和抗性糊精组,将两组放在37℃的恒温箱中保存4个月,湿度为45~66%条件下,进行食品储存期(保质期)加速测试(ASLT),分别在第14d、1m、2m、3m、4m测量其活性,此结果表明,如图1所示,在加速试验下,不含有维生素C和抗性糊精组的活性在14天后开始下降,在1一个月后达到稳定,活菌率保持在10*9的数量级上,而含有维生素C和抗性糊精组稳定性较好,在第4个月不含有维生素C和抗性糊精组活性为1.69*109,而含有维生素C和抗性糊精活性为6.69*109,两组之间存在极显著差异(P<0.01)。可能是由于添加维生素C和抗性糊精后能够降低产品的水活度,起到让产品更加稳定的作用。In order to ensure the preservation of viable bacterial activity of this product, and to explore whether vitamin C and resistant dextrin have a protective effect on bacterial activity, the experiment was divided into two groups. The first group was the group without vitamin C and resistant dextrin. The second group is the product containing vitamin C and resistant dextrin. The two groups were stored in a constant temperature box at 37°C for 4 months, and the humidity was 45-66%. The accelerated test of food storage period (shelf life) (ASLT), and its activity was measured at 14d, 1m, 2m, 3m, and 4m, respectively. The results showed that, as shown in Figure 1, under the accelerated test, the activity of the group without vitamin C and resistant dextrin was 14 days later. It began to decline and reached stability after 1 month, and the viable bacteria rate remained on the order of 10* 9 , while the group containing vitamin C and resistant dextrin had better stability, and did not contain vitamin C and resistant dextrin in the 4th month. The activity of dextrin group was 1.69*10 9 , while the activity of vitamin C and resistant dextrin was 6.69*10 9 . There was a very significant difference between the two groups (P<0.01). It may be because the addition of vitamin C and resistant dextrin can reduce the water activity of the product and make the product more stable.

实验部分(Ⅱ):益生菌对糖尿病小鼠影响。Experimental part (II): The effect of probiotics on diabetic mice.

将24只7周龄的雄性昆明小鼠随机分为3组,每组8只,实验分为正常组,造模组,益生菌治疗组。在实验室在通风笼进行为其一周的适应,自由饮食和饮水。适应性饲养1周后,给予模型组和益生菌治疗组连续5天腹腔注射STZ(链脲佐菌素40mg/kg)处理,正常组连续5天腹腔注射生理盐水做对照组处理。经过连续5天腹腔注射后,待小鼠血糖稳定一周,对小鼠进行尾静脉取血测量其血糖。待小鼠血糖≥11mmol/L并稳定超过两周,即认为造模成功。造模成功后,治疗组每天给予200μL上述益生菌复合物进行治疗。每天记录各组小鼠的血糖、体重和粪便葡萄糖浓度。在7周后收集小鼠粪便,使用QIAamp Fast DNA Stool MiniKIT(QIAGEN)试剂盒提取DNA样本,基于16S rRNAV3-V4区段进行PCR文库构建,通过Illumina HiSeq2500仪器进行高通量测序,对测序数据通过Usearch进行OTU聚类分析,以获得菌群丰度和组成信息。Twenty-four 7-week-old male Kunming mice were randomly divided into 3 groups with 8 mice in each group. The experiment was divided into a normal group, a model group, and a probiotic treatment group. One-week acclimation was performed in a laboratory in a ventilated cage, with free food and water. After 1 week of adaptive feeding, the model group and probiotic treatment group were given intraperitoneal injection of STZ (40 mg/kg streptozotocin) for 5 consecutive days, and the normal group was intraperitoneally injected with normal saline for 5 consecutive days as the control group. After 5 consecutive days of intraperitoneal injection, when the blood sugar of the mice was stable for a week, blood was collected from the tail vein of the mice to measure their blood sugar. When the blood glucose of the mice was ≥11 mmol/L and stabilized for more than two weeks, the modeling was considered successful. After successful modeling, the treatment group was given 200 μL of the above probiotic complex for treatment every day. Blood glucose, body weight and fecal glucose concentration of mice in each group were recorded daily. Mice feces were collected after 7 weeks, DNA samples were extracted using the QIAamp Fast DNA Stool MiniKIT (QIAGEN) kit, PCR library construction was performed based on the 16S rRNAV3-V4 segment, and high-throughput sequencing was performed by an Illumina HiSeq2500 instrument. Usearch performed OTU cluster analysis to obtain information on flora abundance and composition.

