EP4554603A1 - Method for providing relief from lactose induced abdominal discomfort - Google Patents
Method for providing relief from lactose induced abdominal discomfortInfo
- Publication number
- EP4554603A1 EP4554603A1 EP23748713.7A EP23748713A EP4554603A1 EP 4554603 A1 EP4554603 A1 EP 4554603A1 EP 23748713 A EP23748713 A EP 23748713A EP 4554603 A1 EP4554603 A1 EP 4554603A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- lactose
- seq
- ligilactobacillus
- salivarius
- composition
- 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.)
- Pending
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/66—Microorganisms or materials therefrom
- A61K35/74—Bacteria
- A61K35/741—Probiotics
- A61K35/744—Lactic acid bacteria, e.g. enterococci, pediococci, lactococci, streptococci or leuconostocs
- A61K35/747—Lactobacilli, e.g. L. acidophilus or L. brevis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/43—Enzymes; Proenzymes; Derivatives thereof
- A61K38/46—Hydrolases (3)
- A61K38/47—Hydrolases (3) acting on glycosyl compounds (3.2), e.g. cellulases, lactases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/12—Antidiarrhoeals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/14—Prodigestives, e.g. acids, enzymes, appetite stimulants, antidyspeptics, tonics, antiflatulents
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- C—CHEMISTRY; METALLURGY
- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
- C12Y—ENZYMES
- C12Y302/00—Hydrolases acting on glycosyl compounds, i.e. glycosylases (3.2)
- C12Y302/01—Glycosidases, i.e. enzymes hydrolysing O- and S-glycosyl compounds (3.2.1)
- C12Y302/01108—Lactase (3.2.1.108)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
Definitions
- the present invention relates to a method for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion to a subject.
- the present invention particularly relates to a method for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion by providing one or more Ligilactobacillus salivarius strains or composition comprising one or more Ligilactobacillus salivarius strains to a subject.
- lactose malabsorption The presence of mal-absorbed lactose in the colon does not necessarily result in gastrointestinal symptoms, but when this condition is related to uncomfortable manifestations such as bloating, abdominal pain and diarrhea, this leads to lactose intolerance.
- lactose mal-absorbers Up to 50% of lactose mal-absorbers are exhibiting symptoms of lactose intolerance (‘Effect of exogenous beta-galactosidase in patients with lactose malabsorption and intolerance: a crossover double-blind placebo-controlled study’ Eur J Clin Nutr 2005, 59(4):489-493, Montalto M et al. and ‘Enzyme replacement therapy for primary adult lactase deficiency. Effective reduction of lactose malabsorption and milk intolerance by direct addition of beta-galactosidase to milk at mealtime’, Gastroenterology 1984, 87(5): 1072- 1082, Rosado JL et al). The intensity of these gastrointestinal symptoms varies considerably depending on the degree of lactase deficiency and the presence of other gastrointestinal disorders.
- lactose intolerance As a standard practice, individuals presenting symptoms of lactose intolerance avoid dairy and dairy containing products. Avoidance of milk and milk products leads to lowering of calcium intake and consequently weakening of bones thus significantly impacting the quality of life.
- One way to manage lactose intolerance is to administer with exogenously produced lactase as an enzyme replacement supplementation or to take in specialized probiotics which assist in lactose digestion owing to their beta-galactosidase activity (‘A combination of acid lactase from Aspergillus oryzae and yogurt bacteria improves lactose digestion in lactose mal-digesters synergistically: A randomized, controlled, double-blind cross-over trial’ Clin Nutr 2015, 34(3):394-399, de Vrese M et al and ‘The effect of oral supplementation with Lactobacillus reuteri or tilactase in lactose intolerant patients: randomized trial’ Eur
- lactase supplements or probiotics are available in the commercial space.
- W008001676 Al describes lactic acid bacteria for use as a probiotic for individuals having lactose intolerance as therapy for amelioration of lactose intolerance.
- US2012308524 relates to a use of composition comprising Lactobacillus delbrueckii in therapy of lactose intolerance or conditions arising from lactase deficiency.
- Some lactic acid bacteria which are used as probiotics in therapy of lactose intolerance either produce gas, need other sugar sources along with lactose to grow in intestines, and/or do not survive for long in the small intestine.
- the probiotics render relief from the gastrointestinal symptoms from smaller lactose loads while present challenges relating to providing relief from heavier dairy consumption.
- the present invention relates to use of one or more Ligilactobacillussalivarius strains or a composition comprising such to provide relief from or prevent lactose induced abdominal discomfort; digest lactose or improve digestion of lactose; provide digestive comfort after digestion of lactose on consumption of products containing lactose; and/or provide long-lasting support and/or effect for lactose digestion to a subject.
- the present invention relates to Ligilactobacillussalivarius strain for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion to a subject.
- the present invention relates to a composition for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion of a subject, the composition comprising one or more Ligilactobacillussalivarius strains and one or more lactases.
- the present invention relates to a method for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion to a subject, the method comprising providing to a subject in need thereof an effective amount of one or more Ligilactobacillussalivarius strains or a composition comprising one or more Ligilactobacillussalivarius strains.
- SEQ ID NO:1 is mature amino acid sequence of a GH 35 lactase isolated from Aspergillus candidus.
