TWI754126B - Use of probiotic composition for improving microflora of female vagina and external hygiene products - Google Patents

Use of probiotic composition for improving microflora of female vagina and external hygiene products Download PDF

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TWI754126B
TWI754126B TW108103154A TW108103154A TWI754126B TW I754126 B TWI754126 B TW I754126B TW 108103154 A TW108103154 A TW 108103154A TW 108103154 A TW108103154 A TW 108103154A TW I754126 B TWI754126 B TW I754126B
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林詠翔
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大江生醫股份有限公司
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    • AHUMAN NECESSITIES
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Abstract

The present disclosure provides a use of a combination of 3-phenyllactic acid and prebiotics for improving microflora.

Description

益生質組合物用於改善女性陰道內的菌相的用途及外用 衛生用品 Use and external use of probiotic composition for improving bacterial phase in female vagina hygiene products

本發明是有關於一種3-苯乳酸(3-phenyllactic acid)及益生質(prebiotics)的組合用於改善菌相的用途。 The present invention relates to the use of a combination of 3-phenyllactic acid and prebiotics for improving bacterial phase.

在正常的情況下,女性的陰道會分泌少許的分泌物,該分泌物具有潤滑陰道的作用,其對於陰道是不可或缺的。但在衛生不佳或抵抗力下降的情形,有時會發生陰道分泌物增多,顏色改變且具有異味的現象,即罹患了陰道炎。這些不正常的分泌物會造成患者患部極度搔癢或疼痛,因而導致患者心理與生理上極大的不適。而陰道炎所產生的分泌物尚可能造成外陰紅腫及癢痛的現象,即係所謂的外陰炎,陰道炎及外陰炎可通稱為陰部感染。一般會造成女性陰部感染的原因包括:1.念珠菌屬物種(Candida spp.),例如白色念珠菌(Candida albicans)感染,白色念珠菌容易在溫暖潮濕的環境下生長,在個人抵抗力不足時,容易反覆發生感染(如睡眠不足、感冒、月經前後及懷孕期間),其感染後的症狀包括搔癢、灼熱、外陰部紅腫、乳酪塊狀的白色分泌物、尿道口酸痛紅腫、小便疼痛等,特別是月經前後會特別不舒服。2.細菌感染,常見的症狀包括,性交後有大量灰白色或黃色的分泌物,且有類似魚腥味的臭味,大部分患者並沒有搔癢的情形。過於頻繁的性交或太常沖洗陰道會導致陰道pH值上升,此為細菌感染的主要原因,這是因為會造成感染的細菌適合生存在偏鹼性的環境(pH>4.5)。造成細菌感染的細菌包括大腸桿菌(Escherichia coli)、陰道加德納菌(Gardnerella vaginalis)及鏈球菌屬(Streptococcus)等。 Under normal circumstances, a woman's vagina will secrete a little secretion, which has the function of lubricating the vagina, which is indispensable for the vagina. However, in the case of poor hygiene or decreased resistance, vaginal secretions may sometimes increase, change in color and have a peculiar smell, that is, vaginitis. These abnormal secretions can cause extreme itching or pain in the affected part of the patient, thus causing great psychological and physical discomfort to the patient. The secretions produced by vaginitis may still cause redness, swelling and itching of the vulva, which is called vulvitis. Vaginitis and vulvitis can be collectively referred to as genital infection. The common causes of female genital infection include: 1. Candida spp., such as Candida albicans ( Candida albicans ) infection, Candida albicans is easy to grow in a warm and humid environment, when the individual's resistance is insufficient , prone to repeated infections (such as lack of sleep, colds, before and after menstruation and during pregnancy), and the symptoms after infection include itching, burning, red and swollen genitals, cheese-like white discharge, sore, red and swollen urethra, painful urination, etc., Especially before and after menstruation can be particularly uncomfortable. 2. Bacterial infection, common symptoms include a large amount of gray-white or yellow secretions after sexual intercourse, and a smell similar to fishy smell, most patients do not itch. Too frequent sexual intercourse or too frequent douching of the vagina can lead to an increase in vaginal pH, which is the main cause of bacterial infection, because the bacteria that cause the infection are adapted to live in an alkaline environment (pH>4.5). Bacteria that cause bacterial infection include Escherichia coli ( Escherichia coli ), Gardnerella vaginalis ( Gardnerella vaginalis ) and Streptococcus ( Streptococcus ).

