Immunomodulatory composition to treat and/or prevent COVID-19 illness
11260097 · 2022-03-01
Assignee
Inventors
Cpc classification
International classification
Abstract
A novel process for extraction of the bioactive phytochemicals from herbs to provide a composition that boost antiviral innate immune response and induce interferon secretion in a host affected by COVID-19 illness and in need for such immunomodulatory treatment.
Claims
1. A product obtained by a process of acid extraction, emulsification, and biofermentation of bioactive phytochemical compounds from Nigella sativa, comprising: grinding parts of a Nigella sativa plant; soaking the parts in an aqueous acid solvent for at least one hour to obtain a water-miscible oil, wherein the acid solvent comprises aqueous ethanoic acid with or without mother of vinegar, wherein alpha-hederin from the parts is dissolved in an aqueous phase of the solvent to form a composition; adjusting the acidity of the acid solvent to a range of 0.1-20%, volume by volume, and incubating the composition in anaerobic or aerobic conditions for at least one day, wherein incubating comprises a fermentation process to form alcohol.
2. The product of claim 1, wherein: the parts comprise finely-ground seeds; the acidity of the acid solvent is 5-20% in water; and after incubation, the composition is an emulsion having an opaque, milky appearance, the composition comprising the water-miscible oil, components soluble in an oil phase, components soluble in the aqueous phase, and saponin.
3. The product of claim 2, wherein the emulsion is formulated into a pharmaceutical product intended for use to treat COVID-19.
4. The product of claim 1, wherein: the parts comprise coarsely seeds; the acidity of the acid solvent is about 0.1-2.5%; and after incubation, the composition has a transparent, honey-colored appearance and comprises the water-miscible oil, components soluble in an oil phase, components soluble in the aqueous phase, and saponin.
5. The product of claim 4, wherein the composition is formulated into a pharmaceutical product intended for use to treat COVID-19.
6. The product of claim 1, wherein: the parts comprise seed oil; the acidity of the acid solvent is about 5-20%; and after incubation, the composition comprises crystal-like droplets in the acid solvent.
7. The product of claim 1, wherein: the parts comprise seeds, wherein the seeds are coarsely ground; the acidity of the acid solvent is about 5-20%; and after incubation, the composition comprises a white solid precipitate.
8. The product of claim 1, wherein: the parts comprise seeds; the acidity of the acid solvent is about 0.1-20%; and after incubation, the composition comprises mother of Nigella sativa.
9. The product of claim 1: wherein alcohol formed in during fermentation in the presence of ethanoic acid forms an ester of extracted fatty acids.
10. The product of claim 9, wherein the fatty acid esters are water-miscible.
11. The product of claim 9, further comprising ester linked thymoquinone.
12. A product obtained by a process of acid extraction, biofermentation, and emulsification of bioactive phytochemical compounds from Nigella sativa, comprising: grinding parts of a Nigella sativa plant; soaking the parts in an acid solvent, wherein the acid solvent comprises aqueous ethanoic acid to form an emulsion, wherein the acid solvent has an acidity of 0.1-20%, volume by volume; incubating the mixture in anaerobic or aerobic conditions to form water-miscible fatty acids extracted from the parts of the Nigella sativa plant.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE INVENTION
(28) Novel Acid Extraction/Bio-Fermentation Process of Nigella Sativa Seeds:
(29) In this invention, the process of extraction of the bioactive phytochemical composition from Nigella sativa seeds consists of three steps of acid extraction of NS seeds; bio-fermentation of the extract; and incubation of the extract as a continuous process that take place over a period of time ranging from few hours to 40 days and beyond up to 1 year.
(30) The solvent used for the extraction of NS seeds is Ethanoic acid (vinegar, carboxylic acid) in a range of concentration from 0.1% to 20%, preferably 1% to 5%, with or without the mother of vinegar, preferably with the mother of vinegar and incubation of the extract under aerobic or anaerobic conditions.
(31) What are the chemicals that are being extracted by the novel process of this invention?
(32) The chemical composition of Nigella sativa seeds has been extensively studied in published research. The seeds contain 20-85% of protein, 38.20% of fat, 7-94% of fiber, and 31.94% of total carbohydrates (Yimer et al., 2019).
(33) According to Forouzanfar et al., (2014) To identify the composition of the Nigella sativa (NS) seeds sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) was used. The fractionation of whole NS seeds was done which shows the bands ranged from 94 to 100 kDa molecular mass and the results are as follows:
(34) The fixed oil (32-40%) contains: unsaturated fatty acids which includes: arachidonic, eicosadienoic, linoleic, linolenic, oleic, almitoleic, palmitic, stearic and myristic acid as well as beta-sitosterol, cycloeucalenol, cycloartenol, sterol esters and sterol glucosides.
(35) The volatile oil (0.4-0.45%) contains saturated fatty acids which includes: nigellone that is the only component of the carbonyl fraction of the oil, Thymoquinone (TQ), thymohydroquinone (THQ), dithymoquinone, thymol, carvacrol, α and β-pinene, d-limonene, d-citronellol, p-cymene volatile oil of the seed also contains: p-cymene, carvacrol, t-anethole, 4—terpineol and longifolene.
(36) Total oil refers to a product that contains both fixed and volatile NS oil.
(37) NS seed have two different forms of alkaloids: isoquinoline alkaloid that includes: nigellicimine, nigellicimine n-oxide and pyrazol alkaloid that includes: nigellidine and nigellicine. As an alkaloid, Nigellidine is soluble in acid media. Hence, it can be extracted with the current method using ethanoic acid. Nigellidine have not been extracted according to google search. Alkaloids form salts with acids, and those salts are water soluble. A solution of acetic acid in ethyl acetate may, possibly, be also effective for the acid extraction of the considered alkaloid (Wiki).
