WO2003097078A1 - Nutraceutical compositions comprising citrus alkaloids and method - Google Patents

Nutraceutical compositions comprising citrus alkaloids and method Download PDF

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Publication number
WO2003097078A1
WO2003097078A1 PCT/US2003/015202 US0315202W WO03097078A1 WO 2003097078 A1 WO2003097078 A1 WO 2003097078A1 US 0315202 W US0315202 W US 0315202W WO 03097078 A1 WO03097078 A1 WO 03097078A1
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citrus
alkaloids
extract
nutraceutical composition
ephedrine
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PCT/US2003/015202
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French (fr)
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Dennis Jones
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Zhishin Inc.
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Priority to AU2003239461A priority Critical patent/AU2003239461A1/en
Publication of WO2003097078A1 publication Critical patent/WO2003097078A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/75Rutaceae (Rue family)
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L2/00Non-alcoholic beverages; Dry compositions or concentrates therefor; Their preparation
    • A23L2/02Non-alcoholic beverages; Dry compositions or concentrates therefor; Their preparation containing fruit or vegetable juices
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L2/00Non-alcoholic beverages; Dry compositions or concentrates therefor; Their preparation
    • A23L2/52Adding ingredients
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/105Plant extracts, their artificial duplicates or their derivatives
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/40Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/133Amines having hydroxy groups, e.g. sphingosine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/17Gnetophyta, e.g. Ephedraceae (Mormon-tea family)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/75Rutaceae (Rue family)
    • A61K36/752Citrus, e.g. lime, orange or lemon
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

Definitions

  • Citrus plants for inducing weight loss, improving physical performance and increasing muscle mass Citrus plants for inducing weight loss, improving physical performance and increasing muscle mass.
  • Ephedrine is a typical example of an indirect-acting sympathicomimetic agent.
  • adrenergic may also be used, and is synonymous with the term sympathicomimetic.
  • Such substances may also be referred to as agonists, where the name agonist is qualified by a descriptor of the receptor stimulated, for example, a beta-agonist.
  • amphetamines which are direct agents and readily cross the blood-brain barrier, mainly cause central nervous system stimulation, while ephedrine, and particularly pseudoephedrine, are indirect agents which do not cross the blood-brain barrier so readily, and thus are mainly seen to exert peripheral effects.
  • Another class of substances of value in assisting weight loss modulates other neurotransmitters, namely those involved in serotoninergic systems, and particularly 5- hydroxytryptarnine (5-HT; otherwise known as serotonin) itself.
  • 5-HT 5- hydroxytryptarnine
  • These substances act by preventing the re- uptake of serotonin into storage granules in neurones.
  • Levels of 5-HT in the synaptic gap thus remain elevated for longer periods, exciting receptors on responsive cells to greater activity.
  • Substances which modulate neurotransmitter function in the central nervous system are known to act by increasing the availability of catecholamines, in particular noradrenaline, in certain areas of the brain, thus resulting in perceived suppression of hunger. By suppressing hunger, less food is eaten, and caloric intake is lowered. Examples of such substances include phenylpropanolamine, phentermine and the amphetamines.
  • ephedrine acts mainly by stimulating thermogenesis. That is, it increases the metabolic rate and stimulates lipolysis (fat breakdown).
  • ephedrine The effect of ephedrine on the peripheral metabolic rate is derived from actions on energy-generating tissues combined with stimulation of the release of fat from stored fat depots (adipose tissue). This not only increases the generation of energy but also increases the availability of substrates to be utilized for this energy generation. A valuable consequence of these two actions is the sparing of body protein, which in certain cases, depending on the composition of the diet, may even result in a gain of body protein (anabolic effect).
  • ephedrine can often be intensified by concomitant use of methylxanthines such as caffeine.
  • ephedrine may be an example of a trace substance that belongs in the human diet, and that it provides an opportunity to attack obesity at a level that is close to causative (Landsberg and Young, 1993).
  • ephedrine may therefore be considered an ideal pharmacological aid in the treatment of obesity.
  • thermogenic action which results from ephedrine's effects on metabolic rate and lipolysis persists throughout its use period, and may intensify as use continues.
  • Ephedrine's classical adrenergic actions which are undesirable in a weight loss context, cease rapidly due to tachyphylaxis.
  • ephedrine and pseudoephedrine for a variety of conditions are well illustrated by reference to standard works on Pharmacology and Therapeutics.
  • Govoni and Hayes (1985) describe use of ephedrine as a decongestant in allergic rhinitis, sinusitis and chronic asthma (often combined for such indications with theophylline, a methylxanthine closely related to caffeine in structure and effect), in the treatment of narcolepsy, to combat hypotensive states (especially those associated with spinal anesthesia), in the management of enuresis, as adjunctive therapy for myasthenia gravis, as a mydriatic, as temporary support of ventricular rate in Adams-Stokes syndrome, to relieve dysmenorhoea, and for management of peripheral edema secondary to diabetic neuropathy.
  • ephedrine 150-200 mg per day
  • other uses verified have included ketotic hypoglycaemia (Court et al., 1974), urological syndromes caused by prostaglandin El (Lowe and Jarow, 1993) and insulin- induced edema (Hopkins et al., 1993).
  • Matthews (1983) discusses the action of ephedrine on the internal sphincter of the bladder and urethra in relation to its use in treating urinary incontinence.
  • Naturally occurring ephedrine is the lR,2S(-)-erythro form, which is, the most active pharmacologically.
  • Pseudoephedrine is the threo form.
  • ephedrine Acting indirectly, the main action of ephedrine is to elicit release of noradrenaline (norepinephrine) from presynaptic sites. This in turn activates both alpha- and beta- adrenoceptors.
  • noradrenaline noradrenaline
  • beta-activation causes relaxation of smooth muscle and stimulation of the myocardium. But this picture is complicated by the fact that both alpha- and beta-receptors can be subdivided into fuirther types with differing distributions and sensitivities.
  • cAMP cyclic adenosine monophosphate
  • the beta-agonist binds to the beta-receptor.
  • the receptor-agonist complex has high affinity for a stimulatory guanine nucleotide regulatory protein termed the Gs protein, and binds to this protein. Formation of the receptor-agonist-Gs complex facilitates the exchange of a guanine diphosphate (GDP) for guanine triphosphate (GTP) on the Gs protein.
  • GDP guanine diphosphate
  • GTP guanine triphosphate
  • the Gs-GTP complex dissociates from the receptor-agonist complex and then interacts with the catalytic subunit of adenylate cyclase, promoting the conversion of adenosine triphosphate to cAMP.
  • the cAMP activates a cAMP-dependent protein kinase, which can then phosphorylate a variety of intracellular proteins, ultimately leading to a pharmacological response.
  • Activation of most alpha-2 receptors has an opposite effect, the first step being inhibition of adenylate cyclase through a guanine nucleotide regulatory protein termed Gi.
  • Gi guanine nucleotide regulatory protein
  • the Gi protein by inhibiting the catalytic activity of the adenylate cyclase, leads to a reduction in cellular levels of cAMP, which decreases the activation of the cAMP-dependent protein kinases.
  • the Gi protein may act through other mechanisms which have not yet been elucidated, but possibly lead to activation of membrane calcium channels.
  • the alpha- 1 receptors have a different mechanism. It does not appear to involve cAMP, but apparently relies instead on diacyl glycerols and inositol-l,4,5-triphosphate.
  • beta-receptors can also be further subdivided based upon their mechanism of action.
  • the known subdivision of beta-receptors into beta-1 , beta-2, and beta-3 types is of particular interest for this invention since the beta-3 -receptor is strongly believed to be responsible for the lipolytic and thermogenic effects of ephedrine while interactions with the other two types of beta-receptors are known to control cardiac effects of ephedrine.
  • the overall response to ephedrine, reflected in perceived effects, is governed by the distribution of receptors in terms of types and populations.
  • the activation of beta-receptors causes vasodilation of vessels in the heart and skeletal muscle while simultaneous alpha-2 -activation results in vasoconstriction in other vascular beds.
  • This is effectively the classical "fight or flight” response, which together with other metabolic results of adrenoceptor activation is intended to put the body into an optimal state for physical exertion.
  • the metabolic results of adrenoceptor activation also include effects on lipolysis and thermogenesis.
  • activation of alpha-2-receptors inhibits the process
  • beta-receptors (believed to be the beta-3 -subtype) stimulates lipolysis and at same time, possibly in part due to increased availability of substrate, induces a thermogenic response.
  • the overall response of the adipose tissue thus depends on the relative proportions of alpha-2 and beta-3 receptors.
  • a high ratio of alpha-2 to beta-3 receptors would produce a comparatively lower thermogenic response than a low ratio.
  • the predicted diminishment of thermogenic response associated with increasing proportion of alpha-2 compared to beta-3 receptors may explain why some studies of thermogenic responses to ephedrine have found two populations: responders and relative non-responders.
  • thermogenic properties of ephedrine do not exhibit tachyphylaxis.
  • Landsberg and Young (1993) adopt the position that since the activity of the sympathetic nervous system may be reduced in obesity, improvement of sympathetic nervous system activity to normal levels is physiological rather than pharmacological, and that the use of ephedrine in obese persons does nothing more than restore normal catecholamine function. In this respect, therefore, ephedrine differs in no way from the effects of high protein diets or consumption of foods containing natural thermogenic substances.
  • Landsberg and Young also suggest that ephedrine may be particularly useful in combating the weight gain that usually follows cessation of smoking since smoking cessation is also associated with impaired catecholamine function.
  • the adrenaline released is a preferential agonist for the beta-2-adrenoceptors which stimulate protein synthesis and thus can counteract loss of lean body mass during use of low calorie diets.
  • Chronic stimulation of postsynaptic alpha-adrenoceptors by the adrenaline and noradrenaline released in response to ephedrine therapy may activate thyroxine deiodinases, leading to peripheral conversion of T4 (thyroxine) to T3 (triiodothyronine), which may, in turn, increase adrenoceptor sensitivity to the thermogenic effects of the catecholamines since
  • T3 is much more active than T4.
  • thermogenic effect of ephedrine is increased after chronic administration.
  • thermogenesis Single dose studies have shown that skeletal muscle and visceral organs contribute most of the thermogenic activity after ephedrine administration, with a minor contribution from adipose tissue. These tissues can all be reactivated and even proliferate in response to chronic catecholamine activation, which may explain the enhanced thermogenesis seen with prolonged ephedrine treatment.
  • ephedrine with chronic administration, exerts its effects indirectly via adrenaline and noradrenaline and thereby generates its own selectivity for desirable anti-obesity effects. This is accomplished by the down-regulation of adrenoceptor types or subtypes associated with unwanted cardiac or pressor effects and with sustained activation of adrenoceptor types that mediate thermogenesis, lipolysis and protein retention.
  • Arner (1993) approaches the mechanism of ephedrine action from the lipolysis aspect. He notes that catecholamines have both lipolytic and antilipolytic effects, so that at any time there is a balance between these effects.
  • lipid metabolism in man is mainly controlled by inhibitory modulators, and adenosine has been shown to reduce the sensitivity of lipolytic beta-adrenoceptors, particularly in subcutaneous fat depots.
  • adenosine has been shown to reduce the sensitivity of lipolytic beta-adrenoceptors, particularly in subcutaneous fat depots.
  • prostaglandins of the E-type are also potent antilipolytic agents.
  • caffeine which may affect adenosine dynamics
  • aspirin which can inhibit prostaglandin synthesis
  • thermogenic and lipolytic effects are the main properties that make ephedrine so suitable for use as a weight loss aid. Indeed, significant improvements of rates of weight loss occur at ephedrine dosage levels far below those required to achieve detectable main effects, and increasing dosage to the level at which main effects occur does not necessarily give better rates of weight loss (Daly et al., 1993).
  • ephedrine means there is increased availability of substrates (the free fatty acids which are released from the fat stores) for oxidation, the body has access to greater amounts of energy.
  • substrates the free fatty acids which are released from the fat stores
  • the body's use of these substrates spares protein that might otherwise be oxidized for energy. Therefore, the use of ephedrine in conjunction with additional favorable circumstances, namely a high protein intake and an exercise program, will also result in increased availability of amino acids for incorporation into protein in the muscle mass.
  • the agents most suitable for inducing weight loss in those with excess weight, or, for persons of normal weight, increasing energy availability and/or muscle mass would be sympathicomimetic (adrenergic) agents whose mechanism of action is mainly indirect, resembling that of ephedrine, and whose pharmacokinetics favor retention of the agents in the periphery rather than passage into the brain.
  • Agents whose profiles match these requirements would be less likely to cause central nervous system stimulation under normal conditions of use, but would still possess enough central action to suppress the hunger center.
  • the partition in favor of peripheral tissues would result in increased levels of these agents at the sites of the beta-3- receptors, which mediate lipolysis and thermogenesis. It is also widely believed that sympathicomimetic agents possessing mainly an indirect mechanism of action would be less likely to cause unwanted side effects and less likely to result in addictive situations.
  • Ephedrine has some drawbacks, however. It is primarily provided in pharmaceutical forms which allow quick release in the body for the alleviation of acute respiratory ailments whereas, for the purposes of inducing lipolysis and thermnogenesis, a slower release is desirable. Furthermore, many of those who are overweight prefer not to use agents which are presented as drugs. In addition, for a variety of health conditions, such use will often be contraindicated because of the risk of potentially hazardous side effects, which risk could be increased because of the weight problem.
  • U.S. Patent No. 6,224,873 which is incorporated herein by reference, describes alkaloids found in plants, such as synephrine, hordenine, octopamine, tyramine, and N- methyltyramine, that are useful in weight loss, improving physical performance, and increasing lean body mass.
  • alkaloids found in plants such as synephrine, hordenine, octopamine, tyramine, and N- methyltyramine, that are useful in weight loss, improving physical performance, and increasing lean body mass.
  • Ephedra herb Ephedra herb
  • It is desirable to provide a nutraceutical composition comprising natural products which benefits those seeking to lose weight or improve their physical well-being.
  • a composition and method that both increases metabolic rate, and directly increases endogenous availability of metabolizable substrates is also particularly desirable.
  • Astrup, A., et al "Caffeine: a double-blind, placebo-controlled study of its thermogenic, metabolic, and cardiovascular effects in healthy volunteers", The American Journal of Clinical Nutrition (1990) 51:759-67.
  • Astrup, A., et al. "The effect and safety of an ephedrine/caffeine compound compared to ephedrine, caffeine and placebo in obese subjects in an energy restricted diet. A double blind trial", International Journal of Obesity (1992) 16:269-277.
  • thermogenic drugs The American Journal of Clinical Nutrition (1992) 55:246S-8S.
  • Dulloo, A.G., et al. "Aspirin as a promoter of ephedrine-induced • thermogenesis: potential use in the treatment of obesity", The American Journal of Clinical Nutrition (1987) 45:564-9.
  • Dulloo, A.G., et al. "Peripheral mechanisms of thermogenesis induced by ephedrine and caffeine in brown adipose tissue", International Journal of Obesity (1991) 15:317-326.
  • Pasquali, R, et al. "A Controlled Trial Using Ephedrine in the Treatment of Obesity", International Journal of Obesity (1985) 9: 93-98.
  • Pasquali, R., et al. "Does Ephedrine Promote Weight Loss in Low-Energy-Adapted Obese Women?", International Journal of Obesity (1987) 11 :163-168.
  • the instant invention provides a nutraceutical composition
  • a nutraceutical composition comprising a mixture of: a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one alkaloid selected from the group consisting of tyramine, N-methyltyramine and hordenine.
  • the alkaloids are incorporated in a plant material of the genus Citrus.
