US008257695B2

(12) United States Patent (10) Patent No.: US 8,257,695 B2 Rautonen et al. (45) Date of Patent: Sep. 4, 2012

(54) METHOD FORMODULATING SATIETY Backhed, Fredrik, et al., “Host-bacterial mutualism in the human SIGNALING WITH SPECIFIC STRANS OF intestine.” Science (2005) vol. 307 pp. 1915-1920. Backhed, Fredrik, et al., “The gut microbiota as an environmental LACTOBACILLUS ACIDOPHILUS AND factor that regulates fat storage.” PNAS (2004) vol. 101:44 pp. 15710 BACILLUS 15723 Bleau, C., et al., “New Lactobacillus acidophilus isolates reduce the (75) Inventors: Nina Rautonen, Espoo (FI); Heli release of leptin by murine adipocytes leading to lower interferon gamma production.” Clinical and Experimental Immunology (2005) Putaala, Upinniemi (FI); Arthur vol. 140:3 pp. 427-435. Ouwehand, Inkoo (FI); Kirsti Tiihonen, Fosset, Spohie, et al., “Pharmacokinetics and feeding responses to Helsinki (FI); Marta Korczynska, muramyldipeptide in rats.” Physiolgoy & Behavior (2003) vol. 79 pp. Wageningen (NL); Wouter Herman 173-182. Gee, Jennifer M., et al., “Dietary lactitol fermentation increases Noordman, Ede (NL) circulating peptide YY and glucagon-like peptide-1 in rats and humans.” Nutrition (2005) vol. 21:10 pp. 1036-1043. (73) Assignee: DuPont Nutrition Biosciences ApS, Korbonits, M., et al., “Ghrelin and cannabinoid interactions on food Copenhagen (DK) intake.” Endocrine (2005) (Abstract Only). Le Roux, C.W., et al., "Attenuated peptide YY release in obese (*) Notice: Subject to any disclaimer, the term of this subjects is associated with reduced satiety.” Endocrinology (2005) patent is extended or adjusted under 35 pp. 1-22. Lee, Hui-Young, et al., “Human originated bacteria, Lactobacillus U.S.C. 154(b) by 558 days. rhamnosus PL60, produce conjugated linoleic acid and show anti obesity effects in diet-induced obese mice.” Biochimica and (21) Appl. No.: 12/162,160 Biophysica Acta (2006) vol. 1761:7 pp. 736-744. Ley, Ruth E., et al., “Obesity alters gut microbial ecology.” PNAS (22) PCT Filed: Jan. 28, 2007 (2005) vol. 102:31, pp. 11070-1 1075. Livak, Kenneth J., et al., “Analysis of relative gene expression data (86). PCT No.: PCT/B2007/OO1186 using real-time quantitative PCR and the 2^T method.” Methods (2001) vol. 25 pp. 402-408. S371 (c)(1), Naruszewcz, Marek, et al., “Effect of Lactobacillus plantarum 299v (2), (4) Date: Sep. 18, 2008 on cardiovascular disease risk factors in Smokers.” American Journal of Clinical Nutrition (2002) vol. 76:6. pp. 1249-1255. Renshaw, D., et al., “Peptide YY: A potential therapy for obesity.” (87) PCT Pub. No.: WO2007/085970 Current Drug Targets (2005) vol. 6:2, pp. 171-179 (Abstract Only). PCT Pub. Date: Aug. 2, 2007 Roberfroid, Marcel B., “Prebiotics and probiotics: are they functional foods?.” American Journal of Clinical Nutrition (2000) vol. 71, pp. (65) Prior Publication Data 1682S-1687S. Schaffer, Amanda, “Someday, there will be a fat pill.” (Apr. 26, US 201O/OO61967 A1 Mar. 11, 2010 2005), Available: www.slate.com/id/2117332. (Accessed: Jan. 1, 2006). Stanely, Sarah, et al., “Hormonal regulation of food intake.” Physiol Related U.S. Application Data Rey (2005) vol. 85, pp. 1131-1158. (60) Provisional application No. 60/762.491, filed on Jan. Stock, Sue, et al., “Ghrelin, PYY. GP and hunger responses to a mixed meal in anorexic, obese and control female adolescents.” Journal of 27, 2006. Clinical Endocrinology & Metabolism (2005) pp. 1-36. Tovar, Sulay A., et al., “Regulation of peptide YY levels by age (51) Int. Cl. hormonal, and nutritional status.” Obesity Research (2004) vol. 12:12 A6 IK35/74 (2006.01) pp. 1944-1950. (52) U.S. Cl...... 424/93.45; 435/252.9; 435/29: 530/350 (Continued) (58) Field of Classification Search ...... None Primary Examiner — Hope Robinson See application file for complete search history. (74) Attorney, Agent, or Firm — Steptoe & Johnson LLP (56) References Cited (57) ABSTRACT Use of at least one strain of a microorganism and/or a metabo lite thereof in the manufacture of a support for administration U.S. PATENT DOCUMENTS to a Subject for modulating satiety signalling, wherein the 5,578.302 A 11/1996 Brassart et al. Support is a pharmaceutically acceptable Support or a food 2005, 0186.189 A1 8, 2005 Hsu et al. product. Suitably, the at least one strain of a microorganism and/or a metabolite thereof may be administered to the sub FOREIGN PATENT DOCUMENTS ject for the treatment and/or prevention of excess weight JP 2001-292728 10, 2001 WO WOO1 (88.095 A1 11, 2001 and/or a disease caused by excess weight. Likewise, the at WO WOO2,381.65 A1 5, 2002 least one strain of a microorganism and/or a metabolite WO WO 2004/O14403 A1 2, 2004 thereof is administered to the subject for the treatment and/or WO WO 2006/025643 A1 3, 2006 prevention of obesity and/or a caused by obesity. Preferably, WO WO 2006/052135 A2 5, 2006 the microorganism is a probiotic microorganism. Suitably the WO WO 2007/043933 A1 4/2007 microorganism may be a lactic acid bacterium. Li one embodiment the microorganism is a strain of Lactobacillus OTHER PUBLICATIONS spp. and/or Bifidobacterium spp., for example a strain of Ali, Ali, A., et al., “Effects of probiotics and isoflavones on metabolic Lactobacillus acidophilus, L. curvatus, L. Salivarius and/or parameters in a genetic model of obesity and diabetes.” FASEBJour B. lactis. nal (2002) vol. 16:5. 15 Claims, 7 Drawing Sheets US 8,257,695 B2 Page 2

