SERPIN PRODUCTION

Abstract

Use of galactose or a galactooligosaccharide, for increasing serpin protein production in Bifidobacterium longum subsp. longum.

Claims

1-5. (canceled)

6. A method for increasing serpin protein levels in Bifidobacterium longum subsp longum said method comprises growing Bifidobacterium longum subsp longum in a culture medium, wherein said culture medium comprises galactose, GOS or a combination thereof.

7. A method according to claim 6 wherein the culture medium comprises the galactose, GOS or combination thereof at a concentration of 0.02 to 2 wt %.

8. A method according to claim 6 wherein the Bifidobacterium longum subsp longum is selected from Bifidobacterium longum subsp longum strain CNCM 1-2169, Bifidobacterium longum subsp longum strain CNCM 1-2171, Bifidobacterium longum subsp longum strain ATCC BAA-999, Bifidobacterium longum subsp longum strain ATCC 15708, Bifidobacterium longum subsp longum strain DSM 20097, Bifidobacterium longum subsp longum strain NCIMB 8809, Bifidobacterium longum subsp longum strain CNCM 1-2618 (NCC 2705), Bifidobacterium longum subsp longum strain CNCM 1-2170, Bifidobacterium longum subsp longum strain ATCC 15707 (T), and a combination thereof.

9. Bifidobacterium longum subsp longum produced by a method of growing the Bifidobacterium longum subsp longum in a culture medium, characterised in that wherein said culture medium comprises galactose, GOS or a combination thereof.

10. Bifidobacterium longum subsp longum produced by the method of claim 9 wherein the culture medium comprises the galactose, GOS or combination thereof at a concentration of 0.02 to 2 wt %.

11. Bifidobacterium longum subsp longum produced by the method of claim 9 wherein the Bifidobacterium longum subsp longum is selected from Bifidobacterium longum subsp longum strain CNCM 1-2169, Bifidobacterium longum subsp longum strain CNCM 1-2171, Bifidobacterium longum subsp longum strain ATCC BAA-999 (available from Morinaga Milk Industry Co. Ltd, as BB536), Bifidobacterium longum subsp longum strain ATCC 15708, Bifidobacterium longum subsp longum strain DSM 20097, Bifidobacterium longum subsp longum strain NCIMB 8809, Bifidobacterium longum subsp longum strain CNCM 1-2618 (NCC 2705), Bifidobacterium longum subsp longum strain CNCM 1-2170, Bifidobacterium longum subsp longum strain ATCC 15707 (T), Bifidobacterium longum subsp longum strain CNCM 1-103, Bifidobacterium longum subsp longum strain CNCM 1-2334, Bifidobacterium longum subsp longum strain CNCM 1-3864, Bifidobacterium longum subsp longum strain CNCM 1-3853, and a combination thereof.

12-13. (canceled)

14. A method for use in the treatment or prevention of inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, gluten ataxia, dermatitis herpetiformis or wheat allergy comprising administering to an individual in need of same a composition comprising Bifidobacterium longum subsp longum and galactose.

15. A method according to claim 14 wherein the Bifidobacterium longum subsp longum is selected from the group consisting of Bifidobacterium longum subsp longum strain CNCM 1-2169, Bifidobacterium longum subsp longum strain CNCM 1-2171, Bifidobacterium longum subsp longum strain ATCC BAA-999 (available from Morinaga Milk Industry Co. Ltd, as BB536), Bifidobacterium longum subsp longum strain ATCC 15708, Bifidobacterium longum subsp longum strain DSM 20097, Bifidobacterium longum subsp longum strain NCIMB 8809, Bifidobacterium longum subsp longum strain CNCM 1-2618 (NCC 2705), Bifidobacterium longum subsp longum strain CNCM 1-2170, Bifidobacterium longum subsp longum strain ATCC 15707 (T), Bifidobacterium longum subsp longum strain CNCM 1-103, Bifidobacterium longum subsp longum strain CNCM 1-2334, Bifidobacterium longum subsp longum strain CNCM 1-3864, Bifidobacterium longum subsp longum strain CNCM 1-3853, and a combination thereof.

Description

DESCRIPTION OF THE DRAWINGS

[0038] FIG. 1—Shows serpin protein levels measured in B. longum NCC 2705 grown for 8 h on different carbohydrates.