- SEQ ID NO:2 is mature amino acid sequence of a GH 2 lactase isolated from Bifidobacterium bifidum.
- SEQ ID N0:3 is mature amino acid sequence of a GH 35 lactase isolated from Penicillium cremeogriseum.
- SEQ ID NO:4 is mature amino acid sequence of a GH 35 lactase isolated from Aspergillus carneus.
- SEQ ID NO:5 is mature amino acid sequence of a GH 35 lactase isolated from Aspergillus wentii.
- SEQ ID NO:6 is mature amino acid sequence of a GH 35 lactase isolated from Rasamsonia byssochlamydoides.
- SEQ ID NO:7 is mature amino acid sequence of a GH 35 lactase isolated from Aspergillus cervinus.
- SEQ ID NO:8 is mature amino acid sequence of a GH 35 lactase isolated from Aspergillus oryzae.
- SEQ ID NO : 9 is mature amino acid sequence of a GH 2 lactase isolated from Lactobacillus delbrueckii subsp. bulgaricus.
- SEQ ID NO: 10 is mature amino acid sequence of a GH 2 lactase isolated from Bifidobacterium bifidum.
- SEQ ID NO: 11 is mature amino acid sequence of a GH 2 lactase isolated from Kluyveromyces lactis.
- SEQ ID NO: 12 is mature amino acid sequence of a GH 2 lactase isolated from Niallia circulans.
- Figure 1 demonstrates the capacity of lactose metabolization by bacterial species based on cell density and max growth rate, represented by multiple strains.
- Figure 2 represents in a pie chart and table the strains that grow to high cell densities on lactose (delta OD600 > 0.7) and at high max growth rate (Max growth rate ⁇ 5).
- Figure 3 represents a graph that demonstrates that the vast majority of the test L. salivarius strains have superior lactose metabolization, i.e., superior cell density (delta OD600 > 0.7) and max growth rate (max growth rate ⁇ 5).
- Figure 4 represents a graph that demonstrates the superior growth kinetics of L. salivarius on lactose as carbon source compared to L. plantarum.
- Figure 5 represents a graph that demonstrates the effect of L. salivarius DSM 34078 on reduction of lactose induced gas pressure in a human fecal slurry during fecal fermentation.
- Figure 6 represents a graph that demonstrates the effect of different L. salivarius strains on reduction of lactose induced gas pressure in a human fecal slurry during fecal fermentation.
- Figure 7 represents a graph that demonstrates proliferation of L. salivarius DSM34078 in a fecal microbial community from four different fecal donors.
- Figure 8 represents a graph that demonstrates increase in relative abundance of L. salivarius DSM34078 during fecal fermentation in three different fecal donors.
- Figure 9 represents a flow diagram of an experimental design of repeated lactose challenge.
- Figure 10 represents a graph that demonstrates survival and proliferation of L. salivarius DSM34078 in a simulated intestinal condition with repeated lactose challenge.
- the term “abdominal discomfort” is an expression for discomfort felt in the abdomen such as the feeling of pain, ache, cramp, nausea, irritation, bloating, diarrhea, flatulence or the like in the abdomen or any other symptoms associated with lactose intolerance, lactase deficiency and/or digesting lactose.
- the term “digest” means break down or help break down food in the gastrointestinal tract into substances that can be absorbed and used by the body.
- digesting lactose is breaking down of lactose in the gastrointestinal tract into monosaccharides glucose and galactose, where glucose is used as an energy source, while galactose can be utilized as precursor for glycosylation of proteins and lipids.
- the term “improving digestion of lactose” is digesting lactose for subjects who have difficulty in digesting lactose or have lactase deficiency.
- digestive comfort means absorption of lactose from gastrointestinal tract without causing any abdominal discomfort.
- diarrhea is a condition of having three or more loose or liquid stools per day, or as having more stools than is normal for that person.
- Acute diarrhea is defined as an abnormally frequent discharge of semisolid or fluid fecal matter from the bowel, lasting less than 14 days.
- constipation refers to infrequent bowel movements where symptoms may include hard stools, straining with bowel movements, excessive time needed to pass a bowel movement, pain with bowel movements secondary to straining, abdominal pain, abdominal bloating and/or the sensation of incomplete bowel evacuation.
- the term “abdominal bloating” is an expression for gas in abdomen that leads to a sensation that the abdomen is full or distended.
- GH35 Family refers to glycoside hydrolase family 35 that comprises enzymes with p-galactosidase activity (EC 3.2.1.23). These P-galactosidases catalyse the hydrolysis of terminal non-reducing P-D-galactose residues in, for example, lactose (1,4-O-p-D-galactopyranosyl-D-glucose), oligosaccharides, glycolipids, and glycoproteins. GH35 p-galactosidases demonstrate specificity towards P-1,3-, P-1,6- or p-1, 4- galactosidic linkages, and are most active under acidic conditions. Lactases belong to the p-galactosidase family of enzymes.
- GH2 Family refers to glycoside hydrolase family 2 that comprises the enzymes glycoside hydrolases (EC 3.2.1).
- the GH2 Family comprises enzymes with several known activities e.g., betagalactosidase (EC 3.2.1.23); beta-mannosidase (EC 3.2.1.25); beta-glucuronidase (EC 3.2.1.31).
