AU2015221487A1 - Use of flavonoids to increase the bioavailability of hesperetin - Google Patents

Abstract

Abstract The present invention relates generally to the field of hesperetin bioavailability. One embodiment of the present invention is directed at a composition that allows to 5 increase the bioavailability of hesperetin and consequently to maximize the beneficial health effects of hesperetin.

Description

USE OF FLAVONOIDS TO INCREASE THE BIOAVAILABILITY OF HESPERETIN The present invention relates generally to the field of hesperetin bioavailability. One 5 embodiment of the present invention is directed at a composition that allows to increase the bioavailability of hesperetin and consequently to maximize the beneficial health effects of hesperetin. Flavonoids (Fig. 1) consist of a large group of polyphenolic compounds which can be 10 divided into different classes. They are present for example in fruits, vegetables and other plant-derived products. The flavanone (citrus flavonoid) hesperetin (Fig. 2) is the aglycone of hesperidin (hesperetin 7-0-rutinoside), which is the major flavonoid present in sweet oranges and orange juice. Hesperidin is also present in other citrus fruits including lemon, lime and mandarin, and can as well be found in several herbs 15 such as mint (Mentha piperita). Hesperidin and hesperetin are reported to provide anti-inflammatory, anti-oxidant and anti-carcinogenic effects and to prevent bone loss. Depending on dietary habits, the amount of hesperidin can form an important part of the total flavonoid intake. However, according to data on the urinary and plasma concentrations, the bioavailability of hesperetin is limited due to efficient intestinal 20 metabolism and efflux. There is hence a need in the art to provide a sufficient amount of hesperetin to a subject. 25 It was consequently the object of the present invention to improve the state of the art and to provide a use and a composition to provide sufficient amounts of hesperetin to a subject, in particular to improve the bioavailability of hesperetin. The inventors could achieve this object by the subject matter of the independent 30 claims. The dependant claims further develop the present invention. In particular, the inventors achieve this object by providing a composition and a use that allows hesperetin to become bioavailable to a higher extent and for longer periods of time.

