COMPOSITIONS AND APPLICATIONS WITH FUNCTIONS TO IMPROVE THE DIVERSITY OF PERSONALIZED INTESTINAL FLORA
20220395551 · 2022-12-15
Inventors
Cpc classification
A61P1/14
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K36/48
HUMAN NECESSITIES
A61P1/16
HUMAN NECESSITIES
A61K47/36
HUMAN NECESSITIES
A23L33/105
HUMAN NECESSITIES
A61K36/48
HUMAN NECESSITIES
A61K36/736
HUMAN NECESSITIES
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
A61K36/736
HUMAN NECESSITIES
A61P25/28
HUMAN NECESSITIES
A23L33/21
HUMAN NECESSITIES
International classification
A61K36/736
HUMAN NECESSITIES
A61K47/36
HUMAN NECESSITIES
A61P1/16
HUMAN NECESSITIES
Abstract
Provided is a composition functioning to improve personalized gut microbiota diversity function. The composition includes ingredients for strengthening spleen and invigorating Qi, ingredients for clearing damp and promoting the circulation of blood, and intestinal bacteria substrates. The ingredients for strengthening spleen and invigorating Qi include one or more of Panax ginseng, an extract of Panax ginseng, Panax quiquefolium, and an extract of Panax quiquefolium; the ingredients for clearing damp and promoting the circulation of blood include an ingredient for clearing damp and an ingredient for promoting the circulation of blood, where the ingredient for clearing damp includes one of or a mixture of more of Wolfiporia cocos and an extract of Wolfiporia cocos, and the ingredient for promoting the circulation of blood includes one of or a mixture of more of nattokinase, natto, and an extract of natto; the intestinal bacteria substrates include water-soluble dietary fiber, water-insoluble dietary fiber, or any combination thereof.
Claims
1. A composition functioning to improve personalized gut microbiota diversity, comprising ingredients for strengthening spleen and invigorating Qi, ingredients for clearing damp and promoting the circulation of blood, and intestinal bacteria substrates.
2. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein the ingredients for strengthening spleen and invigorating Qi comprise one or more of Panax ginseng, an extract of Panax ginseng, Panax quiquefolium, and an extract of Panax quiquefolium.
3. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein the ingredients for clearing damp and promoting the circulation of blood comprise an ingredient for clearing damp and an ingredient for promoting the circulation of blood, wherein the ingredient for clearing damp comprises one of or a mixture of more of Wolfiporia cocos and an extract of Wolfiporia cocos; and the ingredient for invigorating the circulation of blood comprises one of or a mixture of more of nattokinase, natto, and an extract of natto.
4. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein the intestinal bacteria substrates comprise a water-soluble dietary fiber, a water-insoluble dietary fiber, or any combination thereof.
5. The composition functioning to improve personalized gut microbiota diversity according to claim 4, wherein the water-soluble dietary fiber comprises one or more of konjaku flour, glucomannan, crude laminarin, pectin, alginic acid, glucan, guar gum, inulin and Pericarpium citri reticulatae; or one or more of food ingredients or medicinal materials containing the above ingredients.
6. The composition functioning to improve personalized gut microbiota diversity according to claim 4, wherein the water-insoluble dietary fiber comprises one or more of cellulose, hemicellulose, and lignin.
7. The composition functioning to improve personalized gut microbiota diversity according to claim 1, further comprising one or more of Siraitia grosvenorii, an extract of Siraitia grosvenorii, almond, an extract of almond, perilla seed, and an extract of perilla seed.
8. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein the ingredients for strengthening spleen and invigorating Qi comprise one or more of Panax ginseng, the extract of Panax ginseng, Panax quiquefolium, and the extract of Panax quiquefolium; the ingredients for clearing damp and promoting the circulation of blood comprise an ingredient for clearing damp and an ingredient for promoting the circulation of blood, wherein the ingredient for clearing damp comprises one of or a mixture of more of Wolfiporia cocos and an extract of Wolfiporia cocos; and the ingredient for promoting the circulation of blood comprises one of or a mixture of more of nattokinase, natto, and an extract of natto; a daily dose mainly consists of: TABLE-US-00023 One of or a mixture of more of Panax ginseng, the 0.001-2 g extract of Panax ginseng, Panax quiquefolium, and an extract of Panax quiquefolium One of or a mixture of more of Wolfiporia cocos and 0.001-5 g the extract of Wolfiporia cocos One of or a mixture of more of nattokinase, natto, and 500-4000 Fu the extract of natto Water-soluble dietary fiber by total weight of the 10%-70% composition Water-insoluble dietary fiber by total weight of the 10%-70% composition wherein an adding amount of the natto or the extract of natto is calculated by the fibrin degradation unit of the nattokinase contained therein.
9. The composition functioning to improve personalized gut microbiota diversity according to claim 8, wherein the daily dose mainly consists of: TABLE-US-00024 Ingredients for One of or a mixture of more of Panax 0.01-2 g strengthening ginseng and Panax quiquefolium spleen and Or, one of or a mixture of more of the 0.001-0.2 g invigorating extract of Panax ginseng and the Qi extract of Panax quiquefolium Ingredients for One of or a mixture of more of 0.001-5 g clearing damp Wolfiporia cocos and the extract of and promoting Wolfiporia cocos One of or a mixture of more of 500-4000 Fu the circulation nattokinase, natto, and the extract of of blood natto Water-soluble dietary fiber by total weight of the 10%-70% composition Water-insoluble dietary fiber by total weight of the 10%-70% composition wherein an adding amount of the natto or the extract of natto is calculated by the fibrin degradation unit of the nattokinase contained therein.
10. The composition functioning to improve personalized gut microbiota diversity according to claim 8, further comprising 0.1-3 g Siraitia grosvenorii or 0.001-0.5 g extract of Siraitia grosvenorii; or simultaneously or separately comprising 0.25-1 g) almond and/or 0.25-1 g perilla seeds.
11. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein the water-soluble dietary fiber accounts for 20%-60% by the total dose of the formula; the water-insoluble dietary fiber accounts for 20%-60% by the total dose of the formula; calculated by the daily dose, the water-soluble dietary fiber or the water-insoluble dietary fiber has an adding amount of 1-10 g.
12. The composition functioning to improve personalized gut microbiota diversity according to claim 1, wherein calculated by the daily dose, the composition comprises the following ingredients: TABLE-US-00025 One of or a mixture of more of Panax ginseng 0.1-1 g or Panax quiquefolium or one of or a mixture of more of the extract of 0.01-0.04 g Panax ginseng or the extract of Panax quiquefolium Wolfiporia cocos 0.5-4 g Nattokinase 500-4000 Fu Guar gum 0.05-0.4 g Alginic acid 0.05-0.4 g Crude laminarin 0.05-0.4 g Pericarpium citri reticulatae 0.05-0.4 g Glucomannan 0.1-0.8 g Psyllium seed husk 0.25-2 g Siraitia grosvenorii 0.35-1.4 g.
13. A method of the preparation of a medicament, a health-care product or food functioning to improve personalized gut microbiota diversity, or in prevention, or treatment or adjunctive treatment of a gut microbiota imbalance-related disease utilizing the composition of claim 1.
