[0001] The present invention relates to a preparation which has a health-promoting action,
in particular for the prevention and/or treatment of disorders of the digestive tract,
more particularly of the intestines.
[0002] The application relates in particular to a preparation of this type which contains
probiotics and non-digestible oligosaccharides.
[0003] It is known that certain microorganisms have both a prophylactic and a therapeutic
effect on intestinal diseases, such as intestinal infections. When these microorganisms
are administered to humans or animals they will compete with pathogenic bacteria for
nutrients and/or adhesion sites on the intestinal wall, as a result of which the number
of pathogenic bacteria will decrease and infections are prevented or reduced. Such
microorganisms are generally designated by the term "probiotics".
[0004] If these microorganisms are to have an optimum action they must reach the intestines
alive. A further beneficial effect of the administration of live microorganisms to
the intestines is, for example, that they are able to ferment the oligosaccharides
present in the intestines, whereby, for example, fatty acids with short chains are
formed.
[0005] In addition it is advantageous on economic grounds if as many microorganisms as possible
reach the intestines alive. With the customary preparations which contain probiotics
the percentage of microorganisms that reaches the intestines alive is frequently low.
[0006] It is therefore an object of the present invention to provide a preparation that
contains such probiotics with which a high percentage of the microorganisms administered
reaches the intestines alive.
[0007] It is also an object of the present invention to provide a preparation that can be
used for the treatment of disorders of the intestines and/or that can be used for
prophylactic treatment of the intestines.
[0008] The present invention now relates to a preparation having a health-promoting action,
in particular for the prevention and/or treatment of disorders of the digestive tract,
more particularly of the intestines, which contains probiotics and non-digestible
oligosaccharides, wherein the probiotics comprise at least one bacterial strain and
at least one yeast strain and wherein the oligo saccharides are trans-galacto-oligo-saccharides
or have been obtained by the hydrolysis of one or more polysaccharides chosen from
β-(arabino)-galactans, β-(arabino)xylans, β-glucans, β-glucomannans, β-galactomannans,
α-arabans and combinations thereof.
[0009] Without wishing to be tied to any theory, it is assumed that the oligosaccharides
form a substrate for the probiotics. as a result of which the likelihood that said
microorganisms reach the intestines alive increases and as a result of which the likelihood
that they are able, in combination with the oligosaccharides present in the intestines,
to exert their beneficial action increases. The oligosaccharides could therefore also
be designated as "prebiotics".
[0010] The probiotics and non-digestible oligosaccharides are present in the preparation
in a ratio of 1 to 5 g oligosaccharides per 10
8 to 10
11 cells of the probiotic.
[0011] The oligosaccharides used are chosen from the so-called "non-digestible oligosaccharides",
that is to say oligosaccharides which are not absorbed by the human or animal body.
These oligosaccharides as a rule have a degree of polymerisation of 2 to 20. This
implies that the oligosaccharides consist of 2 to 20 monosaccharide units. In the
case of a degree of polymerisation of less than 2, that is to say in the case of the
monosaccharide, the preparation is not effective since such monosaccharides are absorbed
by the human or animal body. At a degree of polymerisation of greater than 20 the
oligosaccharides lose their beneficial action.
[0012] Preferably the oligosaccharides have a degree of polymerisation of 2 to 10, more
preferentially of 2 to 6, more particularly 3 to 10 and more preferentially 3 to 6.
[0013] Where reference is made in the present application to oligosaccharides this term
is used to refer both to oligosaccharides having one specific chain length and to
mixtures of oligosaccharides having different chain lengths. However, a mixture of
oligosaccharides having different chain lengths is preferred.
[0014] Furthermore, the oligosaccharides usually do not consist entirely of disaccharides.
The disaccharide content is usually less than 90 % and sometimes less than 60 %.
[0015] The average degree of polymerisation is as a rule more than 2.1, usually more than
2.5.
[0016] The oligosaccharides used in the invention are, as a rule, furthermore so chosen
that they are at least 20 % usable as substrate for the probiotic microorganisms present
in the preparation, as determined by high performance anion exchange chromatography.