This patent achieves this object by providing a novel method to increase the absorption of hesperetin and consequently to increase its bioavailability. The inventors demonstrate in vitro in a two-compartment cell culture model system 5 simulating the intestinal barrier, that inhibition of BCRP, an ATP binding cassette (ABC) transporter at the apical (intestinal lumen) side, by co-administering inhibiting compounds, including other dietary flavonoids, results in a decreased efflux of metabolites of the citrus flavonoid hesperetin to the apical side, and in an increased efflux to the basolateral (blood/plasma) side. t0 These findings may be exploited to increase the bioavailability of hesperetin in vivo. Flavonoids, as well as their metabolites, are substrates of ABC transporters which are present in the epithelial cells throughout the intestinal tract. In general, they are 15 specifically located in the apical (intestinal lumen side) or basolateral (blood/plasma side) membrane of enterocytes and facilitate excretion back into the intestinal lumen or uptake into the blood stream, respectively. The most relevant intestinal ABC transporters include P-glycoprotein (Pgp), multidrug resistance protein 1 and 2 (MRP1 and MRP2) and breast cancer resistance protein (BCRP). Pgp, MRP2 and 20 BCRP are localized in the apical membrane, whereas MRP1 is localized in the basolateral membrane. The efficient intestinal metabolism and the efflux mediated by ABC transporters located in the apical membrane are believed to be the main reasons for the poor 25 bioavailability of flavonoids and/or their metabolites. Here it is demonstrated that flavonoids are inhibitors of ABC transporters present in the intestine, including BCRP. It is shown in vitro in a two-compartment model system with Caco-2 cell monolayers, a commonly used model simulating the 30 intestinal barrier, that inhibition of BCRP results in a decreased efflux of the metabolites of the citrus flavonoid hesperetin to the apical (intestinal lumen) side, and in an increased efflux to the basolateral (blood/plasma) side. 2 Consequently, one embodiment of the present invention concerns the use of a composition comprising at least one flavonoid compound for the preparation of a product to provide an increased hesperetin ((S/R)-2,3-dihydro-5,7-dihydroxy-2-(3 hyd roxy-4-methoxyphenyl)-4H- 1 -benzopyran-4-one) bioavailability in a mammal. 5 For example, one embodiment of the present invention concerns the use of a composition comprising at least one flavonoid compound with the proviso that the flavonoid is not hesperetin, for the preparation of a product to provide an increased hesperetin ((S/R)-2,3-dihydro-5,7-dihydroxy-2-(3-hydroxy-4-methoxyphenyl)-4H-1 10 benzopyran-4-one) bioavailability in a mammal. Flavonoids are a class of plant secondary metabolites. According to the IUPAC nomenclature they can be classified into flavones which are derived from a 2 phenylchromen-4-one (2-phenyl-1,4-benzopyrone) structure; isoflavonoids, which are 15 derived from a 3-phenylchromen-4-one (3-phenyl-1,4-benzopyrone) structure and neoflavonoids, which are derived from a 4-phenylcoumarine (4-phenyl-1,2 benzopyrone) structure. Typical flavonoid compounds that can be used in the present invention may be 20 selected from the group consisting of quercetin, fisetin, chrysin, acacetin, apigenin, luteolin tangeritin, baicalein, scutellarein, wogonin, diosmin and flavoxate, kaempferol, myricetin, fisetin, isorhamnetin, pachypodol, rhamnazin, hesperidin, rutin, galangin, kaempferide, genistein, daidzein, biochanin A, catechin, epicatechin, EGCG, phloretin, and combinations thereof. 25 The flavonoid compound may be selected from the group of compounds with the following general formula, o 'N 0 3 , wherein carbons 3, 5, 6, 7, 8, 2', 3', 4', 5' and/or 6' are be substituted equally or different from one another with an H, OH, or OCH 3 group, with the proviso that the flavonoid compound is not hesperetin. 5 The carbons are numbered as shown in the molecule below: ~t 5 4 In one embodiment of the present invention it is preferred that the flavonoid compounds are dietary flavonoids. 10 A compound is considered as dietary if it is already present in foodstuff. Good sources of dietary flavonoids include all citrus fruits, berries, ginkgo biloba, onions, parsley, pulses, tea, in particular white and green tea, red wine, 15 seabuckthorn, and chocolate, preferably chocolate with a cocoa content of more than seventy percent. The compounds mentioned above and/or the sources thereof may be used in the framework of the present invention. Flavonoid enriched fractions of these sources 20 may be used as well. The compounds of the present invention, e.g., the flavonoids, are administered in an amount sufficient to at least partially improve the hesperetin bioavailability and/or to reduce or arrest the symptoms of a disorder that can be treated or prevented by the 25 administration of hesperetin. An amount adequate to accomplish this is defined as "a therapeutically effective dose". Amounts effective for this purpose will depend on a number of factors known to those of skill in the art such as the severity of the disease and/or the weight and general state of the patient. In prophylactic applications, compositions according to the invention are administered to a patient susceptible to 30 or otherwise at risk of a particular disorder that can be treated or prevented by the 4 administration of hesperetin in an amount that is sufficient to at least partially reduce the risk of developing a disease. Such an amount is defined to be "a prophylactic effective dose". Again, the precise amounts depend on a number of patient specific factors such as the patient's state of health and weight. 