[0039] FIG. 2—Shows serpin protein levels measured in B. longum NCC 2705 grown on different ratios of glucose & galactose.

[0040] FIG. 3—Shows serpin protein levels measured in B. longum NCC 2705 grown for 8 h on GOS.

[0041] FIG. 4—Shows the Influence of (Partially Hydrolyzed Guar Gum (PHGG)) on serpin level of B. longum NCC 2705.

[0042] FIG. 5—Shows the influence of galactose on serpin levels of B. longum subsp. longum strains able to grow on galactose. Values represent protein levels normalized by total amount of protein in each sample.

[0043] FIG. 6—Shows the influence of galactose on serpin levels of B. longum subsp. longum strains unable to grow on galactose alone. Values represent protein levels normalized by total amount of protein in each samples.

[0044] FIG. 7—Shows the Influence of galactose, GOS and papain on different bifidobacteria strains possessing a serpin encoding gene. Values represent protein levels normalized by total amount of protein in each sample.

DETAILED DESCRIPTION OF THE INVENTION

[0045] Composition

[0046] The composition of the present invention may be in the form of a food, a medical food, a tube feed, a nutritional composition, or a nutritional supplement. The term “nutritional supplement” refers to a product which is intended to supplement the general diet of a subject.

[0047] In one embodiment, the food is selected from milk, yoghurt, curd, cheese, fermented milks, milk based fermented products, rice based products, milk based powders, infant formulae and pet food.

[0048] The composition may be in the form of a medical food. The term “medical food” as used herein refers to a food product specifically formulated for the dietary management of a medical disease or condition. The medical food may be administered under medical supervision. The medical food may be for oral ingestion or tube feeding.

[0049] The composition may be in the form of a tube feed. The term “tube feed” refers to a product which is intended for introducing nutrients directly into the gastrointestinal tract of a subject by a feeding tube. A tube feed may be administered by, for example, a feeding tube placed through the nose of a subject (such as nasogastric, nasoduodenal, and nasojejunal tubes), or a feeding tube placed directly into the abdomen of a subject (such as gastrostomy, gastrojejunostomy, or jejunostomy feeding tube).

[0050] The composition may in the form of a pharmaceutical composition and may comprise one or more suitable pharmaceutically acceptable carriers, diluents and/or excipients.

[0051] Examples of such suitable excipients for compositions described herein may be found in the “Handbook of Pharmaceutical Excipients”, 2nd Edition, (1994), Edited by A Wade and PJ Weller. Acceptable carriers or diluents for therapeutic use are well known in the pharmaceutical art, and are described, for example, in “Remington's Pharmaceutical Sciences”, Mack Publishing Co. (A. R. Gennaro edit. 1985).

[0052] Examples of suitable carriers include lactose, starch, glucose, methyl cellulose, magnesium stearate, mannitol, sorbitol and the like. Examples of suitable diluents include ethanol, glycerol and water.

[0053] The choice of pharmaceutical carrier, excipient or diluent can be selected with regard to the intended route of administration and standard pharmaceutical practice. The pharmaceutical compositions may comprise as, or in addition to, the carrier, excipient or diluent any suitable binder(s), lubricant(s), suspending agent(s), coating agent(s) and/or solubilising agent(s).

[0054] Examples of suitable binders include starch, gelatin, natural sugars such as glucose, anhydrous lactose, free-flow lactose, beta-lactose, corn sweeteners, natural and synthetic gums, such as acacia, tragacanth or sodium alginate, carboxymethyl cellulose and polyethylene glycol. Examples of suitable lubricants include sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and the like.

[0055] Preservatives, stabilisers, dyes and even flavouring agents may be provided in the composition. Examples of preservatives include sodium benzoate, sorbic acid and esters of p-hydroxybenzoic acid. Antioxidants and suspending agents may be also used.

[0056] Nutritionally acceptable carriers, diluents and excipients include those suitable for human or animal consumption that are used as standard in the food industry. Typical nutritionally acceptable carriers, diluents and excipients will be familiar to the skilled person in the art.

[0057] The composition may be in the form of a tablet, dragee, lozenges, capsule, gel cap, powder, granule, solution, emulsion, suspension, coated particle, spray-dried particle or pill.

[0058] In an alternative embodiment the composition may be in the form of a composition for topical administration, such as a gel, cream, ointment, emulsion, suspension or solution for topical administration.