OTHER PUBLICATIONS Wu, Ming-Shiang, et al., “A case-control study of association of Adams, V.C., et al., “Ghrelin and cannabinoids increase food intake Helicobacter pylori infection with morbid obesity in Taiwan.” Arch via stimulation of hypothalamic amp-activated protein kinase Intern Med. (2005) vol. 165, pp. 1552-1555. (AMPK).” Endocrine (2005) (Abstract only). Vickers, S.P. et al., "Cannabinoids and the regulation of ingestive Yadav, Hariom, et al., “Antidiaberic effects of probiotic dahi contain behavior.” Current Drug Targets (2005) vol. 6:2, pp. 215-223 ing Lactobacillus acidophilus and Lactobacillus casei in high fruc (Abstract Only). tose fed rats.” Nutrition (2007) vol. 23:1, pp. 62-68. U.S. Patent Sep. 4, 2012 Sheet 1 of 7 US 8,257,695 B2

FIGURE 1

Gene expression after exposure with L.acidophilus, of Peptide YY (PYY), (meaniSE)

Fold differencel100ng total RNA

: L.acidophilus-treated U.S. Patent Sep. 4, 2012 Sheet 2 of 7 US 8,257,695 B2

FIGURE 2

Effect of L. acidophilus conditioned culture medium on PYY expression in Caco-2 at different glucose concentrations (mean SS 0.5 M SE) Glucose 5 mM Glucose

#####

With 10% L. acid hilu ditioned ############!E ture broth U.S. Patent Sep. 4, 2012 Sheet 3 of 7 US 8,257,695 B2

FIGURE 3

Effect of various probiotic strains on Peptide YY expression, (mean tSE)

| , U.S. Patent

Medium Ctrl U.S. Patent Sep. 4, 2012 Sheet 5 of 7 US 8,257,695 B2

FIGURE 5

2500

N 2O O O NN 1500

1000 N

500

O SS š 2 Medium Ctrl complex lipid 10% MRS 10% MRS + 10% 10% micelles complex lipid acidophilus acidophilus micelles metabolites metabolites + complex lipid micelles U.S. Patent Sep. 4, 2012 Sheet 6 of 7 US 8,257,695 B2

FIGURE 6

PYY, time series, meaniSE

s s S 2O OO

s s

3e. s 9 1 O O O 2 E 5 O O

Enterostim 0.1%metabolites 1%metabolites 10%metabolites LA NCFM bact U.S. Patent Sep. 4, 2012 Sheet 7 Of 7 US 8,257,695 B2