其中,小鼠腹腔注射用1ml的注射器,配合4号针头;腹腔注射时右手持注射器,左手的小指和无名指抓住小鼠的尾巴,另外三个手指抓住小鼠的颈部,使小鼠的头部向下。这样腹腔中的器官就会自然倒向胸部,防止注射器刺入时损伤大肠、小肠等器官。进针的动作要轻柔,防止刺伤腹部器官;腹腔注射时针头在腹部皮下穿行一小段距离,从腹部一侧进针,穿过腹中线后在腹部的另一侧进入腹腔,注射完药物后,缓缓拔出针头,并轻微旋转针头,防止漏液。Among them, a 1ml syringe with a 4-gauge needle was used for intraperitoneal injection in mice; during intraperitoneal injection, the syringe was held in the right hand, the little finger and ring finger of the left hand grabbed the tail of the mouse, and the other three fingers grabbed the neck of the mouse, so that the mouse head down. In this way, the organs in the abdominal cavity will naturally fall to the chest, preventing damage to the large intestine, small intestine and other organs when the syringe is pierced. The action of needle insertion should be gentle to avoid puncturing the abdominal organs; during intraperitoneal injection, the needle should pass a short distance under the skin of the abdomen, enter the needle from one side of the abdomen, pass through the midline of the abdomen, and then enter the abdominal cavity on the other side of the abdomen. , slowly withdraw the needle, and rotate the needle slightly to prevent leakage.

然后,将新的直线灌胃针头适量弯曲,角度与鼠食道生理弯曲度相似即可;左手保定动物,右手持注射器,注射器的刻度朝前;灌胃针头从动物嘴角进入,压住舌头,抵住上颚,轻轻向内推进;将灌胃针沿咽后壁慢慢插入食道,回抽注射器无空气逆流方可注入益生菌;观察鼠的反应,如无过度挣扎,可尝试推注益生菌,如阻力较小可推注所有益生菌,如阻力过大或动物反应剧烈,呼吸受阻,退针后插入;松开小鼠,观察动物呼吸,如无呼吸异常,确定灌胃成功。Then, bend the new straight gavage needle appropriately, and the angle is similar to the physiological curvature of the rat esophagus; hold the animal with the left hand, hold the syringe with the right hand, and the scale of the syringe faces forward; the gavage needle enters from the corner of the animal's mouth, press the tongue, Hold the upper jaw and push it inward gently; slowly insert the gavage needle into the esophagus along the back wall of the pharynx, and then withdraw the syringe without air backflow before injecting probiotics; observe the reaction of the rat, if there is no excessive struggle, you can try to inject probiotics If the resistance is small, all probiotics can be injected. If the resistance is too large or the animal reacts violently, the breathing is blocked, and the needle is withdrawn and inserted; release the mouse and observe the animal's breathing.

对糖尿病的治疗效果评价的直接指标是血糖值和体重因此,在造模成功开始治疗之后,每隔一段时间检测各组小鼠的血糖值、粪便葡萄糖浓度以及体重。在图2中如图A所示,正常对照组的小鼠体重比较稳定,第7周达到50g。造模组(STZ)小鼠体重逐渐减轻(p<0.05),第7周为32g,益生菌治疗组(STZ+P)小鼠体重得到缓解,第7周上升至41g,和造模组存在明显差异;如图B所示,正常组小鼠的粪便葡萄糖浓度维持正常值2mmol/L,造模组(STZ)和益生菌治疗组组(STZ+P)的粪便葡萄糖浓度在第三周达到了4mmol/L,造模组(STZ)且有逐渐上升的趋势,治疗组(STZ+P)小鼠的粪便葡萄糖浓度在第三周开始下降,第七周降至正常浓度。如图C所示,正常组小鼠维持正常血糖水平,而造模组(STZ)和益生菌治疗组(STZ+P)小鼠血糖值逐渐攀升,第四周开始维持在20mmol/L,但是益生菌治疗组(STZ+P)小鼠血糖值在经过治疗后血糖值得到缓解,逐渐有降低的趋势,和造模组(STZ)存在明显的差异,以上结果表明,上述益生菌复合物的治疗一定程度上缓解了STZ诱导的糖尿病模型小鼠的病情。The direct indicators for the evaluation of the therapeutic effect of diabetes are blood sugar level and body weight. Therefore, after the model was successfully started to treat, the blood sugar level, fecal glucose concentration and body weight of the mice in each group were detected at regular intervals. As shown in Figure A in Figure 2, the weight of the mice in the normal control group was relatively stable, reaching 50 g in the seventh week. The weight of mice in the model group (STZ) gradually decreased (p<0.05), and it was 32g in the 7th week. The weight of the mice in the probiotic treatment group (STZ+P) was relieved, and it increased to 41g in the 7th week, and the model group existed. Significant difference; as shown in Figure B, the fecal glucose concentration of the mice in the normal group maintained a normal value of 2 mmol/L, and the fecal glucose concentration of the modeling group (STZ) and the probiotic treatment group (STZ+P) reached the third week. The fecal glucose concentration of mice in the treatment group (STZ+P) began to decrease in the third week, and decreased to the normal concentration in the seventh week. As shown in Figure C, the mice in the normal group maintained normal blood sugar levels, while the blood sugar levels of the mice in the model group (STZ) and the probiotic treatment group (STZ+P) gradually increased, and were maintained at 20 mmol/L from the fourth week. The blood sugar level of the mice in the probiotic treatment group (STZ+P) was relieved after treatment, and gradually decreased, which was significantly different from the model group (STZ). The treatment alleviated the condition of STZ-induced diabetes model mice to a certain extent.