[0059] It is clear to those skilled in the art that an ideal dose will depend on the subject to be treated, its health condition, sex, age, or weight, for example, and the route of administration. The dose to be ideally used will consequently vary but can be determined easily by those of skill in the art.

[0060] However, generally, it is preferred if the composition of the present invention comprises between 106 and 1010 cfu and/or between 106 and 1010 cells of Bifidobacterium longum subsp longum per daily dose. It may also comprise between 106 and 1011 cfu and/or between 106 and 1011 cells of Bifidobacterium longum subsp longum per g of the dry weight of the composition.

[0061] Bifidobacterium Longum

[0062] The Bifidobacterium longum may be any Bifidobacterium longum subsp longum strain. In some embodiments the Bifidobacterium longum subsp longum strain may be selected from Bifidobacterium longum subsp longum strain CNCM 1-2169, Bifidobacterium longum subsp longum strain CNCM 1-2171, Bifidobacterium longum subsp longum strain ATCC BAA-999 (available from Morinaga Milk Industry Co. Ltd, as BB536), Bifidobacterium longum subsp longum strain ATCC 15708, Bifidobacterium longum subsp longum strain DSM 20097, Bifidobacterium longum subsp longum strain NCI MB 8809, Bifidobacterium longum subsp longum strain CNCM 1-2618 (NCC 2705), Bifidobacterium longum subsp longum strain CNCM 1-2170, Bifidobacterium longum subsp longum strain ATCC 15707 (T), Bifidobacterium longum subsp longum strain CNCM 1-103, Bifidobacterium longum subsp longum strain CNCM 1-2334, Bifidobacterium longum subsp longum strain CNCM 1-3864, Bifidobacterium longum subsp longum strain CNCM 1-3853, or a combination thereof.

[0063] The strains have been deposited in the depositary institution indicated in the table below (Table 1), and have received the following date of deposit and accession number:

TABLE-US-00001 TABLE 1 Depositary # institution Accession number Date of deposit 1 CNCM 1-2169 Mar. 15, 1999 2 CNCM 1-2171 Mar. 15, 1999 3 ATCC 15708 <1990 4 DSM 20097 <1990 5 NCIMB  8809 Oct. 1, 1956 6 CNCM 1-2618 Jan. 29, 2001 7 CNCM 1-2170 Mar. 15, 1999 8 ATCC 15707 <1990 9 CNCM 1-103  Oct. 29, 1979 11 CNCM 1-2334 Oct. 12, 1999 12 CNCM 1-3864 Nov. 15, 2007 13 CNCM 1-3853 Oct. 16, 2007

[0064] CNCM refers to Collection nationale de cultures de micro-organismes, Institut Pasteur, 28, rue du Dr Roux, F-75724 Paris Cedex 15, France. ATCC refers to American Type Culture Collection 10801 University Blvd., Manassas, Va. 20110-2209, U.S.A. DSM refers to Leibniz Institute DSMZ-German Collection of Microorganisms and Cell Cultures, lnhoffenstr. 7B, D-38124 Braunschweig, Germany. NCIMB refers to NCIMB Ltd, Ferguson Building, Craibstone Estate, Buckburn, Aberdeen AB21 9YA, Scotland.

[0065] Strains 1, 2, 6, 7, 9, 11-13 have been deposited by Nestec S.A., avenue Nestle 55, 1800 Vevey, Switzerland. Since then, Nestec S.A. has merged into Societe des Produits Nestle S.A. Accordingly, Societe des Produits Nestle S.A. is the successor in title of Nestec S.A., under article 2(ix) of the Budapest Treaty. All other strains are commercially available.

[0066] In some preferred embodiments, the Bifidobacterium longum subsp longum may be selected from Bifidobacterium longum subsp longum strain CNCM 1-2169, Bifidobacterium longum subsp longum strain CNCM 1-2171, Bifidobacterium longum subsp longum strain ATCC 15708, Bifidobacterium longum subsp longum strain DSM 20097, Bifidobacterium longum subsp longum strain NCIMB 8809, Bifidobacterium longum subsp longum strain CNCM 1-2618 (NCC 2705), Bifidobacterium longum subsp longum strain CNCM 1-2170, Bifidobacterium longum subsp longum strain ATCC 15707 (T), or a combination thereof.