- GH2 Family comprises enzymes with beta-galactosidase (EC 3.2.1.23) activities. Lactases belong to 0-galactosidase family of enzymes.
- acid lactase means a lactase having optimum activity and/or stability at a pH range between pH 3.5 and pH 5.0.
- neutral lactase means a lactase having optimum activity and/or stability at a pH range between pH 6 and pH 9, preferably between pH 7 and pH 8, more preferably between pH 6.5 and pH 7.5.
- fungal lactase means a lactase derived from the fungus, preferably derived from Aspergillus oryzae.
- mature polypeptide means a polypeptide in its mature form following N terminal and/or C-terminal processing (e.g., removal of signal peptide).
- Ligilactobacillus salivarius describes a rod-shaped, gram-positive bacteria. Ligilactobacillus salivarius was previously designated “Lactobacillus salivariu ⁇ , a term that is still often used. “ Ligilactobacillus salivarius” may be used interchangeably with “L. salivarius” and “Lactobacillus salivarius”.
- the term “maximum growth rate” is used to measure the growth rate of bacteria which means bacterial growth parameter calculated in milli-optical density per minute based on the inflection point of the slope of the growth curve in the exponential phase.
- the maximum growth rate is used to identify the Ligilactobacillusstxwas, which have higher growth rate in presence of lactose as a single carbon source in a growth medium.
- lactose medium is a selective growth medium which has lactose as the carbon source and other essential nutrients required for bacterial growth.
- gas pressure measurement system is a technique to measure gas pressure in closed vessels with a sensor for continuously measuring gas pressure within an observation period.
- the closed vessels can be Hungate tubes with a rubber septum (originally for cultivation of anaerobic microorganisms).
- the gas pressure measurement system is used to measure the amount of gas generated in fecal samples with anAviithoyALigilactobacillussalivarius strains.
- gas pressure development and “gas generation” are herein used interchangeably.
- delta OD600 is a reference to a spectrometer method that is used to help estimate the concentration or “number of cells per volume” of bacteria or other cells within a liquid sample, where OD 600 is reference to the 600-nanometer (nm) wavelength used to measure optical density of the liquid sample.
- delta OD 600 (final OD600 with lactose as the main carbon source in a sample) - (final OD600 without lactose in a sample).
- sequence identity is the relatedness between two amino acid sequences or between two nucleotide sequences, is described by the parameter “sequence identity”.
- sequence identity is determined as the output of “longest identity” using the Needleman-Wunsch algorithm (Needleman and Wunsch, 1970, J. Mol. Biol. 48: 443-453) as implemented in the Needle program of the EMBOSS package (EMBOSS: The European Molecular Biology Open Software Suite, Rice et al., 2000, Trends Genet. 16: 276-277), preferably version 6.6.0 or later.
- Needle program In order for the Needle program to report the longest identity, the nobrief option must be specified in the command line.
- the output of Needle labeled “longest identity” is calculated as follows:
- the sequence identity between two polynucleotide sequences is determined as the output of “longest identity” using the Needleman-Wunsch algorithm (Needleman and Wunsch, 1970, supra) as implemented in the Needle program of the EMBOSS package (EMBOSS: The European Molecular Biology Open Software Suite, Rice et al., 2000, supra), preferably version 6.6.0 or later.
- the parameters used are a gap open penalty of 10, a gap extension penalty of 0.5, and the EDNAFULL (EMBOSS version of NCBI NUC4.4) substitution matrix.
- the nobrief option must be specified in the command line.
- the output of Needle labeled “longest identity” is calculated as follows:
- the present invention relates to uses, strains, composition and methods for providing relief or preventing from lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion to a subject.
- Ligilactobacillus salivarius strains which when provided to a human, do not produce gas after digestion of lactose, are able to grow on lactose as single carbon source at very high rate and are able to survive in gastrointestinal tract, specifically in small intestinal conditions.
- Ligilactobacillus salivarius is referred to as Lactobacillus salivarius.
- the present invention provides Ligilactobacillus salivarius strains which provide relief from discomfort caused to humans who are lactose intolerant and/or people who have difficulty in digesting lactose.
- the present invention provides Ligilactobacillus salivarius strains which prevent lactose induced abdominal discomfort of a human.
- the present invention provides Ligilactobacillus salivarius strains which digest lactose or improves digestion of lactose in humans who are lactose intolerant, have difficulty in digesting lactose and/or have lactase deficiency.
- the present invention provides Ligilactobacillus salivarius strains which provide digestive comfort by digesting lactose on consumption of products containing lactose.
- the present invention provides Ligilactobacillus salivarius strains which have long-lasting support and/or effect for lactose digestion in a subject.
- one or more Ligilactobacillus salivarius strains are provided to a human in combination with one or more lactases.
- the inventors surprisingly identified the power of instant lactose digestion by one or more lactases and extended action by one or more Ligilactobacillus salivarius strains, which are efficient in digesting lactose.
- This dual action concept may be used to efficiently tackle lactose intolerance related gastrointestinal symptoms by combining the exogenous lactase with the endogenous lactase activity of Ligilactobacillus salivarius strains in a dosage form.