  • the alkaloids are in the form of a concentrate or extract of a Citrus material, in either dry or liquid form.
  • the Citrus material is obtained from a Citrus species which contains at least one of the alkaloids in an amount in excess of 0.1 % of the dry mass of the material.
  • the at least one alkaloid selected from the group consisting of synephedrine and octopamine is present in an amount of about 10% to about 95% of the total alkaloid mixture.
  • the Citrus material is obtained from a species selected from the group consisting of Citrus reticulata, Citrus aurantium, Citrus medica, Citrus maxima, Citrus limon, Citrus aurantiifolia, Citrus paradisi, Citrus sinensis, and Poncirus trifoliate.
  • the plant material is in the form of an oriental herb selected from the group consisting of Zhi shi, Zhi Qiao, Chen pi, Qing pi, Fo Shou, or a concentrate or extract thereof.
  • the instant invention provides a nutraceutical composition
  • a nutraceutical composition comprising a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of ephedrine or ephedrine alkaloids.
  • the nutraceutical composition comprises an extract of a Citrus material and an extract of an Ephedra herb.
  • the nutraceutical composition comprises an extract of immature Citrus aurantium in combination with either an extract of Ephedra herb or an extract of Sida cordifolia.
  • the nutraceutical composition comprises powders, granules, tablets, pills, gums (including chewing gums), lozenges, candies, edible films, capsules, ampoule buvable, liquids, syrups, solid nutritional bars, transdermal patches, suppositories for rectal administration, and sterile solutions and dispersions for administration by parenteral routes such as the intravenous, intramuscular or intraperitoneal routes.
  • the instant invention also provides a food comprising a nutraceutical composition of the instant invention.
  • the instant invention provides a method of inducing or maintaining weight loss in a human, enhancing physical performance in a human, and increasing muscle mass in a human comprising administering to the human an effective amount of a nutraceutical composition of the instant invention.
  • FIG. 1 shows the chemical structures of the five alkaloids: synephrine, hordenine, octopamine, tyramine and N-methyltyramine.
  • thermogenesis is defined as an increase in metabolic rate resulting in increased availability of energy to the body, which may or may not be perceived as warmth by the individual undergoing thermogenesis.
  • the increased energy results from the increased rate of utilization of metabolizable substrates, mainly in muscle and liver. Therefore, thermogenesis is of practical application in a number of areas of human physiology and pathophysiology, such as weight loss where, if the exogenous dietary supply of metabolizable materials is not increased, the body will draw on stored reserves to meet demand, with resultant loss in weight.
  • a second area of human physiology affected by thermogenesis is that of physical performance, where if exogenous supply of metabolizable materials is increased, the increased energy production may be utilized to facilitate muscular function and overall performance.
  • the third area is that of building muscular tissues, where if the exogenous dietary supply of protein and non-protein nutrients is increased, the availability of amino acids for protein synthesis is improved and the increased metabolic level of muscular tissue results in augmented transport of these amino acids into muscle with resultant increase in muscle mass.
  • Substances other than food components, such as protein, are known to possess thermogenic activities.
  • Example are nicotine, alcohol, and the indirect-acting sympathicomimetic agents, such as ephedrine, which possess a significant amount of beta- receptor activity, and possess thermogenic activity.
  • these agents increase metabolic rate, a parallel increase in endogenous availability of metabolizable substrates is an indirect effect.
  • alkaloids which demonstrate indirect-acting sympathicomimetic activity, also possess additional activities that benefit in their application in weight loss, physical performance and muscle building.
  • These alkaloids in addition to indirect actions, are capable of directly and specifically stimulating beta-3 adrenergic receptors on adipocytes. Therefore, alkaloids with this unique property are capable of increasing the rate of breakdown of stored fat in the body, a process known as lipolysis, even in the absence of significant augmentation of metabolic rate.
  • the instant invention provides novel nutraceutical compositions which comprise mixtures of alkaloids, preferably in the form of a plant material of the genus Citrus.
  • the instant nutraceutical compositions comprise particular mixtures of alkaloids which provide unexpected benefits to human health.
  • "nutraceutical" compositions are those compositions which increase health, energy, and the overall well-being of humans.
  • the property of causing an accelerated breakdown of stored fat is of great medical value in weight loss and obesity.
  • the health benefits of this weight loss are related mainly to the decrease in body fat content, with simultaneous increase in lean body mass, and the consequent improvement in overall health and well-being.
  • the alkaloid mixture in the immature Bitter Orange which is known as the Chinese herb Zhi shi, contains the alkaloids synephrine, octopamine, tyramine, N-methyltyramine and hordenine, and the alkaloids in this mixture, synephrine and octopamine, in addition to being weak indirect- acting sympathicomimetics, and thus mildly thermogenic, are relatively potent and specific beta-3 agonists, and are thus effectively lipolytic.
  • tyramine, N- methyltyramine and hordenine are relatively potent indirect-acting adrenergic agents, capable of giving significant increases in metabolic rate, and are thus effectively thermogenic.
  • FIG. 1 shows the chemical structures of synephrine, hordenine, octopamine, tyramine and ' N-methyltyramine .
  • the invention provides a composition comprising a combination of a lipolytic agent such as synephrine or octopamine with a thermogenic agent such as tyramine, N-methyltyramine and hordenine.
  • a lipolytic agent such as synephrine or octopamine
  • a thermogenic agent such as tyramine, N-methyltyramine and hordenine.
  • the lipolytic component such as synephrine and octopamine
  • the lipolytic component is present in an amount of about 10% to about 95% of the total alkaloid mixture
  • tyramine, N- methyltyramine and hordenine substantially comprise the difference of the total alkaloid mixture.
  • the invention provides a composition comprising a combination of an effective amount of a lipolytic agent and a thermogenic agent.
  • the composition comprises a) an effective amount of at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one substance selected from the group consisting of tyramine, N-methyltyramine and hordenine.
  • the instant composition increases the availability of free fatty acids as metabolizable substrates and reduces the consumption of protein and amino acids as metabolizable substrates, thus eliminating or seriously reducing a decrease in body protein that may occur when following weight reduction programs.
  • increasing availability of free fatty acids and decreasing availability of amino acids for energy generation under the influence of thermogenic substances or diets creates conditions which are favorable for formation of new protein and therefore promote build-up of muscle mass.
  • Citrus materials used maybe of a single and unique origin, such as an extract of immature Citrus aurantium which contains both families of alkaloids, or a mixture, such as the mixture of immature Citrus aurantium with the leaves of Citrus reticulata (Tangerine and Mandarin Orange), whereby other alkaloids may be provided by a Citrus aurantium component and the alkaloids, such as N-methyltyramine, with thermogenic properties, are mainly derived from a Citrus reticulata component.
  • the invention provides combining one or more of the lipolytic alkaloids synephrine and octopamine with other thermogenic agents such as ephedrine, where the selection of the other thermogenic agent is without limitation and may include natural mixtures of ephedrine alkaloids in the form of the Ephedra herb (such as Ephedra sinensis, E. gerardiana, E. equisetina, E. intermedia and other Ephedra species) or plants from the Sida species, such as Sida cordifolia, either as native herbs or in the form of extracts or concentrates.
  • other thermogenic agent is without limitation and may include natural mixtures of ephedrine alkaloids in the form of the Ephedra herb (such as Ephedra sinensis, E. gerardiana, E. equisetina, E. intermedia and other Ephedra species) or plants from the Sida species, such as Sida cordifolia, either as native herbs or in the form of extracts or concentrate
  • the instant invention provides a composition
  • a composition comprising a) at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one thermogenic substance.
  • the thermogenic substance is ephedrine or ephedrine alkaloids.
  • such a combination may be effected by combining extracts of a Citrus material, such as the extract of immature Citrus aurantium, with extracts of Ephedra herb commonly known in North America as Ma-huang extract, or with extracts of Sida cordifolia.
  • a Citrus material such as the extract of immature Citrus aurantium
  • extracts of Ephedra herb commonly known in North America as Ma-huang extract or with extracts of Sida cordifolia.
  • the instant invention also provides, in a preferred embodiment, dietary supplements comprising nutraceutical compositions of the instant invention.
  • the instant dietary supplements may be any form of the instant nutraceutical compositions added to a diet to make up for a deficiency, or extend or strengthen whole dietary or energy value of the diet.
  • the instant nutraceutical compositions can be administered orally in the form of, for example, granules, powdery preparations, dust preparations, tablets, capsules, chewing gums, lozenges, edible films, syrup, emulsions, instillations, emulsions, elixir, suspensions and solutions.
  • the instant nutraceutical compositions may also be administered through the skin by means of ointments or creams, or by transdermal patches, such as those of the reservoir or matrix type, or they may be administered rectally or vaginally in the form of suppositories.
  • These preparations can be formulated in accordance with methods usually employed in the art and are therefore part of the instant invention.
  • the instant nutraceutical compositions can be in the form of an aqueous solution, aqueous suspension or oil suspension, which can be prepared by known procedures, for example, by using a suitable dispersant or wetting agent and suspending agent. These forms may also be prepared with a non-toxic diluent and may be sterilized if required by filtration through micropore filters.
  • a suitable dispersant or wetting agent and suspending agent examples include, but are not limited to water, Ringer's solution or an isotonic saline solution.
  • a sterile non-volatile oil can usually be employed as solvent or suspending agent.
  • any non-volatile oil and a fatty acid can be used for this purpose, which includes natural or synthetic or semi-synthetic fatty oil or fatty acid, and natural or synthetic or semi-synthetic mono- or di- or tri-glycerides.
  • additives including a preservative, an isotonizer, a solubilizer, a stabilizer may be employed.
  • the instant nutraceutical compositions may be adminstered by parenteral routes, for example, a sterile dispersion in oil may ideally be given by intramuscular injection to provide long lasting effects, while solutions in sterile isotonic saline are suited to administration by the intravenous route.
  • the instant nutraceutical compositions may be administered in solid formulation for oral administration, including, but not limited to powders, granules, tablets, pills, gums, chewing gums, edible films, lozenges, candies and capsules.
  • the instant alkaloid mixture can be optionally mixed with at least one additive, including, but not limited to sucrose, lactose, cellulose sugar, mannitol, maltitol, dextrin, starch, agar, alginates, chitins, chitosans, pectins, tragacanth gum, gum arabic, gelatins, collagens, casein, albumin, synthetic or semi-synthetic polymers or glycerides.
  • formulations may also optionally contain, further additives, for example, an inactive diluent, a lubricant or a preservative, an anti-oxidant such as ascorbic acid or tocopherol, an excipient, a disintegrator, a binder, a thickening agent, a buffer, a sweetener, a flavoring agent, a perfuming agent and a coating agent.
  • further additives for example, an inactive diluent, a lubricant or a preservative, an anti-oxidant such as ascorbic acid or tocopherol, an excipient, a disintegrator, a binder, a thickening agent, a buffer, a sweetener, a flavoring agent, a perfuming agent and a coating agent.
  • an inactive diluent for example, a lubricant or a preservative, an anti-oxidant such as ascorbic acid or tocopherol, an excipient,
  • liquid preparations for oral administration include pharmaceutically acceptable emulsions, syrups, elixirs, suspensions and solutions, which may contain an inactive diluent, for example, water.
  • a powder comprising the instant alkaloid mixture may be blended with other suitable ingredients and reconstituted with a diluent, such as water.
  • the instant nutraceutical compositions may also be administered transdermally as ointments or creams, or more conveniently as a transdermal patch, such that the alkaloids are absorbed through the skin at a controlled rate.
  • transdermal patch systems in general are composed of four key elements: a protective seal that forms the external surface and protects it from damage, a compartment that holds the alkaloids themselves, an adhesive backing that holds the entire patch on the surface of the skin, and a release liner that protects the adhesive layer during storage and is removed just prior to application.
  • these elements can exist as separate components, or one layer.
  • the generally used types of patches are firstly the "reservoir” type, in which a reservoir or pocket holds the alkaloids, encapsulated in a gel or liquid, this being covered by a protective seal, with on the opposite side a permeable film and an adhesive backing to attach the system to the skin and allow the medication to flow through at a controlled rate, and secondly the matrix-type which is slimmer and less visible than a reservoir patch.
  • the active alkaloids, the film that controls release of the medication, and the adhesive backing are integrated into one layer.
  • compositions may also be in the form of suppositories or suspensions for vaginal or rectal administration.
  • a suitable form would be a suppository that is prepared by suspending the alkaloids in melted cocoa butter or coconut oil, after which the molten suspension is allowed to solidify in molds of an appropriate shape.
  • the molds comprise the immediate packaging of the suppository, for example, the liquid suspension may be injected into tubes of aluminum foil of diameter up to 0.5", whereupon the tubes are crimped at 1 " intervals to seal them and cooled.
  • the nutraceutical compositions of the present invention may also be in the form of a food additive which is added to foods to enhance dietary or energy value.
  • the present invention therefore also includes foods comprising the nutraceutical compositions of the invention.
  • the instant foods are any material that comprises essential body nutrients, such as carbohydrates, fats, proteins, vitamins, or minerals, and is ingested to produce energy, stimulate growth, or maintain life.
  • the invention provides a composition that comprises a) an effective amount of at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one substance selected from the group consisting of tyramine, N-methyltyramine and hordenine, as well as other materials such as carbohydrates, fats, protein, vitamins, minerals, fatty acids etc.
  • compositions in any form, such as dietary supplement or food, may be used in combination with a diet and exercise regime to optimize health benefits.
  • the instant invention provides agents present in plants other than Ephedraceae which may also act as sympathicomimetic agents with suitable mechanisms of action in the body, and use of these plants can therefore result in benefits as outlined with regard to body weight regulation and physical performance. Surprisingly, select agents also demonstrate direct lipolytic activity.
  • the instant agents contained in the plants which are used in accordance with the invention include synephrine, hordenine, octopamine, tyramine and N-methyltyramine, and they may be found in various species of plants, both food plants and otherwise, as detailed by Wheaton and Stewart (1970), including, but not limited to, Amaryllidaceae, Leguminosae,
  • the levels of these agents generally only reach useful values, that is to say levels in excess of 0.1% of dry mass, in certain species of Rutaceae. Furthermore, these useful levels are only achieved during phases of growth where the plant would not normally be used for food, or in parts of the plant which are not considered part of the edible portion such as the leaves.
  • synephrine and related substances such as octopamine, hordenine, tyramine and N- methyltyramine
  • can be found in various Citrus species including in particular, but not restricted to, strains of Citrus reticulata (also known as tangerine or mandarin orange), Citrus aurantium (also known as C. florida, C.
  • Citrus species have been used, and continue to be used, for a variety of food purposes and for their health benefits, but have hitherto not been revealed as herbs or plants which have value in the treatment of weight problems or for improving physical performance and fitness when administered singly or in a specific combination which optimizes both thermogenic and lipolytic activity.
  • Herbs based on Citrus materials have long been used for a variety of medicinal applications unrelated to weight loss.
  • the literature discloses a number of Oriental herbs for medicinal applications, including the following: Zhi shi: The immature (dried) fruit of Citrus aurantium is used for the treatment of digestive disorders, to induce diuresis, and as a mucolytic agent to relieve chest congestion (Ou Ming, 1989). It may contain levels of the desired active agents of up to 0.9%.
  • Reid (1986) describes Zhi shi as the unripe fruit of the trifoliate orange, indicated for digestive disorders and as an expectorant, while Huang (1993) implies that this herb is derived from mature fruits of Citrus aurantium.