14. The method according to claim 13, wherein the medicament is a medicament for prevention, or treatment or adjunctive treatment of an gut microbiota imbalance-related disease; the health-care product or food is a health-care product or food having a function of improving gut microbiota imbalance.
15. The method according to claim 14, wherein the gut microbiota imbalance comprises decreased gut microbiota diversity.
16. The method according to claim 14, wherein the gut microbiota imbalance comprises relatively strong strains and functions of dominant gut microbiota, and relatively less abundant strains and functions of gut microbiota.
17. The method according to claim 14, wherein the gut microbiota imbalance-related disease comprises metabolic diseases, immune system diseases, dermatological diseases, mental/neurogenic diseases and digestive diseases which are associated with gut microbiota imbalance, as well as a low sex hormone-related disease.
18. The method according to claim 17, wherein the metabolic dysfunction disease comprises prediabetes, type-II diabetes, obesity, cardiovascular diseases, cerebrovascular diseases, dyslipidemia, hypertension, hyperuricemia and renal dysfunction.
19. The method according to claim 17, wherein the immune system diseases comprises food/drug/pollen allergy, eczema, type-I diabetes, irritable bowel syndrome, inflammatory bowel disease, Crohn's disease, multiple sclerosis, rheumatoid, asthma and cancer.
20. The method according to claim 17, wherein the dermatological diseases comprises atopic dermatitis, psoriasis, eczema, acne, pachylosis and skin aging which are associated with gut microbiota imbalance.
21. The method according to claim 17, wherein the mental/neurogenic disease comprises depression, bipolar disorder, autism, schizophrenia, insomnia, Parkinson's disease, Alzheimer's disease and fibromyalgia.
22. The method according to claim 17, wherein the digestive system disease comprises constipation, diarrhea, fatty liver and liver cirrhosis.
23. The method according to claim 17, wherein the low sex hormone-related disease comprises developmental retardation of primary/secondary sex characters of children and adolescents, abnormality and disease associated with female physiological cycle and gestation period, osteoporosis caused by estrogen deficiency of postmenopausal female, male and female sexual hypofunction, and climacteric syndrome.
24. The method according to claim 13, wherein the medicament, health-care product or food is a medicament, health-care product or food having a function of enhancing body biodegradation to an exogenous toxic substance; the exogenous toxic substance comprises one or more of pesticides, herbicides, food additives, plastic residues, rubber residues, environmental pollutants, heavy metals, and other hazardous chemical substances.
25. The method according to claim 24, wherein the exogenous toxic substance comprises one or more of halobenzoic acid, halocyclohexane, halobenzene, caprolactam, 2-chloro-4-ethylamino-6-isopropylamino-1,3,5-triazine, dioxin, aminobenzoate and xylene.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DETAILED DESCRIPTION OF EMBODIMENTS
[0120] The compositions in Examples 1-7 are specified as follows: Panax ginseng is selected as a monarch drug of the compositions. Panax ginseng tastes sweet and a little bitter, and is warm and mild-natured. Panax ginseng is governed by the spleen, lung and heart meridians. Panax ginseng can reinforce vital energy, invigorate spleen for benefiting lung, promote the secretion of saliva and calm the nerves. Panax ginseng is selected as a representative drug for invigorating Qi and strengthening the spleen in the composition. Spleen governs movement and transformation, and is the foundation of acquired constitution; the nourishment of Qi and spleen makes body full of energy and blood, and full of vitality. Weak Qi and spleen lead to Weak movement and transformation, causing damp obstruction, Qi stagnation and blood stasis. Spleen prefers dryness to dampness, if the spleen is damp, movement and transformation are abnormal. Wolfiporia cocos tastes sweet and slight, is mild-natured. Wolfiporia cocos is governed by heart, lung, spleen and kidney channels, capable of clearing damp and promoting diuresis, strengthening spleen and calming heart. Wolfiporia cocos serves as the representative drug for strengthening spleen and clearing damp in the composition, and is a ministerial drug of the composition. Nattokinase is a kind of serine protease produced by Bacillus subtilis natto during soybean fermentation, found and named by a Japanese doctor, Hiroyuki Sumi. Nattokinase dissolves thrombus by direct and indirect ways. Nattokinase may stimulate vascular endothelial cells to produce a tissue-type plasminogen activator (t-PA). t-PA activates plasminogen into plasmin to dissolve fibrous proteins, thus dissolving thrombus directly. Meanwhile, prourokinase in human body is activated into urokinase; urokinase and t-PA co-activate plasminogen, thus indirectly dissolving thrombus. Therefore, the thrombolysis activity of nattokinase is about four times of plasmin. Nattokinase is selected as the representative drug for promoting the circulation of blood and removing stasis in the composition, and is another ministerial drug of the prescription. Compound types of gut microbiota substrates are combined in the composition. The substrates basically include different structures of water-soluble dietary fibers mainly derived from plants, including pectin, glucomannan, alginic acid and guar gum. Pectin is a kind of water-soluble dietary fiber which is abundant in fruits; galacturonic acid having carboxyl is connected with methyl galacturonicate whose carboxyl is esterified by methyl in a linear chain. Pericarpium citri reticulatae (total pectin is about 33%) rich in multiple types of pectin is selected in the composition (Akiko Kawabata, et al, Journal of Nutrition, 1974). Pericarpium citri reticulatae is warm-natured and governed by lung and spleen channels, and has the effects of regulating Qi and strengthening spleen, eliminating dampness to reduce phlegm. Glucomannan is a kind of water-soluble dietary fiber which is abundant in konjak plants. Glucomannan mainly consists of glucose and its diastereoisomers; β (1-4) bonds form a backbone chain, some form branched chains via β (1-3) or β (1-6) bonds. Alginic acid is a kind of water-soluble dietary fiber contained in brown seaweed, and is a linear polymer, divided into two types of β-D-mannuronic acid (M) and C-5 epimer α-L-guluronic acid (G) (both are carboxyl-carrying monosaccharides) (1-4). Crude laminarin is also called laminarin and laminaran, and mainly contains algin, fucoidan, fucose and other components, and formed by linking β(1-3)-glucan to some β(1-6)-glucosidic bonds, and is a neutral glucan. Guar gum is a kind of water-soluble dietary fiber derived from the seeds of annual leguminous plants cultivated in Pakistan and India; guar gum is a kind of polysaccharide composed of repetitive units; the backbone consists of mannose and the side chain consists of galactose. Psyllium seed husk contains about 90% dietary fiber, and is a mixture of insoluble and water-soluble dietary fibers. Psyllium seed husk contains about 18% heteropolysaccharide xylan, and is a kind of water-soluble dietary fiber. The above compound types of water-soluble dietary fibers may provide respective substrates demanded for different types of gut microbiota. The water-insoluble dietary fiber includes cellulose, hemicellulose, and lignin. Wolfiporia cocos is a kind of dry sclerotium of Poria cocos (Schw.) Wolf. Wolfiporia cocos not only has the effects of strengthening spleen and clearing damp and thus, serves as a ministerial drug of the composition, and but also contains more than 90% water-insoluble dietary fiber and thus, has adjuvant effects. Psyllium seed husk contains about 72% water-insoluble dietary fibers. The water-insoluble dietary fiber may provide a small amount of substrates for gut microbiota, what's more, may increase the water content of feces several times to hundreds of times, thus increasing the volume of excrement, beneficial to defecation. The above water-soluble and water-insoluble dietary fibers constitute the adjuvant drug of the composition. Siraitia grosvenorii is brought into spleen and large intestine channels, and serves as a conductant drug. The mogmside contained in the Siraitia grosvenorii is sweeter 300 times than sucrose, and featured by no energy, high sweetness, pure sweet taste and high safety, and is one of the most excellent natural and healthy sweetening agents. Moreover, Siraitia grosvenorii also plays the role of improving the taste of the composition.
