TW202539716A - Probiotics composition and uses thereof - Google Patents
Probiotics composition and uses thereofInfo
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本發明涉及益生菌領域,特別是關於雙歧桿菌屬( Bifidobacterium)之益生菌;本發明也涉及益生菌的用途,特別涉及調節免疫及緩解、預防或治療過敏症狀與炎症反應之應用。 This invention relates to the field of probiotics, particularly to probiotics of the genus Bifidobacterium ; this invention also relates to the use of probiotics, particularly to their use in regulating immunity and in relieving, preventing or treating allergic symptoms and inflammatory responses.
益生菌(Probiotics)通常指食入後對宿主(如動物或人類)有正面效益的微生物;常見的益生菌主要包括乳酸菌和部分酵母菌,乳酸菌是能利用碳水化合物發酵生產乳酸的一類細菌,目前僅有少數菌株經研究證實對宿主健康有益,應用在促進宿主腸道健康和調節免疫方面已證實有良好的效果。Probiotics generally refer to microorganisms that have positive benefits to the host (such as animals or humans) after being ingested. Common probiotics mainly include lactic acid bacteria and some yeasts. Lactic acid bacteria are a type of bacteria that can ferment carbohydrates to produce lactic acid. Currently, only a few strains have been proven to be beneficial to the host's health, and their application in promoting the host's intestinal health and regulating immunity has proven to have good effects.
人類腸道中的細菌數量可達100萬億,約占了人體微生物總量的80%,而70%至80%的人體免疫細胞位於腸道中,因此腸道提供了宿主免疫系統與微生物相互作用的場域,使得這些益生菌在腸道免疫調節方面扮演著重要的角色;常見作為益生菌的乳酸菌包括腸球菌屬( Enterococcus)、乳桿菌屬( Lactobacillus)、雙岐桿菌屬( Bifidobacterium)中的多個菌種及菌株等,而酵母菌則主要有酵母菌屬( Saccharomyces)的布拉酵母菌( Saccharomyces boulardii),而該等益生菌在免疫功能的調節方面,其應用效果已經過大量的體外試驗和臨床試驗之驗證。 The human gut contains up to 100 trillion bacteria, accounting for about 80% of the total human microbiome. 70% to 80% of human immune cells reside in the gut, thus providing a domain for interaction between the host's immune system and microorganisms. This makes probiotics play a crucial role in gut immune regulation. Common probiotics include lactic acid bacteria such as Enterococcus , Lactobacillus , and various species and strains of Bifidobacterium , while yeasts primarily include Saccharomyces boulardii . The efficacy of these probiotics in regulating immune function has been validated through numerous in vitro and clinical trials.
一般來說,益生菌通過多種機制調節宿主的免疫功能,例如在黏膜屏障功能方面,益生菌可以和入侵生物競爭黏膜細胞上的附著位點,阻止了細菌穿透黏膜進入深部組織;另一方面,益生菌具有調控腸上皮細胞間的連接密度的能力,進一步的維護了胃腸黏膜完整性;再者,益生菌更能增強先天(innate)性免疫功能,例如提高吞噬細胞和自然殺手細胞的活性,並調節相關細胞因子的表現量,從而控制炎症反應的強度。此外,益生菌對適應性(adaptive)免疫也有正面的影響,調節T、B淋巴細胞球對病原體的反應性,誘導多種免疫球蛋白的分泌。Generally speaking, probiotics regulate the host's immune function through various mechanisms. For example, regarding mucosal barrier function, probiotics can compete with invading organisms for attachment sites on mucosal cells, preventing bacteria from penetrating the mucosa and entering deeper tissues. On the other hand, probiotics have the ability to regulate the density of connections between intestinal epithelial cells, further maintaining the integrity of the gastrointestinal mucosa. Furthermore, probiotics can enhance innate immune function, such as increasing the activity of phagocytes and natural killer cells, and regulating the expression of related cytokines, thereby controlling the intensity of the inflammatory response. In addition, probiotics also have a positive effect on adaptive immunity, regulating the responsiveness of T and B lymphocytes to pathogens and inducing the secretion of various immunoglobulins.
當前由於環境變化,使得過敏就診人口逐年攀升,其中氣喘(asthma)和異位性皮膚炎(atopic dermatitis,AD) 在全球範圍內持續呈現著顯著的發病率,並盛行率也有所增加,並且這兩種疾病在年輕族群中更為常見;異位性皮膚炎是一種常見且具復發性的過敏性皮膚疾病(allergic skin disease),目前主要認為是由於Th2細胞過度活化所導致Th1/Th2失衡(Th1/Th2 dysbalance)而引起,通常可觀察到Th2細胞激素(Th2 cytokines),例如介白素-13 (interleukin-13, IL-13)的大量表現;異位性皮膚炎的常見症狀包括皮膚搔癢(pruritus)、紅腫(redness and swelling)、脫屑(desquamation)、龜裂(crack)以及結痂(crust formation);對嬰幼兒而言,好發部位主要為臉部,而在孩童與成人,好發部位則為膝蓋、手肘等關節屈側;此外,多數患者也會出現如過敏性鼻炎(allergic rhinitis)、氣喘(asthma)及過敏性結膜炎(allergic conjunctivitis)等併發症狀。Currently, due to environmental changes, the number of people seeking medical attention for allergies is increasing year by year. Asthma and atopic dermatitis (AD) continue to show significant incidence and prevalence globally, and these two diseases are more common in younger populations. Atopic dermatitis is a common and recurrent allergic skin disease, currently believed to be caused by Th1/Th2 dysbalance due to overactivation of Th2 cells. Th2 cytokines, such as interleukin-13, are usually observable. Extensive manifestations of IL-13; common symptoms of atopic dermatitis include itching, redness and swelling, desquamation, cracking, and crust formation; in infants and young children, the face is the most common site, while in children and adults, the flexor surfaces of joints such as the knees and elbows are more common; in addition, most patients also experience complications such as allergic rhinitis, asthma, and allergic conjunctivitis.
臨床上異位性皮膚炎治療主要依賴藥物,例如口服的抗組織胺藥物(antihistamine)、抗生素(antibiotics),或局部的皮質類固醇(corticosteroid)與免疫抑制劑(immunosuppressive agent);然而,藥物治療可能會對於患者難以避免的產生副作用(side effects)等安全性問題,例如JAK免疫抑制劑在臨床上已被發現有影響血球、肝功能、血脂肪的風險,另也可能導致痤瘡、頭痛、噁心等症狀,並有增加上呼吸道感染或皰疹之風險;因此,能夠有效地治療、緩解或預防包括異位性皮膚炎在內的過敏性疾病,且不生副作用的方式亟待開發。Clinically, the treatment of atopic dermatitis mainly relies on medications, such as oral antihistamines and antibiotics, or topical corticosteroids and immunosuppressive agents. However, drug treatment may inevitably cause side effects and other safety issues for patients. For example, JAK immunosuppressants have been found to affect blood cells, liver function, and blood lipids in clinical practice, and may also cause symptoms such as acne, headache, and nausea, and increase the risk of upper respiratory tract infections or herpes. Therefore, there is an urgent need to develop methods that can effectively treat, relieve, or prevent allergic diseases, including atopic dermatitis, without causing side effects.
於所屬領域的已有數種利用乳酸菌菌株以改善異位性皮膚炎或其他過敏性疾病的應用,例如使用鼠李糖乳酸桿菌( Lactobacillus rhamnosus) GG (LGG)或動物雙歧桿菌乳亞種( Bifidobacterium animalis subsp. lactis) BB-12添加至水解乳清蛋白配方中,並以之餵食哺乳(breast-feeding)期間發生異位性皮膚炎的嬰幼兒。 Several applications of lactic acid bacteria strains have been developed in this field to improve atopic dermatitis or other allergic diseases. For example, Lactobacillus rhamnosus GG (LGG) or Bifidobacterium animalis subsp . lactis BB-12 has been added to hydrolyzed whey protein formulations and fed to breastfed infants who develop atopic dermatitis.
然而,益生菌的作用仍取決於是否能夠順利地通過腸胃道抵達適合植入的位點,具體需要有足夠的耐酸性及耐膽鹽等特性,以克服胃腸道中防禦機制,例如低pH值的胃酸與小腸中的膽汁酸;因此,為了改善並解決先前技術在治療、緩解或預防過敏性疾病過程中所遭遇的議題,首要解決的問題是篩選具有高生存活性、耐酸性、耐膽鹽等特性之益生菌株,以確保它們能夠順利通過腸胃道,發揮益生效果。However, the effectiveness of probiotics still depends on their ability to successfully pass through the gastrointestinal tract and reach suitable implantation sites. Specifically, they need sufficient acid and bile salt tolerance to overcome defense mechanisms in the gastrointestinal tract, such as low-pH gastric acid and bile acids in the small intestine. Therefore, in order to improve and solve the problems encountered by previous technologies in the treatment, relief, or prevention of allergic diseases, the primary issue to be addressed is to select probiotic strains with high viability, acid and bile salt tolerance to ensure that they can pass through the gastrointestinal tract smoothly and exert their probiotic effects.