5 The compounds of the present invention are generally administered in a therapeutically effective dose and/or a prophylactic effective dose. For example, the flavonoids may be administered in a daily dose in the range of 0.1 10 mg to 10000 mg, preferably 1mg - 1000mg, more preferred 10mg - 500 mg. The composition of the present invention can, but does not have to, contain hesperetin. It may be administered as such without any further addition of hesperetin. It will then be effective in increasing the bioavailability of hesperetin that is consumed 15 with the normal food uptake or that is ingested and/or consumed in any other way. Alternatively, the composition may also contain hesperitin, It may contain hesperitin in natural amounts or it may be enriched in hesperitin. 20 For example hesperetin may present in the composition and/or the product in a concentration that corresponds to a daily dose in the range of 0.01 mg to 10000 mg, preferably 1mg - 1000mg, more preferred 10mg - 500 mg. Hesperetin may be provided as pure compound, as hesperetin enriched extract or as 25 normal foodstuff that contains hesperetin naturally. For example, hesperetin may be provided in the form of an extract from herbs such as mint or from citrus fruits, in particular from oranges, mandarins, lemons, limes, and/or grapefruits. The product may be any product that can be used to administer the composition of 30 the present invention to a subject. For example, the product may be a food product, a pet food product, a nutraceutical, a food additive, a cosmetical composition or a medicament. 5 Food products include drinks and nutraceuticals, for example. The composition may be intended for humans, pets or livestock. 5 Typically, the product of the present invention may be used to increase the effectiveness of hesperetin. Hesperetin is for example known to increase the anti-oxidative defence of an organism as represented by numerous model systems (Beneventa-Garcia & Castillo, 10 J Agric Food Chem. 2008;56(15):6185-6205; document incorporated herein by reference). Consequently, the product of the present invention may be used to increase the anti oxidative defence of an organism. As such, the product of the present invention may 15 be a cosmetical composition and may be intended to treat or prevent disorders related to ageing skin. Hesperetin was also reported to be effective for sebum control and for the treatment of acne in mammalian skin and scalp (U. S. Patent 5,587,176). Consequently, the 20 product of the present invention may also be used for the prevention or treatment of acne, e.g., as a medicament or a cosmetical composition. Hesperetin is further known to have an anti-inflammatory effect (Galati et al., Farmaco. 1994;49(11):709-712; document incorporated herein by reference). 25 The product of the present invention may thus additionally or alternatively be used to treat or prevent inflammatory disorders. In particular it may be used to decrease the inflammatory level of a body. 30 Typical inflammatory disorders that can be treated or prevented by the product of the present invention may be selected from the group consisting of acute inflammations such as sepsis, infections, burns and chronic inflammations such as inflammatory bowel disease, Crohn's disease, ulcerative colitis, necrotizing enterocolitis, skin inflammation, such as UV or chemical-induced skin inflammation, eczema, reactive 6 skin, psoriasis, vitiligo, inflammatory bowel syndrome, liver inflammation, alcoholic cirrhosis, allergy, atopy, bone inflammation, rheumatoid arthritis, systemic lupus, Gougerot-Sj6gren's syndrome, Reiter's syndrome, poliomyelitis, dermato-myositis, thyroiditis, Basedow, Hashimoto, type I diabetes, Addison's disease, auto-immunes 5 hepatitis, celiac disease, Biermer's disease, multiple sclerosis, myasthenia, encephalomyelitis, eye inflammation, obesity-associated inflammation, age-related low-grade inflammation, Blau's syndrome, cardiovascular diseases, atherosclerosis, metabolic syndrome, gingivitis and paronditis. 10 In one embodiment of the present invention the product is a food product that may be used to treat or prevent inflammatory disorders. In another embodiment of the present invention the product is a cosmetical composition that may be used to treat or prevent inflammatory disorders. 