FIGURE 7

PYY expression, L. curvatus 853, MeaniSE

s s 9

s s E. C. s s s 4. E

Enterostin L. Curvatus 853 US 8,257,695 B2 1. 2 METHOD FOR MODULATING SATIETY Surprisingly, obestatin is encoded by the same gene that SIGNALING WITH SPECIFIC STRANS OF also encodes ghrelin, a peptide hormone that increases appe LACTOBACILLUS ACIDOPHILUS AND tite. Ghrelin and obestatin are both derived from a prohor BACILLUS mone produced by the same gene and are divided by post translational processing. The purpose of this mechanism CLAIM OF PRIORITY remains unclear, however it explains earlier findings, namely that removing the ghrelingene from mice did not significantly This application claims priority under 35 USC 371 to Inter reduce their appetite. national Application No. PCT/IB2007/001186, filed on Jan. Obestatin has been considered for use as a drug against 26, 2007, which claims priority to U.S. Provisional Applica 10 obesity, however it would have to be delivered as a nasal spray tion Ser. No. 60/762,491, filed Jan. 27, 2006, each of which is or by injection, as the peptide is destroyed by gastric juices. incorporated by reference in its entirety. There are currently few treatments for obesity. Of the two FIELD OF INVENTION drugs approved for use in the US Roche's XenicalTM (which 15 blocks the digestion offat) is relatively effective at promoting The present invention relates to Satiety of appetite. weight loss, but has some unpleasant side-effects. The other In one embodiment the present invention relates to the use drug approved for use in the US is Abbot Laboratories of at least one strain of a microorganism, preferably a lactic MeridiaTM, which has allegedly been proven to be not par acid bacterium, preferably a probiotic bacterium, Such as ticularly effective (Schaffer A. www.slate.com/id/2117332, Lactobacillus spp. (for example L. acidophilus, L. Salivarius 26 Apr. 2005). and/or L. curvatus) and/or Bifidobacterium spp. (Such as B. One experimental drug currently in trials is RimonabantTM lactis), to prepare a Support administered to humans or ani (a cannabinoid receptor antagonist) which allegedly stems mals for modulating Satiety signalling, preferably inducing cravings in humans, thus reducing obese patients appetites. Satiety. There therefore is a need for an effective tool for reducing The present invention yet further relates to the use of at 25 weight, preventing weight gain, facilitating weight loss and/ least one strain of a microorganism, preferably a lactic acid or treating obesity. bacterium, preferably a probiotic bacterium, Such as Lacto Among microorganisms, in particular among bacteria, bacillus spp. (for example L. acidophilus, L. salivarius and/or Some have a positive influence on the immune system, in L. curvatus) and/or Bifidobacterium spp. (Such as B. lactis), in particular the lactic acid bacteria and bifidobacteria, and are the treatment or reduction or management of excess weight 30 described as “probiotic' bacteria or strains. and/or in the treatment of diseases caused by being over Generally, by probiotic bacterium or strain it is meant a weight, particularly in the treatment of obesity, and/or obesity non-pathogenic microorganism which, when ingested live, related diseases. exercises a beneficial effect on the hosts health or physiol ogy. These probiotic strains generally have the ability to Sur TECHNICAL BACKGROUND 35 Vive the passage through the upper part of the digestive tract. They are non-pathogenic, non-toxic and exercise their ben Dieting and weight loss for aesthetic (cosmetic) reasons is eficial effect on health on the one hand via ecological inter practised by individuals throughout the world. Scientists, actions with the resident flora in the digestive tract, and on the drug developers and food developers have over the past other hand via their ability to influence the immune system in decade introduced a variety of appetite Suppressants and/or 40 a positive manner via the “GALT (gut-associated lymphoid weight loss drugs and/or "healthy food ranges in order to tissue). Depending on the definition of probiotics, these bac assist dieters in their plight to shed the weight. teria, when given in a sufficient number, have the ability to Dieting is not restricted to humans, but includes other progress live through the intestine, however they do not cross animals, with diet plans for pets being common. the intestinal barrier and their primary effects are therefore From an evolutionary perspective animals (including 45 induced in the lumen and/or the wall of the gastrointestinal humans) have adapted to gorge food and store energy in case tract. They then form part of the resident flora during the of famine. Unfortunately, however, although this was useful administration period. This colonization (or transient coloni in times when food was scarce, now in times where it is zation) allows the probiotic bacteria to exercise a beneficial possible to constantly eat this can lead to overweight and, in effect, such as the repression of potentially pathogenic micro Some cases, obesity. 50 organisms present in the flora and interactions with the Obesity has become a major public health problem. Health immune system of the intestine. conditions caused or exacerbated by obesity include hyper The probiotic strains most commonly used, in particular in tension, diabetes mellitus, sleep apnea, obesity-related dairy products, are principally bacteria and yeasts of the hypoVentilation, back and joint problems, cardiovascular dis following genera: Lactobacillus spp., Streptococcus spp., ease, non-alcoholic fatty liver disease and gastroesophageal 55 Enterococcus spp., Bifidobacterium spp. and Saccharomyces reflux disease. spp. The body mass index (BMI) (calculated as weight in kilo Among the probiotic effects recorded for these bacteria, grams divided by the square of height in meters) is the most there can be mentioned for example the improvement of commonly accepted measurement for overweight and/orobe lactose tolerance, enhancement of immune function, preven sity. A BMI exceeding 25 is considered overweight, while 60 tion or treatment of gastrointestinal and urogenital infections obesity is defined as a BMI of 30 or more, with a BMI of 35 and reduction of the cancer risk. or more considered as serious comorbidity and a BMI of 40 or more considered morbid obesity. SUMMARY ASPECTS Obestatin is a peptide hormone that is produced in the cells lining the stomach and Small intestine of several mammals 65 A seminal finding of the present invention is that microor including humans; it drastically reduces appetite in mice and ganisms, in particular lactic acid bacteria and/or probiotic is expected to do the same in humans. microorganisms and/or probiotic lactic acid bacteria, and/or a US 8,257,695 B2 3 4 metabolite thereof according to the present invention induces a metabolite thereof in the manufacture of a support for Satiety, in particular postprandial satiety, in a Subject. administration to a non-obese subject for inducing Satiety. In particular, a seminal finding of the present invention is In a further embodiment, the present invention provides a that lactic acid bacteria (such as Lactobacillus acidophilus, method for selecting a microorganism and/or a metabolite for example strain PTA-4797; Lactobacillus curvatus, Lac 5 thereof for administration to a subject for inducing Satiety tobacillus salivarius, and/or Bifidobacterium lactis) and/or a and/or treating excess weight, including obesity, wherein