爰此,本發明之一目的在於提供一種益生菌組合物,其包括一長雙歧桿菌、一兩雙歧桿菌或其組合。Therefore, one object of the present invention is to provide a probiotic composition comprising a long Bifidobacterium, a two Bifidobacterium, or a combination thereof.
本發明之又一目的在於提供一種如前所述之益生菌組合物用於製備預防、改善或減緩過敏症狀之醫藥組合物的用途,其包括以一有效劑量之該益生菌組合物投予至一所需個體達一時間。Another object of the present invention is to provide the use of the probiotic composition as described above for the preparation of a pharmaceutical composition for the prevention, improvement or relief of allergy symptoms, comprising administering an effective dose of the probiotic composition to a desired individual for a period of time.
如前所述之用途,其中,該所需個體包括一哺乳動物,該過敏症狀係包括類風濕性關節炎、脂漏性皮膚炎、接觸性皮膚炎、異位性皮膚炎、過敏性皮膚炎或牛皮癬。As described above, the required individual includes a mammal and the allergic symptoms include rheumatoid arthritis, seborrheic dermatitis, contact dermatitis, atopic dermatitis, allergic dermatitis, or psoriasis.
如前所述之用途,其中,該投予途徑包括口服、靜脈注射或經腸胃道施予。As described above, the route of administration includes oral, intravenous, or gastrointestinal administration.
如前所述之用途,其中,該醫藥組成物包含一醫藥及食品上可接受之載劑、賦形劑及/或添加劑。As described above, the pharmaceutical composition comprises a pharmaceutically and food-acceptable carrier, excipient, and/or additive.
如前所述之用途,其中,該醫藥組成物之劑型包括粉劑、錠劑、粒劑、栓劑、微膠囊、安瓶、液體噴劑或塞劑。As described above, the dosage form of the pharmaceutical composition includes powder, tablet, granule, suppository, microcapsule, ampoule, liquid spray or stopper.
如前所述之用途,其中,該有效劑量為每半日(0.10至2.00) x10 11CFU或每日(0.20至4.00) x10 11CFU;該時間為至少1至56天,較佳為至少14至49天,更佳為21至28天。 As described above, the effective dose is (0.10 to 2.00) x 10 11 CFU per half-day or (0.20 to 4.00) x 10 11 CFU per day; the duration is at least 1 to 56 days, preferably at least 14 to 49 days, and more preferably 21 to 28 days.
本發明之再一目的在於提供一種如前所述之益生菌組合物用於製備調節細胞生理活性之營養組合物的用途,其包括以一有效劑量之該益生菌組合物投予至一所需個體達一時間以調節其免疫細胞或其免疫細胞群。Another object of the present invention is to provide the use of the probiotic composition as described above for the preparation of a nutritional composition for regulating cellular physiological activity, comprising administering an effective dose of the probiotic composition to a desired individual for a period of time to regulate its immune cells or immune cell populations.
如前所述之用途,該免疫細胞包含自然殺手細胞、肥大細胞、嗜酸性球、嗜鹼性球、巨噬細胞、嗜中性球或樹突細胞,該免疫細胞群包含下列群組中任意二者以上之組合:自然殺手細胞、肥大細胞、嗜酸性球、嗜鹼性球、巨噬細胞、嗜中性球、樹突細胞。As described above, the immune cells include natural killer cells, mast cells, eosinophils, basophils, macrophages, neutrophils, or dendritic cells, and the immune cell population includes any two or more of the following groups: natural killer cells, mast cells, eosinophils, basophils, macrophages, neutrophils, and dendritic cells.
如前所述之用途,其中,該有效劑量為每半日(0.10至2.00) x10 11CFU或每日(0.20至4.00) x10 11CFU;該時間為至少1至56天,較佳為至少14至49天,更佳為21至28天。 As described above, the effective dose is (0.10 to 2.00) x 10 11 CFU per half-day or (0.20 to 4.00) x 10 11 CFU per day; the duration is at least 1 to 56 days, preferably at least 14 to 49 days, and more preferably 21 to 28 days.
本文所謂「益生菌(probiotics)」意指以適當劑量之活體投予宿主時,可促進宿主健康之微生物,如:乳酸桿菌、片球菌、芽孢桿菌、雙歧桿菌及鼠李糖乳桿菌。所謂「預防」意指透過特定動作來停止或阻礙一疾病、病況或一疾病或病況之症狀。The term "probiotics" in this article refers to microorganisms that, when administered to a host in appropriate doses, can promote the host's health, such as Lactobacillus, Pediococcus, Bacillus, Bifidobacterium, and Lactobacillus rhamnosus. The term "prevention" refers to taking specific actions to stop or prevent a disease, condition, or its symptoms.
所謂「治療」意指緩和、改善或醫治一疾病、病況或一疾病或病況之症狀。The term "treatment" refers to relieving, improving, or curing a disease, condition, or symptoms.
所謂 「減緩」意指縮小範圍、降低數量或減輕程度。The term "mitigation" means reducing the scope, decreasing the quantity, or lessening the severity.
所謂「有效劑量」意指足以達到預防、治療或減緩該疾病、病況或該疾病或病況之症狀之份量。The term "effective dose" refers to a dosage sufficient to prevent, treat, or alleviate the disease, condition, or symptoms of the disease or condition.
所謂「哺乳動物」意指哺乳類下所有的成員,包括人類、靈長類、家禽與家畜類動物,例如兔子、豬、羊、和牛,包括但不限於人類、大鼠、小鼠、天竺鼠、猴子、豬、羊、牛、馬、狗、貓、鳥及禽類。The term "mammals" refers to all members of the mammal class, including humans, primates, poultry, and livestock, such as rabbits, pigs, sheep, and cattle, including but not limited to humans, rats, mice, guinea pigs, monkeys, pigs, sheep, cattle, horses, dogs, cats, birds, and fowl.
所謂「醫藥或食品上可接受的賦形劑」意指在一醫藥或食品組合物中能與其他成分相容且在投予至所需個體後不會對該所需個體產生危害之化合物。The term "medical or food acceptable excipient" refers to a compound that is compatible with other components in a pharmaceutical or food composition and will not cause harm to the desired individual when administered to that individual.
所謂「免疫細胞」意指先天免疫細胞群中的任一種成員,包括但不限於自然殺手細胞、肥大細胞、嗜酸性球、嗜鹼性球、巨噬細胞、嗜中性球、樹突細胞,且不限於該等細胞表現特殊細胞表面標記物(cell surface marker)之特定亞型。The term "immune cell" refers to any member of the innate immune cell population, including but not limited to natural killer cells, mast cells, eosinophils, basophils, macrophages, neutrophils, and dendritic cells, and is not limited to specific subtypes of these cells that express special cell surface markers.
本發明的第一實施方式係提供一種益生菌組合物,其包括一長雙歧桿菌( Bifidobacterium longum)、一兩雙歧桿菌( Bifidobacterium bifidum)或其組合。 The first embodiment of the present invention provides a probiotic composition comprising one Bifidobacterium longum , one Bifidobacterium bifidum , or a combination thereof.
於一些實施例中,該長雙歧桿菌與該兩雙歧桿菌之一菌數比為2:1至1:2。In some embodiments, the ratio of the number of the long-lived Bifidobacterium to one of the two Bifidobacteria is 2:1 to 1:2.
於多個實施例中,該長雙歧桿菌為長雙歧桿菌S9,並已於日本指定寄存單位完成生物寄存。In several embodiments, the Bifidobacterium longum is Bifidobacterium longum S9, and biological storage has been completed at a designated storage facility in Japan.
在部分實施例中,該長雙歧桿菌S9具耐酸性及耐膽鹽性,顯示其具有良好的腸道存留能力;經細胞實驗證實,相較於投予同屬其他菌株,長雙歧桿菌S9顯著的降低TH2細胞數量,並增高TH1細胞與FoxP3 +Treg細胞的數量,具有降低IL-4誘導發炎及過敏反應的能力;經動物實驗證實,相較於投予同屬其他菌株,罹患皮膚炎症之動物經口投予長雙歧桿菌S9達4至7天後,能夠減輕動物體皮膚炎反應例如紅斑(erythema)、硬結(induration)或脫皮(desquamation)等,並有效提高動物體皮膚含水量,降低皮膚內趨化因子(chemokine)的含量,例如胸腺和活化調節趨化因子 (thymus and activation regulated chemokine,TARC)或CCL27等;此外,經口投予長雙歧桿菌S9後,動物體血清中的免疫球蛋白及組織胺濃度也顯著下降,而皮膚的角質層厚度、上皮厚度、發炎程度以及肥胖細胞密度等皮膚炎反應都獲得了顯著的改善。 In some embodiments, Bifidobacterium longum S9 exhibited acid and bile salt resistance, demonstrating good intestinal retention capacity. Cellular experiments confirmed that, compared to other strains of the same genus, Bifidobacterium longum S9 significantly reduced TH2 cell counts and increased TH1 cell and FoxP3 + cell counts. The number of Treg cells can reduce IL-4-induced inflammation and allergic reactions. Animal experiments have shown that, compared to other strains of the same genus, oral administration of Bifidobacterium longum S9 to animals with skin inflammation for 4 to 7 days can alleviate dermatitis reactions such as erythema, induration, or desquamation, and effectively increase skin moisture content and reduce the content of chemokines in the skin, such as thymus and activation-regulated chemokines. Chemokine (TARC) or CCL27, etc.; In addition, after oral administration of Bifidobacterium longum S9, the concentrations of immunoglobulins and histamine in the serum of animals also decreased significantly, and the dermatitis response, such as the thickness of the stratum corneum, the thickness of the epithelium, the degree of inflammation, and the density of fat cells, was significantly improved.