[0067] In some preferred embodiments, the Bifidobacterium longum subsp longum strain B. longum CNCM 1-2618 (NCC 2705) is used.

[0068] GOS

[0069] The present inventors have surprisingly found that galactose and galactooligosaccharides (GOS) can increase the production of serpin in bacteria of the species Bifidobacterium longum subsp longum.

[0070] The term “oligosaccharide” as used herein refers to a carbohydrate having a degree of polymerisation (DP) ranging from 2 to 20 inclusive.

[0071] “Degree of polymerisation” or “DP” refers to the total number of saccharide units in an oligo- or polysaccharide chain.

[0072] The term “galacto-oligosaccharide” as used herein refers to a non-digestible oligosaccharide comprising two or more galactose molecules. The galacto-oligosaccharides of the present invention have a DP of 2 to 20, preferably a DP of 2 to 10. Peferably at least 30% of the saccharide units are galactose units, preferably at least 50%, more preferably at least 60%, based on monomeric subunits.

[0073] Suitable galacto-oligosaccharides are commercially available, and include for example Purimune GOS (from ComProducts International), King GOS (from King Prebiotics), Vivinal GOS (from Friesland Campina), and PHGG (from Taiyo). Other suppliers of oligosaccharides include

[0074] Clasado, Ingredion, Leprino, Yakult, Dextra Laboratories, Sigma-Aldrich Chemie GmbH and Kyowa Hakko Kogyo Co., Ltd. Alternatively, specific glycoslytransferases, such as galactosyltransferases may be used to produce neutral oligosaccharides.

[0075] Because of the configuration of their glycosidic bonds, galactooligosaccharides (GOS) largely resist hydrolysis by salivary and intestinal digestive enzymes. GOS are classified as prebiotics, non-digestible carbohydrates that beneficially affect the host by stimulating the growth and/or activity of beneficial bacteria in the colon.

[0076] The Bifidobacterium longum subsp longum may be cultured in a medium comprising galactose or GOS, or a mixture thereof, at a concentration of, for example, 0.02 to 5 wt %. For example, the Bifidobacterium longum subsp longum may be cultured in a medium comprising galactose or GOS, or mixtures thereof, at a concentration 0.02 to 5 wt %, 0.05 to 2 wt %, 0.1 to 1.5 wt %, or about 1 wtc1/0.

[0077] The galactose or GOS, or mixtures thereof, may be added to a conventional culture medium comprising up to 8 wt %, preferably up to 6 wt %, for example up to 4 wt %, of another sugar suitable to sustain B. longum growth, such as, but not limited to, glucose. The inventors have surprisingly found that galactose can induce production of serpin in Bifidobacterium longum subsp longum even when glucose is present, but only when the glucose is present at levels allowing its depletion during fermentation. Preferably the culture medium at the end of the fermentation contains less than 0.4 wt % glucose, such as from 0 wt % to 0.3 wt % glucose, for example from 0.02 wt % to 0.4 wt %, or from about 0.05 wt % to about 0.3 wt %. Conventional culture mediums suitable for growth of B. longum are well known to the person skilled in the art.

[0078] In one embodiment, the Bifidobacterium longum subsp longum may be cultured in a medium comprising galactose at a concentration of, 0.05 to 2 wt %, 0.1 to 1.5 wt %, or about 1 wt %, optionally in the presence of glucose at a concentration enabling its depletion until the end of the fermentation. Preferably the culture medium at the end of the fermentation contains less than 0.4 wt % glucose, such as from 0 wt % to 0.3 wt % glucose. If glucose is present, the culture medium may contain, at the end of fermentation, for example, 0.02 wt % to 0.4 wt %, or about 0.05 wt % to about 0.3 wt % glucose.

[0079] In one embodiment, the Bifidobacterium longum subsp longum may be cultured in a medium comprising GOS at a concentration of 0.05 to 2 wt %, 0.1 to 1.5 wt %, or about 1 wt %, optionally in the presence of residual glucose at a concentration of 0.02 wt % to 0.4 wt %%, or about 0.05 et % to about 0.3 wt %.

[0080] In one embodiment, galactose is used at the concentrations described above.

[0081] In one embodiment, GOS is used at the concentrations described above.