the metabolite thereof induces satiety, in particular postprandial method comprises the steps of Satiety, in a Subject. a) bringing a microorganism and/or a metabolite thereof into contact with at least one epithelial cell, DETAILED ASPECTS 10 b) detecting the expression of a satiety marker (Such as protein tyrosine tyrosine (PYY)) in at least one epithelial cell. The detailed aspects of this invention are detailed below. In In a further embodiment, the present invention provides a part some of the detailed aspects are discussed in separate method for selecting a microorganism and/or a metabolite sections. This is for ease of reference and is in no way limit 15 thereof to prepare a Support for administration to a Subject for ing. inducing satiety and/or treating excess weight, including obe In one aspect, the present invention provides the use of at sity, wherein the method comprises the steps of: least one strain of a microorganism and/or a metabolite a) bringing a microorganism and/or a metabolite thereof thereof for administration to a Subject for modulating Satiety into contact with at least one epithelial cell, signalling (for example, in the intestine). b) detecting the expression of a satiety marker (Such as In one aspect, the present invention provides the use of at protein tyrosine tyrosine (PYY)) in at least one epithelial least one strain of a microorganism and/or a metabolite cell. thereof in the manufacture of a Support for administration to The epithelial cell or cells used during stages a) or b) a Subject for modulating Satiety signalling (for example, in preferably come from Caco-2 cell line. This is a cancer colon the intestine). 25 cell line. They can also be isolated and purified cells from The term "modulating Satiety signalling as used herein biopsies of items from operations on humans. Caco-2 cells refers to varying the amplitude and/or frequency of neural are publicly available in a number of cell line catalogues, such and/or endocrine signalling associated with Satiety. as from the ATCC (American Type Culture Collection) with In some embodiments, “modulating satiety signalling a number HTB-37, for example. refers to varying the amplitude and/or frequency of Satiety 30 Stage a) is carried out preferably using from 1 to 100 markers. microorganism cells per one epithelial cells to be tested with The term "satiety” as used herein means the state of being at least one epithelial cell. satiated or glutted of appetite, i.e. fullness beyond desire or The contact period, during stage a), can vary from 0 hour to being fully satisfied. 24 hours, and is preferably about 3 hours or at least 3 hours. In a further aspect, the present invention provides the use of 35 Generally, the bringing into contact with the cells accord at least one strain of a microorganism and/or a metabolite ing to stage a) is carried out under standard temperature, thereof in the manufacture of a Support for administration to modified-atmospheres and sterility conditions well known to a subject for inducing Satiety. a person skilled in the art, in particular under in vitro epithelial In another aspect, the present invention provides the use of cell culture conditions. at least one strain of a microorganism and/or a metabolite 40 Stage b) of the selection process according to the invention thereof in the manufacture of a medicament for the treatment is carried out by preferably detecting the expression, and and/or prevention of excess weight, including obesity, and/or optionally its level, of the messenger RNA of the satiety a disease or disorder caused by excess weight, including an marker (such as PYY), for example by PCR inter alia by obesity related disease or disorder. quantitative PCR or by immunohistochemistry or by radio In yet another aspect, the present invention provides a 45 immunoassay. Other techniques well known to a person method of modulating satiety signalling (for example, in the skilled in the art for the detection of mRNA and its measure intestine) in a Subject which method comprises administering ment can be used. to the subject an effective amount of at least one strain of a For some embodiments, the microorganism in accordance microorganism and/or a metabolite thereof with the present invention may be viable. In a further aspect, the present invention provides a method 50 For some embodiments, the microorganism in accordance of inducing Satiety in a Subject which method comprises with the present invention may be dead or non-viable. administering to the Subject an effective amount of at least Without wishing to be bound by theory, it is believed that one strain of a microorganism and/or a metabolite thereof. the metabolites, for example the soluble metabolites, associ In a yet further aspect, the present invention provides a ated with, for example produced by, the microorganism may method of treating and/or preventing excess weight, includ 55 be causing the advantageous effect of the microorganism. For ing obesity, and/or a disease or disorder caused by excess Some aspects, it is therefore unnecessary for the microorgan weight, including an obesity related disease in a Subject, ism cells to be in direct contact with the target cells. which method comprises administering to the Subject an For some aspects, it is believed that one or more metabo effective amount of at least one strain of a microorganism lites associated with, for example produced by, the microor and/or a metabolite thereof. 60 ganism may be suitable for achieving the beneficial effects In a further aspect, the present invention provides a cos taught herein. In Such instances, it may be unnecessary to metic method of reducing excess weight in a non-obese Sub include the microorganisms themselves. ject, which method comprises administering to the Subject an The term “metabolite thereofas used herein means one or effective amount of at least one strain of a microorganism more compounds either extracted from the microorganism and/or a metabolite thereof. 65 according to the present invention or obtained from a culture In another embodiment, the present invention provides a medium in which a microorganism according to the present cosmetic use of at least one strain of a microorganism and/or invention is or was cultured. In some aspects the metabolite US 8,257,695 B2 5 6 may be a crude extract of the culture medium and/or micro rium, for example B. lactis), may be administered at a dosage organism. Suitably, for Some aspects the metabolite may be of from about 10° to about 10' CFU of microorganism/dose, one or more compounds isolated and/or purified from the preferably about 10 to about 10° CFU of microorganism/ culture medium and/or the microorganism. dose. By the term “per dose' it is meant that this amount of In some embodiments suitably the metabolite may be a microorganism is provided to a Subject either per day or per soluble metabolite. intake, preferably per day. For example, if the microorganism In some embodiments the metabolite may be a water is to be administered in a food Support (for example in a soluble metabolite. yoghurt)—then the yoghurt will preferably contain from In some embodiments the metabolite may be a lipid soluble about 10 to 10' CFU of the microorganism. Alternatively, metabolite. 