在另一些實施例中,該兩雙歧桿菌為兩雙歧桿菌S2,並已於日本指定寄存單位完成生物寄存。In other embodiments, the bifidobacterium is Bifidobacterium S2, and biodepositation has been completed at a designated storage facility in Japan.
在部分實施例中,兩雙歧桿菌S2具耐酸性及耐膽鹽性,顯示其具有良好的腸道存留能力;經動物實驗證實,相較於投予同屬其他菌株,罹患皮膚炎症之動物經口投予兩雙歧桿菌S2達4至7天後,能夠減輕動物體皮膚炎反應例如紅斑(erythema)、硬結(induration)或脫皮(desquamation)等,並有效提高動物體皮膚含水量,降低皮膚內趨化因子(chemokine)的含量,例如胸腺和活化調節趨化因子 (thymus and activation regulated chemokine,TARC)或CCL27等;此外,經口投予兩雙歧桿菌S2後,動物體血清中的免疫球蛋白及組織胺濃度也顯著下降,而皮膚的角質層厚度、上皮厚度、發炎程度以及肥胖細胞密度等皮膚炎反應都獲得了顯著的改善。In some embodiments, Bifidobacterium S2 exhibits acid and bile salt resistance, demonstrating its excellent intestinal retention capacity. Animal experiments have confirmed that, compared to other strains of the same genus, oral administration of Bifidobacterium S2 to animals suffering from skin inflammation for 4 to 7 days can alleviate dermatitis reactions such as erythema, induration, or desquamation, effectively increase skin moisture content, and reduce the content of chemokines in the skin, such as thymus and activation-regulated chemokines. Chemokine (TARC) or CCL27, etc.; In addition, after oral administration of Bifidobacterium S2, the concentrations of immunoglobulins and histamine in the serum of animals also decreased significantly, and the dermatitis response, such as the thickness of the stratum corneum, the thickness of the epithelium, the degree of inflammation, and the density of fat cells, was significantly improved.
本發明的第二實施方式係提供一種益生菌組合物用於製備預防、改善或減緩過敏症狀之醫藥組合物的用途,其包括以一有效劑量之該益生菌組合物投予至一所需個體達一時間,其中該益生菌組合物係如第一實施方式所提供之益生菌組合物。A second embodiment of the invention provides the use of a probiotic composition for preparing a pharmaceutical composition for preventing, improving or alleviating allergy symptoms, comprising administering an effective dose of the probiotic composition to a desired individual for a period of time, wherein the probiotic composition is the probiotic composition provided as in the first embodiment.
於本實施方式中,該所需個體包括一哺乳動物,在一些具體示例中,該哺乳動物包括小鼠或人類。In this embodiment, the required individual includes a mammal, which in some specific examples includes a mouse or a human.
該過敏症狀包括但不限於類風濕性關節炎、脂漏性皮膚炎、接觸性皮膚炎、異位性皮膚炎、過敏性皮膚炎或牛皮癬。The allergic symptoms include, but are not limited to, rheumatoid arthritis, seborrheic dermatitis, contact dermatitis, atopic dermatitis, allergic dermatitis, or psoriasis.
於本實施方式中,該投予途徑包括但不限於口服、靜脈注射或經腸胃道施予;該醫藥組成物之劑型包括粉劑、錠劑、粒劑、栓劑、微膠囊、安瓶、液體噴劑或塞劑;在一些示例中,係提供口服粉劑,具體實施方面,以人類為例,可以是配合流體(例如水)服用,例如將粉劑打散於水中後服下,或以膠囊包裹粉劑後隨水服下,也可以是混合於各類食物或食品中而伴隨食用之,並無特別限制。In this embodiment, the route of administration includes, but is not limited to, oral, intravenous, or gastrointestinal administration; the dosage form of the pharmaceutical composition includes powder, tablet, granule, suppository, microcapsule, ampoule, liquid spray, or plug; in some examples, an oral powder is provided. Specifically, for humans, it can be taken with a fluid (e.g., water), such as by dissolving the powder in water and then taking it, or by encapsulating the powder in a capsule and taking it with water, or by mixing it with various foods or beverages and consuming it, without any particular limitation.
於本實施方式中,該醫藥組成物包含一醫藥及食品上可接受之載劑、賦形劑及/或添加劑。In this embodiment, the pharmaceutical composition includes a pharmaceutically and food-acceptable carrier, excipient, and/or additive.
於部分實施例中,所提供之醫藥組成物係用於改變或降低患有異位性皮膚炎(atopic dermatitis,AD)之所需個體的皮膚病灶中CCL20、CCL22、CCL27、VEGF、IL1RA及CCL18中之至少一者之表現,該改變或降低包含向患有AD之所需個體投予長雙歧桿菌S9、兩雙歧桿菌S2或其組合,其中相較於未患AD之個體的非病灶皮膚或該所需個體之非病灶皮膚,在該所需個體之皮膚病變中TARC、CCL20、CCL22、CCL27、VEGF及CCL18中之至少一者上調,且其中該長雙歧桿菌S9、兩雙歧桿菌S2或其組合之投予降低了皮膚病灶中TARC、CCL20、CCL22、CCL27及CCL18中之至少一者的表現及/或增加皮膚病灶中TARC及CCL27之表現。In some embodiments, the provided pharmaceutical composition is used to alter or reduce the expression of at least one of CCL20, CCL22, CCL27, VEGF, IL1RA, and CCL18 in skin lesions of a desired individual suffering from atopic dermatitis (AD). This alteration or reduction includes administering Bifidobacterium longum S9, Bifidobacterium bifidum S2, or a combination thereof to the desired individual suffering from AD, wherein, compared to the non-lesional skin of an individual without AD or the non-lesional skin of the desired individual, the expression of at least one of CCL20, CCL22, CCL27, VEGF, IL1RA, and CCL18 is reduced. In an individual's skin lesions, at least one of TARC, CCL20, CCL22, CCL27, VEGF, and CCL18 is upregulated, and administration of Bifidobacterium longum S9, Bifidobacterium bifidum S2, or a combination thereof reduces the expression of at least one of TARC, CCL20, CCL22, CCL27, and CCL18 in the skin lesions and/or increases the expression of TARC and CCL27 in the skin lesions.
於本實施方式中,該時間係指在一連續期間投予有效劑量之該組合物,並可達到上述效果所需之時間;於具體實施例中,該時間為至少1至56天,較佳為至少14至49天,更佳為21至28天;該有效劑量指的是在該時間區間內,以特定時間點間隔投予一定量之該組合物以達到足夠數量之該長雙歧桿菌、該兩雙歧桿菌或其組合;以成年人類為例,該有效劑量為每半日0.10至2.00x10 11CFU/60kg或每日(0.20至4.00)x10 11CFU/60kg,較佳為每半日0.35至1.25x10 11CFU/60kg或每日(0.70至2.50)x10 11CFU/60kg。 In this embodiment, the time refers to the period required for an effective dose of the combination to achieve the aforementioned effect during a continuous period; in a specific embodiment, the time is at least 1 to 56 days, preferably at least 14 to 49 days, and more preferably 21 to 28 days; the effective dose refers to the amount of the combination administered at specific time intervals within the time period to achieve a sufficient quantity of the *Bifidobacterium longum*, the *Bifidobacterium bifidum*, or a combination thereof; for example, for an adult human, the effective dose is 0.10 to 2.00 x 10¹¹ CFU/60 kg per half-day or (0.20 to 4.00) x 10¹¹ CFU/60 kg per day, preferably 0.35 to 1.25 x 10¹¹ CFU per half-day . CFU/60kg or (0.70 to 2.50) x 10 11 CFU/60kg daily.
本發明的第三實施方式係提供一種益生菌組合物用於製備調節細胞生理活性之營養組合物的用途,其包括以一有效劑量之該益生菌組合物投予至一所需個體達一時間以調節其免疫細胞或其免疫細胞群,其中該益生菌組合物係如第一實施方式所提供之益生菌組合物。A third embodiment of the present invention provides the use of a probiotic composition for preparing a nutritional composition that modulates cellular physiological activity, comprising administering an effective dose of the probiotic composition to a desired individual for a period of time to modulate its immune cells or immune cell populations, wherein the probiotic composition is the probiotic composition provided as in the first embodiment.
