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GB2323030A - Dietary supplements for immunocompromised patients - Google Patents

Dietary supplements for immunocompromised patients Download PDF

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Publication number
GB2323030A
GB2323030A GB9705109A GB9705109A GB2323030A GB 2323030 A GB2323030 A GB 2323030A GB 9705109 A GB9705109 A GB 9705109A GB 9705109 A GB9705109 A GB 9705109A GB 2323030 A GB2323030 A GB 2323030A
Authority
GB
United Kingdom
Prior art keywords
nutraceutical
glutamine
patients
cancer
immune compromised
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
GB9705109A
Other versions
GB9705109D0 (en
Inventor
Thomas Brian Chapman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Essential Nutrition Ltd
Original Assignee
Essential Nutrition Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Essential Nutrition Ltd filed Critical Essential Nutrition Ltd
Priority to GB9705109A priority Critical patent/GB2323030A/en
Publication of GB9705109D0 publication Critical patent/GB9705109D0/en
Publication of GB2323030A publication Critical patent/GB2323030A/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/17Amino acids, peptides or proteins
    • A23L33/175Amino acids
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/15Vitamins
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/16Inorganic salts, minerals or trace elements
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

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  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Mycology (AREA)
  • Health & Medical Sciences (AREA)
  • Nutrition Science (AREA)
  • Engineering & Computer Science (AREA)
  • Food Science & Technology (AREA)
  • Polymers & Plastics (AREA)
  • Inorganic Chemistry (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

A nutraceutical designed for support of immune compromised patients which when administered to patients with immune compromised systems caused by diseases such as HIV, cancer, chemotherapy or radiotherapy will be utilised as a precursor in nucleotide synthesis. The essential amino acid in this nutraceutical will supplement the body's own production of glutamine which is required by the body during rapid cell division and during the production of antibodies. The nutraceutical also provides an adequate level of anti-oxidant vitamins which play a preventative role in the development of cancer by removing free radicals. The composition essentially comprises glutamine or a glutamine-rich peptide, beta-carotene, vitamins B1, B2, B6, B12, C and E and a source of selenium such as sodium selenite.