  • Zhi Qiao This herb is also the immature fruit of Citrus aurantium, and is used to treat indigestion and to correct mild ptosis of the uterus (Huang, 1993). Levels of active substances are similar to those in the herb Zhi shi, and the distinction between these two herbs appears to be based on degree of maturity (of the fruit) and the area in which traditionally used.
  • Chen pi The herb Chen pi is dried peel of Citrus reticulata. This may also be called Jiu Hong, and is used as a digestive aid, antiemetic, antitussive and antiflatulant (Huang, op. cit). The herb also has anti-infective properties (Ou Ming, op. cit).
  • Qing pi This herb is immature Citrus reticulata, or in some cases the peel thereof. It is used to treat digestive disturbances and to alleviate pain, as an expectorant, and to relax smooth muscle (Ou Ming, op. cit.).
  • Fo Shou Also known as Fructus Citri Sarcodactyli, the fruit of Citrus medica var. sarcodactylus, it is used for treatment of digestive disorders, for dysmenorrhea, chest congestion and as an expectorant (Ou Ming, op. cit.).
  • Citrus aurantium and Citrus reticulata are known by different Chinese names in part according to their uses.
  • the whole fruit, peel, unripe fruit, unripe peel and seeds of C. reticulata are referred to as “Chen pi" ("dried ripe peel") to treat indigestion, flatulence, vomiting and wet coughs, but as “Qing pi” ("unripe peel”) when used to treat liver and gall bladder disorders, bronchial congestion, mastitis, breast cancer, and pain in liver, chest or breasts, while the form "Ju he” (Jiu hong; normally the seeds) is used to treat lumbago, orchitis and mastitis.
  • Wichtl (1994) describes use of the mature or immature fruit of Citrus Union for the treatment of digestive problems and phlebitis, and notes that the flowers of Citrus aurantium and occasionally Citrus sinensis are also used for their sedative effects. Wichtl also reports that dried peel of Citrus aurantium, or the dried whole immature fruit, is used in gastrointestinal remedies, tonics, roborants and cholagogues.
  • Grieve (1992) describes use of lemon juice for the treatment of rheumatism, and of the oils from various oranges for alleviation of chronic bronchitis. Font Quer (1982) refers to the antispasmodic and hypnotic properties of Citrus aurantium flowers, and to the use of the dried peel as a gastric tonic and antiflatulant.
  • Citrus material of various types and its use for the alleviation of gastric disorders are described, and these uses are therefore surprising, novel and not anticipated.
  • the active agents synephrine, hordenine, octopamine, tyramine and N- methyltyramine are known to be adrenergic agents, and synephrine is still used under the synonym oxedrine in some countries for the treatment of hypotension (Reynolds, 1982).
  • tyramine as a diagnostic agent in suspected cases of phaeochromocytoma
  • their use has been abandoned in favor of newer, synthetic adrenergic agents, and no indication of their value in weight loss or physical performance can be found in the literature.
  • Their valuable properties, either taken alone or in combination, in these respects are therefore unanticipated, surprising and novel.
  • the Citrus material used in accordance with the invention may consist of any portion of the plant which contains useful amounts of the agents as defined above, which may vary depending on the species, stage of growth, season, and agronomic conditions.
  • leaves of Citrus reticulata are preferred to other parts of this plant, and may show levels of synephrine and related alkaloids of 1.1% or more, based on dry matter, while the peel of the immature fruit shows levels of only 0.2%-0.4%.
  • the preferred form is the whole immature fruit of the amara variety, though the peel of the mature fruit can also be used.
  • total levels of 0.2%-0.9% of synephrine and the related agents are regularly found. Both the peel and the whole fruit (immature or mature) of the dolce variety also have utility, though levels generally do not exceed 0.4%.
  • Citrus materials which already exist in appropriate form and which are generally available as traditional herbs and remedies.
  • the agents are present in the residues remaining after steam distillation of Citrus aurantium fruits to obtain the essential oils.
  • various Chinese herbs, or materials from other geographic locations prepared in the same way are particularly useful, as are Citrus reticulata leaves.
  • the Chinese herbs which are most convenient for use are:
  • Zhi shi which is the immature (dried) fruit of Citrus aurantium, but may also consist of the peel of the mature fruit, or the peel of either. This herb contains 0.2%-0.9% total alkaloids with synephrine predominating.
  • Zhi Qiao which is also the immature fruit of Citrus aurantium has levels of active substances similar to those in the herb Zhi shi.
  • Chen pi the dried peel of Citrus reticulate, may also be called Jiu Hong.
  • This herb contains 0.1%-0.4% total alkaloids.
  • Qing pi is the dried immature Citrus reticulata, or in some cases the peel thereof. This herb contains 0.1%-0.4% total alkaloids.
  • Fo Shou also known as Fructus Citri Sarcodactyli, is the fruit of Citrus medica var. sarcodactylus. This herb contains 0.1%-0.3% total alkaloids.
  • peel of the mature or immature fruit of Citrus limon may conveniently be obtained, since it is also an item of commerce, while tangerine leaves are also readily obtained at certain seasons.
  • material from Citrus species is given to humans by the oral route, either concurrently with caloric restriction or in the absence of caloric restriction, for the purpose of controlling body weight.
  • the invention works predominantly by increasing thermogenesis, that is, by increasing the metabolic rate and directly facilitating lipolysis.
  • the invention also exhibits a hunger-suppressing effect which may become more obvious in higher doses as well as in individuals in which the active agents pass the blood-brain barrier more readily.
  • most users will benefit mainly from the thermogenic effect and additionally may also experience mild suppression of hunger such that both mechanisms operate simultaneously, thereby providing an added benefit.
  • the said material can be given to humans, either with or without a high protein diet (>1.25 gm protein/kg ideal body weight/day), for the purpose of increasing physical performance in the short-term and to increase muscle mass and functionality in the long term.
  • doses are in the range of about 1 mg - 80 mg alkaloids per serving. More preferably, the doses are in the range of about 10 mg - 60 mg.
  • the servings may be about 2- 10 hours apart. More preferably, the servings are about 4 - 6 hours apart.
  • any particular dose to be administered is dependent on age, body weight, general health conditions, sex, diet, dose interval, excretion rate, combination of drugs and condition of the person.
  • the Citrus material so used is selected for its content of active agents as defined above such that the total amount of Citrus material ingested provides a sufficient amount of the active agents to achieve the desired effects.
  • a sufficient amount would be defined as at least 0.04 mg of active agents per kilogram ideal body weight per dose at any one time. In practical terms this corresponds to 2.8 mg for a person of 70 kg ideal body weight.
  • active agents in the range of 0.01 mg to 0.10 mg per kilogram of ideal body weight per serving will be effective in accomplishing the desired goal of weight loss, though more preferred is a range of 0.02 mg to 0.06 mg per kilogram of ideal body weight, and most preferred is 0.05 mg per kilogram of ideal body weight. Though ingestion of larger amounts of the agents will not diminish the beneficial effects, the effects may not necessarily be increased while the possibility of side-effects due to activation of other adrenergic systems would be increased.
  • adrenergic receptors in the cardiovascular and central nervous system could be activated thereby resulting in increases in blood pressure as well as tachycardia, nervousness, agitation, tremors, and insomnia.
  • Daily intake of the active agents for effective body weight loss according to the invention is in the range of 0.16 mg to 2.25 mg per kilogram of ideal body weight.
  • an adult male whose desired body weight is 176 pounds would lose weight according to this invention with three daily servings of 4 - 60 mg, with total daily intake in the amount of 12.8
  • the active agents are deemed to be any one or more of synephrine, hordenine, octopamine, tyramine and N-methyltyramine, whereby the sufficient amount may be any one singly, or a combination of the agents that together provide a sufficient amount. Because levels of the said agents are often relatively low and variable, and also because in their natural state the agents are associated with parts of the plant that are unpalatable, it may be difficult to achieve an intake of Citrus material in a volume sufficient to provide a suitable amount of the agents as defined above.
  • the Citrus material may be consumed as a concentrate or as an extract in either dry or liquid form.
  • a concentrate or extract By producing a concentrate or extract, the levels of the agents in the material are increased to an effective level.
  • the Citrus material may be enriched in the agents, for example, by extraction of the Citrus material with water, dilute acids or certain organic solvents, including mixtures thereof with water, after which most of the other water-soluble material present can be precipitated out by addition of alcohol (which, for example, would precipitate out most of the sugars), followed by drying on a carrier of unconcentrated Citrus material, or by drying on a carrier of another suitable material.
  • Such a suitable material may include, but is not limited to, maltodextrins, starch, protein or other carrier material, the nature of which will be obvious to those skilled in the art of manufacturing extracts of botanical materials.
  • maltodextrins starch, protein or other carrier material
  • use of lactose or dextrose as a carrier for the drying stage will give a dry extract that may be redissolved in water to give a clear solution, of utility in the preparation of beverages containing the said alkaloids.
  • the Citrus material may also be extracted and concentrated without drying to give a liquid extract that can also be consumed.
  • the initial extract may be adsorbed on a column which retains the alkaloids, which may subsequently be eluted with appropriate reagents in practically pure form.
  • the agents are preferably administered as a powder or liquid concentrate.
  • the Citrus material is preferably dried so that it may be given in the form of tablets, capsules, powders or other convenient form, or it may be admixed with foods or special food products, or it may be given in the form of a tea or tisane.
  • the Citrus material may be consumed as drops, or from an appropriate liquid measure (teaspoon), or it may be admixed with other liquids or incorporated into solid food products.
  • Preparation as an extract or concentrate permits production of standardized amounts of the active agents so as to produce a less variable response in terms of desired weight loss and/or the desired increase in muscle mass.
  • the Citrus material may be given fresh, but is preferably dried so that it may be given in the ' form of tablets, capsules, powders or other convenient form, or it may be admixed with foods or special food products, or it may be given in the form of a tea or tisane.
  • the dried leaves of Citrus reticulata var. Blanco may be filled into tea bags to give a refreshing vitalizing drink that enervates and suppresses hunger for long periods, while dried immature fruits of Citrus aurantium var. amara are best milled to a fine powder and either tabletted or filled into capsules for repeated oral administration to achieve similar effects over a period of weeks or months.
  • the Citrus materials may also be admixed with other ingredients to form the basis of a dietary product, which may either be a nutritional drink or a nutritional bar.
  • a nutritional bar can provide 15 grams of protein, 26 grams of carbohydrate and 5 grams of fat in addition to a quantity of the Citrus material.
  • Such products may thus be used as meal replacements by those seeking to lose weight, or by those requiring nutritional support during sporting activities, whereby the benefits of the Citrus material are supported by the nutritional content of the food product.
  • the Citrus material may also be given in combination with other herbs that possess beneficial effects for humans, and particularly in respect to weight loss or improvements in physical performance.
  • suitable herbs and foods include those herbs and foods that contain methylxanthines such as caffeine, theobromine and theophylline, which by virtue of their inhibition of the enzyme phosphodiesterase may potentiate the thermogenic actions of the Citrus materials and increase the actions at the level of the beta-3 -receptors.
  • the actions of methylxanthines on alpha-receptors may serve to reduce or eliminate any unwanted cardiovascular effects, such as peripheral vasoconstriction and increase in blood pressure, that would be undesirable within the context of weight loss or improved physical performance.
  • Suitable herbs and foods include, but are not limited to, Paullinia cupana (Guarana), Ilex paraguariensis (Mate), Cola nitida, Cola acuminata, Camellia sinensis (Tea), Coffea arabica (Coffee) and Theobroma cacao (Cocoa), whereby the herb or food may be used as the natural material or an extract thereof In such cases, the herb so chosen is admixed with the Citrus material in a suitable form to provide a solid or liquid dosage unit. Additional advantages, features and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details, and representative embodiments, shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined bye the appended claims and their equivalents.
  • Tea-bags containing each 2.5 grams dried tangerine leaves (Citrus reticulata var. Blanco) were prepared.
  • the tangerine leaves had a synephrine content of 1.1% and approximately 0.5% of the related alkaloids, which did not resolve completely on HPLC analysis, thus providing a total amount of 40 mg of alkaloids per serving.
  • the tea bags were infused for 5 minutes in hot water at 85° C, and the resulting tisane was given to 5 volunteers (GL, RE, NS, CS, PS). All volunteers reported increased energy, which in one case was perceptible as agitation and nervousness, persisting for 8-10 hours. During this period, subjects did not feel hungry and refrained from eating snacks or meals.
  • a Zhi shi powder (Citrus aurantium, var. amara, whole immature fruit dried) was obtained from a Chinese source. This powder contained 0.49% synephrine and approximately 0.5% of the related alkaloids. It was mixed with 2% magnesium stearate and 1% silicon dioxide to confer flowability and filled into white size 0 snap-fit capsules. Capsule fill weight was 490 mg, plus or minus 5%. Subjects DJ and HAF then took 3 capsules 3 times daily for four weeks, corresponding to an intake of 14 mg total alkaloids per serving, or 42 mg per day, without deliberate restriction of food intake.
  • Subject DJ initial weight 105.4 kg, showed a fall in body weight to 100.9 kg, while the body weight decrease in subject HAF was from 74.5 kg to 72.0 kg.
  • subjects Upon ceasing use of capsules, subjects showed slow increases in body weight at a rate of approximately 0.4 kg per week.
  • Example 2 A portion of the Zhi shi powder used in Example 2 was concentrated by extraction with water and redrying on a portion of the original material to give a dry extract with a total alkaloid content of 3.77%, of which approximately 1.9% was synephrine itself.
  • This material was filled into capsules as in Example 2 to provide a product with 18 mg alkaloids of the synephrine group per capsule.
  • Subjects DJ and HAF then took 1 capsule of this product 3 times daily for four weeks, providing a daily intake of 54 mg synephrine and related alkaloids. During this time, subject DJ, without deliberate restriction of food intake, showed a decrease in weight from 93.2 kg to 90.4 kg, but subject HAF had to cease use after the first day because of unpleasant sensations of agitation and nervousness.
  • Two batches of nutrition bars were prepared using the Thermobar concept, that is, chocolate-flavored taffy bars weighing 57 grams providing 15 grams protein, 26 grams carbohydrate, 5 grams fat and 200 kilocalories.
  • One batch of the bars additionally contained
  • a group of 9 women, of whom 6 were mildly obese, 1 moderately obese and 2 slightly overweight, with Body Mass Indices ranging from 23.1 to 33.4 were placed on a diet providing 900-1000 kilocalories per day, more than 100 g protein per day and less than 100 g carbohydrate per day. From day 8 of this dietary regime, they were additionally given a product in capsules identified as "Herbal Balance Z-4", providing each 325 mg of a dried Citrus aurantium (immature whole fruit) extract, 125 mg of a dried Paullinia cupana extract, 5 mg of Ginkgo biloba extract and 5 mg Panax ginseng extract.
  • the Citrus aurantium extract contained 4.14% total alkaloids by HPLC, with approximately 2.8% as synephrine itself. The daily use recorded thus corresponds to a total alkaloid intake of 27.0 to 67.5 mg.
  • thermogenic activity of utility in weight loss, muscle building and athletic performance:
  • Ginkgo (Ginkgo biloba) extract 24% flavone glycosides and 6% terpene lactones.
  • Materials are milled to a particle size of 80 mesh before further processing.
  • the herbal extracts are passed through a fine mesh screen and dispensed into a blender (a large V-blender, a double-cone blender, or a ribbon blender, depending on manufacturing site). Excipients are likewise added to the blender through a fine mesh screen. Materials are then blended for a minimum of 20 minutes, after which the mix is checked for homogeneity and, if satisfactory, discharged into tared polylined drums. Weights are checked and reconciled, labelling is checked and the drums are moved to the encapsulation staging area or directly to the encapsulation station.