於本實施方式中,該免疫細胞包含但不限於自然殺手細胞、肥大細胞、嗜酸性球、嗜鹼性球、巨噬細胞、嗜中性球或樹突細胞,該免疫細胞群包含但不限於下列群組中任意二者以上之組合:自然殺手細胞、肥大細胞、嗜酸性球、嗜鹼性球、巨噬細胞、嗜中性球、樹突細胞;於部分實施例中,所提供之營養組成物係用於改變、降低或增加所需個體免疫細胞中TH1細胞、TH2細胞、TH17細胞、Treg細胞以及FoxP3 +Treg細胞中至少一者之細胞數量,該改變、降低或增加也包含向所需個體投予長雙歧桿菌S9、兩雙歧桿菌S2或其組合;於一些具體示例中,相較於未投予菌株之所需個體,該所需各體中TH1細胞以及FoxP3 +Treg細胞中至少一者的細胞數量上調,且該所需各體中TH2細胞、TH17細胞、Treg細胞中至少一者的細胞數量降低,其中該長雙歧桿菌S9、兩雙歧桿菌S2或其組合之投予降低了所需個體中TH2細胞之細胞數量,並上調了TH1細胞之細胞數量及FoxP3 +Treg細胞之細胞數量。 In this embodiment, the immune cells include, but are not limited to, natural killer cells, mast cells, eosinophils, basophils, macrophages, neutrophils, or dendritic cells. The immune cell population includes, but is not limited to, any combination of two or more of the following groups: natural killer cells, mast cells, eosinophils, basophils, macrophages, neutrophils, and dendritic cells. In some embodiments, the provided nutrient composition is used to alter, reduce, or increase the number of TH1 cells, TH2 cells, TH17 cells, Treg cells, and FoxP3 + cells in the desired individual immune cells. The change, decrease, or increase in the number of at least one of the Treg cells also includes administering Bifidobacterium longum S9, Bifidobacterium bifidum S2, or a combination thereof to the desired individuals; in some specific examples, compared to desired individuals without the administration of the strain, the number of at least one of TH1 cells and FoxP3 + Treg cells in the desired individuals is increased, and the number of at least one of TH2 cells, TH17 cells, and Treg cells in the desired individuals is decreased, wherein the administration of Bifidobacterium longum S9, Bifidobacterium bifidum S2, or a combination thereof decreases the number of TH2 cells in the desired individuals and increases the number of TH1 cells and FoxP3 + Treg cells.
於本實施方式中,該時間、該有效劑量之定義具體可參酌第四實施方式的詳細定義,於此不加贅述。In this embodiment, the definitions of the time and the effective dose can be found in the detailed definitions of the fourth embodiment, and will not be repeated here.
1.1. 菌株分離與鑑定Strains Isolation and Identification
本發明人在持續追蹤338位健康的足月嬰幼兒族群至少52 週以上,並於該些嬰幼兒當中診斷出36名符合異位性皮膚炎症狀之嬰幼兒(下稱AD組,其他嬰幼兒稱non-AD組),其中,AD組依據平時攝食來源進一步細分為母乳組(n=12)、未添加寡糖之配方奶組(n=19)及添加寡糖之配方奶組(n=5);針對該些嬰幼兒,分別於0、1、4、8、16、24及 52 週蒐集其糞便檢體,並以Shannon index、species_richness、Chao1等指標分析糞便菌叢之α-diversity,另以Bray_Curtis、uniFrac_unweighted及uniFrac_weighted等生物群落距離指標分析糞便菌叢之β- diversity。The inventors continuously tracked 338 healthy full-term infants for at least 52 weeks and diagnosed 36 infants with symptoms of atopic dermatitis (hereinafter referred to as the AD group; the other infants were referred to as the non-AD group). The AD group was further subdivided according to their usual food source into a breastfed group (n=12), a formula-fed group without added oligosaccharides (n=19), and a formula-fed group with added oligosaccharides (n=5). Fecal samples were collected from these infants at 0, 1, 4, 8, 16, 24, and 52 weeks of age, and analyzed using Shannon... The α-diversity of fecal microbiota was analyzed using indices such as index, species_richness, and Chao1, while the β-diversity of fecal microbiota was analyzed using community distance indices such as Bray_Curtis, uniFrac_unweighted, and uniFrac_weighted.
經分析,如圖1a所示,AD組與non-AD組的α-diversity並無顯著差異(P>0.05);在第16週,請繼續參閱圖1a,AD組與non-AD組的β-diversity在呈現出顯著的差異(unifrac_unweighted P<0.001;unifrac_weighted P=0.046)。Analysis, as shown in Figure 1a, revealed no significant difference in α-diversity between the AD group and the non-AD group (P > 0.05); however, in week 16, as shown in Figure 1a, a significant difference in β-diversity was observed between the AD group and the non-AD group (unifrac_unweighted P < 0.001; unifrac_weighted P = 0.046).
接著,進一步以LefSe 及LDA score 分析顯著差異的菌叢;如圖1b所示,相較於non-AD組,一歲前患有異位性皮膚炎的AD組在16週大時,腸道中雙歧桿菌屬之豐富度有顯著降低的情形,特別是長雙歧桿菌( B. longum);據此,在嬰幼兒達到16 週大時,其糞便中的長雙歧桿菌豐富度可以做為預測產生異位性皮膚炎的生物標記,並也可以側面推測,母乳或嬰兒腸道中的雙歧桿菌屬具有保護嬰幼兒之作用,特別是免於包括異位性皮膚炎在內的免疫失調相關發炎反應。 Next, the significantly different bacterial flora were further analyzed using LefSe and LDA scores. As shown in Figure 1b, compared with the non-AD group, the AD group with atopic dermatitis before one year of age showed a significant decrease in the abundance of Bifidobacterium spp. in the gut at 16 weeks of age, especially Bifidobacterium longum . Therefore, at 16 weeks of age in infants and young children, the abundance of Bifidobacterium spp. was significantly reduced. At one week old, the abundance of Bifidobacterium longum in a baby's feces can serve as a biomarker for predicting the development of atopic dermatitis. It can also be inferred that Bifidobacteria in breast milk or the infant's gut play a protective role for infants, especially against immune dysregulation-related inflammatory responses, including atopic dermatitis.
以下進一步的說明菌株分離與鑑定方法,並從中篩選出具有耐酸及耐膽鹽特性之益生菌株,以進行後續動物實驗來驗證該等益生菌之免疫調節功效。The following further explains the methods for isolating and identifying the strains, and selects probiotic strains with acid- and bile-resistant properties for subsequent animal experiments to verify the immunomodulatory effects of these probiotics.
(1) 菌株分離:將捐贈者所提供的糞便經梯度稀釋後,接種於MRS固體培養基中,於37℃厭氧培養3至5天,挑取培養基上的單一菌落以劃線分離的方式獲得純菌落;在將純菌落接種於LB液體培養基中,於37℃厭氧培養12至16小時後,加入20%甘油,保存於-80℃的環境中。(1) Strain isolation: The feces provided by the donor were serially diluted and inoculated into MRS solid medium and anaerobic cultured at 37°C for 3 to 5 days. Single colonies on the medium were picked and isolated by streak to obtain pure colonies. The pure colonies were inoculated into LB liquid medium and anaerobic cultured at 37°C for 12 to 16 hours. Then, 20% glycerol was added and stored at -80°C.
(2) 菌株鑑定:以MALDI-TOF鑑定分離之菌落分別鑑定出菌株S2為兩歧雙歧桿菌( Bifidobacterium bifidum)、菌株S9為長雙歧桿菌( Bifidobacterium longum)。 (2) Strain identification: The colonies isolated by MALDI-TOF were identified as Bifidobacterium bifidum and Bifidobacterium longum , respectively.
取得上述菌株後,進一步測試該些菌株之存活度與環境壓力耐受性,測試以耐酸、抗膽鹽之生理特性。After obtaining the above strains, the survival rate and environmental stress tolerance of these strains were further tested, as well as their physiological characteristics of acid resistance and bile salt resistance.
2.2. 生長測試Growth test
將上述菌株種植於MRS培養液中,於37℃培養16至18小時,以分光光度計測試其600奈米的吸光度,同時以平板計數法測定其菌數(CFU/ml),其測試結果如表1所示。
表1
3.3. 耐酸測試Acid resistance test
取上述培養而得之菌液,並稀釋或濃縮為每毫升10 9CFU,並每一菌中取1毫升調整菌濃度後的菌液,分別加入9毫升之pH 2.0磷酸鹽緩衝溶液,在37℃培養3小時;另取菌液加入相同條件之pH 7.2磷酸鹽緩衝溶液作為控制組;培養後經序列稀釋,以傾倒法培養於MRS洋菜膠,於37℃下培養48小時,計數存活的益生菌菌數,其測試結果如上表1所示。 The bacterial culture obtained above was diluted or concentrated to 10⁹ CFU per milliliter. One milliliter of the adjusted bacterial culture was taken from each bacterial culture, and 9 milliliters of pH 2.0 phosphate buffer solution were added to each. The cultures were incubated at 37°C for 3 hours. Another bacterial culture was added to a pH 7.2 phosphate buffer solution under the same conditions as a control group. After incubation, the cultures were sequentially diluted and cultured on MRS agar-agar using the tilting method. The cultures were incubated at 37°C for 48 hours, and the number of surviving probiotics was counted. The test results are shown in Table 1 above.