Description

A NUTRACEUTICAL SPECIFICALLY DESIGNED FOR SUPPORT OF IMMUNE COMPROMISED PATIENTS.
Certain diseases or even medical treatments can lead to the immune response of the patient becoming impaired. Examples of the former and latter cases are respectively HIV infection and cancer chemotherapy/radiotherapy. This state is characterised by depression of the production of particular populatious of white blood cells and the individual becoming highly susceptible to opportunistic, often life threatening infections such as pneumonia.
Recent scientific research has highlighted the crucial role of the amino acid glutamine in the function of cells ofthe immune system, particularly lymphocytes, macrophages and natural killer cells(l). The glutamine is utilised as an energy source and as a precursor for bases in nucleotide synthesis during replication.(2) Glutamine has been used in clinical nutrition with favourable results and minimal side effects at doses of up to 30 - 40g/day (3). It has been termed a "conditionally essential" amino acid (4) as during periods of physiological stress the large requirements of the immune system due to rapid cell division, protein synthesis and antibody production may exceed the capacity of the body to synthesise glutarnine from other dietary amino acids. Glutamine supplementation has in the past primarily been used to aid recovery in critically ill or post-operative patients and its potential in managing chronic disease states involving depression of the immune system such as AIDs or in the immune suppression caused by cancer chemotherapy/radiotherapy has yet to be realised The important role of free radicals in disease is now becoming increasingly well understood (5).
Under normal conditions the levels of these extremely reactive and damaging species are controlled by antioxidant vitamins and enzyme systems naturally present in the body. However, under certain conditions of physiological stress or when the body is exposed to abnormal levels if ionising radiation or certain chemicals an excess of free radicals can exist leading to amongst other problems DNA damage and mutation (6). Thus, one problem associated with both cancer chemotherapy and radiotherapy is the development of secondary cancers (7).
Recent epidemiological evidence has suggested that increased intakes of the vitamin C, vitamin E and pro-vitamin A (beta-carotene) play a preventative role in the development of cancer (8,9).
Further, in immune compromised patients levels of the key protective anti-oxidant enzyme superoxide dismutase are depressed ( 10) making them more susceptible to infection and probably indicating lowered anti-oxidant defence overall. Additional evidence supporting this view is provided by the result of a study of young children with HIV infection which revealed that plasma levels ofthe anti-ondant compound vitamin E and beta-carotene were significantly lower than in a healthy control group (11).
While not strictly an anti-oxidant vitamin, selenium supplementation at the level of 200 ,ug/day has been found to improve immune response in healthy volunteers (12) and some clinicians have proposed selenium supplementation as standard therapy for AIDs patients (13).
Thus supplementation with reasonable levels of anti-oxidant vitamins and micronutrients will be beneficial during chemo/radiotherapy and also in HIV infections.
In addition to the effects of the anti-oxidant vitamins discussed above there is increasing evidence that the B group vitamins may play a role in boosting natural defences against infection in irnrniinocompromised patients. In a study of several hundred AtDs patients supplementation with greater than the RDA of vitamin B1 and B2 and particularly vitamin B6 was associated with reduced mortality (14). it is thought that the B group vitamins may exert this effect as they are essential for DNA synthesis in the rapidly proliferating cell populations of the immune system.
The innovation step in the described invention is to extend the use of glutamine supplementation to the management of chronic disease states of the immune system and for the first time to combine this with other suitable micronutrients to produce the optimum boosting of the immune system. This combination is presented as a formulation that is easy for often nauseous patients to take to ensure good compliance.
According to a first aspect of the invention all the nutrients which are beneficial in boosting the immune system are provided from a single product.
According to a second aspect of this invention the nutrients described above are present in a form which enables it to be easily and conveniently taken by patients.
The formula has the versatility to be dispersed in flavoured or unflavoured drinks or alternatively to be mixed with warm or cold food.
The invention is further described by means of an example but not in any limatative sense; Example Glutamine (or an equivalent amount of glutamine in the form of a glutamine rich peptide specifically prepared for supplementation purposes) in the range of 20 - 50 g, preferably 30g Vitamin B1 - in the range 100% to 1000% RDA (Recommended Daily Allowance),preferably 7mg Vitamin B2 - in the range 100% to 1000% RDA, preferably 8mg Vitamin B6 - in the range 100% to 1000% RDA, preferably lOmg Vitamin B12 - in the range 100% to 1000% RDA, preferably 5pg Pro-vitamin A (beta-carotene) - in the range lOmg to 100mg, preferably 20mg Vitamin C - in the range 50% to 1000% RDA, preferably 200mg Vitamin E - in the range 50% to 1000% RDA, preferably 50mg Selenium - in the form of a suitable salt, such as sodium selenite, equivalent to 100 9 of elemental selenium The components are dry mixed using conventional pharmaceutical processing equipment such as high shear ribbon blenders. The bulk product is then filled into either tamper evident containers or single dose sachets or formulated into a liquid or gel formulation for oral use.
The example desonied is the recommended daily intake which may be taken in a single or divided dose.
References 1. LM Castell et al, Amino Acids, 7 231-243 (1994) 2. M S M Ardawi & E A Newsome, Essasys Biochem, 1-44 (1985) 3. T.R Ziegler et al J Parenteral & Enteral Nutrition, 14 137-147 (1990) 4. J.M.Lacey & D W Wilmore, Nutrition Revs 48 297-209 5. B Halliwell J Royal Soc. Med 82 747-752 (1989) 6. P.A. Cerutti The Lancet, 344, 862-863 (1994) 7. Lien and Ou J Clin Hosp. Pharm, 10 223 (1985) 8. B.N. Ames J.A.M.A., 273(14), 1077=1078 (1995) 9. A.T.Diplock Am J Clin Nutrition, 53, 1895-1935 (1991) 10. S Umeki et al, Clin.Chem ,33 (12) 2230-2233 (1987) 11. P Mastroiacovo et al lnt J Vit Nutr Res. 66, 141-145 (1996) 12. R Martin et al, Biol Trace Element Res 41, 103-114 (1994) 13. GNSchrauzer & JSacher, Chemico-Biol Interact, 91, 199-205 (1994) 14. AM Tang et al Am J Epidemiology, 143 (12), 1244 -1256 (1996)

Claims (6)

  1. CLAIMS 1. The manufacture of a nutraceutical specifically designed for support of immune compromised patients.
  2. 2. A nutraceutical providing energy for nucleotide synthesis
  3. 3. A nutraceutical which plays a role in preventing the devlopment of cancer
  4. 4. A nutraceutical with protective anti-oxidant propoerties
  5. 5. A nutraceutical containing a conditionally essential amino acid.
  6. 6. A nutraceutical to support immune compromised patients suffering from HIV infections
GB9705109A 1997-03-12 1997-03-12 Dietary supplements for immunocompromised patients Withdrawn GB2323030A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB9705109A GB2323030A (en) 1997-03-12 1997-03-12 Dietary supplements for immunocompromised patients

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB9705109A GB2323030A (en) 1997-03-12 1997-03-12 Dietary supplements for immunocompromised patients

Publications (2)

Publication Number Publication Date
GB9705109D0 GB9705109D0 (en) 1997-04-30
GB2323030A true GB2323030A (en) 1998-09-16

Family

ID=10809113

Family Applications (1)

Application Number Title Priority Date Filing Date
GB9705109A Withdrawn GB2323030A (en) 1997-03-12 1997-03-12 Dietary supplements for immunocompromised patients

Country Status (1)