(38) NS seeds also have saponin and alpha-hederin which is it is a triterpenoid saponin present in the defatted seeds of NS and is water soluble (El-Tahir and Bakeet, 2006; Wiki). Alpha-hederin have bronchiolytic pharmacologic action is related to symptoms of mucus, wheezing, shortness of breath and chest discomfort as symptoms of bronchitis or bronchial hypersensitivity and asthma. The anti-inflammatory effect of alpha-hederin is possibly through mediators synthesized by T-lymphocytes, endothelial cells through the IFN induced innate and adaptive immunity against viral and some bacterial infections (Muhammad, 2017).
(39) Total synthesis of Nigellidine is described by Khan and Afzal, 2016, and synthesis of alpha-hederin is described by Plé et al., 2004.
(40) Most of the pharmacological activity of the entire seed or their extract are mainly ascribed to its volatile oil, of which thymoquinone (2-isopropyl-5-methyl-1,4benzoquinone) is the most profuse component (Iqbal et al., 2018). Thymoquinone can be quantified using RP-HPLC and authentic standards of thymoquinone purchased from Sigma-Aldrich. One serious drawback with thymoquinone is its toxicity at high doses and poor water solubility which limit its usage as a therapeutic agent (Khan and Afzal, 2016).
(41) The nutritional compositions of NS are vitamins, carbohydrates, mineral elements, fats and proteins that include eight or nine essential amino acids. Most of the pharmacological effects are due to quinine constituent, of which TQ is the mainly abundant. TQ possess antioxidant, anti-inflammatory, antibacterial and antifungal activity (Forouzanfar et al., 2014).
(42) The seed have an intensely bitter taste due to the presence of a seed protein nigellin and bitter principle (Kalidasu et al., 2017), the oil and/or the solvent (Bornare et al., 2015).
(43) Microscopical location of the bioactive phytochemicals of NS: The grey colored albumen consisting of thin-walled cells, with several oil droplets (Margout et al., 2013). The saponin α-hederin accumulate both in the seed coats and the inner seed tissues at different ratios (Botnick et al., 2012).
(44) The most important compounds due to which medicinal value of these seeds increased are saponins, flavonoids, volatile oil. Phytochemical analysis of NS extracts is detailed by Amir et al., 2018).
(45) According to Gholamnezhad et al., 2015 Nigella sativa Chemical compounds PubChem CID is the following Thymoquinone (PubChem CID: 10281), Dithymoquinone or Nigellone (PubChem CID: 398941), Thymol (PubChem CID: 6989), Carvacrol (PubChem CID: 10364), p-Cymene (PubChem CID: 7463), 4-Terpineol (PubChem CID: 11230), Trans-anethol (PubChem CLD: 637563), Alpha-pinene (PubChem CID: 6654), Alpha-hederin (PubChem CID. 71464054), Kaempferol glucoside (PubChem CID: 12358425).
(46) Material and Methods
(47) Materials Used 1—In the acid extraction process of this invention carboxylic acids are used because they are organic acids, week and soluble in water. Carboxylic acids contain a functional group called the carboxylic group (—COOH), with a general formula C.sub.nH.sub.2n+1COOH including 20 straight-chained saturated carboxylic acids and others (chemistry yolp website). By way of example, and for practical purposes acetic acids was selected because it is available commercially and it serves the purpose of safety for human consumption. The trivial name acetic acid is the most commonly used and preferred IUPAC name. The systematic name ethanoic acid, a valid IUPAC name, is constructed according to the substitutive nomenclature. The name acetic acid derives from acetum, the Latin word for vinegar, and is related to the word acid itself. Vinegar is an aqueous solution of acetic (ethanoic) acid and trace chemicals and flavors. Vinegar typically contains 5-8% acetic acid by volume. Usually the acetic acid is produced by the fermentation of ethanol or sugar by acetic acid bacteria. There are many types of vinegar, depending on source materials including fruit, palm, balsamic, cane, grains, spirit, white wine vinegar and the white distilled vinegar.
(48) Equipment Used 1—
(49) Experimental Design of Extracting Nigella sativa Seeds using Ethanoic Acid
(50) The experimental variables included in the design are: 1. Seed type: using 6 locally available NS seeds and online available seeds packed in the USA. 2. Seed grind size: including whole seed, coarse grind, fine grind, crushed seeds and powder. 3. Solvent type: using 3 locally available ethanoic acid (vinegar) either unfiltered unpasteurized with the mother of vinegar (16) or pasteurized without the mother of vinegar (17). 4. Solvent dilution: in a range from 0.1% to 20%, preferably 5%, 1.66 or 1.25% diluted in mineral spring water (21) or distilled water. 5. Seed to solvent ratio: measured as weight/volume, using a range of different ratios. 6. The availability of oxygen: with either experiments being performed in an anaerobic condition with vulcanized rubber gaskets (23) for an airtight seal or under aerobic condition. 7. Bio-fermentation of the composition: by the effect of the presence of the mother of vinegar (MV), i.e., acetic acid bacteria observed from day 1 until day 40 and beyond up to 1 year. 8. The effect of incubation time on the composition: starting from few hours, to few weeks, to 40 days up to 1 year.
(51) Why Selecting Ethanoic Acid?
