CN113384601B - Composition for improving vaginal microecological balance - Google Patents

Composition for improving vaginal microecological balance Download PDF

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CN113384601B
CN113384601B CN202110815697.8A CN202110815697A CN113384601B CN 113384601 B CN113384601 B CN 113384601B CN 202110815697 A CN202110815697 A CN 202110815697A CN 113384601 B CN113384601 B CN 113384601B
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lactobacillus
vaginal
gel
probiotic composition
parts
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CN113384601A (en
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李汪桐
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Shandong Muxi Biotechnology Co ltd
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Shandong Muxi Biotechnology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/74Bacteria
    • A61K35/741Probiotics
    • A61K35/744Lactic acid bacteria, e.g. enterococci, pediococci, lactococci, streptococci or leuconostocs
    • A61K35/747Lactobacilli, e.g. L. acidophilus or L. brevis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0034Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/02Drugs for genital or sexual disorders; Contraceptives for disorders of the vagina
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/10Antimycotics

Abstract

The application provides a vaginal probiotic composition and a corresponding application and vaginal gel product, wherein the vaginal probiotic composition consists of lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus and staphylococcus epidermidis in specific proportions. The vaginal probiotic composition can effectively improve the adhesion of probiotics, inhibit the colonization of harmful bacteria and improve the microecological balance of the vagina.

