WO2021255310A1 - Strain of the bacteroides genus for use in the treatment and/or prevention of eating disorders - Google Patents

Strain of the bacteroides genus for use in the treatment and/or prevention of eating disorders Download PDF

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WO2021255310A1
WO2021255310A1 PCT/ES2021/070438 ES2021070438W WO2021255310A1 WO 2021255310 A1 WO2021255310 A1 WO 2021255310A1 ES 2021070438 W ES2021070438 W ES 2021070438W WO 2021255310 A1 WO2021255310 A1 WO 2021255310A1
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strain
composition
food
use according
eating
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PCT/ES2021/070438
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Spanish (es)
French (fr)
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Ana Agustí Feliú
Isabel CAMPILLO NUEVO
Yolanda Sanz Herranz
Vicente Felipo Orts
Tiziano BALZANO
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Consejo Superior De Investigaciones Cientificas (Csic)
Centro De Investigación Príncipe Felipe
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Publication of WO2021255310A1 publication Critical patent/WO2021255310A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/74Bacteria
    • A61K35/741Probiotics
    • 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
    • A23L33/135Bacteria or derivatives thereof, e.g. probiotics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K2035/11Medicinal preparations comprising living procariotic cells
    • A61K2035/115Probiotics

Definitions

  • the present invention relates to a bacterium of the genus Bacteroides and, more specifically, of the species and strain B. uniformis CECT 7771 for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical forms of eating disorders, including excessive eating or hyperphagia, binge eating disorder, addictive or selective food intake, bulimia nervosa and anorexia nervosa, among others.
  • the present invention falls within the field of therapeutic activity of pharmaceutical compositions or preparations, as well as within the field of food. BACKGROUND OF THE INVENTION
  • Eating disorders are characterized by a lack of control over food intake. These alterations can lead to an increase in intake and, therefore, contribute to obesity and its complications, as well as lead to compulsive or addictive behavior, contributing to the development of mental pathologies. Its origin is complex, involving biological, psychological and sociocultural factors and, therefore, also its treatment and prevention.
  • Eating disorders related to excessive and / or uncontrolled food consumption, are increasing and show a prevalence that varies from 5% in the general population to more than 40% in obese individuals, which aggravates the consequences obesity (Lemeshow AR, et al. Eat BehavDec; (2016) 23: 110-114).
  • These eating behavior disorders are also associated with other mental disorders, with substance abuse, and often present together (for example, bulimia and alcohol abuse), increasing the dimension of the problem (Munn-Chernoff MA, et al. Addict Biol. (2020) Feb 16: e12880. Doi: 10.1111 / adb.12880).
  • These associations suggest that these mental pathologies may have a common etiopathological substrate.
  • epidemiological studies have associated alterations in eating behavior with other disorders psychiatric such as anxiety, among others (Levin BE. Am J Physiol. (1996) Feb; 270 (2 Pt 2): R456-61).
  • GLP-1 glucagon-like peptide-1
  • insulin ghrelin
  • leptin ghrelin
  • cholecystokinin peptide YY regulate energy balance and the sensation of hunger or satiety
  • the hypothalamus is one of the most important brain areas for the regulation of food intake in the short and long term through the synthesis of orexigenic neuropeptides, such as neuropeptide Y (NPY) and the “agouti-related peptide ”(AgRP), and anorectic neuropeptides, such as the transcript regulated by cocaine and amphetamines (CART) and propiomelanocortin (POMC), among others (Arora, S. and Anubhuti, Neuropeptides, (2006) 40 (6), 375-401).
  • NPY neuropeptide Y
  • AgRP agouti-related peptide
  • POMC propiomelanocortin
  • the components that regulate the hedonic aspect of food intake one of the main ones is the dopaminergic system.
  • DA dopamine
  • NX nucleus accumbens
  • the intestinal microbiota acts as a regulator of the so-called gut-brain axis and, through interactions with diet, and influences the central nervous system and behavior, as has been shown in intervention studies with probiotics or antibiotics that modify the microbiota, especially in experimental animals (Rodgers RJ Pharmacology Biochemistry and Behavior (2010) 97 (1), 3-14).
  • the present invention relates in a first aspect to a bacterial strain of the genus Bacteroides (hereinafter, strain of the invention), or to a strain derived from it, for use in prevention, risk reduction and / or or the treatment of sub-clinical and clinical forms of eating disorders.
  • strain of the invention a bacterial strain of the genus Bacteroides
  • the bacterial strain for use is a strain of the spice B. uniformis.
  • the bacterial strain for use is the B. uniformis CECT 7771 strain.
  • Eating disorders are disorders derived from a lack of control over food intake, including hyperphagia or excess ingestion, binge eating disorder, addictive or selective food intake, bulimia nervosa and anorexia nervosa, among others.
  • the eating disorder is selected from the list comprising: excessive eating or hyperphagia, binge eating disorder, addictive or selective food intake, bulimia nervosa, anorexia nervosa, associated anxiety alterations in eating behavior and megarexia.
  • the inventors have discovered that the genus Bacteroides and more specifically the species B. uniformis and the strain B. uniformis CECT 777 exhibit the ability to reduce total calorie intake and the amount of solid food in the form of bingeing in an animal model.
  • Binge eating episodes are characteristic of hyperphagia, the so-called binge eating disorder, addictive or selective food intake and bulimia nervosa and also occur in anorexia nervosa, in The one that can alternate periods of fasting with specific episodes of ingestion in the form of binge eating. This effect has been demonstrated (as shown in the examples provided in the invention) by administering the B.
  • the inventors have also shown that a strain of the genus Bacteroides reduces anxiety associated with alterations in the control of food intake, both in the period of activity and, therefore, in the search for food and ingestion (at night), and in the period of rest (light).
  • the bacterium B. uniformis CECT 7771 whose use is the object of the invention, reduces the number of entries to the light zone in the light-dark test, which are increased in the model that receives the vehicle, indicating that it reduces anxiety and risky behavior during the period of activity.
  • the administration of the bacterium B. uniformis CECT 7771 reduces the latency time to come into contact with food, which is increased in the model , by means of the anxiety test against hunger carried out in the rest period. (Example 2, Figure 2D).
  • the use of the bacterium B. uniformis CECT 7771 makes it possible to restore the expression of dopamine receptors in the prefrontal cortex of the brain (D1 R) and in the intestine (D1 R and D2R).
  • the improvement of dopamine signaling at the level of the enteric and central nervous system, through the normalization of the expression of these receptors, constitutes a regulatory mechanism of the reward system, which may explain the reduction of the intake in the form of binge eating, such as result of the administration of the bacteria.
  • uniformis CECT 7771 allows to reestablish some of the alterations caused by intermittent fasting in the intestinal microbiota, such as the reduction of the abundance of Muribaculum spp. since their concentrations are normalized when administering the bacterium object of the patent. Furthermore, the administration of B. uniformis CECT 7771 increases the prevalence and abundance of this and other bacterial species (Akkermanisa muciniphila and Christensenella minuta) that may explain its beneficial effects on food intake and anxiety (Example 4, Figure 5).
  • the strain B. uniformis CECT 7771 refers to a strain isolated from infant feces, identified and deposited in the Spanish collection of type cultures (CECT) on July 21, 2010 and to which it corresponded the CECT deposit number 7771.
  • the address of said International Depository Authority is: University of Valencia Bujassot Campus Research Building 46100 Burjassot (Valencia).
  • a strain derived from the strain B. uniformis CECT 7771 where said strain maintains or improves the capabilities described throughout the present invention.
  • the derived microorganism can be produced naturally or intentionally, by means of mutagenesis methods known in the state of the art, such as, for example, but not limited to, the growth of the original microorganism in the presence of mutagenic or stress-causing agents, modifying the growing conditions (eg, increasing aeration or exposure to oxygen, pH, or temperature) or by genetic engineering aimed at modifying specific genes.
  • a strain derived from the strain B. uniformis CECT 7771 generated by adaptation to the environment or by directed genetic modification is used.
  • the terms "mutant strain” or "derived strain” can be used interchangeably.
  • the strain B. uniformis CECT 7771 or any mutant or derivative thereof can be used in any way that exerts the effects described, such as, for example, according to a preferred embodiment of the present invention, the strain B. uniformis CECT 7771 is in the form of viable cells (cultivable or non-culturable), or according to another preferred embodiment of the invention, the strain is in the form of non-viable cells ("dead" cells inactivated by any technique known in the state of the art, such as, for example, but without limitation, heat, freezing, mechanical or chemical disruption or ultraviolet radiation).
  • the present invention also contemplates the combination of cellular components, metabolites, secreted molecules or any of their combinations, obtained from strain CECT 7771 for use in the treatment (in sub-clinical or clinical forms) and / or in risk reduction and prevention of eating disorders.
  • Cellular components of the bacterium could include cell wall components (such as, but not limited to, peptidoglycan), nucleic acids, membrane components, or others such as proteins, lipids, and carbohydrates, and their combinations, such as lipoproteins, glycolipids or glycoproteins.
  • Metabolites include any molecule produced or modified by the bacterium as a consequence of its metabolic activity during its growth, its use in technological processes (for example, but not limited to, food or drug manufacturing processes), during product storage or during gastrointestinal transit. Examples of these metabolites are, but are not limited to, organic and inorganic acids, proteins, peptides, amino acids, enzymes, lipids, carbohydrates, lipoproteins, glycolipids, glycoproteins, vitamins, salts, metals, or nucleic acids.
  • Secreted molecules include any molecule exported or released abroad by the bacterium during its growth, its use in technological processes (for example, food or drug manufacturing), product storage or gastrointestinal transit. Examples of these molecules are, but are not limited to, organic and inorganic acids, proteins, peptides, amino acids, enzymes, lipids, carbohydrates, lipoproteins, glycolipids, glycoproteins, vitamins, salts, metals, or nucleic acids.
  • a second aspect of the invention relates to a composition, hereinafter "composition of the invention", comprising a strain of the genus Bacteroides, more preferably of the species Bacteroides uniformis and even more preferably the strain B. uniformis CECT 7771, a strain derived from it and / or the cellular components, metabolites, secreted molecules of the strain or any of their combinations for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical forms of disorders of the eating behavior.
  • composition of the invention comprising a strain of the genus Bacteroides, more preferably of the species Bacteroides uniformis and even more preferably the strain B. uniformis CECT 7771, a strain derived from it and / or the cellular components, metabolites, secreted molecules of the strain or any of their combinations for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical forms of disorders of the eating behavior.
  • the eating disorders are those described in the first aspect of the invention.
  • the composition of the invention for use has a concentration of the strain of the invention of between 10 4 and 10 14 colony forming units (ufe) per gram or milliliter of final composition.
  • composition of the invention for its use may further comprise at least one other additional microorganism other than the B. uniformis CECT 7771 strain and / or its cellular components, metabolites or secreted molecules, or any combination thereof.
  • additional microorganism that can be part of said composition is selected from at least one of the following groups:
  • Lactic acid bacteria is selected from the list comprising, but not limited to, a bacterium of the genus Bifidobacterium, Lactobacillus, Lactococcus, Enterococcus, Propionibacterium, Leuconostoc, Weissella, Pediococcus or Streptococcus;
  • strains of other phylogenetic groups genera or species of prokaryotes of intestinal, alimentary or environmental origin, such as for example but not limited to Archaea, Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Verrucomicrobia, Fusobacteria, Metanobacteria, Spirochaetes, Fibrobacteres,
  • fungus or yeast such as, for example, but not limited to, belonging to the genus Saccharomyces, Candida, Pichia, Debaryomyces, Torulopsis, Aspergillus, Rhizopus, Mucor or Penicillium.
  • Said additional microorganism can be a strain of the same species or of a different species or taxonomic group of microorganisms from the one corresponding to the strain of the invention.
  • the cells that comprise the composition can be non-viable or viable and be in any phase of the state of development or growth (latent, exponential, stationary, etc.), regardless of the morphology they present.
  • said additional microorganism comprises at least one intestinal bacteria or a lactic bacteria.
  • the composition of the invention for use may also comprise at least one bioactive component (active substance, active principle or therapeutic agent), such as, for example, components of food, plant products and / or drugs.
  • bioactive component refers to a compound with biological activity within the scope of the patent that can improve or complement the activity of the Bacteroides strain of the invention (preferably B. uniformis CECT 7771), including ingredients or components of food (for example and without limitation: polyunsaturated fatty acids, conjugated linoleic acid, prebiotics, fiber, Guar gum, glucomannan, chitosan, copper picolinate, calcium, etc.), other probiotics, plants, extracts or plant components and drugs.
  • the composition of the invention is a pharmaceutical composition.
  • the pharmaceutical composition is a set of components that is made up of at least the strain of the invention in any concentration; or at least by the cellular components, metabolites, secreted molecules of the strain of the invention or any of its combinations, which has at least one application in the improvement of the physical or physiological or psychological well-being of a subject, which implies an improvement of the state general health or disease risk reduction.
  • Said pharmaceutical composition can be a medicine.
  • the term drug has a more limited meaning than the meaning of "pharmaceutical composition", as defined in the present invention, since the drug necessarily implies a preventive or therapeutic effect.
  • the medicine to which the present invention refers can be for human or veterinary use.
  • the "medicine for human use” is any substance or combination of substances that is presented as having properties for the treatment or prevention of diseases in humans or that can be used in humans or administered to humans in order to restore, correct or modify the physiological functions by exerting a pharmacological, immunological or metabolic action, or to establish a medical diagnosis.
  • the "medicine for veterinary use” is any substance or combination of substances that is presented as having curative or preventive properties with respect to animal diseases or that can be administered to the animal in order to restore, correct or modify its physiological functions by exercising a pharmacological, immunological or metabolic action, or to establish a veterinary diagnosis.
  • veterinary drugs are "premixes for medicated feed” prepared to be incorporated into a feed.
  • the composition of the invention for use comprises at least one pharmaceutically acceptable carrier and / or excipient.
  • the "vehicle” or carrier is preferably an inert substance.
  • the function of the vehicle is to facilitate the incorporation of other compounds, to allow a better dosage and administration or to give consistency and shape to the pharmaceutical composition. Therefore, the vehicle is a substance that is used in the medicine to dilute any of the components of the pharmaceutical composition of the present invention to a certain volume or weight; or that even without diluting said components it is capable of allowing a better dosage and administration or giving consistency and shape to the medicine.
  • the pharmaceutically acceptable carrier is the diluent.
  • excipient refers to a substance that helps the absorption of any of the components of the composition of the present invention, stabilizes said components or helps the preparation of the pharmaceutical composition in the sense of giving it consistency or providing flavors that make it more enjoyable.
  • excipients could have the function of keeping the components together such as starches, sugars or celluloses, a sweetening function, a coloring function, a protective function of the drug, such as for example to isolate it from air and / or humidity, a function filling of a tablet, capsule or any other form of presentation such as, for example, dibasic calcium phosphate, disintegrating function to facilitate the dissolution of the components and their absorption in the intestine, without excluding other types of excipients not mentioned in this paragraph.
  • excipient is defined as that material that, included in the galenic forms, is added to the active principles or their associations to enable their preparation and stability, modify their organoleptic properties or determine the physicochemical properties of the pharmaceutical composition and its bioavailability.
  • the "pharmaceutically acceptable" excipient must allow the activity of the compounds of the pharmaceutical composition, that is, it must be compatible with said components.
  • the excipient and the vehicle must be pharmacologically acceptable, that is, that the excipient and the vehicle are allowed and evaluated in such a way that it does not cause harm to the organisms to which it is administered.
  • the pharmaceutical composition or drug of the invention for use can be presented in any clinically permitted form of administration and in a therapeutically effective amount.
  • it may be in a form adapted for oral, sublingual, nasal, intracatecal, bronchial, lymphatic, rectal, transdermal, inhaled or parenteral administration, preferably in a form adapted for oral administration.
  • the pharmaceutical composition of the invention can be formulated in solid, semisolid, liquid or gaseous forms, such as tablet, capsule, powder, granule, ointment, solution, suppository, injection, inhalant, gel, microsphere or aerosol.
  • the form adapted for oral administration is selected from the list that includes, but is not limited to, drops, syrup, herbal tea, elixir, suspension, extemporaneous suspension, drinkable vial, tablet, capsule, granule, seal, pill, tablet, lozenge, troche. or lyophilized.
  • the composition of the invention for use is presented in a form adapted for oral, sublingual, nasal, bronchial, lymphatic, rectal, transdermal, inhaled or parenteral administration.
  • the pharmaceutical composition of the invention for use is presented in a form adapted for oral administration.
  • the form adapted for oral administration refers to a physical state that can allow its oral administration.
  • Said form adapted for oral administration is selected from the list that includes, but is not limited to, drops, syrup, herbal tea, elixir, suspension, extemporaneous suspension, drinkable vial, tablet, capsule, granulate, seal, pill, tablet, lozenge, troche. or lyophilized.
  • galenic form or "pharmaceutical form” is the arrangement to which the active principles and excipients are adapted to constitute a medicine. It is defined by the combination of the form in which the pharmaceutical composition is presented by the manufacturer and the form in which it is administered.
  • the term "therapeutically effective amount” refers to that amount of the component of the pharmaceutical composition that when administered to a mammal, preferably a human, is sufficient to produce prevention and / or treatment, such as defined later, of a disease or pathological condition of interest in the mammal, preferably a human.
  • the therapeutically effective amount will vary, for example, according to the activity of the strain of the invention; of the cellular components, metabolites, secreted molecules or any of their combinations, in any form of presentation; the therapeutically effective amount will also vary according to the metabolic stability and duration of action of the compound; the age, body weight, general health, sex and diet of the patient; the mode and time of administration; the rate of excretion, the combination of drugs; the severity of the particular disorder or pathological condition; and the subject undergoing therapy, but can be determined by a person skilled in the art based on his or her own knowledge and that description.
  • the composition of the invention for use can also be a nutritional composition.
  • the term "nutritional composition" of the present invention refers to that food or component of foods that, regardless of providing nutrients to the subject who takes it, beneficially affects one or more functions of the body, so that it provides a better state health and wellness.
  • said nutritional composition can be intended for the prevention or reduction of the risk and / or treatment of a disease or sub-clinical condition or of the factor causing a disease. Therefore, the term “nutritional composition” of the present invention can be used synonymously with functional food or food for specific nutritional purposes or medicinal food.
  • the nutritional composition is a food, a supplement, a nutraceutical, a probiotic or a symbiotic.
  • the food is selected from the list that comprises: dairy product, vegetable product, meat product, snack, chocolate, drink or baby food.
  • Dairy product is selected from the list comprising, but not limited to, a product derived from fermented milk (for example, but not limited to yogurt or cheese) or non-fermented (for example, but not limited to, ice cream, butter, margarine, buttermilk ).
  • the vegetable product is, for example, but not limited to, a cereal in any form of presentation, fermented or non-fermented.
  • the beverage can be, but is not limited to, any fruit juice or non-fermented milk.
  • dietary supplement synonymous with any of the terms “dietary supplement”, “nutritional supplement”; or “food supplement” is a “food ingredient” intended to supplement the diet.