[0017] Examples of suitable oligosaccharides are transgalacto-oligosaccharides (TOS), fructo-oligosaccharides
(FOS) and combinations thereof.
[0018] It is particularly advantageous if the oligosaccharides are added to the preparation
in the form of a hydrolysis product of one or more polysaccharides, for example chosen
from β-(arabino)galactans, β-(arabino)xylans, β-glucans, β-glucomannans, β-galactomannans,
α-arabans, inulin and combinations thereof. In addition to the oligosaccharides, such
a hydrolysis product can also contains yet further components, such as monosaccharides
and saccharides having a degree of polymerisation higher than 20. However, the hydrolysis
product must contain at least 50 % non-digestible oligosaccharides, preferably at
least 70%.
[0019] The polysaccharides which are preferably hydrolysed are β-(arabino)galactans, β-mannans,
and xylans.
[0020] It is also possible to use a hydrolysis product of one or more fibres which are mainly
made up of the abovementioned oligosaccharides, such as fibres from oats, wheat, potatoes,
sugar beet, soya polysaccharides and the like.
[0021] The hydrolysis of the polysaccharide(s) and/or the fibre(s) can be carried out in
a manner known per se, for example by the use of suitable enzymes.
[0022] The concentration of oligosaccharides in the preparation is such that 0.5 to 20 gram
per day can be administered- If desired, this administration can be spread over the
day, as long as the total quantity of the oligosaccharides administered remains in
the range described above. In general the preparation will be administered 2 to 4
times per day.
[0023] In general the oligosaccharides will make up 5 wt.% to 50 wt.% of the total preparation.
[0024] The probiotics suitable for the present invention are generally known. They comprise,
in general, one or more bacterial strains suitable for use in food preparations, such
as lactic acid bacteria suitable for use in food preparations, or one or more yeast
strains suitable for use in food preparations, or a combination thereof. These probiotics
will usually have GRAS ("Generally Recognised As Safe") status.
[0025] Suitable bacterial strains are, for example, chosen from those which are described
in European Application 97202900.3 (EP 0,904,784) in the name of the Applicant. Other
possible probiotics are the Pediococci, Propionibacteria or
Leuconostoc species. The
Lactobacillus, and
Bifidobacterium genera and combinations thereof are to be preferred.
[0026] The
Bifidobacterium strain used can be any strain which is suitable for, and preferably is also approved
for, administration to humans and animals, such as
Bifidobacterium, bifidum, Bifidobacterium breve, Bifidobacterium lactis or
Bifidobacterium longum, or a combination thereof.
[0027] The
Lactobacillus strain is preferably so chosen that this produces mainly, preferably exclusively,
dextrorotatary (L+) lactate. What is meant by this is that the lactate produced is
less than 5 %, preferably less than 2 %, laevorotatory lactate. It is, of course,
possible that the microorganism produces other metabolites in addition to lactate
and the beneficial action of the microorganism can (also) be based on the formation
of these further metabolites.
[0028] Examples of these are
Lactobacillus acidophilus, Lactobacillus brevis, Lactobacillus (para)casei, Lactobacillus
fermentum, Lactobacillus plantarum and
Lactobacillus rhamnosus, and combinations thereof.
[0029] The yeast strain used in the invention can be any strain which is suitable for, and
preferably is also approved for, administration to humans and animals, such as of
the genus
Saccharomyces. Examples of suitable
Saccharomyces species are
Saccharomyces cerevisiae and
Saccharomyces boulardii.
[0030] The yeast in the preparation can be alive or dead. Both dead and live yeast contains
a high content of mannoproteins, which are able to prevent the adhesion of bacteria
to the intestinal wall to a large extent. Administration of dead yeast offers advantages
in the case of people who are suffering from inflammatory intestinal diseases.
[0031] If the yeast is used in dead form, at least one other live microorganism must be
used. Said live organism can once again be chosen from both the
Lactobacillus, Bifidobacterium, Pediococci, Propionibacteria and
Leuconostoc strains, but can also be live
Saccharomyces.