Country Link
GB (1) GB2323030A (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001078533A3 (en) * 2000-04-18 2002-02-21 Nestle Sa Nutritional modules
WO2001093910A3 (en) * 2000-06-05 2002-11-14 Oekopharm Forschungs Und Entwi Method for increasing the antioxidative potential of selenium-containing aqueous solutions
ES2196983A1 (en) * 2000-12-13 2003-12-16 Novartis Nutrition Ag Infant formula with free amino acids and nucleotides
DE102008056044A1 (en) * 2008-11-05 2010-05-12 Unger, Detlef Foot operated garbage bin cover opener comprises lever arm which is pressed upwards with operating lever on leverage over wheel axle center point which has fastening collar that is fastened to garbage bin cover arms
US7850996B2 (en) 2001-12-04 2010-12-14 Vis-Vitalis Lizenz-Und Handels Ag Selenium-containing compositions and uses thereof
EP2344147A2 (en) * 2008-09-19 2011-07-20 Nestec S.A. Nutritional support of the immune system during anti-cancer treatment
US10201566B2 (en) 2011-02-16 2019-02-12 Selo Medical Gmbh Pharmaceutical preparation containing selenite or selenite-containing compounds for treating cervical dysplasia or carcinomas

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0087068A1 (en) * 1982-02-12 1983-08-31 Thomas Moses Dr. Beck Nutritional supplement
WO1992009277A1 (en) * 1990-12-03 1992-06-11 Kabi Pharmacia Ab Nutrient supply
EP0609701A1 (en) * 1993-01-27 1994-08-10 Ajinomoto Co., Inc. L-cystein, L-cystine or L-glutamine as a supplementary therapeutic agent for the treatment of immunodeficiency syndrome
EP0705542A1 (en) * 1994-09-21 1996-04-10 Sandoz Nutrition Ltd. Adolescent dietary composition

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0087068A1 (en) * 1982-02-12 1983-08-31 Thomas Moses Dr. Beck Nutritional supplement
WO1992009277A1 (en) * 1990-12-03 1992-06-11 Kabi Pharmacia Ab Nutrient supply
EP0609701A1 (en) * 1993-01-27 1994-08-10 Ajinomoto Co., Inc. L-cystein, L-cystine or L-glutamine as a supplementary therapeutic agent for the treatment of immunodeficiency syndrome
EP0705542A1 (en) * 1994-09-21 1996-04-10 Sandoz Nutrition Ltd. Adolescent dietary composition

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Nature's Best Health for Life Catalogue 1996/7 pages 21,24 & 36-40 *

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7794744B2 (en) 2000-04-18 2010-09-14 Nestec S.A. Nutritional modules
WO2001078533A3 (en) * 2000-04-18 2002-02-21 Nestle Sa Nutritional modules
RU2277915C2 (en) * 2000-06-05 2006-06-20 Вис-Виталис Лиценц-Унд Хандельс Аг Method of raising antioxidant potential of selenium-containing aqueous solutions
WO2001093910A3 (en) * 2000-06-05 2002-11-14 Oekopharm Forschungs Und Entwi Method for increasing the antioxidative potential of selenium-containing aqueous solutions
ES2196983B1 (en) * 2000-12-13 2005-03-01 Novartis Nutrition Ag. NUTRIENT POWDER FOR A CHILD FORMULA WITH FREE AND NUCLEOTID AMINO ACIDS.
ES2196983A1 (en) * 2000-12-13 2003-12-16 Novartis Nutrition Ag Infant formula with free amino acids and nucleotides
US7850996B2 (en) 2001-12-04 2010-12-14 Vis-Vitalis Lizenz-Und Handels Ag Selenium-containing compositions and uses thereof
US9801904B2 (en) 2001-12-04 2017-10-31 Selo Medical Gmbh Selenium-containing compositions and uses thereof
US10231995B2 (en) 2001-12-04 2019-03-19 Selo Medical Gmbh Selenium-containing compositions and uses thereof
US10231994B2 (en) 2001-12-04 2019-03-19 Selo Medical Gmbh Selenium-containing compositions and uses thereof
EP2344147A2 (en) * 2008-09-19 2011-07-20 Nestec S.A. Nutritional support of the immune system during anti-cancer treatment
DE102008056044A1 (en) * 2008-11-05 2010-05-12 Unger, Detlef Foot operated garbage bin cover opener comprises lever arm which is pressed upwards with operating lever on leverage over wheel axle center point which has fastening collar that is fastened to garbage bin cover arms
US10201566B2 (en) 2011-02-16 2019-02-12 Selo Medical Gmbh Pharmaceutical preparation containing selenite or selenite-containing compounds for treating cervical dysplasia or carcinomas
US10543228B2 (en) 2011-02-16 2020-01-28 Selo Medical Gmbh Pharmaceutical preparation containing selenite or selenite-containing compounds for treating cervical dysplasia or carcinomas

Also Published As

Publication number Publication date
GB9705109D0 (en) 1997-04-30

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