  • Some examples of dietary supplements are, but are not limited to, vitamins, minerals, botanicals, amino acids, and food components such as enzymes and glandular extracts. They are not presented as substitutes for a conventional food or as a single component of a meal or of the nutritional diet but as a complement to the diet.
  • dietary supplements are, but are not limited to, vitamins, minerals, botanicals, amino acids, and food components such as enzymes and glandular extracts. They are not presented as substitutes for a conventional food or as a single component of a meal or of the nutritional diet but as a complement to the diet.
  • nutraceutical as used in the present invention refers to substances isolated from a food and used in a dosage form that have a beneficial effect on health.
  • probiotic refers to live microorganisms that when supplied in adequate amounts promote health benefits to the host organism.
  • the term "symbiotic” as used in the present invention refers to those foods that contain a mixture of prebiotics and probiotics. As a general rule, they contain a prebiotic component that favors growth and / or metabolic activity and ultimately the effect of the probiotic with which it is combined, as for example and without limiting it may be the association of fructooligosaccharides, galactooligosaccharides or arabino-oligosaccharides to the bifidobacteria.
  • Another aspect of the present invention refers to the use of the strain of the invention, of a strain derived from it, of the components derived from it or the composition of the invention, for the manufacture of a drug, a nutritional composition or A food.
  • the term "treatment” refers to combating the effects caused as a consequence of a disease or pathological condition of interest in a subject (preferably a mammal, and more preferably a human) including:
  • prevention refers to preventing the onset of the disease, that is, preventing the disease or pathological condition from occurring in a subject (preferably a mammal, and more preferably a human), in particular, when said subject has a predisposition for the pathological condition.
  • risk reduction refers to reducing at least one of the causative factors of the pathological condition.
  • eating disorders or alterations include, but are not limited to, hyperphagia or overeating, binge eating disorder, addictive food intake, selective eater syndrome, bulimia nervosa, anorexia nervosa, megarexia, etc.
  • the present invention relates to the strain of invention, the strain derived from the strain of invention, the cellular component, metabolite, secreted molecule or any of its combinations obtained from the strain of invention, or the composition of the invention, for its use as an adjuvant in the treatment of sub-clinical or clinical conditions and / or prevention or reduction of the risk of disorders or alterations in eating behavior.
  • adjuvant is understood to be that compound that helps to improve the effectiveness or efficiency of other drugs for the treatment of eating disorders or alterations, which would allow reducing its dose and / or the frequency of administration or enhance its efficacy by administering a formulation of the strain of the invention with complementary mechanisms of action.
  • Figure 2 Effect of B. uniformis CECT 7771 on anxiety in an eating behavior disorder model. Light / dark test or light / dark test (A, B, C). Number of entries in the clear area (A), Latency to move to the clear area (s) (B), Time spent in the clear area (s) (C). Effect of B. uniformis CECT 7771 on anxiety after 18 h of food deprivation in an anxiety versus hunger test (D, E). Latency to initiate contact with food (D), Latency and eat (E).
  • D1 positive cells A, C
  • D2 positive cells B, D
  • C control group
  • IF rats that fasted 12 h daily and received vehicle by gavage
  • IF + B rats that fasted 12 h and received a daily dose of 1X10 8 CFU B.
  • Statistically significant differences compared to group C are indicated with an asterisk ( * ), different from group IF are indicated with (#). ** p ⁇ 0.010, *** p ⁇ 0.0010, # p ⁇ 0.050, ### p ⁇ 0.0010.
  • FIG. 5 Differences in the abundance of operational taxonomic units (OTUs) between the different experimental groups. The results of the LDA analysis and the p-values of the statistical analysis are shown. The upper four panels show OTUs that present higher abundances in the control group than in those with the eating disorder (IF and IF + B). The remaining panels show OTUs that were more abundant in the groups of animals with eating disorder (IF and IF + B) than in the controls. Statistically significant differences found in the IF + B group compared to the IF group are highlighted with a red asterisk. The color of the legend group corresponds to the following experimental groups: yellow-controls; blue: eating disorder model administered vehicle; orange: eating disorder model administered B. uniformis.
  • OTUs operational taxonomic units
  • C control group with free access to food
  • IF group subjected to intermittent fasting as eating behavior disorder model and receiving vehicle
  • IF + B group subjected to intermittent fasting as a model of eating behavior disorder and that received a daily dose of 10 8 CFU of B. uniformis.
  • Example 1 Effects of B. uniformis CECT 7771 on intake in a model of eating disorder.
  • C a control group
  • placebo placebo
  • IF eating behavior
  • the rats were sacrificed by cervical dislocation to obtain samples, including intestine, brain and feces.
  • IF rats consumed significantly more calories (502 kcal ⁇ 2.40, p ⁇ 0.0010) than control rats (118 kcal ⁇ 1.00) and significantly more than the second day of the experiment (p ⁇ 0.0010) during binge eating (comparing the same group on day 2 versus day 18), indicating that the effect size increased throughout the study time.
  • IF + B rats showed a higher caloric intake (425 kcal ⁇ 1.70, p ⁇ 0.0010) than control rats (118 kcal ⁇ 1.00) after 18 days of intervention.
  • Within-group differences (IF + B) in caloric intake between day 2 and day 18 were also significant (p ⁇ 0.001) during binge eating.
  • the sum of the total caloric intake of the IF + B rats was reduced compared to the IF rats that received the vehicle (p ⁇ 0.001), suggesting that B. uniformis CECT 7771 reduced caloric intake during binge eating. .
  • IF rats and IF + B rats ate significantly more food (Figure 1 B) during binge eating (4.80 g ⁇ 0.40, p ⁇ 0.050 and 4.94 g ⁇ 0.32, p ⁇ 0.050, respectively) than control rats (2.86 g ⁇ 0.40) on the second day of the experiment as a result of fasting ( Figure 1 B).
  • the IF group ate significantly more (7.03 g ⁇ 0.73, p ⁇ 0.0010) than the control rats (2.36 g ⁇ 0.28) and significantly more than the second day of the experiment (p ⁇ 0.050) during the binge, indicating that the magnitude of food intake increased throughout the study time.
  • IF + B rats showed higher food intake (5.72 g ⁇ 0.41, p ⁇ 0.001) compared to control rats (2.36 g ⁇ 0.28) after 18 days of intervention; however, these differences were not significant with respect to the second day of the experiment in the comparisons within the group, suggesting that the increase in food intake induced by the fasting protocol was slightly improved by the administration of B. uniformis CECT 7771.
  • Both groups, IF and IF + B, drank significantly more sucrose solution (Figure 1 C) on the second day of the experiment (11.25 g ⁇ 0.77, p ⁇ 0.0010 and 12.71 g ⁇ 2.34, p ⁇ 0.0010, respectively) than the control rats that only drank water (2.73 g ⁇ 0.22).
  • IF and IF + B rats drank significantly more than control rats (p ⁇ 0.0010) and a little more than the second day of the experiment (13.75 g ⁇ 1.34 and 12.27 g ⁇ 1.31, respectively). No significant differences were detected in the intake of sucrose solution between the IF and IF + B groups.
  • Example 2 Effects of B. uniformis CECT 7771 on anxiety in an animal model of eating disorder.
  • This test is based on a conflict between innate aversion to lighted areas and spontaneous exploratory behavior in a novel setting. It consists of a light-dark box made of plexiglass (44 c 44 c 40 cm). The dark compartment is one-third of the box with black walls, in which two-thirds is the light compartment with white walls. The box was illuminated with 300 lux and an open door (10 c 7.5 cm) communicating the light and dark compartments. During the dark phase (active phase), the rats were individually placed in the dark box (20 lux) and allowed to freely explore the entire box (light and dark) for 10 minutes and recorded with a video camera (Sony EXview FIADCCDII, Cornellá (Barcelona), Spain).
  • Latency to get out of the dark side of the box (four legs on the light side), visits to the light compartment, and time spent there are measures of anxiety. All these parameters were measured and comparatively analyzed (Panlab, Barcelona, Spain). This test was performed during the dark phase (active phase). 2.2. Anxiety versus hunger test.
  • This test measures rat anxiety versus hunger motivation in an open field (OP). It is based on the conflict between neophobia / anxiety and hunger.
  • OP open field
  • Rats were observed and recorded (Sony EXview FIADCCDII, Georgiaá, Barcelona, Spain) for 8 minutes and different parameters were analyzed, including latency (time) to initiate contact with food and incidence of ingestion. At the end of each experiment, the animals were returned to their cages and feeding ad libitum. All these parameters were measured and analyzed comparatively (Panlab, Barcelona, Spain). The OP was washed after each animal with 5% ethanol. 23. Effect on anxiety in the two behavior tests.
  • Daily administration of B. uniformis CECT 7771 tended to increase the latency time, reaching values similar to those of the control group (289 ⁇ 73 s).
  • Example 3 Effects of B. uniformis CECT 7771 on the expression of neuropetides and dopamine receptors in an eating disorder model.
  • Tissue sections were then processed with the Envision Flex + kit (DAKO, Santa Clara, CA, USA) blocking endogenous peroxidase activity for 5 minutes and then incubated with the primary antibody.
  • the reaction was visualized by Envision Flex + horseradish + peroxidase for 20 minutes and finally diaminobenzidine for 10 minutes.
  • the sections were contrasted with Mayer's hematoxylin (DAKO S3309; Ready to use) for 5 minutes.
  • the primary antibodies used were the following: Anti-dopamine D1 receptor antibody (Abcam, ab40653, 1: 500 for 40 minutes) and anti-dopamine D2-C-terminal receptor antibody (Abcam, ab191041, 1: 500 for 40 minutes ).
  • cDNA complementary DNA
  • mRNA messenger RNA
  • b2M B2-microglobulin
  • the sequence and information for the primers are shown in Supplementary Table 1. All amplification reactions were performed in triplicate and mean threshold cycle numbers (Ct) of the triplicates were used to calculate relative mRNA expression of candidate genes. The magnitude of the mRNA expression change for the candidate genes was calculated using the standard 2-hAACt method. All data were normalized to housekeeping gene content and expressed as a percentage of control.
  • uniformis CECT 7771 normalized the expression of D1 R in PFCx (398 ⁇ 37, p ⁇ 0.050). IF rats showed a significant decrease in D2 positive cells compared to control rats (185 ⁇ 13 versus 390 ⁇ 29, p ⁇ 0.0010). The administration of B. uniformis CECT 7771 did not restore this alteration (237 ⁇ 16, p ⁇ 0.010). These results suggest that B. uniformis CECT 7771 decreases D1 and D2 positive cells in the small intestine.
  • Example 4 Influence of B. uniformis CECT 7771 on the composition of the microbiota in a model of eating disorder.
  • Microbiota analysis by 16S rRNA gene sequencing DNA isolation from intestinal contents was performed using the MoBio PowerSoil TM kit following the manufacturer's instructions. Previously cell lysis by incubation with lysozyme and mutanolysin favored at 37 C for 1 h and subsequently by mechanical cell disruption in a Mini-Bead Beater (BioSpec Products, Bartlesville, US) with two cycles of stirring for 1 minute. Genomic DNA was quantified by UV absorbance measurement (Nanodrop, Thermo Scientific, Wilmington, USA).
  • the hypervariable regions V3-V4 of the gene 16S rRNA were amplified in triplicate by PCR using 20 ng of DNA (1 pL) and 25 PCR cycles at 95 e C for 20 s, 40 e C for 30 s 72 e C during 20 s.
  • the samples were barcoded to allow multiplexing during the sequencing process.
  • Phusion high fidelity Taq Polymerase (Thermo Scientific) and the barcode primers SD-Bact-0341-bS-17 (CCTACGGNGGCWGCAG) (SEQ ID NO: 9) and SD-Bact-0785-aA were used during PCR.
  • -21 GACTACFIVGGTATCTAATCC
  • PCR products (-500 bp) were purified with the GFX PCR DNA and Gel Band Purification Kit Illustrator (GE Flealthcare, United Kingdom) and quantified using the Qubit 3.0 method and the Qubit dsDNA HS Assay Kit (Thermo Fisher Scientific, Waltham, MA, USA). Samples were multiplexed into a single sequencing by combining equimolar amounts of amplified DNA (-50 ng per sample) and sequenced in one lane. of the Illumina MiSeq platform with a 2x300 PE configuration (CNAG, Barcelona, Spain).
  • Non-parametric methods were applied for statistical analyzes, such as the Kruskal-Wallis and Wilcoxon tests, applying the Benjamini-Hochberg correction in the case of multiple comparisons.
  • a linear discriminant analysis (LDA) was performed to compare the abundance of taxonomic units (OTUs) between the different experimental groups and significant differences were established when the OTUs showed an LDA value of 3 3.0.
  • the PERMANOVA analysis was performed to evaluate the changes in the structure of the microbiota using the Bray-Curt ⁇ s distance data.
  • the Principal Coordinate Analysis (PCoA) allowed to visualize the changes in the composition of the microbiota between the groups. The analyzes were carried out in R v3.6.

Abstract

The present invention relates to a strain of the Bacteroides genus, preferably the B.uniformis CECT 7771 strain, for use in the prevention of or reduction in the risk of, and in the treatment of, subclinical or clinical forms of eating behaviour disorders such as hyperphagia, binge-eating disorder, addictive or selective consumption of food, bulimia nervosa, anorexia nervosa, the anxiety associated with disturbances in eating behaviour, and megarexia. The present invention also relates to a composition comprising said strain for the above use.

Description

DESCRIPCIÓN DESCRIPTION
Cepa del género Bacteroides para su uso en el tratamiento v/o prevención de trastornos alimentarios Strain of the genus Bacteroides for use in the treatment and / or prevention of eating disorders
La presente invención se refiere a una bacteria del género Bacteroides y, más específicamente, de la especie y la cepa B. uniformis CECT 7771 para su uso en la prevención, reducción del riesgo y/o el tratamiento de formas sub-clínicas o clínicas de trastornos de la conducta alimentaria, incluyendo el exceso de ingesta o hiperfagia, el trastorno por atracón, la ingesta adictiva o selectiva de alimentos, la bulimia nerviosa y la anorexia nerviosa, entre otros. La presente invención se encuadra dentro del campo de la actividad terapéutica de composiciones o preparaciones farmacéuticas, así como dentro del campo de la alimentación. ANTECEDENTES DE LA INVENCIÓN The present invention relates to a bacterium of the genus Bacteroides and, more specifically, of the species and strain B. uniformis CECT 7771 for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical forms of eating disorders, including excessive eating or hyperphagia, binge eating disorder, addictive or selective food intake, bulimia nervosa and anorexia nervosa, among others. The present invention falls within the field of therapeutic activity of pharmaceutical compositions or preparations, as well as within the field of food. BACKGROUND OF THE INVENTION
Los trastornos de la conducta alimentaria se caracterizan por una falta de control sobre la ingesta de alimentos. Estas alteraciones pueden conllevar un aumento de la ingesta y, por tanto, contribuir a la obesidad y sus complicaciones, así como derivar en un comportamiento compulsivo o adictivo, contribuyendo al desarrollo de patologías mentales. Su origen es complejo, interviniendo factores biológicos, psicológicos y socioculturales y, por tanto, también su tratamiento y prevención. Eating disorders are characterized by a lack of control over food intake. These alterations can lead to an increase in intake and, therefore, contribute to obesity and its complications, as well as lead to compulsive or addictive behavior, contributing to the development of mental pathologies. Its origin is complex, involving biological, psychological and sociocultural factors and, therefore, also its treatment and prevention.
Los trastornos de la conducta alimentaria, relacionados con el consumo excesivo y/o descontrolado de alimentos, están aumentando y muestran una prevalencia que varía desde un 5% en la población general hasta más del 40% en los individuos obesos, lo que agrava las consecuencias de la obesidad (Lemeshow AR, et al. Eat BehavDec; (2016) 23:110-114). Estas alteraciones del comportamiento alimentario también están asociadas con otros trastornos mentales, con el abuso de sustancias, y a menudo se presentan conjuntamente (por ejemplo, la bulimia y abuso del alcohol), incrementando la dimensión del problema (Munn-Chernoff MA, et al. Addict Biol. (2020) Feb 16: e12880. doi: 10.1111/adb.12880). Estas asociaciones sugieren que estas patologías mentales pueden tener un sustrato etio-patológico común. Además, estudios epidemiológicos han asociado las alteraciones del comportamiento alimentario con otros trastornos psiquiátricos como la ansiedad, entre otros (Levin BE. Am J Physiol. (1996) Feb;270(2 Pt 2):R456-61). Eating disorders, related to excessive and / or uncontrolled food consumption, are increasing and show a prevalence that varies from 5% in the general population to more than 40% in obese individuals, which aggravates the consequences obesity (Lemeshow AR, et al. Eat BehavDec; (2016) 23: 110-114). These eating behavior disorders are also associated with other mental disorders, with substance abuse, and often present together (for example, bulimia and alcohol abuse), increasing the dimension of the problem (Munn-Chernoff MA, et al. Addict Biol. (2020) Feb 16: e12880. Doi: 10.1111 / adb.12880). These associations suggest that these mental pathologies may have a common etiopathological substrate. In addition, epidemiological studies have associated alterations in eating behavior with other disorders psychiatric such as anxiety, among others (Levin BE. Am J Physiol. (1996) Feb; 270 (2 Pt 2): R456-61).
