Pharmaceutical compositions comprising polymeric binders with non-hydrolysable covalent bonds and their use in treating celiac disease
09763978 · 2017-09-19
Assignee
Inventors
Cpc classification
A23L33/25
HUMAN NECESSITIES
A61P1/00
HUMAN NECESSITIES
A61P1/02
HUMAN NECESSITIES
A61P37/06
HUMAN NECESSITIES
A61P19/08
HUMAN NECESSITIES
International classification
A23L33/25
HUMAN NECESSITIES
Abstract
A pharmaceutical composition comprising a polymeric binder including a high molecular weight synthetic polymer having a backbone constituted of non hydrolysable covalent bonds, said polymer being able to form electrostatic bonds at a pH lower than the isoelectric point of gluten and peptides derived from the degradation of gluten, and being able to bind to gluten or peptides derived from the degradation of gluten in the gastrointestinal tract, and a pharmaceutically acceptable carrier. Methods of using the polymeric binder for binding gluten or a peptide derived from the degradation of gluten, for decreasing the degradation of gluten into toxic peptides or for decreasing interaction of gluten or peptides derived from the degradation of gluten with the gastrointestinal mucosa.
Claims
1. Food comprising a pharmaceutically effective amount of a polymeric binder including a high molecular weight synthetic linear copolymer, the synthetic linear copolymer comprising a linear copolymer of hydroxyethyl methacrylate (HEMA) and 4-styrene sulfonic acid or a salt thereof, wherein said linear copolymer has a molar percentage ratio of HEMA:4-styrene sulfonic acid or a salt thereof from between about 82.4:17.6 mol % to about 28:72 mol %, and a processed food.
2. The food of claim 1, wherein the food is a gluten-containing food.
3. The food of claim 2, wherein the food is bread.
4. The food of claim 1, wherein the synthetic linear copolymer comprises a copolymer of HEMA and SStNa hydrate.
5. The food of claim 4, wherein the copolymer of HEMA and SStNa is linear HEMA/SStNa, wherein the HEMA/SStNa ratio is 51.5/48.5 mol %.
6. The food of claim 4, wherein the copolymer of HEMA and SStNa is linear HEMA/SStNa, wherein the HEMA/SStNa ratio is 43/57 mol %.
7. The food of claim 4, wherein the synthetic linear copolymer of HEMA and SStNa contains about 50% SStNa.
8. The food of claim 1, wherein the synthetic linear copolymer has a backbone constituted of non-hydrolysable covalent bonds.
9. The food of claim 1, wherein the synthetic linear copolymer is able to form electrostatic bonds at a pH lower than the isoelectric point of gluten and peptides derived from the degradation of gluten.
10. The food of claim 1, wherein the synthetic linear copolymer is able to form hydrophobic interactions with gluten or peptides derived from the degradation of gluten.
11. The food of claim 1, wherein the synthetic linear copolymer is able to form hydrogen bonds.
12. The food of claim 1, wherein the synthetic linear copolymer is able to specifically bind to gluten or peptides derived from the degradation of gluten in the gastrointestinal tract.
13. The food of claim 1, wherein the synthetic linear copolymer is able to bind to gluten or peptides derived from the degradation of gluten in the intestinal tract.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the appended drawings:
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DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS
(11) Materials
(12) α-Gliadin was kindly supplied by the Institut National de la Recherche Agronomique, (Nantes, France). It was purified from soft wheat as described by Popineau et al. (16-21). Briefly, after extraction of crude gliadin from gluten (isolated from flour), gliadin subgroups were separated and purified successively by ion exchange chromatography, size exclusion chromatography and finally hydrophobic interaction chromatography.
(13) Bovine albumin was purchased from Serological Proteins (Kankakee, Ill.). α-Casein (from bovine milk), SStNa, HEMA, SPMAK, R-D-glucose, α-cyclodextrin hydrate, sucrose (98%), poly(ethylene glycol) (PEG) (M.sub.n 2000), 2-bromoisobutyryl bromide, copper bromide Cu(I)Br and 2,2′dipyridyl were all purchased from Sigma-Aldrich (St Louis, Mo.) and used as received. Eppendorff tubes, pipette tips and 96-well plates (Maximum Recovery) were provided from Axygen Scientific (Union City, Calif.).
(14) Synthesis of the Initiators
(15) Atom transfer radical polymerization (ATRP) initiators (
(16) The present invention is illustrated in further details by the following non-limiting examples.