7周后收集了小鼠的粪便,同时结合高通量测序进一步从菌群相对丰度进行评估,根据图3(图3中,注:N代表正常组小鼠,DM代表糖尿病造模组小鼠,Treatment代表益生菌治疗组),发现糖尿病组Sphingomonas和Alistipes属相比正常小鼠相对丰度增加,Lachnospiraceae和Bifidobacterium属相对分度减少,而经过益生菌治疗组的小鼠Sphingomonas和Alistipes属相比正常小鼠相对丰度减少,而Bifidobacterium属相对丰度增加。Bifidobacterium属的细菌作为人和动物肠道菌群的重要组成成员之一,能抑制人体有害细菌的生长,抵抗病原菌的感染,合成人体需要的维生素,促进人体对矿物质的吸收,产生醋酸、丙酸、丁酸和乳酸等有机酸刺激肠道蠕动,防止便秘以及抑制肠道腐败作用、净化肠道环境、刺激人体免疫系统,从而提高抗病能力等方面有着重要作用。The feces of the mice were collected after 7 weeks, and at the same time combined with high-throughput sequencing, the relative abundance of the flora was further evaluated, according to Figure 3 (in Figure 3, Note: N represents the normal group of mice, DM represents the diabetic model group small group. mice, Treatment represents the probiotic treatment group), it was found that the relative abundance of the genera Sphingomonas and Alistipes in the diabetic group was increased compared with the normal mice, and the relative abundance of the genera Lachnospiraceae and Bifidobacterium was decreased, while the mice in the probiotic-treated group were found to be Sphingomonas and Alistipes compared with the normal mice The relative abundance of mice decreased, while the relative abundance of Bifidobacterium increased. Bifidobacterium, as one of the important members of human and animal intestinal flora, can inhibit the growth of harmful bacteria in the human body, resist the infection of pathogenic bacteria, synthesize vitamins needed by the human body, promote the absorption of minerals by the human body, and produce acetic acid, Organic acids such as acid, butyric acid and lactic acid stimulate intestinal peristalsis, prevent constipation, inhibit intestinal corruption, purify the intestinal environment, stimulate the human immune system, and thus play an important role in improving disease resistance.

本实验中,糖尿病造模组小鼠粪便中双歧杆菌和乳酸菌属较少,而本产品中主要是双歧杆菌和乳酸菌,所以治疗组中乳酸菌属的相对丰度较多,益生菌通过改变肠道菌群的丰度,从而辅助改善糖尿病症状。In this experiment, there were few bifidobacteria and lactic acid bacteria in the feces of the mice in the diabetes model group, while bifidobacteria and lactic acid bacteria were mainly in this product, so the relative abundance of lactic acid bacteria in the treatment group was higher, and the probiotic bacteria were changed by changing The abundance of intestinal flora, thereby helping to improve diabetes symptoms.

实验部分(Ⅲ):益生菌辅助二甲双胍改善糖尿病患者。Experimental part (Ⅲ): Probiotics assisted metformin in improving diabetic patients.