En el control de la ingesta alimentaria intervienen dos componentes: los aspectos homeostáticos relacionados con el balance energético y los hedónicos, relacionados con la sensación de placer o recompensa que provoca la ingesta de alimentos. El objetivo principal del componente homeostático es cubrir las necesidades energéticas para mantener las funciones vitales del organismo. Diferentes hormonas que se producen en el tracto gastrointestinal y tejidos periféricos, como el péptido similar al glucagón-1 (GLP-1 ), la insulina, la grelina, la leptina, la colecistoquinina o el péptido YY regulan el equilibrio energético y la sensación de hambre o saciedad (Cummings, D.E. and J. Overduin. J Clin Invest, (2007) 117(1), 13-23). A nivel del sistema nervioso central, el hipotálamo es una de las áreas cerebrales más importantes para la regulación de la ingesta alimentaria a corto y largo plazo mediante la síntesis de neuropéptidos orexigénicos, como el neuropéptido Y (NPY) y el “agouti-related peptide” (AgRP), y los neuropéptidos anorexigénicos, como el transcrito regulado por la cocaína y las anfetaminas (CART) y la propiomelanocortina (POMC), entre otros (Arora, S. and Anubhuti, Neuropeptides, (2006) 40(6), 375-401). Entre los componentes que regulan el aspecto hedónico de la ingesta de alimentos, uno de los principales es el sistema dopaminérgico. El principal neurotransmisor asociado con la respuesta de recompensa en el sistema mesolímbico es la dopamina (DA) y es crucial para el "deseo" de ingerir comida (Tindell, A.J., et al. Eur J Neurosci, (2005) 22(10), 2617-34). Las neuronas DA se proyectan al estriado, corteza, hipotálamo y sistema límbico, incluyendo el núcleo accumbens (NAc) y regulan diferentes funciones fisiológicas, incluyendo la secreción de hormonas, así como la motivación y las emociones (Tritsch, N.X., and Sabatini, B. L., Neuron (2012) 76, 33-50). El estudio de la neurobiología del circuito de recompensa se ha centrado en el NAc ya que la mayoría de las drogas de abuso liberan DA en el NAc cada vez que se toman (Wise, R.A., et al., Psychopharmacology (Berl), (1995) 120(1), 10-20) y se ha observado un efecto similar en modelos animales que se alimentan con alimentos sabrosos o apetecibles (Bassareo, V. and G. Di Chiara, Eur J Neurosci, (1999) 11(12), 4389-97). Two components are involved in controlling food intake: homeostatic aspects related to energy balance and hedonic aspects, related to the sensation of pleasure or reward caused by food intake. The main objective of the homeostatic component is to meet the energy needs to maintain the vital functions of the body. Different hormones that are produced in the gastrointestinal tract and peripheral tissues, such as glucagon-like peptide-1 (GLP-1), insulin, ghrelin, leptin, cholecystokinin or peptide YY regulate energy balance and the sensation of hunger or satiety (Cummings, DE and J. Overduin. J Clin Invest, (2007) 117 (1), 13-23). At the level of the central nervous system, the hypothalamus is one of the most important brain areas for the regulation of food intake in the short and long term through the synthesis of orexigenic neuropeptides, such as neuropeptide Y (NPY) and the “agouti-related peptide ”(AgRP), and anorectic neuropeptides, such as the transcript regulated by cocaine and amphetamines (CART) and propiomelanocortin (POMC), among others (Arora, S. and Anubhuti, Neuropeptides, (2006) 40 (6), 375-401). Among the components that regulate the hedonic aspect of food intake, one of the main ones is the dopaminergic system. The main neurotransmitter associated with the reward response in the mesolimbic system is dopamine (DA) and it is crucial for the "desire" to eat food (Tindell, AJ, et al. Eur J Neurosci, (2005) 22 (10), 2617-34). DA neurons project to the striatum, cortex, hypothalamus, and limbic system, including the nucleus accumbens (NAc), and regulate different physiological functions, including hormone secretion, as well as motivation and emotions (Tritsch, NX, and Sabatini, BL , Neuron (2012) 76, 33-50). The study of the neurobiology of the reward circuit has focused on the NAc since most drugs of abuse release DA in the NAc each time they are taken (Wise, RA, et al., Psychopharmacology (Berl), (1995 ) 120 (1), 10-20) and a similar effect has been observed in animal models that are fed tasty or appetizing foods (Bassareo, V. and G. Di Chiara, Eur J Neurosci, (1999) 11 (12) , 4389-97).
Evidencias científicas indican que existe una comunicación bidireccional entre el intestino y el cerebro (llamado eje intestino-cerebro) que está regulada por señales hormonales, inmunológicas y neurales. El microbiota intestinal actúa como regulador del llamado eje intestino-cerebro y, a través de las interacciones con la dieta, e influye en el sistema nerviosos central y en el comportamiento, como se ha demostrado en estudios de intervención con probióticos o antibióticos que modifican la microbiota, sobre todo en animales de experimentación (Rodgers R. J. Pharmacology Biochemistry and Behavior (2010) 97(1), 3-14). En cuanto a su función en la regulación del componente homeostático que regula la ingesta, algunos estudios sugieren que la microbiota intestinal y los metabolitos producidos por está (ácidos grasos de cadena corta) pueden estimular la producción de hormonas gastrointestinales, como el GLP-1 y el PYY, y reducir el apetito a corto plazo (Cummings, D.E. and J. Overduin. J Clin Invest (2007) 117(1), 13-23). Sin embargo, se desconoce en gran medida su posible función en el control de los aspectos hedónicos de la ingesta, así como en complicaciones mentales asociadas a los trastornos alimentarios. Debido al aumento continuado de la prevalencia de alteraciones del comportamiento alimentario, resulta necesario continuar con la búsqueda de estrategias preventivas y terapéuticas eficaces. Éstas pueden estar basadas en nuevas cepas bacterianas, que sean parte de la microbiota intestinal de individuos sanos, y en sus moléculas activas, que medien en la relación intestino cerebro y que puedan actuar sobre vías neurales implicadas en el control del componente hedónico y los sistemas de recompensa que regulan la ingesta de alimentos, como se propone en la presente invención. Scientific evidence indicates that there is a two-way communication between the gut and the brain (called the gut-brain axis) that is regulated by signals hormonal, immunological and neural. The intestinal microbiota acts as a regulator of the so-called gut-brain axis and, through interactions with diet, and influences the central nervous system and behavior, as has been shown in intervention studies with probiotics or antibiotics that modify the microbiota, especially in experimental animals (Rodgers RJ Pharmacology Biochemistry and Behavior (2010) 97 (1), 3-14). Regarding its role in regulating the homeostatic component that regulates intake, some studies suggest that the intestinal microbiota and the metabolites produced by it (short-chain fatty acids) can stimulate the production of gastrointestinal hormones, such as GLP-1 and the PYY, and reduce appetite in the short term (Cummings, DE and J. Overduin. J Clin Invest (2007) 117 (1), 13-23). However, its possible role in controlling the hedonic aspects of eating, as well as in mental complications associated with eating disorders, is largely unknown. Due to the continuous increase in the prevalence of eating behavior disorders, it is necessary to continue with the search for effective preventive and therapeutic strategies. These may be based on new bacterial strains, which are part of the intestinal microbiota of healthy individuals, and on their active molecules, which mediate the gut-brain relationship and which can act on neural pathways involved in the control of the hedonic component and the systems of reward that regulate food intake, as proposed in the present invention.
DESCRIPCIÓN DETALLADA DE LA INVENCIÓN La presente invención se refiere en un primer aspecto a una cepa bacteriana del género Bacteroides (en adelante, cepa de la invención), o a una cepa derivada de ella, para su uso en la prevención, reducción del riesgo y/o el tratamiento de formas sub-clínicas y clínicas de trastornos de la conducta alimentaria. En una realización más preferida, la cepa bacteriana para su uso es una cepa de la especia B. uniformis. DETAILED DESCRIPTION OF THE INVENTION The present invention relates in a first aspect to a bacterial strain of the genus Bacteroides (hereinafter, strain of the invention), or to a strain derived from it, for use in prevention, risk reduction and / or or the treatment of sub-clinical and clinical forms of eating disorders. In a more preferred embodiment, the bacterial strain for use is a strain of the spice B. uniformis.
En una realización aún más preferida, la cepa bacteriana para su uso es la cepa B. uniformis CECT 7771. Los trastornos de la conducta alimentaria son alteraciones derivadas de una falta de control sobre la ingesta de alimentos, incluyendo la hiperfagia o exceso de ingesta, el trastorno por atracón, la ingesta adictiva o selectiva de alimentos, la bulimia nerviosa y la anorexia nerviosa, entre otros. In an even more preferred embodiment, the bacterial strain for use is the B. uniformis CECT 7771 strain. Eating disorders are disorders derived from a lack of control over food intake, including hyperphagia or excess ingestion, binge eating disorder, addictive or selective food intake, bulimia nervosa and anorexia nervosa, among others.
En una realización preferida de la invención, el trastorno de la conducta alimentaria es seleccionado de la lista que comprende: ingesta excesiva o hiperfagia, el trastorno por atracón, la ingesta adictiva o selectiva de alimentos, la bulimia nerviosa, la anorexia nerviosa, ansiedad asociada a alteraciones de la conducta alimentaria y megarexia. In a preferred embodiment of the invention, the eating disorder is selected from the list comprising: excessive eating or hyperphagia, binge eating disorder, addictive or selective food intake, bulimia nervosa, anorexia nervosa, associated anxiety alterations in eating behavior and megarexia.
Los inventores han descubierto que el género Bacteroides y más específicamente la especie B. uniformis y la cepa B. uniformis CECT 777 presenta capacidad de reducir la ingesta de calorías totales y la cantidad de comida sólida en forma de atracón en un modelo animal. Episodios de ingesta en forma de atracón (ingesta excesiva en un corto período de tiempo) son característicos de la hiperfagia, el llamado trastorno por atracón, la ingesta adictiva o selectiva de alimentos y la bulimia nerviosa y también se producen en la anorexia nerviosa, en la que se pueden alternar períodos de ayuno con episodios puntuales de ingesta en forma de atracón. Este efecto se ha demostrado (tal y como se muestra en los ejemplos proporcionados en la invención) mediante la administración de la cepa B. uniformis CECT 7771 por vía oral a un modelo animal en el que se induce la pérdida de control de la ingesta y la ingesta por atracón mediante la introducción de períodos intermitentes de ayuno y posterior exposición a comida normal y/o comida sabrosa (por ejemplo, alta en azúcares como la sacarosa). Los estudios realizados han demostrado que al final del protocolo (18 días) el grupo experimental que ha recibido el vehículo come más calorías totales en el período de atracón que el grupo experimental que ha sido tratado con B. uniformis CECT 7771 , que atenúa esta alteración en la ingesta. También se ha observado que la administración de B. uniformis CECT 7771 durante el estudio reduce, especialmente, la ingesta de alimento sólido en forma de atracón, ya que mientras que en el grupo que recibió el vehículo aumentó significativamente la ingesta de comida sólida entre el día 2 y el día 18, en el grupo que recibió la cepa CECT 7771 no se observó un aumento significativo, sugiriendo que esta bacteria atenúa el aumento de ingesta de comida sólida inducido por el ayuno intermitente (Ejemplo 1 , Figura 1 B).. The inventors have discovered that the genus Bacteroides and more specifically the species B. uniformis and the strain B. uniformis CECT 777 exhibit the ability to reduce total calorie intake and the amount of solid food in the form of bingeing in an animal model. Binge eating episodes (excessive eating in a short period of time) are characteristic of hyperphagia, the so-called binge eating disorder, addictive or selective food intake and bulimia nervosa and also occur in anorexia nervosa, in The one that can alternate periods of fasting with specific episodes of ingestion in the form of binge eating. This effect has been demonstrated (as shown in the examples provided in the invention) by administering the B. uniformis CECT 7771 strain orally to an animal model in which loss of control of intake is induced and binge eating by introducing intermittent periods of fasting and subsequent exposure to normal food and / or tasty food (for example, high in sugars such as sucrose). Studies have shown that at the end of the protocol (18 days) the experimental group that has received the vehicle eats more total calories in the binge period than the experimental group that has been treated with B. uniformis CECT 7771, which attenuates this alteration in the intake. It has also been observed that the administration of B. uniformis CECT 7771 during the study reduces, especially, the intake of solid food in the form of bingeing, since while in the group that received the vehicle, the intake of solid food significantly increased between the On day 2 and day 18, in the group that received the CECT 7771 strain, no significant increase was observed, suggesting that this bacterium attenuates the increase in solid food intake induced by intermittent fasting (Example 1, Figure 1B).
Los inventores también han demostrado que una cepa del género Bacteroides reduce la ansiedad asociada a alteraciones en el control de la ingesta de alimentos, tanto en el período de actividad y, por tanto, de búsqueda de alimentos e ingesta (nocturno), como en periodo de descanso (luz). En concreto, los inventores han demostrado que la bacteria B. uniformis CECT 7771 , cuyo uso es el objeto de la invención, reduce el número de entradas a la zona clara en el test light-dark, que están aumentadas en el modelo que recibe el vehículo, indicando que reduce la ansiedad y el comportamiento arriesgado durante el período de actividad Además, se demuestra que la administración de la bacteria B. uniformis CECT 7771 reduce el tiempo de latencia a entrar en contacto con el alimento, que está aumentado en el modelo, mediante el test de ansiedad frente a hambre realizado en el período de descanso. (Ejemplo 2, Figura 2D). The inventors have also shown that a strain of the genus Bacteroides reduces anxiety associated with alterations in the control of food intake, both in the period of activity and, therefore, in the search for food and ingestion (at night), and in the period of rest (light). Specifically, the inventors have shown that the bacterium B. uniformis CECT 7771, whose use is the object of the invention, reduces the number of entries to the light zone in the light-dark test, which are increased in the model that receives the vehicle, indicating that it reduces anxiety and risky behavior during the period of activity.In addition, it is shown that the administration of the bacterium B. uniformis CECT 7771 reduces the latency time to come into contact with food, which is increased in the model , by means of the anxiety test against hunger carried out in the rest period. (Example 2, Figure 2D).
Tal y como se demuestra en la presente invención, el uso de la bacteria B. uniformis CECT 7771 permite restablecer la expresión de los receptores de dopamina en la corteza prefrontal del cerebro (D1 R) y en el intestino (D1 R y D2R). La mejora de la señalización de dopamina a nivel del sistema nervioso entérico y central, mediante la normalización de la expresión de estos receptores, constituye un mecanismo de regulación del sistema de recompensa, que puede explicar la reducción de la ingesta en forma de atracón, como resultado de la administración de la bacteria. Adicionalmente, el uso de la bacteria B. uniformis CECT 7771 permite restablecer algunas de las alteraciones causadas por el ayuno intermitente en la microbiota intestinal, como la reducción de la abundancia de Muribaculum spp. ya que sus concentraciones se normalizan al administrar la bacteria objeto de la patente. Además, la administración de B. uniformis CECT 7771 aumenta la prevalencia y abundancia de ésta y otras especies bacterianas (Akkermanisa muciniphila y Christensenella minuta) que pueden explicar sus efectos beneficiosos sobre la ingesta y la ansiedad (Ejemplo 4, Figura 5). As demonstrated in the present invention, the use of the bacterium B. uniformis CECT 7771 makes it possible to restore the expression of dopamine receptors in the prefrontal cortex of the brain (D1 R) and in the intestine (D1 R and D2R). The improvement of dopamine signaling at the level of the enteric and central nervous system, through the normalization of the expression of these receptors, constitutes a regulatory mechanism of the reward system, which may explain the reduction of the intake in the form of binge eating, such as result of the administration of the bacteria. Additionally, the use of the bacterium B. uniformis CECT 7771 allows to reestablish some of the alterations caused by intermittent fasting in the intestinal microbiota, such as the reduction of the abundance of Muribaculum spp. since their concentrations are normalized when administering the bacterium object of the patent. Furthermore, the administration of B. uniformis CECT 7771 increases the prevalence and abundance of this and other bacterial species (Akkermanisa muciniphila and Christensenella minuta) that may explain its beneficial effects on food intake and anxiety (Example 4, Figure 5).
En el ámbito de la presente invención, la cepa B. uniformis CECT 7771 se refiere a una cepa aislada de heces de lactantes, identificada y depositada en la colección española de cultivos tipo (CECT) el 21 de Julio de 2010 y a la que le correspondió el número de depósito CECT 7771. La dirección de dicha Autoridad Internacional de depósito es: Universidad de Valencia Edificio de investigación Campus de Bujassot 46100 Burjassot (Valencia). Within the scope of the present invention, the strain B. uniformis CECT 7771 refers to a strain isolated from infant feces, identified and deposited in the Spanish collection of type cultures (CECT) on July 21, 2010 and to which it corresponded the CECT deposit number 7771. The address of said International Depository Authority is: University of Valencia Bujassot Campus Research Building 46100 Burjassot (Valencia).
En el ámbito de la invención, es posible utilizar una cepa derivada de la cepa B. uniformis CECT 7771 , donde dicha cepa mantiene o mejora las capacidades descritas a lo largo de la presente invención. El microorganismo derivado puede producirse de forma natural o bien de forma intencionada, por métodos de mutagénesis conocidos en el estado de la técnica como por ejemplo, pero sin limitarse, el crecimiento del microorganismo original en presencia de agentes mutagénicos o causantes de estrés, modificando las condiciones de crecimiento (por ejemplo, aumentando la aireación o exposición al oxígeno, el pH o la temperatura) o mediante ingeniería genética dirigida a la modificación de genes específicos. Según una realización preferida, se utiliza una cepa derivada de la cepa B. uniformis CECT 7771 generada por adaptación al entorno o por modificación genética dirigida. Los términos “cepa mutante” o “cepa derivada” pueden ser utilizados indistintamente. Within the scope of the invention, it is possible to use a strain derived from the strain B. uniformis CECT 7771, where said strain maintains or improves the capabilities described throughout the present invention. The derived microorganism can be produced naturally or intentionally, by means of mutagenesis methods known in the state of the art, such as, for example, but not limited to, the growth of the original microorganism in the presence of mutagenic or stress-causing agents, modifying the growing conditions (eg, increasing aeration or exposure to oxygen, pH, or temperature) or by genetic engineering aimed at modifying specific genes. According to a preferred embodiment, a strain derived from the strain B. uniformis CECT 7771 generated by adaptation to the environment or by directed genetic modification is used. The terms "mutant strain" or "derived strain" can be used interchangeably.
La cepa B. uniformis CECT 7771 o cualquier mutante o derivado de la misma,, puede ser utilizada en cualquier forma que ejerza los efectos descritos, como por ejemplo, según una realización preferida de la presente invención, la cepa B. uniformis CECT 7771 está en forma de células viables (cultivables o no cultivables), o según otra realización preferida de la invención la cepa está en forma de células no viables (células “muertas” inactivadas por cualquier técnica conocida en el estado de la técnica como por ejemplo, pero sin limitarse, calor, congelación, disrupción mecánica o química o radiación ultravioleta). The strain B. uniformis CECT 7771 or any mutant or derivative thereof, can be used in any way that exerts the effects described, such as, for example, according to a preferred embodiment of the present invention, the strain B. uniformis CECT 7771 is in the form of viable cells (cultivable or non-culturable), or according to another preferred embodiment of the invention, the strain is in the form of non-viable cells ("dead" cells inactivated by any technique known in the state of the art, such as, for example, but without limitation, heat, freezing, mechanical or chemical disruption or ultraviolet radiation).
En la presente invención también se contempla la combinación de los componentes celulares, metabolitos, moléculas secretadas o cualquiera de sus combinaciones, obtenidos a partir de la cepa CECT 7771 para su uso en el tratamiento (de formas sub- clínicas o clínicas) y/o en la reducción del riesgo y prevención de trastornos de la conducta alimentaria. The present invention also contemplates the combination of cellular components, metabolites, secreted molecules or any of their combinations, obtained from strain CECT 7771 for use in the treatment (in sub-clinical or clinical forms) and / or in risk reduction and prevention of eating disorders.
