JP5616066B2 - ヒト脂質組成物ならびにその製造および使用方法 - Google Patents
ヒト脂質組成物ならびにその製造および使用方法 Download PDFInfo
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- JP5616066B2 JP5616066B2 JP2009540515A JP2009540515A JP5616066B2 JP 5616066 B2 JP5616066 B2 JP 5616066B2 JP 2009540515 A JP2009540515 A JP 2009540515A JP 2009540515 A JP2009540515 A JP 2009540515A JP 5616066 B2 JP5616066 B2 JP 5616066B2
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Description
本出願は、2006年12月8日提出の米国特許仮出願第60/869150号に基づく優先権を主張する。米国特許仮出願第60/869150号の内容は、参照によりその全体で本明細書に援用される。
完全非経口栄養(TPN)は、摂食および消化を迂回する経静脈栄養の実施である。経腸栄養は、経管栄養、例えば経鼻胃栄養、経幽門栄養、および経皮栄養の実施である。各実施は、既知の利点および欠点を有し、熟練した医師は、個々の患者の必要に応じて他と比較して1つの方式を選択できる。経腸および非経口製剤の両方とも、一般には、患者の必要に応じて、炭水化物、脂質、タンパク質、繊維、ならびに/あるいはビタミンおよびミネラルを含む。非経口製剤は、ヘパリン、H2遮断薬などのその他の添加物を含むことができる。
上で言及したように、TPNで使用される脂質の供給源には、一般に、ウシ乳、大豆、オリーブ油、および魚油が含まれる。本開示は、ヒト乳からの脂質を得る方法、使用する方法を提供する。本明細書で特徴とする組成物は、オメガ−3およびオメガ−6脂肪酸の両方を含むことのできるヒト脂質を含有する。理論によって制約されるものではないが、TPNにおけるヒト脂質の使用は、非ヒト脂質供給源を含むTPNを享受する患者で発生し得る肝臓傷害の発生率を低下させることができると考えられている。同様に、ヒト脂質の使用は、経腸栄養で有益であり得る。
本明細書で特徴とされる方法の出発原料は、ヒト乳である。ヒト乳は、例えば2007年11月29日出願の米国特許出願第11/947580号、および米国特許出願第11/526127号(米国特許出願公開第2007/0098863号)中に記載されている組織的方法によって供与者から収集される。両出願の内容は、参照によりその全体で本明細書に援用される。本明細書中で特徴とされる方法は、大容積のヒト乳、例えば、プールしたヒト乳を用いて実施できる。容積は、出発原料1ロット当たり約75リットル〜約2,000リットルの範囲でよい。乳を収集したら、それを冷凍し、プールし、加工処理して、ヒト脂質の組成物を得ることができる。
本明細書に記載の方法は、例えばTPN投与に適したヒト脂質組成物を作り出す。該方法は、以下でさらに説明するように、2007年11月29日出願の米国特許出願第11/947580号(参照によりその全体で本明細書に援用される)中に記載されているヒト乳強化剤(HMF)を得る方法の中で作り出されるいくつかの成分を利用する。
本明細書に記載の方法は、例えば、経腸投与に適したヒト脂質組成物を作り出す。該方法は、以下でさらに説明するように、2007年11月29日出願の米国特許出願第11/947580号中に記載されているヒト乳強化剤(HMF)を得る方法で作り出されるいくつかの成分を利用する。
本開示は、例えばTPNおよび経腸投与で有用なヒト脂質組成物を特徴とする。該組成物は、本明細書中で考察される方法によって得ることができる。
本明細書で特徴とする組成物は、栄養補給を必要とする対象、例えばヒト対象、例えば、重病患者、術後患者、栄養疾患または障害を患う患者、および/または未熟児に投与できる。
次の方法を使用して、TPN投与のためのヒト脂質組成物を得る。この方法は、以下でさらに説明するように、2007年11月29日出願の米国特許出願第11/947580号中に記載のヒト乳強化剤(HNF)を得る方法中で作り出されるいくつかの成分を利用する。
次の方法を使用して、経腸投与のためのヒト脂質組成物を得る。この方法は、以下でさらに説明するように、2007年11月29日出願の米国特許出願第11/947580号中に記載のヒト乳強化剤(HMF)を得る方法中で作り出されるいくつかの成分を利用する。