4.4. 耐膽鹽測試Bile salt tolerance test
於本次測試中,取上述調整為菌濃度10 9CFU/ml之菌液,於膽鹽培養液(MRS-bile broth)(0.3% ox gall bile)分析受試菌株對膽鹽的耐受性;將菌液移至含或不含0.3%牛膽鹽(ox gall bile) 9毫升MRS培養液培養24小時;培養後以分光光度計測試其600奈米的吸光度的,以評估受試菌株在膽鹽存在下的耐受性,其測試結果如表1所示。 In this test, the bacterial suspension adjusted to a concentration of 10⁹ CFU/ml was used to analyze the tolerance of the test strains to bile in MRS-bile broth (0.3% ox gall bile). The bacterial suspension was transferred to 9 ml of MRS broth with or without 0.3% ox gall bile and incubated for 24 hours. After incubation, the absorbance at 600 nm was measured using a spectrophotometer to evaluate the tolerance of the test strains in the presence of bile. The test results are shown in Table 1.
結果顯示菌株S2及S9都具有耐酸及耐膽鹽的能力,其中以S9表現較佳。The results showed that strains S2 and S9 both had the ability to withstand acid and bile salts, with S9 performing better.
5.5. 膽鹽水解酶Bile salt hydrolases (Bile salt hydrolase(Bile salt hydrolase ,, BSH)BSH) 活性測試Activity testing
針對上述菌株進一步以膽鹽水解酵素(BSH)篩選盤方法(BSH-screening plate method)進行菌株篩選,其方法簡述如下:將滅菌後的紙錠,以無菌鑷子分別平放在含0.5%的去氧牛膽酸鈉鹽(taurodeoxycholic acid sodium salt,TDCA)和0.37克/升的CaCl 2之MRS平板培養基或不含任何膽鹽的MRS平板培養基上,,爾後分別於纸錠上滴加隔夜培養之菌液,在37℃下厭氧培養48-72小時後,,測量其沉澱環之直徑大小,其測試結果如表1所示;結果顯示,菌株S2及S9展現了程度不一的膽鹽水解酶活性,以S2表現較佳。 Further screening of the above-mentioned strains was conducted using the bile salt hydrolase (BSH) screening plate method. The method is briefly described as follows: Sterilized paper tablets were placed flat with sterile tweezers in solutions containing 0.5% taurodeoxycholic acid sodium salt (TDCA) and 0.37 g/L CaCl₂. On MRS agar plates or MRS agar plates without any bile salts, bacterial suspensions that had been incubated overnight were dropped onto paper tablets. After anaerobic incubation at 37°C for 48-72 hours, the diameter of the precipitate ring was measured. The test results are shown in Table 1. The results show that strains S2 and S9 exhibited varying degrees of bile salt hydrolase activity, with S2 showing better performance.
6.6. 細胞培養Cell culture
小鼠巨噬細胞RAW264.7(寄存編號:BCRC 60001,下稱RAW264.7細胞)購於台灣新竹食品工業研究所生物資源保存及研究中心,使用之培養基為DMEM培養基添加10%胎牛血清、1%非必須胺基酸及1.85g碳酸氫鈉。Mouse macrophages RAW264.7 (registration number: BCRC 60001, hereinafter referred to as RAW264.7 cells) were purchased from the Bioresource Preservation and Research Center of the Food Industrial Research Institute in Hsinchu, Taiwan. The culture medium used was DMEM medium supplemented with 10% fetal bovine serum, 1% non-essential amino acids and 1.85g sodium bicarbonate.
7.7. 免疫調節試驗Immunomodulation test
將RAW264.7細胞(5 × 10 5cell/well)接種於24孔盤中,待細胞長至80%時,以磷酸鹽緩衝液進行清洗後,添加新的細胞培養基900μl,再分別加入上述菌株S2、菌株S9,並取鼠李糖乳桿菌GG菌株(Lactobacillus rhamnosus GG,下稱菌株LGG)作為對照菌株,菌液中的活菌數均為5 × 10 5CFU,其中,該等菌液係先以磷酸鹽緩衝液沖洗後,除去上清液,再以細胞培養基回溶而得;24孔盤放置於厭氧培養箱中培養24小時後,收集細胞上清液,再以ELISA套組(R&D Systems)分析細胞上清液中IL-6、TNF-α及IL-1β之含量。 RAW264.7 cells (5 × 10⁵ cells/well) were seeded in 24-well plates. When the cells reached 80% confluence, they were washed with phosphate buffer, and then 900 μl of fresh cell culture medium was added. Strains S2 and S9 were then added separately, with *Lactobacillus rhamnosus* GG (hereinafter referred to as strain LGG) used as a control strain. The viable cell count in all cultures was 5 × 10⁵. CFU, wherein the bacterial culture was first rinsed with phosphate buffer, the supernatant was removed, and then reconstituted with cell culture medium; after culturing in an anaerobic incubator for 24 hours in 24-well plates, the cell supernatant was collected, and the contents of IL-6, TNF-α and IL-1β in the cell supernatant were analyzed by an ELISA kit (R&D Systems).
如圖1c至1e所示,菌株S2相較於菌株LGG,更加促進了IL-6及TNF-α分泌;菌株S9相較於菌株LGG,則更加促進了IL-1β分泌。As shown in Figures 1c to 1e, strain S2 promoted the secretion of IL-6 and TNF-α more than strain LGG; strain S9 promoted the secretion of IL-1β more than strain LGG.
8.8. 抗發炎試驗Anti-inflammatory trial
將RAW264.7細胞(5 × 10 5cell/well)接種於24孔盤中,待細胞長至80%時,以磷酸鹽緩衝液進行清洗後,添加新的細胞培養基800μl,再分別加入上述菌株S2、菌株S9及菌株LGG之菌液(5 × 10 5CFU),並加入內毒素脂多醣(1μg/mL)以誘導細胞發炎反應,其中,該等菌液係先以磷酸鹽緩衝液沖洗後,除去上清液,再以細胞培養基回溶而得;24孔盤放置於厭氧培養箱中培養24小時後,收集細胞上清液,再以ELISA套組(R&D Systems)分析細胞上清液中TNF-α及IL-6之含量。 RAW264.7 cells (5 × 10⁵ cells/well) were seeded in 24-well plates. When the cells reached 80% confluence, they were washed with phosphate buffer, and 800 μl of fresh cell culture medium was added. Then, bacterial cultures of strains S2, S9, and LGG (5 × 10⁵ CFU) were added, along with endotoxin lipopolysaccharide (1 μg/mL) to induce cellular inflammation. These bacterial cultures were prepared by first washing with phosphate buffer, removing the supernatant, and then rehydrating with cell culture medium. The 24-well plates were incubated in an anaerobic incubator for 24 hours. The cell supernatant was then collected and analyzed using an ELISA kit (R&D). Systems) analyzed the levels of TNF-α and IL-6 in cell supernatant.
如圖1f至1g所示,菌株S2相較於菌株LGG,在抑制TNF-α分泌方面展現出更佳的抑制效果;菌株S9相較於菌株LGG,則在抑制IL-6分泌方面呈現出更好的抑制效果。As shown in Figures 1f to 1g, strain S2 showed a better inhibitory effect on TNF-α secretion compared to strain LGG; strain S9 showed a better inhibitory effect on IL-6 secretion compared to strain LGG.
9.9. 菌種鑑定Strain identification
經上述免疫調節測試與抗發炎測試後,將具有免疫調節功能與抗發炎功能之菌株S2及S9寄送至財團法人食品工業發展研究所之生物資源保存及研究中心,委託其進行菌株之菌種學名鑑定,鑑定結果如下:Following the aforementioned immunomodulatory and anti-inflammatory tests, strains S2 and S9, possessing both immunomodulatory and anti-inflammatory functions, were sent to the Bioresource Preservation and Research Center of the Food Industry Development and Research Institute for identification of their scientific names. The identification results are as follows:
菌株S2為革蘭氏陽性桿菌,以16S rDNA序列分析及Biolog鑑定系統分析,依據16S rDNA序列分析菌株S2與兩雙歧桿菌( Bifidobacterium bifidum)之相似性達100%,其部分序列如SEQ ID NO:1所示;綜合鑑定結果顯示菌株S2為兩雙歧桿菌( Bifidobacterium bifidum)菌株,於本發明中命名為兩雙歧桿菌S2。 Strain S2 is a Gram-positive bacterium. 16S rDNA sequence analysis and Biolog identification system analysis showed that strain S2 has 100% similarity to Bifidobacterium bifidum , with a partial sequence shown in SEQ ID NO: 1. The comprehensive identification results indicate that strain S2 is a Bifidobacterium bifidum strain, and it is named Bifidobacterium S2 in this invention.