[0032] The total concentration of the probiotics is 10
6 to 10
12, preferably 10
9 to 10
10, live cells per gram of total product. If a combination of microorganisms is used,
the minimum concentration of each of the microorganisms must be such that there can
still be said to be live organisms, that is to say at least approximately 10 per gram
of product. The total concentration of microorganisms must always be within the above
specified range of 10
6 to 10
12 live cells per gram of total product.
[0033] If dead
Saccharomyces cerevisae is also used, this is administered in a quantity of 0.5 to 5 g per day.
[0034] The combination of
Lactobacillus rhamnosus with transgalacto-oligosaccharide or hydrolysis products of (potato) galactan is
found to be a particularly suitable combination of oligosaccharide and probiotic.
[0035] The suitability of a specific oligosaccharide for a specific probiotic can be determined
by determining the capacity of the microorganism concerned to ferment said oligosaccharide
or said oligosaccharide fraction. A specific method for this is given below with the
examples.
[0036] The administration forms of the preparations according to the invention are as a
rule analogous to those which have been described in European Application 97202900.3
in the name of the Applicant, the contents of which are incorporated herein by reference.
In this context it must be pointed out that according to the present invention also
only one probiotic microorganism (including a yeast) can be present and that in addition
to the one or more probiotic microorganisms one or more oligosaccharides can also
be incorporated, in the quantities specitied above.
[0037] The preparations according to the present invention can, among others, be administered
in the form of a nutritional supplement, total nutrition and clinical nutrition. Reference
is likewise made to European Application 97202900:3 (EP 0,904,784) for the specific
additives which are added to such foods and the preparation and applications of such
foods.
[0038] The probiotics are preferably added to the preparation in (freeze-)dried form. It
is also possible to produce liquid preparations, but these must be stored cool. Furthermore,
one or more of the microorganisms can be used in encapsulated form, for example in
order to improve the shelf life.
[0039] If the preparation according to the invention is used as a nutritional supplement,
it can be administered as such, can be mixed with a suitable drinkable liquid, such
as water, yoghurt, milk or fruit juice, or can be mixed with solid or liquid food.
In this context the nutritional supplement can be in the form of tablets, capsules,
powders, sachets, pastilles, sweets, bars and corresponding administration forms,
usually in the form of a unit dose.
[0040] A supplement according to the invention can, for example, have the following composition:
- probiotics: 10 - 40 wt.%
- oligosaccharides: 40 - 80 wt.%
- further additives: 0 - 40 wt.%,
to a total of 100 wt.%.
[0041] The preparation can also be in the form of a food preparation that is suitable for
direct consumption, such as total or clinical nutrition. This can be either oral nutrition
or nutrition for administration via a tube or catheter.
[0042] Such foods can be in solid form or liquid/drinkable form and can contain all customary
additives for (total and/or clinical) nutrition, including proteins, vitamins, minerals,
trace elements and the like.
[0043] A total nutrition according to the invention can, for example, have the following
composition:
- probiotics: 0.1 - 10 wt.%
- oligosaccharides: 1 - 20 wt.%
- further additives: 75 - 95 wt.%
to a total of 100 wt.%.
[0044] According to a particular embodiment, the preparation according to the invention
is in the form of a (supplement for a) baby food or a nutritional supplement for babies.
[0045] The preparations described above can be used for the same applications as those described
in European Application 97202900.3 (EP 0,904,784) in the name of the Applicant, in
particular in the treatment of disorders of the intestines, such as diarrhoea, such
as can arise when travelling or after treatment with antibiotics, or which results
from food poisoning. Another application is in the treatment of inflammatory bowel
diseases (IBD), such as colitis ulcerosa and Crohn's disease. The prepairations according
to the invention are also suitable for patients who have a food allergy, such as an
allergy to cow's milk or to gluten.
[0046] The probiotics and non-digestible oligosaccharides can also be used in baby food
to prevent or treat intestinal problems.
[0047] The invention will now be explained with the aid of the following non-limiting examples.