10 Suitably, the metabolite may be a metabolite which is however, this amount of microorganism may be split into present in the Supernatant phase isolated from a culture of the multiple administrations each consisting of a smaller amount microorganism using the methodology as taught in U.S. Pat. of microbial loading—so long as the overall amount of micro No. 5,578.302 and/or in accordance with the examples taught organism received by the Subject in any specific time (for herein 15 instance each 24 h period) is from about 10° to about 10"? In one embodiment, the metabolite may be obtainable CFU of microorganism, preferably 10 to about 10' CFU of (preferably obtained) by culturing a bacterium (preferably a microorganism. lactic acid bacterium, preferably a probiotic bacterium, Such In accordance with the present invention an effective as Lactobacillus spp. (for example L. acidophilus, L. Sali amount of at least one strain of a micoroganism may be at varius and/or L. curvatus) or Bifidobacterium spp. (Such as B. least 10 CFU of microorganism/dose, preferably from about lactis)) in a culture medium until the OD of the culture at 10 to about 10' CFU of microorganism/dose, preferably W600 reaches at least 0.6, preferably 0.6 to 1.5; removing the about 10 to about 10' CFU of microorganism/dose. bacteria by centrifugation and/or filtration (Such as, for In one embodiment, preferably the microorganism used in example, centrifugation at 25°C., 5 min, 3000 g and/or ster accordance with the present invention, (such as a strain of ile-filtration) to result in a filtrate comprising said 25 Lactobacillus spp.; for example a strain of Lactobacillus aci metabolite(s). dophilus, L. Salivarius and/or Lactobacillus curvatus and/or a Suitably, the metabolite(s) is obtainable (preferably strain of Bifidobacterium, for example B. lactis) may be obtained) using an MRS culture medium either with 1.0% administered at a dosage of from about 10° to about 10' CFU Sugar or without Sugar. Suitably, the metabolite(s) is obtain of microorganism/day, preferably about 10 to about 10' able (preferably obtained) by culturing the bacteria at 37°C. 30 CFU of microorganism/day. Hence, the effective amount in Suitably, the metabolite(s) is obtainable (preferably obtained) this embodiment may be from about 10° to about 10' CFU of by culturing the bacteria anaerobically. microorganism/day, preferably about 10 to about 10' CFU In in vitro assays the metabolite in the form of the filtrate of microorganism/day. may optionally be admixed with tissue culture cells in a tissue CFU stands for “colony-forming units”. By gram of Sup culture medium. Preferably, the filtrate containing the 35 port is meant preferably the food product or the pharmaceu metabolite(s) is admixed with the tissue culture medium such tically acceptable Support. that the filtrate/tissue culture medium mixture comprises at Advantageously, the present invention is an effective tool least 10% V/v filtrate and at most 90% w/v tissue culture for reducing weight gain and/or facilitating weight loss and/ medium. or treating or preventing obesity and/or treating oralleviating When the metabolite(s) is loaded onto a support, preferably 40 disorders or diseases related to or caused by obesity or being filtrate/support mixture ratio is 1:10 or greater. overweight. Suitably, the microorganism in accordance with the present Without wishing to be bound by theory the microorganism invention may be co-cultured with one or more target cells and/or metabolite thereof may mediate weight loss and/or thus allowing the transfer of soluble fractions. result in Satiety by increasing Satiety signalling in the intes Suitably, the microorganism may not be in cell to cell 45 tine. contact with the target cell(s). Without wishing to be bound by theory the microorganism Suitably, the microorganism according to the present and/or metabolite may mediate weight loss and/or result in invention or the metabolite thereof may be in the form of a Satiety via its effect on a gut hormone and/or on one or more bacterial suspension, before or after freezing, in the form or receptors found in the gut. concentrates, either in dry, lyophilized or frozen form. What 50 Some of the peripheral regulators of appetite, including gut ever the form used, the strain can be frozen. hormones, are discussed in Stanley et al Physiol. Review 85: Suitably, the microorganism and/or metabolite thereof 1131-1158 2005. according to the present invention may contain different addi Without wishing to be bound by theory the microorganism tives. Suitably additives may be added during its drying and/ and/or metabolite thereof may mediate weight loss and/or or during its lyophilization. 55 result in Satiety via its effect on a satiety marker (Such as the The microorganism used in accordance with the present gut hormone Peptide Tyrosine Tyrosine (PYY) for example). invention, (such as a strain of Lactobacillus spp.; for example Satiety a strain of Lactobacillus acidophilus, L. Salivarius and/or The term “satiety” as use herein means the state of being Lactobacillus curvatus and/or a strain of Bifidobacterium, for satiated or glutted of appetite, i.e. fullness beyond desire or example B. lactis), may comprise from 10° to 10' CFU of 60 being fully satisfied. bacteria/g of support, and more particularly from 10 to 10' Suitably, the present invention may be for increasing Sati CFU of bacteria/g of support, preferably 10 to 10' CFU/g ety. for the lyophilized form. Preferably the present invention is for inducing and/or Suitably the microorganism used in accordance with the increasing postprandial satiety. present invention, (Such as a strain of Lactobacillus spp.; for 65 The person skilled in the art would understand that satiety example a strain of Lactobacillus acidophilus, L. Salivarius and post-prandial Satiety may be measured in a number of and/or Lactobacillus curvatus and/or a strain of Bifidobacte ways. US 8,257,695 B2 7 8 For example, without wishing to be bound by theory there Without wishing to be bound by theory the microorganism is a link between the level of satiety marker(s) (such as the gut and/or metabolite thereof of the present invention may induce hormone PYY either in the blood or in the gut) and the level Satiety by increasing the plasma levels of any one or more of of Satiety. PYY. CCK, GLP-1 and insulin. The increase is compared Therefore, Satiety and/or post-prandial Satiety can be mea 5 with an equivalent control, but which has not been adminis sured by determining the level of one or more satiety markers tered the microorganism and/or metabolite thereof. (for example PYY either in the blood of the subject and/or in In one embodiment, the microorganism and/or metabolite the gut of the subject). Suitably the samples may be taken at thereof of the present invention may induce satiety by intervals prior to and at intervals after the Subject consumes a increasing the levels of any one or more of the following specific meal. For example, increased levels of expression of 10 PYY and/or increased levels of PYY may indicate satiety. satiety markers in the gut: PYY. CCK, GLP-1 and insulin. The The relationships between other satiety markers and satiety increase is compared with a control which has not been are known to those of ordinary skill in the art. administered the microorganism and/or metabolite thereof. In addition, or alternatively, Satiety and/or post-prandial Without wishing to be bound by theory the microorganism Satiety may be measured in animal studies by measuring the 15 and/or metabolite thereof of the present invention may induce food intake of the animal and/or the time interval between satiety by increasing the level of leptin in peripheral blood feeding