招募54名糖尿病患者进行研究,他们的基本特征显示在表1中。随机分为2组,治疗组和安慰剂组,进行为期60d的益生菌组和安慰剂干预,每30d测一次空腹血糖和糖化血红蛋白。益生菌组实验人员在标准二甲双胍治疗前提下,加服该益生菌。安慰剂组患者在标准二甲双胍治疗基础上,加服对应安慰剂,分组对象均给予糖尿病饮食及活动执导,了解患者基本信息及病史,采集患者身高、体重、围腰并计算BMI,安慰剂组接受仅有麦芽糊精的制剂。Fifty-four diabetic patients were recruited for the study, and their basic characteristics are shown in Table 1. Randomly divided into 2 groups, treatment group and placebo group, for 60 days of probiotics group and placebo intervention, measured fasting blood glucose and glycosylated hemoglobin every 30 days. Experimenters in the probiotic group took the probiotics under the premise of standard metformin treatment. On the basis of standard metformin treatment, the patients in the placebo group were given the corresponding placebo, and the grouped subjects were all given diabetes diet and activity guidance to obtain the basic information and medical history of the patients, collect the patients' height, weight, waist circumference and calculate the BMI. The placebo group received Maltodextrin-only formulation.

血液采集:Blood collection:

采集志愿者0d、30d、60d餐前血液样本到真空采血管中,3000rpm离心10min,离心后取血清收集空腹血糖浓度和糖化血红蛋白,并使用全自动生化分析测定其指标。Blood samples were collected from volunteers at 0d, 30d, and 60d before meals into vacuum blood collection tubes, centrifuged at 3000 rpm for 10 min, and serum was collected after centrifugation to collect fasting blood glucose concentration and glycosylated hemoglobin, and use automatic biochemical analysis to determine their indicators.

根据表2得知,在经过30d益生菌治疗后,与安慰剂组在空腹血糖和糖化血红蛋白上存在显著差距(P<0.05),益生菌治疗组比安慰剂组平均空腹血糖少0.27/mmol·L,并且经过60d益生菌治疗后,与安慰剂组在空腹血糖和糖化血红蛋白上存在显著差距(P<0.001),并且差距拉大,加入益生菌治疗组空腹血糖相比安慰剂组少1.32mmol·L,加入益生菌治疗组的糖化血红蛋相比安慰剂组少0.48%。有研究发现二甲双胍的作用位置以肠道为主,而静脉注射二甲双胍无法调节人类血糖。这可能由于二甲双胍的降血糖作用与调节肠道菌群中的部分物种有关,该益生菌复合物能协助二甲双胍发挥降糖作用。这些菌群均为人体肠道内的有益菌,具有刺激肠蠕动,可改善人体免疫反应并有助于预防肠道疾病,增强免疫功能,有助于调节免疫系统功能,抑制病原菌的生长繁殖。通过上述研究也发现,加入该复合益生菌能显著增强二甲双胍的降血糖作用。According to Table 2, after 30 days of probiotic treatment, there was a significant difference in fasting blood glucose and glycosylated hemoglobin compared with the placebo group (P < 0.05), and the average fasting blood glucose of the probiotic treatment group was 0.27/mmol · less than the placebo group. L, and after 60 days of probiotic treatment, there was a significant difference in fasting blood glucose and glycosylated hemoglobin compared with the placebo group (P<0.001), and the gap widened. The fasting blood glucose of the probiotic treatment group was 1.32 mmol lower than that of the placebo group. · L, glycated hemoglobin was 0.48% less in the added probiotic treatment group than in the placebo group. Some studies have found that the role of metformin is mainly in the gut, and intravenous metformin cannot regulate blood sugar in humans. This may be due to the fact that the hypoglycemic effect of metformin is related to the regulation of some species in the intestinal flora, and the probiotic complex can assist the hypoglycemic effect of metformin. These flora are all beneficial bacteria in the human intestinal tract, which can stimulate peristalsis, improve the immune response of the human body, help prevent intestinal diseases, enhance immune function, help regulate immune system function, and inhibit the growth and reproduction of pathogenic bacteria. The above research also found that adding the compound probiotics can significantly enhance the hypoglycemic effect of metformin.