正常的陰道環境並不是無菌的,它包含了大約六種細菌,當中有葡萄球菌、大腸桿菌、類白喉菌、念珠菌屬物種及乳桿菌屬物種(Lactobacillus spp.)等菌。其中含量最多的乳桿菌屬物種為益生菌,而葡萄球菌、大腸桿菌、類白喉菌及念珠菌屬物種等為病原菌,但病原菌在量少的時候,對陰道的健康並不會產生不良的影響,且只要陰道維持在正常菌相,也就是益生菌佔優勢時,病原菌就不致大量滋生,因此就不會有前述感染的情形發生。另外,陰道正常的酸鹼值約為pH 3.8~4.2,也就是較偏弱酸性,如果陰道的酸鹼值改變成較偏中性或鹼性,則會有感染的情形發生。乳桿菌屬物種可使陰道的酸鹼值維持在pH 3.8~4.2,而在此種弱酸性的環境,大部分造成陰道感染的病原菌無法生長,因此陰道得以維持健康。 The normal vaginal environment is not sterile, it contains about six species of bacteria, including Staphylococcus, Escherichia coli, Diphtheria-like bacteria, Candida species and Lactobacillus spp. Among them, the most abundant Lactobacillus species are probiotics, while Staphylococcus, Escherichia coli, Diphtheria-like bacteria and Candida species are pathogenic bacteria, but when the amount of pathogenic bacteria is small, it will not have adverse effects on vaginal health , and as long as the vagina maintains a normal bacterial phase, that is, when probiotics are dominant, pathogenic bacteria will not breed in large quantities, so there will be no such infections. In addition, the normal pH value of the vagina is about pH 3.8~4.2, which is relatively weakly acidic. If the pH value of the vagina changes to more neutral or alkaline, infection will occur. Lactobacillus species can maintain the pH value of the vagina at pH 3.8~4.2, and in this weakly acidic environment, most of the pathogenic bacteria that cause vaginal infections cannot grow, so the vagina can be maintained healthy.

然而,當前述陰道中菌相受到破壞時,即會發生前述之感染狀況。現有治療女性陰部感染的方法,一般為使用抗生素、類固醇等藥品進行治療,但此往往會將益生菌與病原菌一併殺死,因而會造成治療初期陰道環境呈現無菌狀態,益生菌與病原菌互相競爭,但競爭的結果,病原菌的生長往往勝於益生菌,因此容易發生重複感染的狀況,而需反覆進行治療。但反覆使用抗生素及類固醇治療,容易使病原菌產生抗藥性,甚至會造成人體免疫系統受損。另外,現在市售的陰道保養品多為含碘的化學藥劑,其在短期內雖然可減輕感染症狀,但由於其pH值為中性,使用後會造成陰道pH值上升,轉變為適合病原菌生長的環境,因此症狀容易復發,致使該症狀難以根治。 However, when the bacterial phase in the vagina is destroyed, the aforementioned infection occurs. The existing methods of treating female genital infection are generally the use of antibiotics, steroids and other drugs for treatment, but this often kills probiotics and pathogenic bacteria together, thus causing the vaginal environment to be sterile at the initial stage of treatment, and probiotics and pathogenic bacteria compete with each other. However, as a result of competition, pathogenic bacteria often outgrow probiotics, so re-infections are prone to occur, requiring repeated treatments. However, repeated use of antibiotics and steroids can easily make pathogenic bacteria resistant to drugs, and even damage the human immune system. In addition, most of the vaginal care products currently on the market are chemical agents containing iodine. Although they can alleviate the symptoms of infection in the short term, due to their neutral pH value, the pH value of the vagina will rise after use, which is suitable for the growth of pathogenic bacteria. environment, so the symptoms are prone to recurrence, making the symptoms difficult to cure.

為了解決上述問題,本領域的技術人員亟需研發出具有改善菌相之功效的新穎醫藥組成物以造福有此需求的廣大族群。 In order to solve the above problems, those skilled in the art urgently need to develop novel pharmaceutical compositions with the effect of improving bacterial phase to benefit the vast population in need.

有鑑於此,本發明之目的為提供一種3-苯乳酸(3-phenyllactic acid)及益生質的組合用於製備一改善菌相之組成物的用途。 In view of this, the purpose of the present invention is to provide a combination of 3-phenyllactic acid (3-phenyllactic acid) and prebiotics for preparing a composition for improving bacterial phase.

在本發明的一實施例中,該益生質是乳糖醇。 In one embodiment of the present invention, the prebiotic is lactitol.

在本發明的一實施例中,該菌相是一女性陰道內的菌相。 In one embodiment of the present invention, the bacterial phase is a bacterial phase in a female vagina.