of the animal and/or the weight of the animal. A and/or by decreasing the level of leptin in the brain. The reduction in food intake and/or weight of the animal indicates increase is compared with a control which has not been Satiety. In addition, or as an alternative, an increase in the time administered the microorganism and/or metabolite thereof. interval between feeding of the animal indicates satiety. In one embodiment, the microorganism and/or metabolite In addition, or alternatively, Satiety and/or post-prandial thereof of the present invention may increase the level of Satiety may be measured subjectively by a subject by use of a PYY. The increase is compared with a control which has not questionnaire where Subjects are asked the following ques been administered the microorganism and/or metabolite tions: “how hungry are you”, “how full are you”, “how much thereof. canyou eat” and “what is your desire to eat”. Their perception 25 In an alternative or additional embodiment, the microor can be rated from 0 (lowest) to 10 (highest) on a 100 mm ganism and/or metabolite thereof of the present invention visual analog scale (as taught in Stock et al J. of Clinical may increase the level of CCK. The increase is compared with Endocrinology & Metabolism, first published 18 Jan. 2005 as a control which has not been administered the microorganism doi:10.1210/jc.2004. 1251). This reference is incorporated and/or metabolite thereof. herein by reference. The subject is preferably requested to 30 complete the questionnaire at intervals before and at intervals In another embodiment, the microorganism and/or after the subject consumes a specific meal. metabolite thereof of the present invention may induce satiety In some embodiments Satiety may mean one or more of the by decreasing the level of one or more gut hormone(s) in the following: gut and/or in the plasma Such as any one or more of the a) postprandial satiety; 35 following: ghrelin and orexins. The decrease is compared b) a reduction in pre-meal hunger, with a control which has not been administered the microor c) a strengthening in within meal satiation to reduce meal ganism and/or metabolite thereof. size; and/or In another embodiment, the Satiety marker may be acetic d) an increase in the between mean state of Satiety, which acid. In this embodiment, the microorganism and/or metabo may prevent compensatory increases in meal numbers 40 lite thereof of the present invention may induce satiety by and/or may reduce between meal Snacking. increasing the level of acetic acid in the blood. The increase is In some embodiments Satiety may be measured as one or compared with a control which has not been administered the more of the following: microorganism and/or metabolite thereof. i) a reduction in food intake by the Subject compared to a Support comparative test Subject and/or compared with the Sub 45 The Support employed during the use according to the ject pre-treatment; present invention is preferably a pharmaceutically acceptable ii) a reduction in body weight of the subject compared with support or a food product. Further information with regard to the Subject pre-treatment; both foods and pharmaceuticals are given below. iii) a reduction in adiposity compared to a comparative test A pharmaceutically acceptable Support may be for Subject and/or compared with the Subject pre-treatment. 50 example a Support in the form of compressed tablets, tablets, Satiety Marker capsules, ointments, Suppositories or drinkable Solutions. The term “satiety marker as used herein refers to a com Other suitable forms are provided below. pound(s) and/or gut hormone(s) involved in the regulation of Preferably, the Support employed during the use according appetite and/or food intake. to the invention is a food product such as a food Supplement, Satiety markers include, but are not limited to, pancreatic 55 a drink or a powder based on milk. Preferably it is a dairy polypeptide (PYY), cholecystokinin (CCK), Glucagon-like product of animal or vegetable origin. As noted further below, peptide-1 (GLP-1), insulin, leptin, ghrelin, orexins, orexi here the term “food” is used in its broadest sense—and covers genic hypothalamic neuropeptideY (NPY), acetic acid, amy food for humans as well as food for animals (i.e. a feed). lin, and oxyntomodulin. The term “dairy product as used herein is meant to include In one embodiment, the Satiety marker is preferably a gut 60 a medium comprising milk of animaland/or vegetable origin. hormone. AS milk of animal origin there can be mentioned cows, In one embodiment the Satiety marker may be one or more sheeps, goat's or buffalo's milk. As milk of vegetable origin of PYY. CCK, GLP-1, insulin, leptin, ghrelin, orexins, orexi there can be mentioned any fermentable Substance of veg genic hypothalamic neuropeptide Y (NPY), amylin or oxyn etable origin which can be used according to the invention, in tomodulin. 65 particular originating from soybeans, rice or cereals. Suitably, the satiety marker may be selected from any one Still more preferably the support employed according to or more of the following: PYY. CCK, GLP-1 and insulin. the invention is a fermented milk or humanized milk. US 8,257,695 B2 9 10 Overweight/Obesity Treatment The body mass index (BMI) (calculated as weight in kilo It is to be appreciated that all references hereinto treatment grams divided by the square of height in meters) is the most include curative, palliative and prophylactic treatment. commonly accepted measurement for overweight and/orobe Substantially Pure Form and/or Isolated Form sity. 5 For some aspects the microorganism and/or metabolite A BMI exceeding 25 is considered overweight. according to the present invention may be in a Substantially Obesity is defined as a BMI of 30 or more, with a BMI of pure form or may be in an isolated form. 35 or more considered as serious comorbidity and a BMI of The term “substantially pure form' is used to indicate that 40 or more considered morbid obesity. the microorganism and/or metabolite according to the present The term “obesity’ as used herein includes obesity, comor 10 invention is present at a high level. When the microorganism bidity obesity and morbid obesity. Therefore, the term “obe and/or metabolite is in a Substantially pure form, the micro sity” as used here may be defined as a subject having a BMI organism and/or metabolite is desirably the predominant of more than or equal to 30. component present in a composition. Preferably it is present In some embodiments, Suitably an obese subject may have 15 at a level of more than 30%, of more than 50%, of more than a BMI of more than or equal to 30, suitably 35, suitably 40. 