Example 1: Composition 1
[0121]
TABLE-US-00005 Compatibility Dose Composition principle (g) Panax ginseng Monarch drug 0.25 Wolfiporia cocos Ministerial drug 1.00 Nattokinase (powder) 1000 Fu Water-soluble and Guar gum Adjuvant drug 0.20 water-insoluble Alginic acid 0.20 dietary fiber Crude laminarin 0.20 Pericarpium citri 0.20 reticulatae Glucomannan 0.40 Psyllium seed husk 1.00 Siraitia grosvenorii Conductant drug 0.70
[0122] The above components were crushed, sieved and mixed well to prepare a unit amount of the composition 1 in the present invention (namely, the amount of the following “per bag”). The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases, in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once or twice per day with warm water.
Example 2: Composition 2
[0123]
TABLE-US-00006 Compatibility Dose Composition principle (g) Panax ginseng Monarch drug 0.13 Wolfiporia cocos Ministerial drug 0.50 Nattokinase (powder) 500 Fu Water-soluble and Guar gum Adjuvant drug 0.10 water-insoluble Alginic acid 0.10 dietary fiber Crude laminarin 0.10 Pericarpium citri 0.10 reticulatae Glucomannan 0.20 Psyllium seed husk 0.50 Siraitia grosvenorii Conductant drug 0.35
[0124] The formula of this example may be used as an introducing prescription, or applied to the inadaptable subjects, such as, patients accompanied with continuous abdominal distension, or stomachache after taking the composition 1. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases, in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition (namely, the components and contents as shown in the above corresponding table) was brewed and taken once or twice per day with warm water.
Example 3: Composition 3
[0125]
TABLE-US-00007 Compatibility Dose Composition principle (g) Panax ginseng Monarch drug 0.50 Wolfiporia cocos Ministerial drug 2.00 Nattokinase (powder) 2000 Fu Water-soluble and Guar gum Adjuvant drug 0.4 water-insoluble Alginic acid 0.4 dietary fiber Crude laminarin 0.4 Pericarpium citri 0.4 reticulatae Glucomannan 0.8 Psyllium seed husk 2.00 Siraitia grosvenorii Conductant drug 0.70
[0126] The formula in the example is suitable for the patient whose feces is not improved obviously or improved slowly towards the intermediate type (type 4) of the Bristol Stool Scale after taking the composition 1 in Example 1. The above components were crushed, sieved and mixed well to prepare a unit amount of the composition 3 in the present invention. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once to twice per day with warm water.
Example 4: Composition 4
[0127] In this example, the total extract of Panax ginseng may be directly obtained from the extract of Panax ginseng purchased on the market, or the primary extract product of Panax ginseng.
TABLE-US-00008 Compatibility Dose Composition principle (g) Total extract of Panax ginseng Monarch drug 0.01 Wolfiporia cocos Ministerial drug 1.00 Nattokinase (powder) 1000 Fu Water-soluble and Guar gum Adjuvant drug 0.20 water-insoluble Alginic acid 0.20 dietary fiber Crude laminarin 0.20 Pericarpium citri 0.20 reticulatae Glucomannan 0.40 Psyllium seed husk 1.00 Siraitia grosvenorii Conductant drug 0.70
[0128] The above components were crushed, sieved and mixed well to prepare a unit amount of the composition 4 in the present invention. The composition 4 may replace the composition 1. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once or twice per day with warm water.
Example 5: Composition 5
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TABLE-US-00009 Compatibility Dose Composition principle (g) Total extract of Panax ginseng Monarch drug 0.005 Wolfiporia cocos Ministerial drug 0.50 Nattokinase (powder) 500 Fu Water-soluble and Guar gum Adjuvant drug 0.1 water-insoluble Alginic acid 0.1 dietary fiber Crude laminarin 0.1 Pericarpium citri 0.1 reticulatae Glucomannan 0.2 Psyllium seed husk 0.5 Siraitia grosvenorii Conductant drug 0.35
[0130] The formula of this example may be used as an introducing prescription, or applied to the inadaptable patients, such as, patients accompanied with continuous abdominal distension, or stomachache after taking the composition 1 provided in Example 1 or the composition 4 provided in Example 4. The composition 5 may replace the composition 2 provided in Example 2. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once or twice per day with warm water.
Example 6: Composition 6
[0131]
TABLE-US-00010 Compatibility Dose Composition principle (g) Total extract of Panax ginseng Monarch drug 0.02 Wolfiporia cocos Ministerial drug 2.00 Nattokinase (powder) 2000 Fu Water-soluble and Guar gum Adjuvant drug 0.4 water-insoluble Alginic acid 0.4 dietary fiber Crude laminarin 0.4 Pericarpium citri 0.4 reticulatae Glucomannan 0.8 Psyllium seed husk 2 Siraitia grosvenorii Conductant drug 0.70
[0132] The formula in the example is suitable for the patient whose feces is not improved obviously or improved slowly towards the intermediate type (type 4) of the Bristol Stool Scale after taking the composition 4 provided in Example 4. The composition 6 may replace the composition 3 provided in Example 3. The above components were crushed, sieved and mixed well to prepare a unit amount of the composition 6 in the present invention. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once to twice per day with warm water.
Example 7: Composition 7
[0133] The composition was specified below: almond (0.25-1 g) and perilla seed (0.25-1 g) were added to the composition as an adjuvant drug. The composition 7 is suitable for the patient suffering gut microbiota imbalance and diagnosed with constipation due to intestinal dryness based on traditional Chinese medicine (TCM). The composition 7 may be used flexibly according to TCM diagnosis. The almond dietary fiber has a content greater than 10% and the abundant unsaturated fatty acids therein has the effect of lubricating the intestines. Perilla seed is rich in unsaturated fatty acids (>50%) and abundant essential amino acids. That is, perilla seed may provide substrates for gut microbiota, and also have the effect of lubricating the intestines and relaxing the bowels for constipation due to intestinal dryness.
[0134] The above components were crushed, sieved and mixed well to prepare a unit amount of the composition 7 in the present invention. The composition 7 is suitable for constipation patients. The composition may exert two-way regulation on the types and functions of gut microbiota, thus improving and maintaining personalized gut microbiota diversity. Moreover, the composition may keep healthy and have treatment or prevention effects on chronic diseases in particular to metabolic diseases, immune diseases, mental/neurogenic diseases and other diseases incapable of being treated very well at present. A bag of the composition was brewed and taken once or twice per day with warm water.
[0135] Ingredients for strengthening spleen and invigorating Qi include but not limited to a crude drug or extract of Panax ginseng and/or Panax quiquefolium.
[0136] The ingredient for clearing damp includes but not limited to a crude drug or extract of Wolfiporia cocos.
[0137] The ingredient for promoting the circulation of blood includes but not limited to a crude drug or extract of nattokinase or natto.