Description

Composition for improving vaginal microecological balance
Technical Field
The application belongs to the fields of microorganisms and reproductive system disease treatment, and particularly provides a vaginal probiotic composition, a corresponding application and a vaginal gel product.
Background
The change of the flora and the unbalance of the quantity of the micro-ecological environment of the vagina can cause various vaginal diseases, such as colpitis, etc. At present, the clinical treatment means aiming at bacterial vaginal infection diseases mainly adopts antibiotic treatment, but the indiscriminate killing of vaginal microorganisms including probiotics/non-pathogenic bacteria by the antibiotic treatment can obviously change the microecological environment of the vagina and cause dysbacteriosis, thereby causing the problems of poor treatment effect, high recurrence rate and the like.
Therefore, transplantation of vaginal microorganisms for the treatment of diseases associated with dysregulated vaginal microecological environment is becoming more and more important. Compared with the flora in complete vaginal flora transplantation, the flora has high uncertainty factor and psychological and ethical problems of patients, and the microorganism/microorganism combination determined by the applied strain has more clinical operability. However, there is still a need to search for how to select suitable probiotics among many vaginal microorganisms, and how to better colonize the probiotics.
Disclosure of Invention
In order to solve the problems, the applicant conducts research on vaginal flora transplantation and vaginal probiotics preparation, and the applicant discovers that lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus and staphylococcus epidermidis have good vaginal colonization and harmful bacteria, in particular yeast inhibition effects in specific proportions. When the preparation is prepared into a gel preparation, the performance of the preparation can be further improved by adding a small amount of agar along with the prebiotics.
In one aspect, the present application provides a vaginal probiotic composition comprising lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus for improving vaginal microecological balance.
Further, lactobacillus rhamnosus, on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus was 5:3:3:2.
Further, the vaginal probiotic composition consists of lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus and staphylococcus epidermidis.
Further, lactobacillus rhamnosus, on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 5:3:3:2:0.5.
In another aspect, the present application provides the use of the above composition in the manufacture of a medicament for treating vaginitis.
In another aspect, the present application provides the use of the above composition in the preparation of a medicament for inhibiting candida albicans vaginal colonization.
In another aspect, the present application provides a vaginal gel characterized by comprising the vaginal probiotic composition described above.
Further, the gel component for vagina comprises 50 parts of sodium carboxymethyl cellulose, 20 parts of chitosan, 5 parts of tween-80, 2 parts of sodium chloride, 1 part of fructo-oligosaccharide, 1 part of malto-oligosaccharide and 3 parts of the vaginal probiotic composition.
Further, the vaginal gel composition further comprises 0.5 parts of agar.
Further, the vaginal probiotic composition is bacterial powder, wherein lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus and staphylococcus epidermidis are respectively: 2X 10 11 、1.2×10 11 、1.2×10 11 、8×10 10 、2×10 10 CFU/g。
The strain of the present application is not limited to the species described in the examples, and other commercially available species, the species mentioned in the article or patent, and the species to be screened/studied may be used in the present invention by suitable verification.
The composition can be used as a medicament or health-care product singly or in combination with other medicaments for treating colpitis, including but not limited to antibiotics, mucosa protectants and the like.
Detailed Description
Main experimental materials and methods:
lactobacillus rhamnosus: the Qingdaosen organism confirms that the original strain is CGMCC 1.120 through a supplier;
inert lactobacillus: the Qingdaosen organism, the original strain was identified as ATCC 55195 by the supplier;
lactobacillus gasseri: the Qingdaosen organism confirms that the original strain is CGMCC 1.3224 by a supplier;
lactobacillus crispatus: the Qingdaosen organism confirms that the original strain is CGMCC 1.2743 by a supplier;
staphylococcus epidermidis: the Qingdaosen organism, the original strain is confirmed to be CGMCC 1.1757 by the supplier.
Each strain was prepared to 1X 10 11 CFU/g-5×10 12 The bacteria powder with unequal CFU/g is provided, and the detected activity basically accords with the mark before use.
Other test bacteria and cells are provided for the Qingdaosen organism or the applicant can isolate and store themselves.
Fructo-oligosaccharides, malto-oligosaccharides, agar: jiangsu Qianchun biological technology Co.Ltd
Other reagents, culture mediums and detection kits are conventional domestic types meeting relevant standards.
Basic preparation method of gel
Weighing 50 parts of sodium carboxymethyl cellulose, 20 parts of chitosan, 5 parts of tween-80 and 2 parts of sodium chloride; mixing the weighed raw materials, adding 500 parts (according to 1 g/mL) of deionized water, and stirring for 1 hour; heating to 80 ℃ and stirring for 1 hour; stopping heating while continuing stirring, and adding the required amount of fructo-oligosaccharide, malto-oligosaccharide and/or agar when the mixture is cooled to 50 ℃; continuously stirring, adding the required amount of fungus powder when the temperature is cooled to 40 ℃, and uniformly stirring to obtain gel.
Adhesion experiments
Adding 1mL of each of a bacterial combination culture solution and a cell culture solution of 0.8 OD to Hela cells with 50% coverage on a slide; adding the mixture into a 24-well plate, and culturing for 2 hours at 37 ℃; sucking up the culture solution, and washing with PBS for 3 times; methanol was fixed and stained for observation.
And (3) field planting test:
inoculating Hela cells on a 24-hole plate, washing with PBS after the confluence rate is over 90%, and adding 1mL of cell culture medium for standby; 0.5mL or 0.5mL of the cell culture medium (control) and 1X 10 of the cell culture medium were added to the culture medium of the fungus combination cultured to 0.8. 0.8 OD 7 CFU candida albicans, or 1 x 10 8 CFU staphylococcus aureus co-cultured for 2 hours; PBS washing, adding 5% Triton X-100 200 microlitres for 10 minutes; adding 300 microliters of sterile water, blowing, sucking to dry, adding a corresponding bacterial culture medium, and culturing at a constant temperature of 37 ℃ for 24 hours; the inhibition of colonization relative to the control was calculated by colony count.
Rat vaginitis model test:
the model of vaginitis in rats (220.+ -.20 g) was entrusted to the preparation of the Wuhan Baphil organism using Staphylococcus aureus, streptococcus B hemolyticus and Candida albicans.
EXAMPLE 1 colonization effects of different seed compositions
According to the general knowledge in the art, vaginal probiotics mainly include lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus, lactobacillus salivarius, etc., and staphylococcus epidermidis is a gram-positive bacterium frequently detected in the vagina, and although it is generally considered harmless and is a normal type of microorganisms of the epidermis or vagina (conditional pathogenic bacteria, no exotoxin is produced, no harm is caused to the normal population of immunity), it is not used as a vaginal beneficial bacterium for transplantation. The auxiliary effect of staphylococcus epidermidis on other probiotics is found when the whole vaginal fungus is transplanted in earlier stage, and the auxiliary effect is a certain proportion
The partial correlation verification test is as follows
Combination 1: lactobacillus rhamnosus, calculated on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus is 5:3:3:2;
combination 2: lactobacillus rhamnosus, calculated on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 5:3:3:2:0.5;
combination 3: lactobacillus rhamnosus, calculated on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 7:3:3:5:0.5;
combination 4: lactobacillus rhamnosus, calculated on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 5:3:3:2:0.1;
combination 5: lactobacillus rhamnosus, calculated on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 5:5:5:2:0.5;
the above combinations were grown in BHI medium to an OD of about 0.8 for adhesion and colonization assays.
The results are shown in tables 1 and 2 below
TABLE 1 adhesion test results
Fungus combination Total number of bacillus per 100 Hela cells adhered (in the tested combination of species, bacillus could be considered as a probiotic)
Combination 1 7233
Combination 2 9550
Combination 3 9381
Combination 4 7495
Combination 5 7984
TABLE 2 results of field planting test
Fungus combination Staphylococcus aureus colonization resistance (compared to control meter) Candida albicans planting resistance (compared with a control meter)
Combination 1 28.5 43.2
Combination 2 32.1 56.9
Combination 3 30.4 54.8
Combination 4 27.8 45.7
Combination 5 28.3 46.5
The results show that various bacteria combinations can realize the effects of cell adhesion and inhibition of the colonization of harmful bacteria, and the combination 2 and the combination 3 have data which are obviously superior to other combinations in the processes of adhesion and inhibition of the colonization of candida albicans, and by combining other data which are not shown, the addition of staphylococcus epidermidis in a specific proportion with lactobacillus inertia and lactobacillus gasseri can effectively promote the adhesion capability of the vaginal probiotics combination (presumably related to the interaction of bacteria), thereby improving the effect of inhibiting the colonization of the harmful bacteria.
Example 2 preparation of gel product and its therapeutic effect on rat vaginitis
According to the method and basic formulation described above, 1 part of fructo-oligosaccharide, 1 part of malto-oligosaccharide and 3 parts of the bacterial powder of combination 2 (Lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus, staphylococcus epidermidis 2X 10, respectively) essentially according to example 1 were used 11 、1.2×10 11 、1.2×10 11 、8×10 10 、2×10 10 CFU/g) was prepared as gel 1.
According to the method and basic formulation described above, 1 part of fructo-oligosaccharide, 1 part of malto-oligosaccharide, 0.5 part of agar and 3 parts of the bacterial powder of combination 2 (Lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus, staphylococcus epidermidis 2X 10, respectively) according to the basic embodiment 1 11 、1.2×10 11 、1.2×10 11 、8×10 10 、2×10 10 CFU/g) was prepared as gel 2.
Gel 3 was prepared using 1 part fructo-oligosaccharide, 1 part malto-oligosaccharide, 0.5 part agar according to the method and basic formulation described previously.
The above animal model 28 was equally divided into 4 groups, and gel 1, gel 2, gel 3 and metronidazole were administered (gel administered once daily, vaginal lavage and application around the vulva; metronidazole solution administered intragastrically 10 mg/day /). After 4 days of treatment, uterine tissue was sacrificed and IL-4 and TNF-alpha levels were detected by corresponding ELISA kits after homogenization.
TABLE 3 therapeutic effects of gels on rat vaginitis models
Group of IL-4(pg/mL) TNF-α(pg/mL)
Gel 1 108±9 207±15
Gel 2 137±12 173±21
Gel 3 18±4 422±22
Metronidazole 115±14 185±19
As generally recognized in the art, the elevation of the anti-inflammatory cytokine IL-4 is beneficial for the treatment of inflammation and the relief of symptoms, whereas the pro-inflammatory cytokine TNF- α may represent the degree of inflammation. The data in table 3 shows that the gel formulations of the present application can be effective in improving the inflammatory state of the vagina.