Example 1
Synthesis of PEG Dibromomacroinitiator (i)
(17) A solution of HO-PEG-OH (M.sub.n 2000, 10 g, 5 mmol) and triethylamine (10 g, 0.1 mol) in 70 mL of anhydrous toluene was slightly cooled in an ice-water bath. Then, 2-bromoisobutyryl bromide (4.91 mL, 0.04 mol) was slowly added to the reaction mixture. The solution was warmed to room temperature and stirred for 48 h. The mixture was filtered, half of the solvent was evaporated, and the PEG macroinitiator was precipitated in cold diethyl ether (
(18) Yield: 90%, after precipitation. White solid. .sup.1H NMR (δ, ppm, CDCl.sub.3): 3.50 (188H), 1.80 (12H, s).
Example 2
Synthesis of 1,2,3,4,6-Penta-O-isobutyryl bromide-R-D-glucose (ii)
(19) 2-bromoisobutyryl bromide (50 g, 0.22 mol) was slowly added to a solution of R-D-glucose (5.0 g, 0.028 mol) in an anhydrous mixture of chloroform (100 mL) and pyridine (50 mL). The solution was refluxed for 3 h while maintaining a dry atmosphere and then stirred at room temperature for a further 12 h. It was then washed successively with ice-cold water, NaOH (0.1 M), and water and dried over anhydrous MgSO.sub.4. The crude product was recrystallized from methanol to yield white crystals (
(20) Yield: 70%. .sup.1H NMR (CDCl.sub.3): 1.85-2.04 (m, 30H, H-7), 6.42 (d, 1H, H-1), 5.25 (dd, 1H, H-2), 5.69 (t, 1H, H-3), 5.35 (t, 1H, H-4), 4.38 (m, 3H, H-5/6).
Example 3
Synthesis of Octadeca-O-isobutyryl Bromide-R-cyclodextrin (iii)
(21) Octadeca-O-isobutyryl bromide-R-cyclodextrin was synthesized by the slow addition of 2-bromoisobutyryl bromide (50 g, 0.22 mol) to a solution of R-cyclodextrin (5.0 g, 0.005 mol) in anhydrous pyridine (150 mL). The solution was stirred for 24 h under a dry atmosphere at room temperature. It was then washed with ice-cold water, NaOH (0.1 M), and water, respectively, prior to drying over anhydrous MgSO.sub.4. The crude product was recrystallized from methanol/H.sub.2O (3:1, v/v) to yield white crystals (
(22) Yield: 55%. .sup.1H NMR (CDCl.sub.3): 1.95 (m, 108H, H-7), 5.84 (d, 12H, H-1), 4.46 (dd, 6H, H-2), 5.7 (m, 6H, H-3), 5.13/5.38 (t/dd, 6H, H-4), 4.78 (dd, 6H, H-5), 4.45 (m, 6H, H-6).
Example 4
Synthesis of Octa-O-isobutyryl bromide-sucrose (iv)
(23) Octa-O-isobutyryl bromide sucrose was synthesized by the slow addition of 2-bromoisobutyryl bromide (50 g, 0.22 mol) to a solution of sucrose (5.0 g, 0.014 mol) in anhydrous pyridine (150 mL). The solution was stirred for 24 h under a dry atmosphere at room temperature. It was then washed with ice-cold water, NaOH (0.1 M), and water, prior to drying over anhydrous MgSO.sub.4. The crude product was recrystallized from methanol/H.sub.2O (3:1 v/v) to yield white crystals (
(24) Yield: 50%. .sup.1H NMR (CDCl.sub.3): 1.99 (m, 48H, H-7), 4.15 (d, 1H, H-5′), 4.46 (m, 5H, H-6′/1′/5), 4.68 (dt, 2H, H-6), 4.81 (d, 1H, H-3′), 5.13 (dd, 1H, H-2), 5.38 (t, 1H, H-4′), 5.67 (t, 1H, H-4), 5.76 (t, 1H, H-3), 5.85 (d, 1H, H-1).