Entre los componentes celulares de la bacteria se podrían incluir los componentes de la pared celular (como, por ejemplo, pero sin limitarse, peptidoglicano), los ácidos nucleicos, los componentes de la membrana, u otros como proteínas, lípidos e hidratos de carbono y sus combinaciones, como lipoproteínas, glicolípidos o glicoproteínas. Los metabolitos incluyen cualquier molécula producida o modificada por la bacteria como consecuencia de su actividad metabólica durante su crecimiento, su uso en procesos tecnológicos (por ejemplo, pero sin limitarse, procesos de elaboración de alimentos o fármacos), durante el almacenamiento del producto o durante el tránsito gastrointestinal. Ejemplos de estos metabolitos son, pero sin limitarse, los ácidos orgánicos e inorgánicos, proteínas, péptidos, aminoácidos, enzimas, lípidos, hidratos de carbono, lipoproteínas, glicolípidos, glicoproteínas, vitaminas, sales, metales o ácidos nucleicos. Las moléculas secretadas incluyen cualquier molécula exportada o liberada al exterior por la bacteria durante su crecimiento, su uso en procesos tecnológicos (por ejemplo, de elaboración de alimentos o fármacos), el almacenamiento del producto o el tránsito gastrointestinal. Ejemplos de estas moléculas son, pero sin limitarse, ácidos orgánicos e inorgánicos, proteínas, péptidos, aminoácidos, enzimas, lípidos, hidratos de carbono, lipoproteínas, glicolípidos, glicoproteínas, vitaminas, sales, metales o ácidos nucleicos. Cellular components of the bacterium could include cell wall components (such as, but not limited to, peptidoglycan), nucleic acids, membrane components, or others such as proteins, lipids, and carbohydrates, and their combinations, such as lipoproteins, glycolipids or glycoproteins. Metabolites include any molecule produced or modified by the bacterium as a consequence of its metabolic activity during its growth, its use in technological processes (for example, but not limited to, food or drug manufacturing processes), during product storage or during gastrointestinal transit. Examples of these metabolites are, but are not limited to, organic and inorganic acids, proteins, peptides, amino acids, enzymes, lipids, carbohydrates, lipoproteins, glycolipids, glycoproteins, vitamins, salts, metals, or nucleic acids. Secreted molecules include any molecule exported or released abroad by the bacterium during its growth, its use in technological processes (for example, food or drug manufacturing), product storage or gastrointestinal transit. Examples of these molecules are, but are not limited to, organic and inorganic acids, proteins, peptides, amino acids, enzymes, lipids, carbohydrates, lipoproteins, glycolipids, glycoproteins, vitamins, salts, metals, or nucleic acids.
Un segundo aspecto de la invención se refiera a una composición, de aquí en adelante “composición de la invención”, que comprende una cepa del género Bacteroides, más preferiblemente de la especie Bacteroides uniformis y aun más preferiblemente la cepa B. uniformis CECT 7771 , una cepa derivada de ella y/o los componentes celulares, metabolitos, moléculas secretadas de la cepa o cualquiera de sus combinaciones para su uso en la prevención, reducción del riesgo y/o el tratamiento de formas sub-clínicas o clínicas de trastornos de la conducta alimentaria. A second aspect of the invention relates to a composition, hereinafter "composition of the invention", comprising a strain of the genus Bacteroides, more preferably of the species Bacteroides uniformis and even more preferably the strain B. uniformis CECT 7771, a strain derived from it and / or the cellular components, metabolites, secreted molecules of the strain or any of their combinations for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical forms of disorders of the eating behavior.
Preferiblemente, los trastornos de la conducta alimentaria son los descritos en el primer aspecto de la invención. Preferably, the eating disorders are those described in the first aspect of the invention.
En una realización preferida, la composición de la invención para su uso tiene una concentración de la cepa de la invención de entre 104 y 1014 unidades formadoras de colonias (ufe) por gramo o mililitro de composición final. In a preferred embodiment, the composition of the invention for use has a concentration of the strain of the invention of between 10 4 and 10 14 colony forming units (ufe) per gram or milliliter of final composition.
La composición de la invención para su uso además puede comprender al menos otro microorganismo adicional diferente a la cepa B. uniformis CECT 7771 y/o sus componentes celulares, metabolitos o moléculas secretadas, o cualquier combinación de los mismos. Por ejemplo, pero sin limitarse, el microorganismo adicional que puede formar parte de dicha composición es seleccionado entre al menos uno de los siguientes grupos: The composition of the invention for its use may further comprise at least one other additional microorganism other than the B. uniformis CECT 7771 strain and / or its cellular components, metabolites or secreted molecules, or any combination thereof. For example, but not limited to, the additional microorganism that can be part of said composition is selected from at least one of the following groups:
- al menos una cepa de otra especie del género Bacteroides y, especialmente, o de la especie Bacteroides uniformis; - at least one strain of another species of the genus Bacteroides and, especially, or of the species Bacteroides uniformis;
- al menos una bacteria láctica o bifidobacteria de origen intestinal, alimentario o ambiental. La bacteria láctica se selecciona de la lista que comprende, pero sin limitarse, una bacteria del género Bifidobacterium, Lactobacillus, Lactococcus, Enterococcus, Propionibacterium, Leuconostoc, Weissella, Pediococcus o Streptococcus; - at least one lactic bacteria or bifidobacteria of intestinal, food or environmental origin. Lactic acid bacteria is selected from the list comprising, but not limited to, a bacterium of the genus Bifidobacterium, Lactobacillus, Lactococcus, Enterococcus, Propionibacterium, Leuconostoc, Weissella, Pediococcus or Streptococcus;
- al menos una cepa de otros grupos filogenéticos, géneros o especies de procariotas de origen intestinal, alimentario o ambiental, como por ejemplo pero sin limitarse a Archaea, Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Verrucomicrobia, Fusobacteria, Metanobacteria, Spirochaetes, Fibrobacteres,- at least one strain of other phylogenetic groups, genera or species of prokaryotes of intestinal, alimentary or environmental origin, such as for example but not limited to Archaea, Firmicutes, Bacteroidetes, Proteobacteria, Actinobacteria, Verrucomicrobia, Fusobacteria, Metanobacteria, Spirochaetes, Fibrobacteres,
Deferribacteres, Deinococcus, Thermus, Cianobacteria, Methanobrevibacterium, Peptostreptococcus, Ruminococcus, Coprococcus, Subdolingranulum, Dorea, Bulleidia, Anaerofustis, Gemella, Roseburia, Catenibacterium, Dialister, Anaerotruncus, Staphylococcus, Micrococcus, Propionibacterium, Enterobacteriaceae, Faecalibacterium, Bacteroides, Parabacteroides, Prevotella, Eubacterium, Akkermansia, Bacillus, Butyrivibrio, Christensenella o Clostridium; Deferribacteres, Deinococcus, Thermus, Cyanobacteria, Methanobrevibacterium, Peptostreptococcus, Ruminococcus, Coprococcus, Subdolingranulum, Dorea, Bulleidia, Anaerofustis, Gemella, Roseburia, Catenibacterium, Dialister, Anaerloterococcus, Bacteriaceae, Bacteriaceae, Probacteriaceae, Stabacteriaceae, Stabacteriaceae, Propibacotelium, Eubacterium, Akkermansia, Bacillus, Butyrivibrio, Christensenella or Clostridium;
- al menos una cepa de hongo o levadura, como, por ejemplo, pero sin limitarse, perteneciente al género Saccharomyces, Candida, Pichia, Debaryomyces, Torulopsis, Aspergillus, Rhizopus, Mucor o Penicillium. - at least one strain of fungus or yeast, such as, for example, but not limited to, belonging to the genus Saccharomyces, Candida, Pichia, Debaryomyces, Torulopsis, Aspergillus, Rhizopus, Mucor or Penicillium.
Dicho microorganismo adicional puede ser una cepa de la misma especie o de diferente especie o grupo taxonómico de microorganismos del que le corresponde a la cepa de la invención. Las células que comprende la composición pueden ser no viables o viables y estar en cualquier fase del estado de desarrollo o crecimiento (latente, exponencial, estacionaria, etc.), independientemente de la morfología que presente. En una realización particular, dicho microorganismo adicional comprende al menos una bacteria intestinal o una bacteria láctica. Opcionalmente, en otra realización particular, la composición de la invención para su uso puede además comprender al menos un componente bioactivo (sustancia activa, principio activo o agente terapéutico), como son por ejemplo componentes de alimentos, productos vegetales y/o fármacos. El término “componente bioactivo” hace referencia a un compuesto con actividad biológica en el ámbito de aplicación de la patente que pueda mejorar o complementar la actividad de la cepa Bacteroides de la invenvión (preferiblemente B. uniformis CECT 7771), incluyendo ingredientes o componentes de los alimentos (por ejemplo y sin limitar: ácidos grasos poli-insaturados, ácido linoléico conjugado, prebióticos, fibra, goma Guar, glucomanano, quitosano, picolinato de cobre, calcio, etc.), otros probióticos, plantas, extractos o componentes de plantas y fármacos. En una realización particular, la composición de la invención es una composición farmacéutica. La composición farmacéutica es un conjunto de componentes que está formado al menos por la cepa de la invención en cualquier concentración; o al menos por los componentes celulares, metabolitos, moléculas secretadas de la cepa de la invención o cualquiera de sus combinaciones, que tiene al menos una aplicación en la mejora del bienestar físico o fisiológico o psicológico de un sujeto, que implique una mejora del estado general de su salud o reducción del riesgo de enfermedad. Dicha composición farmacéutica puede ser un medicamento. Said additional microorganism can be a strain of the same species or of a different species or taxonomic group of microorganisms from the one corresponding to the strain of the invention. The cells that comprise the composition can be non-viable or viable and be in any phase of the state of development or growth (latent, exponential, stationary, etc.), regardless of the morphology they present. In a particular embodiment, said additional microorganism comprises at least one intestinal bacteria or a lactic bacteria. Optionally, in another particular embodiment, the composition of the invention for use may also comprise at least one bioactive component (active substance, active principle or therapeutic agent), such as, for example, components of food, plant products and / or drugs. The term "bioactive component" refers to a compound with biological activity within the scope of the patent that can improve or complement the activity of the Bacteroides strain of the invention (preferably B. uniformis CECT 7771), including ingredients or components of food (for example and without limitation: polyunsaturated fatty acids, conjugated linoleic acid, prebiotics, fiber, Guar gum, glucomannan, chitosan, copper picolinate, calcium, etc.), other probiotics, plants, extracts or plant components and drugs. In a particular embodiment, the composition of the invention is a pharmaceutical composition. The pharmaceutical composition is a set of components that is made up of at least the strain of the invention in any concentration; or at least by the cellular components, metabolites, secreted molecules of the strain of the invention or any of its combinations, which has at least one application in the improvement of the physical or physiological or psychological well-being of a subject, which implies an improvement of the state general health or disease risk reduction. Said pharmaceutical composition can be a medicine.
El término medicamento tiene un significado más limitado que el significado de “composición farmacéutica”, tal como se define en la presente invención, ya que el medicamento implica necesariamente un efecto preventivo o terapéutico. El medicamento al que se refiere la presente invención puede ser de uso humano o veterinario. El “medicamento de uso humano” es toda sustancia o combinación de sustancias que se presente como poseedora de propiedades para el tratamiento o prevención de enfermedades en seres humanos o que pueda usarse en seres humanos o administrarse a seres humanos con el fin de restaurar, corregir o modificar las funciones fisiológicas ejerciendo una acción farmacológica, inmunológica o metabólica, o de establecer un diagnóstico médico. El “medicamento de uso veterinario” es toda sustancia o combinación de sustancias que se presente como poseedora de propiedades curativas o preventivas con respecto a las enfermedades animales o que pueda administrarse al animal con el fin de restablecer, corregir o modificar sus funciones fisiológicas ejerciendo una acción farmacológica, inmunológica o metabólica, o de establecer un diagnóstico veterinario. También se considerarán “medicamentos veterinarios” las “premezclas para piensos medicamentosos” elaboradas para ser incorporadas a un pienso. The term drug has a more limited meaning than the meaning of "pharmaceutical composition", as defined in the present invention, since the drug necessarily implies a preventive or therapeutic effect. The medicine to which the present invention refers can be for human or veterinary use. The "medicine for human use" is any substance or combination of substances that is presented as having properties for the treatment or prevention of diseases in humans or that can be used in humans or administered to humans in order to restore, correct or modify the physiological functions by exerting a pharmacological, immunological or metabolic action, or to establish a medical diagnosis. The "medicine for veterinary use" is any substance or combination of substances that is presented as having curative or preventive properties with respect to animal diseases or that can be administered to the animal in order to restore, correct or modify its physiological functions by exercising a pharmacological, immunological or metabolic action, or to establish a veterinary diagnosis. Also considered "veterinary drugs" are "premixes for medicated feed" prepared to be incorporated into a feed.
Además del requerimiento de la eficacia terapéutica donde dicha composición farmacéutica puede necesitar el uso de otros agentes terapéuticos, pueden existir razones fundamentales adicionales que obligan o recomiendan en gran medida el uso de una combinación de un compuesto de la invención y un componente biactivo, donde a dicho componente bioactivo se le atribuye una actividad apropiada para constituir un medicamento. Dicho compuesto de la invención se refiere obviamente a la cepa de la invención, o a la cepa derivada de ella, o a los componentes celulares, metabolitos, moléculas secretadas o cualquiera de sus combinaciones, obtenidos a partir de la cepa de la invención. In addition to the requirement of therapeutic efficacy where said pharmaceutical composition may necessitate the use of other therapeutic agents, there may be additional rationale that strongly compel or recommend the use of a combination of a compound of the invention and a biactive component, where a said bioactive component is attributed an appropriate activity to constitute a medicine. Said compound of the invention obviously refers to the strain of the invention, or to the strain derived from it, or to the cellular components, metabolites, secreted molecules or any of their combinations, obtained from the strain of the invention.
En una realización particular, la composición de la invención para su uso comprende al menos un vehículo y/o un excipiente farmacéuticamente aceptables. In a particular embodiment, the composition of the invention for use comprises at least one pharmaceutically acceptable carrier and / or excipient.
El “vehículo” o portador, es preferiblemente una sustancia inerte. La función del vehículo es facilitar la incorporación de otros compuestos, permitir una mejor dosificación y administración o dar consistencia y forma a la composición farmacéutica. Por tanto, el vehículo es una sustancia que se emplea en el medicamento para diluir cualquiera de los componentes de la composición farmacéutica de la presente invención hasta un volumen o peso determinado; o bien que aún sin diluir dichos componentes es capaz de permitir una mejor dosificación y administración o dar consistencia y forma al medicamento. Cuando la forma de presentación es líquida, el vehículo farmacéuticamente aceptable es el diluyente. The "vehicle" or carrier is preferably an inert substance. The function of the vehicle is to facilitate the incorporation of other compounds, to allow a better dosage and administration or to give consistency and shape to the pharmaceutical composition. Therefore, the vehicle is a substance that is used in the medicine to dilute any of the components of the pharmaceutical composition of the present invention to a certain volume or weight; or that even without diluting said components it is capable of allowing a better dosage and administration or giving consistency and shape to the medicine. When the presentation form is liquid, the pharmaceutically acceptable carrier is the diluent.
El término “excipiente” hace referencia a una sustancia que ayuda a la absorción de cualquiera de los componentes de la composición de la presente invención, estabiliza dichos componentes o ayuda a la preparación de la composición farmacéutica en el sentido de darle consistencia o aportar sabores que lo hagan más agradable. Así pues, los excipientes podrían tener la función de mantener los componentes unidos como por ejemplo almidones, azúcares o celulosas, función de endulzar, función de colorante, función de protección del medicamento como por ejemplo para aislarlo del aire y/o la humedad, función de relleno de una pastilla, cápsula o cualquier otra forma de presentación como, por ejemplo, el fosfato de calcio dibásico, función desintegradora para facilitar la disolución de los componentes y su absorción en el intestino, sin excluir otro tipo de excipientes no mencionados en este párrafo. Por tanto, el término “excipiente” se define como aquella materia que, incluida en las formas galénicas, se añade a los principios activos o a sus asociaciones para posibilitar su preparación y estabilidad, modificar sus propiedades organolépticas o determinar las propiedades físico-químicas de la composición farmacéutica y su biodisponibilidad. El excipiente “farmacéuticamente aceptable” debe permitir la actividad de los compuestos de la composición farmacéutica, es decir, que sea compatible con dichos componentes. Además, como entiende el experto en la materia, el excipiente y el vehículo deben ser farmacológicamente aceptables, es decir, que el excipiente y el vehículo estén permitidos y evaluados de modo que no cause daño a los organismos a los que se administra. La composición farmacéutica o medicamento de la invención para su uso se puede presentar bajo cualquier forma de administración clínicamente permitida y en una cantidad terapéuticamente efectiva. Por ejemplo, puede estar en forma adaptada a la administración oral, sublingual, nasal, intracatecal, bronquial, linfática, rectal, transdérmica, inhalada o parenteral, preferiblemente en una forma adaptada a la administración oral. La composición farmacéutica de la invención se puede formular en formas sólidas, semisólidas, líquidas o gaseosas, tales como comprimido, cápsula, polvo, gránulo, ungüento, solución, supositorio, inyección, inhalante, gel, microesfera o aerosol. La forma adaptada a la administración oral se selecciona de la lista que comprende, pero sin limitarse, gotas, jarabe, tisana, elixir, suspensión, suspensión extemporánea, vial bebible, comprimido, cápsula, granulado, sello, píldora, tableta, pastilla, trocisco o liofilizado. En una realización particular, la composición de la invención para su uso se presenta en una forma adaptada a la administración oral, sublingual, nasal, bronquial, linfática, rectal, transdérmica, inhalada o parenteral. En una realización más particular, la composición farmacéutica de la invención para su uso se presenta en una forma adaptada a la administración oral. La forma adaptada a la administración oral se refiere a un estado físico que pueda permitir su administración oral. Dicha forma adaptada a la administración oral se selecciona de la lista que comprende, pero sin limitarse, gotas, jarabe, tisana, elixir, suspensión, suspensión extemporánea, vial bebible, comprimido, cápsula, granulado, sello, píldora, tableta, pastilla, trocisco o liofilizado. The term "excipient" refers to a substance that helps the absorption of any of the components of the composition of the present invention, stabilizes said components or helps the preparation of the pharmaceutical composition in the sense of giving it consistency or providing flavors that make it more enjoyable. Thus, excipients could have the function of keeping the components together such as starches, sugars or celluloses, a sweetening function, a coloring function, a protective function of the drug, such as for example to isolate it from air and / or humidity, a function filling of a tablet, capsule or any other form of presentation such as, for example, dibasic calcium phosphate, disintegrating function to facilitate the dissolution of the components and their absorption in the intestine, without excluding other types of excipients not mentioned in this paragraph. Therefore, the term "excipient" is defined as that material that, included in the galenic forms, is added to the active principles or their associations to enable their preparation and stability, modify their organoleptic properties or determine the physicochemical properties of the pharmaceutical composition and its bioavailability. The "pharmaceutically acceptable" excipient must allow the activity of the compounds of the pharmaceutical composition, that is, it must be compatible with said components. Furthermore, as understood by the person skilled in the art, the excipient and the vehicle must be pharmacologically acceptable, that is, that the excipient and the vehicle are allowed and evaluated in such a way that it does not cause harm to the organisms to which it is administered. The pharmaceutical composition or drug of the invention for use can be presented in any clinically permitted form of administration and in a therapeutically effective amount. For example, it may be in a form adapted for oral, sublingual, nasal, intracatecal, bronchial, lymphatic, rectal, transdermal, inhaled or parenteral administration, preferably in a form adapted for oral administration. The pharmaceutical composition of the invention can be formulated in solid, semisolid, liquid or gaseous forms, such as tablet, capsule, powder, granule, ointment, solution, suppository, injection, inhalant, gel, microsphere or aerosol. The form adapted for oral administration is selected from the list that includes, but is not limited to, drops, syrup, herbal tea, elixir, suspension, extemporaneous suspension, drinkable vial, tablet, capsule, granule, seal, pill, tablet, lozenge, troche. or lyophilized. In a particular embodiment, the composition of the invention for use is presented in a form adapted for oral, sublingual, nasal, bronchial, lymphatic, rectal, transdermal, inhaled or parenteral administration. In a more particular embodiment, the pharmaceutical composition of the invention for use is presented in a form adapted for oral administration. The form adapted for oral administration refers to a physical state that can allow its oral administration. Said form adapted for oral administration is selected from the list that includes, but is not limited to, drops, syrup, herbal tea, elixir, suspension, extemporaneous suspension, drinkable vial, tablet, capsule, granulate, seal, pill, tablet, lozenge, troche. or lyophilized.