- One embodiment of the present invention thus covers a dosage form comprising one or more Ligilactobacillus salivarius strains and one or more lactases.
- the combination of exogenous lactase and Ligilactobacillus salivarius strains of the present invention when consumed, ensures that the consumer has several hours of protection from gastrointestinal symptoms over repeated dairy consumption throughout the day.
- the lactase On consumption of the dosage form with the lactose containing meal, the lactase ensures immediate hydrolysis of incoming dietary lactose while the Ligilactobacillus salivarius strains of the present invention on the other hand enables lactose digestion further during the day on additional lactose consumption.
- the mode-of-action of the combination delivers protection to consumers from dietary lactose induced gastrointestinal symptoms and manages lactose intolerance effectively improving the quality of life.
- the present invention provides a prolonged relief from lactose induced abdominal discomfort in humans affected by and/or intolerant to lactose, having difficulty in digesting lactose and/or having lactase deficiency.
- the one or more Ligilactobacillus salivarius strains of the invention or for use in the present invention may be any Ligilactobacillus salivarius strains that digest lactose.
- the level of digestion may e.g., be determined by measuring the maximum growth rate of the Ligilactobacillus salivarius strains on a lactose medium and/or by measuring the delta OD600 value in a lactose medium.
- the maximum growth rate of the Ligilactobacillus salivarius strains is at least 5.0 mean optical density /minute in a lactose medium.
- the Ligilactobacillus salivarius strains have a delta OD600 value of at least 0.7 in a lactose medium.
- the lactose medium may e.g., be Yeast Lactose Acetate (YLA) medium.
- YLA Yeast Lactose Acetate
- the Ligilactobacillus salivarius strains of the invention or for use in the invention survive in the gastrointestinal tract of humans. In one embodiment, the Ligilactobacillus salivarius strains survive in the gastrointestinal tract for at least 4 hours. In one embodiment, the Ligilactobacillus salivarius strains grow on lactose in vitro and/or in the gastrointestinal tract of humans. In another or further embodiment, the Ligilactobacillus salivarius strains grow on lactose, preferably grow on lactose as the major carbon source, such as e.g., grow on lactose as a single carbon source. In one embodiment, the Ligilactobacillus salivarius strains prefer to grow on lactose as a carbon source.
- the Ligilactobacillus salivarius strains ‘prefer to grow’ on lactose means the Ligilactobacillus salivarius strains grow faster on lactose compared to other sugars, and the Ligilactobacillus salivarius strains first break down lactose compared to all other available sugar carbon sources.
- the Ligilactobacillus salivarius strains according to the invention or for use in the invention reduce gas production of fecal matter comprising lactose in a gas pressure measurement system.
- the Ligilactobacillus salivarius strains of the invention or for the use in the invention reduce at least 20% gas pressure development by microbiota.
- the Ligilactobacillus salivarius strains of the invention or for the use in the invention reduce up to 60% gas pressure development by microbiota. In a preferred embodiment, the Ligilactobacillus salivarius strains of the invention or for use in the invention reduce at least 30%, such as at least 40% or at least 50% gas pressure development by microbiota. In an embodiment, the Ligilactobacillus salivarius strains express one or more lactases. In another embodiment, the amount of lactase expressed from a Ligilactobacillus salivarius strain is measured in vitro based on the amount of lactose reduced from a lactose medium on which the Ligilactobacillus salivarius strain is grown. The amount of lactose reduced from the lactose medium is in an embodiment at least 30%, such as at least 40%, 50%, 60%, 70% or 75%.
- the one or more Ligilactobacillus salivarius strains of the present invention and for use, for a method and for a composition of the present invention is Ligilactobacillus salivarius strain having deposit number DSM 34078.
- the one or more Ligilactobacillus salivarius strains is Ligilactobacillus salivarius strain having all the identifying characteristics of Ligilactobacillus salivarius strain having deposit number DSM 34078, or mutant thereof.
- the one or more lactases for use in combination with one or more Ligilactobacillus salivarius strains belong to the GH35 family or the GH2 family.
- the one or more lactases are acid lactases and/or neutral lactases.
- the one or more lactases are fungal lactases.
- the one or more lactases is a polypeptide selected from the group consisting of:
- the polypeptide has at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100% sequence identity to the polypeptide sequence of SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12.
- the lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NO: 1. In another preferred embodiment of the present invention, the lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NOT.
- the polypeptide may have an N-terminal and/or C-terminal extension of one or more amino acids, e.g., 1-5 amino acids.
- the polypeptide is derived from SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12 by substitution, deletion or addition of one or several amino acids.
- the polypeptide is a variant of SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NOT, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12 comprising a substitution, deletion, and/or insertion at one or more positions.
- the number of amino acid substitutions, deletions and/or insertions introduced into the polypeptide of SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO: 10, SEQ ID NO: 11 or SEQ ID NO: 12 is up to 15, e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, or 15.
- amino acid changes may be of a minor nature, that is conservative amino acid substitutions or insertions that do not significantly affect the folding and/or activity of the protein; small deletions, typically of 1-30 amino acids; small amino or carboxyl-terminal extensions, such as an amino-terminal methionine residue; a small linker peptide of up to 20-25 residues; or a small extension that facilitates purification by changing net charge or another function, such as a polyhistidine tract, an antigenic epitope or a binding module.