Example 5
Synthesis of Linear Hydroxyethyl Methacrylate (HEMA)/4-Styrene Sulfonic Acid Sodium Salt Hydrate (SStNA) Copolymer (93.5/6.5 mol % After Purification)
(25) The ATRP initiator i (
Example 6
Synthesis of Linear Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (90.3/9.7 mol % After Purification)
(26) The ATRP initiator i (
Example 7
Synthesis of Linear Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (87.8/12.2 mol % After Purification)
(27) The ATRP initiator i (
Example 8
Synthesis of Linear Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (82.4/17.6 mol % After Purification)
(28) The ATRP initiator i (
Example 9
Synthesis of Linear Hydroxyethyl Methacrylate/4.Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (69/31 mol % After Purification)
(29) The ATRP initiator i (
Example 10
Synthesis of Linear Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (51.5/48.5 mol % After Purification)
(30) The ATRP initiator i (
Example 11
Synthesis of Linear Hydroxyethyl Methacrylate/4.Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (43/57 mol % After Purification)
(31) The ATRP initiator i (
Example 12
Synthesis of Linear Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (28/72 mol % After Purification)
(32) The ATRP initiator i (
Example 13
Synthesis of Linear Poly(4-Styrene Sulfonic Acid Sodium Salt Hydrate)
(33) The ATRP initiator i (
Example 14
Synthesis of Linear Poly(4.Styrene Sulfonic Acid Sodium Salt Hydrate)
(34) The ATRP initiator i (
Example 15
Synthesis of 5-Arm Star Hydroxyethyl Methacrylate/4-Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (69/31 mol % After Purification)
(35) The ATRP initiator ii (
Example 16
Synthesis of 8.Arm Star Hydroxyethyl Methacrylate/4.Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (75/25 mol % After Purification)
(36) The ATRP initiator iv (
Example 17
Synthesis of 18.Arm Star Hydroxyethyl Methacrylate/4.Styrene Sulfonic Acid Sodium Salt Hydrate Copolymer (69/31 mol % After Purification)
(37) The ATRP initiator iii (
Example 18
Synthesis of Linear Hydroxyethyl Methacrylate (HEMA)/Sulfopropyl Methacrylate Potassium Salt (SPMAK) Copolymer (86/14 mol % After Purification)
(38) The ATRP initiator i (
Example 19
Synthesis of Linear Hydroxyethyl Methacrylate (HEMA)/Sulfopropyl Methacrylate Potassium Salt (SPMAK) Copolymer (83/17 mol % After Purification)
(39) The ATRP initiator i (
Example 20
Synthesis of Linear Hydroxyethyl Methacrylate/Sulfopropyl Methacrylate Potassium Salt Copolymer (74/26 mol % After Purification)
(40) The ATRP initiator i (
Example 21
Synthesis of Linear Hydroxyethyl Methacrylate/Sulfopropyl Methacrylate Potassium Salt Copolymer (45/55 mol % After Purification)
(41) The ATRP initiator i (
Example 22
Synthesis of Linear Poly(Sulfopropyl Methacrylate Potassium)
(42) The ATRP initiator i (
Example 23
Synthesis of 5-Arm Star Hydroxyethyl Methacrylate/Sulfopropyl Methacrylate Potassium Copolymer (82.4/17.6 mol % After Purification)
(43) The ATRP initiator ii (
Example 24
Synthesis of 8-Arm Star Hydroxyethyl Methacrylate/Sulfopropyl Methacrylate Potassium Copolymer (81/19 mol % After Purification)
(44) The ATRP initiator iv (
Example 25
Synthesis of 18-Arm Star Hydroxyethyl Methacrylate/Sulfopropyl Methacrylate Potassium Copolymer (82.4/17.6 mol % After Purification)
(45) The ATRP initiator iii (
Example 26
Assessment of Polymer″Gliadin Binding
(46) The binding selectivity and affinity of gliadin toward the synthesized polymers was assessed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SOS-PAGE) using a 15% (w/v) separating gel. In addition, the polymers were separately screened for their reactivity toward control proteins, namely bovine albumin and/or bovine casein. Binding studies were carried out at pH 1.2 and 6.8 using hydrochloric acid and phosphate buffers, respectively. Polymer (80 mg/L) and protein (40 mg/L) were mixed together at pHs 1.2 and 6.8 and incubated for 2 h. The solutions were then centrifuged at 15 000 g for 30 min in order to separate the insoluble complex from free protein that remained in solution. The supernatant was then analyzed by SDS-PAGE to measure the amount of free protein.
Example 27
Selectivity of Poly(HEMA-Co-SStNa) Binding to Gliadin
(47) The binding affinity of gliadin toward different linear poly(HEMA-co-SStNa) (synthesis reported in Examples 5 to 10 and 12-14) was assessed by SOS-PAGE as described in Example 26 and compared to that of albumin and casein (
Example 28
Selectivity of Poly(HEMA-co-SPMAK) Composition Binding to Gliadin
(48) The binding affinity of gliadin toward different linear poly(HEMA-co-SPMAK) (synthesis reported in Examples 18 to 22) was assessed by SDS-PAGE as described in Example 26 and compared to that of albumin (
Example 29
Effect of Copolymer Structure on Binding to Gliadin
(49) Five, eight and eighteen arms star poly(HEMA-co-SStNa) (Examples 15 to 17) and poly(HEMA-co-SPMAK) (Examples 23 to 25) were synthesized using initiators derived from glucose, sucrose and cyclodextrin, respectively. Their ability to bind gliadin was compared to their linear counterpart (Examples 9 and 18, respectively). The results are presented in
(50) Conclusions
(51) Linear and star-shaped random copolymers of HEMA and SStNa or SPMAK were shown to bind α-gliadin under pH conditions mimicking the gastrointestinal tract.