在本發明的一實施例中,該菌相包括乳桿菌屬物種(Lactobacillus spp.)、陰道加德納菌(Gardnerella vaginalis)、念珠菌屬物種(Candida spp.)及大腸桿菌(Escherichia coli)。 In an embodiment of the present invention, the bacterial phase includes Lactobacillus spp., Gardnerella vaginalis , Candida spp. and Escherichia coli .

在本發明的一實施例中,3-苯乳酸及益生質的組合增加乳桿菌屬物種的數量,及減少陰道加德納菌、念珠菌屬物種及大腸桿菌的數量。 In one embodiment of the present invention, the combination of 3-phenyllactic acid and prebiotics increases the number of Lactobacillus sp., and reduces the number of Gardnerella vaginalis, Candida sp. and E. coli.

在本發明的一實施例中,3-苯乳酸與乳糖醇的體積比例介於1:10~25。 In an embodiment of the present invention, the volume ratio of 3-phenyllactic acid to lactitol is between 1:10 and 25.

在本發明的一實施例中,該組成物是醫藥組成物。 In one embodiment of the present invention, the composition is a pharmaceutical composition.

在本發明的一實施例中,該醫藥組成物包含一醫藥上可接受的載劑。 In one embodiment of the present invention, the pharmaceutical composition comprises a pharmaceutically acceptable carrier.

在本發明的一實施例中,該醫藥組成物是呈一供局部施用的形式。 In one embodiment of the present invention, the pharmaceutical composition is in a form for topical administration.

在本發明的一實施例中,該醫藥組成物是呈衛生棉片或噴劑的形式。 In one embodiment of the present invention, the pharmaceutical composition is in the form of a sanitary napkin or a spray.

在本發明的一實施例中,3-苯乳酸是藉由高效能液相層析法(high performance liqid chromatography,HPLC)而純化出。 In an embodiment of the present invention, 3-phenyllactic acid is purified by high performance liquid chromatography (high performance liquid chromatography, HPLC).

綜上所述,本發明3-苯乳酸及益生質的組合之功效在於:可藉由調節與改善女性陰道內的菌相,降低病原菌生長,達到保健女性私密處的功效。 To sum up, the effect of the combination of 3-phenyllactic acid and probiotics of the present invention is that the growth of pathogenic bacteria can be reduced by regulating and improving the bacterial phase in the vagina of women, thereby achieving the effect of health care of women's private parts.

以下將進一步說明本發明的實施方式,下述所列舉的實施例係用以闡明本發明,並非用以限定本發明之範圍,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可做些許更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 The embodiments of the present invention will be further described below. The following examples are used to illustrate the present invention, but not to limit the scope of the present invention. Anyone who is familiar with this technique, without departing from the spirit and scope of the present invention, Some changes and modifications can be made, so the protection scope of the present invention should be determined by the scope of the appended patent application.

圖1是本發明3-苯乳酸及益生質的組合在改善第1位受試者的菌相之功效的數據圖。 Figure 1 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the first subject.

圖2是本發明3-苯乳酸及益生質的組合在改善第2位受試者的菌相之功效的數據圖。 Figure 2 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the second subject.

圖3是本發明3-苯乳酸及益生質的組合在改善第3位受試者的菌相之功效的數據圖。 Figure 3 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the third subject.

圖4是本發明3-苯乳酸及益生質的組合在改善第4位受試者的菌相之功效的數據圖。 Figure 4 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the fourth subject.

圖5是本發明3-苯乳酸及益生質的組合在改善4位受試者的平均菌相之功效的數據圖。 Figure 5 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the average bacterial phase of 4 subjects.

定義definition

本文中所使用數值為近似值,所有實驗數據皆表示在20%的範圍內,較佳為在10%的範圍內,最佳為在5%的範圍內。 Numerical values used herein are approximations and all experimental data are expressed within 20%, preferably within 10%, and most preferably within 5%.

依據本發明,3-苯乳酸(3-phenyllactic acid)具有下列化學式(I):

Figure 108103154-A0305-02-0006-1
According to the present invention, 3-phenyllactic acid has the following chemical formula (I):
Figure 108103154-A0305-02-0006-1

如本文中所使用的,用語「益生質(prebiotics)」意指透過選擇性刺激有益微生物的生長或者生物活性,對一個體施加生物學效應的物質。 As used herein, the term "prebiotics" means substances that exert biological effects on an individual by selectively stimulating the growth or biological activity of beneficial microorganisms.