Examples
[0048] To determine suitable combinations of oligosaccharides and probiotics the microorganisms
listed below were tested to determine their capacity to ferment structurally different
oligosaccharide fractions. Strains pre-cultured in liquid medium based on thioglycolate
(Oxoid, Unipath Ltd, Basingstoke, Hampshire, UK) were subjected to subculture in thioglycolate
to which 0.5 % (m/V) oligosaccharides were added. The sugar-free thioglycolate medium
and the oligosaccharide solutions were sterilised separately for 15 minutes at 121
°C.
[0049] Following anaerobic incubation for 48 hours at 37 °C the pH was measured with the
aid of a micro-pH meter (Sentron, Roden, The Netherlands). The changes in the residual
oligosaccharide content and the formation of reaction products were determined using
HPAEC (high performance anionic exchange chromatography). For HPAEC analysis the cultures
were centrifuged and the supernatant liquor was diluted 10-fold with H
2O and boiled for 5 minutes to stop the enzymatic activity. The purity of the strains
was checked before and after fermentation.
[0050] The HPAEC system consisted of a Dionex Bio-LC GPM-II quaternary gradient module (Dionex
Corporation. Sunnyval, CA, USA) equipped with a Dionex Carbopac PA-100 column (4 *
250 mm) in combination with a Carbopac PA-100 guard column (3 * 25 mm). The samples
(20 µl) were injected using a Spectra Physics SP8880 autosampler. The oligomers were
analysed using a gradient of sodium acetate in 100 mmol.l
-1 NaOH.
[0051] The results of these experiments are given below in the table for a number of combinations
of probiotics and substrates, where:
++ indicates complete fermentation
+ indicates partial fermentation
- indicates no or very limited fermentation
| Bacteria |
Substrate |
| |
Hydrolysis product of: |
| |
Arabino-galactans |
Arabans |
Arabinoxylans |
Fructans |
| Bi. Breve |
++ |
+ |
- |
++ |
| Bi. Longum |
++ |
++ |
+ |
++ |
| Bi. adolescentis |
++ |
+ |
++ |
++ |
| L. acidophilus |
++ |
- |
- |
+ |
| L. fertnentum |
++ |
- |
- |
+ |
| K. pnuemoniae |
++ |
- |
- |
+ |
| C. perfingens |
- |
- |
- |
++ |
[0052] A few examples of preparations according to the present invention are given below.
Example I: Supplement (Not part of the invention)
[0053] A suspension of
Lactobacillus rhamnosus ATCC 7469 (Lb) was freeze-dried, a powder being obtained which contained at least
10
9 viable cells per gram powder. Transgalacto-oligosaccharides (TOS), obtained from
lactose (Borculo Whey Products), were dissolved in water at 40 °C to a solids content
of 25 % and this solution was spraydried. The two powders were mixed in a TOS/Lb ratio
of 4/1 until a homogeneous product was obtained. Sachets were filled with 2 - 5 g
of this mixture, depending on the dosage regime (5 g for one sachet per day; 3 g for
two sachets per day). The contents of one sachet can, for example, be taken mixed
in a glass of orange juice or milk.
Example II: Synbiotic bar
[0054] A 23 g bar was prepared from 4.0 g oat flakes, 4.0 g wheat flakes, 3.0 g puffed rice,
1.0 g crushed hazelnuts, 0.25 g honey, 3.0 g raisins, 1.5 g maltodextrin, 1.0 g freeze-dried
Lb rhamnosus, 0.5 g baker's yeast (
Saccharomyces cerevisiae; Gist Brocades) and 5.0 g transgalacto-oligosaccharides.
Example III: Method for hydrolysing vegetable fibres
[0055] A 20 % suspension of fibres, for example from wheat, potatoes, oats, soya polysaccharides,
carob gum or sugar beet, in water was prepared. These sources of fibre are commercially
available. The suspension was heated to a temperature of between 20 and 50 °C (preferably
35 - 45 °C), after which enzymes were added in a quantity of one part enzyme per 5
- 500 parts (m/m) substrate. The choice of the type of enzyme is dependent on the
type of polysaccharide. Examples of suitable enzymes are Novoferm Pectinex Ultra s.p.-L,
Pentopan and Ultra.s.p. (NOVO).