  • a blender a large V-blender, a double-cone blender, or a ribbon blender, depending on manufacturing site.
  • Excipients are likewise added to the blender through a fine mesh screen. Materials are then blended for a minimum of 20 minutes, after which the mix is checked for homogeneity and, if satisfactory, discharged into tared polylined drums. Weights are checked and reconciled, labelling is checked
  • the powder mix is then placed in the hopper of an encapsulator, for example an Elanco CT-40 or 85, and filled into white opaque size 0 Conisnap capsules.
  • an encapsulator for example an Elanco CT-40 or 85
  • capsules are screened for rejects and damaged capsules. They are then cleaned and polished with granular salt in a coating pan (approximately 45 lbs of salt to
  • Citrus alkaloid content • 30.00 ⁇ 3.00 mg
  • thermogenic product of utility in weight loss, muscle building and athletic performance containing an extract of Citrus aurantium with extracts of Guarana, Ginseng and Ginkgo is made following the procedure described in Example 6, using the following extracts:
  • Ginseng Panax ginseng extract
  • 80% ginsenosides 80% ginsenosides
  • Ginkgo (Ginkgo biloba) extract 24% flavone glycosides and 6% terpene lactones.
  • thermogenic starch and fat blocking product with utility in weight loss was prepared according to the following formulation, using an extract of Bitter Orange (Citrus aurantium) concentrated to 30% alkaloids:
  • the bean protein concentrate, Bitter Orange extract, Green Tea extract and starch were granulated in water. Chitosan, D- ⁇ -tocopherol, ascorbyl palmitate and the cellulose were blended separately. The blend and the granulate were mixed, after which stearic acid, magnesium stearate and silicon dioxide were added in and blended until homogenous. Tablets of 1000 mg were compressed to medium hardness, with a disintegration time of under 30 minutes. After compression, tablets were film-coated with a solution of hydroxypropylmethylcellulose USP in methanol, methylene chloride and propylene glycol, weight of coating approximately 6 mg/tablet.
  • Each tablet provided 30 mg of alkaloids as well as effective amounts of alpha- amylase inhibitor (from the bean protein concentrate).
  • a nutritional meal replacement bar with enhanced thermogenic properties through the presence of an extract of Bitter Orange (Citrus aurantium) with 6% alkaloids was prepared according to the description below.
  • a liquid blend was prepared containing honey, high fructose corn syrup, sorbitol syrup and liquid flavours (chocolate; in propylene glycol and water). This was maintained at 25°C-28°C.
  • the dry blend for the bar was prepared using the ingredients and quantities indicated below:
  • the dry ingredients were thoroughly mixed in a dough mixer for 2 minutes, after which the liquid mix was blended in, followed by 1.681 kg of liquid lecithin and 1.945 kg of almond butter, and the whole mixed for a further 5 minutes. At that time, 1.139 kg of a fat preparation (a water-in-oil emulsion containing soya bean, canola and palm kernel oils with lecithin) was added, and the entire mixture further blended for 1 minute. The resultant plastic mass was then formed into a slab on a 24" slab former. The slab was cooled, slit into ribbons, and the ribbons guillotined to give bar cores of about 39 grams.
  • a fat preparation a water-in-oil emulsion containing soya bean, canola and palm kernel oils with lecithin
  • thermogenic powder containing an extract of Bitter Orange (Citrus aurantium, 6% alkaloids), for reconstitution as a proteinaceous drink with utility in weight loss, body building and athletic performance, was prepared by blending the following ingredients in a ribbon blender:
  • the powder was filled into pouches at 35 g fill weight and heat sealed. Reconstitution of one pouch with 200 ml water gave a pleasant and highly thermogenic drink with the following nutritional profile:
  • thermogenic powder of Example 4 was prepared, using sucralose as sweetener, and 17.5 kg of the materials was then reconstituted with 100 litres of water, 200 g of xanthan gum and 500 g of lecithin in a kettle with a high speed stirrer. After stirring for 20 minutes, the batch of liquid was filled into cans of 200 ml volume, which were sealed and retorted at 135°C for 3 minutes.
  • the resultant shelf stable, ready to use drink provided a highly thermogenic protein drink of portable nature with utility in body building, weight loss and athletic performance, and the same nutritional profile as shown in Example 4.
  • a liquid was prepared according to the method of Example 5 and was filled into 200 ml Tetrapak containers after pasteurization at 52°C for 30 seconds.
  • the resultant shelf stable, ready to use drink provided a highly thermogenic protein drink of portable nature with utility in body building, weight loss and athletic performance, and the same nutritional profile as shown in Example 4.
  • thermogenic concentrate powder containing an extract of Bitter Orange (Citrus aurantium, 30% alkaloids) was prepared by blending the following ingredients in a ribbon blender:
  • the resultant powder was agglomerated and granulated in a Glatt granulator, and was then dissolved in water to which flavour, potassium sorbate and sodium benzoate was added in a kettle with a high speed stirrer according to the following recipe:
  • the resultant liquid was filled into 16 oz bottles (455 ml) to give a refreshing thermogenic energy drink of utility in weight loss and athletic performance.
  • Each 16 oz contained 60 mg of alkaloids from the Bitter Orange extract.
  • Orange juice concentrate 50 kg, was reconstituted with 150 litres of water and stirred in a kettle with 80 g of Bitter Orange (Citrus aurantium) extract with 30% alkaloids.
  • the orange juice thus obtained was pasteurized and filled into 1 -litre Tetrapak containers.
  • One glass of the resultant packaged juice provided 30 mg of alkaloids and was of utility as a refreshing thermogenic drink for use as an energy drink.
  • Example 8 The procedure of Example 8 was repeated using 200 litres of freshly crushed orange juice in place of reconstituted concentrate.

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Abstract

Compositions and methods that both increase metabolic rate, and directly increase endogenous availability of metabolizable substrates are described herein. The instant compositions comprise naturally occurring alkaloids which demonstrate indirect-acting sympathicomimetic activity and directly stimulate beta-3 adrenergic receptors on adipocytes. The instant compositions are derived from Citrus plants and can be administered orally to humans for the purpose of producing or maintaining weight loss as well as for enhancing physical performance and increasing muscle mass.

Description

NUTRACEUTICAL COMPOSITIONS COMPRISING CITRUS ALKALOIDS AND METHOD
This application claims priority to U.S. Provisional Application Serial Number 60/380,283 filed May 15, 2002, the entirety of which is hereby incorporated by reference.
BACKGROUND OF THE INVENTION
Field of the Invention The present invention relates to compositions comprising materials derived from
Citrus plants for inducing weight loss, improving physical performance and increasing muscle mass.
General Background of the Art
It has long been known that natural and synthetic substances may facilitate weight loss in those who are overweight or obese. Such substances that have found utility in this respect may act by a variety of mechanisms. For example, some such substances act by mimicking the effects of endogenous neurotransmitters, and are capable of directly replacing these neurotransmitters in their actions on receptors. This, in turn, leads to increased activity of the cells which possess the receptors. Where the receptors concerned are normally responsive to the endogenous hormones adrenaline (epinephrine) and noradrenaline (norepinephrine), which mediate the activities of the sympathetic nervous system, such substances are termed direct-acting sympathicomimetic agents. Typical examples are the amphetamines. Other substances that produce similar effects on the sympathetic nervous system do so by stimulating the release of the endogenous hormones adrenaline and noradrenaline, and are thus termed indirect-acting sympathicomimetic agents. Ephedrine is a typical example of an indirect-acting sympathicomimetic agent. The term adrenergic may also be used, and is synonymous with the term sympathicomimetic. Such substances may also be referred to as agonists, where the name agonist is qualified by a descriptor of the receptor stimulated, for example, a beta-agonist.
While the formal distinction between direct-acting and indirect-acting sympathicomimetic action is clear, it is realized that many substances which act by causing sympathetic stimulation do so by both mechanisms, depending on intake levels and the receptors involved. Thus amphetamines act mainly directly, but also have some indirect actions, while ephedrine acts indirectly, but if given in higher dosage, may also stimulate receptors directly, particularly in the brain. It has been demonstrated that the main perceived actions of sympathicomimetic agents depend both on their differing specificities for the various receptors and on the pharmacokinetic behaviors of the agents in the body.
Thus the amphetamines, which are direct agents and readily cross the blood-brain barrier, mainly cause central nervous system stimulation, while ephedrine, and particularly pseudoephedrine, are indirect agents which do not cross the blood-brain barrier so readily, and thus are mainly seen to exert peripheral effects.
Another class of substances of value in assisting weight loss modulates other neurotransmitters, namely those involved in serotoninergic systems, and particularly 5- hydroxytryptarnine (5-HT; otherwise known as serotonin) itself. These substances, of which fenfluramine and its optical isomer, dexfenfluramine, are typical, act by preventing the re- uptake of serotonin into storage granules in neurones. Levels of 5-HT in the synaptic gap thus remain elevated for longer periods, exciting receptors on responsive cells to greater activity.
Other aids to weight loss have been proposed, such as substances which prevent the absorption of nutrients from the digestive system, but the value of such approaches is minimal, and in general, the accepted substances of value in weight loss act by modulating neurotransmitter function in the central nervous system or peripherally.
Substances which modulate neurotransmitter function in the central nervous system are known to act by increasing the availability of catecholamines, in particular noradrenaline, in certain areas of the brain, thus resulting in perceived suppression of hunger. By suppressing hunger, less food is eaten, and caloric intake is lowered. Examples of such substances include phenylpropanolamine, phentermine and the amphetamines.
Substances which act by increasing the availability of 5-hydroxyt_yptamine (serotonin), on the other hand, are known to increase perceptions of satiety. An example of such a substance is dexfenfluramine.
Irrespective of mechanism, substances of either of these types result in reduced food intake. But their use can be attended by various unwanted effects characteristic of interference with other hormone-regulated systems in the body. It has furthermore been noted that the effects of these types of substances are transient, requiring progressively greater dosage to elicit desired effects, until the body finally becomes unresponsive. This progressive decrease in sensitivity is termed tachyphylaxis.
More recently, attention has been focused on ephedrine, which was originally thought to suppress the hunger center in the brain. However, during the last 30 years, research has shown that ephedrine acts mainly by stimulating thermogenesis. That is, it increases the metabolic rate and stimulates lipolysis (fat breakdown).
The effect of ephedrine on the peripheral metabolic rate is derived from actions on energy-generating tissues combined with stimulation of the release of fat from stored fat depots (adipose tissue). This not only increases the generation of energy but also increases the availability of substrates to be utilized for this energy generation. A valuable consequence of these two actions is the sparing of body protein, which in certain cases, depending on the composition of the diet, may even result in a gain of body protein (anabolic effect).
The effects of ephedrine can often be intensified by concomitant use of methylxanthines such as caffeine.
Empirical studies have shown that ephedrine, whether as the pure substance or in the an form of Ephedra herb:
Improves rates of weight loss in patients on low calorie diets, spares lean body mass (Pasquali et al., 1992; Kaats and Adelman, 1994), increases the proportion of fat in the weight lost (Astrup et al., 1992b) and prevents the decline in Resting Metabolic Rate usually seen with reduced caloric intake (Astrup et al., 1992b; Astrup and Toubro, 1993).
Gives results, through increased thermogenesis and stimulation of lipolysis (fat breakdown) at dosage levels below those required to elicit stimulant or hunger suppressant effects (Astrup and Toubro, 1993).
Shows synergism in the effects on weight loss when combined with caffeine (Daly et al., 1993; Astrup and Toubro, 1993).
Is not associated with significant adverse effects. Thermogenic effects became more pronounced as treatment continues (Astrup et al., 1985, 1986) while initial adrenergic effects (which are not pronounced) exhibit tachyphylaxis and rapidly disappear (Astrup et al., 1992a).
It has even been suggested that ephedrine may be an example of a trace substance that belongs in the human diet, and that it provides an opportunity to attack obesity at a level that is close to causative (Landsberg and Young, 1993).
Based on the clinical observations, ephedrine may therefore be considered an ideal pharmacological aid in the treatment of obesity.
Though it has some central stimulant effect, and thus mediates suppression of hunger, ephedrine's main mode of action appears to be peripheral and, in part, causative since it offsets the decline in metabolic rate that normally occurs on caloric restriction. The decline in metabolic rate that accompanies caloric restriction, therefore, is well known to those schooled in the art to defeat the initial weight loss benefits associated with caloric restriction. The body, in effect, recognizes the "starvation" period, becomes more efficient in utilizing caloric resources, and simply waits until normal caloric intake is resumed. This explains the "plateau" effect seen in caloric restriction diets. When normal caloric intake is resumed, the body's increased efficiency actually restores the fat lost in the caloric restriction period. This is a commonly known as the "yo-yo dieting" effect.
The thermogenic action which results from ephedrine's effects on metabolic rate and lipolysis persists throughout its use period, and may intensify as use continues.
Ephedrine's classical adrenergic actions, which are undesirable in a weight loss context, cease rapidly due to tachyphylaxis.
The classical uses of ephedrine and pseudoephedrine for a variety of conditions are well illustrated by reference to standard works on Pharmacology and Therapeutics. For example, Govoni and Hayes (1985) describe use of ephedrine as a decongestant in allergic rhinitis, sinusitis and chronic asthma (often combined for such indications with theophylline, a methylxanthine closely related to caffeine in structure and effect), in the treatment of narcolepsy, to combat hypotensive states (especially those associated with spinal anesthesia), in the management of enuresis, as adjunctive therapy for myasthenia gravis, as a mydriatic, as temporary support of ventricular rate in Adams-Stokes syndrome, to relieve dysmenorhoea, and for management of peripheral edema secondary to diabetic neuropathy. Streeten (1975) adds idiopathic edema to the list of conditions where ephedrine (150-200 mg per day) has beneficial activity, and other uses verified have included ketotic hypoglycaemia (Court et al., 1974), urological syndromes caused by prostaglandin El (Lowe and Jarow, 1993) and insulin- induced edema (Hopkins et al., 1993). Matthews (1983) discusses the action of ephedrine on the internal sphincter of the bladder and urethra in relation to its use in treating urinary incontinence. Govoni and Hayes (1985) note that maximum parenteral dosage should not exceed 150 mg/day by sub-cutaneous (s.c), intramuscular (i.m.) or intravenous (i.v.) routes and comment that unwanted effects (all of which are consequent on the pharmacology involved) usually only occur with large doses. The same textbook teaches that pseudoephedrine essentially shares these properties, but is mainly used for relief of rhinitis in doses up to 240 mg/day for adults; Southon and Buckingham (1989) concur that pseudoephedrine and ephedrine have similar pharmacological profiles, but that pseudoephedrine is less potent.
Naturally occurring ephedrine is the lR,2S(-)-erythro form, which is, the most active pharmacologically. Pseudoephedrine is the threo form.
Acting indirectly, the main action of ephedrine is to elicit release of noradrenaline (norepinephrine) from presynaptic sites. This in turn activates both alpha- and beta- adrenoceptors. The perceived effects on different organs and tissues depend on the relative proportions of the two types of receptors, which mediate different responses. At a basal level, classical pharmacology teaches that alpha-activation results in contraction of smooth muscle (except for intestinal smooth muscle) while beta-activation causes relaxation of smooth muscle and stimulation of the myocardium. But this picture is complicated by the fact that both alpha- and beta-receptors can be subdivided into fuirther types with differing distributions and sensitivities.
At a cellular level, activation of beta-receptors results in stimulation of adenylate cyclase. This leads to increases in intracellular levels of cyclic adenosine monophosphate (cAMP). The precise sequence of events (Munson, 1995) is believed to be:
The beta-agonist binds to the beta-receptor.