[0138] The water-soluble dietary fiber includes but not limited to one or more of glucomannan, pectin, alginic acid, β-glucan and inulin. Food ingredients or medicinal materials, or the like capable of extracting the above these components are certainly available.
[0139] The water-insoluble dietary fiber includes but not limited to one or more of cellulose, hemicellulose, and lignin.
[0140] In the daily dose (weight) of the composition, the water-soluble dietary fiber and the water-insoluble dietary fiber are calculated by total weight percentage of the composition, including 0.01-2 g crude drug of Panax ginseng and Panax quiquefolium, or 0.001-0.2 g extract of Panax ginseng and Panax quiquefolium, 0.1-5 g crude drug of Wolfiporia cocos, or 0.001-2 g extract of Wolfiporia cocos, 10-50 g natto powder, or 500-4000 Fu nattokinase; 0.1-3 g crude drug of Siraitia grosvenorii, or 0.001-0.2 g extract of Siraitia grosvenorii. The water-soluble dietary fiber accounts for 10%-70% by the total dose of the formula; the water-insoluble dietary fiber accounts for 10%-70% by the total dose of the formula.
[0141] The present invention is achieved by the following technical solutions: the technical solutions of the present invention are proved from four levels of molecule (gene analysis of intestinal bacteria), function (functional genomes analysis), system phenotype (Bristol Stool Scale), and some representative laboratory detection indexes, including blood lipid (total cholesterol, triglyceride, low density cholesterol and high density cholesterol), blood glucose (fasting blood-glucose, glucose tolerance test), serum uric acid, renal function indexes (serum creatinine and estimated glomerular filtration rate), and liver function indexes (alanine aminotransferase and serum aspartate aminotransferase). The composition may improve and maintain the personalized gut microbiota diversity via two-way regulation on gut microbiota, thus preventing or treating various diseases associated with gut microbiota imbalance.
[0142] The molecular level analysis was performed by OTU clustering and species annotation. Vsearchv2.4.4 was used for (OTU) analysis; the sequence was subjected to repetitive sequence removal (--derep_fulllength), clustering (--cluster_fast,-id 0.97) and chimera removal (--uchime_ref) (Rognes2016), then clustered into OTUs according to 97% similarity by default. Default parameters were used to select an OTU representative sequence; and the representative sequence was subjected to species annotation via VSEARCH based on SILVA128 database (Quastet al. 2013) to generate an OTU list, thus obtaining the community composition in each sample at the level of Phylum, Class, Order, Family, Genus and Species, as well as the abundance and classification of all the OTUs in each sample. For the quality control of the raw sequence data, the data size of the tags and clean tags was firstly judged whether of satisfying the sequencing requirements; generally, when the data size of the tags was up to 30,000 reads above, the sequencing requirements were satisfied. Reads of the mean clean tags of the 16 s sample in this test were 107670.08, completely capable of satisfying the sequencing requirements. OTUs whose content was lower than 0.001% of the total sequences in the sample were not taken in this experiment due to the current detection sensitivity.
[0143] For the functional genome analysis, the number of Species and Genus of the raw 16s sequencing data was standardized. A comparatively mature tool PICRUSt (PICRUSt Nature Biotechnology, 1-10. 8 2013) which is developed at the earliest and used for predicting microflora functions based on 16S rRNA gene sequence was then utilized to obtain the predictive functions of the genome.
[0144] As for the system phenotype analysis, Bristol Stool Chart, as shown in
[0145] Modified Cleveland Stool Score, as an auxiliary index of defecation, is also taken in the present invention. The method may be used to achieve better comprehensive analysis on the improvement effects on constipation based on the point of Bristol Stool Scale plus indexes listed in the two tables.
TABLE-US-00011 Point 0 Point 1 Point 2 Point 3 Point 4 Defecation times More than 3 Twice/week Once/week Once Once times/week below/week below/month Difficult defecation No Accidental* Sometimes* Often* Always* Feeling of residual feces No Accidental Sometimes Often Always Stomachache No Accidental Sometimes Often Always Defecation time 5 min below 5-9 min 10-19 min 20-29 min 30 min above Auxiliary defecation No Laxative Enema Desire to defecate, but no 0 1-3 4-6 7-9 More than 10 defecation Times/24 h times History of constipation 0 1-5 6-10 11-20 More than 21 (year) years *Accidental: once below/month; sometimes: once/more than one month-once below/week; often: once/more than one week-once below/day; always: more than once/day
[0146] The administration method, administration time, detection method and statistical treatment are concluded and specified as follows:
TABLE-US-00012 Sample size Detection/ Measurement (Male/ Medicament Administration Measurement Analysis Statistical index Female) Age taken* time (d) method method method 16s RNA 30 (20/10) 26- Compositions 14 16s RNA Gut Pearson sequencing 74 1-7 were sequencing microbiota correlation analysis of regulated analysis of types coefficient microorganism based on microorganism were was taken TCM classified to the diagnosis and according correlation, administration to the and non- reaction analysis correlation on the was excluded Operational by paired T Taxonomic test; paired Units T test was 30 (20/10) 26- 30 PICRUSt used for 74 analysis intergroup of 16S control rRNA gene sequence Bristol 28 (19/9) 26- 14 Self-observe Analysis was Paired T test Stool Scale 74 and report performed was used for 24 (17/7) 26- 30 according the difference 74 to the before and following after types of administration points: of intergroup Type control 4 = 1; types 1, 7 = 6; types 2, 6 = 4; types 3, 5 = 2 Modified 28 (19/9) 26- 14 Self-observe Quantitative Paired T Cleveland 74 and report analysis was test was Stool Scale 24 (17/7) 26- 30 performed used for the 74 on the basis difference of Bristol before and Stool Scale after and other administration defecation symptoms (the specific method is referring to the description in this text) *Administration method and time are specified as follows: 1) the composition 1 or 4 was taken first (in this example, the subsequent test data was obtained on the condition that the composition 1 was mixed with 250-300 ml warm water and taken twice per day as the starting formula). After taking the composition, some of patients would suffer abdominal distension and even stomachache, and the symptoms of abdominal distension and stomachache would be improved or removed within two or three days generally, and then, the composition may be continuously taken. 2) If the reaction of abdominal distension and even stomachache last a week around, the composition 2 or 5 was used for replacement (in this example, the subsequent test data was obtained on the condition that the composition 2 was taken as the adjustment formula). After the patient adapted to the composition one week later, if the condition of the feces (Bristol Stool Scale) was good, the composition 2 or 5 may serve as the maintenance prescription. If the condition of feces (Bristol Stool Scale) had no obvious response, the composition 1 or 4 was taken again once the abdominal distension or stomachache was improved or removed. 3) If the condition of feces (Bristol Stool Scale) had no obvious response with one week dosing of the composition 1 or 4, the composition 3 or 6 was used (in this example, the subsequent test data was obtained on the condition that the composition 3 was taken as the adjustment formula). If the condition of feces (Bristol Stool Scale) had good response, the composition 1 or 4 was taken again as the maintenance prescription .4) The patients accompanied with constipation started to take the composition 7. When the constipation was improved after administration, the composition 1 or 4 was taken as the maintenance prescription.