(52) There are several unique features of ethanoic acid as a solvent over prior art solvents. Theoretically speaking, ethanoic acid can produce different effects, not simple extraction, for example, but not limited to: a. Ethanoic acid is a powerful polar solvent, although it is considered as a weak acid, but actually ethanoic acid is still a powerful polar organic solvent, that dissociates about 10{circumflex over ( )}11 times more than ethanol, and is stronger than methanol. b. Commercially available ethanoic acid in vinegar is diluted in water (5% acidity), therefore it has the advantage of an aqueous extraction in acid medium. Aqueous solution id ideal to dissolve the saponin alpha-hederin from NS seeds c. Commercially available ethanoic acid (vinegar) (16) contains Acetobacter aceti (mother of vinegar) (MV) that will produce a bio-fermentation process during the incubation of the composition. d. Ethanoic acid can expand and loosen the plant cell wall cellulose for a better extraction of intracellular phytochemicals. e. Ethanoic acid is a safe solvent for human consumption; there is no need to use excessive heat to remove it, that could have a deleterious impact on the composition. f. Ethanoic acid does not leave undesirable smell or taste in the composition. g. Ethanoic acid does not extract the undesirable black pigment. h. Vinegar act as a preservative for the composition that keep it stable for long time.
(53) Step-by-Step Acid Extraction; Bio-Fermentation; and Incubation of Nigella sativa Seed of this Invention
(54) The steps for the preparation of NS extract in acid solvent and bio-fermentation of the extract include: select the type of NS seeds and vinegar as the starting material; grinding the seed; place the NS seeds in a container; soak NS seeds in ethanoic acid solvent for few hours; fill up the container with either ethanoic acid or water (21) to reach the desired acidity % of the composition; close the container under either anaerobic or aerobic conditions; incubate the composition at room temperature under either daylight or dark room; produce a composition ready for use as a therapeutic agent either within few hours or after incubation over days, weeks up to 40 days and beyond up to 1 year to allow time for the bio-fermentation process.
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(57) Grinding Nigella dried seeds: A small electric coffee grinder was used to chop up the NS seeds (18). Small batches of the seed were grinded, approximately 50 grams each time.
(58) Fine grind: For the fine grind, the Nigella seeds were chopped up for 20 seconds (19).
(59) Coarse grind: For the coarse grind, the Nigella seeds were chopped up for 10-15 seconds (20).
(60) Powdered NS seed: For the powder, the Nigella seeds were chopped up for 30 seconds.
(61) The time between grinding and the use of the seed is variable. Crushed or flaked NS seed can also be used.
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(63) After the NS seeds absorb most of the solvent, “fill up” the container to the top by adding ethanoic acid 5%. The final concentration of the solvent is 5% acidity. Close the container airtight with its lid that contains the rubber vulcanized gasket (23) to generate an anaerobic environment.
(64) Incubate the mixture at room temperature either in daylight or in dark room.
(65) The composition is incubated over a period of either 8-24 hours, or few days up to 40 days and beyond up to 1 year.
(66) Observations were made at frequent intervals for changes in the physical characteristics.
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(71) Note: The variation in the size of the containers have no significance.
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(77) The mixture is incubated at room temperature either in daylight or in dark room. The composition is incubated over a period of either 8-24 hours, or few days up to 40 days and beyond up to 1 year to determine the physical changes that results from ethanoic acid extraction and bio-fermentation of the composition.
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(80) In one embodiment, NS seed is extracted with water; and mother of vinegar (MV) is added to NS aqueous solution and the composition incubated at room temperature for days, weeks up to 40 day and beyond to get a fermented NS seed product.
(81) In one embodiment, the solvent used in the process or comprised in the product advantageously comprises other elements such as alkali or alkaline metals including sodium, potassium, magnesium or combination of any of the above that facilitate the chemical and physical changes in the composition.
(82) In one embodiment, the solvent used in the process and/or comprised in the product advantageously comprises other elements such as sulfur, nitrogen, carbon, and oxygen. There elements can be present as sulfides, sulfates, nitrates, and/or carbonates or combination of any of the above that facilitate the chemical and physical changes in the composition.
(83) Table 2 provides further details of the NS extraction experimental variables and outcomes. Table 2 include 26 samples distributed among 7 experiments. The 26 experiments are testing the interaction between the experimental variables included in the design of the extraction process. The examples are not a limiting factor of the extraction process.
(84) The experimental variables included in the design, as demonstrated in table 2, include the Trade names of the seed and solvent used, the seed grind size, the solvent acidity %, the quantity of each, seed/solvent ratio and how many cubic centimeters (CC) are equivalent to 1-gm of the seed, the date of the preparation, the extract characteristics, with unique observations on the experimental outcomes. Table 2 also provide reference to which sample is included under which experiment number.