依據本發明,乳糖醇具有下列化學式(II):

Figure 108103154-A0305-02-0006-2
According to the present invention, lactitol has the following formula (II):
Figure 108103154-A0305-02-0006-2

依據本發明,醫藥組成物可利用熟習此技藝者所詳知的技術而被製造成一適合於局部(topically)施用的形式,這包括,但不限於,噴劑、凝露、凝膠、乳液、霜、膏、塞劑、粉末、紙巾、棉棒及棉片。 In accordance with the present invention, pharmaceutical compositions can be manufactured in a form suitable for topical administration using techniques well known to those skilled in the art, including, but not limited to, sprays, gels, gels, lotions, Creams, ointments, suppositories, powders, tissues, cotton swabs and pads.

依據本發明,醫藥組成物可進一步包含有一被廣泛地使用於藥物製造技術之醫藥上可接受的載劑(pharmaceutically acceptable carrier)。例如,該醫藥上可接受的載劑可包含一或多種選自於下列的試劑:溶劑(solvent)、緩衝液(buffer)、乳化劑(emulsifier)、懸浮劑(suspending agent)、分解劑(decomposer)、崩解劑(disintegrating agent)、分散劑(dispersing agent)、黏結劑(binding agent)、賦形劑(excipient)、安定劑(stabilizing agent)、螯合劑(chelating agent)、稀釋劑(diluent)、膠凝劑(gelling agent)、防腐劑(preservative)、潤濕劑(wetting agent)、潤滑劑(lubricant)、吸收延遲劑(absorption delaying agent)、脂質體(liposome)以及類似之物。有關這些試劑的選用與數量是落在熟習此項技術之人士的專業素養與例行技術範疇內。 According to the present invention, the pharmaceutical composition may further comprise a pharmaceutically acceptable carrier which is widely used in pharmaceutical manufacturing technology. For example, the pharmaceutically acceptable carrier may comprise one or more agents selected from the group consisting of: solvent, buffer, emulsifier, suspending agent, decomposer ), disintegrating agent, dispersing agent, binding agent, excipient, stabilizing agent, chelating agent, diluent , gelling agents, preservatives, wetting agents, lubricants, absorption delaying agents, liposomes, and the like. The selection and quantity of these reagents are within the scope of the expertise and routine skills of those skilled in the art.

依據本發明,該醫藥上可接受的載劑包含有一選自於由下列所構成之群組中的溶劑:水、生理鹽水(normal saline)、磷酸鹽緩衝生理鹽水(phosphate buffered saline,PBS)、含有醇的水性溶液(aqueous solution containing alcohol)以及它們的組合。 According to the present invention, the pharmaceutically acceptable carrier comprises a solvent selected from the group consisting of water, normal saline, phosphate buffered saline (PBS), Aqueous solutions containing alcohol and combinations thereof.

實施例1. 3-苯乳酸(3-phenyllactic acid)及益生質的組合之製備Example 1. Preparation of 3-phenyllactic acid and a combination of prebiotics

首先,胚芽乳桿菌(Lactobacillus plantarum)TCI378的分離流程如下: First, the isolation process of Lactobacillus plantarum TCI378 is as follows:

(1)篩選(1) Screening

將韓國泡菜之均質物(包含泡菜及醬汁)與MRS培養液(MRS broth)以體積比1:100的比例混合,並置於37℃下進行厭氧培養(氧氣濃度低於5%),歷時18小時。其後,將前述培養液塗佈於MRS固態培養基(MRS agar)上,並置於37℃下進行厭氧培養,以生成不同的菌落。接著,為確保菌株的單一性,使用無菌接種環挑選一菌落,於固態培養基上進行分區劃線,再置於37℃之厭氧培養箱中培養直到單一菌落(single colony)出現。 The homogeneous material of kimchi (including kimchi and sauce) and MRS broth (MRS broth) were mixed in a volume ratio of 1:100, and placed at 37 ° C for anaerobic cultivation (oxygen concentration below 5%), which lasted for a period of time. 18 hours. After that, the aforementioned culture solution was spread on MRS solid medium (MRS agar) and placed at 37° C. for anaerobic culture to generate different colonies. Next, in order to ensure the singleness of the strains, a sterile inoculation loop was used to pick a colony, streaked on the solid medium, and then cultured in an anaerobic incubator at 37°C until a single colony appeared.