75%, of more than 90%, or even of more than 95%, said level The term “excess weight’ as used herein means the excess being determined on a dry weight/dry weight basis with weight of the subject. The term “excess weight’ as used respect to the total composition under consideration. herein means that that the Subject is considered overweight. At very high levels (e.g. at levels of more than 90%, of more There term “overweight’ as used herein means that the sub than 95% or of more than 99%) the component may be ject has a BMI exceeding 25. regarded as being "isolated. Biologically active substances Excess weight and/or obesity may be measured using the of the present invention (including polypeptides, nucleic acid BMI. Therefore a reduction in excess weight and/or obesity molecules, carbohydrates identified/identifiable via screen may be measured using the BMI. ing, lipids identified/identifiable via screening, moieties iden A reduction in excess weight and/or obesity may also (or 25 tified/identifiable via screening, etc.) may be provided in a alternatively) be measured simply by measuring the weight of form that is Substantially free of one or more contaminants the subject relative to a control and/or before and after admin with which the substance might otherwise be associated. istration of the microorganisms and/or metabolite thereof Thus, for example, they may be substantially free of one or according to the present invention. more potentially contaminating polypeptides and/or nucleic 30 acid molecules. Without wishing to be bound by theory, there may also be They may be provided in a form that is substantially free of a link between serum or blood inflammatory markers (such as other cell components (e.g. of cell membranes, of cytoplasm, C-reactive protein and/or interleukin 6 and/or TNF-RII for etc.). When a composition is Substantially free of a given example) and obesity. In addition, there may also be a corre contaminant, the contaminant will be at a low level (e.g. at a lation between serum or blood inflammatory markers and 35 level of less than 10%, less than 5% or less than 1% on the dry BMI. Hence, in one embodiment one may measure blood weight/dry weight basis set out above). inflammatory markers to determine obesity and/or a reduc Microorganism tion in obesity in a subject. Suitable viable microorganisms for use in the present Disorders/Diseases Related to or Caused by Excess Weight invention include bacteria, moulds and/or yeasts. and/or Obesity 40 Preferably, the viable microorganisms for use in the Health conditions (i.e. disorders and/or diseases) caused or present invention are viable bacteria. exacerbated by obesity include hypertension, diabetes melli The term “viable micro-organism' means a microorgan tus, for example type-2 diabetes, sleep apnea, obesity-related ism which is metabolically active. hypoVentilation, back and joint problems, cardiovascular dis The microorganism may be a naturally occurring microor ease, non-alcoholic fatty liver disease and gastroesophageal 45 ganism or it may be a transformed microorganism. The reflux disease. microorganism may also be a combination of suitable micro Subject organisms. The term “subject’, as used herein, means an animal. Pref In some aspects, the microorganism according to the erably, the Subject is a mammal, including for example live present invention may be one or more of the following: a stock (including cattle, horses, pigs, chickens and sheep), and 50 bacterium, a fungus, a yeast. humans. In some aspects of the present invention the animal Suitably, the microorganism according to the present is a companion animal (including pets), such as a dog or a cat invention may be a bacterium. for instance. In some aspects of the present invention, the Suitably, the microorganism according to the present Subject may suitably be a human. invention may be a bacterium from one or more of the fol Medicament 55 lowing genera: Lactococcus, Streptococcus, Pediococcus, The term “medicament’ as used herein encompasses medi Enterococcus, Leuconostoc, Carnobacterium, Propionibac caments for both human and animal usage in human and terium, Bifidobacterium and Lactobacillus. veterinary medicine. In addition, the term “medicament’ as Preferably, in some embodiments, the microorganism used herein means any Substance which provides a therapeu according to the present invention is a probiotic microorgan tic and/or beneficial effect. The term “medicament” as used 60 ism. Suitably, the probiotic microorganism may be a bacte herein is not necessarily limited to Substances which need rium or yeast from the following genera: Lactobacillus spp., Marketing Approval, but may include Substances which can Streptococcus spp., Enterococcus spp., Bifidobacterium spp. be used in cosmetics, nutraceuticals, food (including feeds and Sacharomyces spp. and beverages for example), probiotic cultures, and natural For Some embodiments, the microorganism according to remedies. In addition, the term “medicament” as used herein 65 the present invention may be a lactic acid bacterium. Suitably encompasses a product designed for incorporation in animal the lactic acid bacterium may be one from the following feed, for example livestock feed and/or pet food. genera: Lactobacillus, Streptococcus, Lactococcus, Leu US 8,257,695 B2 11 12 conostoc, Carnobacterium, Enterococcus, Brevibacterium, a gram-positive strain. Advantageously it may be a catalase and Vagococcus. This list is not exhaustive. negative strain, with a homofermentative metabolism giving For Some embodiments, the microorganism according to rise to the production of lactic acid. the present invention is a probiotic lactic acid bacterium. A The microorganism, preferably a Lactobacillus spp. Such probiotic lactic acid bacterium may be one from the following as L. acidophilus, L. Salivarius and L. curvatus for example, genera: Lactobacillus spp., Bifidobacterium spp., Streptococ for use in accordance with the present invention may also cus spp., and Enterococcus spp. produce a bacteriocin, such as for example lactacin, active Other genera of bacteria which may be used in accordance against other microorganisms. with the present invention include: Pediococcus, Micrococ Preferably, the microorganism, preferably a Lactobacillus cus, Staphylococcus, Bacillus, Kocuria, Arthrobacter; Prop 10 rionibacterium, Brevibacterium and Corynebacterium. spp. Such as L. acidophilus, L. Salivarius and L. curvatus for Preferably the microorganism to be used in accordance example, for use in accordance with the present invention has with the present invention is a microorganism which is gen a good resistance to pepsin, under acid pH conditions, a good erally recognised as safe and, which is preferably GRAS resistance to pancreatin and/or a good tolerance to the bile salts. approved. 15 A skilled person will readily be aware of specific species In one embodiment, the microorganism, preferably a Lac and or strains of microorganisms from within the genera tobacillus spp. Such as L. acidophilus for example, according described herein which are used in the food and/or agricul to the present invention may be a microorganism, preferably tural industries and which are generally considered Suitable a Lactobacillus spp. Such as L. acidophilus for example, for human and/or animal consumption. which may be described as “hydrophobic”, i.e. one having a Preferably, the microorganism used in accordance with the strong affinity to polar or non-polar hydrophobic organic present invention is one which is suitable for human and/or Solvents. Such as for example n-decane, chloroform, hexade animal consumption. cane or Xylene. In one embodiment preferably the microorganism is from The Lactobacillus acidophilus preferred according to the the genus Lactobacillus or the genus Bifidobacterium or is a 25 present invention may be The Lactobacillus acidophilus pre mixture thereof. Suitably, the microorganism may be a strain ferred according to the present invention may be Lactobacil from the species L. acidophilus, L. curvatus, L. rhamnosus, L. lus acidophilus PTA-4797. This strain of Lactobacillus aci casei, L. paracasei, L. Salivarius, B. lactis. B animalis, B. dophilus has been registered by Rhodia Chimie, 26, quai longum and/or B. bifidum. In one embodiment, preferably the