- the present invention relates to a composition for providing relief from or preventing lactose induced abdominal discomfort; digesting lactose or improving digestion of lactose; providing digestive comfort after digestion of lactose on consumption of products containing lactose; and/or providing long-lasting support and/or effect for lactose digestion of a subject, wherein the composition comprises one or more Ligilactobacillus salivarius strains.
- the composition further comprises one or more lactases.
- the dosage form of the composition can be a single dosage form.
- the composition can be in a dosage form such as, but not limited to, capsules, powders, microcapsules, tablets, dragees, pellets and granules.
- the amount of the one or more Ligilactobacillus salivarius strains in the composition is in a range of 1E+08 Colony Forming Unit (CFU) to 1E+11 CFU.
- the amount of the one or more Ligilactobacillus salivarius strains in the composition is in a range of 1E+09 Colony Forming Unit (CFU) to 1E+11 CFU.
- the amount of the one or more Ligilactobacillus salivarius strains in the composition is about 1E+09 CFU.
- the amount of the one or more lactases is at least 4500 Food Chemicals Codex (FCC) units. In a preferred embodiment, the amount of the one or more lactases is about 10000 FCC units.
- the lactase(s) are immediately available for lactose breakdown in the gastrointestinal tract.
- Ligilactobacillus salivarius strains of the composition release lactase slowly in the gastrointestinal tract and the released lactase is available in the gastrointestinal tract throughout the day.
- the lactase released by Ligilactobacillus salivarius strains are available to breakdown lactose consumed by the subject anytime throughout the day.
- the one or more lactases of the composition break down lactose that the subject consumes immediately after consumption of the composition and the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 4 hours after consumption of the composition, preferably that the subject consumes throughout the day. “Immediately” is here understood as the lactase breaks down lactose as soon as it is in contact with the lactose.
- the lactases in the composition break down the lactose from the consumed milk or dairy products as soon as in contact with the lactose, whereas the Ligilactobacillus salivarius strains break down the lactose from milk or dairy products consumed anytime throughout the day.
- the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 8 hours after consumption of the composition.
- the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 12 hours after consumption of the composition. In yet another embodiment, the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 18 hours after consumption of the composition.
- the composition may be provided to the subject 1, 2 or 3 times in a day to provide relief from or prevent lactose induced abdominal discomfort; digest lactose or improve digestion of lactose; provide digestive comfort after digestion of lactose on consumption of products containing lactose; and/or provide long-lasting support and/or effect for lactose digestion of a subject throughout the day.
- the composition is provided to the subject two times per day to provide relief from or prevent lactose induced abdominal discomfort; digest lactose or improve digestion of lactose; provide digestive comfort after digestion of lactose on consumption of products containing lactose; and/or provide long-lasting support and/or effect for lactose digestion of a subject throughout the day.
- the composition may be provided to the subject once in a day to provide relief from or prevent lactose induced abdominal discomfort; digest lactose or improve digestion of lactose; provide digestive comfort after digestion of lactose on consumption of products containing lactose; and/or provide long-lasting support and/or effect for lactose digestion of a subject throughout the day.
- Ligilactobacillus salivarius strains or a composition comprising such, for a use which is selected from a group consisting of: a. providing relief from or preventing lactose induced abdominal discomfort, b. digesting lactose or improving digestion of lactose; c. providing digestive comfort after digestion of lactose on consumption of products containing lactose; d. providing long-lasting support and/or effect for lactose digestion; and e. any combination thereof.
- the use is providing relief from or preventing lactose induced abdominal discomfort. In one embodiment, the use is digesting lactose or improving digestion of lactose. In one embodiment, the use is providing digestive comfort after digestion of lactose on consumption of products containing lactose. In one embodiment, the use is providing long-lasting support and/or effect for lactose digestion.
- the effect of the one or more Ligilactobacillus salivarius strains or the composition comprising such, after consumption is for at least up to 4 hours on a subject, preferably for at least up to 8 hours.
- the effect of the one or more Ligilactobacillus salivarius strains or the composition comprising such after consumption is for at least up to 12 hours, 18 hours or 24 hours.
- the Ligilactobacillus salivarius strains or composition are provided 1, 2 or 3 times daily to a subject, preferably at least once daily to a subject.
- the composition further comprises one or more lactases.
- the one or more lactases break down lactose that the subject consumes immediately after consumption of the composition and the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 4 hours after consumption of the composition, preferably that the subject consumes for a time period of up to 24 hours after consumption of the composition.
- the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 8 hours after consumption of the composition.
- the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 12 hours, 18 hours or 24 hours after consumption of the composition.
- the method is for providing relief from or preventing lactose induced abdominal discomfort. In one embodiment, the method is for digesting lactose or improving digestion of lactose. In one embodiment, the method is for providing digestive comfort after digestion of lactose on consumption of products containing lactose. In one embodiment, the method is for providing long-lasting support and/or effect for lactose digestion.
- the one or more Ligilactobacillus salivarius strains or a composition comprising one or more Ligilactobacillus salivarius strains is provided 1, 2 or 3 times daily to a subject, preferably at least once daily to the subject.