(2)鑑定(2) Identification

取上面篩選流程所分離出之單一菌落的菌株,進行基因族譜分析(phylogenetic analysis),確認該菌株具有如SEQ ID NO:11所示之16S核糖體核 糖核酸(16S rRNA)片段。使用NCBI(National Center for Biotechnology Information)線上資料庫進行比對,確認該SEQ ID NO:11係與胚芽乳桿菌(Lactobacillus plantarum)菌株之16S核糖體核糖核酸(16S rRNA)片段係具有約99%之相似度,故依親緣關係鑑定該標的菌株係為胚芽乳桿菌,且命名為胚芽乳桿菌TCI378,其中,該胚芽乳桿菌TCI378已於2016年12月27日寄存於食品工業發展研究所生物資源保存及研究中心,寄存編號為BCRC910760,參見中華民國專利案TWI645854。 The strain of the single colony isolated by the above screening process was taken, and phylogenetic analysis was performed to confirm that the strain had the 16S ribosomal ribonucleic acid (16S rRNA) fragment shown in SEQ ID NO: 11. Using the NCBI (National Center for Biotechnology Information) online database for comparison, it was confirmed that the SEQ ID NO: 11 line and the 16S ribosomal ribonucleic acid (16S rRNA) fragment of the Lactobacillus plantarum strain have about 99% of the Due to the similarity, the target strain was identified as Prospermum spp., and named as Prospermum spp. TCI378, which was deposited in the Biological Resource Preservation of the Institute of Food Industry Development on December 27, 2016. and Research Center, the deposit number is BCRC910760, see the patent case TWI645854 of the Republic of China.

(3)保存(3) Save

使用液態培養的方式將上面篩選流程所獲得之具單一性之菌株培養於MRS培養液中,以提供菌液,接著於菌液中添加25%之甘油,將所得混合液移至冷凍保存管中後,置於-80℃保存。 The single strain obtained by the above screening process was cultivated in the MRS medium by liquid culture to provide a bacterial solution, then 25% glycerol was added to the bacterial solution, and the resulting mixture was transferred to a cryopreservation tube. After that, store at -80°C.

接著,將胚芽乳桿菌(Lactobacillus plantarum)TCI378菌種保存管經一次活化後,以1%~10%的殖菌量培養在MRS培養基並於37℃培養18小時。接著,將菌液以5,000rpm離心20分鐘,然後收集上清液,取此上清液作為分析樣品。 Next, after the Lactobacillus plantarum TCI378 strain storage tube was activated once, it was cultured in the MRS medium at 1% to 10% of the bacteria and cultured at 37° C. for 18 hours. Next, the bacterial liquid was centrifuged at 5,000 rpm for 20 minutes, and then the supernatant was collected, and the supernatant was taken as an analysis sample.

之後,取2L之上清液並減壓濃縮至300mL的體積,然後以大孔樹脂(Diaion HP-20,100cm x 8cm)進行管柱層析,梯度由水至甲醇,得到5個分層(分層1:0%甲醇、分層2:20%甲醇、分層3:40%甲醇、分層4:60%甲醇、分層5:100%甲醇)。接著,取分層3進行RP-C18快速管柱層析(HPLC管柱:Luna 5u RP-C18,250 x 10mm,Phenomenex,USA),線性梯度由20%甲醇至100%甲醇,經薄層色層分析(Thin Layer Chromatography,TLC)(Silica gel 60 F254;RP-18 F254-S,Merck,EMD Millopore Co.,德國)得到8個次分層。之後,將次分層7以Sephadex LH-20凝膠(Pharmacia,Piscataway,NJ,USA)進行管柱層析,經薄層色層分析得到8個次次分層。由次次分層5經逆相-高效能液相層析法(reversed phase-high performance liquid chromatography,RP-HPLC)純化(甲醇/水=2/3),得到化合物。 After that, take 2L of the supernatant and concentrate under reduced pressure to a volume of 300mL, then carry out column chromatography with a macroporous resin (Diaion HP-20, 100cm x 8cm) with a gradient from water to methanol to obtain 5 layers ( Layer 1: 0% methanol, Layer 2: 20% methanol, Layer 3: 40% methanol, Layer 4: 60% methanol, Layer 5: 100% methanol). Next, take layer 3 for RP-C18 flash column chromatography (HPLC column: Luna 5u RP-C18, 250 x 10 mm, Phenomenex, USA), with a linear gradient from 20% methanol to 100% methanol, through thin layer chromatography Thin Layer Chromatography (TLC) (Silica gel 60 F 254 ; RP-18 F 254 -S, Merck, EMD Millopore Co., Germany) resulted in 8 sub-layers. After that, sublayer 7 was subjected to column chromatography on Sephadex LH-20 gel (Pharmacia, Piscataway, NJ, USA), and 8 sublayers were obtained by thin layer chromatography. The compound was obtained by purifying the sub-layer 5 by reversed phase-high performance liquid chromatography (RP-HPLC) (methanol/water=2/3).