[0147] Moreover, it should be noted that in the table above, the subjects administered for 14 days and the subjects administered for 30 days were from the same group of patients. Feces of these subjects were tested twice to confirm the intervention effect of the composition on the subacute (14 days) and long-term (30 days) of gut microbiota. Meanwhile, repeatability of the drug effect was also verified by the comparison of the two test results.
[0148] The composition has good two-way regulation effect on Phylum, Class, Order, and Family. The so-called two-way regulation effect mainly refers that the composition may selectively enhance the relatively less abundant strain and their function. The two-way regulation effect is reflected in that the lower the relative abundance of the bacteria, or functional genomes is before administration, the higher the relative abundance of the bacteria, or functional genomes is after administration. The increase of the relatively less abundant intestinal bacteria or functional genomes proportionally lower the ratio of dominant bacteria or functional genomes, capable of strengthening and maintaining the microecological balance of gut microbiota. It will be abbreviated for two-way regulation in the following description of the present invention, and will be not repeated any more.
[0149]
[0150] As shown in
[0151] The composition has an inhibitory effect on the most dominant bacterium at the level of Phylum, Bac_Firmicutes. As shown in
[0152] The composition significantly improves the abundance of the second dominant bacterium at the level of Phylum, Bac_Bacteroidetes. As shown in
[0153] The composition significantly improves the abundance of the third dominant bacterium at the level of Phylum, Bac_Proteobacteria. As shown in
[0154] The composition may improve the abundance of other less abundant bacteria at the level of Phylum. As shown in
[0155] As shown in
[0156] To sum up, the composition may inhibit the relative abundance of dominant bacteria and enhance the relative abundance of the less abundant bacteria (or relatively less abundant dominant bacteria) at the level of Phylum, and shows good two-way regulation. The enhancement of the less abundant bacteria at the level of Phylum indicates that the composition may help the reproduction and maintenance of low-abundance bacteria, thus helping improving and maintaining the diversity of gut microbiota, and keeping the health condition of the gut microbiota microecosystem.
[0157] As shown in
[0158] Gut-brain axis is an existing concept. The research progress on gut microbiota brings new contents for such a concept. For example, autism is always accompanied with digestive tract symptoms such as, constipation and partial eclipse and thus, has been concerned extensively in the correlation with gut microbiota for the past few years. The latest shocking discovery has proved that the decrease of several specific bacterial genus, including Bacteroides and Parabacteroides, and the increase of Lachnospriraceae are the reasons (causative) to cause abnormal behaviors of autism (Sharon et al. Cell 2019). The composition may significantly decrease the relative abundance of Lachnospriraceae (
[0159] Researches show that compare to the composition of bacteria, there is always a smaller inter-individual functional variation, which may reflect the condition of the gut microbiota microecosystem better. The present invention further specifies the effects of the composition from the functional level by analyzing the functional genomes of gut microbiota.
[0160] The present invention further performs in-depth studies on the usefulness of the composition from the following four aspects. Firstly, from the angle of core function of gut microbiota, namely, maintaining self-survival and reproduction by bacteria,
[0161] As shown in
[0162]
[0163]
[0164] The cellular process includes repair and replication functions of DNA. As shown in
[0165] As shown in
[0166] The cellular process includes cell apoptosis and protein degradation through Ubiquitin system. As shown in
[0167] Ubiquitin system is another cell protein degradation chain reaction. Ubiquitin system participates in most of the short-period protein degradation, and participates in lots of cell life processes by regulating the metabolism of intracellular proteins.
[0168] Peptidoglycan is an important component of bacterial cell wall. The composition shows certain two-way regulation on Glycan Biosynthesis. As shown in
[0169] Xenobiotics biodegradation is an important function to gut microbiota. Xenobiotics include medicaments, pesticides, plastics or rubber residues, environmental pollutants, food additives, and the like; most of them are harmful to human health. As shown in
[0170] The table below summarizes the acceleration effects of the composition on some important functional genomes of xenobiotics biodegradation. These xenobiotics include DDT raw materials, the level-I cancerogenic substance, Dioxin, and atrazine, the herbicide applied most widely in the world, and the like.
TABLE-US-00013 Name of the Increment rate biodegradable 14-day 30-day compound Effect of the compound dosing dosing Fluorobenzoate Pesticide or medical intermediate 229.1% 202.8% Chlorocyclohexane Pesticide, rubber antiscorching agent, 161.8% 122.8% or medical intermediate Chlorobenzene Synthetic raw material of DDT; solvent 161.8% 122.8% of ethyecellulose and lots of resins, and other intermediates of benzene series Caprolactam Raw material of nylon plastic 285.2% 198.2% Styrene Important monomer of synthetic resins, 135.8% 122.4% ion exchange resins and synthetic rubbers and the like; styrene has been classified as category-2B carcinogen by WHO Atrazine The herbicide applied most widely in the 167.5% 120.6% world. Atrazine endangers mammal via endocrine disruption, genotoxicity, reproductive toxicity and the like. Atrazine has been listed a possible cancerogenic substance by Environmental Protection Agency (EPA) Dioxin Dioxin is a kind of colourless, odourless, 135.1% 116.5% and highly toxic liposoluble substance. Dioxin is highly toxic and exists in the air, soil and water with fine particles. Dioxin has been listed the level-I cancerogenic substance by International Agency for Research on Cancer. Aminobenzoate The purest aromatic aminocarboxylic acid 133.1% .sup. 112% Xylene Xylene is widely applied in the industries 127.2% 111.9% such as, coatings, resins, dyestuff and printing ink as a solvent. Xylene has been classified as category 3 carcinogen by WHO Note: in the table above, the calculation method of the increment rate of each biodegradation-related genome is as follows: [(relative abundance of the genome with 14- or 30-day dosing/relative abundance of the genome before administration) × 100].
[0171]
[0172]
[0173] As shown in
[0174] As shown in
[0175]
[0176] As shown in
[0177] As shown in
[0178] As shown in
[0179] As shown in
[0180] As shown in
[0181] Besides the precursor as shown in
[0182] Lysine is one of the essential amino acids to human and mammal, cannot be synthesized by the body itself and has to be supplemented from the outside. Gut microbiota has the genes to synthesize lysine. As shown in
[0183] As shown in
[0184] As shown in
[0185]
[0186] Gut microbiota plays a decisive role to the maturity of the host human body immune system and function maintenance. As foreign bodies, gut microbiota needs to be monitored by immune system; but as a mutualistic group, gut microbiota cannot be attacked by human immune cells. Such kind of balance actually plays the role of training body's immune system to recognize harmful and innocuous exogenous substances. Gut microbiota are vividly compared to the accelerator and brake to control the host, the body's immune system by Justin L. Sonnenberg, a professor of Stanford University. At present, the most important problem is hypofunction of the brake, the light one suffers food or pollen allergy, for the serious one, immune cells will attack tissues of the body. Lipopolysaccharide (LPS) plays a crucial role to the accelerator and brake during the interaction between gut microbiota and the host body's immune system. LPS acts on the pattern recognition receptor of Toll-like receptors (TLRs). LPS promotes the development and maturity of the host body's immune system by the TLR4 receptor existing in target cells and plays the role similar to an accelerator. Meanwhile, LPS possessed by gut microbiota also plays a crucial role in adjusting the brake functions of immune system. Such a function is mainly achieved by activating the regulatory T cells to control the activity of immune system (Belkaid Y et al., Cell 2014; Tokuhara D et al., Allergology Int. 2019). The decrease of regulatory functions will cause immunologic dysfunction, and is closely related to the attack of various allergic diseases, such as food/drug/pollen body allergy, eczema; and autoimmune diseases, such as type-I diabetes, irritable bowel syndrome, inflammatory bowel disease, Crohn's disease, multiple sclerosis, rheumatoid, asthma and cancer.