The receptor-agonist complex has high affinity for a stimulatory guanine nucleotide regulatory protein termed the Gs protein, and binds to this protein. Formation of the receptor-agonist-Gs complex facilitates the exchange of a guanine diphosphate (GDP) for guanine triphosphate (GTP) on the Gs protein.
The Gs-GTP complex dissociates from the receptor-agonist complex and then interacts with the catalytic subunit of adenylate cyclase, promoting the conversion of adenosine triphosphate to cAMP.
The cAMP activates a cAMP-dependent protein kinase, which can then phosphorylate a variety of intracellular proteins, ultimately leading to a pharmacological response.
Feedback inhibition control is achieved by phosphorylation of receptor proteins, which results in their desensitization.
Activation of most alpha-2 receptors has an opposite effect, the first step being inhibition of adenylate cyclase through a guanine nucleotide regulatory protein termed Gi. The Gi protein, by inhibiting the catalytic activity of the adenylate cyclase, leads to a reduction in cellular levels of cAMP, which decreases the activation of the cAMP-dependent protein kinases. However, in some alpha-2 receptors, the Gi protein may act through other mechanisms which have not yet been elucidated, but possibly lead to activation of membrane calcium channels.
The alpha- 1 receptors have a different mechanism. It does not appear to involve cAMP, but apparently relies instead on diacyl glycerols and inositol-l,4,5-triphosphate.
It is readily understood that the beta-receptors can also be further subdivided based upon their mechanism of action. The known subdivision of beta-receptors into beta-1 , beta-2, and beta-3 types is of particular interest for this invention since the beta-3 -receptor is strongly believed to be responsible for the lipolytic and thermogenic effects of ephedrine while interactions with the other two types of beta-receptors are known to control cardiac effects of ephedrine.
Effects on blood pressure, however, are in part due to the stimulation of alphas- receptors, where such stimulation produces peripheral vasoconstriction.
Central nervous system effects of ephedrine appear to depend on activation both alpha- and beta-receptors (with the exception of beta-3-receptors). The multi-receptor response to ephedrine is also important in explaining observed synergistic effects of caffeine on certain actions of ephedrine.
The overall response to ephedrine, reflected in perceived effects, is governed by the distribution of receptors in terms of types and populations. As an example, the activation of beta-receptors causes vasodilation of vessels in the heart and skeletal muscle while simultaneous alpha-2 -activation results in vasoconstriction in other vascular beds. This is effectively the classical "fight or flight" response, which together with other metabolic results of adrenoceptor activation is intended to put the body into an optimal state for physical exertion.
The metabolic results of adrenoceptor activation also include effects on lipolysis and thermogenesis. In the case of lipolysis, activation of alpha-2-receptors inhibits the process, while activation of beta-receptors (believed to be the beta-3 -subtype) stimulates lipolysis and at same time, possibly in part due to increased availability of substrate, induces a thermogenic response. The overall response of the adipose tissue thus depends on the relative proportions of alpha-2 and beta-3 receptors. A high ratio of alpha-2 to beta-3 receptors would produce a comparatively lower thermogenic response than a low ratio. Indeed, the predicted diminishment of thermogenic response associated with increasing proportion of alpha-2 compared to beta-3 receptors may explain why some studies of thermogenic responses to ephedrine have found two populations: responders and relative non-responders.
Attention has been paid to the unexpected finding that thermogenic properties of ephedrine do not exhibit tachyphylaxis. Landsberg and Young (1993) adopt the position that since the activity of the sympathetic nervous system may be reduced in obesity, improvement of sympathetic nervous system activity to normal levels is physiological rather than pharmacological, and that the use of ephedrine in obese persons does nothing more than restore normal catecholamine function. In this respect, therefore, ephedrine differs in no way from the effects of high protein diets or consumption of foods containing natural thermogenic substances. Landsberg and Young also suggest that ephedrine may be particularly useful in combating the weight gain that usually follows cessation of smoking since smoking cessation is also associated with impaired catecholamine function.
Dulloo (1993) concurs with Lansdberg and Young's point of view. He notes that at levels compatible with therapeutic doses, ephedrine has little or no direct agonist activity but mediates its effects via endogenous release of noradrenaline and adrenaline. Essentially, therefore, ephedrine does nothing more than increase the efficiency of the system already in place in the body. He notes that this has potential positive implications for ephedrine's use in the treatment of obesity, and also explains some of the obscure clinical observations reported:
A) The fact that tolerance rapidly develops to the very mild cardiovascular effects of ephedrine, but not to its thermogenic effects, suggests that adrenaline and noradrenaline released by ephedrine activate the beta-3 -adrenoceptors.
B) The adrenaline released is a preferential agonist for the beta-2-adrenoceptors which stimulate protein synthesis and thus can counteract loss of lean body mass during use of low calorie diets.
In this respect, Pasquali et al. (1992) have shown that ephedrine enhances fat loss in diet-restricted obese patients and reduces loss of nitrogen.
Chronic stimulation of postsynaptic alpha-adrenoceptors by the adrenaline and noradrenaline released in response to ephedrine therapy may activate thyroxine deiodinases, leading to peripheral conversion of T4 (thyroxine) to T3 (triiodothyronine), which may, in turn, increase adrenoceptor sensitivity to the thermogenic effects of the catecholamines since
T3 is much more active than T4.
This mechanism may also partially explain why the thermogenic effect of ephedrine is increased after chronic administration.
Single dose studies have shown that skeletal muscle and visceral organs contribute most of the thermogenic activity after ephedrine administration, with a minor contribution from adipose tissue. These tissues can all be reactivated and even proliferate in response to chronic catecholamine activation, which may explain the enhanced thermogenesis seen with prolonged ephedrine treatment.
Dulloo suggests that ephedrine, with chronic administration, exerts its effects indirectly via adrenaline and noradrenaline and thereby generates its own selectivity for desirable anti-obesity effects. This is accomplished by the down-regulation of adrenoceptor types or subtypes associated with unwanted cardiac or pressor effects and with sustained activation of adrenoceptor types that mediate thermogenesis, lipolysis and protein retention. Arner (1993) approaches the mechanism of ephedrine action from the lipolysis aspect. He notes that catecholamines have both lipolytic and antilipolytic effects, so that at any time there is a balance between these effects. However, it has been suggested that lipid metabolism in man is mainly controlled by inhibitory modulators, and adenosine has been shown to reduce the sensitivity of lipolytic beta-adrenoceptors, particularly in subcutaneous fat depots. Several prostaglandins of the E-type are also potent antilipolytic agents. Thus the potentiation of the ephedrine effect by caffeine (which may affect adenosine dynamics) and aspirin (which can inhibit prostaglandin synthesis) may not be restricted to the synaptic gap, but may also extend into the actual fat-mobilizing mechanism.
Dulloo (1993) noted that in early investigations of ephedrine use as an anti-obesity agent, attention focused on the main action of ephedrine in reducing appetite (the anorexic effect). It now appears that the thermogenic and lipolytic effects are the main properties that make ephedrine so suitable for use as a weight loss aid. Indeed, significant improvements of rates of weight loss occur at ephedrine dosage levels far below those required to achieve detectable main effects, and increasing dosage to the level at which main effects occur does not necessarily give better rates of weight loss (Daly et al., 1993).
While the actions of ephedrine makes it an ideal adjunct for regulating and controlling weight problems, it will be obvious to those skilled in the art that it may also be useful as an ergogenic aid to improve physical performance. The acute action is to increase energy availability and, thus, increase the capacity for physical exertion, while the longer-term actions result in an increase in muscle mass, particularly when combined with appropriate diet programs and training exercises. Indeed, Yang and McElligott (1989) have commented that beta-adrenergic agents may act as very effective anabolic agents when given over long periods of time. Both the beneficial ergogenic effects and the valuable effects on weight loss stem from the combination of the effects of ephedrine on lipolysis and its thermogenic effects. Thus by increasing the rate at which fat is released from body stores (lipolysis) while simultaneously increasing the metabolic rate (thermogenesis), those wishing to lose weight may accelerate the removal of unwanted fat stores.
At the same time, since the administration of ephedrine means there is increased availability of substrates (the free fatty acids which are released from the fat stores) for oxidation, the body has access to greater amounts of energy. The body's use of these substrates spares protein that might otherwise be oxidized for energy. Therefore, the use of ephedrine in conjunction with additional favorable circumstances, namely a high protein intake and an exercise program, will also result in increased availability of amino acids for incorporation into protein in the muscle mass.
From the foregoing, it will be obvious to those skilled in the art that the agents most suitable for inducing weight loss in those with excess weight, or, for persons of normal weight, increasing energy availability and/or muscle mass, would be sympathicomimetic (adrenergic) agents whose mechanism of action is mainly indirect, resembling that of ephedrine, and whose pharmacokinetics favor retention of the agents in the periphery rather than passage into the brain. Agents whose profiles match these requirements would be less likely to cause central nervous system stimulation under normal conditions of use, but would still possess enough central action to suppress the hunger center. The partition in favor of peripheral tissues would result in increased levels of these agents at the sites of the beta-3- receptors, which mediate lipolysis and thermogenesis. It is also widely believed that sympathicomimetic agents possessing mainly an indirect mechanism of action would be less likely to cause unwanted side effects and less likely to result in addictive situations.
Hitherto, the only such agent which has been shown to act in the optimized ideal fashion has been ephedrine itself. Ephedrine has some drawbacks, however. It is primarily provided in pharmaceutical forms which allow quick release in the body for the alleviation of acute respiratory ailments whereas, for the purposes of inducing lipolysis and thermnogenesis, a slower release is desirable. Furthermore, many of those who are overweight prefer not to use agents which are presented as drugs. In addition, for a variety of health conditions, such use will often be contraindicated because of the risk of potentially hazardous side effects, which risk could be increased because of the weight problem.
U.S. Patent No. 6,224,873, which is incorporated herein by reference, describes alkaloids found in plants, such as synephrine, hordenine, octopamine, tyramine, and N- methyltyramine, that are useful in weight loss, improving physical performance, and increasing lean body mass. Prior to U.S. Patent No. 6,224,873, those wishing to avail themselves of natural products for eliciting weight loss or increasing muscle mass have had no choice other than to use products containing Ephedra herb (Ephedraceae), which contain ephedrine together with related alkaloids. However, because of concerns about the use of Ephedra herb products alone, many do not avail themselves of this opportunity. It is desirable to provide a nutraceutical composition comprising natural products which benefits those seeking to lose weight or improve their physical well-being. A composition and method that both increases metabolic rate, and directly increases endogenous availability of metabolizable substrates is also particularly desirable.
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Yang, Y.T. and McElligott, M.A., 1989, "Multiple actions of β-adrenergic agonists on skeletal muscle and adipose tissue." Biochem. J., 261, 1 - 10. SUMMARY OF THE INVENTION
Accordingly, in a preferred embodiment, the instant invention provides a nutraceutical composition comprising a mixture of: a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one alkaloid selected from the group consisting of tyramine, N-methyltyramine and hordenine.
Preferably, the alkaloids are incorporated in a plant material of the genus Citrus.
Preferably, the alkaloids are in the form of a concentrate or extract of a Citrus material, in either dry or liquid form.
Preferably, the Citrus material is obtained from a Citrus species which contains at least one of the alkaloids in an amount in excess of 0.1 % of the dry mass of the material.
Preferably, the at least one alkaloid selected from the group consisting of synephedrine and octopamine is present in an amount of about 10% to about 95% of the total alkaloid mixture.
Preferably, the Citrus material is obtained from a species selected from the group consisting of Citrus reticulata, Citrus aurantium, Citrus medica, Citrus maxima, Citrus limon, Citrus aurantiifolia, Citrus paradisi, Citrus sinensis, and Poncirus trifoliate.
Preferably, the plant material is in the form of an oriental herb selected from the group consisting of Zhi shi, Zhi Qiao, Chen pi, Qing pi, Fo Shou, or a concentrate or extract thereof.
In another preferred embodiment, the instant invention provides a nutraceutical composition comprising a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of ephedrine or ephedrine alkaloids.
Preferably, the nutraceutical composition comprises an extract of a Citrus material and an extract of an Ephedra herb.
Preferably, the nutraceutical composition comprises an extract of immature Citrus aurantium in combination with either an extract of Ephedra herb or an extract of Sida cordifolia. Preferably, the nutraceutical composition comprises powders, granules, tablets, pills, gums (including chewing gums), lozenges, candies, edible films, capsules, ampoule buvable, liquids, syrups, solid nutritional bars, transdermal patches, suppositories for rectal administration, and sterile solutions and dispersions for administration by parenteral routes such as the intravenous, intramuscular or intraperitoneal routes.
In another preferred embodiment, the instant invention also provides a food comprising a nutraceutical composition of the instant invention.
In another preferred embodiment, the instant invention provides a method of inducing or maintaining weight loss in a human, enhancing physical performance in a human, and increasing muscle mass in a human comprising administering to the human an effective amount of a nutraceutical composition of the instant invention.
Additional features and advantages of the invention will be set forth in the description which follows, and in part, will be obvious from the description, or may be learned by practice of the invention. The objects, features and advantages of the invention may be realized and obtained by means of the instrumentalities and combination particularly pointed out in the appended claims.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 shows the chemical structures of the five alkaloids: synephrine, hordenine, octopamine, tyramine and N-methyltyramine.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
Thermogenesis is defined as an increase in metabolic rate resulting in increased availability of energy to the body, which may or may not be perceived as warmth by the individual undergoing thermogenesis. The increased energy results from the increased rate of utilization of metabolizable substrates, mainly in muscle and liver. Therefore, thermogenesis is of practical application in a number of areas of human physiology and pathophysiology, such as weight loss where, if the exogenous dietary supply of metabolizable materials is not increased, the body will draw on stored reserves to meet demand, with resultant loss in weight. A second area of human physiology affected by thermogenesis is that of physical performance, where if exogenous supply of metabolizable materials is increased, the increased energy production may be utilized to facilitate muscular function and overall performance.
The third area is that of building muscular tissues, where if the exogenous dietary supply of protein and non-protein nutrients is increased, the availability of amino acids for protein synthesis is improved and the increased metabolic level of muscular tissue results in augmented transport of these amino acids into muscle with resultant increase in muscle mass.
Substances other than food components, such as protein, are known to possess thermogenic activities. Example are nicotine, alcohol, and the indirect-acting sympathicomimetic agents, such as ephedrine, which possess a significant amount of beta- receptor activity, and possess thermogenic activity. However, while these agents increase metabolic rate, a parallel increase in endogenous availability of metabolizable substrates is an indirect effect.
However, it has now been found that certain naturally occurring alkaloids which demonstrate indirect-acting sympathicomimetic activity, also possess additional activities that benefit in their application in weight loss, physical performance and muscle building. These alkaloids, in addition to indirect actions, are capable of directly and specifically stimulating beta-3 adrenergic receptors on adipocytes. Therefore, alkaloids with this unique property are capable of increasing the rate of breakdown of stored fat in the body, a process known as lipolysis, even in the absence of significant augmentation of metabolic rate.
In this connection, the instant invention provides novel nutraceutical compositions which comprise mixtures of alkaloids, preferably in the form of a plant material of the genus Citrus. In a preferred embodiment, the instant nutraceutical compositions comprise particular mixtures of alkaloids which provide unexpected benefits to human health. Accordingly, as used herein, "nutraceutical" compositions are those compositions which increase health, energy, and the overall well-being of humans.