接著,將化合物經1H及13C核磁共振(Nuclear Magnetic Resonance,NMR)(Ascend 400'54 400MHz,Bruker Co.,德國)、異核單量子相關光譜(heteronuclear single quantum correlation,HSQC)、異核多重鍵相關光譜 (heteronuclear multiple bond correlation,HMBC)、關聯性磁振頻譜(Correlation Spectroscopy,COSY)及電噴灑游離質譜(electrospray ionization mass spectrometry,ESIMS)分析,確認化學結構為3-苯乳酸。接著,添加1~5%(w/w)乳醣醇至含有3-苯乳酸的胚芽乳桿菌TCI378的發酵培養液中,得到3-苯乳酸及益生質(即乳糖醇)的組合。 Then, the compound was subjected to 1H and 13C nuclear magnetic resonance (Nuclear Magnetic Resonance, NMR) (Ascend 400'54 400MHz, Bruker Co., Germany), heteronuclear single quantum correlation (heteronuclear single quantum correlation, HSQC), heteronuclear multiple bond Correlation spectrum The chemical structure was confirmed to be 3-phenyllactate by heteronuclear multiple bond correlation (HMBC), Correlation Spectroscopy (COSY) and electrospray ionization mass spectrometry (ESIMS) analysis. Next, 1-5% (w/w) lactitol was added to the fermentation broth of Lactobacillus blastobacterium TCI378 containing 3-phenyllactic acid to obtain a combination of 3-phenyllactic acid and prebiotics (ie, lactitol).

實施例2. 3-苯乳酸及益生質的組合在改善菌相上的效用評估Example 2. Evaluation of the effect of the combination of 3-phenyllactic acid and probiotics in improving bacterial phase

在本實施例中,將3-苯乳酸及益生質(例如乳糖醇)的組合拿來進行女性陰道內的菌相改善之效用評估。 In this example, a combination of 3-phenyllactic acid and a prebiotic (eg, lactitol) was used to evaluate the efficacy of bacterial phase improvement in the vagina of women.

3-苯乳酸及益生質的組合是以女性衛生棉片的形式來施用,施用數量為4片/天。首先,募集4位成年女性作為受試者,然後於每日三餐後及睡前更換一片包含3-苯乳酸及益生質的組合之衛生棉片。接著,於洗澡前以棉棒進行陰道口的塗抹採樣,採樣時間點為0、3、7及14天。採樣流程如下:取滅菌棉棒來回塗抹女性會陰部上部5~6次,然後將塗抹後的棉棒頭放進含有0.5mL保存液(17mM檸檬酸鈉(sodium citrate)、13mM EDTA、46.7%(w/v)硫酸銨(ammonium sulfate),pH5.2)的採樣管中。接著,折斷棉棒上部,留下保存液中的棉棒頭,繼而將採樣管蓋旋緊,常溫保存直至送交實驗室分析。 The combination of 3-phenyllactic acid and prebiotics was applied in the form of feminine sanitary pads at a rate of 4 per day. First, 4 adult females were recruited as subjects, and then a sanitary napkin containing a combination of 3-phenyllactic acid and prebiotics was replaced after three meals a day and before bedtime. Next, the vaginal opening was smeared and sampled with a cotton swab before bathing, and the sampling time points were 0, 3, 7 and 14 days. The sampling process is as follows: take a sterilized cotton swab and smear the upper part of the female perineum back and forth 5~6 times, and then put the smeared cotton swab into the preservative solution containing 0.5mL (17mM sodium citrate (sodium citrate), 13mM EDTA, 46.7% ( w/v) ammonium sulfate (pH 5.2) in the sampling tube. Next, break the upper part of the cotton swab, leaving the cotton swab head in the preservation solution, then screw the cap of the sampling tube tightly, and store it at room temperature until it is sent to the laboratory for analysis.

之後,取採樣後的棉棒,然後將棉棒中的微生物相檢體以Presto Buccal Swab gDNA萃取套組(Presto Buccal Swab gDNA Extraction kit)(Geneaid,Cat.No.GSK300-DG)萃取純化,接而測量萃取後的DNA樣品濃度以及純度。接著,針對作為益生菌的乳桿菌屬物種(Lactobacillus spp.)及作為病原菌的陰道加德納菌(Gardnerella vaginalis)、念珠菌屬物種(Candida spp.)及大腸桿菌(Escherichia coli)進行16S核糖體基因(16S ribosomal gene)的定量即時聚合酶鏈反應(quantitative real-time polymerase chain reaction,qRT-PCR)檢測。以qRT-PCR分析4ng的DNA樣品中的菌相組成,每個樣品均進行三重複試驗。qRT-PCR的反應條件顯示於表1。 After that, take the sampled cotton swabs, and then extract and purify the microbial samples in the cotton swabs with Presto Buccal Swab gDNA Extraction kit (Geneaid, Cat. No. GSK300-DG), then extract and purify them. The concentration and purity of the extracted DNA samples were measured. Next, 16S ribosomes were performed against Lactobacillus spp. as probiotics and Gardnerella vaginalis , Candida spp. and Escherichia coli as pathogens Quantitative real-time polymerase chain reaction (qRT-PCR) detection of gene (16S ribosomal gene). The bacterial phase composition in 4 ng DNA samples was analyzed by qRT-PCR, and each sample was tested in triplicate. The reaction conditions for qRT-PCR are shown in Table 1.