[0187]
[0188] Natural immune system is an important line of defense for human body to resist pathogen invasion. Innate immunity further has RIG-I like Receptors (RLRs) besides the above pattern recognition receptor of Toll-like Receptors (TLRs). RIG-I belongs to RLRs. Interferon is triggered for expression after detecting the 5′-triphosphoric acid double-stranded RNA (5′ppp-dsRNA) in cells derived from virus, thus inhibiting the virus infection.
[0189] Bristol Stool Score is utilized in this present invention as an integrated index of gut microbiota diversity to analyze the effect of the composition from the system level. It can be seen from observation in human body that the composition has significant two-way regulation. As shown in
[0190] The Cleveland Stool Score improved on the basis of the Bristol Stool Score also shows obvious improvement effects. As shown in
[0191] To further prove the improvement effect of the composition on body functions, representative laboratory detection indexes directed to some volunteers suffering from hyperglycemia, dyslipidemia or high serum uric acid were detected. These indexes include blood lipid (serum total cholesterol, serum triglyceride, serum low density lipoprotein cholesterol, serum high density lipoprotein cholesterol), blood glucose (fasting blood-glucose and glucose tolerance test), serum uric acid, renal function indexes (serum creatinine, estimated glomerular filtration rate), and liver function indexes (serum alanine aminotransferase and serum aspartate aminotransferase).
[0192] The administration method was the same as that for the volunteers with gut microbiota detection. Administration method is briefly specified as follows: 1) the composition 1 or 4 was taken first (in this example, the subsequent test data was obtained on the condition that the composition 1 was mixed with 250-300 ml warm water and taken twice per day as the starting formula). After taking the composition, some of patients would suffer abdominal distension and even stomachache, and the symptoms of abdominal distension and stomachache would be improved or removed within two or three days generally, and then, the composition may be continuously taken. 2) If the reaction of abdominal distension and even stomachache last a week around, the composition 2 or 5 was used for replacement (in this example, the subsequent test data was obtained on the condition that the composition 2 was taken as the adjustment formula). After the patient adapted to the composition one week later, if the condition of the feces (Bristol Stool Scale) was good, the composition 2 or 5 may serve as the maintenance prescription. If the condition of feces (Bristol Stool Scale) had no obvious response, the composition 1 or 4 was taken again once the abdominal distension or stomachache was improved or removed. 3) If the condition of feces (Bristol Stool Scale) had no obvious response one week later after taking the composition 1 or 4, the composition 3 or 6 was used (in this example, the subsequent test data was obtained on the condition that the composition 3 was taken as the adjustment formula). If the condition of feces (Bristol Stool Scale) had good response, the composition 1 or 4 was taken again as the maintenance prescription. 4) The patients accompanied with constipation started to take the composition 7. When the constipation was improved after administration, the composition 1 or 4 was taken as the maintenance prescription. The administration time is one month; other indexes were detected with 30-day dosing except the glucose tolerance test was performed once respectively with 14- and 30-day dosing.
[0193] Statistical treatment: Pearson correlation coefficient was taken to the correlation, and non-correlation was excluded by paired T test. As for the intergroup control, paired T test was used to compare the change before and after administration (p<0.05 shows significant differences).
[0194] <Improvement Effect on Dyslipidemia>
[0195] Test Method:
[0196] The volunteers were divided into a normal group and an abnormal group according to the Third Report of the National Cholesterol Education Program (NCEP), NIH Publication No. 02-5215. The volunteers received blood examination before administration and with 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. Serum cholesterol was subjected to conventional determination via a cholesterol oxidase method, and triglyceride was subjected to conventional determination via a GPO-PAP enzyme method in a hospital laboratory.
[0197] Test indexes of the normal and abnormal blood are shown in the table below respectively:
TABLE-US-00014 Blood index Normal group Abnormal group Total cholesterol (TC) <5.172 mmol/L ≥5.172 mmol/L Low density lipoprotein <2.586 mmol/L ≥2.586 mmol/L cholesterol (LDL-C) High density lipoprotein ≥1.03 mmol/L <1.03 mmol/L cholesterol (LDL-C) Triglyceride (TG) <1.69 mmol/L ≥1.69 mmol/L
[0198] <Effect on Serum Total Cholesterol>
[0199] Table for basic information of the 30 volunteers (16 in the normal group and 14 in the abnormal group) and data change before and after administration
TABLE-US-00015 Serum total cholesterol (mmol/L) Normal group Abnormal group Before After Before After Name Age Gender administration administration Name Age Gender administration administration WXF 36 Male 4.07 3.87 DYF 55 Female 5.79 5.03 LWY 58 Female 4.35 6.80 ZYZ 40 Male 7.31 5.95 NJY 48 Male 5.14 3.16 ZHY 57 Female 6.07 4.11 WQL 61 Female 5.11 4.04 JZX 71 Female 6.44 4.15 WX 46 Male 3.83 3.71 CJY 44 Male 5.72 4.88 ZGC 53 Male 4.76 4.70 YWJ 67 Male 5.74 5.29 ZTH 20 Male 3.72 3.10 WHZ 53 Female 6.55 6.16 XDZ 25 Male 4.91 4.11 XMJ 57 Female 6.73 6.6 YHQ 46 Male 4.62 6.10 ZZM 51 Male 5.86 5.54 HCL 62 Male 3.31 3.19 LZZ 58 Male 5.79 5.01 XJF 58 Female 3.54 4.28 ZHX 41 Male 5.41 5.43 CXF 47 Male 4.01 4.03 WXY 41 Male 9.64 9.33 SJF 46 Male 5.03 4.53 WNL 62 Male 5.51 5.61 LMS 57 Male 3.61 3.03 LFG 73 Female 5.66 5.87 ZBK 22 Male 4.83 4.53 CLZ 38 Female 5.07 4.48
[0200]
[0201] <Effect on Low Density Lipoprotein Cholesterol and High Density Lipoprotein Cholesterol>
[0202] Serum total cholesterol is the sum of cholesterol contained in lipoprotein of blood, and mainly consists of low density lipoprotein cholesterol and high density lipoprotein cholesterol. The therapeutic effects of 30 volunteers (12 in the normal low density lipoprotein cholesterol group and 18 in the abnormal low density lipoprotein cholesterol group) were observed in this present invention. Table for basic information of the volunteers and data change before and after administration
TABLE-US-00016 Low density lipoprotein cholesterol (mmol/L) Normal group Abnormal group Before After Before After Name Age Gender administration administration Name Age Gender administration administration WXF 36 Male 2.47 2.32 DYF 55 Female 2.88 2.76 WQL 61 Female 2.72 1.98 NJY 48 Male 3.48 1.96 WX 46 Male 2.57 2.04 ZGC 53 Male 2.88 2.74 ZGC 53 Male 2.88 2.74 ZHY 57 Female 3.24 2.05 ZTH 20 Male 2.36 1.74 YHQ 46 Male 3.94 3.57 ZYZ 40 Male 1.72 2.07 JZX 71 Female 3.57 1.59 XDZ 25 Male 2.55 2.08 CJY 44 Male 3.32 2.90 HCL 62 Male 1.83 1.82 WNL 62 Male 4.26 3.61 XJF 58 Female 1.65 2.17 LFG 73 Female 3.59 3.48 CXF 47 Male 2.09 2.13 ZHX 41 Male 3.65 3.66 LMS 57 Male 2.31 1.6 YWJ 67 Male 3.29 2.77 CLZ 38 Female 2.33 1.85 WHZ 53 Female 3.70 3.91 XMJ 57 Female 4.53 3.57 ZZM 51 Male 3.22 3.35 SJF 46 Male 3.10 2.91 LZZ 58 Male 4.32 3.18 WXY 41 Male 5.60 6.11 ZBK 22 Male 2.99 2.62
[0203]
[0204] The above result indicates that the composition has a good effect of decreasing the low density lipoprotein cholesterol. Low density lipoprotein binds to cholesterol to transport cholesterol into peripheral tissue cells. Too much low density lipoprotein in blood will form residual particles to be accumulated within the blood vessel wall under blood vessel endothelium. This is the critical first step in the formation of coronary atherosclerosis, which breaks the integrity of endothelial barrier, activates proinflammatory cytokines and chemokines, promotes the generation of reactive oxygen (ROS) (Weber, C. et al. Nat. Med. 2011), finally leading to serious diseases endangering life, such as, angina pectoris, heart stroke and cerebral stroke. Therefore, low density lipoprotein cholesterol is generally called harmful cholesterol. The composition of the present invention may significantly decrease the excessive low density lipoprotein cholesterol, and is of important meaning in preventing the occurrence of cardiovascular and cerebrovascular diseases, and their progress.