As will be apparent to those skilled in the art, the property of causing an accelerated breakdown of stored fat is of great medical value in weight loss and obesity. In addition, the health benefits of this weight loss are related mainly to the decrease in body fat content, with simultaneous increase in lean body mass, and the consequent improvement in overall health and well-being.
It has now been found that mixtures of alkaloids occurring naturally in certain plant species, and particularly in materials derived from Citrus species, possess unexpected and beneficial properties in the above respects in relation to the composition of the mixture. In this regard, it has now been discovered that the alkaloid mixture in the immature Bitter Orange (Citrus aurantium), which is known as the Chinese herb Zhi shi, contains the alkaloids synephrine, octopamine, tyramine, N-methyltyramine and hordenine, and the alkaloids in this mixture, synephrine and octopamine, in addition to being weak indirect- acting sympathicomimetics, and thus mildly thermogenic, are relatively potent and specific beta-3 agonists, and are thus effectively lipolytic. On the other hand, tyramine, N- methyltyramine and hordenine, are relatively potent indirect-acting adrenergic agents, capable of giving significant increases in metabolic rate, and are thus effectively thermogenic.
FIG. 1 shows the chemical structures of synephrine, hordenine, octopamine, tyramine and' N-methyltyramine .
Therefore, in a preferred embodiment, the invention provides a composition comprising a combination of a lipolytic agent such as synephrine or octopamine with a thermogenic agent such as tyramine, N-methyltyramine and hordenine. This combination significantly improves use over either of these groups of alkaloids separately. In particular, such a combination in optimal proportions used for weight loss purposes will result in a loss of body fat that is in excess of that which would be expected from use of a thermogenic agent. Preferably, the lipolytic component, such as synephrine and octopamine, is present in an amount of about 10% to about 95% of the total alkaloid mixture, and tyramine, N- methyltyramine and hordenine substantially comprise the difference of the total alkaloid mixture.
Accordingly, in a preferred embodiment, the invention provides a composition comprising a combination of an effective amount of a lipolytic agent and a thermogenic agent. Preferably, the composition comprises a) an effective amount of at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one substance selected from the group consisting of tyramine, N-methyltyramine and hordenine. Furthermore, the instant composition increases the availability of free fatty acids as metabolizable substrates and reduces the consumption of protein and amino acids as metabolizable substrates, thus eliminating or seriously reducing a decrease in body protein that may occur when following weight reduction programs. In this regard, increasing availability of free fatty acids and decreasing availability of amino acids for energy generation under the influence of thermogenic substances or diets creates conditions which are favorable for formation of new protein and therefore promote build-up of muscle mass.
Those Citrus materials used maybe of a single and unique origin, such as an extract of immature Citrus aurantium which contains both families of alkaloids, or a mixture, such as the mixture of immature Citrus aurantium with the leaves of Citrus reticulata (Tangerine and Mandarin Orange), whereby other alkaloids may be provided by a Citrus aurantium component and the alkaloids, such as N-methyltyramine, with thermogenic properties, are mainly derived from a Citrus reticulata component.
In another preferred embodiment, the invention provides combining one or more of the lipolytic alkaloids synephrine and octopamine with other thermogenic agents such as ephedrine, where the selection of the other thermogenic agent is without limitation and may include natural mixtures of ephedrine alkaloids in the form of the Ephedra herb (such as Ephedra sinensis, E. gerardiana, E. equisetina, E. intermedia and other Ephedra species) or plants from the Sida species, such as Sida cordifolia, either as native herbs or in the form of extracts or concentrates.
Accordingly, in another preferred embodiment, the instant invention provides a composition comprising a) at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one thermogenic substance. Preferably, the thermogenic substance is ephedrine or ephedrine alkaloids.
In practice, such a combination may be effected by combining extracts of a Citrus material, such as the extract of immature Citrus aurantium, with extracts of Ephedra herb commonly known in North America as Ma-huang extract, or with extracts of Sida cordifolia.
The instant invention also provides, in a preferred embodiment, dietary supplements comprising nutraceutical compositions of the instant invention. The instant dietary supplements may be any form of the instant nutraceutical compositions added to a diet to make up for a deficiency, or extend or strengthen whole dietary or energy value of the diet.
The instant nutraceutical compositions can be administered orally in the form of, for example, granules, powdery preparations, dust preparations, tablets, capsules, chewing gums, lozenges, edible films, syrup, emulsions, instillations, emulsions, elixir, suspensions and solutions. Furthermore, the instant nutraceutical compositions may also be administered through the skin by means of ointments or creams, or by transdermal patches, such as those of the reservoir or matrix type, or they may be administered rectally or vaginally in the form of suppositories. These preparations can be formulated in accordance with methods usually employed in the art and are therefore part of the instant invention.
In a preferred embodiment, the instant nutraceutical compositions can be in the form of an aqueous solution, aqueous suspension or oil suspension, which can be prepared by known procedures, for example, by using a suitable dispersant or wetting agent and suspending agent. These forms may also be prepared with a non-toxic diluent and may be sterilized if required by filtration through micropore filters. Examples of usable vehicles or acceptable solvents include, but are not limited to water, Ringer's solution or an isotonic saline solution. In addition, a sterile non-volatile oil can usually be employed as solvent or suspending agent. Any non-volatile oil and a fatty acid can be used for this purpose, which includes natural or synthetic or semi-synthetic fatty oil or fatty acid, and natural or synthetic or semi-synthetic mono- or di- or tri-glycerides. Furthermore, additives including a preservative, an isotonizer, a solubilizer, a stabilizer may be employed. When prepared in sterile liquid form, the instant nutraceutical compositions may be adminstered by parenteral routes, for example, a sterile dispersion in oil may ideally be given by intramuscular injection to provide long lasting effects, while solutions in sterile isotonic saline are suited to administration by the intravenous route.
In a preferred embodiment, the instant nutraceutical compositions may be administered in solid formulation for oral administration, including, but not limited to powders, granules, tablets, pills, gums, chewing gums, edible films, lozenges, candies and capsules. In these formulations, the instant alkaloid mixture can be optionally mixed with at least one additive, including, but not limited to sucrose, lactose, cellulose sugar, mannitol, maltitol, dextrin, starch, agar, alginates, chitins, chitosans, pectins, tragacanth gum, gum arabic, gelatins, collagens, casein, albumin, synthetic or semi-synthetic polymers or glycerides. These formulations may also optionally contain, further additives, for example, an inactive diluent, a lubricant or a preservative, an anti-oxidant such as ascorbic acid or tocopherol, an excipient, a disintegrator, a binder, a thickening agent, a buffer, a sweetener, a flavoring agent, a perfuming agent and a coating agent. Tablets and pills can further be prepared with a coating.
Examples of liquid preparations for oral administration include pharmaceutically acceptable emulsions, syrups, elixirs, suspensions and solutions, which may contain an inactive diluent, for example, water. In a preferred embodiment, a powder comprising the instant alkaloid mixture may be blended with other suitable ingredients and reconstituted with a diluent, such as water.
The instant nutraceutical compositions may also be administered transdermally as ointments or creams, or more conveniently as a transdermal patch, such that the alkaloids are absorbed through the skin at a controlled rate. Such transdermal patch systems in general are composed of four key elements: a protective seal that forms the external surface and protects it from damage, a compartment that holds the alkaloids themselves, an adhesive backing that holds the entire patch on the surface of the skin, and a release liner that protects the adhesive layer during storage and is removed just prior to application. Depending on the type of patch, these elements can exist as separate components, or one layer. For example, the generally used types of patches are firstly the "reservoir" type, in which a reservoir or pocket holds the alkaloids, encapsulated in a gel or liquid, this being covered by a protective seal, with on the opposite side a permeable film and an adhesive backing to attach the system to the skin and allow the medication to flow through at a controlled rate, and secondly the matrix-type which is slimmer and less visible than a reservoir patch. In a matrix system, the active alkaloids, the film that controls release of the medication, and the adhesive backing are integrated into one layer. Methods of making transdermal patches are described in U.S. Patent No. 4,460,372, U.S. Patent No. 4,031,894 and U.S. Patent No. 4,379,454, all of which are herein incorporated by reference.
The instant nutraceutical compositions may also be in the form of suppositories or suspensions for vaginal or rectal administration. Typically such forms of administration rely on the rapid absorption of water-soluble substances from oily matrices, thus a suitable form would be a suppository that is prepared by suspending the alkaloids in melted cocoa butter or coconut oil, after which the molten suspension is allowed to solidify in molds of an appropriate shape. Typically, the molds comprise the immediate packaging of the suppository, for example, the liquid suspension may be injected into tubes of aluminum foil of diameter up to 0.5", whereupon the tubes are crimped at 1 " intervals to seal them and cooled.
The nutraceutical compositions of the present invention may also be in the form of a food additive which is added to foods to enhance dietary or energy value. The present invention therefore also includes foods comprising the nutraceutical compositions of the invention. The instant foods are any material that comprises essential body nutrients, such as carbohydrates, fats, proteins, vitamins, or minerals, and is ingested to produce energy, stimulate growth, or maintain life.
In yet another preferred embodiment, the invention provides a composition that comprises a) an effective amount of at least one substance selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one substance selected from the group consisting of tyramine, N-methyltyramine and hordenine, as well as other materials such as carbohydrates, fats, protein, vitamins, minerals, fatty acids etc.
The instant nutraceutical compositions, in any form, such as dietary supplement or food, may be used in combination with a diet and exercise regime to optimize health benefits.
In another preferred embodiment, the instant invention provides agents present in plants other than Ephedraceae which may also act as sympathicomimetic agents with suitable mechanisms of action in the body, and use of these plants can therefore result in benefits as outlined with regard to body weight regulation and physical performance. Surprisingly, select agents also demonstrate direct lipolytic activity.
The value of the use of such plants in body weight regulation and physical performance has not been suspected prior to this invention. Though the plants concerned have acknowledged uses and long histories as foods, they have not been used to induce weight loss or for ergogenic purposes. The agents these plants contain have likewise not previously been related to weight loss or ergogenic applications. Furthermore, the agents are generally only present in significant amounts in parts of the plant which are considered as inedible waste for normal consumption, or are only present during certain stages of the growth cycle when the plant would not normally be consumed. While it is true that the plants or their parts harvested during a particular stage of growth have also been used as medicinal herbs or traditional remedies, particularly in the Orient, these uses have also not included applications in either weight loss or for ergogenic purposes, and the uses according to the invention are therefore novel and surprising.
The instant agents contained in the plants which are used in accordance with the invention include synephrine, hordenine, octopamine, tyramine and N-methyltyramine, and they may be found in various species of plants, both food plants and otherwise, as detailed by Wheaton and Stewart (1970), including, but not limited to, Amaryllidaceae, Leguminosae,
Liliaceae, Rutaceae, Cyperaceae, Solanaceae and Berberidaceae.
However, in terms of practical utility, the levels of these agents generally only reach useful values, that is to say levels in excess of 0.1% of dry mass, in certain species of Rutaceae. Furthermore, these useful levels are only achieved during phases of growth where the plant would not normally be used for food, or in parts of the plant which are not considered part of the edible portion such as the leaves. In particular, relatively high levels of synephrine and related substances (such as octopamine, hordenine, tyramine and N- methyltyramine) can be found in various Citrus species, including in particular, but not restricted to, strains of Citrus reticulata (also known as tangerine or mandarin orange), Citrus aurantium (also known as C. florida, C. vulgaris, C. bigaradia, Sour orange, Bitter orange, Seville orange, Neroli orange), Citrus medica, Citrus maxima, Citrus limon, Citrus aurantiifolia, Citrus par adisi, Citrus sinensis and Poncirus trifoliate (trifoliate orange).
These various Citrus species have been used, and continue to be used, for a variety of food purposes and for their health benefits, but have hitherto not been revealed as herbs or plants which have value in the treatment of weight problems or for improving physical performance and fitness when administered singly or in a specific combination which optimizes both thermogenic and lipolytic activity.
Herbs based on Citrus materials have long been used for a variety of medicinal applications unrelated to weight loss. In this respect, for example, the literature discloses a number of Oriental herbs for medicinal applications, including the following: Zhi shi: The immature (dried) fruit of Citrus aurantium is used for the treatment of digestive disorders, to induce diuresis, and as a mucolytic agent to relieve chest congestion (Ou Ming, 1989). It may contain levels of the desired active agents of up to 0.9%. Reid (1986) describes Zhi shi as the unripe fruit of the trifoliate orange, indicated for digestive disorders and as an expectorant, while Huang (1993) implies that this herb is derived from mature fruits of Citrus aurantium.
Zhi Qiao: This herb is also the immature fruit of Citrus aurantium, and is used to treat indigestion and to correct mild ptosis of the uterus (Huang, 1993). Levels of active substances are similar to those in the herb Zhi shi, and the distinction between these two herbs appears to be based on degree of maturity (of the fruit) and the area in which traditionally used.
Chen pi: The herb Chen pi is dried peel of Citrus reticulata. This may also be called Jiu Hong, and is used as a digestive aid, antiemetic, antitussive and antiflatulant (Huang, op. cit). The herb also has anti-infective properties (Ou Ming, op. cit).
Qing pi: This herb is immature Citrus reticulata, or in some cases the peel thereof. It is used to treat digestive disturbances and to alleviate pain, as an expectorant, and to relax smooth muscle (Ou Ming, op. cit.).
Fo Shou: Also known as Fructus Citri Sarcodactyli, the fruit of Citrus medica var. sarcodactylus, it is used for treatment of digestive disorders, for dysmenorrhea, chest congestion and as an expectorant (Ou Ming, op. cit.).
According to Bown (1995), Citrus aurantium and Citrus reticulata are known by different Chinese names in part according to their uses. For example, the whole fruit, peel, unripe fruit, unripe peel and seeds of C. reticulata are referred to as "Chen pi" ("dried ripe peel") to treat indigestion, flatulence, vomiting and wet coughs, but as "Qing pi" ("unripe peel") when used to treat liver and gall bladder disorders, bronchial congestion, mastitis, breast cancer, and pain in liver, chest or breasts, while the form "Ju he" (Jiu hong; normally the seeds) is used to treat lumbago, orchitis and mastitis.
In Western traditional medicine, Wichtl (1994) describes use of the mature or immature fruit of Citrus Union for the treatment of digestive problems and phlebitis, and notes that the flowers of Citrus aurantium and occasionally Citrus sinensis are also used for their sedative effects. Wichtl also reports that dried peel of Citrus aurantium, or the dried whole immature fruit, is used in gastrointestinal remedies, tonics, roborants and cholagogues. Grieve (1992) describes use of lemon juice for the treatment of rheumatism, and of the oils from various oranges for alleviation of chronic bronchitis. Font Quer (1982) refers to the antispasmodic and hypnotic properties of Citrus aurantium flowers, and to the use of the dried peel as a gastric tonic and antiflatulant.
Numerous other standard textbooks of herbology refer to Citrus material of various types and its use for the alleviation of gastric disorders. However, neither the use of such materials to induce weight loss nor their use to increase physical performance or muscle mass are described, and these uses are therefore surprising, novel and not anticipated.
The active agents synephrine, hordenine, octopamine, tyramine and N- methyltyramine are known to be adrenergic agents, and synephrine is still used under the synonym oxedrine in some countries for the treatment of hypotension (Reynolds, 1982). However, apart from occasional use of tyramine as a diagnostic agent in suspected cases of phaeochromocytoma, their use has been abandoned in favor of newer, synthetic adrenergic agents, and no indication of their value in weight loss or physical performance can be found in the literature. Their valuable properties, either taken alone or in combination, in these respects are therefore unanticipated, surprising and novel.