Claims (7)

1. A vaginal probiotic composition for improving vaginal microecological balance, characterized in that it consists of lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus, staphylococcus epidermidis;
wherein lactobacillus rhamnosus, on CFU: inert lactobacillus: lactobacillus gasseri: lactobacillus crispatus: staphylococcus epidermidis is 5:3:3:2:0.5.
2. Use of a vaginal probiotic composition according to claim 1, in the preparation of a medicament for the treatment of vaginitis.
3. Use of a vaginal probiotic composition according to claim 1, for the preparation of a medicament for inhibiting candida albicans vaginal colonisation.
4. A vaginal gel comprising the vaginal probiotic composition according to claim 1.
5. The vaginal gel of claim 4 wherein the vaginal gel component comprises 50 parts sodium carboxymethyl cellulose, 20 parts chitosan, 5 parts tween-80, 2 parts sodium chloride, 1 part fructo-oligosaccharide, 1 part malto-oligosaccharide and 3 parts of the vaginal probiotic composition of claim 1.
6. The vaginal gel of claim 5 wherein said vaginal gel composition further comprises 0.5 parts agar.
7. The vaginal gel according to claim 5 or 6, wherein the vaginal probiotic composition according to claim 1 is a bacterial powder, wherein lactobacillus rhamnosus, lactobacillus inertia, lactobacillus gasseri, lactobacillus crispatus, staphylococcus epidermidis are respectively: 2X 10 11 、1.2×10 11 、1.2×10 11 、8×10 10 、2×10 10 CFU/g。
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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110201004A (en) * 2019-06-27 2019-09-06 北京奥维森基因科技有限公司 A kind of woman's probiotic composition, preparation method, its application and feminine care products
CN112342175A (en) * 2021-01-09 2021-02-09 南京北极光生物科技有限公司 Vaginal health probiotic composition and application thereof
CN112543804A (en) * 2018-07-04 2021-03-23 科·汉森有限公司 Aqueous topical compositions comprising live probiotic bacteria

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11291696B2 (en) * 2018-04-11 2022-04-05 Shayne Morris Pairing probiotics and prebiotics, methods for growth and use, separately and in combination

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112543804A (en) * 2018-07-04 2021-03-23 科·汉森有限公司 Aqueous topical compositions comprising live probiotic bacteria
CN110201004A (en) * 2019-06-27 2019-09-06 北京奥维森基因科技有限公司 A kind of woman's probiotic composition, preparation method, its application and feminine care products
CN112342175A (en) * 2021-01-09 2021-02-09 南京北极光生物科技有限公司 Vaginal health probiotic composition and application thereof

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