[0205]
[0206] Currently, the common clinical antilipemic agents mainly include HMG-CoA reductase inhibitors (statins drugs), cation exchange resin preparations, and cholesterol transferase inhibitors of small intestines. These therapeutics not only have the side effects of dissolving striated muscle, impairment of liver and renal functions, but also will affect the physiological functions of cholesterol with excessive amount. The composition consists of medicine-food homologous food, and has a very small possibility of side effect, and may obviously decrease the low density lipoprotein cholesterol (harmful cholesterol), specifically improve hypercholesteremia, free of affecting the physiological level of cholesterol and thus, is of great clinical significance.
[0207] <Effect on Triglyceride>
[0208] Triglyceride was tested in this present invention. Table for basic information of the 30 volunteers (9 in the normal group and 21 in the abnormal group) and data change before and after administration
TABLE-US-00017 Triglyceride (mmol/L) Normal group Abnormal group Before After Before After Name Age Gender administration administration Name Age Gender administration administration XDZ 25 Male 1.66 1.56 WXF 36 Male 1.82 1.56 ZHY 57 Female 1.20 0.85 DYF 55 Female 2.44 0.87 HCL 62 Male 0.98 0.95 LWY 58 Female 2.18 1.33 YWJ 67 Male 1.18 1.40 NJY 48 Male 2.25 1.35 XJF 58 Female 1.39 1.21 WQL 61 Female 1.82 2.06 WHZ 53 Female 1.58 1.76 WX 46 Male 3.28 2.43 LZZ 58 Male 1.02 1.60 ZGC 53 Male 2.10 2.39 LMS 57 Male 0.96 0.76 ZTH 20 Male 2.07 1.77 CLZ 38 Female 1.18 1.02 ZYZ 40 Male 8.94 4.21 YHQ 46 Male 3.63 1.43 JZX 71 Female 3.06 3.36 CJY 44 Male 3.07 1.78 WNL 62 Male 1.85 1.45 LFG 73 Female 1.72 1.61 ZHX 41 Male 2.56 2.42 CXF 47 Male 2.91 1.30 XMJ 57 Female 2.45 3.41 ZZM 51 Male 3.10 2.11 SJF 46 Male 1.74 1.45 ZBK 22 Male 2.33 1.46 WXY 41 Male 3.80 1.14
[0209]
[0210] <Improvement Effect on Fasting Blood-Glucose>
[0211] Test Method
[0212] Prediabetes volunteers or volunteers in the early stage of diabetes (fasting blood-glucose (FBG)>5.56 to <7.5 mmol/L) were selected as an abnormal FBG group and volunteers with FBG≤5.56 mmol/L were selected as a normal group based on the standards of American Diabetes Association (ADA). The volunteers received blood examination before administration and with 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. The FBG was determined by a glucose oxidase-peroxidase coupling method in a hospital laboratory. Table for basic information of the 32 volunteers (13 in the normal group and 19 in the abnormal group) and changes of the FBG values before and after administration
TABLE-US-00018 FBG (mmol/L) Normal group Abnormal group Before After Before After Name Age Gender administration administration Name Age Gender administration administration DYF 55 Female 5.06 5.10 WXF 36 Male 5.65 5.55 ZTH 20 Male 4.92 4.77 LWY 58 Female 7.40 5.53 XDZ 25 Male 4.70 4.69 NJY 48 Male 5.63 4.78 ZHY 57 Female 5.15 5.35 WQL 61 Female 5.68 5.41 JZX 71 Female 5.42 5.17 WX 46 Male 6.10 5.30 SJB 56 Male 5.20 5.28 ZGC 53 Male 5.76 6.53 CXF 47 Male 3.94 5.10 ZYZ 40 Male 5.59 5.54 ZZM 51 Male 5.23 5.03 YHQ 46 Male 5.90 4.84 ZBK 22 Male 5.11 4.16 WNL 62 Male 5.81 5.49 WXY 41 Male 4.68 5.20 ZHX 41 Male 5.96 5.65 CYJ 44 Male 5.52 5.60 HCL 62 Male 6.06 6.03 XJF 58 Female 5.41 6.05 YWJ 67 Male 7.20 5.62 SDLF 46 Male 5.17 5.11 XHJ 57 Female 5.91 6.07 LZZ 58 Male 5.59 5.93 LMS 57 Male 5.99 5.56 XGY 74 Male 5.99 5.19 LNL 74 Male 6.91 6.14 WQF 60 Male 6.85 5.76 LJH 47 Male 6.36 6.26
[0213]
[0214] The present invention further utilizes glucose tolerance tests to observe the improvement effect of the composition on the insulin resistance of the 8 prediabetes or diabetes volunteers. The volunteers received blood examination before administration and with 14- and 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. In the next morning, venous blood was respectively drawn at 0 min (before taking glucose), 30 min, 1 h and 2 h later after orally taking 75 g glucose solution, thus determining the blood glucose level.
[0215] <Improvement Effect on High Uric Acid in Serum>
[0216] Test Method
[0217] Volunteers with serum uric acid ≥420 mol/L (male) and ≥360 mol/L (female) served as an abnormal serum uric acid group, and volunteers with serum uric acid lower than the level served as a normal serum uric acid group (Liu A D et al, J Atheroscler. Theromb. 2013). The table below shows the basic information of the 28 volunteers (15 in the normal serum uric acid group and 13 in the abnormal serum uric acid group) and changes of the serum uric acid values before and after administration. The volunteers received blood examination before administration and with 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. Serum uric acid was determined by coupled-enzyme assay.