[0056] After 0.5 - 4 hours the reaction was terminated by heating, after which the solution
thus obtained can be used as the oligosaccharide fraction in the preparations according
to the invention, optionally after further filtration/purification or after concentrating.
Example IV: Synbiotic mixture for mixing with a complete enteral clinical nutrition (Not part of the invention)
[0057] A mother batch of a powder mixture was prepared in accordance with the method of
Example I. The powder consisted of 20 % hydrolysed wheat arabinoxylans, 20 % hydrolysed
potato arabinogalactans, 20 % hydrolysed carob gum, 20 % hydrolysed sugar beet fibre
(arabans), 15 % hydrolysed oat fibres (glucans) and 5 %
Bifidobacterium longum. 5 g of the powder mixture is placed in a sachet. The contents of this sachet can
be added to a standard enteral clinical nutrition a maximum of 30 min before use.
Example V: Synbiotic powder mixture for fortifying baby food (Not part of the invention)
[0058] A synbiotic mixture was prepared in accordance with the method of Example I. The
composition contains 10 % baker's yeast (Gist Brocades), 40 % mannoproteins, obtained
from yeast, 25 % inulin and 25 % raffinose.
Example VI: Sweet that contains a synbiotic mixture (Not part of the invention)
[0059] A 2 g sweet was prepared starting from 58 % digestible carbohydrates (glucose syrup),
35 % TOS, 4 %
Lactobacillus rhamnosus ATCC 7469, and 2 % flavourings and colourants.
1. Preparation having a health promoting action, in particular for the prevention and/or
treatment of disorders of the digestive tract, which contains probiotics comprising
at least one bacterial strain and at least one yeast strain and one or more non-digestible
oligosaccharides; wherein the oligosaccharides are trans-galacto-oligosaccharides
or have been obtained by the hydrolysis of one or more polysaccharides, chosen from
β-(arabino)galactans, β-(arabino)xylans, β-glucans, β-glucomannans, β-galactomannans,
α-arabans and combinations thereof.
2. Preparation according to Claim 1, wherein the oligosaccharides have a degree of polymerisation
of 2 to 20, preferably of 2 to 10, more preferentially of 2 to 6.
3. Preparation according to Claim 1 or 2, wherein the polysaccharides are chosen from
β-(arabino)galactans and combinations thereof.
4. Preparation according to Claim 1 or 2, wherein the oligosaccharides originate from
the hydrolysis of one or more fibres, such as fibres originating from oats, wheat,
potatoes, sugar beet, soya polysaccharides and the like.
5. Preparation according to one of the preceding claims, wherein at least one of the
bacterial strains is chosen from one or more strains of a Lactobacillus or a Bifidobacterium or a Pediococci or a Propionibacteria or a Leuconostoc species and the yeast strain is a strain of a Saccharomyces species.
6. Preparation according to one of the preceding claims which also contains dead yeast
cells.
7. Preparation according to one of the preceding claims, wherein the ratio between the
one or more probiotics and the one or more non-digestible oligosaccharides is in the
range of 1 to 5 g oligosaccharides per 108 to 1011 cells of the probiotic.
8. Preparation according to one of the preceding claims which contains the probiotics
in a concentration of 107 to 1011 live cells per gram of total product.
1. Präparat mit einer gesundheitsfördemden Wirkung, insbesondere zur Verhinderung und/oder
Behandlung von Störungen des Verdauungstraktes, welches Probiotika enthält, umfassend
wenigstens einen Bakterienstamm und wenigstens einen Hefestamm und ein oder mehrere
nicht-verdaubare Oligosaccharide, worin die Oligosaccharide Transgalactooligosaccharide
sind oder durch die Hydrolyse eines oder mehrerer Polysaccharide erhalten worden sind,
ausgewählt aus β-(Arabino)galactanen, β-(Arabino)xylanen, β-Glucanen, β-Gtucomannanen,
β-Galactomannanen, α-Arabanen und Kombinationen davon.