La “forma galénica” o “forma farmacéutica” es la disposición a que se adaptan los principios activos y excipientes para constituir un medicamento. Se define por la combinación de la forma en la que la composición farmacéutica es presentada por el fabricante y la forma en la que es administrada. The "galenic form" or "pharmaceutical form" is the arrangement to which the active principles and excipients are adapted to constitute a medicine. It is defined by the combination of the form in which the pharmaceutical composition is presented by the manufacturer and the form in which it is administered.
En la presente invención, la expresión “cantidad terapéuticamente efectiva” se refiere a aquella cantidad del componente de la composición farmacéutica que cuando se administra a un mamífero, con preferencia un humano, es suficiente para producir la prevención y/o el tratamiento, tal como se define más adelante, de una enfermedad o condición patológica de interés en el mamífero, con preferencia un humano. La cantidad terapéuticamente efectiva variará, por ejemplo, según la actividad de la cepa de la invención; de los componentes celulares, metabolitos, moléculas secretadas o cualquiera de sus combinaciones, en cualquier forma de presentación; la cantidad terapéuticamente efectiva variará también según la estabilidad metabólica y duración de la acción del compuesto; la edad, el peso corporal, el estado general de salud, el sexo y la dieta del paciente; el modo y el tiempo de administración; la velocidad de excreción, la combinación de fármacos; la gravedad del trastorno o la condición patológica particulares; y el sujeto que se somete a terapia, pero puede ser determinada por un especialista en la técnica según su propio conocimiento y esa descripción. In the present invention, the term "therapeutically effective amount" refers to that amount of the component of the pharmaceutical composition that when administered to a mammal, preferably a human, is sufficient to produce prevention and / or treatment, such as defined later, of a disease or pathological condition of interest in the mammal, preferably a human. The therapeutically effective amount will vary, for example, according to the activity of the strain of the invention; of the cellular components, metabolites, secreted molecules or any of their combinations, in any form of presentation; the therapeutically effective amount will also vary according to the metabolic stability and duration of action of the compound; the age, body weight, general health, sex and diet of the patient; the mode and time of administration; the rate of excretion, the combination of drugs; the severity of the particular disorder or pathological condition; and the subject undergoing therapy, but can be determined by a person skilled in the art based on his or her own knowledge and that description.
Alternativamente a la composición farmacéutica, la composición de la invención para su uso también puede ser una composición nutritiva. El término “composición nutritiva” de la presente invención se refiere a aquel alimento o componente de los alimentos que, con independencia de aportar nutrientes al sujeto que lo toma, afecta beneficiosamente a una o varias funciones del organismo, de manera que proporciona un mejor estado de salud y bienestar. Como consecuencia, dicha composición nutritiva puede ser destinada a la prevención o reducción del riesgo y/o tratamiento de una enfermedad o condición sub-clínica o del factor causante de una enfermedad. Por tanto, el término “composición nutritiva” de la presente invención se puede emplear como sinónimo de alimento funcional o alimento para fines nutricionales específicos o alimento medicinal. En una realización particular, la composición nutritiva es un alimento, un suplemento, un nutracéutico, un probiótico o un simbiótico. Alternatively to the pharmaceutical composition, the composition of the invention for use can also be a nutritional composition. The term "nutritional composition" of the present invention refers to that food or component of foods that, regardless of providing nutrients to the subject who takes it, beneficially affects one or more functions of the body, so that it provides a better state health and wellness. As a consequence, said nutritional composition can be intended for the prevention or reduction of the risk and / or treatment of a disease or sub-clinical condition or of the factor causing a disease. Therefore, the term "nutritional composition" of the present invention can be used synonymously with functional food or food for specific nutritional purposes or medicinal food. In a particular embodiment, the nutritional composition is a food, a supplement, a nutraceutical, a probiotic or a symbiotic.
En una realización más particular, el alimento se selecciona de la lista que comprende: producto lácteo, producto vegetal, producto cárnico, aperitivo, chocolate, bebida o alimento infantil. El producto lácteo se selecciona de la lista que comprende, pero sin limitarse, producto derivado de leche fermentada (por ejemplo, pero sin limitar yogur o queso) o no fermentada (por ejemplo, pero sin limitar, helado, mantequilla, margarina, suero lácteo). El producto vegetal es, por ejemplo, pero sin limitarse, un cereal en cualquier forma de presentación, fermentado o no fermentado. La bebida puede ser, pero sin limitarse, cualquier zumo de frutas o leche no fermentada. El término “suplemento”, sinónimo de cualquiera de los términos “suplemento dietético”, “suplemento nutricional”; o “suplemento alimenticio” es un “ingrediente alimenticio” destinado a complementar la alimentación. Algunos ejemplos de suplementos dietéticos son, pero sin limitarse, las vitaminas, los minerales, los productos botánicos, aminoácidos y componentes de los alimentos como las enzimas y los extractos glandulares. No se presentan como sustitutos de un alimento convencional ni como componente único de una comida o de la dieta alimenticia sino como complemento de la dieta. El término “nutracé utico” tal como se emplea en la presente invención se refiere a sustancias aisladas de un alimento y utilizadas de forma dosificada que tienen un efecto beneficioso sobre la salud. In a more particular embodiment, the food is selected from the list that comprises: dairy product, vegetable product, meat product, snack, chocolate, drink or baby food. Dairy product is selected from the list comprising, but not limited to, a product derived from fermented milk (for example, but not limited to yogurt or cheese) or non-fermented (for example, but not limited to, ice cream, butter, margarine, buttermilk ). The vegetable product is, for example, but not limited to, a cereal in any form of presentation, fermented or non-fermented. The beverage can be, but is not limited to, any fruit juice or non-fermented milk. The term "supplement", synonymous with any of the terms "dietary supplement", "nutritional supplement"; or "food supplement" is a "food ingredient" intended to supplement the diet. Some examples of dietary supplements are, but are not limited to, vitamins, minerals, botanicals, amino acids, and food components such as enzymes and glandular extracts. They are not presented as substitutes for a conventional food or as a single component of a meal or of the nutritional diet but as a complement to the diet. The term "nutraceutical" as used in the present invention refers to substances isolated from a food and used in a dosage form that have a beneficial effect on health.
El término “probiótico” tal como se emplea en la presente invención se refiere a microorganismos vivos que cuando son suministrados en cantidades adecuadas promueven beneficios en la salud del organismo hospedador. The term "probiotic" as used in the present invention refers to live microorganisms that when supplied in adequate amounts promote health benefits to the host organism.
El término “simbiótico” tal como se emplea en la presente invención se refiere a aquellos alimentos que contienen una mezcla de prebióticos y probióticos. Por regla general contienen un componente prebiótico que favorece el crecimiento y/o actividad metabólica y en definitiva el efecto del probiótico con el que se combina, como por ejemplo y sin limitar puede ser la asociación de la fructooligosacáridos, galactooligosacáridos o arabino-oligosacáridos a las bifidobacterias. Otro aspecto de la presente invención se refiere al uso de la cepa de la invención, de una cepa derivada de ella, de los componentes derivados de ella o la composición de la invención, para la fabricación de un medicamento, de una composición nutritiva o de un alimento. En la presente invención, el término “tratamiento” se refiere a combatir los efectos causados como consecuencia de una enfermedad o condición patológica de interés en un sujeto (preferiblemente mamífero, y más preferiblemente un humano) que incluye:The term "symbiotic" as used in the present invention refers to those foods that contain a mixture of prebiotics and probiotics. As a general rule, they contain a prebiotic component that favors growth and / or metabolic activity and ultimately the effect of the probiotic with which it is combined, as for example and without limiting it may be the association of fructooligosaccharides, galactooligosaccharides or arabino-oligosaccharides to the bifidobacteria. Another aspect of the present invention refers to the use of the strain of the invention, of a strain derived from it, of the components derived from it or the composition of the invention, for the manufacture of a drug, a nutritional composition or A food. In the present invention, the term "treatment" refers to combating the effects caused as a consequence of a disease or pathological condition of interest in a subject (preferably a mammal, and more preferably a human) including:
(i) inhibir la enfermedad o condición patológica, es decir, detener su desarrollo; (i) inhibiting the disease or pathological condition, that is, arresting its development;
(ii) aliviar la enfermedad o la condición patológica, es decir, causar la regresión de la enfermedad o la condición patológica o su sintomatología; (iii) estabilizar la enfermedad o la condición patológica. (ii) alleviating the disease or pathological condition, that is, causing regression of the disease or pathological condition or its symptoms; (iii) stabilize the disease or pathological condition.
En la presente invención, el término “prevención” se refiere a evitar la aparición de la enfermedad, es decir, evitar que se produzca la enfermedad o la condición patológica en un sujeto (preferiblemente mamífero, y más preferiblemente un humano), en particular, cuando dicho sujeto tiene predisposición por la condición patológica. El término reducción del riesgo se refiere a reducir al menos uno de los factores causales de la condición patológica. En la presente invención, los trastornos o alteraciones del comportamiento alimentario incluyen, sin limitar a, la hiperfagia o exceso de ingesta, el trastorno por atracón, la ingesta adictiva de alimentos, el síndrome del comedor selectivo, la bulimia nerviosa, la anorexia nerviosa, la megarexia, etc. En otro aspecto, la presente invención se relaciona con la cepa de invención, la cepa derivada de la cepa de invención, el componente celular, metabolito, molécula secretada o cualquiera de sus combinaciones obtenidas a partir de la cepa de invención, o la composición de la invención, para su uso como coadyuvante en el tratamiento de condiciones sub-clínicas o clínicas y/o prevención o reducción del riesgo de trastornos o alteraciones del comportamiento alimentario. In the present invention, the term "prevention" refers to preventing the onset of the disease, that is, preventing the disease or pathological condition from occurring in a subject (preferably a mammal, and more preferably a human), in particular, when said subject has a predisposition for the pathological condition. The term risk reduction refers to reducing at least one of the causative factors of the pathological condition. In the present invention, eating disorders or alterations include, but are not limited to, hyperphagia or overeating, binge eating disorder, addictive food intake, selective eater syndrome, bulimia nervosa, anorexia nervosa, megarexia, etc. In another aspect, the present invention relates to the strain of invention, the strain derived from the strain of invention, the cellular component, metabolite, secreted molecule or any of its combinations obtained from the strain of invention, or the composition of the invention, for its use as an adjuvant in the treatment of sub-clinical or clinical conditions and / or prevention or reduction of the risk of disorders or alterations in eating behavior.
En la presente invención se entiende por “coadyuvante” a aquel compuesto que ayuda a mejorar la efectividad o eficiencia de otros medicamentos para el tratamiento de los trastornos o alteraciones del comportamiento alimentario, lo que permitiría reducir su dosis y/o la frecuencia de administración o potenciar su eficacia mediante la administración de una formulación de la cepa de la invención con mecanismos de acción complementarios. In the present invention, "adjuvant" is understood to be that compound that helps to improve the effectiveness or efficiency of other drugs for the treatment of eating disorders or alterations, which would allow reducing its dose and / or the frequency of administration or enhance its efficacy by administering a formulation of the strain of the invention with complementary mechanisms of action.
A lo largo de la descripción y las reivindicaciones la palabra "comprende" y sus variantes no pretenden excluir otras características técnicas, aditivos, componentes o pasos. Para los expertos en la materia, otros objetos, ventajas y características de la invención se desprenderán en parte de la descripción y en parte de la práctica de la invención. Los siguientes ejemplos y figuras se proporcionan a modo de ilustración, y no se pretende que sean limitativos de la presente invención. BREVE DESCRIPCIÓN DE LAS FIGURAS Figura 1. Efecto de B. uniformis CECT 7771 sobre la ingesta (calorías totales, comida sólida y solución de sacarosa) durante el atracón en los días 2 y 18 del experimento, y el peso corporal en un modelo de trastorno del comportamiento alimentario. Suma de la ingesta calórica total (kcal) (A), media de la ingesta de comida sólida (g) (B), media de la ingesta de sacarosa al 10% (g) (diferencia del peso de los biberones antes y después del atracón) (C), evolución del peso corporal (g) (D) en ratas C y ratas IF tratadas o no con B. uniformis CECT 7771. Abreviaturas de los grupos experimentales: C, grupo control (n=15), grupo control C-D2 el día 2 (n=15), C-D18, grupo control en día 18 (n=15), IF, ratas que ayunaron 12 h diariamente y recibieron vehículo a través de una sonda (n = 15), IF-D2 e IF-D18, grupo IF el día 2 y 18 respectivamente (n=15), IF + B, ratas que ayunaron 12 h y recibieron una dosis diaria de 1 X108 UFC B. uniformis CECT 7771 por sonda (n=15), IF + B-D2 e IF + B-D18, IF + B ratas el día 2 y 18 respectivamente (n=15 ) Las ratas se pesaron todas las semanas durante el período de estudio (3 semanas). Las diferencias estadísticamente significativas en comparación con el grupo C-D2 se indican con un asterisco (*), diferentes de C-D18 se indican con (#), diferentes de IF-D2 se indican con (&), diferentes de IF + B-D2 se indican con ($), diferentes de IF-D18 se indican con (@). * p <0.050, *** p <0.0010, ### p <0.0010, & p <0.050, &&& p <0.0010, $$$ p <0.0010, @@@ p <0.0010. Throughout the description and claims the word "comprise" and its variants are not intended to exclude other technical characteristics, additives, components or steps. For those skilled in the art, other objects, advantages and characteristics of the invention will emerge in part from the description and in part from the practice of the invention. The following examples and figures are provided by way of illustration, and are not intended to be limiting of the present invention. BRIEF DESCRIPTION OF THE FIGURES Figure 1. Effect of B. uniformis CECT 7771 on intake (total calories, solid food and sucrose solution) during bingeing on days 2 and 18 of the experiment, and body weight in a disorder model of eating behavior. Sum of total caloric intake (kcal) (A), mean intake of solid food (g) (B), mean intake of 10% sucrose (g) (difference in the weight of the bottles before and after binge) (C), evolution of body weight (g) (D) in C rats and IF rats treated or not with B. uniformis CECT 7771. Abbreviations of the experimental groups: C, control group (n = 15), control group C-D2 on day 2 (n = 15), C-D18, control group on day 18 (n = 15), IF, rats that fasted 12 h daily and received vehicle through a probe (n = 15), IF -D2 and IF-D18, IF group on day 2 and 18 respectively (n = 15), IF + B, rats that fasted 12 h and received a daily dose of 1 X10 8 CFU B. uniformis CECT 7771 by probe (n = 15 ), IF + B-D2 and IF + B-D18, IF + B rats on day 2 and 18 respectively (n = 15) The rats were weighed every week during the study period (3 weeks). Statistically significant differences compared to group C-D2 are indicated with an asterisk ( * ), different from C-D18 are indicated with (#), different from IF-D2 are indicated with (&), different from IF + B -D2 are indicated with ($), different from IF-D18 are indicated with (@). * p <0.050, *** p <0.0010, ### p <0.0010, & p <0.050, &&& p <0.0010, $$$ p <0.0010, @@@ p <0.0010.
Figura 2. Efecto de B. uniformis CECT 7771 sobre la ansiedad en un modelo de trastorno del comportamiento alimentario. Prueba de luz/oscuro o light/dark test (A, B, C). Número de entradas en el área clara (A), Latencia para moverse al área clara (s) (B), Tiempo de permanencia en el área clara (s) (C). Efecto de B. uniformis CECT 7771 sobre la ansiedad después de 18 h de privación de comida en una prueba de ansiedad versus hambre (D, E). Latencia para iniciar el contacto con la comida (D), Latencia y comer (E). Abreviaturas de los grupos experimentales: C, grupo de control (n= 15), IF, ratas que ayunaron 12 h diariamente y recibieron vehículo por sonda (n=15), IF + B, ratas que ayunaron 12 h y recibieron una dosis diaria de 1 X108 UFC B. uniformis CECT 7771 por sonda (n=15). Las diferencias estadísticamente significativas en comparación con el grupo C se indican con un asterisco (*), diferentes del grupo IF se indican con #. * p <0.050, ** p <0.010. Figura 3. Expresión de los receptores de dopamina D1 R y D2R en PFCx e intestino en un modelo de trastorno del comportamiento alimentario. La inmunohistoquímica se realizó usando anticuerpos contra D1 R (A,C) o D2R (B,D). El número de células D1 positivas (A, C) y células D2 positivas (B, D) se cuantificaron en el PFCx e intestino delgado. Los valores son la media ± SEM de tres ratas por grupo. Abreviaturas de los grupos experimentales: C, grupo de control (n = 3), IF, ratas que ayunaron 12 h diariamente y recibieron vehículo por sonda (n = 3), IF + B, ratas que ayunaron 12 h y recibieron una dosis diaria de 1X108 UFC B. uniformis CECT 7771 por sonda (n = 3). Las diferencias estadísticamente significativas en comparación con el grupo C se indican con un asterisco (*), diferentes del grupo IF se indican con (#). ** p <0.010, *** p <0.0010, # p <0.050, ### p <0.0010. Figure 2. Effect of B. uniformis CECT 7771 on anxiety in an eating behavior disorder model. Light / dark test or light / dark test (A, B, C). Number of entries in the clear area (A), Latency to move to the clear area (s) (B), Time spent in the clear area (s) (C). Effect of B. uniformis CECT 7771 on anxiety after 18 h of food deprivation in an anxiety versus hunger test (D, E). Latency to initiate contact with food (D), Latency and eat (E). Abbreviations of the experimental groups: C, control group (n = 15), IF, rats that fasted 12 h daily and received vehicle by gavage (n = 15), IF + B, rats that fasted 12 h and received a daily dose of 1 X10 8 CFU B. uniformis CECT 7771 per probe (n = 15). Statistically significant differences compared to group C are indicated with an asterisk ( * ), different from group IF are indicated with #. * p <0.050, ** p <0.010. Figure 3. Expression of dopamine D1 R and D2R receptors in PFCx and intestine in an eating disorder model. Immunohistochemistry was performed using antibodies against D1 R (A, C) or D2R (B, D). The number of D1 positive cells (A, C) and D2 positive cells (B, D) were quantified in the PFCx and small intestine. Values are the mean ± SEM of three rats per group. Abbreviations of the experimental groups: C, control group (n = 3), IF, rats that fasted 12 h daily and received vehicle by gavage (n = 3), IF + B, rats that fasted 12 h and received a daily dose of 1X10 8 CFU B. uniformis CECT 7771 per probe (n = 3). Statistically significant differences compared to group C are indicated with an asterisk ( * ), different from group IF are indicated with (#). ** p <0.010, *** p <0.0010, # p <0.050, ### p <0.0010.