Example 30
Effect of Copolymer Molecular Weight on Binding to Gliadin
(52) Two different weights linear poly(HEMA-co-SStNa) (Examples 10 and 11) containing about 50% SStNa were tested for the binding of gliadin and albumin at both pHs 1.2 and 6.8. In this experience, each protein was tested separately. The results are presented in
Example 31
Prevention of Enzymatic Degradation of Gliadin by a Copolymer
(53) Preparation of Peptic-Tryptic Digests of gliadin
(54) The stepwise enzymatic hydrolysis of α-gliadin was performed with pepsin (Sigma P0609; St Louis, Mo., USA) and trypsin (Sigma T1763), both attached to agarose as well as a-chymotrypsin from bovine pancreas (Sigma C4129). α-Gliadin (10 mg) was dissolved in 5 mL of hydrochloric acid buffer pH=1.2 (10 mM) and pepsin (38 U) was added. The mixture was magnetically stirred at 37° C. for 2 hours at which point the pH was adjusted to 6.8 with 0.1 mol/L NaOH and trypsin (0.75 U) as well as α-chymotrypsin (0.5 U) were added. The digest was centrifuged for 30 min at 20° C. and 6000 g. The gliadin peptides were thereafter collected in the supernatant and filtered through 0.2 μm GHP filters.
(55) The resulting peptic-tryptic-chymotryptic digest of gliadin was analyzed using a Waters™ high-performance liquid chromatography HPLC system equipped with a 1525 Binary pump, a 2487 dual wavelength absorbance detector, and a Breeze Chromatography Software™ (Waters, Midford, Mass.). Samples were eluted at 36° C. at a flow rate, detection wavelength, and injection volume of 1 MI/min, 215 nm and 50 μL, respectively. Trifluoroacetic acid was used as an ion pairing agent, and elution was performed with a linear gradient consisting of 100% buffer A to 100% buffer B spanning over 60 min. Buffer A consisted of 0.1% trifluoroacetic acid, 95% water, and 5% acetonitrile and buffer B consisted of 0.1% trifluoroactic acid, 5% water, and 95% acetonitrile. A portion of each sample supernatant was diluted into water and analysed on a C.sub.18 reversed phase column (Waters Novapack™ C18, 60 Å, 4 μm, 3.9×300 mm).
(56) Enzymatic Degradation of the Gliadin-Polymer Complex
(57) Poly(HEMA-co-SStNa) (Example 10) (4 g/L) and gliadin (2 g/L) were mixed together at pH 2 and incubated for 2 h. Then, the stepwise enzymatic degradation of gliadin-polymer complex was performed as described above. The effect of the polymeric binder on the degradation of gliadin was analysed using HPLC as described above (
(58) Substantially less degradation products were detected when the gliadin was complexed to the polymer (
Example 32
Effect of Polymer on Caco-2 Monolayer Integrity
(59) The effect of poly(HEMA-co-SStNa) (Example 10) on Caco-2 cell monolayer integrity was assessed and compared to that of PEG (35 kDa) and PVP (58 kDa) (
(60) In both the Poly(HEMA-co-SStNa) and control polymers (PVP, PEG), the TEER measured after 24 hours showed a reduction of 10% of the initial value (
Example 33
In Vivo Testing of Effect of Polymeric Binder on Reduction of Toxicity of Gliadin and Gliadin Degradation Products
(61) The ability of the polymer to reduce the toxicity of gluten is evaluated in vivo by measuring the immune response of animals that have been sensitized to gluten or its degradation products. The immune response is measured in transgenic mice expressing HLA-DQ8 (24) following oral administration of gluten or its degradation products in the presence or absence of polymeric binder.
Example 34
Incorporation of Polymeric Binder in Food
(62) The polymeric binder may be incorporated into gluten-containing food directed to individuals affected by celiac disease. The polymeric binder in such food may then counteract the deleterious effects of the gluten contained in the food when it is swallowed. Without being so limited, such food includes ready-cooked dishes, cereals, baked goods such bread, pastry, pies, cakes, muffins, cookies etc. Such food may incorporate the polymeric binder in a concentration of 0.01% to 10% (w/w). The polymeric binder can also be incorporated into non gluten-containing food for consumption in a meal containing gluten-containing food. Without being so limited, such non gluten-containing food includes spreads such as cheese, jams, butter or any food that can be eaten on or with gluten-containing food.
(63) Although the present invention has been described hereinabove by way of specific embodiments thereof, it can be modified, without departing from the spirit and nature of the subject invention as defined in the appended claims.
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