Figure 108103154-A0305-02-0009-3
Figure 108103154-A0305-02-0009-3
Figure 108103154-A0305-02-0010-4
Figure 108103154-A0305-02-0010-4

用於qRT-PCR分析的目標微生物、引子序列及擴增物(amplicon)大小顯示於表2。 Target microorganisms, primer sequences and amplicon sizes used for qRT-PCR analysis are shown in Table 2.

Figure 108103154-A0305-02-0010-5
Figure 108103154-A0305-02-0010-5

本實施例的結果顯示於圖1至圖5。圖1是本發明3-苯乳酸及益生質的組合在改善第1位受試者的菌相之功效的數據圖。圖2是本發明3-苯乳酸及益生質的組合在改善第2位受試者的菌相之功效的數據圖。圖3是本發明3-苯乳酸及益生質的組合在改善第3位受試者的菌相之功效的數據圖。圖4是本發明3-苯乳酸及益生質的組合在改善第4位受試者的菌相之功效的數據圖。圖5是本發明3-苯乳酸及益生質的組合在改善4位受試者的平均菌相之功效的數據圖。由圖1至圖5可見,與第0天相較之下,受試者在施用包含3-苯乳酸及益生質的組合之衛生棉片之後的益生菌(亦即乳桿菌屬物種)數量有提升的情形,而病原菌(包括陰道加德納菌、念珠菌屬物種及大腸桿菌)數量有減少的情形,其中以第1位受試者的菌相改善情形最為顯著,第2位受試者因為本身無病原菌感染,故無明顯差異。 The results of this example are shown in FIGS. 1 to 5 . Figure 1 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the first subject. Figure 2 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the second subject. Figure 3 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the third subject. Figure 4 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the bacterial phase of the fourth subject. Figure 5 is a data graph of the efficacy of the combination of 3-phenyllactic acid and prebiotics of the present invention in improving the average bacterial phase of 4 subjects. As can be seen from Figures 1 to 5, compared to day 0, the number of probiotics (i.e. Lactobacillus spp.) after administration of the tampon comprising the combination of 3-phenyllactic acid and prebiotics was higher. increased, while the number of pathogenic bacteria (including Gardnerella vaginalis, Candida spp. and Escherichia coli) decreased. Because there is no pathogenic infection in itself, there is no significant difference.

綜上所述,本發明3-苯乳酸及益生質的組合可藉由調節與改善女性陰道內的菌相,降低病原菌生長,降低發炎,達到保健女性私密處的功效。 To sum up, the combination of 3-phenyllactic acid and probiotics of the present invention can regulate and improve the bacterial phase in women's vagina, reduce the growth of pathogenic bacteria, reduce inflammation, and achieve the effect of health care of women's private parts.

以上所述僅為舉例性,而非為限制性者。任何未脫離本發明之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。 The above description is exemplary only, not limiting. Any equivalent modifications or changes that do not depart from the spirit and scope of the present invention shall be included in the appended patent application scope.

<110> 大江生醫股份有限公司 <110> Dajiang Biomedical Co., Ltd.

<120> 益生質組合物用於改善女性陰道內的菌相的用途及外用衛生用品 <120> Use of probiotic composition for improving bacterial phase in female vagina and external hygiene product

<130> N/A <130> N/A

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<170> PatentIn version 3.5 <170> PatentIn version 3.5

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Figure 108103154-A0305-02-0018-17

Claims (7)