Figura 4. Expresión de neuropéptidos orexigénicos y anorexigénicos en el hipotálamo en un modelo de trastorno del comportamiento alimentario. Efecto de B. uniformis CECT 7771 sobre la expresión relativa de NPY (A), CART (B) AgRP (C), y POMC (D) en el hipotálamo en un modelo de atracón y adicción a los alimentos. Abreviaturas de los grupos experimentales: C, grupo de control (n = 15), IF, ratas que ayunaron 12 h diariamente y recibieron vehículo por sonda (n = 15), IF + B, ratas que ayunaron 12 h y recibieron una dosis diaria de 1X108 UFC B. uniformis CECT 7771 por sonda (n=15). Las diferencias estadísticamente significativas en comparación con el grupo C se indican mediante asteriscos (*). * p <0.050, ** p <0.010. Figure 4. Expression of orexigenic and anorectic neuropeptides in the hypothalamus in an eating disorder model. Effect of B. uniformis CECT 7771 on the relative expression of NPY (A), CART (B) AgRP (C), and POMC (D) in the hypothalamus in a binge and food addiction model. Abbreviations of the experimental groups: C, control group (n = 15), IF, rats that fasted 12 h daily and received vehicle by gavage (n = 15), IF + B, rats that fasted 12 h and received a daily dose of 1X10 8 CFU B. uniformis CECT 7771 per probe (n = 15). Statistically significant differences compared to group C are indicated by asterisks ( * ). * p <0.050, ** p <0.010.
Figura 5. Diferencias en la abundancia de unidades taxonómicas operativas (OTUs, del inglés operational taxonomic units) entre los distintos grupos experimentales. Se muestran los resultados del análisis LDA y los valores p del análisis estadístico. Los cuatro paneles superiores muestran OTUs que presentan mayores abundancias en el grupo de control que en los del trastorno alimentario (IF y IF + B). Los paneles restantes muestran las OTUs que fueron más abundantes en los grupos de animales con trastorno del comportamiento alimentario (IF e IF +B) que en los controles. Las diferencias estadísticamente significativas encontradas en el grupo IF+B en comparación con el grupo IF se destacan con un asterisco rojo. El color del grupo de la leyenda corresponde a los siguientes grupos experimentales: amarillo-controles; azul: modelo de trastorno alimentario al que se administró vehículo; naranja: modelo de trastorno alimentario al que se administró B. uniformis. Las abreviaturas utilizadas son las siguientes: C, grupo control con acceso libre a la comida; IF, grupo sometido a ayuno intermitente como modelo de trastorno del comportamiento alimentario y que recibió vehículo; IF + B, grupo sometido a ayuno intermitente como modelo de trastorno del comportamiento alimentario y que recibió una dosis diaria de 108 UFC de B. uniformis. Figure 5. Differences in the abundance of operational taxonomic units (OTUs) between the different experimental groups. The results of the LDA analysis and the p-values of the statistical analysis are shown. The upper four panels show OTUs that present higher abundances in the control group than in those with the eating disorder (IF and IF + B). The remaining panels show OTUs that were more abundant in the groups of animals with eating disorder (IF and IF + B) than in the controls. Statistically significant differences found in the IF + B group compared to the IF group are highlighted with a red asterisk. The color of the legend group corresponds to the following experimental groups: yellow-controls; blue: eating disorder model administered vehicle; orange: eating disorder model administered B. uniformis. The abbreviations used are the following: C, control group with free access to food; IF, group subjected to intermittent fasting as eating behavior disorder model and receiving vehicle; IF + B, group subjected to intermittent fasting as a model of eating behavior disorder and that received a daily dose of 10 8 CFU of B. uniformis.
EJEMPLOS EXAMPLES
A continuación, se ilustrará la invención mediante unos ensayos realizados por los inventores, que ponen de manifiesto la efectividad del producto de la invención. The invention will be illustrated below by means of tests carried out by the inventors, which demonstrate the effectiveness of the product of the invention.
Ejemplo 1. Efectos de B. uniformis CECT 7771 sobre la ingesta en un modelo de trastorno del comportamiento alimentario. Example 1. Effects of B. uniformis CECT 7771 on intake in a model of eating disorder.
1.1 Diseño experimental del modelo animal v toma de muestras Se emplearon ratas Wistar Kyoto macho (170-200 g) de los laboratorios Charles Rivers (L’Arbresle Cedex, Francia). Durante 10 días, las ratas se adaptaron a las instalaciones y a un nuevo horario de luz / oscuridad, adelantando el reloj 30 minutos cada día. El nuevo horario consistió en 12 h de luz (de 3,30 h a 15,30 h) y 12 h de oscuridad (de 15:30 h a 3:30 h). Luego, se homogeneizó la microbiota mezclando el lecho (serrín) usado de todas las ratas y se distribuyó nuevamente en las diferentes jaulas. Las ratas permanecieron en estas jaulas con el lecho mezclado al menos durante 3 días. Finalmente, las ratas se alojaron individualmente en una jaula de acero inoxidable en una habitación con temperatura controlada (23 ° C) con una humedad relativa de 40- 50%. Luego, las ratas se dividieron aleatoriamente en tres grupos (n = 14 ratas por grupo) de la siguiente manera: (1) un grupo de control (C) que recibió una dieta normal y agua durante 24 h y se le administró el vehículo o placebo (10% de leche desnatada), (2) grupo sometido a ayuno intermitente para inducir alteración de la conducta alimentaria (IF) que ayunó durante 12 h (y agua ad libitum) y recibió una dieta normal y sacarosa (10%) en el agua potable durante las 12 h restantes, a este grupo se le administró vehículo (10% de leche desnatada) y (3) grupo sometido a ayuno y tratado B. uniformis CECT 7771 ( IF +B), que ayunó durante 12 h (con agua ad libitum) y recibió una dieta normal y sacarosa (10%) en el agua potable durante las 12 h restantes, a este grupo se le administró una dosis diaria de 1 x108 unidades formadoras de colonias [UFC]) de la cepa bacteriana. 1.1 Experimental design of the animal model and sampling Male Wistar Kyoto rats (170-200 g) from the Charles Rivers laboratories (L'Arbresle Cedex, France) were used. For 10 days, the rats adapted to the facilities and to a new light / dark schedule, advancing the clock 30 minutes each day. The new schedule consisted of 12 hours of light (from 3.30 a.m. to 3.30 p.m.) and 12 p.m. of darkness (from 3.30 p.m. to 3.30 a.m.). Then, the microbiota was homogenized by mixing the bed (sawdust) used from all the rats and it was distributed again in the different cages. The rats remained in these cages with the mixed bedding for at least 3 days. Finally, the rats were individually housed in a stainless steel cage in a temperature controlled room (23 ° C) with a relative humidity of 40-50%. Then, the rats were randomly divided into three groups (n = 14 rats per group) as follows: (1) a control group (C) that received a normal diet and water for 24 h and was administered the vehicle or placebo (10% skimmed milk), (2) group subjected to intermittent fasting to induce alteration of eating behavior (IF) that fasted for 12 h (and water ad libitum) and received a normal diet and sucrose (10%) in the drinking water for the remaining 12 h, this group was administered vehicle (10% skim milk) and (3) group subjected to fasting and treated B. uniformis CECT 7771 (IF + B), which fasted for 12 h (with water ad libitum) and received a normal diet and sucrose (10%) in drinking water for the remaining 12 h, this group was administered a daily dose of 1 x 10 8 colony-forming units [CFU]) of the bacterial strain .
Los experimentos se realizaron en estricto cumplimiento de las recomendaciones proporcionadas en la Guía para el Cuidado y Uso de Animales de Laboratorio de la Universidad de Valencia (Servicio Central de Apoyo a la Investigación [SCSIE], Universidad de Valencia, España), y el protocolo fue aprobado por el Comité de Ética (Número de aprobación 2015 / VSC / PEA / 00041 ). The experiments were carried out in strict compliance with the recommendations provided in the Guide for the Care and Use of Laboratory Animals of the University of Valencia (Central Research Support Service [SCSIE], University of Valencia, Spain), and the protocol was approved by the Ethics Committee (Approval number 2015 / VSC / PEA / 00041).
Transcurridas estas 3 semanas, las ratas fueron sacrificadas por dislocación cervical para la obtención de muestras, incluyendo intestino, cerebro y heces. After these 3 weeks, the rats were sacrificed by cervical dislocation to obtain samples, including intestine, brain and feces.
1.2 Inducción de alteración del comportamiento alimentario. 1.2 Induction of alteration of eating behavior.
Para inducir ingesta por atracón y comportamiento adictivo por la comida se empleó el protocolo desarrollado por Avena et al. ,2008 (Avena, N.M., et al., Physiol Behav, (2008) 94(3): p. 309-15). Todos los días a las 3.30 h, las luces se encendieron durante 12 hTo induce binge eating and food addictive behavior, the protocol developed by Avena et al. , 2008 (Avena, N.M., et al., Physiol Behav, (2008) 94 (3): p. 309-15). Every day at 3:30 a.m., the lights went on for 12 a.m.
(3:30-15.30 h). A las 7.30 h, la bacteria o vehículo se administraron con gelatina y se pesaron los alimentos y la bebida con sacarosa al 10%. Solo el grupo de control tuvo acceso a alimentos y a bebida con un 10% de sacarosa. Posteriormente, a las 15.30 h se apagaron las luces. En ese momento comenzó el “craving” (4h) (15.30-19.30 h). El “craving” es el ansia que se produce frente a la falta de una droga o alimento (como en este caso). Este “craving” se produce porque las ratas están en ayunas durante 8 h en la fase de luz ("fase basal", 7.30-15.30 h) y, luego, en la fase de oscuridad, cuando las luces se apagan 15.30 h, las ratas comienzan su "fase activa" sin acceso a la comida o a la bebida con 10% de sacarosa durante al menos 4 horas más y, como consecuencia, las ratas comienzan a sentir síntomas de abstinencia. En resumen, las ratas IF y IF + P ayunaron durante 12 h (8 h con luz "fase basal" más 4 h en oscuridad "fase activa"). A las 19.30 h todos los grupos tuvieron acceso a la comida y a bebida al 10% de sacarosa durante 12 h. La primera hora de estas 12 h la llamamos "atracón". Durante esta hora cuantificamos cuánto comían y cuánto bebían. Posteriormente, las ratas tuvieron acceso libre a la comida y bebida hasta las 7.30 h. (3: 30-15.30 h). At 7.30 h, the bacteria or vehicle were administered with gelatin and the food and the drink were weighed with 10% sucrose. Only the control group had access to food and drink with 10% sucrose. Later, at 3.30 p.m. the lights went out. At that moment the “craving” began (4h) (15.30-19.30). The "craving" is the craving that occurs in the absence of a drug or food (as in this case). This "craving" occurs because the rats are fasting for 8 h in the light phase ("basal phase", 7.30-15.30 h) and then, in the dark phase, when the lights go off at 3.30 pm, the rats begin their "active phase" without access to food or drink with 10% sucrose for at least 4 more hours and, as a consequence, rats begin to experience withdrawal symptoms. Briefly, IF and IF + P rats fasted for 12 h (8 h with light "basal phase" plus 4 h in dark "active phase"). At 7:30 p.m., all groups had access to food and a drink containing 10% sucrose for 12 hours. The first hour of these 12 hours we call it "binge". During this hour we quantified how much they ate and how much they drank. Subsequently, the rats had free access to food and drink until 7.30 am.
1.3. Efecto sobre la ingesta. 1.3. Effect on intake.
Se analizaron los efectos de B. uniformis en la ingesta compulsiva de comida y solución de sacarosa al 10% comparando el día 2 y el día 18 del experimento. El efecto del protocolo de ayuno intermitente en el atracón de comida, de solución de sacarosa o ambos se analizó al principio (el día 2) y al final (el día 18) del estudio (Figura 1A), lo que demuestra la validez del modelo. El protocolo de ayuno intermitente causó un aumento en la ingesta de comida, sacarosa y ambos (como se expresa en g o en Kcalorías totales) en ambos grupos experimentales (IF e IF + B) en comparación con los controles desde el comienzo del estudio. Este efecto se incrementó en el tiempo, especialmente en ratas que recibieron vehículo, mientras que en aquellos que recibieron B. uniformis CECT 7771 se atenuó. El análisis de la suma de la ingesta calórica total (comida y bebida) (Figura 1A) mostró que ambos grupos experimentales que estaban en ayunas durante 12 h recibiendo el vehículo (IF) o la bacteria (IF + B) consumieron más calorías durante el atracón (359 kcal ± 1.40, p <0.0010 y 361 kcal ± 1 .50, p <0.0010, respectivamente) que las ratas control (176 kcal ± 1.20) en el segundo día del estudio. Después de 18 días de rutina de ayuno y alimentación intermitentes, las ratas IF consumieron significativamente más calorías (502 kcal ± 2.40, p <0.0010) que las ratas control (118 kcal ± 1.00) y significativamente más que el segundo día del experimento (p <0.0010) durante el atracón (comparando el mismo grupo día 2 versus día 18), lo que indica que el tamaño del efecto aumentó a lo largo del tiempo de estudio. Asimismo, las ratas IF + B mostraron una mayor ingesta calórica (425 kcal ± 1 .70, p <0.0010) que las ratas control (118 kcal ± 1.00) después de 18 días de intervención. Las diferencias dentro del grupo (IF + B) en la ingesta calórica entre el día 2 y el día 18 también fueron significativas (p <0.001 ) durante el atracón. Sin embargo, la suma de la ingesta calórica total de las ratas IF + B se redujo con respecto a las ratas IF que recibieron el vehículo (p <0.001), lo que sugiere que B. uniformis CECT 7771 redujo la ingesta calórica durante el atracón. The effects of B. uniformis on binge eating and 10% sucrose solution were analyzed by comparing day 2 and day 18 of the experiment. The effect of the intermittent fasting protocol on bingeing on food, on sucrose solution, or both was analyzed at the beginning (on day 2) and at the end (on day 18) of the study (Figure 1A), which demonstrates the validity of the model. . The intermittent fasting protocol caused an increase in the intake of food, sucrose and both (as expressed in g or in total calories) in both experimental groups (IF and IF + B) compared to controls from the beginning of the study. This effect increased over time, especially in rats that received vehicle, while in those that received B. uniformis CECT 7771 was attenuated. The analysis of the sum of the total caloric intake (food and drink) (Figure 1A) showed that both experimental groups that were fasting for 12 h receiving the vehicle (IF) or the bacteria (IF + B) consumed more calories during the binge (359 kcal ± 1.40, p <0.0010 and 361 kcal ± 1 .50, p <0.0010, respectively) than control rats (176 kcal ± 1.20) on the second day of the study. After 18 days of intermittent fasting and feeding routine, IF rats consumed significantly more calories (502 kcal ± 2.40, p <0.0010) than control rats (118 kcal ± 1.00) and significantly more than the second day of the experiment (p <0.0010) during binge eating (comparing the same group on day 2 versus day 18), indicating that the effect size increased throughout the study time. Likewise, IF + B rats showed a higher caloric intake (425 kcal ± 1.70, p <0.0010) than control rats (118 kcal ± 1.00) after 18 days of intervention. Within-group differences (IF + B) in caloric intake between day 2 and day 18 were also significant (p <0.001) during binge eating. However, the sum of the total caloric intake of the IF + B rats was reduced compared to the IF rats that received the vehicle (p <0.001), suggesting that B. uniformis CECT 7771 reduced caloric intake during binge eating. .
Las ratas IF y las ratas IF + B comieron significativamente más comida (Figura 1 B) durante el atracón (4.80 g ± 0.40, p <0.050 y 4.94 g ± 0.32, p <0.050, respectivamente) que las ratas control (2.86 g ± 0.40) en el segundo día del experimento como resultado del ayuno (Figura 1 B). Al final de la intervención, el grupo IF comió significativamente más (7.03 g ± 0.73, p <0.0010) que las ratas control (2.36 g ± 0.28) y significativamente más que el segundo día del experimento (p <0.050) durante el atracón, lo que indica que la magnitud de la ingesta de comida aumentó a lo largo del tiempo de estudio. Las ratas IF + B mostraron una mayor ingesta de comida (5.72 g ± 0.41 , p <0.001) en comparación con las ratas control (2.36 g ± 0.28) después de 18 días de intervención; sin embargo, estas diferencias no fueron significativas con respecto al segundo día del experimento en las comparaciones dentro del grupo, lo que sugiere que el aumento de la ingesta de comida inducida por el protocolo de ayuno se mejoró ligeramente por la administración de B. uniformis CECT 7771. Ambos grupos, IF e IF + B, bebieron significativamente más solución de sacarosa (Figura 1 C) en el segundo día del experimento (11.25 g ± 0.77, p <0.0010 y 12.71 g ± 2.34, p <0.0010, respectivamente) que las ratas control que solo bebieron agua (2.73 g ± 0.22). Después de 18 días, las ratas IF e IF + B bebieron significativamente más que las ratas control (p <0.0010) y un poco más que el segundo día del experimento (13.75 g ± 1.34 y 12.27 g ± 1.31 , respectivamente). No se detectaron diferencias significativas en la ingesta de solución de sacarosa entre los grupos IF e IF + B. IF rats and IF + B rats ate significantly more food (Figure 1 B) during binge eating (4.80 g ± 0.40, p <0.050 and 4.94 g ± 0.32, p <0.050, respectively) than control rats (2.86 g ± 0.40) on the second day of the experiment as a result of fasting (Figure 1 B). At the end of the intervention, the IF group ate significantly more (7.03 g ± 0.73, p <0.0010) than the control rats (2.36 g ± 0.28) and significantly more than the second day of the experiment (p <0.050) during the binge, indicating that the magnitude of food intake increased throughout the study time. IF + B rats showed higher food intake (5.72 g ± 0.41, p <0.001) compared to control rats (2.36 g ± 0.28) after 18 days of intervention; however, these differences were not significant with respect to the second day of the experiment in the comparisons within the group, suggesting that the increase in food intake induced by the fasting protocol was slightly improved by the administration of B. uniformis CECT 7771. Both groups, IF and IF + B, drank significantly more sucrose solution (Figure 1 C) on the second day of the experiment (11.25 g ± 0.77, p <0.0010 and 12.71 g ± 2.34, p <0.0010, respectively) than the control rats that only drank water (2.73 g ± 0.22). After 18 days, IF and IF + B rats drank significantly more than control rats (p <0.0010) and a little more than the second day of the experiment (13.75 g ± 1.34 and 12.27 g ± 1.31, respectively). No significant differences were detected in the intake of sucrose solution between the IF and IF + B groups.
No encontramos ningún efecto sobre el peso corporal de las ratas a lo largo de las 3 semanas del experimento (Figura 1 D), posiblemente debido a la corta duración del ensayo. We did not find any effect on the body weight of the rats throughout the 3 weeks of the experiment (Figure 1 D), possibly due to the short duration of the test.