(85) TABLE-US-00001 TABLE 2 Seed & Unique solvent Grind Acid 1 gm seed in Extract observations Example No Tradenames size dilution cc composition Date characters and PURE compounds number 1 Sadaf and Coarse 1.25% 240 gm/4 L 03/19 Clear, Floaters Example Simple (1 gm in16.6 cc) transparent, #1 Truth honey-yellow 2 Sadaf and Coarse 1.25% 240 gm/4 L 03/19 Same as #1 Gas bubbles large Example Bragg (1 gm in16.6 cc) amount with bubbling #1 sound: photos in 04/21till 05/28 3 Sadaf and Coarse 1.25% 340 gm/4 L 03/19 Same as #1 Example Bragg (1 gm in 11.8 cc) #1 4 Sadaf and Coarse 1.25% 340/4 L 03/19 Same as #1 Example Simple (1 gm in 11.8 cc) #1 Truth 5 Azure and coarse 1.25% 600 gm/4 L 03/19 Same as #1 Gas bubbles Example Nature (1 gm in 6.6 cc) #1 Intent 6 AL attar and coarse 1.66% 228 gm/3 L 03/29 Same as #1 Example Nature (1 gm in 13 cc) #1 Intent 7 AL attar and coarse 1.66% 228 gm/3 L 03/29 Same as #1 Example Nature (1 gm in 13 cc) #1 Intent 8 Crescent and Coarse 5% 400 gm/3 L 04/22 Emulsion, Unique pure white Example Bragg (1 gm in 7.5 cc) semi-opaque crystalized salt #2 milky Floaters Transform 9 Crescent and coarse 5% 400/3 L 05/21 Emulsion, DUPLICATE # 8 Example Bragg 1 gm in 7.5 cc semi-opaque #2 milky 10 Terrasoul coarse 5% 400 gm/2 L 03/29 Transparent Aerobic, Example (1 gm in 5 cc) honey color New NS mother #3 11 Azure and Fine 5% 200 gm/1 L 04/03 Emulsion, Transform Ex Bragg (1 gm in 5 cc) semi-opaque, #4 milky 12 Azure and Fine 5% 200 gm/1 L 04/03 Emulsion, Transform from Ex Bragg 1 gm in 5 cc semi-opaque, opaque to #4 milky semi-opaque 13 Crescent and Fine 5% 200 gm/1 L 04/03 Emulsion, No transformation, Example Bragg 1 gm in 5 cc opaque sticky, biter when #4 milky conc. 14 Azure Fine 5% 300gm/1.5L Emulsion, Transform Example (1 gm in 5 cc) semi-opaque, #4 milky 15 Azure and Fine 5% 200 gm/1 L April 1 Emulsion, No Transformation Example Simple 1 gm in 5 cc opaque #4 Truth milky 16 Sadaf and Fine 5% 225 gm/1.7 L 04/19 Emulsion, Transform, Example Bragg (1 gm in 7.5 cc) semi-opaque, New NS mother #5 milky 17 Crescent and Fine 5% 225 gm/1.7 L Emulsion, No Transformation Example Brag (1 gm in 7.5 cc) opaque #5 milky 18 Adonis and Fine 5% 225/1.7 L Emulsion, Transform, Example Bragg (1 gm in 7.5 cc) semi-opaque, New NS mother #5 milky 19 Azure Fine 2.5%.sup. 200 gm/1 L Transparent Example (1 gm in 5 cc) blackish #6 22 Crescent Whole 5% 200/1 L 05/15 Transparent Gas bubbles Example seed (1 gm in 5 cc) deep black 1st day #7 colored only 21 Commercial oil 5% Pure novel Example Oil and oil drops in #8 Bragg solvent 22 crescent Whole water 200/1 L 04/22 Deep- Gone bad; add seed (1 gm in 5 cc) colored preservative blackish 23 Azure Fine water 200/1 L 04/22 Deep- Gone bad; add (1 gm in 5 cc) colored preservative blackish 24 Sadaf Coarse water 225/1 L 04/22 Deep- Gone bad; add (1 gm in 4.4 cc) colored preservative blackish 25 Sadaf Coarse 10% 200/1 L 04/22 Milky Irritant Aroma 26 Azure Fine 15% 200/ml 04/22 Milky Irritant Aroma Note: the NS weight and ethanoic acid volume and % acidity can vary slightly.
(86) The NS Pulp
(87) In one embodiment, the residual NS seed pulp is further used pressed to extract the liquid content using methods known in the art; the extracted liquid can be added to the composition or used separately.
(88) In other embodiment, the residual pulp is re-extracted and re-fermented.
(89) In other embodiment, the residual pulp is used in animal feed or plant soil.
(90) Experimental Results:
(91) Changes in the Physical Properties
(92) Experimental Results of Acid Extraction/bio-fermentation process of Nigella sativa Seed
(93) The results of extracting the bioactive phytochemical composition from NS seeds using ethanoic acid in different concentrations with or without the mother of vinegar (MV) have been described under
(94) Mechanisms of the Formation and Stabilization of NS Emulsion Composition
(95) As obvious with other herbal medicines, the extraction methods influence the chemical composition, and consequently, the pharmaceutical activity of a specific NS preparation (Khan and Afzel, 2016).
(96) The NS seed emulsion in ethanoic acid 5% is depicted in
(97) NS emulsion composition consists of two liquids ethanoic acid solvent and NS oil in a mixture that is stable for weeks and months.
(98) I would hypothesize that the extracted composition is both an emulsion and a suspension.
(99) The suspension may refer to fine solid particles floating in the liquid remains dispersed in this thick emulsifies oil-in-liquid extract which make it less clear than pure ethanoic acid solvent.
(100) The emulsion may refer to oil that is suspended in solution.
(101) The solution further comprises oils that are dissolvable in acidic medium of ethanolic acid. The degree of emulsification also affects the color/clarity of the solution. The opacity of the solution increases more insoluble oils are emulsified making the solution have a color that is more milky than marketed ethanolic acid (vinegar) and samples that have suspended solids and dissolved solids. Soluble oils are oils that are extracted from NS and dissolve in the ethanolic acid or the aqueous solution.
(102) The stability of the emulsion can be explained on the following physical/chemical mechanisms: 1—The composition has a high viscosity that is attributed to the presence of the water miscible oil; 2—The Extraction/bio-fermentation of an esterified oil that is water soluble. Esterification is the result of combination of a fatty acid with an alcohol, even ethanoic acid (as a carboxylic acid) can be esterified! It is known that Linn seed oil can be esterified to become water soluble and then used in water paints. 3—Alpha-hederin is a saponin and when it is extracted in the NS composition of this invention can act as stabilizer for NS emulsion extracted by ethanoic acid.
(103) Conversion/Transformation of NS Composition
(104) Some samples appear to have two liquid phases in that have different colors or different opacity. The two-phase liquid system may result from the presence of water in the vinegar which may cause a separation of an aqueous phase in another phase that maybe the vinegar insoluble droplets or oils that are initially dispersed or emulsified in the solution start to agglomerate and form a second and distinguishable liquid phase below the solution. It can be speculated that an oil rich phase comprising vinegar insoluble forms as a separate and independent second liquid phase below the solution that make a thorough or dramatic change in the form, appearance, or character of the product of a transformation.