[0082] Process for Producing a Culture Powder

[0083] Strains belonging to the species B. longum are grown in anaerobic conditions. Fermentation methods under anaerobic conditions are commonly known. The skilled person is able to identify suitable components of the fermentation medium and to adjust fermentation conditions based on his general knowledge, depending on the microorganism to be grown. The fermentation medium typically comprises [0084] a nitrogen source such as yeast extract, [0085] a carbon source such as a sugar, [0086] various growth factors (e.g minerals, vitamins etc.) required by the microorganism and water.

[0087] A non-limiting example of a typical growth medium for B. longum is MRS (De Man, Rogosa and Sharpe) medium, supplemented with 0.05% of cysteine (MRSc).

[0088] The fermentation is preferably carried out in two steps, a starter fermentation being carried out prior to the main fermentation step. The fermentation medium can be different for the starter and the main fermentation or may be identical.

[0089] The second step of the process is the concentration of the biomass. This can also be carried out using methods known to the person skilled in the art, such as for example centrifugation or filtration. The total solid content of the biomass after concentration is preferably comprised between 10 and 35 wt %, preferably between 14 and 35 wt %, based on the total dry weight of the biomass (i.e. of the total amount of fermentation medium and produced microorganism).

[0090] Optionally, the concentration may be preceded or combined with a washing step to remove residues of the fermentation medium and/or compounds produced during fermentation. For example, washing may be performed by concentrating biomass, re-suspending the concentrated biomass in a buffer, such as a phosphate buffer, or a similar composition and re-concentrating the biomass.

[0091] For example, the process described in WO2017/001590, which is entirely incorporated by reference, can be applied.

[0092] Combination

[0093] In one aspect of the present invention, there is provided a combination of (i) a Bifidobacterium longum subsp longum and (ii) galactose or GOS, or a combination thereof.

[0094] As used herein, the term “combination” refers to the combined administration of Bifidobacterium longum subsp longum and galactose or GOS, or a combination thereof, wherein the Bifidobacterium longum subsp longum and the galactose and/or GOS may be administered simultaneously or sequentially.

[0095] As used herein, the term “simultaneous” or “simultaneously” is used to mean that the two agents are administered concurrently, i.e. at the same time.

[0096] The term “sequential” or “sequentially” is used to mean that the two agents are administered one after the other, wherein either the Bifidobacterium longum subsp longum or the galactose or GOS, or the combination thereof, may be administered first.

[0097] The agents may be administered either as separate formulations or as a single combined formulation.

[0098] When the compounds are co-formulated, i.e. in the same composition or formulation, they can only be administered simultaneously. When the compounds are formulated in separate compositions or formulations, they can be administered simultaneously or sequentially. Simultaneous administration of the agents in the same formulation or in separate formulations can also be described as the co- or joint administration of the two compounds.

[0099] In one embodiment, Bifidobacterium longum subsp longum and the galactose or GOS, or a combination thereof are in admixture. In another embodiment, the Bifidobacterium longum subsp longum and galactose or GOS, or a combination thereof, are present in the form of a kit comprising a preparation of the two agents and, optionally, instructions for the simultaneous or sequential administration of the preparations to a subject in need thereof.

[0100] Treatment

[0101] The Bifidobacterium longum subsp longum strains produced according to the present invention, or a composition comprising the same, may be for use in the treatment or prevention of gluten related disorders or conditions involving a reduced activity of serine protease inhibitors.

[0102] For example the Bifidobacterium longum subsp longum produced according to the present invention, or a composition comprising the same, may be for use in the treatment or prevention of inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, gluten ataxia, dermatitis herpetiformis and wheat allergy.

[0103] Preferably the disease is a gluten-related disorder. Gluten-related disorders encompass diseases triggered by gluten. The terms “conditions related to gluten sensitivity” and “gluten-related disorders” are used interchangeably herein. Gluten-related disorders include celiac disease, non-celiac gluten sensitivity, gluten ataxia, dermatitis herpetiformis and wheat allergy.

[0104] Celiac Disease

[0105] Celiac disease is one of the most common immune mediated disorders. It is a worldwide condition and is prevalent especially in the United States and Europe where around 1% of subjects had positive antibody tests. Celiac disease is a complex disorder which arises from a complicated interaction among various immunologic, genetic, and environmental factors. It is triggered by the digestion of wheat gluten and other related cereal proteins such as rye and barley proteins. Symptoms linked with celiac disease are growth retardation, irritability and pubertal delay in children and many gastrointestinal symptoms like discomfort, diarrhoea, occult stool, steatorrhea flatulence.