15 Hesperetin is further known to protect against toxins by inducing phase 11 enzymes as reported for other flavonoids (Young Jin Moon, Xiaodong Wang and Marilyn E. Morris Toxicology in Vitro Volume 20, Issue 2, March 2006, Pages 187-210 document incorporated herein by reference). 20 Hence, the product of the present invention may alternatively or additionally be used to protect a subject against toxins. Without wishing to be bound by theory, the inventors presently believe that this protective effect against toxins is achieved by an increase in the production of phase Il enzymes. Phase Il enzymes are the following 25 (UDP-glucuronyltransferase, glutathione-S-transferase (GST), quinone reductase (QR) and sulfotransferases). Typical toxins that the product of the present inventions can protect against include electrophiles and/or compounds with electophilic reactive metabolites. 30 In one embodiment of the present invention the product is a food product that may be used to protect against toxins. In another embodiment of the present invention the product is a cosmetical composition that may be used to protect against toxins. 7 Hesperetin is further known to prevent the formation of varicose veins, haemorrhoids, or venous ulcers (Lyseng-Williamson et al., Drugs. 2003;63(1):71-100; document incorporated herein by reference). 5 The composition of the present invention may thus alternatively or additionally be used to treat or prevent the formation of varicose veins, haemorrhoids, or venous ulcers. 10 In one embodiment of the present invention the product is a cosmetical composition that may be used to treat or prevent the formation of varicose veins, haemorrhoids, or venous ulcers. In another embodiment of the present invention the product is a medical composition 15 that may be used to treat or prevent the formation of varicose veins, haemorrhoids, or venous ulcers. Hesperetin is further known as a lipid lowering agent (Choi et al., Bioorg Med Chem. 2004 Jul 1;12(13):3599-605, document incorporated herein by reference). 20 Hence, the product of the present invention may alternatively or additionally be used to treat or prevent high cholesterol levels, to increase HDL-cholesterol levels and/or to decrease levels of triglycerides in the blood. In this case the product of the present invention may be a food product, for example. 25 Hesperetin is further known to have an antiviral effect against human viruses (Kaul et al., J Med Virol. 1985 Jan;15(1):71-9, document incorporated herein by reference). Hence, the product of the present invention may alternatively or additionally be used 30 to treat or prevent viral infections, in particular herpes simplex type I and/or influenza infections. 8 In one embodiment of the present invention the product is a cosmetical composition that may be used to treat or prevent viral infections, in particular herpes simplex type I and/or influenza infections. 5 In another embodiment of the present invention the product is a medical composition that may be used to treat or prevent viral infections, in particular herpes simplex type I and/or influenza infections. Hesperetin was also shown to reduce azoxymethane-induced colon cancer (Miyagi 10 et al.,Nutr Cancer. 2000;36(2):224-9, document incorporated herein by reference). Consequently, the product of the present invention may alternatively or additionally be used to treat, prevent or reduce cancer growth. 15 In one embodiment of the present invention the product is a medical composition that may be used to treat, prevent or reduce cancer growth. In a further embodiment of the present invention the product is a food product that may be used to treat, prevent or reduce cancer growth. 20 A further embodiment of the present invention is a composition comprising - at least one flavonoid compound with the proviso that the flavonoid compound is not hesperetin, and - hesperetin, 25 wherein the at least one flavonoid compound and hesperetin are each present in an amount of 10 ng -10000 mg per daily dose. The at least one flavonoid compound may be a compound with the following general formula, 0 o N)i I I 0 30 9 , wherein carbons 3, 5, 6, 7, 8, 2', 3', 4', 5' and/or 6' are be substituted equally or different from one another with an H, OH, or OCH 3 group, with the proviso that the compound is not hesperetin. 5 It may also be selected from the group consisting of quercetin, fisetin, chrysin, acacetin, apigenin, luteolin tangeritin, baicalein, scutellarein, wogonin, diosmin and flavoxate, kaempferol, myricetin, fisetin, isorhamnetin, pachypodol, rhamnazin, hesperidin, rutin, galangin, kaempferide, genistein, daidzein, biochanin A, catechin, epicatechin, EGCG, phloretin, and combinations thereof. 10 For example, the composition of the present invention may contain hesperetin in an amount of at least 1000 mg/kg composition, for example at least 2000 mg/kg composition. 