一種益生質組合物用於製備一改善女性陰道內的菌相之組成物的用途,其中組成物為一外用衛生用品,該外用衛生用品用以施用於一女性受試者,該外用衛生用品具有該益生質組合物且該益生質組合物是由99%(w/w)的具有該3-苯乳酸的胚芽乳桿菌TCI378發酵培養液及1%(w/w)的該乳糖醇構成,該女性受試者的陰道內的菌相包括具有由SEQ ID NO:1和2所定義16S rRNA的乳桿菌、具有由SEQ ID NO:3和4所定義16S rRNA的陰道加德納菌(Gardnerella vaginalis)及具有由SEQ ID NO:5和6所定義16S rRNA的念珠菌,該外用衛生用品的施用數量為4片/天,以及於該外用衛生用品施用3天後,該女性受試者的該女性陰道內的該乳桿菌的所提升的菌數百分比介於該菌相的70%~99.9%之間,且該女性陰道內的該陰道加德納菌和該念珠菌所降低的菌數百分比低於該菌相的30%以下。 Use of a probiotic composition for preparing a composition for improving bacterial phase in a female vagina, wherein the composition is an external hygiene product for applying to a female subject, the external hygiene product having The prebiotic composition and the prebiotic composition is composed of 99% (w/w) of Lactobacillus embryonica TCI378 fermentation broth with the 3-phenyllactic acid and 1% (w/w) of the lactitol, the The bacterial phase in the vagina of a female subject includes Lactobacillus having 16S rRNA defined by SEQ ID NOs: 1 and 2, Gardnerella vaginalis having 16S rRNA defined by SEQ ID NO: 3 and 4 ) and Candida having 16S rRNA as defined by SEQ ID NOs: 5 and 6, the topical hygiene product was administered in an amount of 4 tablets/day, and the female subject's The increased bacterial count percentage of the Lactobacillus in the female vagina is between 70% and 99.9% of the bacterial phase, and the reduced bacterial count percentage of the G. vaginalis and the Candida in the female vagina Below 30% of the bacterial phase. 如申請專利範圍第1項所述的用途,其中該菌相更包括大腸桿菌(Escherichia coli)。 The use as described in item 1 of the patented scope of application, wherein the bacterial phase further comprises Escherichia coli . 如申請專利範圍第2項所述的用途,其中於該外用衛生用品施用3天後,該女性受試者的該女性陰道內的該陰道加德納菌、該念珠菌及該大腸桿菌所降低的菌數百分比低於該菌相的30%以下。 The use as described in claim 2, wherein the Gardnerella vaginalis, the Candida spp. and the Escherichia coli in the female vagina of the female subject are reduced 3 days after the external hygiene product is applied The percentage of bacterial counts is less than 30% of the bacterial phase. 如申請專利範圍第1項所述的用途,其中該外用衛生用品為女性衛生棉片。 The use as described in item 1 of the scope of the application, wherein the external hygiene product is a feminine hygiene pad. 如申請專利範圍第1項所述的用途,其中該3-苯乳酸是藉由高效能液相層析法(high performance liqid chromatography,HPLC)而純化出。 The use according to claim 1, wherein the 3-phenyllactic acid is purified by high performance liquid chromatography (HPLC). 一種外用衛生用品,其特徵在於,該外用衛生用品具有99%(w/w)的具有3-苯乳酸的胚芽乳桿菌TCI378發酵培養液及1%(w/w)的乳糖醇構成的益生質組合物,以致於一女性受試者以4片/天施用該外用衛生用品3天後,該女性受試者的女性陰道內的菌相的由SEQ ID NO:1和2所定義16S rRNA的 乳桿菌的所提升的菌數百分比介於該菌相的70%~99.9%之間,且該女性陰道內的由SEQ ID NO:3和4所定義16S rRNA的陰道加德納菌和由SEQ ID NO:5和6所定義16S rRNA的念珠菌所降低的菌數百分比低於該菌相的30%以下。 A kind of external hygiene product, it is characterized in that, this external use hygiene product has 99% (w/w) the probiotic that the Lactobacillus prosperus TCI378 fermentation broth with 3-phenyllactic acid and the lactitol of 1% (w/w) are formed A composition such that after 3 days of administration of the external hygiene product to a female subject at 4 tablets/day, the bacterial phase in the female vagina of the female subject is defined by SEQ ID NOs: 1 and 2 of 16S rRNA. The increased bacterial count percentage of Lactobacillus was between 70% and 99.9% of the bacterial phase, and Gardnerella vaginalis by the 16S rRNA defined by SEQ ID NOs: 3 and 4 in the female vagina and by SEQ ID NO: 3 and 4. The percentage of Candida with 16S rRNA defined by ID NO: 5 and 6 was lower than 30% of the bacterial phase. 如申請專利範圍第6項所述的衛生用品,其中該外用衛生用品為女性衛生棉片。 The sanitary product according to item 6 of the scope of the application, wherein the external sanitary product is a feminine sanitary napkin.
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