- the one or more Ligilactobacillus salivarius strains or a composition comprising one or more Ligilactobacillus salivarius strains is provided orally.
- the composition further comprises one or more lactases.
- the one or more lactases break down lactose that the subject consumes immediately after consumption of the composition and the one or more Ligilactobacillus salivarius strains break down lactose that the subject consumes for a time period of at least up to 4 hours after consumption of the composition, preferably that the subject consumes for a time period of up to 24 hours after consumption of the composition.
- the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 8 hours after consumption of the composition.
- the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 12 hours, 18 hours or 24 hours after consumption of the composition.
- Ligilactobacillus salivarius strains or a composition comprising such for a use which is selected from a group consisting of: a. providing relief from or preventing lactose induced abdominal discomfort; b. digesting lactose or improving digestion of lactose; c. providing digestive comfort after digestion of lactose on consumption of products containing lactose; d. providing long-lasting support and/or effect for lactose digestion; and e. any combination thereof.
- the Ligilactobacillus salivarius strain has a deposit accession number DSM 34078, or the Ligilactobacillus salivarius strain is Ligilactobacillus salivarius strain having all the identifying characteristics of Ligilactobacillus salivarius strain having a deposit accession number DSM 34078, or a mutant thereof.
- Ligilactobacillus salivarius strains have the maximum growth rate of at least 5.0 mean optical density/minute in a lactose medium and have a delta OD600 value of at least 0.7 in a lactose medium.
- the amount of the Ligilactobacillus salivarius strains is in a range of 1E+09 CFU to 1E+11 CFU, preferably in a range of 1E+09 CFU to 1E+10 CFU, more preferably about 1E+09 CFU.
- composition further comprises one or more lactases.
- lactases belong to the GH35 Family or GH2 Family.
- the one or more lactases is a polypeptide selected from the group consisting of: a. a polypeptide having at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100% sequence identity to SEQ ID NOT, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12; b.
- substitutions, deletions and/or insertions at one or more positions, e.g., 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or
- lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NOT.
- One or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 12 hours after consumption of the composition.
- One or more Ligilactobacillus salivarius strains or a composition comprising such for a use which is selected from a group consisting of: a. for providing relief from or preventing lactose induced abdominal discomfort; b. for digesting lactose or improving digestion of lactose; c. for providing digestive comfort after digestion of lactose on consumption of products containing lactose; d. for providing long-lasting support and/or effect for lactose digestion; and e. for any combination thereof.
- the one or more Ligilactobacillus salivarius strains or a composition comprising such for a use according to any one of paragraphs 35-38, wherein the Ligilactobacillus salivarius strains or composition are provided from 1 to 3 times daily to a subject, preferably at least once daily to a subject.
- CFU Colony Forming Unit
- polypeptide having at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100% sequence identity to SEQ ID NOT, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12; f.
- substitutions, deletions and/or insertions at one or more positions, e.g., 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or
- lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NO:2.
- FCC Food Chemicals Codex
- the one or more Ligilactobacillus salivarius strains or a composition comprising such for a use according to any one of paragraphs 55-64, wherein the one or more lactases breaks down lactose that the subject consumes immediately after consumption of the composition and the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 4 hours after consumption of the composition, preferably lactose that the subject consumes for a time period of up to 24 hours after consumption of the composition.
- the Ligilactobacillus salivarius strain according to any one of paragraphs 70 or 71, wherein the Ligilactobacillus salivarius strain grows on lactose in vitro and/or in the gastrointestinal tract of a subject.
- composition according to paragraph 78, wherein the effect of the one or more Ligilactobacillus salivarius strains or the composition comprising such, after consumption, is for a time period of at least up to 4 hours, preferably for at least up to 8 hours.
- composition according to paragraph 78 or 79, wherein the effect of the one or more Ligilactobacillus salivarius strains or the composition comprising such, after consumption, is for a time period of up to 24 hours.
- lactose induced abdominal discomfort is diarrhea, constipation, bloating and/or gas induced from ingestion of products comprising lactose.
- composition according to paragraph 78-94 wherein the Ligilactobacillus salivarius strains prefer to grow on lactose in the presence of other sugars.
- CFU Colony Forming Unit
- FCC Food Chemicals Codex
- substitutions, deletions and/or insertions at one or more positions, e.g., 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or
- composition according to any one of paragraphs 39-109 wherein the one or more lactases breaks down lactose that the subject consumes immediately after consumption of the composition and the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 4 hours after consumption of the composition, preferably lactose that the subject consumes for a time period of up to 24 hours after consumption of the composition.
- composition according to any one of paragraphs 39-110, wherein the one or more Ligilactobacillus salivarius strains breaks down lactose that the subject consumes for a time period of at least up to 8 hours after consumption of the composition.
- the one or more lactases is a polypeptide selected from the group consisting of: a. a polypeptide having at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100% sequence identity to SEQ ID NOT, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NOTO, SEQ ID NO: 11 or SEQ ID NO: 12, b.
- 1-30 alterations e.g., substitutions, deletions and/or insertions at one or more positions, e.g., 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or
- lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NOT.
- lactase is a polypeptide comprising, consisting essentially of, or consisting of SEQ ID NOT.