15 Additionally or alternatively, the composition of the present invention may contain the at least one flavonoid compound which is not hesperetin in an amount of at least 1000 mg/kg composition, for example at least 2000 mg/kg composition. Those skilled in the art will understand that they can freely combine all features of the 20 present invention described herein, without departing from the scope of the invention as disclosed. In particular, features described for the uses of the present invention may be applied to the composition and/or product of the present invention and vice versa. 25 Further advantages and features of the present invention are apparent from the following Examples and Figures. Figure 1 shows the general chemical structure of flavonoids. 30 Figure 2 shows the chemical structure of the flavanone (citrus flavonoid) hesperetin. Figure 3a shows the effect of different flavonoids (10 pM) on the apical and basolateral efflux of the sum of hesperetin 7-0-glucuronide and hesperetin 7-0 sulfate metabolites. 10 Figure 3b shows the effect of different flavonoids (10 pM) on the sum of hesperetin 7 0-glucuronide and hesperetin 7-0-sulfate metabolites formed in the Caco-2 cell transwell model system, 120 minutes after being exposed at the apical side to 10 pM 5 hesperetin in combination with the control of the corresponding experiment exposed only to 10 pM hesperetin (0,5% DMSO). Results are presented as mean + SD's. * = p<0.05, ** = p<0.01, ***=P<0.001 significantly different from the control. Figure 4 shows the effect of different flavonoids (10 pM) on the ratio of basolateral 10 and apical transported hesperetin metabolites formed in the Caco-2 cell transwell model system, 120 minutes after being exposed at the apical side to 10 pM hesperetin in combination with the control of the corresponding experiment exposed only to 10 pM hesperetin (0,5% DMSO). Results are presented as mean + SD's. * p<0.05, = p<0.01, ***=P<0.001 significantly different from the control 15 Examples: Caco-2 cell monolayers were grown on permeable filters that divide a two compartment cell culture system. Although originally derived from a colonic adenoma 20 carcinoma, differentiating Caco-2 cells are known to display morphological and biochemical properties of intestinal enterocytes including the formation of a polarized layer with expression of ABC transport proteins including Pgp, MRP1, MRP2 and BCRP and metabolizing enzymes. 25 Using the Caco-2 cell monolayer Transwell model in which the cells in the apical compartment were exposed to hesperetin, or combinations of hesperetin and other flavonoids, we studied the formation and transport of intestinal hesperetin conjugates, which were formed by the Caco-2 cells.120 minutes upon exposure to 10 pM (5 nmol) hesperetin added to the apical compartment. Hesperetin could be detected at the 30 basolateral side, as well as 2 metabolites, which were detected at much higher amounts in the apical compartment compared to the basolateral. These metabolites were identified as hesperetin 7-0-glucuronide and hesperetin 7-0-sulfate, 11 Flavonoids are known inhibitors of BCRP (Katayama et al., Cancer Chemother Pharmacol. 2007;60(6):789-97, Zhang et al., Biochem Pharmacol. 2005;70(4):627 639, Zhang et al., Drug Metab Dispos. 2005;33(3):341-8, Zhang et al., Mol Pharmacol. 2004;65(5):1208-16, Zhang et al., Pharm Res. 2004;21(7):1263-73, Imai 5 et al., Cancer Res. 2004;64(12):4346-52, Ahmed-Belkacem et al., Cancer Res. 2005;65(11):4852-60, Cooray et al., Biochem Biophys Res Commun. 2004 ;317(1) :269-36, Yoshikawa et al., J Exp Ther Oncol. 2004;4(1):25-35, Wang & Morris, Drug Metab Dispos. 2007;35(2):268-74, Henrich et al., J Biomol Screen. 2006;11(2):176-83, documents incorporated herein by reference). These studies 10 include mainly in vitro studies of the effect of flavonoids on intracellular accumulation of, or cellular resistance to, substrates of BCRP, including nitrofurantoin, topotecan, mitoxantrone and fluorescent pheophorbide A, in BCRP over-expressing cell lines compared to wild-type or BCRP negative cells. 15 Since BCRP is the main responsible ABC transporter for the efflux of hesperetin metabolites from our Caco-2 cell monolayers, we performed experiments in which we studied the effect of co-administering different flavonoids, known to be good BCRP inhibitors from literature, or known not to affect BCRP as co-administrated compounds. In spite of the reduction in metabolites transported out of the cell in 20 some cases (Figure 3b) the amount of hesperetin metabolites transported to the basolateral side was significantly increased. The results (Figure 3-4) indicate that co administration of specific flavonoids decreases the apical efflux of hesperetin metabolites, while increasing the transport of hesperetin metabolites to the basolateral side. This demonstrates that co-administration of hesperetin with other 25 flavonoids increases the bioavailability of hesperetin in vitro in a model simulating the intestinal transport barrier, and therefore, this could be a strategy to improve the bioavailability of hesperetin in vivo. 12