表1糖尿病患者基本信息Table 1 Basic information of diabetic patients

Figure BDA0003771575250000081
Figure BDA0003771575250000081

表2主要测定指标Table 2 Main measurement indicators

Figure BDA0003771575250000082
Figure BDA0003771575250000082

试验数据采用SPSS 22.0Univariate方法单因素分析,对F检验达到显著水平的因子,并进行方差分析并进行Duncan氏多重比较,各组试验数据均以(平均值±标准差)表示。The experimental data were analyzed by SPSS 22.0 Univariate method, and the factors that reached a significant level by the F test were analyzed by variance analysis and Duncan's multiple comparisons. The experimental data of each group were expressed as (mean ± standard deviation).

统计显著性水平为P<0.05,极显著性水平为P<0.01。The statistical significance level was P<0.05, and the extremely significant level was P<0.01.

试验所涉及的器材包括高速离心机、移液枪、生物安全柜、血液生化仪、电子天平、涡旋振荡器、灌胃针、1ml注射器均是采用现有技术实现,在此不再赘述。The equipment involved in the test includes a high-speed centrifuge, a pipette gun, a biological safety cabinet, a blood biochemical analyzer, an electronic balance, a vortex shaker, a gavage needle, and a 1ml syringe, which are all realized by the existing technology, and will not be repeated here.

由上述试验可知,本发明所实现的复合益生菌能够通过调节肠道菌群,配合二甲双胍使用进而改善糖尿病人的血糖指标。It can be seen from the above test that the compound probiotics realized by the present invention can improve the blood sugar index of diabetics by adjusting the intestinal flora and using with metformin.

以上仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention shall be included in the protection scope of the present invention. Inside.

Claims (4)

1.一种辅助降血糖的益生菌组合物,其特征在于该复合益生菌组合物主要包含有复合益生菌冻干粉,所述复合益生菌冻干粉包括有青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌、德氏乳杆菌保加利亚亚种构成的菌群。1. an auxiliary hypoglycemic probiotic composition is characterized in that this composite probiotic composition mainly comprises composite probiotic freeze-dried powder, and described composite probiotic freeze-dried powder comprises Bifidobacterium adolescentis, Bifidobacterium longum Bacillus, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Lactobacillus reuteri, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, Lactobacillus delbrueckii subsp. bulgaricus . 2.根据权利要求1所述的辅助降血糖的益生菌组合物,其特征在于青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种,按照配比1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1配置益生菌。2. The probiotic composition of auxiliary hypoglycemic according to claim 1 is characterized in that Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Reuteri Lactobacillus, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, Lactobacillus delbrueckii subsp. bulgaricus, according to the ratio of 1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1 to prepare probiotics bacteria. 3.根据权利要求2所述的辅助降血糖的益生菌组合物,其特征在于所述益生菌组合物还包括D-甘露糖醇、抗性糊精、硬脂酸镁。3. The probiotic composition for auxiliary hypoglycemic according to claim 2, characterized in that the probiotic composition further comprises D-mannitol, resistant dextrin and magnesium stearate. 4.根据权利要求3所述的辅助降血糖的益生菌组合物,其特征在于所述青春双歧杆菌、长双歧杆菌、短双歧杆菌、嗜酸乳杆菌、两岐双歧杆菌、罗伊氏乳杆菌、鼠李糖乳杆菌、植物乳杆菌、嗜热链球菌,德氏乳杆菌保加利亚亚种,按照配比1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1配置益生菌,将其混合均匀,再与D-甘露糖醇、抗性糊精、硬脂酸镁按照D-甘露糖醇:抗性糊精:硬脂酸镁=0.5:2:0.2的比例进行混合,包装成产品。4. The probiotic composition of claim 3, characterized in that the Bifidobacterium adolescentis, Bifidobacterium longum, Bifidobacterium breve, Lactobacillus acidophilus, Bifidobacterium bifidum, Bifidobacterium Lactobacillus eische, Lactobacillus rhamnosus, Lactobacillus plantarum, Streptococcus thermophilus, Lactobacillus delbrueckii subsp. bulgaricus, according to the ratio 1:0.5:1.5:1:0.5:0.5:1.5:1.5:1:1 Prepare probiotics, mix them evenly, and then mix with D-mannitol, resistant dextrin, and magnesium stearate according to the ratio of D-mannitol: resistant dextrin: magnesium stearate = 0.5:2:0.2 Mixed and packaged into product.
CN202210903020.4A 2022-07-29 2022-07-29 Probiotic composition assisting in reducing blood sugar Pending CN115137757A (en)

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