[0106] Clinical evidence shows class II human leukocyte antigens (HLA-DQII), which strongly relate with celiac disease pathology, are expressed in about 95% of celiac disease patients. In the intestinal lumen, gluten protein are partially digested, forming proteolytic-resistant 33-mer gluten peptide. After crossing the small intestinal barrier, they are deamidated by transglutaminase 2 (TG2) with negative charges (Sollid, 2000, Annual review of immunology, 18(1), 53-81), which then bind to the positively charged binding sites of HLA-DQ2.5/8 (Dieterich et al., 1997, Nature medicine, 3(7), 797-801). HLA-DQ2.5/8 displaying those specific gluten peptides signals to helper T cells and other immune cells causing further damage in the small intestine. Antibodies against gluten proteins and autoantibodies to connective tissue components (TG2) are also associated with celiac disease progression (Alaedini & Green, 2005, Annals of internal medicine, 142(4), 289-298).

[0107] Non-Celiac Gluten Sensitivity

[0108] Non-celiac gluten sensitivity (also designated as non-celiac wheat sensitivity) is an emerging condition. It is defined as a clinical entity induced by the ingestion of gluten leading to intestinal and/or extraintestinal symptoms which could be improved by removing the gluten-containing foodstuff from the diet (Lundin & Alaedini, 2012). The pathogenesis of non-celiac gluten sensitivity is not yet well understood. It has been shown that except for gliadin (main cytotoxic antigen of gluten), other proteins/peptides present in gluten and gluten-containing cereals (wheat, rye, barley, and their derivatives) may play a role in the development of symptoms. Non-celiac gluten sensitivity is the most common syndrome of gluten-related disorders with prevalence rates between 0.5-13% in the general population (Catassi et al., 2013, Nutrients, 5(10), 3839-385). The diagnosis of non-celiac gluten sensitivity is made by exclusion of other gluten-related disorders.

[0109] Dermatitis Herpetiformis

[0110] Dermatitis herpetiformis is a chronic blistering skin autoimmune condition, characterized by the presence of skin lesions that have an extensive and symmetrical distribution, predominating in areas of greater friction, and affecting mainly both elbows, knees, buttocks, ankles, and may also affect the scalp and other parts of the body. The lesions are vesicular-crusted and when they flake 25 off, they evolve to pigmented areas or a chromic and intense burning, itchy and blistering rash.

[0111] The age of onset is variable. It may start in children and adolescents but can also affect individuals of both sexes indistinctly at any age of their lives.

[0112] People with dermatitis herpetiformis have different degrees of intestinal involvement, ranging from milder mucosal lesions to the presence of villous atrophy.

[0113] Wheat Allergy

[0114] Gastrointestinal symptoms of wheat allergy are similar to those of celiac disease and non-celiac gluten sensitivity, but there is a different interval between exposure to wheat and onset of symptoms. Wheat allergy has a fast onset (from minutes to hours) after the consumption of food containing wheat and can lead to anaphylaxis.

[0115] Gluten Ataxia

[0116] Gluten ataxia is a gluten-related disorder. With gluten ataxia, damage takes place in the cerebellum, the balance center of the brain that controls coordination and complex movements like walking, speaking and swallowing. Gluten ataxia is the single most common cause of sporadic idiopathic ataxia. It accounts for 40% of ataxias of unknown origin and 15% of all ataxias.

[0117] Gluten ataxia is an immune-mediated disease triggered by the ingestion of gluten in genetically susceptible individuals. It should be considered in the differential diagnosis of all patients with idiopathic sporadic ataxia. The effectiveness of the treatment depends on the elapsed time from the onset of the ataxia until diagnosis. The death of neurons in the cerebellum as a result of gluten exposure of the subject is irreversible.

[0118] Early diagnosis and treatment with a gluten free diet can improve ataxia and prevent its progression. Less than 10% of people with gluten ataxia present any gastrointestinal symptom, yet about 40% have intestinal damage. Sensitive markers of gluten ataxia include anti-gliadin antibodies. Immunoglobulin A (IgA) deposits against transglutaminase 2 (TG2) in the small bowel and at extraintestinal sites are proving to be additionally reliable.

