COMPOSITION AND METHOD FOR PREVENTING, ALLEVIATING, OR TREATING LIVER INJURY
20220257669 · 2022-08-18
Inventors
- Gwang Pyo Ko (Seoul, KR)
- Won KIM (Seoul, KR)
- Hyun Ju You (Incheon, KR)
- Giljae Lee (Seoul, KR)
- Bo-Ram Cho (Seoul, KR)
Cpc classification
G01N33/56916
PHYSICS
A61P1/16
HUMAN NECESSITIES
International classification
A23L33/135
HUMAN NECESSITIES
A61P1/16
HUMAN NECESSITIES
Abstract
The present invention relates to a composition for preventing, alleviating or treating liver injury, for example, nonalcoholic fatty liver, and more specifically, it relates to a composition for preventing or treating liver injury comprising a Ruminococcus spp. strain.
Claims
1. A method for preventing, alleviating or treating liver injury, comprising administering a pharmaceutical or food composition comprising a Ruminococcus spp. strain to a subject.
2. The method according to claim 1, wherein the subject has one or more characteristics of the following (1) to (5): (1) increased blood ALT concentration, (2) increased blood AST concentration, (3) reduced secondary bile acid concentration in cecum, (4) increased fibrotic gene expression, and (5) increased ratio of liver weight to body weight.
3. The method according to claim 1, wherein the liver injury is one or more selected from the group consisting of fatty liver, hepatitis, liver fibrosis and cirrhosis.
4. The method according to claim 3, wherein the fatty liver is nonalcoholic fatty liver.
5. (canceled)
6. (canceled)
7. The method according to claim 4, wherein the nonalcoholic fatty liver is diabetic nonalcoholic fatty liver.
8. The method according to claim 1, wherein the composition is characterized by one or more characteristics of the following (1) to (5): (1) reducing blood ALT concentration, (2) reducing blood AST concentration, (3) increasing secondary bile acid concentration in cecum, (4) reducing fibrotic gene expression, and (5) reducing ratio of liver weight to body weight.
9. The method according to claim 8, wherein the secondary bile acid is one or more selected from the group consisting of deoxycholic acid (DCA), lithocholic acid (LCA), and ursodeoxycholic acid (UDCA).
10. The method according to claim 8, wherein the fibrotic gene is one or more selected from the group consisting of Col1a1, Timp1, and α-SMA.
11. The method according to claim 1, wherein the composition alleviates or treats liver injury independently of insulin.
12. The method according to claim 1, wherein the subject has insulin resistance or type 2 diabetes.
13. The method according to claim 1, wherein the subject has insulin resistance and is characterized by one or more of the following (1) to (3): (1) higher reduction ratio of blood ALT level compared to a control group having no insulin resistance, (2) higher reduction ratio of blood AST level compared to a control group having no insulin resistance, (3) higher reduction ratio of a ratio of liver weight to body weight compared to a control group having no insulin resistance.
14. The method according to claim 1, wherein a fibrosis marker gene is overexpressed in the subject.
15. The method according to claim 14, wherein the fibrosis marker gene is one or more selected from the group consisting of Col1a1, Timp1, and α-SMA.
16. The method according to claim 1, wherein the Ruminococcus spp. strain is Ruminococcus faecis.
17. (canceled)
18. The method according to claim 1, wherein the strain continues to grow after 8 hours of culturing in a culture medium including 5 to 30% (w/v) of carbon source concentration, 50 to 90% (w/v) of nitrogen source concentration, 5 to 15% (w/v) of mineral concentration, and 0.1 to 10% (w/v) of amino acid concentration.
19. The method according to claim 1, wherein the composition further comprises a freeze-drying protective agent.
20. The method according to claim 19, wherein the freeze-drying protective agent comprises one or more selected from the group consisting of sucrose, calcium phosphate, arginine, sodium chloride, fructose, potassium phosphate monobasic, potassium phosphate dibasic, and trehalose.
21. (canceled)
22. (canceled)
23. (canceled)
24. (canceled)
25. A method for culturing a Ruminococcus spp. strain, comprising inoculating and culturing a Ruminococcus spp. strain to a composition for culturing the Ruminococcus spp. strain, wherein the composition comprises carbon source at a concentration of 5 to 30% (w/v) and nitrogen source at a concentration of 50 to 90% (w/v), wherein the carbon source is one or more selected from the group consisting of glucose, sucrose, fructose, lactose, maltose, molasses, and galactose, and wherein the nitrogen source is one or more selected from the group consisting of yeast extract, soy peptone, skim milk, tryptone, casamino acids, potato peptone, pea peptone, wheat peptone, broadbean peptone, papaic soy peptone, and lupin peptone.