(105) Gas is liberated from fermentation, both aerobic and anaerobic. which gas? depends on the type of fermentation happening. Gas is liberated from fermentation of sugars and carbohydrates present in NS seeds, both aerobic and anaerobic, it could be CO2 or CO or methane or hydrogen . . . based on the type of fermentation happening, it might be making alcohols too like ethanol or butanol.
(106) It must be noted and appreciated that the instant Invention has been discussed and described in terms of theoretical and experimental aspects to emphasize practical and enabling details. However, our process(s) and product(s) comprise a complex and dynamic bio-organic environment that further includes and comprises: diffusion of liquids (water and acid) into the particles to extract solubles, diffusion of insoluble liquids into the acid/water solvent, agglomeration of insoluble liquid drops to from emulsion into the acid/water phase, dissolution of solubles into acid water, agglomeration of acid/water insoluble to form a second liquid phase that is partially or completely Immiscible with the acid/water phase, aerobic fermentation that may or may not occur concurrently with extraction of oxygen from the solution of vinegar and water to provide oxygen for the aerobic fermentation of carbohydrates, and/or anaerobic fermentation.
(107) In conclusion, broader chemical and biochemical interactions are occurring which allows one of ordinary skill in the art to describe and/or characterize the instant process(s) and product(s) in terms of reaction kinetics, thermodynamic equilibriums, and/or mass transfer rates or limitations. In one aspect, the instant invention comprises reaction kinetic, thermodynamic, and mass transfer characterization of the disclosed process(s) and product(s). Furthermore, chemical identity/structure identification and/or characterizations are also included within the scope of the instant invention.
(108) Analytic Methods used to Identify and Quantify NS Components
(109) Analytic Methods used to Identify and Quantify NS Components of the Composition of the Current Invention are known in the prior art and published studies:
(110) According to Koshak et al., 2018, the thymoquinone concentration of different extracts of NS was analyzed by high-performance liquid chromatography (HPLC). The immunomodulatory activity was assessed by release of mediators in primary human T-lymphocytes, monocytes and A549 human lung epithelial cells.
(111) According to Goyal et al., 2017, the therapeutic potential and pharmaceutical development of thymoquinone molecule.
(112) According to Ajaib M., 2018, a phytochemical screening chemical and biological screening of NS compounds responsible for alkaloids by Mayer's, Wagner's and Hager's tests; terpenoids using Salkowski's method; carbohydrate using Molish's method; steroids using the protocol proposed by Edeoga et al.; antibacterial activities in cultures; and anti-radicle scavenging activities using DPPH and ABTS methods; including quantitative screening of total flavonoids and total phenolic compounds and others.
(113) Other methods known in the art can be used for the detection of different components and the quantitative analysis of NS composition of the current invention.
(114) Advantages of Ethanoic Acid Extraction/Bio-Fermentation of Nigella sativa Seed Over Current Solvents
(115) In conclusion, this novel process of extracting the bioactive phytochemical constituents from NS seeds using acid extraction/bio-fermentation have demonstrated multiple advantages over existing processes. Theoretically speaking, ethanoic acid with the “mother of vinegar” can produce different effects, not simple extraction, for example, but not limited to: 1. Extraction of unique water-mixable NS oil in the composition. 2. Extraction of unique crystalline salt that fits in the description of alkaloids form NS described by Doughari, 2012. NS alkaloids include Nigellidine. 3. Possible extraction of the water-soluble alpha-hederin in a stable aqueous solution. 4. Extraction of volatile oil thymoquinone in a simple one step, no harsh solvents 5. Pure compounds extracted from NS composition by this novel method that have never been part of the prior art for use in a well-defined pharmaceutical preparation with known content and clear method of quantitation and defined safety and efficacy profile. 6. Ethanoic acid have the to soften plant cellulose (Muthu, 2018) and loosen cell wall for superior extraction. 7. Extracted of unique flocculated protein in acid medium (chemical coagulation). Proteins are considered an important bioactive phytochemical that have not been explored yet! 8. Ethanoic acid is a safe solvent for human consumption; there is no need to use excessive heat to remove it, that could have a deleterious impact on the composition. 9. Ethanoic acid does not leave undesirable smell or taste in the composition. 10. Ethanoic acid does not extract the undesirable black pigment and improve the product's appeal. 11. Vinegar act as a preservative for the composition that keep it stable for long time.
(116) When the Product is Ready for Use as a Complimentary/Pharmaceutical Preparation? Clear composition can be used within the first day, first week, within 40 days or any time from day 1-day 40 and beyond up to first few years. Emulsion composition can be used within the first day, first week, within 40 days or any time from day 1-day 40 and beyond up to first few years. New mother of Nigella sativa can be used whenever it is formed. Pure compounds can be used when they are available within the composition, i.e., the oil droplets appear within the first day and continue to enlarge in size, wherein the white crystalized compound can be seen within weeks, but it is available in smaller amounts before that time.
(117) Instructions for Use of Nigella sativa Immunomodulatory/Antiviral Composition to Treat or Prevent COVID-19 Illness:
(118) This invention provides a composition obtained by the process of aqueous ethanoic acid extraction/bio-fermentation and incubation have a high safety profile and is easily accessible to people in need for a medicinal product that boost their own body endogenous mechanisms, empowering the innate immune system from within, to fight COVID-19 illness.
(119) In one embodiment, the composition prepared in accordance with the current method is used to prepare a complimentary medicine, a pharmaceutical drug or a nutritional supplement.