[0119] Administration

[0120] The Bifidobacterium longum subsp longum or composition described herein are preferably administered enterally.

[0121] Enteral administration may be oral, gastric, and/or rectal.

[0122] In general terms, administration of the combination or composition described herein may, for example, be by an oral route or another route into the gastro-intestinal tract, for example the administration may be by tube feeding.

[0123] In an alternative embodiment administration of the combination or composition described herein may be topical administration.

[0124] The subject may be a mammal such as a human, canine, feline, equine, caprine, bovine, ovine, porcine, cervine and primates. Preferably the subject is a human.

[0125] Preferred features and embodiments of the invention will now be described by way of non-limiting examples.

[0126] The practice of the present invention will employ, unless otherwise indicated, conventional techniques of chemistry, biochemistry, molecular biology, microbiology and immunology, which are within the capabilities of a person of ordinary skill in the art. Such techniques are explained in the literature. See, for example, Sambrook, J., Fritsch, E. F. and Maniatis, T. (1989) Molecular Cloning: A Laboratory Manual, 2nd Edition, Cold Spring Harbor Laboratory Press; Ausubel, F. M. et al. (1995 and periodic supplements) Current Protocols in Molecular Biology, Ch. 9, 13 and 16, John Wiley & Sons; Roe, B., Crabtree, J. and Kahn, A. (1996) DNA Isolation and Sequencing: Essential Techniques, John Wiley & Sons; Polak, J. M. and McGee, J. O′D. (1990) In Situ Hybridization: Principles and Practice, Oxford University Press; Gait, M. J. (1984) Oligonucleotide Synthesis: A Practical Approach, IRL Press; and Lilley, D. M. and Dahlberg, J. E. (1992) Methods in Enzymology: DNA Structures Part A: Synthesis and Physical Analysis of DNA, Academic Press. Each of these general texts is herein incorporated by reference.

EXAMPLES

Example 1—B. longum CNCM 1-2618 (NCC 2705) Serpin Induction by Galactose

[0127] B. longum strain CNCM 1-2618 (NCC 2705) was grown in Biolector (growth conditions—anaerobic, 37 00) in MRS+5 mM L-cysteine (MRSc) base without sugar, to which different carbohydrates were added.

[0128] 48-well microtiter plate with pH sensor and dissolved oxygen (DO) sensor were used to culture the strains in Biolector (m2p-labs Aachen, Germany). It was continuously shaken to prevent bacteria aggregation for 8 h. Cultures were harvested by centrifugation and supernatant was removed. Pellet was resuspended in PBS supplemented with halt protease inhibitor (Sigma) and lysed using glassbeads. Lysate containing both soluble and insoluble material was then collected.

[0129] Total protein content was measured using Pierce BCA kit (Thermofisher) and serpin protein concentration was determined using ELISA.

[0130] As shown in FIG. 1, galactose was shown to increase B. longum NCC 2705 serpin protein levels, as compared to all other sugars tested.

Example 2—B. Longum CNCM 1-2618 (NCC 2705) Serpin Induction by Galactose in the Presence of Glucose

[0131] B. longum NCC 2705 was cultured in Biolector (as described in Example 1) in a base of MRSc without sugar, with the addition of different glucose & galactose ratios, to a final concentration of 1%. Cultures were collected after 18 h of growth and analyzed for total & serpin protein levels (as described in Example 1).

[0132] Results (FIG. 2) show that galactose can induce production of serpin in B. longum NCC 2705 even when glucose is present, but only when the glucose is present at level at which it is depleted during fermentation. In the model system used in this example, addition of 0.3% was the maximal addition rate of glucose allowing its depletion during the fermentation (data not shown). Accordingly, glucose concentration in the fermentation system/growth medium should be kept low relative to the galactose concentration.