26. The method according to claim 25, wherein the method promotes growth after 8 hours of inoculating the strain.
27. The method according to claim 25, wherein the culturing is a static culture, a fed-batch culture or a batch culture.
28. (canceled)
29. (canceled)
30. (canceled)
31. (canceled)
32. (canceled)
33. (canceled)
34. (canceled)
35. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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MODE FOR INVENTION
[0099] Hereinafter, the present invention will be described in more detail by the following Examples. However, these Examples are intended to illustrate the present invention only, but the scope of the present invention is not limited by these Examples.
Example 1: Test for Liver Injury Treatment Using Experimental Animals
[0100] (1) Preparation of Experimental Animals
[0101] Ruminococcus faecis (KCTC no. 5757 [JCM no. 15917]) was distributed from Korea Research Institute of Bioscience and Biotechnology, Korean Collection for Type Cultures (KCTC, Jeollabuk-do, Republic of Korea), and cultured in YBHI medium under an anaerobic condition, and collected after 24 hours, and washed using PBS (+0.5% cysteine) twice, and then fed orally. 6-week-old male C57BL/6N mice (Orient Bio, Gyeonggi-do, Republic of Korea) were bred at Seoul National University's general animal facility according to university guidelines as experimental animals, and all animal experiments were approved by Institutional Animal Care and Use Committee of Seoul National University.
[0102] In order to proceed with the NAFLD animal model experiment induced by the MCD diet, 1 week after adapting the mice to a standard chow diet, streptomycin was treated to drinking water at a concentration of 1 g/L for intestinal settlement of Ruminococcus faecis and watered for 1 week. For 5 weeks thereafter, mice were fed a methionine and choline deficient L-amino acid diet (MCD) (Research diet, New Brunswick, N.J., USA; Cat. no.: A02082002B) at the same time, and one of Ruminococcus faecis suspended so as to contain 10.sup.9 CFU in 200 μL PBS or control PBS (sham) was orally administered daily (
[0103] (2) Biochemical Analysis
[0104] Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were measured with Fuji DRI-CHEM 3500i biochemical analyzer (FujiFilm, Tokyo, Japan). The ALT and AST measuring results were shown in
[0105] (3) Anatomical Analysis
[0106] After euthanasia, liver samples were excised and fixed in 10% formalin solution (Sigma-Aldrich, St. Louis, Mo., USA). Hematoxylin and eosin (H&E) and Sirius red staining were performed at LOGONE Bio Convergence Research Foundation (Seoul, Republic of Korea). Stained whole slide images were analyzed using Pannoramic Viewer (3DHISTECH, Budapest, Hungary). In order to calculate the collagen proportionate area, 8 images per group were randomly selected and analyzed using ImageJ software (NIH, Bethesda, Md., USA; http://imagej.nih.gov/ij).
[0107] In addition, for the ratio of liver to body weight, the body weight of mice administered with Ruminococcus faecis for 5 weeks and the weight of liver were measured and then the ratio of the liver weight to the body weight was calculated. The result of measuring the body weight of mice was shown in
[0108] (4) Confirmation of Expression of Markers of Liver Fibrosis Occurrence and Proliferation
[0109] Total RNA of liver samples was extracted using Easy-spin™ Total RNA Extraction kit (iNtRON Biotechnology, Gyeonggi-do, Republic of Korea), and reverse transcribed into cDNA using High Capacity RNA-to-cDNA kit (Thermo Fisher Scientific, Waltham, Mass., USA). Quantitative PCR was performed using SYBR™ Green qPCR Master Mix (Thermo Fisher Scientific, Waltham, Mass., USA) and Applied Biosystems™ QuantStudio™ 6 Flex qPCR system (Thermo Fisher Scientific, Waltham, Mass., USA). The sequences of used primers were as follows.