Ejemplo 2. Efectos de B. uniformis CECT 7771 sobre la ansiedad en un modelo animal de trastorno del comportamiento alimentario. 2.1 . Prueba de luz/oscuridad (Liqht/Dark test). Example 2. Effects of B. uniformis CECT 7771 on anxiety in an animal model of eating disorder. 2.1. Light / Dark test (Liqht / Dark test).
Esta prueba se basa en un conflicto entre la aversión innata a las áreas iluminadas y el comportamiento exploratorio espontáneo en un entorno novedoso. Consiste en una caja con luz-oscuridad hecha de plexiglás (44 c 44 c 40 cm). El compartimento oscuro es un tercio de la caja con paredes negras, en la que dos tercios es el compartimiento claro con paredes blancas. La caja se iluminó con 300 lux y una puerta abierta (10 c 7,5 cm) comunica los compartimientos claro y oscuro. Durante la fase de oscuridad (fase activa), las ratas se colocaron individualmente en la caja oscura (20 lux) y se les permitió explorar libremente la caja completa (clara y oscura) durante 10 minutos y se registraron con una cámara de video (Sony EXview FIADCCDII, Cornellá (Barcelona), España). La latencia para salir del lado oscuro de la caja (cuatro patas en el lado iluminado), las visitas al compartimiento de la luz y el tiempo que pasan allí son medidas de ansiedad. Todos estos parámetros se midieron y analizado comparativamente (Panlab, Barcelona, España). Esta prueba se realizó durante la fase oscura (fase activa). 2.2. Prueba de ansiedad versus hambre. This test is based on a conflict between innate aversion to lighted areas and spontaneous exploratory behavior in a novel setting. It consists of a light-dark box made of plexiglass (44 c 44 c 40 cm). The dark compartment is one-third of the box with black walls, in which two-thirds is the light compartment with white walls. The box was illuminated with 300 lux and an open door (10 c 7.5 cm) communicating the light and dark compartments. During the dark phase (active phase), the rats were individually placed in the dark box (20 lux) and allowed to freely explore the entire box (light and dark) for 10 minutes and recorded with a video camera (Sony EXview FIADCCDII, Cornellá (Barcelona), Spain). Latency to get out of the dark side of the box (four legs on the light side), visits to the light compartment, and time spent there are measures of anxiety. All these parameters were measured and comparatively analyzed (Panlab, Barcelona, Spain). This test was performed during the dark phase (active phase). 2.2. Anxiety versus hunger test.
Esta prueba mide la ansiedad de la rata versus la motivación del hambre en un campo abierto u openfield (OP). Se basa en el conflicto entre neofobia / ansiedad y hambre. Para realizar este ensayo, las ratas ayunaron durante 18 horas (Control, IF y IF + B) con acceso a agua ad libitum. Durante la fase de luz, las ratas se colocaron individualmente en una esquina de un OP blanco (45 x 90 x 60 cm) se colocó gelatina en el centro del OP (la misma que se usó para administrar B. uniformis). El OP fue iluminado con 500 lux (luz de laboratorio). Las ratas se observaron y registraron (Sony EXview FIADCCDII, Cornellá, Barcelona, España) durante 8 minutos y se analizaron diferentes parámetros, incluyendo la latencia (tiempo) para iniciar el contacto con la comida y la incidencia de la ingesta. Al final de cada experimento, los animales fueron devueltos a sus jaulas y a la alimentación ad libitum. Todos estos parámetros fueron medidos y analizados comparativamente (Panlab, Barcelona, España). El OP se limpió después de cada animal con etanol al 5%. 2.3. Efecto sobre la ansiedad en los dos test de comportamiento. This test measures rat anxiety versus hunger motivation in an open field (OP). It is based on the conflict between neophobia / anxiety and hunger. To perform this test, the rats fasted for 18 hours (Control, IF and IF + B) with access to water ad libitum. During the light phase, the rats were individually placed in a corner of a white OP (45 x 90 x 60 cm) gelatin was placed in the center of the OP (the same that was used to administer B. uniformis). The OP was illuminated with 500 lux (laboratory light). Rats were observed and recorded (Sony EXview FIADCCDII, Cornellá, Barcelona, Spain) for 8 minutes and different parameters were analyzed, including latency (time) to initiate contact with food and incidence of ingestion. At the end of each experiment, the animals were returned to their cages and feeding ad libitum. All these parameters were measured and analyzed comparatively (Panlab, Barcelona, Spain). The OP was washed after each animal with 5% ethanol. 23. Effect on anxiety in the two behavior tests.
El comportamiento ansiogénico se evaluó con dos pruebas de comportamiento diferentes: la prueba de luz/oscuridad o light/dark test (Figura 2 A, B, C) y la prueba de ansiedad versus hambre (Figura 2 D, E). El light/dark test se realizó durante el ayuno en oscuridad o “craving”, lo que significa que las ratas ayunaron alrededor de 10 h (8 h durante la fase de luz + aproximadamente 2 h durante la fase de oscuridad). Por lo tanto, las alteraciones del comportamiento mostradas por esta prueba podrían deberse al hecho de que bajo la privación de alimentos hay un aumento en la búsqueda de alimentos debido a una mayor necesidad de energía. El análisis de datos indicó que los animales IF mostraron un aumento significativo en el número de entradas al área de luz (Figura 2A) respecto a las ratas control (4.8 ± 0.8 versus 1.9 ± 0.6, p <0.05) y la administración de la bacteria redujo el número de entradas, alcanzando valores similares al grupo de control (2.6 ± 1.3). El grupo IF mostró una reducción leve pero no significativa en el tiempo para moverse desde el área oscura hacia la clara (latencia) respecto a las ratas control (184 ± 43 s versus 316 ± 48 s) (Figura 2B). La administración diaria de B. uniformis CECT 7771 tendió a aumentar el tiempo de latencia, alcanzando valores similares a los del grupo control (289 ± 73 s). El tiempo en al área de luz (Figura 2C) también tendió a aumentar en las ratas IF con respecto al control (99.4 ± 22.3 versus 65.7 ± 24.5, respectivamente) pero el grupo que recibió B. uniformis CECT 7771 tendió a mostrar valores similares al control (60.7 ± 24.7 s). Para evaluar el comportamiento similar a la ansiedad durante la fase de luz, realizamos la prueba de ansiedad versus hambre usando un openfield blanco (Figura 2 D, E). Esta prueba se basa en el conflicto entre neofobia / ansiedad y hambre. Todas las ratas estuvieron en ayunas durante 18 h; por lo tanto, el efecto del ayuno influyó en todos los grupos por igual. Las ratas aumentaron significativamente el tiempo de latencia para iniciar el contacto con la comida con respecto a los controles (218 ± 26 s versus 118 ± 30 s, p <0.050) (Figura 2D), lo que sugiere un aumento del comportamiento ansiogénico. La administración de B. uniformis CECT 7771 redujo el tiempo de latencia (117 ± 27 s, p <0.050) lo que indica una reducción de la ansiedad. Con respecto a la latencia para iniciar el contacto con la comida y comer (Figura 2E), las ratas IF y las ratas IF + B necesitaron más tiempo para comenzar a comer (237 ± 25 s y 236 ± 28 s, respectivamente) que las ratas control (177 ± 32 s), aunque este aumento no fue significativo. Anxiety behavior was evaluated with two different behavioral tests: the light / dark test or the light / dark test (Figure 2 A, B, C) and the anxiety versus hunger test (Figure 2 D, E). The light / dark test was performed during the dark fast or "craving", which means that the rats fasted for about 10 h (8 h during the light phase + approximately 2 h during the dark phase). Therefore, the behavioral alterations shown by this test could be due to the fact that under food deprivation there is an increase in the search for food due to a greater need for energy. The data analysis indicated that the IF animals showed a significant increase in the number of entries to the light area (Figure 2A) compared to the control rats (4.8 ± 0.8 versus 1.9 ± 0.6, p <0.05) and the administration of the bacteria reduced the number of entries, reaching similar values to the control group (2.6 ± 1.3). The IF group showed a slight but not significant reduction in the time to move from the dark to the light area (latency) compared to the control rats (184 ± 43 s versus 316 ± 48 s) (Figure 2B). Daily administration of B. uniformis CECT 7771 tended to increase the latency time, reaching values similar to those of the control group (289 ± 73 s). The time in the light area (Figure 2C) also tended to increase in the IF rats with respect to the control (99.4 ± 22.3 versus 65.7 ± 24.5, respectively) but the group that received B. uniformis CECT 7771 tended to show similar values to the control (60.7 ± 24.7 s). To assess anxiety-like behavior during the light phase, we performed the anxiety versus hunger test using a white openfield (Figure 2 D, E). This test is based on the conflict between neophobia / anxiety and hunger. All rats were fasted for 18 h; therefore, the effect of fasting influenced all groups equally. Rats significantly increased the latency time to initiate contact with food compared to controls (218 ± 26 s versus 118 ± 30 s, p <0.050) (Figure 2D), which suggests an increase in anxiogenic behavior. The administration of B. uniformis CECT 7771 reduced the latency time (117 ± 27 s, p <0.050), which indicates a reduction in anxiety. Regarding the latency to initiate contact with food and eat (Figure 2E), IF rats and IF + B rats needed more time to start eating (237 ± 25 s and 236 ± 28 s, respectively) than control rats (177 ± 32 s), although this increase was not significant.
Ejemplo 3. Efectos de B. uniformis CECT 7771 sobre la expresión de neuropétidos y receptores de dopamina en un modelo de trastorno del comportamiento alimentario. Example 3. Effects of B. uniformis CECT 7771 on the expression of neuropetides and dopamine receptors in an eating disorder model.
3.1 . Análisis de la expresión de los receptores de dopamina D1 v D2 en intestino v cerebro. Las ratas se anestesiaron con pentobarbital sódico y se realizó una perfusión transcardíaca con solución salina al 0,9%, seguido de paraformaldehído al 4% en tampón fosfato 0,1 mol / L (pH 7,4). Los cerebros se extrajeron y se fijaron posteriormente en la misma solución fijadora durante 24 horas a 4o C. Luego, las muestras se colocaron dentro de casetes de histología y se procesaron para la inclusión permanente de parafina en un procesador de tejidos Leica ASP 300 (Leica Microsystems, Nussloch, Alemania). Se cortaron secciones montadas en parafina de 5 micrómetros de espesor (5 pm) y se montaron en un vidrio deslizante revestido. Las secciones de tejido se procesaron luego con el kit Envision Flex + (DAKO, Santa Clara, CA, EE. UU.) Bloqueando la actividad de la peroxidasa endógena durante 5 minutos y luego se incubaron con el anticuerpo primario. La reacción fue visualizada por Envision Flex+horseradish + peroxidasa durante 20 minutos y, finalmente, diaminobenzidina durante 10 minutos. Las secciones se contrastaron con hematoxilina de Mayer (DAKO S3309; Lista para usar) durante 5 minutos. Los anticuerpos primarios utilizados fueron los siguientes: Anticuerpo anti-receptor de dopamina D1 (Abcam, ab40653, 1 : 500 durante 40 minutos) y anticuerpo anti-receptor de dopamina D2 - C-terminal (Abcam, ab191041 , 1 :500 durante 40 minutos). La cuantificación se realizó utilizando Image (National Institutes of Health, Bethesda, MD, EE. UU.) (1.48v). Para el análisis de los receptores de dopamina D1 y D2, se seleccionaron las áreas de interés. Las células positivas para D1 y D2 se contaron manualmente utilizando ImageJ. Para cada rata, se cuantificaron al menos 10 campos (40 x) y los resultados se expresaron como porcentaje de ratas de control. 3.1. Analysis of the expression of dopamine D1 and D2 receptors in the intestine and brain. The rats were anesthetized with sodium pentobarbital and a transcardiac perfusion was performed with 0.9% saline, followed by 4% paraformaldehyde in 0.1 mol / L phosphate buffer (pH 7.4). The brains were removed and subsequently fixed in the same fixative solution for 24 hours at 4 ° C. The samples were then placed into histology cassettes and processed for permanent paraffin embedding on a Leica ASP 300 tissue processor ( Leica Microsystems, Nussloch, Germany). Paraffin-mounted sections 5 microns thick (5 pm) were cut and mounted on a coated slide glass. Tissue sections were then processed with the Envision Flex + kit (DAKO, Santa Clara, CA, USA) blocking endogenous peroxidase activity for 5 minutes and then incubated with the primary antibody. The reaction was visualized by Envision Flex + horseradish + peroxidase for 20 minutes and finally diaminobenzidine for 10 minutes. The sections were contrasted with Mayer's hematoxylin (DAKO S3309; Ready to use) for 5 minutes. The primary antibodies used were the following: Anti-dopamine D1 receptor antibody (Abcam, ab40653, 1: 500 for 40 minutes) and anti-dopamine D2-C-terminal receptor antibody (Abcam, ab191041, 1: 500 for 40 minutes ). Quantification was performed using Image (National Institutes of Health, Bethesda, MD, USA) (1.48v). For the analysis of dopamine D1 and D2 receptors, the areas of interest were selected. Cells positive for D1 and D2 were counted manually using ImageJ. For each rat, at least 10 fields (40 x) were quantified and the results were expressed as a percentage of control rats.
3.2. Expresión de neuropétidos orexiqénicos v anorexiqénicos en el hipotálamo3.2. Expression of orexygenic and anorexygenic neuropeptides in the hypothalamus
Para medir la expresión de los neuropeptidos se aisló el ARN del tejido, el hipotálamo (área cerebral) y se realizó una realizó una reacción en cadena de la polimerasa o PCR cuantitativa a tiempo real (RT-qPCR). Para ello el hipotálamo se extrajo y se congeló inmediatamente en nitrógeno líquido. El ARN se extrajo del tejido usando el reactivo TRIsure (Bioline, Londres, Reino Unido) y un proceso de homogeneización usando un procesador ultrasónico UP400S (Hielscher, Teltow, Alemania). La calidad del ARN se evaluó midiendo la relación de absorbancia (A) A260 / A280 en un espectrofotómetro NanoDrop ND-1000 (Thermo Scientific, Wilmington, EE. UU.). El ARN (2 pg) se sometió a transcripción inversa (Applied Biosystems, Foster City, EE. UU.). Se usó una cantidad de 20 ng del ADN complementario resultante (ADNc) como plantilla para amplificaciones por PCR en tiempo real. Los niveles de ARN mensajero (ARNm) para genes específicos se determinaron en un instrumento LightCycler480 (Roche, Branchburg, EE. UU.). Para cada reacción de PCR, se añadió una plantilla de ADNc a LightCycler 480 SYBR Green I Master (Roche, Branchburg, EE. UU.) que contenía los pares de cebadores para el gen correspondiente. Se usó B2-microglobulina (b2M) como gen de mantenimiento. La secuencia y la información para los cebadores se muestran en la Tabla complementaria 1. Todas las reacciones de amplificación se realizaron por triplicado y se usaron números de ciclo umbral promedio (Ct) de los triplicados para calcular la expresión relativa de ARNm de genes candidatos. La magnitud del cambio de expresión de ARNm para los genes candidatos se calculó utilizando el método estándar de 2-hAACt. Todos los datos se normalizaron al contenido del gen de mantenimiento y se expresaron como porcentaje de control. To measure the expression of neuropeptides, RNA was isolated from the tissue, the hypothalamus (brain area) and a polymerase chain reaction or quantitative real-time PCR (RT-qPCR) was performed. For this the hypothalamus was removed and frozen immediately in liquid nitrogen. RNA was extracted from the tissue using the TRIsure reagent (Bioline, London, UK) and a homogenization process using a UP400S ultrasonic processor (Hielscher, Teltow, Germany). RNA quality was evaluated by measuring the absorbance ratio (A) A260 / A280 on a NanoDrop ND-1000 spectrophotometer (Thermo Scientific, Wilmington, USA). RNA (2 pg) was reverse transcribed (Applied Biosystems, Foster City, USA). A 20 ng amount of the resulting complementary DNA (cDNA) was used as a template for real-time PCR amplifications. Messenger RNA (mRNA) levels for specific genes were determined on a LightCycler480 instrument (Roche, Branchburg, USA). For each PCR reaction, a cDNA template was added to LightCycler 480 SYBR Green I Master (Roche, Branchburg, USA) containing the primer pairs for the corresponding gene. B2-microglobulin (b2M) was used as a housekeeping gene. The sequence and information for the primers are shown in Supplementary Table 1. All amplification reactions were performed in triplicate and mean threshold cycle numbers (Ct) of the triplicates were used to calculate relative mRNA expression of candidate genes. The magnitude of the mRNA expression change for the candidate genes was calculated using the standard 2-hAACt method. All data were normalized to housekeeping gene content and expressed as a percentage of control.
Tabla complementaria 1. F: Cebador directo (forward primer), R: Cebador inverso (reverse primer).
Figure imgf000024_0001
Figure imgf000025_0001
Supplementary Table 1. F: Forward primer, R: Reverse primer.
Figure imgf000024_0001
Figure imgf000025_0001
3.3. Efectos sobre la expresión de neuropétidos v receptores de dopamina B. uniformis CECT 7771 aumenta la expresión de las células positivas D1 en PFCx pero no D2. Analizamos los posibles efectos de B. uniformis CECT 7771 sobre los receptores de dopamina D1 R en la corteza prefrontal en cerebro (PFCx) (Figura 3A) y D2R en el intestino delgado (Figura 3B). Las células que expresan los receptores D1 R y D2R se analizaron por inmunohistoquímica. Las ratas IF tienden a mostrar una disminución en el número de células que expresan D1 R en comparación con el control (263 ± 12 versus 343 ± 25) en el PFCx, aunque las diferencias no fueron significativas. B. uniformis CECT 7771 normalizó la expresión de D1 R en PFCx (398 ± 37, p <0.050). Las ratas IF mostraron una disminución significativa en las células D2 positivas con respecto a las ratas control (185 ± 13 versus 390 ± 29, p <0.0010). La administración de B. uniformis CECT 7771 no restableció esta alteración (237 ± 16, p <0.010). Estos resultados sugieren que B. uniformis CECT 7771 disminuye las células D1 y D2 positivas en el intestino delgado. 3.3. Effects on the expression of neuropetides and dopamine receptors B. uniformis CECT 7771 increases the expression of D1 positive cells in PFCx but not D2. We analyze the possible effects of B. uniformis CECT 7771 on dopamine receptors D1 R in the prefrontal cortex in the brain (PFCx) (Figure 3A) and D2R in the small intestine (Figure 3B). Cells expressing the D1 R and D2R receptors were analyzed by immunohistochemistry. IF rats tend to show a decrease in the number of cells expressing D1 R compared to the control (263 ± 12 versus 343 ± 25) in the PFCx, although the differences were not significant. B. uniformis CECT 7771 normalized the expression of D1 R in PFCx (398 ± 37, p <0.050). IF rats showed a significant decrease in D2 positive cells compared to control rats (185 ± 13 versus 390 ± 29, p <0.0010). The administration of B. uniformis CECT 7771 did not restore this alteration (237 ± 16, p <0.010). These results suggest that B. uniformis CECT 7771 decreases D1 and D2 positive cells in the small intestine.