菌株S9為革蘭氏陽性桿菌,以16S rDNA部分序列分析及API鑑定系統分析,依據16S rDNA序列分析菌株S9與長雙歧桿菌( Bifidobacterium longum)之相似性達99%以上,其部分序列如SEQ ID NO:2所示;綜合鑑定結果顯示菌株S9為長雙歧桿菌( Bifidobacterium longumsubsp . infantis)菌株,於本發明中命名為長雙歧桿菌S9。 Strain S9 is a Gram-positive bacterium. Analysis of its 16S rDNA partial sequence and API identification system showed that strain S9 shared over 99% similarity with * Bifidobacterium longum *, as shown in SEQ ID NO: 2. The comprehensive identification results indicate that strain S9 is a * Bifidobacterium longum* subsp . *infancier *, and it is named *Bifidobacterium longum* S9 in this invention.
經16S rDNA鑒定,長雙歧桿菌S9之16S rDNA序列如SEQ ID NO.1所示,兩雙歧桿菌S2之16S rDNA序列如SEQ ID NO.2所示,並基於國際生物資料庫BLAST(Basic Local Alignment Search Tool)進行序列比對,確定兩菌株之菌種名為長雙歧桿菌與兩雙歧桿菌。16S rDNA identification revealed that the 16S rDNA sequence of Bifidobacterium longum S9 is shown in SEQ ID NO.1, and the 16S rDNA sequence of Bifidobacterium bifidum S2 is shown in SEQ ID NO.2. Based on sequence alignment using the BLAST (Basic Local Alignment Search Tool) database, the species names of the two strains were determined to be Bifidobacterium longum and Bifidobacterium bifidum.
10.10. 試驗動物test animals
於本文中有關於動物試驗,係使用雄性HR-1無毛小鼠(female HR-1 mice)(3週大,體重約為20 g)是購自於國家實驗動物中心(National Laboratory Animal Center, R.O.C.);所有的試驗動物是個別地飼養於光照與黑暗各為12小時、室溫維持在21至24℃,並相對濕度維持在45至70%的動物房中,並保證其水分與飼料充分供給;有關實驗動物的一切實驗程序是由國立成功大學的實驗動物照護及使用委員會(Institutional Animal Care and Use Committee of National Chung Kung University)所認可,並依據美國國家衛生研究院(National Institutes of Health, NIH)的實驗動物飼養管理及使用規範(Guide for the Care and Use of Laboratory Animals)來進行。The animal experiments described in this article used male HR-1 hairless mice (female HR-1 mice) (3 weeks old, weighing approximately 20 g), purchased from the National Laboratory Animal Center (R.O.C.). All experimental animals were individually housed in animal rooms with 12-hour light and 12-hour dark cycles, maintained at a temperature of 21-24°C and a relative humidity of 45-70%, with adequate hydration and food supplies. All experimental procedures involving the animals were approved by the Institutional Animal Care and Use Committee of National Chung Kung University and in accordance with the Guide for the Care and Use of Laboratory Animals (NIH) of the National Institutes of Health (NIH). Animals) will be used to carry out this.
11.11. 統計分析Statistical analysis
本文所述的數值係以平均值±標準偏差值(mean±SD)表示,利用單因子變異數分析(One-way ANOVA)及市售軟體進行分析,以p<0.05判斷具有統計顯著差異。其中星號**代表p<0.05,星號***代表p<0.005。The values presented in this paper are expressed as mean ± standard deviation (mean ± SD). Analysis was performed using one-way ANOVA and commercially available software. A p-value < 0.05 was considered statistically significant. An asterisk (**) indicates p < 0.05, and an asterisk (***) indicates p < 0.005.
12.12. 免疫細胞群分析Immune cell population analysis
將分離獲得之長雙歧桿菌S9與PBMC共培養以分析其細胞刺激作用,特別是評估T細胞的次細胞群之增減,具體是透過測量TH1、TH2、TH17、Treg及FoxP3 +Treg 細胞的表現量;簡言之,經共培養後,將PBMC細胞數目調整至5x10 5/管,並於4℃下以400g離心5分鐘後去除上清液;依據IL-4、IL17、IFN-γ、IL-10及FOXP3抗體所需濃度分別加入100μl/管,在冰上避光作用30分鐘後,以培養液回溶,再於4℃下以低速離心,後以固定及通透緩衝液進行處理,最後利用FACSCalibur流式細胞儀分析,其分析結果如圖2所示;與未經益生菌刺激之控制組相比,經長雙歧桿菌S9作用後,TH2細胞群的比率顯著地下降(由52.994%降至45.720%),而TH1細胞群 (10.401% 上升至14.544%)和FoxP3 +Treg 細胞群(1.013%上升至1.455%)的比率則有顯著上升的情形比率,可以說明長雙歧桿菌S9應具有抗過敏的效果。 Bifidobacterium longum S9 isolated from PBMCs was co-cultured to analyze its cell-stimulating effect, particularly assessing the increase and decrease of T cell subpopulations, specifically by measuring the expression levels of TH1, TH2, TH17, Treg, and FoxP3 + Treg cells; in short, after co-culturing, the number of PBMC cells was adjusted to 5 x 10⁵ . /tube, and centrifuged at 400g for 5 minutes at 4°C, then the supernatant was removed; according to the required concentrations of IL-4, IL17, IFN-γ, IL-10 and FOXP3 antibodies, 100μl/tube was added respectively, incubated on ice in the dark for 30 minutes, then reconstituted with culture medium, centrifuged at low speed at 4°C, and then treated with fixation and permeabilization buffer. Finally, the cells were analyzed by FACSCalibur flow cytometry, and the results are shown in Figure 2; compared with the control group without probiotic stimulation, after treatment with Bifidobacterium longum S9, the proportion of TH2 cell population decreased significantly (from 52.994% to 45.720%), while the proportion of TH1 cell population (from 10.401% to 14.544%) and FoxP3 + Treg cells increased significantly. The percentage of cells that increased significantly (from 1.013% to 1.455%) suggests that Bifidobacterium longum S9 should have an anti-allergic effect.
13. HR-113. HR-1 無毛小鼠之異位性皮膚炎模型的預防Prevention of atopic dermatitis in a hairless mouse model
以鋅與鎂含量各別減少50%之飼料(下稱AD誘導飼料)餵食HR-1無毛小鼠8週,建立異位性皮膚炎模型;於實驗期間(第1至8週),控制組(n=5)持續以正常飼料餵食,異位性皮膚炎(AD組;n=5)則以AD誘導飼料持續餵食,實驗組除持續以AD誘導飼料餵食之外,更分別將兩雙歧桿菌S2(菌株S2組;n=5)及長雙歧桿菌S9(菌株S組;n=5)添加於飲水中(1x10 8CFU/ml,每二天換一次);於實驗開始後,每週記錄HR-1小鼠的體重、飲水量與進食,並分別以乾癬面積及嚴重度指數(PASI)、背部含水量(%)、每小時脫水量(TEWL)、皮膚生物標誌物含量、血液免疫標誌物含量及皮膚切片組織學等指標評估益生菌對於異位性皮膚炎的預防效果。 Atopic dermatitis model was established by feeding HR-1 hairless mice with a diet containing 50% less zinc and 50% less magnesium (hereinafter referred to as AD-induced diet) for 8 weeks. During the experimental period (weeks 1 to 8), the control group (n=5) was fed a normal diet, while the atopic dermatitis group (AD group; n=5) was fed the AD-induced diet. In addition to being fed the AD-induced diet, the experimental groups were also given two strains of Bifidobacterium S2 (strain S2 group; n=5) and Bifidobacterium longum S9 (strain S group; n=5) in their drinking water (1x10⁸ ). (CFU/ml, changed every two days); After the start of the experiment, the body weight, water intake and food intake of HR-1 mice were recorded weekly, and the preventive effect of probiotics on atopic dermatitis was evaluated by indicators such as the area and severity index of tinea (PASI), back water content (%), TEWL (transient water loss per hour), skin biomarker content, blood immune marker content and skin histology.
13.1. HR-113.1. HR-1 小鼠平均體重、飲水量及進食量評估Assessment of average body weight, water intake, and food intake in mice
如圖3a至3c所示,四組HR-1無毛小鼠(控制組、AD組、菌株S2組、菌株S9組)直至第8週實驗結束,其平均體重、飲水量(ml/week/mice)以及進食量(g/day/mice)都沒有產生統計學上的差異。As shown in Figures 3a to 3c, there were no statistically significant differences in average body weight, water intake (ml/week/mice), and food intake (g/day/mice) among the four groups of HR-1 hairless mice (control group, AD group, strain S2 group, and strain S9 group) until the end of the 8th week of the experiment.