TABLE-US-00001 TABLE 1 Gene name Primer category Sequences SEQ ID NO. Cyclophilin A Forward 5′-TGGAGAGCACCAAGACAGACA-3′ 1 reverse 5′-TGCCGGAGTCGACAATGAT-3′ 2 Col1al forward 5′-ACCTGTGTGTTCCCTACTCA-3′ 3 reverse 5′-GACTGTTGCCTTCGCCTCTG-3′ 4 Timp1 forward 5′-TGCCTGCTGCGATTACAACC-3′ 5 reverse 5′-GGAATGGTGTGGTGATGCATGG-3′ 6 α-SMA forward 5′-GGCTCTGGGCTCTGTAAGG-3′ 7 reverse 5′-CTCTTGCTCTGGGCTTCATC-3′ 8
[0110] (5) Bile Acid Analysis
[0111] After extracting cecum of mice, 80% methanol corresponding to a volume ratio of 10 times was added and mixed. For bile acid extraction, samples were pulverized with a sonicator for 3 minutes and then stored under a condition of 4° C. for 24 hours. Then, 100% methanol 1 mL was added to the supernatant obtained by centrifugation and secondary extraction was progressed using a bead beating machine under a condition of 15 frequency and 30 minutes. Methanol in which bile acid was dissolved evaporated all liquid substances by vacuum drying under a condition of 30° C. and 24 hours, and remaining solid substances were dissolved using 55% methanol. The extracted bile acid was placed in a dedicated tube and then measured using Micromass® Q-ToF mass spectrometer (Waters Technologies, Milford, Mass., USA).
[0112] (6) Experimental Result
[0113] When Ruminococcus faecis was administered (MCD+R. faecis), compared to the control-administered mice (MCD), the ALT and AST levels were reduced (
[0114] As the result of anatomical and histological analysis, the histological seriousness of NAFLD induced by the MCD diet was significantly improved in mice fed with Ruminococcus faecis (
[0115] As the result of confirming the expression of markers of liver fibrosis occurrence and proliferation, the markers of liver fibrosis occurrence and proliferation were significantly alleviated in mice fed with Ruminococcus faecis (Timp1, p=0.0018; α-SMA, p=0.0330) (
[0116] In parallel with changes in biochemical and histological liver injury markers, the local level of secondary bile acid (DCA and LCA) was also reduced by the MCD diet and increased by treatment of Ruminococcus faecis (
[0117] Such result shows that there is a protective effect for liver fibrosis in the Ruminococcus faecis MCD diet mouse model.
Example 2: Liver Injury Treatment Test Using Animal Model
[0118] In order to confirm an alleviation effect of Ruminococcus faecis for liver injury by nonalcoholic fatty liver, a choline-deficient, L-amino acid-defined, high-fat diet (CDAHFD) diet mouse model preventing body weight loss and not showing insulin resistance was used.
[0119] Choline plays a role in accumulating and releasing triglycerides in hepatocytes in a form of VLDL, but choline is lacking in the CDAHFD diet, and therefore it is a diet model in which triglycerides from a high-fat diet accumulate in hepatocytes to induce fatty liver, and unlike the MCD model, body weight loss does not occur and liver fibrosis is more severely induced. However, it is known that the CDAHFD model does not induce insulin resistance.
[0120] Specifically, as shown in
[0121] As shown in
Example 3: Liver Injury Treatment Test Using Genetic Leptin-Deficient Model
[0122] In order to confirm whether a therapeutic effect for nonalcoholic fatty liver disease by Ruminococcus faecis is generated in case of having insulin resistance, a genetic leptin-deficient (db/db) model causing spontaneous diabetes with insulin resistance and fatty liver is used to confirm a therapeutic effect of Ruminococcus faecis on nonalcoholic fatty liver disease. As a control group of the db/db model, db/m was used, which corresponds to the heterozygote of db allele.
[0123] The db/db model is a model having a mutation in a leptin receptor, obesity and insulin resistance are induced, resulting in hyperglycemia, and is often used as a model for type 2 diabetes. The db/db model is known as steatosis is rapidly induced, but it is known as steatohepatitis (NASH) and liver fibrosis are not easily induced.
[0124] Specifically, as shown in
[0125] Serum fasting insulin levels measured by ipGTT in db/db mice were measured using Ultra Sensitive Mouse Insulin ELISA kit (Crystal Chem, Elk Grove Village, Ill., USA). The intraperitoneal glucose tolerance test to confirm insulin resistance was conducted at the 3.sup.rd week of administration of Ruminococcus faecis, and after 16 hours of dietary restriction other than water, a glucose solution was administered intraperitoneally so that 1 g of glucose per 1 kg of body weigh was administered. Thereafter, blood glucose was measured using Accu-Chek® Performa blood glucose meter (Roche Diagnostics, Risch-Rotkreuz, Switzerland) at a predetermined time.
[0126] As shown in
[0127] Ruminococcus faecis also showed a therapeutic effect for nonalcoholic fatty liver disease in the db/db model having insulin resistance, and this result means that Ruminococcus faecis has a therapeutic effect for NAFLD in an independent manner of insulin, and means that it may be effectively used for treatment of nonalcoholic fatty liver disease patients with type 2 diabetes.