Example 3—B. Longum NCC 2705 Serpin Induction by Galactooligosaccharides (GOS)

[0133] B. longum NCC 2705 was grown on an MRSc base without sugar, with addition of different commercially available galactooligosaccharides (GOS) at different concentrations. Cultures were grown as indicated previously (see Example 1) for 18 h and harvested. Obtained pellets were analyzed for total and serpin protein content (see Example 1). The tested commercial GOS were Purimune GOS (from CornProducts International), King GOS (GDS-700-P from King Prebiotics), Vivinal GOS syrup (from DOMO), BMOS (Bovine Milk Oligosaccharides, from Nestle), Sunfiber R (Partially Hydrolyzed Guar Gum; from Taiyo GmbH) Purimmune GOS, King GOS, Vivinal GOS and BMOS supported the growth of B. longum NCC 2705. As shown in FIG. 3, these GOS could significantly increase the levels of serpin protein in B. longum NCC 2705. As the commercially available GOS all contain residual sugars (mainly glucose and lactose), the concentration at which they are used should to be adjusted so that those residual sugars are present at a level that is depleted during fermentation. Sunfiber R alone only partially supported the growth of B. longum NCC 2705 (data not shown), however, like the other tested GOS, it was able to increase significantly the levels of serpin protein in B. longum NCC 2705 (FIG. 4).

Example 4—B. Longum Subsp. Longum Serpin Induction by Galactose

[0134] The serpin encoding gene and its surrounding is highly conserved within the B. longum subsp. longum species. Strains of B. longum subsp. longum were selected to represent the entire span of the genetic phylogenetic tree (Table 2). All strains were cultured in Biolector (according to example 1) in a MRSc base without sugar, to which 1% glucose, 1% galactose or a mix of glucose & galactose (respectively 0.2 & 0.8%) was added. Cultures were grown for 18 h and harvested. Obtained pellets were further analyzed for total and serpin protein content (see example 1).

TABLE-US-00002 TABLE 2 list of B. longum subsp. longum strains tested and the homology of their serpin gene to BL0108 (B. longum NCC 2705 serpin encoding gene). % ID to BL0108 Strain no (NCC 2705 serpin) NCC 2705 (CNCM I-2618) 100.00 ATCC 15707 (T) 99.78 CNCN I-2171 99.79 ATCC BAA-999 99.78 ATCC 15708 99.57 DSM 20097 97.42 NCIMB 8809 99.79 CNCM I-2170 100

[0135] Not all strains of B. longum subsp. longum were able to grow on galactose as sole carbohydrate source. However, as shown in FIGS. 5 and 6, despite this, importantly serpin protein levels were increased in all B. longum subsp. longum strains in presence of galactose, meaning that the induction capacity of galactose is not dependent on its capacity to be metabolized for growth.

Example 5—B. Longum Serpin Induction by Galactose

[0136] Serpin is furthermore conserved within a restricted number of Bifidobacteria species (Turroni, F. et al. Characterization of the serpin-encoding gene of Bifidobacterium breve 210B. Appl Environ Microbiol 76, 3206-3219, doi:10.1128/AEM.02938-09 (2010)). Strains belonging to these species (Table 3) were cultured in Biolector (see example 1) in a MRSc base without sugar, to which 1% glucose, 1% galactose was added. As well, on top of 1% glucose, 0.05 mg/ml of papain (from Worthington) was tested, as it was previously demonstrate to induce serpin in B. breve. Cultures were grown for 18 h and harvested. Obtained pellets were further analyzed for total and serpin protein content (see example 1).

TABLE-US-00003 TABLE 3 list of strains used and the homology of their serpin gene to BL0108 (B. longum NCC 2705 serpin encoding gene). ID to BL0108 Species Strain no (NCC 2705 serpin) B. longum subsp. NCC 2705 (CNCM I-2618) 100.00 longum B. longum subsp. ATCC 15707 (T) 99.78 longum B. longum subsp. ATCC 15697 (T) 94.85 infantis B. longum subsp. ATCC 27533 (T) 92.70 suis B. breve ATCC 15700 (T) 93.35

[0137] As shown in FIGS. 5-7 Error! Reference source not found., all tested B. longum subsp. longum strains responded to galactose and showed a significant serpin protein increase. Whereas, on the contrary, none of the B. breve ATCC 15700 (T), B. longum subsp infantis nor B. longum subsp suis strains were induced by galactose. Papain, which was previously shown to induce B. breve serpin, did not increase serpin levels in B. longum subsp. longum cultures, but did in the B. breve ATCC 15700 (T) strain. The two strains belonging to B. longum subsp infantis and suis respectively were neither induced by galactose, nor by papain (FIG. 7).