(120) In one embodiment, the composition prepared in accordance with the current method can be formulated in oral dosage forms as a liquid, solution, suspension, emulsion.
(121) In other embodiment, the composition prepared in accordance with the current method can be formulated to a solid dosage forms including, but not limited to, tablets or capsules.
(122) In yet another embodiment, the composition prepared in accordance with the current method is formulated to chewable tablets.
(123) Definitions of the terms used in the instruction for use of this invention Preventive/prophylactic medicine or drug with an intent-to-prevent:
(124) Preventive treatment refers to help avoid disease and maintain health. Using a drug or a composition for disease prevention is a procedure through which individuals, particularly those with risk factors for a disease, are treated in order to prevent a disease from occurring. Treatment normally begins either before signs and symptoms of the disease occur, or shortly thereafter. The preventive effect is mediated via activation of initial IFN-1 secretion and signaling, as “initial alarm” of the innate immune system (Hesary and Akbari, 2020).
(125) Active Pharmaceutical Ingredient (API): Any substance or mixture of substances that becomes pharmacologically active in the drug product formulation to be used in the manufacturing and production of a drug with an intent-to-treat an illness or prevent an illness by enhancing the innate immune response in a human at risk of contracting an infectious disease.
(126) Complimentary drug: Nigella sativa medicine can be used along with standard medical treatment but are not considered to be standard treatment. A complimentary medicine such as Nigella sativa (black seed) complimentary medicine, do not require “Investigation of New Drug (IND)” filing, and are only promoted on the basis of structure and function but not on the basis of formal medical therapeutic claim to treat specific disease entity (Dajani et al., 2016). The Nigella sativa composition extracted by acid extraction/bio-fermentation is intended-for-use as immune booster/enhancer/regulator/inducer/supportive of innate immune responses.
(127) Pharmaceutical excipients: means an ingredient other than the active ingredient. Its standard purpose is to streamline the manufacture of the drug product. Excipients might aid in adjusting the concentration; adjusting the PH (acidity); improve drying; lubricity; flowability; disintegration; taste and may confer some form of antimicrobial function and other manufacturing characteristics known in the prior art.
(128) Enhancement of bioavailability and pharmacodynamic effect of thymoquinone via nanostructured lipid carrier formulation was studied by Elmowafy et al., 2016.
(129) COVID-19 illness: As defined by CDC, is an illness caused by the novel coronavirus with symptoms ranging from asymptomatic patient, mild symptoms to severe illness. Detailed description of clinical presentation of COVID-19 disease is described by McIntosh K., 2020.
(130) TLR-guided intervention strategy: Choudhury and Mukherjee, 2020, studied the involvement of TLRs. especially TLR4 in recognizing molecular pattern of SARS-CoV-2; NS seed extract stimulate the expression of PRRs mainly TLR-4 in rat macrophages (Akrom and Mustofa, 2017); TLR can be triggered by ACE-2 receptor that sense SARS-CoV S protein (Bernstein et al., 2018).
(131) What is interesting is that, several polysaccharides and monoterpenes from the food chain stimulate TLRs, and possibly can be used to treat related diseases (Hug et al., 2018); hence, NS extracts can trigger antiviral immune response to fight COVID-19 illness.
(132) The Composition of this invention: means the complex multi-component Nigella sativa extract obtained by the process of acid extraction/bio-fermentation and incubation of this invention that contains ALL the bioactive phytochemicals, as described in the patent application and known in the prior art, or any novel component thereof, for use to manufacture complementary medicines, pharmaceutical drugs or food supplement.
(133) Complimentary medicine of this invention is proposed to induce/booster/enhancer/regulator/support/train/educate the innate immune responses in humans in need for such treatment.
(134) Active pharmaceutical ingredient (API) of this invention is intended-for-use to treat and/or prevent COVID-19 illness acting as an immunomodulator.
(135) Active pharmaceutical ingredient (API) of this invention is intended-for-use to treat and/or prevent COVID-19 illness acting as antiviral.
(136) Active pharmaceutical ingredient (API) of this invention is intended-for-use to treat and/or prevent COVID-19 illness acting as antibacterial (Mahboubi, 2018; Forouzanfaret al., 2014); antitussive and bronchodilator (Ikhsan et al., 2018); Wienkötter N, et al, 2008), antihistaminic antioxidant (Kanter et al., 2006).
(137) Active pharmaceutical ingredient (API) of this invention is intended-for-use to treat and/or prevent COVID-19 illness acting as anti-inflammatory through the action of thymoquinone acting on cytosolic PH and Na+/H+ exchange (NHE) activity in mouse (Yang et al., 2012; Rahmani and Aly, 2015).
(138) Processing of Nigella sativa Composition of the Current Invention
(139) The Nigella sativa composition obtained by the process of this invention is further processed before its use for the manufacturing of a complimentary or a pharmaceutical drug:
(140) In one embodiment, the liquid composition is centrifuged to remove any particles suspended in the liquid composition.
(141) In one embodiment, the liquid composition is filtered to remove solid particles suspended in the liquid.
(142) In one embodiment, the composition is concentrated by removing water by evaporation under reduced pressure, causing the water to evaporate at a lower temperature than normal or by using other methods known in the art.
(143) In one embodiment, the composition is lyophilized (freeze-dried) to a powder that can be used to prepare the complimentary or pharmaceutical medicine.
(144) In one embodiment, the water miscible oil can be separated by freezing and thawing or other methods known in the art.
(145) In one embodiment, the white solid precipitate component is extracted from the liquid phase by methods known in the art.
(146) In one embodiment, the white crystal-like droplets are collected and used to prepare the complimentary or pharmaceutical medicine.