Claims (15)

1. Use of a composition comprising at least one flavonoid compound, with the proviso that the flavonoid compound is not hesperetin, for the preparation of a product to provide an increased hesperetin ((S/R)-2,3-dihydro-5,7-dihydroxy 10 2-(3-hydroxy-4-methoxyphenyl)-4H-1-benzopyran-4-one) bioavailability in a mammal.

2. Use in accordance with claim 1, wherein the flavonoid compound is selected from the group of compounds with the following general formula, o N I I 0 15 ,wherein carbons 3, 5, 6, 7, 8, 2', 3', 4', 5' and/or 6' are be substituted equally or different from one another with an H, OH, or OCH 3 group, with the proviso that the compound is not hesperetin.

3. Use in accordance with one of the preceding claims, wherein at least one flavonoid compound is selected from the group consisting of quercetin, fisetin, 20 chrysin, acacetin, apigenin, luteolin tangeritin, baicalein, scutellarein, wogonin, diosmin and flavoxate, kaempferol, myricetin, fisetin, isorhamnetin, pachypodol, rhamnazin, hesperidin, ruin, galangin, kaempferide, genistein, daidzein, biochanin A, catechin, epicatechin, EGCG, phloretin, and combinations thereof 25

4. Use in accordance with one of the preceding claims wherein the compound is selected from the group of dietary flavonoids. 13

5. Use in accordance with one of the preceding claims, wherein at least one flavonoid compound is present in the product in an amount of 0.01 mg -10000 mg per daily dose.

6. Use in accordance with one of the preceding claims to improve the health 5 properties of hesperetin.

7. Use in accordance with one of the preceding claims, wherein the composition further comprises hesperetin, preferably in an amount of 0.1 mg to 10000 mg, more preferred 1mg - 1000mg, even more preferred 10mg - 500 mg per daily dose, and/or wherein the hesperetin is provided in the form of an extract from 10 herbs such as mint or from citrus fruits, in particular from oranges, mandarins, lemons, limes, and/or grapefruits.

8. Use in accordance with one of the preceding claims to increase the anti oxidative defence of an organism.

9. Use in accordance with one of the preceding claims to treat or prevent 15 inflammation.

10. Use in accordance with one of the preceding claims to protect an organism against toxins.

11. Use in accordance with one of the preceding claims to treat or prevent the formation of varicose veins, haemorrhoids, or venous ulcers. 20

12. Use in accordance with one of the preceding claims to treat or prevent high cholesterol levels, to increase HDL-cholesterol levels and/or to decrease levels of triglycerides in the blood.

13. Use in accordance with one of the preceding claims to treat or prevent viral infections, in particular herpes simplex type I and/or influenza infections. 25

14. Use in accordance with one of the preceding claims to treat, prevent or reduce cancer growth.

15. Composition comprising at least one flavonoid compound, with the proviso that the flavonoid compound is not hesperetin, and hesperetin, wherein the at 14 least one flavonoid compound and hesperetin are each present in an amount of 10 ng -10000 mg per daily dose. 15