The Citrus material used in accordance with the invention may consist of any portion of the plant which contains useful amounts of the agents as defined above, which may vary depending on the species, stage of growth, season, and agronomic conditions. For example, leaves of Citrus reticulata are preferred to other parts of this plant, and may show levels of synephrine and related alkaloids of 1.1% or more, based on dry matter, while the peel of the immature fruit shows levels of only 0.2%-0.4%. In the case of Citrus aurantium, the preferred form is the whole immature fruit of the amara variety, though the peel of the mature fruit can also be used. In both Citrus aurantium cases, total levels of 0.2%-0.9% of synephrine and the related agents are regularly found. Both the peel and the whole fruit (immature or mature) of the dolce variety also have utility, though levels generally do not exceed 0.4%.
Though it is possible to use a variety of Citrus materials in accordance with the invention, it is more convenient to utilize Citrus materials which already exist in appropriate form and which are generally available as traditional herbs and remedies. For example, the agents are present in the residues remaining after steam distillation of Citrus aurantium fruits to obtain the essential oils. In this respect, various Chinese herbs, or materials from other geographic locations prepared in the same way, are particularly useful, as are Citrus reticulata leaves.
The Chinese herbs which are most convenient for use are:
Zhi shi, which is the immature (dried) fruit of Citrus aurantium, but may also consist of the peel of the mature fruit, or the peel of either. This herb contains 0.2%-0.9% total alkaloids with synephrine predominating.
Zhi Qiao, which is also the immature fruit of Citrus aurantium has levels of active substances similar to those in the herb Zhi shi.
Chen pi, the dried peel of Citrus reticulate, may also be called Jiu Hong. This herb contains 0.1%-0.4% total alkaloids.
Qing pi is the dried immature Citrus reticulata, or in some cases the peel thereof. This herb contains 0.1%-0.4% total alkaloids.
Fo Shou, also known as Fructus Citri Sarcodactyli, is the fruit of Citrus medica var. sarcodactylus. This herb contains 0.1%-0.3% total alkaloids.
In addition to the above, peel of the mature or immature fruit of Citrus limon may conveniently be obtained, since it is also an item of commerce, while tangerine leaves are also readily obtained at certain seasons.
In a preferred embodiment of the invention, therefore, material from Citrus species is given to humans by the oral route, either concurrently with caloric restriction or in the absence of caloric restriction, for the purpose of controlling body weight. The invention works predominantly by increasing thermogenesis, that is, by increasing the metabolic rate and directly facilitating lipolysis. The invention also exhibits a hunger-suppressing effect which may become more obvious in higher doses as well as in individuals in which the active agents pass the blood-brain barrier more readily. Thus, most users will benefit mainly from the thermogenic effect and additionally may also experience mild suppression of hunger such that both mechanisms operate simultaneously, thereby providing an added benefit. In addition, the said material can be given to humans, either with or without a high protein diet (>1.25 gm protein/kg ideal body weight/day), for the purpose of increasing physical performance in the short-term and to increase muscle mass and functionality in the long term.
Preferably, doses are in the range of about 1 mg - 80 mg alkaloids per serving. More preferably, the doses are in the range of about 10 mg - 60 mg. The servings may be about 2- 10 hours apart. More preferably, the servings are about 4 - 6 hours apart.
Any particular dose to be administered is dependent on age, body weight, general health conditions, sex, diet, dose interval, excretion rate, combination of drugs and condition of the person. In general, the Citrus material so used is selected for its content of active agents as defined above such that the total amount of Citrus material ingested provides a sufficient amount of the active agents to achieve the desired effects. Preferably, a sufficient amount would be defined as at least 0.04 mg of active agents per kilogram ideal body weight per dose at any one time. In practical terms this corresponds to 2.8 mg for a person of 70 kg ideal body weight.
In a preferred embodiment, active agents in the range of 0.01 mg to 0.10 mg per kilogram of ideal body weight per serving will be effective in accomplishing the desired goal of weight loss, though more preferred is a range of 0.02 mg to 0.06 mg per kilogram of ideal body weight, and most preferred is 0.05 mg per kilogram of ideal body weight. Though ingestion of larger amounts of the agents will not diminish the beneficial effects, the effects may not necessarily be increased while the possibility of side-effects due to activation of other adrenergic systems would be increased. Thus, at an intake level of 1 mg per kilogram of ideal body weight per serving, it is possible that the adrenergic receptors in the cardiovascular and central nervous system could be activated thereby resulting in increases in blood pressure as well as tachycardia, nervousness, agitation, tremors, and insomnia.
Daily intake of the active agents for effective body weight loss according to the invention is in the range of 0.16 mg to 2.25 mg per kilogram of ideal body weight. Thus, an adult male whose desired body weight is 176 pounds would lose weight according to this invention with three daily servings of 4 - 60 mg, with total daily intake in the amount of 12.8
- 180 mg.
In this context, the active agents are deemed to be any one or more of synephrine, hordenine, octopamine, tyramine and N-methyltyramine, whereby the sufficient amount may be any one singly, or a combination of the agents that together provide a sufficient amount. Because levels of the said agents are often relatively low and variable, and also because in their natural state the agents are associated with parts of the plant that are unpalatable, it may be difficult to achieve an intake of Citrus material in a volume sufficient to provide a suitable amount of the agents as defined above.
To enhance edibility, the Citrus material may be consumed as a concentrate or as an extract in either dry or liquid form. By producing a concentrate or extract, the levels of the agents in the material are increased to an effective level. There are several ways readily known to those schooled in the art which permit production of a concentrate or extract. The Citrus material may be enriched in the agents, for example, by extraction of the Citrus material with water, dilute acids or certain organic solvents, including mixtures thereof with water, after which most of the other water-soluble material present can be precipitated out by addition of alcohol (which, for example, would precipitate out most of the sugars), followed by drying on a carrier of unconcentrated Citrus material, or by drying on a carrier of another suitable material. Such a suitable material may include, but is not limited to, maltodextrins, starch, protein or other carrier material, the nature of which will be obvious to those skilled in the art of manufacturing extracts of botanical materials. For example, use of lactose or dextrose as a carrier for the drying stage will give a dry extract that may be redissolved in water to give a clear solution, of utility in the preparation of beverages containing the said alkaloids. The Citrus material may also be extracted and concentrated without drying to give a liquid extract that can also be consumed. Furthermore, in order to obtain extracts of greater concentration, the initial extract may be adsorbed on a column which retains the alkaloids, which may subsequently be eluted with appropriate reagents in practically pure form.
The agents are preferably administered as a powder or liquid concentrate. When prepared as an extract or concentrate, the Citrus material is preferably dried so that it may be given in the form of tablets, capsules, powders or other convenient form, or it may be admixed with foods or special food products, or it may be given in the form of a tea or tisane. When prepared as a liquid extract, the Citrus material may be consumed as drops, or from an appropriate liquid measure (teaspoon), or it may be admixed with other liquids or incorporated into solid food products. Preparation as an extract or concentrate permits production of standardized amounts of the active agents so as to produce a less variable response in terms of desired weight loss and/or the desired increase in muscle mass. If it is not prepared as an extract or concentrate, the Citrus material may be given fresh, but is preferably dried so that it may be given in the'form of tablets, capsules, powders or other convenient form, or it may be admixed with foods or special food products, or it may be given in the form of a tea or tisane.
For example, the dried leaves of Citrus reticulata var. Blanco may be filled into tea bags to give a refreshing vitalizing drink that enervates and suppresses hunger for long periods, while dried immature fruits of Citrus aurantium var. amara are best milled to a fine powder and either tabletted or filled into capsules for repeated oral administration to achieve similar effects over a period of weeks or months.
The Citrus materials may also be admixed with other ingredients to form the basis of a dietary product, which may either be a nutritional drink or a nutritional bar. One such nutritional bar can provide 15 grams of protein, 26 grams of carbohydrate and 5 grams of fat in addition to a quantity of the Citrus material. Such products may thus be used as meal replacements by those seeking to lose weight, or by those requiring nutritional support during sporting activities, whereby the benefits of the Citrus material are supported by the nutritional content of the food product.
The Citrus material, either in the form of an extract or as the natural material, may also be given in combination with other herbs that possess beneficial effects for humans, and particularly in respect to weight loss or improvements in physical performance. In this connection, suitable herbs and foods include those herbs and foods that contain methylxanthines such as caffeine, theobromine and theophylline, which by virtue of their inhibition of the enzyme phosphodiesterase may potentiate the thermogenic actions of the Citrus materials and increase the actions at the level of the beta-3 -receptors. At the same time, the actions of methylxanthines on alpha-receptors may serve to reduce or eliminate any unwanted cardiovascular effects, such as peripheral vasoconstriction and increase in blood pressure, that would be undesirable within the context of weight loss or improved physical performance. Suitable herbs and foods in this respect include, but are not limited to, Paullinia cupana (Guarana), Ilex paraguariensis (Mate), Cola nitida, Cola acuminata, Camellia sinensis (Tea), Coffea arabica (Coffee) and Theobroma cacao (Cocoa), whereby the herb or food may be used as the natural material or an extract thereof In such cases, the herb so chosen is admixed with the Citrus material in a suitable form to provide a solid or liquid dosage unit. Additional advantages, features and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details, and representative embodiments, shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined bye the appended claims and their equivalents.
As used herein and in the following claims, articles such as "the", "a" and "an" can connote the singular or plural.
All documents referred to herein are specifically incorporated herein by reference in their entireties.
The present invention, thus generally described, will be understood more readily by reference to the following examples, which are provided by way of illustration and are not intended to be limiting of the present invention.
EXAMPLE 1
Tea-bags containing each 2.5 grams dried tangerine leaves (Citrus reticulata var. Blanco) were prepared. The tangerine leaves had a synephrine content of 1.1% and approximately 0.5% of the related alkaloids, which did not resolve completely on HPLC analysis, thus providing a total amount of 40 mg of alkaloids per serving. The tea bags were infused for 5 minutes in hot water at 85° C, and the resulting tisane was given to 5 volunteers (GL, RE, NS, CS, PS). All volunteers reported increased energy, which in one case was perceptible as agitation and nervousness, persisting for 8-10 hours. During this period, subjects did not feel hungry and refrained from eating snacks or meals.
EXAMPLE 2
A Zhi shi powder (Citrus aurantium, var. amara, whole immature fruit dried) was obtained from a Chinese source. This powder contained 0.49% synephrine and approximately 0.5% of the related alkaloids. It was mixed with 2% magnesium stearate and 1% silicon dioxide to confer flowability and filled into white size 0 snap-fit capsules. Capsule fill weight was 490 mg, plus or minus 5%. Subjects DJ and HAF then took 3 capsules 3 times daily for four weeks, corresponding to an intake of 14 mg total alkaloids per serving, or 42 mg per day, without deliberate restriction of food intake. Subject DJ, initial weight 105.4 kg, showed a fall in body weight to 100.9 kg, while the body weight decrease in subject HAF was from 74.5 kg to 72.0 kg. Upon ceasing use of capsules, subjects showed slow increases in body weight at a rate of approximately 0.4 kg per week.
EXAMPLE 3
A portion of the Zhi shi powder used in Example 2 was concentrated by extraction with water and redrying on a portion of the original material to give a dry extract with a total alkaloid content of 3.77%, of which approximately 1.9% was synephrine itself. This material was filled into capsules as in Example 2 to provide a product with 18 mg alkaloids of the synephrine group per capsule. Subjects DJ and HAF then took 1 capsule of this product 3 times daily for four weeks, providing a daily intake of 54 mg synephrine and related alkaloids. During this time, subject DJ, without deliberate restriction of food intake, showed a decrease in weight from 93.2 kg to 90.4 kg, but subject HAF had to cease use after the first day because of unpleasant sensations of agitation and nervousness.
EXAMPLE 4
Two batches of nutrition bars were prepared using the Thermobar concept, that is, chocolate-flavored taffy bars weighing 57 grams providing 15 grams protein, 26 grams carbohydrate, 5 grams fat and 200 kilocalories. One batch of the bars additionally contained
0.5 grams of the extract from Example 3 per bar. Subject RE was given two of the placebo bars. Respired gases were collected by the Douglas bag technique starting 30 minutes before ingestion of the bars and for a 90 minute period thereafter. The respiratory quotient (RQ) was initially 0.78 and rose to 0.86 during the 60 minutes after bar consumption. Two days later following the identical protocol, the subject consumed two of the bars containing the Zhi shi extract, corresponding to about 38 mg of synephrine and related alkaloids; respiratory quotient rose from 0.77 to 0.89 during the 60 minutes after bar consumption. Conversion of these results of indirect calorimetry to energy expenditure showed that the Zhi shi extract had increased the energy expenditure and the thermic response to the food by about 2.5%, thus indicating a thermogenic effect of the ingested alkaloids.
EXAMPLE 5
A group of 9 women, of whom 6 were mildly obese, 1 moderately obese and 2 slightly overweight, with Body Mass Indices ranging from 23.1 to 33.4 were placed on a diet providing 900-1000 kilocalories per day, more than 100 g protein per day and less than 100 g carbohydrate per day. From day 8 of this dietary regime, they were additionally given a product in capsules identified as "Herbal Balance Z-4", providing each 325 mg of a dried Citrus aurantium (immature whole fruit) extract, 125 mg of a dried Paullinia cupana extract, 5 mg of Ginkgo biloba extract and 5 mg Panax ginseng extract. They were instructed to take 1-3 capsules 1-3 times per day, and to remain at a comfortable intake level within these parameters; 2 subjects stabilized at 2 capsules per day, 2 at 3 capsules per day, 2 at 4 capsules per day and 3 at 5 capsules per day. The Citrus aurantium extract contained 4.14% total alkaloids by HPLC, with approximately 2.8% as synephrine itself. The daily use recorded thus corresponds to a total alkaloid intake of 27.0 to 67.5 mg.
Starting weights, weights at day 8, and weights at day 15 were determined. In addition, each subject completed a daily mood, appetite and satiety rating questionnaire.
Figure imgf000036_0001
A statistical analysis showed a mean of 0.94 kg during the first week when no product was given and 2.40 kg during the second week when product was taken, the Z-4 product significantly increased weight loss (PO.05) during the second week.
Figure imgf000036_0002
Figure imgf000037_0001
This result is particularly interesting, since part of the observed weight loss during the first week was due to water loss as a result of changes in electrolyte and water balance (adaptation to reduced caloric intake).
EXAMPLE 6
The following herbal extracts are formulated into a product with thermogenic activity, of utility in weight loss, muscle building and athletic performance:
Guarana (Paullinia cupana) extract, 33/36% caffeine.
Bitter Orange (Citrus aurantium) extract, 30% alkaloids.
St. John's Wort (Hypericum perforatum) extract, 0.3% hypericin.
Ginkgo (Ginkgo biloba) extract, 24% flavone glycosides and 6% terpene lactones.
Materials are milled to a particle size of 80 mesh before further processing.
The amounts of extracts and excipients weighed out are:
Guarana extract 200.00 kg
Bitter Orange extract 100.00 kg
St. John's Wort extract 75.00 kg
Ginkgo extract 20.00 kg
Excipients:
Microcrystalline cellulose 25.00 kg
Silicon dioxide 20.00 kg
Magnesium stearate 10.00 kg Total mix weight: 450.00 kg
The herbal extracts are passed through a fine mesh screen and dispensed into a blender (a large V-blender, a double-cone blender, or a ribbon blender, depending on manufacturing site). Excipients are likewise added to the blender through a fine mesh screen. Materials are then blended for a minimum of 20 minutes, after which the mix is checked for homogeneity and, if satisfactory, discharged into tared polylined drums. Weights are checked and reconciled, labelling is checked and the drums are moved to the encapsulation staging area or directly to the encapsulation station.