(147) In one embodiment, the mother of Nigella sativa is dried and grinded to a powder or chopped into small pieces or made into a paste for use in the preparation of dosage forms as a single ingredient or in combination with other composition ingredients for example, but not limited to, the oil extracted from the composition.
(148) In one embodiment, the floaters, sticky viscous, bitter or mucilage components are extracted from the liquid phase by methods known in the art can be used to prepare the complimentary or pharmaceutical medicine.
(149) Preparation of Dosage Forms Nigella sativa Composition of this Invention
(150) The type and quantity of pharmaceutical additives and procedures used to prepare a complimentary medicine, a pharmaceutical drug or a nutritional supplement will follow the established prior art.
(151) In one embodiment, the product is formulated to a liquid medicine for oral use including, but not limited to, a solution, emulsion or suspension by materials and procedures known in the art.
(152) In one embodiment, the product is formulated to a liquid medicine for oral use including, but not limited to, a solution, emulsion or suspension can be administered via a gastric tube.
(153) In one embodiment, the product is formulated to a solid dosage forms including, but not limited to, tablets or capsules by materials and procedures known in the art.
(154) In one embodiment, the product is formulated to chewable tablets by materials and procedures known in the art.
(155) In one embodiment, the product is formulated to a lyophilized powder that is mixed with water before use by materials and procedures known in the art for pediatric or adult dosage forms.
(156) The Composition of NS of this invention with ANY and ALL the components of NS seeds extracted by ethanolic acid/bio-fermentation and incubation process are prepared in a suitable form for use to treat patients with COVID-19 illness and/or prevent COVID-19 illness. In most embodiments, the NS therapeutic/pharmaceutical preparation is formulated in liquid form for oral dosage known in the art by mixing the liquid composition with pharmaceutically accepted excipients (either inert or active), lipid stabilizer, antacid to adjust the composition PH (acidity), fillers, or any other excipient known in the art making the preparation suitable for therapeutic/pharmacologic use in human.
(157) The excipient may enhance patient experience by offering taste-masking properties. An excipient must best suit the intended dosage form of the preparation.
(158) In one embodiment, the liquid composition is concentrated by evaporation, lyophilization or any method known in the art to get an acceptable dosage volume in cubic centimeters.
(159) In yet another embodiment, the NS therapeutic/pharmaceutical preparation is formulated in to a soft gel capsules for oral dosage by mixing the liquid composition with pharmaceutically accepted excipients (either inert or active), lipid stabilizer, anti-acid to adjust the composition PH (acidity), fillers, or any other excipient known in the art making the preparation suitable for therapeutic/pharmacologic use in human.
(160) In yet another embodiment, the NS therapeutic/pharmaceutical preparation is formulated in to a tablet form for oral dosage by mixing the liquid composition with pharmaceutically accepted excipients (either inert or active), lipid stabilizer, anti-acid to adjust the composition PH (acidity), fillers, or any other excipient known in the art making the preparation suitable for therapeutic/pharmacologic use in human.
(161) In one embodiment, a complimentary/pharmaceutical preparation derived from the composition is also prepared for use as an injection.
(162) In other embodiment, a complimentary/pharmaceutical preparation derived from the composition is also prepared for use as an inhaler to treat human in need for COVID-19 illness.
(163) In other embodiment, a complimentary/pharmaceutical preparation derived from the composition is also prepared for use as local therapy for the eye, skin or to treat human in need for COVID-19 illness.
(164) In yet another embodiment, a complimentary/pharmaceutical preparation derived from the “new NS mother” is also prepared for use as oral dosage form by drying the new NS mother; convert it to a powder; and make capsules or tablets or suspension to be used to treat COVID-19 illness.
(165) In yet another embodiment, a complimentary/pharmaceutical preparation derived from the black pulp of NS extraction process is also prepared for use as oral administration as a food for animals suspected of being hosts or carriers of SARS-CoV-2 virus or in any animal in need for an improved health or other purposes.
(166) Nigella sativa Dosage and Administration
(167) The dosage for oral administration of the composition is calculated based on the weight of NS seeds that have been extracted within a defined volume of the composition.
(168) As calculated in table 2, the equation used for calculating the volume of the composition that is equivalent to 1 gram of NS seeds is:
(169) Total volume of the jar X/Weight of NS seeds extracted in jar X=Volume of extract X for use as a single oral dose.
(170) In one embodiment, a single oral dose of Nigella sativa used to treat COVID-19 illness is equivalent to 1 gram of the dry seed extracted by the process of this invention.
(171) In one embodiment, the single oral dose of Nigella sativa used to treat COVID-19 illness which is equivalent to 1 gram of the dry seed is administered 3-times/day (8-hour dosing).
(172) In one embodiment, the single oral dose of Nigella sativa used to treat COVID-19 illness which is equivalent to 1 gram of the dry seed three timed/day is administered for a duration of 7-14 days.
(173) Expected Onset of Therapeutic Action
(174) The importance of the onset of INF responses relative to virus replication is vital is key factor in determines coronavirus outcomes:
(175) The current inventor in previous patent, treating virus-induced asthma exacerbations and allergic rhinitis with Nigella sativa or AM3, have found that the onset of clinical improvement in cough, sputum and shortness of breath of Nigella sativa or AM3 started in day 3 ((UK patent publication #GB2348139, granted in 2004, PCT, and U.S. Pat. No. 7,592,327, B2).
(176) According to Salem and Hossain. 2000; Forouzanfar et al., 2014, treatment of murine cytomegalovirus (CMV) infection with intraperitoneal NS oil for 7 days strikingly inhibited the virus titers in spleen and liver on day 3 of infection. This coincided with an increase in serum level of IFN-gamma. On day 10 of infection, the virus titer was undetectable in spleen and liver. increased numbers of CD4+ helper T cells.