2. Präparat gemäß Anspruch 1, worin die Oligosaccharide einen Polymerisationsgrad von
2 bis 20, bevorzugt von 2 bis 10 und bevorzugter von 2 bis 6 haben.
3. Präparat gemäß Anspruch 1 oder 2, worin die Polysaccharide ausgewählt sind aus β-(Arabino)galactanen
und Kombinationen davon.
4. Präparat gemäß Anspruch 1 oder 2, worin die Oligosaccharide aus der Hydrolyse von
einer oder mehreren Fasern herrühren, wie von Hafer, Weizen, Kartoffeln, Zuckerrübe,
Sojapolysacchariden und Ähnlichem, herrührenden Fasern.
5. Präparat gemäß einem der vorhergehenden Ansprüche, worin wenigstens einer der Bakterienstämme
ausgewählt ist aus einem oder mehreren Stämmen einer Lactobacillus- oder einer Bifidobacterium- oder einer Pediococcus- oder einer Propionibacterium- oder einer Leuconostoc-Art, und der Hefestamm ein Stamm einer Saccharomyces-Art ist.
6. Präparat gemäß einem der vorhergehenden Ansprüche, welches auch tote Hefezellen enthält.
7. Präparat gemäß einem der vorhergehenden Ansprüche, worin das Verhältnis zwischen dem
einen Probiotikum oder mehreren Probiotika und dem einen nicht-verdaubaren Oligosaccharid
oder mehreren nicht-verdaubaren Oligosacchariden in dem Bereich von 1 bis 5 g Oligosacchariden
pro 108 bis 1011 Zellen des Probiotikums liegt.
8. Präparat gemäß einem der vorhergehenden Ansprüche, welches die Probiotika in einer
Konzentration von 107 bis 1011 lebenden Zellen pro Gramm des Gesamtproduktes enthält.
1. Préparation ayant une action favorisant la santé, en particulier pour la prévention
et/ou le traitement de troubles des voies digestives, laquelle contient des probiotiques
comprenant au moins une souche bactérienne et au moins une souche de levure et un
ou plusieurs oligosaccharides non digestibles, dans laquelle les oligosaccharides
sont des trans-galacto-oligosaccharides ou ont été obtenus par l'hydrolyse d'un ou
de plusieurs polysaccharides, choisis parmi les β-(arabino)galactanes, les β-(arabino)xylanes,
les β-glucanes, les β-glucomannanes, les β-galactomannanes, les α-arabanes et des
combinaisons de ceux-ci.
2. Préparation selon la revendication 1, dans laquelle les oligosaccharides ont un degré
de polymérisation de 2 à 20, de préférence de 2 à 10, de manière encore préférable
de 2 à 6.
3. Préparation selon la revendication 1 ou 2, dans laquelle les polysaccharides sont
choisis parmi les β-(arabino)galactanes et des combinaisons de celles-ci.
4. Préparation selon la revendication 1 ou 2, dans laquelle les oligosaccharides ont
pour origine l'hydrolyse d'une ou de plusieurs fibres, telles que des fibres provenant
de l'avoine, du blé, de la pomme de terre, de la betterave à sucre, des polysaccharides
du soja et des fibres similaires.
5. Préparation selon l'une des revendications précédentes, dans laquelle au moins une
des souches bactériennes est choisie parmi une ou plusieurs souches d'une espèce de
Lactobacillus, de Bifidobacterium, de Pediococci, de Propionibacteria ou de Leuconostoc et la souche de levure est une souche d'une espèce de Saccharomyces.
6. Préparation selon l'une des revendications précédentes qui contient également des
cellules de levure mortes.
7. Préparation selon l'une des revendications précédentes, dans laquelle le rapport entre
le ou les probiotique(s) et le ou les oligosaccharide(s) non digestible(s) est de
1 à 5 g d'oligosaccharides par 108 à 1011 cellules du probiotique.
8. Préparation selon l'une des revendications précédentes qui contient les probiotiques
à une concentration de 107 à 1011 cellules vivantes par gramme de produit total.