Claims (11)
- ヒト脂質を含有する組成物の製造方法であって、前記組成物がヒト対象に非経口で投与するための組成物であり、該方法が、
(a)ヒト全乳を入手すること;
(b)前記乳をクリーム部分と脱脂部分とに分離すること;
(c)工程(b)で得られた前記クリーム部分からタンパク質成分を沈殿させて分離し、該クリーム部分を透析濾過にて精製して、ヒトの多不飽和脂肪酸を含む、ヒト脂質を含有する組成物を得ること;及び、
(d)前記ヒト脂質を含有する組成物を低温殺菌することを含む方法。 - 工程(b)の後に、前記脱脂部分から水を濾過すること;及び、
工程(b)で得られた前記クリーム部分を、前記脱脂部分から濾過して得た水で懸濁することをさらに含む、請求項1に記載の方法。 - 前記精製が、限外濾過することをさらに含む、請求項1又は2に記載の方法。
- 工程(c)で得られた前記組成物に、乳化剤、保存剤、希釈剤、および浸透圧調整剤からなる群から選択される1種以上の構成成分を添加することをさらに含む、請求項1から3のいずれか一項に記載の方法。
- 前記保存剤が、酸化防止剤である、請求項4に記載の方法。
- 前記酸化防止剤が、α−トコフェロール、ビタミンC、カロチノイド、およびレチノイドからなる群から選択される、請求項5に記載の方法。
- 前記浸透圧調整剤が、グリセリンを含む、請求項4に記載の方法。
- 工程(c)で得られた前記組成物に、ビタミン、ミネラル、および炭水化物からなる群から選択される1種以上の構成成分を添加することをさらに含む、請求項1から7のいずれか一項に記載の方法。
- 前記対象が、未熟児である、請求項1から8のいずれか一項に記載の方法。
- 前記対象が、栄養疾患または障害を有する、請求項1から9のいずれか一項に記載の方法。
- ヒト対象に非経口で投与するための、ヒト脂質を含有する組成物であって、請求項1から10のいずれか一項に記載の方法により製造された、ヒトの多不飽和脂肪酸を含む、組成物。
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2007
- 2007-12-10 CN CN200780051095.8A patent/CN101631469B/zh active Active
- 2007-12-10 JP JP2009540515A patent/JP5616066B2/ja active Active
- 2007-12-10 US US12/518,237 patent/US8377445B2/en active Active
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- 2007-12-10 CA CA2706723A patent/CA2706723C/en active Active
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CN101631469B (zh) | 2014-04-02 |
CN101631469A (zh) | 2010-01-20 |
JP2010512344A (ja) | 2010-04-22 |
HK1136166A1 (en) | 2010-06-25 |
US8377445B2 (en) | 2013-02-19 |
CA2706723C (en) | 2015-05-19 |
ES2396571T3 (es) | 2013-02-22 |
US20100280115A1 (en) | 2010-11-04 |
EP2101597A4 (en) | 2010-11-17 |
US8821878B2 (en) | 2014-09-02 |
ES2588527T3 (es) | 2016-11-03 |
WO2008073888A2 (en) | 2008-06-19 |
CA2706723A1 (en) | 2008-06-19 |
US20130195989A1 (en) | 2013-08-01 |
EP2101597A2 (en) | 2009-09-23 |
HK1186353A1 (zh) | 2014-03-14 |
WO2008073888A3 (en) | 2008-07-24 |
EP2101597B1 (en) | 2012-10-17 |
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