TABLE-US-00019 Uric acid (umol/L) Normal group Abnormal group Before After Before After Name Age Gender administration administration Name Age Gender administration administration DYF 55 Female 359 316 WQL 61 Female 380 353 WX 46 Male 363 387 ZGC 53 Male 520 498 ZHY 57 Female 251 249 ZTH 20 Male 584 533 YHQ 46 Male 261 310 ZYZ 40 Male 456 456 JZX 71 Female 249 211 XDZ 25 Male 673 614 LFG 73 Female 296 286 CJY 44 Male 507 454 CZH 61 Male 319 421 WNL 62 Male 482 517 SJB 56 Male 262 247 ZHX 41 Male 526 469 XMJ 57 Female 318 305 HCL 62 Male 430 399 SJF 46 Male 345 352 YWJ 67 Male 515 476 LZZ 58 Male 378 333 XJF 58 Female 424 375 LMS 57 Male 390 390 ZZM 51 Male 449 373 WXY 41 Male 352 369 ZBK 22 Male 519 496 BJL 41 Male 352 332 WSM 61 Male 402 401
[0218]
[0219] Traditionally, the diseases associated with high-level serum uric acid mainly include symptomatic high-uric acid diseases caused by uric acid crystal, such as gout, acute and chronic arthritis, uric acid-derived kidney stones, acute or chronic renal damage, and the like. In recent years, lots of epidemiological, clinical and experimental studies have indicated that the asymptomatic high-uric acid patients among the crowd have a higher proportion, and the asymptomatic high-uric acid is associated with the pathogenesis of cardiovascular and cerebrovascular diseases, central nervous disorders, diseases of immune and renal systems, erectile dysfunction of disordered sex activity, and sexual apathy and other multiple systemic diseases. The extent of harm on human health caused by these effects of soluble high uric acid is much larger than gout; therefore, high uric acid has been highly concerned in medical and science fields. Hyperuricemia has huge potential risk to human body, but uric acid is an important physiological activator and is of great significance to human health. Uric acid is a kind of powerful ROS antioxidant and peroxynitrite scavenger. Uric acid can scavenge free radicals and chelate metal ions (Frei B, et al., PNAS 1988; Glantzounis G K, et al. Curr Pharm Des 2005; Sautin Y Y, Johnson R J. Nucleosides Nucleotides Nucl Acids 2008). Half of plasma oxidation resistance of human body is from uric acid, and such kind of function is stronger than that of folic acid (Yeum K J, et al., 2004). The physiological level of uric acid may play a protective effect on the integrity of blood vessel endothelium, and is also an important medium to human type-II immunoreaction and plays a crucial role in response to the protective antibody of vaccines (Kool M, et al. J Exp Med 2008; Kool M, et al. Immunity 2011).
[0220] The composition may not affect the normal physiological level of uric acid while controlling hyperuricemia, and is of great significance in maintaining the physiological level of uric acid, and preventing or treating diseases associated with high uric acid.
[0221] <Improvement Effect on Renal Functions>
[0222] Test Method
[0223] Serum creatinine and glomerular filtration rate are the basic methods to determine liver functions. The present invention utilized the detection of serum creatinine level and estimated glomerular filtration rate to prove the improvement effect of the composition on renal functions. The volunteers received blood examination before administration and with 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. In the next morning, venous blood was drawn to conventionally determine the serum creatinine level by a creatinine enzyme method. The table below shows the basic information of the 23 volunteers and changes of the serum creatinine level before and after administration.
TABLE-US-00020 Creatinine (□mol/L) Name Age Gender Before administration After administration WQL 61 Female 47 53 DYF 55 Female 50 54 XMJ 57 Female 53 58 LFG 73 Female 60 55 YHQ 46 Male 62 59 JZX 71 Female 62 61 BJL 41 Male 62 65 CZH 61 Male 64 70 YWJ 67 Male 66 54 ZHY 57 Female 67 65 ZTH 20 Male 74 67 SJB 56 Male 74 59 WXY 41 Male 74 66 WNL 62 Male 76 75 SJF 46 Male 76 74 HCL 62 Male 79 67 ZBK 22 Male 81 66 ZYZ 40 Male 86 75 CJY 44 Male 87 79 WXF 36 Male 89 82 YZP 51 Male 92 77 ZGC 53 Male 96 89 WSM 61 Male 129 106
[0224]
[0225]
[0226]
[0227] Effect on the Estimated Glomerular Filtration Rate (eGFR)
[0228] Estimation Method
[0229] eGFR was calculated by the China's improved approach based on the measured value of the above serum creatinine. Volunteers with eGFR<90 mi/L served as an abnormal glomerular filtration rate group. The table below shows basic information of the volunteers and data change after administration.
TABLE-US-00021 Estimated glomerular filtration rate (eGFR) (ml/min) Normal group Abnormal group Before After After After Name Age Gender administration administration Name Age Gender administration administration DYF 55 Female 105.0 102.3 ZGC 53 Male 77.4 84.9 WQL 61 Female 102.7 98.7 ZHY 57 Female 87.6 90.9 WXF 36 Male 95.6 105.6 JZX 71 Female 87.4 88.0 WXY 41 Male 108.5 122.6 CJY 44 Male 87.9 97.8 ZTH 20 Male 126.2 132.4 LFG 73 Female 87.1 89.0 ZYZ 40 Male 96.9 109.8 SJF 46 Male 89.0 105.2 YHQ 46 Male 113.1 116.2 YZP 51 Male 82.7 105.0 WNL 62 Male 96.4 93.5 WSM 61 Male 51.2 64.9 CZH 61 Male 100.5 96.8 HCL 62 Male 91.5 97.5 YWJ 67 Male 95.1 102.0 SJB 56 Male 98.0 107.0 XMJ 57 Female 101.5 98.8 BJL 41 Male 117.1 114.9 ZBK 22 Male 118.2 130.5
[0230]
[0231] <Improvement Effect on Liver Functions>
[0232] Test Method
[0233] Hepatocellular damage index threshold values obtained by the studies on non-alcoholic fatty liver diseases were used in this present invention (Bedogni G et al. Hepatology 2005). Volunteers with alanine aminotransferase or aspartate aminotransferase >30 U/L served as objects to observe the changes before administration and with 30-day dosing. The volunteers were forbidden to take any food except drinking water after 21:00 the previous night of the examination. In the next morning, venous blood was drawn to determine the activity of alanine aminotransferase or aspartate aminotransferase by a velocity method. The table below shows the basic information of the 10 volunteers and activity changes of the alanine aminotransferase or aspartate aminotransferase before and after administration.
TABLE-US-00022 Alanine aminotransferase (U/L) Aspartate aminotransferase (U/L) Before After Before After Name Age Gender administration administration administration administration ZTH 20 Male 35 30 24 23 ZYZ 40 Male 65 27 30 17 XDZ 25 Male 59 53 35 32 YHQ 46 Male 30 16 53 17 JZX 71 Female 32 29 34 31 HCL 62 Male 46 59 31 34 XJF 58 Female 66 28 64 37 SJB 56 Male 32 31 24 24 CXF 47 Male 44 21 30 22 JJ 56 Female 42 19 30 22
[0234]