13.2.13.2. 乾癬面積及嚴重度指數Area and severity index of tinea psoriasis (PASI)(PASI) 評估evaluate
在實驗進行至第4週起,每週針對HR-1小鼠外觀進行拍攝以記錄其乾癬面積及嚴重度指數(Psoriasis Area Severity Index,PASI),並持續記錄至第7週,PASI係基於面積覆蓋率及斑塊外觀衡量皮膚乾癬病變嚴重度,具體考量覆蓋身體部位之斑塊特性及面積百分比,其中斑塊特性基於紅斑(erythema)、硬結(induration)及脫皮(desquamation)之程度來判斷,其綜合判斷結果如圖4a至4d所示。Starting from week 4 of the experiment, the appearance of HR-1 mice was photographed weekly to record the area of psoriasis and the Psoriasis Area Severity Index (PASI), and the recording continued until week 7. PASI measures the severity of psoriasis lesions based on area coverage and patch appearance, specifically considering the characteristics and percentage of the area of the patches covering the body. The characteristics of the patches were judged based on the degree of erythema, induration, and desquamation. The comprehensive judgment results are shown in Figures 4a to 4d.
AD 組小鼠不論是總PASI分數、紅斑、硬結和脫皮等指標,在第4至第7週期間都顯著地高於控制組;同時,各指標的峰值(peak scores)也顯示出相同的情形;相較於此,於飲水中添加益生菌的菌株S2組及菌株S9組不論在總PASI分數、紅斑、硬結和脫皮等指標方面,都呈現出顯著的改善效果。In the AD group, mice showed significantly higher scores than the control group in terms of total PASI score, erythema, induration, and desquamation during weeks 4 to 7; the peak scores for each indicator also showed the same trend. In contrast, the S2 and S9 groups, which had probiotics added to their drinking water, showed significant improvements in total PASI score, erythema, induration, and desquamation.
13.3.13.3. 背部含水量Back water content (%)(%) 與每小時脫水量With dehydration per hour (TEWL)(TEWL) 評估evaluate
在實驗進行至第8週時,以Multiprobe MPA5 corneometer 測量小鼠背部皮膚的含水量(Moisture level)與每小時脫水量(transepidermal water loss, TEWL);如圖5a所示,與控制組相比,AD組之小鼠背部皮膚含水量顯著的下降至約20% ( p<0.001),相較於AD組,持續攝食菌株S2或菌株S9之實驗組的背部皮膚含水量都獲得了顯著的改善(約達50%,p<0.001)。At week 8 of the experiment, the moisture level and transepidermal water loss (TEWL) of the back skin of mice were measured using a Multiprobe MPA5 corneometer. As shown in Figure 5a, compared with the control group, the moisture level of the back skin of mice in the AD group decreased significantly to about 20% (p < 0.001). Compared with the AD group, the moisture level of the back skin of the experimental groups that continued to consume strain S2 or strain S9 was significantly improved (about 50%, p < 0.001).
另一方面,如圖5b所示,以Tewameter TM210儀器測量表皮水分經皮膚蒸發量(Trans-epidermal water loss,TEWL)之結果,與控制組相比,AD組小鼠背部皮膚的TEWL值顯著地增加達到約40g/m 2(p<0.01),持續攝食菌株S2或菌株S9之實驗組的背部皮膚TEWL值也獲得了顯著的改善,分別降低至約20 g/m 2(p<0.001)、30 g/m 2(p<0.05);TEWL值越小,來自皮膚表面的水分損失越少,意味著表皮保護層的狀況更好,TEWL值越大,水分損失越大,也意味表皮保護層的損傷越嚴重。 On the other hand, as shown in Figure 5b, the results of trans-epidermal water loss (TEWL) measured by the Tewameter TM210 instrument showed that, compared with the control group, the TEWL value of the back skin of the AD group mice was significantly increased to about 40 g/ m2 (p < 0.01). The TEWL value of the back skin of the experimental groups that continuously consumed strain S2 or strain S9 was also significantly improved, decreasing to about 20 g/ m2 (p < 0.001) and 30 g/ m2 (p < 0.05), respectively. The smaller the TEWL value, the less water loss from the skin surface, which means that the condition of the epidermal protective layer is better. The larger the TEWL value, the greater the water loss, which also means that the damage to the epidermal protective layer is more serious.
13.4.13.4. 皮膚生物標誌物含量評估Assessment of skin biomarker content
在實驗進行至第8週時,HR-1無毛小鼠實施犧牲以採集背部皮膚樣本,並通過ELISA免疫分析確定細胞介素在AD組、菌株S2組及菌株S9組中,相較於控制組之非病變皮膚中的表現水準是否明顯上調,其評估結果如圖5c及圖5d所顯示,其分別為皮膚樣本中所鑑別之細胞介素TARC及CCL27的蛋白質含量比率(ng/mL)。At week 8 of the experiment, HR-1 hairless mice were sacrificed to collect skin samples from their backs. ELISA was used to determine whether the expression levels of intercytokines in the AD group, strain S2 group, and strain S9 group were significantly upregulated compared to the non-pathological skin of the control group. The evaluation results are shown in Figures 5c and 5d, which represent the protein content ratio (ng/mL) of intercytokines TARC and CCL27 identified in the skin samples, respectively.
如圖4c所示,相較於控制組,AD組皮膚樣本中TARC蛋白表現量相較於控制組之表現量顯著地上調,而在持續攝取菌株S2及菌株S9之實驗組,TARC之表現量大幅地降低(p<0.01),並與控制組表現量相似;相似地,如圖4d所示,相較於控制組,AD組皮膚樣本中CCL27蛋白表現量相較於控制組之表現量也是有顯著上調的情形,而在持續攝取菌株S2及菌株S9之實驗組,CCL27之表現量也顯著地降低(菌株S2組:p<0.01;菌株S9組:p<0.001)。As shown in Figure 4c, compared with the control group, the expression level of TARC protein in the skin samples of the AD group was significantly increased. In the experimental groups continuously ingested with strains S2 and S9, the expression level of TARC was significantly reduced (p < 0.01), similar to that of the control group. Similarly, as shown in Figure 4d, compared with the control group, the expression level of CCL27 protein in the skin samples of the AD group was also significantly increased. In the experimental groups continuously ingested with strains S2 and S9, the expression level of CCL27 was also significantly reduced (strain S2 group: p < 0.01; strain S9 group: p < 0.001).
13.5.13.5. 血液免疫標誌物含量評估Blood immune marker content assessment
採集HR-1無毛小鼠之血液樣本,以ELISA測定血清中組織胺(histamine)及免疫球蛋白E(IgE)之含量,以確定其含量在AD組、菌株S2組及菌株S9組中,相較於控制組之非病變皮膚中的含量是否明顯上調,其評估結果如圖6a及圖6b所顯示,其分別為血液樣本中所測定之組織胺及IgE的含量比率(ng/mL)。Blood samples were collected from HR-1 hairless mice, and the levels of histamine and immunoglobulin E (IgE) in the serum were measured by ELISA to determine whether their levels were significantly increased in the AD group, strain S2 group, and strain S9 group compared with the levels in the non-pathological skin of the control group. The evaluation results are shown in Figures 6a and 6b, which represent the ratio of histamine and IgE levels (ng/mL) measured in the blood samples, respectively.
如圖6a所示,相較於控制組,AD組血液樣本中組織胺含量相較於控制組顯著地增加,達到約200ng/mL,但在持續攝取菌株S2及菌株S9之實驗組,組織胺含量雖也有上升的情形,但顯著的獲得控制;類似地,如圖6b所示,相較於控制組,AD組血液樣本中IgE含量相較於控制組也是有顯著上調的情形,達到約1000ng/mL,而在持續攝取菌株S2及菌株S9之實驗組,IgE含量雖也有上升的情形,但同樣獲得了顯著的控制。As shown in Figure 6a, compared with the control group, the histamine content in the blood samples of the AD group was significantly increased, reaching approximately 200 ng/mL. However, in the experimental groups continuously ingested with strains S2 and S9, although the histamine content also increased, it was significantly controlled. Similarly, as shown in Figure 6b, compared with the control group, the IgE content in the blood samples of the AD group was also significantly increased, reaching approximately 1000 ng/mL. In the experimental groups continuously ingested with strains S2 and S9, although the IgE content also increased, it was also significantly controlled.
13.6.13.6. 皮膚切片組織學評估Histological evaluation of skin sections
另一方面,於第8週由HR-1無毛小鼠所採集之背部皮膚組織也進一步以H&E和甲苯胺藍(toluidine blue,TB)進行組織學染色,並由病理科醫師在不清楚分組的條件下評估皮膚角質層厚度、表皮厚度、發炎狀況及肥胖細胞密度(mast cell density);簡言之,在犧牲小鼠後,取得背部皮膚作為皮膚樣本(0.5x0.5cm),並分離皮膚樣本中肌肉層和脂肪層,以10%福馬林的中性緩衝溶液固定皮膚樣本,在乾燥後包埋在石蠟中。On the other hand, back skin tissue collected from HR-1 hairless mice at week 8 was further histologically stained with H&E and toluidine blue (TB), and pathologists evaluated the thickness of the stratum corneum, epidermal thickness, inflammation status, and mast cell density without knowing the grouping. In short, after sacrificing the mice, back skin was obtained as a skin sample (0.5 x 0.5 cm), and the muscle layer and fat layer in the skin sample were separated. The skin sample was fixed with a neutral buffer solution of 10% formalin, dried, and embedded in paraffin.