- Standard media were used for growing Ligilactobacillus strains, for example a medium providing 15-30 g peptone or tryptone per litre and 5-30 g glucose per litre.
- concentration of components, sterilization, inoculation was applied (concentration of components, sterilization, inoculation) and the microorganism was allowed to grow at elevated temperature (e.g., 35-42 °C) for sufficient time (e.g., 8-48 hours) unless otherwise stated.
- Ligilactobacillus strains were screened for lactose metabolization capacity using the screening protocol outlined below. 850 Ligilactobacillus strains were screened to select the strains that were able to grow on lactose as single C-source at very high rate and high optical density by analyzing the optical density at 595 nm (OD595) or 600 nm (OD600) as an indicator.
- 5 pl of the 1 :40 diluted pre-culture was transferred to 200 pl of lactose medium (YLA) in a 96-well flat bottom plate.
- the plate was sealed with an airtight film and placed in a plate photometer such as BioTek EON Microplate UV/VIS reader at 37°C for 24 hours.
- Optical density at OD600nm was measured every 5 minutes.
- the growth rate in mean optical density per second (mOD/sec) was calculated using the linear region of the growth curve using the microplate reader software.
- Plate 2 without lactose 5 p 1 of the 1 :40 diluted pre-culture was transferred to 200 pl of the same medium without lactose. The plate was incubated under the same conditions as plate 1.
- 22 L. salivarius strains demonstrated superior lactose metabolization, i.e., superior cell density (delta OD600 > 0,7) and max growth rate (max growth rate ⁇ 5) as represented in Figure 3.
- These 22 L. salivarius strains represent ⁇ 46% of the top lactose metabolizers identified out of all the 850 screened Ligilactobacillus strains.
- salivarius DSM 34078 Figure 4 demonstrates the growth kinetics of L. salivarius strain DSM 34078 on lactose as carbon source (C source) compared to some other candidates. Strains 1 and 2 shows positive density with little lag time (maximum density) and steep curve (maximum growth rate) demonstrating better growth kinetics than Strain 3.
- L. salivarius DSM 34078 (strain 1) has higher growth rate compared to the other L. salivarius strain (strain 2) and the L. plantarum strain (strain 3).
- the L. salivarius strain deposited as DSM 34078 was tested in a pressure measurement assay with fecal samples. The pressure was continuously measured within the observation period using inhouse developed pressure measuring devices (2ML-FPM). Human fecal samples were collected using Gut Alive Kits. Samples were processed within two days after collecting by diluting fecal samples with glyceroFwater in the ratio of 1:4 resulting in 25 % fecal samples stored at -80 °C after preparation until using. The fecal slurry from human donors was resuspended in phosphate- buffered saline (PBS) and 5 gram per litre (g/1) lactose was added. All procedure steps were performed in an anaerobic atmosphere.
- PBS phosphate- buffered saline
- the tubes were closed airtight and a sensor to continuously measure the pressure in headspace was inserted through the rubber septum. The pressure was measured for 24 hours and compared to pressure buildup by the microbial community without lactose addition.
- 108 colony forming units (CFU) of selected bacterial strains shown to have high capacity to metabolize lactose was added to the microbiota and inoculated for 24 hours in anaerobic conditions with continuous pressure measurement.
- Figure 5 shows that addition of L. salivarius DSM 34078 reduces lactose induced gas pressure in a fecal samples.
- Figure 5 shows the effect of fermentation of human fecal slurry alone (donor), effect of addition of lactose to the fecal slurry on gas pressure creation (donor + lactose) and then further addition of L salivarius DSM 34078 on lactose induced increase in gas pressure (donor + lactose + L. salivarius DSM 34078).
- the addition of L. salivarius DSM 34078 significantly diminished gas pressure development by the microbiota by 50.36%.
- the pressure was calculated and represented in a bar chart as cumulated area under the curve (cAUC) in the presence of a human fecal donor set after 10 hours of incubation. Each column represents the mean of four fecal donors each tested twice.
- Example 4 Gas pressure tests of different L. salivarius strains
- Example 3 The gas pressure test performed in Example 3 was repeated with sample of Donor 9 with different strains of L. salivarius. Results presented in Figure 6 show that 8 of 9 L. salivarius strains were able to reduce the gas pressure by 50-70 %. All strains tested in gas pressure showed high growth rate in growth assay on lactose as a single carbon source, demonstrating high lactose metabolization capacity as shown in Table 3.
- Example 5 Identification and quantification of DSM 34078 in fecal fermentation by real-time qPCR
- Example 3 To demonstrate that L. salivarius DSM34078 is able to proliferate in a fecal microbial community, the experimental setup described in Example 3 was analyzed by TaqMan qPCR using the strain specific primer and probe.
- the qPCR was performed on qTower Real-Time-PCR cycler (Analytic Jena) using innuMIX qPCR 2x Master Mix Probe (Analytik Jena). Each reaction contained 2 pl of DNA template, 0.30 pM of each primer and 0.20 pM probe.
- the PCR cycling conditions included initial denaturation at 95°C for 3 min followed by 40 cycles of denaturation at 95°C for 10 s, annealing and extention at 60°C for 45s.