The powder mix is then placed in the hopper of an encapsulator, for example an Elanco CT-40 or 85, and filled into white opaque size 0 Conisnap capsules.
After manufacture, capsules are screened for rejects and damaged capsules. They are then cleaned and polished with granular salt in a coating pan (approximately 45 lbs of salt to
50,000 capsules, polishing time 15 minutes), after which they are screened again (to remove salt and any further damaged capsules) and deposited in polylined boxes or drums to await packaging.
Samples taken for analysis meet the following specification:
Capsule weight 546.00 mg± 5%
(mean of 10 capsules)
Citrus alkaloid content • 30.00 ± 3.00 mg
(mean of 10 capsules)
Caffeine content - 66.00 ± 7.00 mg
(mean of 10 capsules)
Microbiological specifications:
Total plate count n.m.t. 100,000/gram
Yeasts and moulds n.m.t. 100/gram
Coliform n.m.t. 10/gram E. coli Negative in 10 grams
Salmonella Negative in 10 grams
EXAMPLE 7
A thermogenic product of utility in weight loss, muscle building and athletic performance containing an extract of Citrus aurantium with extracts of Guarana, Ginseng and Ginkgo is made following the procedure described in Example 6, using the following extracts:
Bitter Orange (Citrus aurantium) extract, 6% alkaloids.
Guarana (Paullinia cupana) extract, 33/36% caffeine.
Ginseng (Panax ginseng) extract, 80% ginsenosides.
Ginkgo (Ginkgo biloba) extract, 24% flavone glycosides and 6% terpene lactones.
The amounts of extracts and excipients weighed out are:
Bitter Orange extract 325.00 kg
Guarana extract 125.00 kg
Ginseng extract 20.00 kg
Ginkgo extract 10.00 kg
Excipient:
Magnesium stearate 5.00 kg
Total mix weight: 485.00 kg
The mixture was processed as described in Example 6 to give capsules that met the following specification:
Capsule weight 581.00 mg ± 5%
(mean of 10 capsules) Citrus alkaloid content - 19.50 ± 2.00 mg
(mean of 10 capsules)
Caffeine content - 45.00 ± 4.50 mg
(mean of 10 capsules)
Microbiological specifications:
Total plate count n.m.t. 100,000/gram
Yeasts and moulds n.m.t. 100/gram
Coliform n.m.t. 10/gram
E. coli Negative in 10 grams
Salmonella Negative in 10 grams
EXAMPLE 8
A super-potent thermogenic starch and fat blocking product with utility in weight loss was prepared according to the following formulation, using an extract of Bitter Orange (Citrus aurantium) concentrated to 30% alkaloids:
Ingredient: %
Bitter Orange (Citrus aurantium) extract 10.00
Bean protein concentrate 20.00
Chitosan 19.50
Green tea extract 19.50
St. John's Wort extract 6.50
Ascorbic acid 3.00
D-α-tocopherol (50%) 0.75 Ascorbyl palmitate 0.75
Starch USP 12.50
Microcrystalline cellulose 4.00
Stearic acid 1.50
Magnesium stearate 1.00
Silica 1.00
100.00
The bean protein concentrate, Bitter Orange extract, Green Tea extract and starch were granulated in water. Chitosan, D-α-tocopherol, ascorbyl palmitate and the cellulose were blended separately. The blend and the granulate were mixed, after which stearic acid, magnesium stearate and silicon dioxide were added in and blended until homogenous. Tablets of 1000 mg were compressed to medium hardness, with a disintegration time of under 30 minutes. After compression, tablets were film-coated with a solution of hydroxypropylmethylcellulose USP in methanol, methylene chloride and propylene glycol, weight of coating approximately 6 mg/tablet.
Each tablet provided 30 mg of alkaloids as well as effective amounts of alpha- amylase inhibitor (from the bean protein concentrate).
EXAMPLE 9
A nutritional meal replacement bar with enhanced thermogenic properties through the presence of an extract of Bitter Orange (Citrus aurantium) with 6% alkaloids was prepared according to the description below.
A liquid blend was prepared containing honey, high fructose corn syrup, sorbitol syrup and liquid flavours (chocolate; in propylene glycol and water). This was maintained at 25°C-28°C.
Ingredient Weight in Kgs
Honey 22.360 High Fructose Corn Syrup 11.792
Sorbitol Syrup 3.390
Chocolate Flavors 0.951
The dry blend for the bar was prepared using the ingredients and quantities indicated below:
Ingredient Weight in Kgs
Soy Protein Isolate 16.806
Cocoa Powder 8.260
Whey Protein Concentrate 5.156
Calcium Casemate 2.649
Milk Mineral Concentrate 1.891
Maltodextrin 1.681
Whey Mineral Concentrate 1.095
Oligofructose 0.997
Bitter Orange (Citrus Arantium) Extract 0.941
Vitamin and Mineral Premix 0.284
The dry ingredients were thoroughly mixed in a dough mixer for 2 minutes, after which the liquid mix was blended in, followed by 1.681 kg of liquid lecithin and 1.945 kg of almond butter, and the whole mixed for a further 5 minutes. At that time, 1.139 kg of a fat preparation (a water-in-oil emulsion containing soya bean, canola and palm kernel oils with lecithin) was added, and the entire mixture further blended for 1 minute. The resultant plastic mass was then formed into a slab on a 24" slab former. The slab was cooled, slit into ribbons, and the ribbons guillotined to give bar cores of about 39 grams. These cores were coated with a dark chocolate compound coating to give enrobed bars of 47 grams, which were cooled, individually sealed into Mylar wrappers, and packed in boxes. The bars each contained about 442 mg of the 6% extract of Citrus aurantium, providing about 26 mg mixed citrus alkaloids, and had utility as meal replacement bars for weight loss purposes or as "energy" bars. The nutritional data for these bars is shown below.
Figure imgf000043_0001
% Calories from protein 25
% Calories from carbohydrate 48 % Calories from fat 26
Total Calories (4-4-9 Factors) : 179
0 = Less than 2% of DV or RNI.
- = No official DV or RDI.
EXAMPLE 10
A high protein thermogenic powder containing an extract of Bitter Orange (Citrus aurantium, 6% alkaloids), for reconstitution as a proteinaceous drink with utility in weight loss, body building and athletic performance, was prepared by blending the following ingredients in a ribbon blender:
Ingredient: Weight in Kgs
Whey Protein Isolate, Dispersable 39.383
Calcium Caseinate, Dispersable 28.038
Soy Protein Isolate, Dispersable 28.038
Oligofructose Powder 3.107
Bitter Orange (Citrus Aurantium) Extract 0.935
Sweetner and Vanilla Flavor 0.500
The powder was filled into pouches at 35 g fill weight and heat sealed. Reconstitution of one pouch with 200 ml water gave a pleasant and highly thermogenic drink with the following nutritional profile:
NUTRIENT: CONTENT:
Protein 30.044 g
Carbohydrate, total 1.583 g
Fat 0.737 g Total dietary fiber 1.155 g
Kilocalories (Atwater) 128 Kcal
Kilojoules 534 Kj
Cholesterol 1 mg
Saturated fat 0.264 g
Mono-unsaturated fat 0.145 g
Poly-unsaturated fat 0.286 g
Total omega-3 EFAs 0.036 g
Total omega-6 EFAs 0.250 g
Linoleic acid 0.250 g
Potassium 26 mg
Sodium 182 mg
Calcium 133 mg
Phosphorus 151 mg
% Calories from protein 93
% Calories from Carbohydrate 1
% Calories from fat 5
Total Calories (4-4-9 Factors) 129
EXAMPLE 11
A further batch of the thermogenic powder of Example 4 was prepared, using sucralose as sweetener, and 17.5 kg of the materials was then reconstituted with 100 litres of water, 200 g of xanthan gum and 500 g of lecithin in a kettle with a high speed stirrer. After stirring for 20 minutes, the batch of liquid was filled into cans of 200 ml volume, which were sealed and retorted at 135°C for 3 minutes. The resultant shelf stable, ready to use drink provided a highly thermogenic protein drink of portable nature with utility in body building, weight loss and athletic performance, and the same nutritional profile as shown in Example 4.
EXAMPLE 12
A liquid was prepared according to the method of Example 5 and was filled into 200 ml Tetrapak containers after pasteurization at 52°C for 30 seconds. The resultant shelf stable, ready to use drink provided a highly thermogenic protein drink of portable nature with utility in body building, weight loss and athletic performance, and the same nutritional profile as shown in Example 4.
EXAMPLE 13
A thermogenic concentrate powder containing an extract of Bitter Orange (Citrus aurantium, 30% alkaloids) was prepared by blending the following ingredients in a ribbon blender:
Fructose 33.620 kg
Citric acid 0.680 kg
Ascorbic acid 0.400 kg
Bitter Orange extract 0.200 kg
Green Tea extract 0.100 kg
The resultant powder was agglomerated and granulated in a Glatt granulator, and was then dissolved in water to which flavour, potassium sorbate and sodium benzoate was added in a kettle with a high speed stirrer according to the following recipe:
Dry granulate 35.00 kg
Lemon-Lime flavour 2.40 kg
Water to 455 litres The resultant liquid was filled into 16 oz bottles (455 ml) to give a refreshing thermogenic energy drink of utility in weight loss and athletic performance. Each 16 oz contained 60 mg of alkaloids from the Bitter Orange extract.
EXAMPLE 14
Orange juice concentrate, 50 kg, was reconstituted with 150 litres of water and stirred in a kettle with 80 g of Bitter Orange (Citrus aurantium) extract with 30% alkaloids. The orange juice thus obtained was pasteurized and filled into 1 -litre Tetrapak containers. One glass of the resultant packaged juice provided 30 mg of alkaloids and was of utility as a refreshing thermogenic drink for use as an energy drink.
EXAMPLE 15
The procedure of Example 8 was repeated using 200 litres of freshly crushed orange juice in place of reconstituted concentrate.
EXAMPLE 16
The procedures of Examples 8 and 9 were repeated using a variety of other fruit juices: grapefruit, cranberry, raspberry, etcetera.
EXAMPLE 17
Ten kg of a 30% extract of Bitter Orange (Citrus aurantium) was blended with 40 kg of soya bean oil, 1 kg of soya bean liquid lecithin and 0.5 kg of bee's wax at 45°C in a kettle with a high speed stirrer. The resultant suspension was then fed to a softgel encapsulator with 10 minim oval dies, and encapsulated in a proprietary gelatine-glycerol-water shell to give 10 minim soft elastic gelatine capsules with a fill weight of about 525 mg and a total weight of 720 mg. Each capsule provided 30 mg of alkaloids, a thermogenically effective dose of utility in weight loss, body building or sports nutrition.
The foregoing description represents the best mode presently known to the inventor of practicing the invention, and is not intended to limit the scope of the present invention which is set forth in the following claims. Likewise, those skilled in the art, given the present disclosure, will recognize that equivalent methods and materials may also be used in practicing the invention. It is contemplated that such equivalents are also within the scope of the present invention.

Claims

What is claimed is:
1. A nutraceutical composition comprising a mixture of: a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one alkaloid selected from the group consisting of tyramine, N-methyltyramine and hordenine.
2. The nutraceutical composition according to claim 1, wherein the alkaloids are incorporated in a plant material of the genus Citrus.
3. The nutraceutical composition according to claim 1, wherein the alkaloids are in the form of a concentrate or extract of a Citrus material, in either dry or liquid form.
4. The nutraceutical composition according to claim 3, wherein the Citrus material is obtained from a Citrus species which contains at least one of the alkaloids in an amount in excess of 0.1 % of the dry mass of the material.
5. The nutraceutical composition according to claim 1 , wherein said at least one alkaloid selected from the group consisting of synephedrine and octopamine is present in an amount of about 10% to about 95% of the total alkaloid mixture.
6. The nutraceutical composition according to claim 3, wherein the Citrus material is obtained from a species selected from the group consisting of Citrus reticulata, Citrus aurantium, Citrus medica, Citrus maxima, Citrus Union, Citrus aurantiifolia, Citrus paradisi, Citrus sinensis, and Poncirus trifoliate.
7. The nutraceutical composition according to claim 2, wherein the plant material is in the form of an oriental herb selected from the group consisting of Zhi shi, Zhi Qiao, Chen pi, Qing pi, Fo Shou, or a concentrate or extract thereof.
8. A nutraceutical composition comprising a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of ephedrine or ephedrine alkaloids.
9. The nutraceutical composition according to claim 8, wherein the composition comprises an extract of a Citrus material and an extract of an Ephedra herb.
10. The nutraceutical composition according to claim 8, wherein the composition comprises an extract of immature Citrus aurantium in combination with either an extract of Ephedra herb or an extract of Sida cordifolia.
11. A method of inducing or maintaining weight loss in a human, enhancing physical performance in a human, and increasing muscle mass in a human comprising orally administering to the human an effective amount of a nutraceutical composition comprising a mixture of: a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one alkaloid selected from the group consisting of tyramine, N-methyltyramine and hordenine.
12. The method of claim 11 , wherein the alkaloids are incorporated in a plant material of the genus Citrus.
13. The method of claim 11 , wherein the alkaloids are administered in the form of a concentrate or extract of a Citrus material, in either dry or liquid form.
14. The method of claim 13, wherein the Citrus material is obtained from a Citrus species which contains at least one of the alkaloids in an amount in excess of 0.1% of the dry mass of the material.
15. The method of claim 14, wherein the Citrus material is obtained from a species selected from the group consisting of Citrus reticulata, Citrus aurantium, Citrus medica, Citrus maxima, Citrus limon, Citrus aurantiifolia, Citrus paradisi, Citrus sinensis, and Poncirus trifoliate.
16. The method of claim 13, wherein the plant material is in the form of an oriental herb selected from the group consisting of Zhi shi, Zhi Qiao, Chen pi, Qing pi, Fo Shou, or a concentrate or extract thereof.
17. A method of inducing weight loss in a human, enhancing physical performance in a human, and increasing muscle mass in a human comprising orally administering to the human an effective amount of a nutraceutical composition comprising a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of ephedrine or ephedrine alkaloids.
18. A nutraceutical composition comprising a mixture of: a) at least one alkaloid selected from the group consisting of synephrine and octopamine; and b) an effective amount of at least one alkaloid selected from the group consisting of tyramine, N-methyltyramine and hordenine, wherein the alkaloids are in the form of a concentrate or extract of a Citrus material, in either dry or liquid form.
19. The nutraceutical composition according to claim 18, wherein the Citrus material is obtained from a Citrus species which contains at least one of the alkaloids in an amount in excess of 0.1 % of the dry mass of the material.
20. The nutraceutical composition according to claim 19, wherein said at least one alkaloid selected from the group consisting of synephedrine and octopamine is present in an amount of about 10% to about 95% of the total alkaloid mixture.
21. The nutraceutical composition according to claim 19, wherein the Citrus material is obtained from a species selected from the group consisting of Citrus reticulata, Citrus aurantium, Citrus medica, Citrus maxima, Citrus limon, Citrus aurantiifolia, Citrus paradisi, Citrus sinensis, and Poncirus trifoliate.
22. The nutraceutical composition according to claim 1, wherein said composition comprises powders, granules, tablets, pills, gums, lozenges, candies, capsules, ampoule buvable, liquids, syrups, or solid bars.
23. A food comprising a nutraceutical composition according to claim 1.
24. The nutraceutical composition according to claim 1 , which is in a transdermal patch.
25. The nutraceutical composition according to claim 1, which is in the form of a suppository.
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