如圖7a至7d所示,H&E染色結果表明,AD組中皮膚樣本的角質層(cuticle)、表皮層(epidermis)與真皮層(dermis),相較於控制組,均顯著增厚,這意味著炎性細胞浸潤數目增加;由圖7c至7d可見,與AD組相比,菌株S2組、菌株S9組不論角質層、表皮層和真皮層增厚的情形都明顯獲得控制,顯示了攝取菌株S2或菌株S9都具有降低炎性細胞浸潤的效果。As shown in Figures 7a to 7d, H&E staining results indicate that the stratum corneum, epidermis, and dermis of the skin samples in the AD group were significantly thickened compared to the control group, which means an increase in the number of inflammatory cell infiltrations. As shown in Figures 7c to 7d, compared with the AD group, the thickening of the stratum corneum, epidermis, and dermis in the strain S2 and strain S9 groups was significantly controlled, showing that the intake of strain S2 or strain S9 has the effect of reducing inflammatory cell infiltration.
另一方面,透過評估表皮層中肥胖細胞(mast cell)的密度,做為該些菌株是否有效地控制皮膚發炎反應之評估依據,其中,肥胖細胞密度與對應之發炎反應指數如圖7e所示;經影像分析判斷各組別之肥胖細胞密度與發炎反應指數,其統計結果如圖7f至7g所示,相較於控制組,AD組的發炎反應指數與肥胖細胞密度均顯著上升,顯示在OVA誘導下,肥胖細胞大量聚集於表皮層造成浸潤;與AD組相比,菌株S2組、菌株S9組不論在發炎反應指數和肥胖細胞密度方面都明顯獲得改善,顯示攝取菌株S2或菌株S9具有降低肥胖細胞大量聚集於表皮層的效果,有助於降低皮膚的發炎反應。On the other hand, by evaluating the number of fat cells (mast) in the epidermal layer The density of fat cells was used as an assessment criterion for whether these strains effectively controlled skin inflammation. The density of fat cells and the corresponding inflammatory index are shown in Figure 7e. The density of fat cells and the inflammatory index of each group were determined by image analysis, and the statistical results are shown in Figures 7f to 7g. Compared with the control group, the inflammatory index and the density of fat cells in the AD group were significantly increased, indicating that fat cells accumulated in large numbers in the epidermal layer under OVA induction, causing infiltration. Compared with the AD group, the S2 and S9 groups showed significant improvement in both the inflammatory index and the density of fat cells, indicating that the intake of strain S2 or strain S9 has the effect of reducing the large number of fat cells accumulating in the epidermal layer, which helps to reduce skin inflammation.
本發明所提供的益生菌展現了調節攝食者周邊血液單核細胞(PBMC)群的數量,具有免疫調節作用;在異位性皮膚炎模式動物中,經攝食益生菌有效的減少攝食者皮膚之紅斑、硬結、脫皮等皮膚炎指數,並明顯的改善了攝食者的背部含水量與每小時脫水量,具有維持攝食者皮膚健康之功效。The probiotics provided by this invention have demonstrated an immunomodulatory effect by regulating the number of peripheral blood mononuclear cells (PBMCs) in the consumer. In a model animal with atopic dermatitis, the consumption of probiotics effectively reduced dermatitis indices such as erythema, induration, and peeling on the consumer's skin, and significantly improved the water content and hourly water loss on the consumer's back, thus maintaining the consumer's skin health.
由生化分析可見,本發明所提供的益生菌也具有降低攝食者皮膚內趨化因子包括TARC及CCL27之濃度,並可同時減少血清IgE及組織胺含量,緩解攝食者體內發炎反應,更在組織學檢查中可以觀察到,不論是皮膚角質層、表皮層或真皮層的厚度都有明顯的改善,而隨著發炎反應降低,皮膚聚集的肥胖細胞密度也有顯著下降的情形。Biochemical analysis shows that the probiotics provided by this invention can reduce the concentration of chemotherapeutic factors, including TARC and CCL27, in the skin of consumers, and can simultaneously reduce serum IgE and histamine levels, thus alleviating inflammatory responses in consumers. Furthermore, histological examination reveals significant improvements in the thickness of the stratum corneum, epidermis, and dermis. As the inflammatory response decreases, the density of fat cells aggregated in the skin also decreases significantly.
綜上,本發明所提供的益生菌可以藉由降低發炎反應,降低所需個體之過敏症狀及發炎反應,並能夠有效的預防、緩解及治療因過敏反應所導致的炎症,例如類風濕性關節炎、脂漏性皮膚炎、接觸性皮膚炎、異位性皮膚炎、過敏性皮膚炎或牛皮癬等常見皮膚過敏疾病。In summary, the probiotics provided by this invention can reduce the inflammatory response, thereby reducing allergic symptoms and inflammation in the individual, and can effectively prevent, alleviate and treat inflammation caused by allergic reactions, such as rheumatoid arthritis, seborrheic dermatitis, contact dermatitis, atopic dermatitis, allergic dermatitis or psoriasis and other common skin allergy diseases.
(無)(without)
圖1a為盒鬚圖及群落距離分析圖用以呈現人類嬰幼兒腸道益生菌的種類多樣性; 圖1b為橫條圖用以說明16週齡之人類嬰幼兒腸道中各類益生菌之線性判別分析結果(Linear discriminant analysis,LDA); 圖1c至1e為長條圖用以說明篩選之菌株對於細胞的免疫調節作用; 圖1f至1g為長條圖用以說明篩選之菌株對於細胞的抗發炎效果; 圖2為實驗動物攝食篩選之菌株後其免疫細胞群的流式細胞儀分析結果; 圖3a至3c為折線圖用以評估異位性皮膚炎模式動物攝食篩選之菌株後的平均體重、攝食量與飲水量; 圖4a至4d為長條圖用以評估異位性皮膚炎模式動物攝食篩選之菌株後的皮膚外觀健康程度,分別為PASI、紅斑、硬結及脫皮程度之分數; 圖5a至5b為長條圖用以呈現異位性皮膚炎模式動物攝食篩選之菌株後的背部皮膚含水量以及每小時脫水量; 圖5c至5d為長條圖用以呈現異位性皮膚炎模式動物攝食篩選之菌株後的背部皮膚之TARC及CCL27之蛋白質含量; 圖6a至6b為長條圖用以呈現異位性皮膚炎模式動物攝食篩選之菌株後的血清中的組織胺(histamine)及免疫球蛋白IgE之含量; 圖7a為異位性皮膚炎模式動物之皮膚切片HE組織染色代表圖,用以呈現皮質層(cuticle)、表皮層(epidermis)及真皮層(dermis)厚度測量之基準; 圖7b至7d為長條圖用以說明異位性皮膚炎模式動物之皮膚切片之皮質層、表皮層及真皮層的最大厚度統計結果; 圖7e為異位性皮膚炎模式動物之皮膚切片H&E組織染色代表圖,用以說明真皮層中不同肥大細胞密度與其對應之評估分數; 圖7f及7g為長條圖分別用以說明異位性皮膚炎模式動物之皮膚切片之發炎反應指數及肥大細胞密度之統計結果。 Figure 1a shows the box-and-fiber diagram and community distance analysis to illustrate the diversity of probiotics in the gut of human infants and young children; Figure 1b is a bar chart illustrating the results of linear discriminant analysis (LDA) of various probiotics in the gut of 16-week-old human infants and young children; Figures 1c to 1e are bar charts illustrating the immunomodulatory effects of the selected strains on cells; Figures 1f to 1g are bar charts illustrating the anti-inflammatory effects of the selected strains on cells; Figure 2 shows the flow cytometry analysis results of the immune cell populations of experimental animals after ingestion of the selected strains; Figures 3a to 3c are line graphs used to assess the average body weight, food intake, and water consumption of animals with atopic dermatitis after feeding on selected strains. Figures 4a to 4d are bar graphs used to assess the skin health of animals with atopic dermatitis after feeding on selected strains, showing scores for PASI, erythema, induration, and peeling. Figures 5a to 5b are bar graphs showing the back skin water content and hourly water loss of animals with atopic dermatitis after feeding on selected strains. Figures 5c to 5d are bar graphs showing the TARC and CCL27 protein content of the back skin of animals with atopic dermatitis after feeding on selected strains. Figures 6a and 6b are bar graphs showing the levels of histamine and immunoglobulin IgE in the serum of atopic dermatitis model animals after ingestion of the selected bacterial strains; Figure 7a is a representative HE-stained skin section from atopic dermatitis model animals, used to present the baseline for measuring the thickness of the cuticle, epidermis, and dermis; Figures 7b and 7d are bar graphs illustrating the statistical results of the maximum thickness of the cuticle, epidermis, and dermis in skin sections from atopic dermatitis model animals; Figure 7e is a representative H&E histological staining map of skin sections from a model animal of atopic dermatitis, used to illustrate the density of different mast cells in the dermis and their corresponding assessment scores; Figures 7f and 7g are bar graphs used to illustrate the statistical results of inflammatory index and mast cell density in skin sections from a model animal of atopic dermatitis, respectively.
TW202539716A_114113100_SEQL.xmlTW202539716A_114113100_SEQL.xml
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