- the standard curve was performed using serial dilutions of DNA extracted from 1E+09 cells of DSM 34078. Threshold cycle (Ct) value were ploted against log 10 of known cell number of bacteria present in PCR reaction.
- Figure 7 shows that at time point 0 hours, the L. salivarius DSM 34078 was added to each donor fermentation in similar amounts of approximately 7.5 - 8 log cells/ml. After 24 h of fermentation with lactose, an increase of up to 1 log was observed in each donor tested. The L. salivarius DSM 34078 not only survived but also proliferated in the fecal microbial community.
- Example 5 The experimental setup described in Example 5 was sampled for metagenomic sequencing.
- the whole ribosomal RNA operon (rm) from the DNA sampled in Example 5 was amplified using unique barcode primers for each sample.
- Each PCR reaction mix consisted of 300 nM each of the forward and reverse primer, 30 ng of template DNA and 20 pl of NEBNext Ultra II Q5 mix (New England Biolabs).
- the PCR cycling conditions were an initial denaturation at 98 °C for 30 s, followed by 25 cycles of 98 °C for 10 s, 59 °C for 20 s, and 72 °C for 2 min 30 s and final extension at 72 °C for 4 min.
- the PCR products were purified with MagSi-NGS magnetic beads and quantified with Qubit Fluorometric Quantification HS (Invitrogen, California, USA).
- the library was prepared by mixing equimolar amounts of each purified amplicon and then subjected to sequencing adapter ligation using the SGK-LSK-110 ligation sequencing kit (Oxford Nanopore Technologies) and the NEBNext ligation kit (New England Biolabs).
- Sequencing was launched on a MinlON Mklc sequencer with a R9.4.1 flowcell. Basecalling was performed with guppy v6.0.1 basecaller (Oxford Nanopore Technologies) to transform raw fast5 sequencing files to fastq files. Demultiplexing was performed using guppy barcoder v6.0.1 (Oxford Nanopore Technologies). Reads were subsequently classified using the taxonomic classification system Kraken2 v.2.0.9 beta against the Refseq database. Samples with less than 2000 reads and rare species ( ⁇ 0.1 % in relative abundance) were excluded from the analysis. Data were analyzed using Qiime2 plugins.
- the relative abundance of L. salivarius species was measured for each of three donors at time point 0 h (grey bars) and time point 24 h (black bars) and shown in Figure 8.
- the different approaches are displayed on the X-axis: Donor + Lactose (denoted DX+S) and Donor + Lactose + L. salivarius DSM 34078 (denoted DX+S+DSM 34078) at time point 0 hours and at time point 24 hours.
- the probiotic strain was not detected in any of the Donor + Lactose approaches.
- Donor + Lactose + L. salivarius DSM 34078 a sharp increase in relative abundance of probiotic strains was observed after 24 hours of fermentation compared to time point 0 hours.
- a bioreactor was filled with FeSSIF (Fed State Simulated Intestinal Fluid, commercially available from Biorelevant), milk (final lactose concentration of lOg/L), yeast extract and PBS-resuspended freeze-dried powder of L. salivarius (total cell count 10 A 7-10 A 9).
- FeSSIF Fed State Simulated Intestinal Fluid
- milk final lactose concentration of lOg/L
- yeast extract yeast extract
- PBS-resuspended freeze-dried powder of L. salivarius total cell count 10 A 7-10 A 9.
- the flow rate was chosen to ensure a complete exchange of the bioreactor volume within 4h time to simulate the transit time in the small intestine.
- L. salivarius cell count dropped within the first l-2h of the experiment.
- a possible explanation can be lack of sufficient metabolic activity for fast adaptation of the bacterial cells to FeSSIFE, due to a short rehydration time of the freeze-dried powder before addition to the bioreactor.
- the source and geographical origin of Ligilactobacillus salivarius with accession Number DSM 34078 is chicken feces and Germany respectively.
- the strain has been deposited under conditions that assure that access to the culture will be available during the pendency of this patent application to one determined by foreign patent laws to be entitled thereto.
- the deposit represents a substantially pure culture of the deposited strain.
- the deposit is available as required by foreign patent laws in countries wherein counterparts of the subject application, or its progeny are filed. However, it should be understood that the availability of a deposit does not constitute a license to practice the subject invention in derogation of patent rights granted by governmental action. (Original in Electronic Form)
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| Application Number | Priority Date | Filing Date | Title |
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| EP22184242 | 2022-07-12 | ||
| PCT/EP2023/069267 WO2024013211A1 (en) | 2022-07-12 | 2023-07-12 | Method for providing relief from lactose induced abdominal discomfort |
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| US20110223248A1 (en) * | 2007-12-12 | 2011-09-15 | Ritter Pharmaceuticals, Inc. | Methods and compositions for treating lactose intolerance |
| DE102010009582A1 (en) | 2010-02-05 | 2011-08-11 | Vitacare GmbH & Co. KG, 60318 | Agent for use in lactase deficiency and lactose intolerance |
| GB201319539D0 (en) * | 2013-11-05 | 2013-12-18 | Optibiotix Health Ltd | Composition & methods of screening |
| US11202810B2 (en) * | 2019-04-02 | 2021-12-21 | Sami-Sabinsa Group Limited | Stable probiotic composition for the management of lactose intolerance |
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