[0128] In particular, in order to confirm the treatment response sensitivity according to the difference in insulin resistance, the db/db model and the CDAHFD model as a comparative model were selected. As nonalcoholic fatty liver disease is induced without insulin resistance in case of the CDAHFD model, it is suitable for comparing the therapeutic effect according to insulin resistance, compared to the db/db model in which insulin resistance is induced. In case of the MCD model, it was not suitable for use as a control to confirm the sensitivity of the treatment response according to the difference in insulin resistance, as it causes a decrease in body functions including rapid body weight loss.
[0129] As shown in
Example 4: Fibrosis Therapeutic Effect of Ruminococcus bromii
[0130] (1) Significantly Reduced Ruminococcus bromii in Nonalcoholic Fatty Liver Disease Group
[0131] 171 subjects demonstrated as having NAFLD and 31 subjects not having NAFLD by biopsy were included, and NAFLD was classified histologically. DNA from fecal samples was extracted using QIAamp DNA Stool Mini Kit (Qiagen, Hilden, Germany). Sequencing targeting the V4 region of the 16S rRNA gene was performed using MiSeq system (Illumina, San Diego, Calif., USA), and additional analysis of the sequencing data was performed using QIIME™ pipeline (v 1.8.0; http://qiime.org/). As shown in
[0132] (2) Verification of Therapeutic Effect of Nonalcoholic Fatty Liver of Ruminococcus Bromii
[0133] Next, whether Ruminococcus bromii shown as significantly reduced in the nonalcoholic fatty liver disease group had a therapeutic effect for nonalcoholic fatty liver was confirmed.
[0134] Specifically, Ruminococcus bromii (ATCC no. 27255) was distributed from ATCC (American Type Culture Collection, Manassas, Va., USA) and cultured in modified PYG medium under an anaerobic condition, and collected after 24 hours, and washed using PBS (+0.5% cysteine) twice, and fed orally.
[0135] After 1-week environmental adaptation of C57BL/6N mice in the standard chow diet, streptomycin (1 g/L) was dissolved in drinking water and fed for 1 week for intestinal settlement of Ruminococcus bromii. For 5 weeks thereafter, mice were fed a methionine and choline deficient L-amino acid diet (MCD) (Research diet, New Brunswick, N.J., USA; Cat. no.: A02082002B) at the same time, and one of Ruminococcus bromii suspended so as to contain 10.sup.9 CFU in 200 μL PBS or control PBS (sham) was orally administered daily. After 5 weeks of administration, mice were euthanized and biochemical analysis, anatomical analysis, confirmation of expression of markers of liver fibrosis occurrence and proliferation, and bile acid analysis were performed.
[0136] However, as shown in
[0137] Ruminococcus bromii did not show a therapeutic effect for nonalcoholic fatty liver, and from this, not all the species shown as reduced in the nonalcoholic fatty liver disease group had a therapeutic effect for nonalcoholic fatty liver, and in particular, even if the species belongs to the same genus as Ruminococcus faecis, not all of them had a therapeutic effect for nonalcoholic fatty liver, and therefore, it could be seen that the nonalcoholic therapeutic effect is a unique effect of Ruminococcus faecis. In addition, although Ruminococcus bromii was significantly reduced in the nonalcoholic fatty liver disease group, it did not show any therapeutic effect for nonalcoholic fatty liver when administered, so it was difficult to predict that administration of the reduced strain in the nonalcoholic fatty liver would lead to alleviate the severity of the disease.
Example 5: Culture and Production of Ruminococcus faecis
[0138] (1) Optimal Medium Search
[0139] To search optimal medium for Ruminococcus faecis (accession number KCTC no. 5757), culturability was confirmed in the YBHI medium comprising Bacto™ brain heart infusion (BHI) Medium (BD, Franklin Lakes, N.J., USA) on the market, Difco™ Reinforced Clostridial Medium (RCM medium) (BD, Franklin Lakes, N.J., USA), MB cell BL broth (BL medium) (Kisan Bio, Seoul, Republic of Korea), Difco™ Lactobacilli MRS broth (MRS medium) (BD, Franklin Lakes, N.J., USA), MB cell Gifu anaerobic medium (GAM medium) (Kisan Bio, Seoul, Republic of Korea) on the market, and the FMK1028 medium prepared in the present invention. The culturability for optimal medium selection was evaluated based on the absorbance increase and pH decrease after culture, and cell homogeneity confirmed by a microscope speculum. The compositions of the YBHI medium and FMK1028 medium were shown in Table 2 and Table 3 below, respectively.