El análisis de los receptores DA en la mucosa del intestino delgado mostró que las ratas IF presentaban un mayor número de células que expresaban D1 R en comparación con los controles (376 ± 29 versus 219 ± 12, p <0.0010) como se muestra en la Figura 3C. La administración diaria de B. uniformis CECT 7771 restauró parcialmente esta alteración reduciendo la expresión de este receptor (304 ± 23, p <0.010). El análisis por inmunohistoquímica de células D2 positivas (Figura 3D) también mostró un aumento significativo de la expresión de D2R en ratas IF respecto al control (497 ± 41 versus 232 ± 21 , p <0.0010). B. uniformis CECT 7771 restauró por completo esta alteración (241 ± 31 , p <0.0010) en el modelo de alimentación adictiva. Estos resultados indican que B. uniformis CECT 7771 podría modular el sistema dopaminérgico en el sistema nervioso entérico. Analysis of DA receptors in the mucosa of the small intestine showed that IF rats had a higher number of cells expressing D1 R compared to controls (376 ± 29 versus 219 ± 12, p <0.0010) as shown in the Figure 3C. Daily administration of B. uniformis CECT 7771 partially restored this alteration by reducing the expression of this receptor (304 ± 23, p <0.010). Immunohistochemical analysis of D2 positive cells (Figure 3D) also showed a significant increase in D2R expression in IF rats compared to control (497 ± 41 versus 232 ± 21, p <0.0010). B. uniformis CECT 7771 completely restored this alteration (241 ± 31, p <0.0010) in the addictive eating model. These results indicate that B. uniformis CECT 7771 could modulate the dopaminergic system in the enteric nervous system.
Para dilucidar si el efecto de B. uniformis CECT 7771 en el atracón y el comportamiento estuvo mediado por cambios en las señales de apetito / saciedad, estudiamos la expresión de ARNm de neuropéptidos en el hipotálamo (Figura 4 A, B, C, D). Los niveles de expresión del NPY orexigénico (Figura 4A) aumentaron significativamente en ratas IF con respecto a los controles (1 .55 ± 0.14 versus 1 .00 ± 0.11 , p <0.050). De manera similar, los niveles de expresión del AgRP anorexigénico (Figura 5C) se elevaron en el hipotálamo de las ratas IF en comparación con los controles (1 .84 ± 0.20 versus 1.00 ± 0.14, p <0.010). La administración de B. uniformis CECT 7771 no redujo estas alteraciones (1.58 ± 0.16, p <0.050 para NPY y 1.97 ± 0.23, p <0.010 para AgRP). El análisis de la expresión de ARNm de los neuropéptidos anorexigénicos CART (Figura 4B) y POMC (Figura 4D) no reveló diferencias entre IF y ratas de control (p <0.050); ninguna administración de la bacteria tuvo ningún efecto (Figura 4 B, D). Estos resultados sugieren que el aumento de los atracones observados en el modelo animal de adicción a la comida podría explicarse, al menos en parte, por la mejora de los neuropéptidos hipotalámicos NPY y AgRP. Sin embargo, estos neuropéptidos no están involucrados en el mecanismo por el cual B. uniformis CECT 7771 redujo la ingesta calórica durante el atracón. To elucidate whether the effect of B. uniformis CECT 7771 on binge eating and behavior was mediated by changes in appetite / satiety signals, we studied the expression of neuropeptide mRNA in the hypothalamus (Figure 4 A, B, C, D). . Orexigenic NPY expression levels (Figure 4A) increased significantly in IF rats with respect to controls (1 .55 ± 0.14 versus 1 .00 ± 0.11, p <0.050). Similarly, the expression levels of the anorectic AgRP (Figure 5C) were elevated in the hypothalamus of IF rats compared to controls (1.84 ± 0.20 versus 1.00 ± 0.14, p <0.010). The administration of B. uniformis CECT 7771 did not reduce these alterations (1.58 ± 0.16, p <0.050 for NPY and 1.97 ± 0.23, p <0.010 for AgRP). Analysis of mRNA expression of the anorectic neuropeptides CART (Figure 4B) and POMC (Figure 4D) did not reveal differences between IF and control rats (p <0.050); no administration of the bacteria had any effect (Figure 4 B, D). These results suggest that the increase in binge eating observed in the animal model of food addiction could be explained, at least in part, by the enhancement of the hypothalamic neuropeptides NPY and AgRP. However, these neuropeptides are not involved in the mechanism by which B. uniformis CECT 7771 reduced caloric intake during binge eating.
Ejemplo 4. Influencia de B. uniformis CECT 7771 en la composición de la microbiota en un modelo de trastorno del comportamiento alimentario. Example 4. Influence of B. uniformis CECT 7771 on the composition of the microbiota in a model of eating disorder.
4.1 . Análisis de la microbiota por secuenciación del gen del 16S rRNA El aislamiento de ADN a partir de contenido intestinal se realizó utilizando el kit MoBio PowerSoil™ siguiendo las instrucciones del fabricante. Previamente se favoreció la lisis celular mediante incubación con lisozima y mutanolisina a 37eC durante 1 h y, posteriormente, mediante disrupción celular mecánica en un Mini-Bead Beater (BioSpec Products, Bartlesville, EE.UU.) con dos ciclos de agitación durante 1 minuto. El ADN genómico fue cuantificado por medida de la absorbancia al UV (Nanodrop, Thermo Scientific, Wilmington, USA). Las regiones hipervariables V3-V4 del gen del ARNr 16S, se amplificaron por triplicado mediante PCR utilizando 20 ng de ADN (1 pL) y 25 ciclos de PCR a 95eC durante 20 s, 40eC durante 30 s y 72eC durante 20 s. Las muestras se marcaron con códigos de barras para permitir la multiplexación durante el proceso de secuenciación. Durante la PCR se utilizaron la Taq Polimerasa de alta fidelidad Phusion (Thermo Scientific) y los cebadores con código de barras S-D-Bact-0341-b-S-17 (CCTACGGNGGCWGCAG) (SEQ ID NO: 9) y S-D-Bact-0785-a-A-21 (GACTACFIVGGTATCTAATCC) (SEQ ID NO: 10). Los productos de la PCR (-500 pb) se purificaron con el lllustra GFX PCR DNA and Gel Band Purification Kit (GE Flealthcare, Reino Unido) y se cuantificaron mediante el método Qubit 3.0 y el Qubit dsDNA HS Assay Kit (Thermo Fisher Scientific, Waltham, MA, EE.UU.). Las muestras se multiplexaron en una sola secuenciación mediante la combinación de cantidades equimolares de ADN amplificado (-50 ng por muestra) y se secuenciaron en un carril de la plataforma MiSeq de lllumina con una configuración de 2x300 PE (CNAG, Barcelona, España). 4.1. Microbiota analysis by 16S rRNA gene sequencing DNA isolation from intestinal contents was performed using the MoBio PowerSoil ™ kit following the manufacturer's instructions. Previously cell lysis by incubation with lysozyme and mutanolysin favored at 37 C for 1 h and subsequently by mechanical cell disruption in a Mini-Bead Beater (BioSpec Products, Bartlesville, US) with two cycles of stirring for 1 minute. Genomic DNA was quantified by UV absorbance measurement (Nanodrop, Thermo Scientific, Wilmington, USA). The hypervariable regions V3-V4 of the gene 16S rRNA, were amplified in triplicate by PCR using 20 ng of DNA (1 pL) and 25 PCR cycles at 95 e C for 20 s, 40 e C for 30 s 72 e C during 20 s. The samples were barcoded to allow multiplexing during the sequencing process. Phusion high fidelity Taq Polymerase (Thermo Scientific) and the barcode primers SD-Bact-0341-bS-17 (CCTACGGNGGCWGCAG) (SEQ ID NO: 9) and SD-Bact-0785-aA were used during PCR. -21 (GACTACFIVGGTATCTAATCC) (SEQ ID NO: 10). The PCR products (-500 bp) were purified with the GFX PCR DNA and Gel Band Purification Kit Illustrator (GE Flealthcare, United Kingdom) and quantified using the Qubit 3.0 method and the Qubit dsDNA HS Assay Kit (Thermo Fisher Scientific, Waltham, MA, USA). Samples were multiplexed into a single sequencing by combining equimolar amounts of amplified DNA (-50 ng per sample) and sequenced in one lane. of the Illumina MiSeq platform with a 2x300 PE configuration (CNAG, Barcelona, Spain).
4.2. Análisis bioinformático v estadístico Las secuencias se filtraron en función de su calidad utilizando el software Flash y se separaron en función de sus códigos de barras con la herramienta MOTHUR v1.39.5. Tras la eliminación de los códigos de barras/cebadores, se eliminaron las quimeras con el algoritmo UCHIME y la base de datos de referencia de secuencias de 16S SILVA. Las Unidades Taxonómicas Operacionales (OTUs) o potenciales especies se identificaron con el algoritmo UCLUST implementado en USEARCH v8.0.1623. Las OTUs fueron alineadas usando PyNAST y FastTree para estimar la diversidad basada en la distancia filogenética. El análisis de la diversidad alfa y beta se realizó utilizando QIIME v1.9.1 . Para los análisis estadísticos se aplicaron métodos no paramétricos, como las pruebas de Kruskal-Wallis y Wilcoxon, aplicando la corrección de Benjamini-Hochberg en el caso de comparaciones múltiples. Se realizó un análisis lineal discriminante (LDA) para comparar la abundancia de las unidades taxonómicas (OTUs) entre los diferentes grupos experimentales y se establecieron diferencias significativas cuando las OTUs mostraron un valor LDA ³ 3.0. Se realizó el análisis PERMANOVA para evaluar los cambios en la estructura de la microbiota utilizando los datos de distancias de Bray- Curtís. El Análisis de Coordenadas Principales (PCoA) permitió para visualizar los cambios en la composición de la microbiota entre los grupos. Los análisis se realizaron en R v3.6. 4.2. Bioinformatic and statistical analysis The sequences were filtered according to their quality using Flash software and separated according to their barcodes with the MOTHUR tool v1.39.5. After removal of the barcodes / primers, the chimeras were removed with the UCHIME algorithm and the 16S SILVA sequence reference database. The Operational Taxonomic Units (OTUs) or potential species were identified with the UCLUST algorithm implemented in USEARCH v8.0.1623. The OTUs were aligned using PyNAST and FastTree to estimate diversity based on phylogenetic distance. Analysis of alpha and beta diversity was performed using QIIME v1.9.1. Non-parametric methods were applied for statistical analyzes, such as the Kruskal-Wallis and Wilcoxon tests, applying the Benjamini-Hochberg correction in the case of multiple comparisons. A linear discriminant analysis (LDA) was performed to compare the abundance of taxonomic units (OTUs) between the different experimental groups and significant differences were established when the OTUs showed an LDA value of ³ 3.0. The PERMANOVA analysis was performed to evaluate the changes in the structure of the microbiota using the Bray-Curtís distance data. The Principal Coordinate Analysis (PCoA) allowed to visualize the changes in the composition of the microbiota between the groups. The analyzes were carried out in R v3.6.
4.3. Efectos en la composición de la microbiota intestinal Los principales efectos del protocolo de ayuno (IF) y la administración de B. uniformis (IF + B) se observaron en la prevalencia y abundancia de diversas OTUs (Figura 5).4.3. Effects on the composition of the intestinal microbiota The main effects of the fasting protocol (IF) and the administration of B. uniformis (IF + B) were observed in the prevalence and abundance of various OTUs (Figure 5).
La administración de B. uniformis permitió incrementar la abundancia de Muribaculum spp. significativamente reducida en el grupo IF comparado con el control (LDA score = 4.44, p = 0.013). Estas especies son componentes autóctonos de la microbiota de ratones. Además, la administración de B. uniformis aumento la abundancia y prevalencia de las siguientes especies: Akkermanisa muciniphila (LDA = 3,89, p = 0,044), Christensenella minuta (LDA = 3,11 , p < 0,001) y Faecalimonas umblicata (LDA = 3,65, p = 0,003). La especie B. uniformis también fue más abundante en el grupo IF + B que en el IF y en el control. En resumen, los resultados demuestran que B. uniformis es capaz de restablecer parcialmente algunas de las alteraciones de la microbiota inducidas por el protocolo de ayuno y aumentar algunas especies con efectos potencialmente positivos frente a la obesidad y la ingesta de alimentos (por ejemplo, Akkermanisa muciniphila y Christensenella minuta). The administration of B. uniformis allowed to increase the abundance of Muribaculum spp. significantly reduced in the IF group compared to the control (LDA score = 4.44, p = 0.013). These species are indigenous components of the microbiota of mice. In addition, the administration of B. uniformis increased the abundance and prevalence of the following species: Akkermanisa muciniphila (LDA = 3.89, p = 0.044), Christensenella minuta (LDA = 3.11, p <0.001) and Faecalimonas umblicata (LDA = 3.65, p = 0.003). The species B. uniformis was also more abundant in the IF + B group than in the IF and in the control. In summary, the results show that B. uniformis is capable of restoring partially some of the microbiota alterations induced by the fasting protocol and increase some species with potentially positive effects against obesity and food intake (for example, Akkermanisa muciniphila and Christensenella minuta).

Claims

REIVINDICACIONES
1. Una cepa del género Bacteroides, o una cepa derivada de ella, para su uso en la prevención, reducción del riesgo y/o tratamiento de condiciones sub-clínicas o clínicas de trastornos del comportamiento alimentario. 1. A strain of the genus Bacteroides, or a strain derived from it, for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical conditions of eating disorders.
2. Cepa del género Bacteroides para su uso, donde la cepa es B. uniformis CECT 7771. 2. Strain of the genus Bacteroides for use, where the strain is B. uniformis CECT 7771.
3. Cepa según la reivindicación 1 o 2, donde los trastornos del comportamiento alimentario se seleccionan de la lista que comprende: el exceso de ingesta, hiperfagia, el trastorno por atracón, la ingesta adictiva o selectiva de alimentos, la bulimia nerviosa, la anorexia nerviosa, la ansiedad asociada a alteraciones de la conducta alimentaria y la megarexia. 3. Strain according to claim 1 or 2, wherein the eating disorders are selected from the list comprising: overeating, hyperphagia, binge eating disorder, addictive or selective food intake, bulimia nervosa, anorexia nervous system, anxiety associated with eating disorders and megarexia.
4. Cepa según cualquiera de las reivindicaciones 1 a 3, donde dicha cepa está en la forma de células viables o en la forma de células no viables. A strain according to any one of claims 1 to 3, wherein said strain is in the form of viable cells or in the form of non-viable cells.
5. Composición que comprende una cepa del género Bacteroides, o cepa derivada de ella, para su uso en la prevención, reducción del riesgo y/o el tratamiento de condiciones sub-clínicas o clínicas de trastornos del comportamiento alimentario. 5. Composition comprising a strain of the genus Bacteroides, or strain derived from it, for use in the prevention, risk reduction and / or treatment of sub-clinical or clinical conditions of eating disorders.
6. Composición para su uso según reivindicación 5 donde la cepa es B. uniformis CECT 7771. 6. Composition for use according to claim 5 where the strain is B. uniformis CECT 7771.
7. Composición para su uso según reivindicación 5 o 6, donde los trastornos o alteraciones del comportamiento alimentario se seleccionan de la lista que comprende: ingesta excesiva, hiperfagia, el trastorno por atracón, la ingesta adictiva o selectiva de alimentos, el síndrome del comedor selectivo, la bulimia nerviosa, la anorexia nerviosa, la ansiedad asociada a alteraciones de la conducta alimentaria y la megarexia. 7. Composition for use according to claim 5 or 6, where the eating behavior disorders or alterations are selected from the list that includes: excessive eating, hyperphagia, binge eating disorder, addictive or selective food intake, eater syndrome selective, bulimia nervosa, anorexia nervosa, anxiety associated with eating disorders and megarexia.
8. Composición para su uso según cualquiera de las reivindicaciones 5 a 7, donde la cepa está en la forma de células viables o en la forma de células no viables. Composition for use according to any one of claims 5 to 7, wherein the strain is in the form of viable cells or in the form of non-viable cells.
9. Composición para su uso según cualquiera de las reivindicaciones 5 a 8 que adicionalmente comprende al menos un componente bioactivo. Composition for use according to any one of claims 5 to 8 which additionally comprises at least one bioactive component.
10. Composición para su uso según cualquiera de las reivindicaciones 6 a 9 que adicionalmente comprende al menos un microorganismo distinto a cepa CECT 7771 o cepa derivada o mutante de ella. Composition for use according to any of claims 6 to 9, which additionally comprises at least one microorganism other than strain CECT 7771 or strain derived or mutant thereof.
11. Composición para su uso según reivindicación 10 donde el microorganismo distinto es otra cepa del género Bacteroides, una bactaria láctica o una cepa de levadura. 11. Composition for use according to claim 10, wherein the different microorganism is another strain of the genus Bacteroides, a lactic bacteria or a yeast strain.
12. Composición para su uso según cualquiera de las reivindicaciones 5 a 11 donde la composición es una composición farmacéutica o nutritiva. 12. Composition for use according to any one of claims 5 to 11 wherein the composition is a pharmaceutical or nutritional composition.
13. Composición para su uso según reivindicación 12 donde la composición es farmacéutica y comprende al menos un vehículo y/o un excipiente farmacéuticamente aceptable. 13. Composition for use according to claim 12, wherein the composition is pharmaceutical and comprises at least one pharmaceutically acceptable carrier and / or excipient.
14. Composición para su uso según reivindicación 13 donde dicha composición se presenta en una forma adaptada a la administración oral, sublingual, nasal, bronquial, linfática, rectal, transdérmica, inhalada o parenteral. Composition for use according to claim 13, wherein said composition is presented in a form adapted for oral, sublingual, nasal, bronchial, lymphatic, rectal, transdermal, inhaled or parenteral administration.
15. Composición para su uso según reivindicación 12 donde la composición es nutritiva y está seleccionada de la lista que comprende un alimento, un suplemento, un nutracéutico, un probiótico y un simbiótico. 15. Composition for use according to claim 12, wherein the composition is nutritional and is selected from the list comprising a food, a supplement, a nutraceutical, a probiotic and a symbiotic.
16. Composición para su uso según reivindicación 15 donde la composición es un alimento seleccionado de la lista que comprende: producto lácteo, un producto vegetal, un producto cárnico, un aperitivo, chocolate, bebida o alimento infantil. 16. Composition for use according to claim 15, wherein the composition is a food selected from the list that comprises: dairy product, a vegetable product, a meat product, a snack, chocolate, drink or baby food.
17. Composición para su uso según cualquiera de las reivindicaciones 5 a 16 donde la composición tiene una concentración de la cepa de entre 104 y 1014 unidades formadoras de colonias (ufe) por gramo o mililitro de composición final. Composition for use according to any one of claims 5 to 16 wherein the composition has a strain concentration of between 10 4 and 10 14 colony forming units (ufe) per gram or milliliter of final composition.
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