(177) The importance of the onset of INF responses relative to virus replication is vital is key factor in determines coronavirus outcomes; INF-1 administration within 1 day after infection (before virus titer peak) protected mice from lethal SARS-CoV infection. If present early and properly localized, IFN-1 can effectively limit CoV infection (Channappanavar et al., 2019). Differences in the dynamics of interferon-related innate immune responses in children, adults and elderly may explain the reported difference in fatality rates; earlier induction of interferons in children could be the reason behind zero fatality (Nezhad et al., 2020). An early burst of type I IFN leads to protection. In contrast, a delay in IFN production causes an inability to control viral replication, leading to cellular damage and cytokine storm. The delay in response often predominates in older adults making them more susceptible to emerging infections Nikolich-Zugich et al., 2020. Interferons orchestrate local and systemic antiviral state (Denney and Ho, 2018).
(178) Assessment of Beneficial Outcomes
(179) Clinical Primary Endpoints:
(180) There are general endpoints that are used in ongoing clinical trials, e.g., Honey & Nigella sativa Trial Against COVID-19 (HNS-COVID-PK); Clinicatrials.gov Identifier: NCT04347382. Investigators will follow up with participants every 4th day to access clinically the severity of symptoms along with RT-PCR and HRCT chest or X-ray to access the disease progression. Those positive on 8th day will be followed up further for monitoring of primary end points. Findings of this trial are expected to help establishing a new remedy for the treatment of this pandemic giving mortality benefit along with earlier decrease in viral load and lesser complications rate caused by SARS-Cov-2 virus. Other clinical and laboratory endpoints known in the art can be used.
(181) Specific laboratory endpoints in vivo and in vitro: A—Interferon serum level measurement performed using patient's blood samples B—Complete blood count to demonstrate reversal of the lymphopenia C—Flow cytometry can be conducted to detect the number of specific cell type of the innate immune cells in patient's blood samples D—Viral RNA level using polymerase chain reaction (PCR). E—Activation status of natural killer cells as an early responder to virus infection and their level is significantly reduced in the lung of COVID-19 patients (Duijf P., 2020). F—The composition can be studied for activation status of natural killer cells (described by Grudzien and Rapak, 2018) or maturation of dendritic cells and the inhibition of viral replication in cell line known in the art.
(182) Nigella sativa Safety for Human Use
(183) The safety of Nigella sativa is based on the Code of Federal Regulation (CFR21) and published studies (Aftab et al, 2013; Barakat et al, 2013 and Yimer et al., 2019).
(184) Indication for Use of Nigella sativa Composition of this Invention
(185) Due to the safety and easy accessibility of a complimentary drug and pharmaceutical preparation manufactured using Nigella sativa composition of this invention make it a potentially successful therapeutic invention: 1. An innate immunity booster supplement for oral rout of administration 2. Treatment of “probable” patients at the very early stage of the disease, contrary to all currently available treatment that are indicated for hospitalized patients. 3. Available for patients as an outpatient treatment and for telemedicine. 4. Treat confirmed COVID-19 patients (as defined by CDC 2020 Interim Case Definition approved Apr. 5, 2020) as an add-on therapy with the standard protocol. 5. Used as a preventive treatment for the following indications: a. Older adults, b. Chronically ill patients with higher risk of serious illness with COVID-19, c. Healthcare professionals caring for COVID-19 μl patients and caregivers, d. Close contacts and family members of COVID-19 illness, 6. Asymptomatic carriers transmitting SARS-CoV-2 virus, hence limiting the spread of the virus to healthy individuals. 7. Treatment of loss of smell and taste as part of the COVID-19 illness. 8. On the counter complimentary drug. 9. Treating animal reservoir of COVID-19 virus.
(186) Combination Composition: A composition comprising two constituents derived from Nigella sativa seeds for example, but not limited to, a product consisting of the active ingredient alpha-hederin and nigellidine in a concentration capable of treating and preventing COVID-19 illness in a human or animal in need for such treatment.
(187) A combination composition consisting of the unique extracted products of the extract in concentrations and proportions capable of treating and preventing COVID-19 illness with or without the water miscible oil.
(188) A Combination composition consisting of Nigella sativa miscible oil and synthetic alpha-hederin.
(189) A combination composition consisting of Nigella sativa miscible oil and synthetic nigellidine.
(190) The combination is speculated to prove effective either in an additive manner, or a synergistic manner, or as a booster to the immunomodulatory therapeutic effects of this invention in the treatment or prevention of COVID-19 illness.
(191) As part of the patent filed by the current inventor in 1999 (U.S. Pat. No. 7,592,327) AM3 was selected because it is an immunomodulator that induce interferon production, activate NK, and induce DCs maturation. AM3 is described in the Martindale Extended Pharmacopeia). AM3 is known as glycophosphopeptical marketed by Industrial Farmaceutica Cantabria. Also known as glicofosfopeptical, polysubstituted polycarboxylic phosphamide biopolymers or GPP and produced by Industria Farmaceutica Andromaco. The difference in the method of use of AM3 in the prior vs. the current use is that AM3 was used continuously for periods of months vs. in the current invention AM3 combination with extracts of the current invention is preferably used for a short duration of days or 2-3 weeks. In one embodiment, the instant Nigella sativa product can be used in combination with glycophosphopeptical (AM3). The disclosure of US patent (U.S. Pat. No. 7,592,327, B2) is considered relevant and is incorporated herein in its entirety. The combination is speculated to prove effective either in an additive manner, or a synergistic manner, or as a booster to the immunomodulatory therapeutic effects of this invention in the treatment or prevention of COVID-19 illness.