TABLE-US-00002 TABLE 2 YBHI medium Components g/L Bacto ™ brain heart infusion 37 Yeast Extract 5 Cellobiose 1 Maltose 1 L-cysteine 0.5
TABLE-US-00003 TABLE 3 FMK1028 medium Components g/L Glucose 10 Yeast Extract 45 Soy peptone 10 Sodium acetate 3 Sodium chloride 5 L-cysteine 0.5
[0140] In all the media used for optimal medium search were adjusted to pH 6.8 before sterilization. The pre-culture of Ruminococcus faecis cultured in YBHI medium for 14 hours was inoculated so that the final volume ratio was 1% in YBHI medium, RCM medium, BL medium, MRS medium, GAM medium, or FMK1028 medium, respectively. After inoculation, under an anaerobic condition at 37° C., standing culture was carried out, and after 14 hours, the absorbance at 600 nm and pH of the culture solution were measured and the cell morphology was observed. The absorbance was measured using Orion Aquamate 8000 spectrometer (Thermo Scientific, Waltham, Mass., USA), and pH was measured with SevenCompact pH/Ion meter (Mettler Toledo, Columbus, Ohio, USA). The cell morphology was observed with Optinity KB-320 optical microscope (Korea Labtech, Gyeonggi-do, Republic of Korea).
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[0142] Overall, culturability of Ruminococcus faecis was most excellent in FMK1028 medium prepared in the present invention.
[0143] (2) Optimal Medium Growth Curve and Viable Cell Count
[0144] The growth curve and viable cell count were measured using the FMK1028 medium with most excellent culture potential of Ruminococcus faecis. As a control group, YBHI medium was used.
[0145] The pre-culture solution of Ruminococcus faecis cultured in YBHI medium for 14 hours was inoculated so that the volume ratio was 1% in YBHI medium and FMK1028 medium, respectively. After inoculation, under an anaerobic condition, at 37° C., standing culture was progressed for 14 hours, and the absorbance at 600 nm of the culture solution was measured and shown by a growth curve.
[0146] For measuring the viable cell count, Ruminococcus faecis inoculated in each medium was cultured for 14 hours, and then diluted according to 10-fold serial dilution using GAM medium, and 0.1 mL of the diluted solution was collected and spread on a GAM medium agar plate, and then cultured under an anaerobic condition at 37° C. for 24 hours. After culture, the colonies on the agar plate in which about 30-300 colonies were formed were counted and converted into the viable cell count per unit volume of the culture solution (CFU/mL). The measured growth curve and viable cell count per unit volume were shown in
[0147] (3) Mass Culture and Pulverization Using Fermenter
[0148] The recovery time of cultured cells was confirmed by using a fermenter for mass culture and pulverization of Ruminococcus faecis. After inoculating 16 mL of the pre-cultured solution of Ruminococcus faecis in 8 L of FMK1028 medium, a fermenter (Fermentec, Chungcheongbuk-do, Republic of Korea) was operated and cultured under the anaerobic conditions of 37° C., 250 rpm. The growth curve and viable cell count according to the culture time were measured and shown in
[0149] As shown in
[0150] Based on the above result, Ruminococcus faecis was mass-cultured using a fermenter. At 8 hours after culture, cells cultured under a condition of 7,000 rpm, 40 minutes were recovered using a 2236R high-speed centrifuge (Labogene, Lillerød, Denmark). The recovered cells were placed in a 300 mL beaker and mixed with a freeze-drying protective agent in a weight ratio of 1:1 using a magnetic bar and a stirrer for 20 minutes. The composition of the used freeze-drying protective agent was shown in Table 4 below. The cells mixed with the freeze-drying protective agent were frozen in a −80° C. ultra-low temperature freezer for 24 hours, freeze-dried for 72 hours, then finely pulverized and powdered.
TABLE-US-00004 TABLE 4 Cryoprotective agents (CPA) Components g/L Sucrose 200 Potassium phosphate dibasic 6 Potassium phosphate monobasic 4.5 L-arginine 4 NaCl 0.8
[0151] Finally, the viable cell count measured in the mass culture and pulverization process using a fermenter was shown in Table 5 below.
TABLE-US-00005 TABLE 5 Culture Culture container 14 L jar vessel condition Medium FMK1028 Culture volume (L) 8 Culture time (h) 8 Viable cells Harvested cells (CFU/mL) 5.50 × 10.sup.9 ± 2.83 × 10.sup.8 Mixture with CPA (CFU/mL) 1.43 × 10.sup.11 ± 2.41 × 10.sup.10 Powder (CFU/g) 2.67 × 10.sup.10 ± 5.28 × 10.sup.9