Alphonse Le Gallo, 92 512 BOULOGNE-BILLANCOURT microorganism may be a strain from the species L. acidophi 30 Cedex France, currently located at American Type Culture lus, L. curvatus, L. Salivarius and/or B. lactis. Collection, 10801 University Blvd., Manassas Va. 20110 In one embodiment preferably the microorganism is from 2209 USA in accordance with the Budapest Treaty at the the genus Lactobacillus. American Type Culture Collection (ATCC), on Nov. 15, Suitably, the microorganism may be a strain from the spe 2002, where it is recorded under registration number PTA cies L. acidophilus, L. curvatus, L. rhamnosus, L. casei, L. 35 4797. The strains will be made available if a patent office paracasei and L. Salivarius. In one embodiment, preferably signatory to the Budapest Treaty certifies that one’s rights to the microorganism may be a strain from the species L. aci receive, or if a U.S. Patent is issued citing the strains, and dophilus, L. curvatus, or L. Salivarius. ATCC is instructed by the United States Patent & Trademark In one embodiment preferably the microorganism is from Office or the depositor to release said strains. the genus Streptococcus. 40 The strain of Lactobacillus acidophilus for use in accor In one embodiment preferably the microorganism is from dance with the present invention may be in the form of a the genus Enterococcus. mixture with other lactic acid bacteria. The lactic acid bacte In one embodiment preferably the microorganism is from ria likely to be suitable according to the invention include any the genus Bifidobacterium. lactic acid bacteria usually employed in the agricultural, food Suitably, the microorganism may be a strain from the spe 45 or pharmaceutical industries. cies B. lactis. B animalis, B. longum or B. bifidum. Preferably Advantageously, where the product is a foodstuff, the the microorganism may be a strain from the species B. lactis viable micro-organism and/or soluble metabolites produced such as, for example, B. lactis 420 or B. lactis HNO19. by said micro-organism should remain effective through the For some embodiments the microorganism may be a mix normal “sell-by' or “expiration’ date during which the food ture of more than one probiotic microorganisms (preferably 50 product is offered for sale by the retailer. Preferably, the more than on probiotic bacteria); a mixture of more than more effective time should extend past such dates until the end of lactic acid bacteria; or a mixture of one or more probiotic the normal freshness period when food spoilage becomes microorganisms (preferably probiotic bacteria) and one or apparent. The desired lengths of time and normal shelf life more lactic acid bacteria. Preferably, the mixture may com will vary from foodstuff to foodstuff and those of ordinary prise one or more stains from Lactobacillus spp., and/or Bifi 55 skill in the art will recognise that shelf-life times will vary dobacterium spp. upon the type of foodstuff; the size of the foodstuff, storage In one embodiment preferably the microorganism is at temperatures, processing conditions, packaging material and least one strain of Lactobacillus spp. packaging equipment. In one embodiment preferably the microorganism is at In one embodiment preferably the microorganism is not least one strain of Lactobacillus acidophilus. 60 Helicobacter pylori. In one embodiment preferably the microorganism is at Caco-2 Cell-Based Exposure Assay least one strain of Lactobacillus curvatus. The human colorectal carcinoma cell line Caco-2 is main In one embodiment preferably the microorganism is at tained at 37° C. and 5% CO, in Dulbecco's MEM (Biochrom least one strain of Lactobacillus salivarius. AG) supplemented with 20% fetal bovine serum (FBS, The microorganism, preferably a Lactobacillus spp. Such 65 Gibco) 2 mM stable glutamine (Biochrom AG) and 1x non as L. acidophilus, L. Salivarius and L. curvatus for example, essential amino acids (Biochrom AG)) 20 Uml penicillin for use in accordance with the present invention is preferably (Gibco), 20 ugml' streptomycin (Gibco) and 0.5 ugml US 8,257,695 B2 13 14 amphotericin (Gibco). When subcultured the cells are washed The combination of the present invention comprises the with 1xPBS (Gibco) and detached with Tryple Select composition of the present invention and another component (Gibco). which is Suitable for animal or human consumption and is To determine the effects of various microorganisms and/or capable of providing a medical or physiological benefit to the metabolite thereof on the gut hormone, such as PYY. 6.6x COSU. 10/cm Caco-2 cells are seeded and differentiated in col Other components of the combinations of the present lagen-coated Transwell cell culture inserts (Corning) accord invention include polydextrose, such as Litesse R, and/or a ing to a 5 day protocol (Yamashita et al. 2001, J. Pharm. Sci. maltodextrin and/or lactitol. These other components may be 91 (3): 669-679). After seeding into Transwell inserts the optionally added to the composition to assist the drying pro 10 cess and help the Survival of the microorganisms. Caco-2 cells are maintained for 48 h in medium consisting of Further examples of other suitable components include one Dulbecco's MEM (Biochrom AG), 10% fetal bovine serum or more of thickeners, gelling agents, emulsifiers, binders, (FBS, Gibco), 2 mM stable glutamine (Biochrom AG), and 1 x crystal modifiers, Sweeteners (including artificial Sweeten non-essential amino acids but no antibiotics. After 48 h the ers), rheology modifiers, stabilisers, anti-oxidants, dyes, medium is changed with Enterostim medium (BD Bio 15 enzymes, carriers, vehicles, excipients, diluents, lubricating sciences) supplemented with MITO+ serum extender (BD agents, flavouring agents, colouring matter, Suspending Biosciences) added to the medium according to protocol pro agents, disintegrants, granulation binders etc. These other vided by the manufacturer. The cells are used in experiments components may be natural. These other components may be at fourth day after seeding into Transwell inserts or after the prepared by use of chemical and/or enzymatic techniques. transpithelial electrical resistance has increased into a level In one embodiment the microorganism and/or metabolite indicating cell differentiation. Neither antibiotics nor serum thereof may be encapsulated. are used in all the experiments. The metabolites and/or vari In one preferred embodiment the microorganism and/or ous microorganisms are added on the apical side of the insert. metabolite thereof for use in the present invention may be After 24 hour exposure, media is discarded, cells inside the used in combination with one or more lipids. inserts are lysed and RNA is extracted using Qiagen's (Ger 25 For example, the microorganism and/or metabolite thereof many) RNeasy Mini Kit. DNA is digested using the same for use in the present invention may be used in combination manufacturer's RNase free DNase. Reverse transcription is with one or more lipid micelles. The lipid micelle may be a performed using SuperScript III reverse transcriptase (Invit simple lipid micelle or a complex lipid micelle. rogen) according to the instructions provided by the manu The lipid micelle may be an aggregate of orientated mol facturer. The hormone (e.g. PYY) expression pattern is deter 30 ecules of amphipathic Substances. mined by real-time quantitative TaqMan PCR (i.e. a relative The lipid micelles may be an aggregate, of colloidal dimen quantification method see Holland et al., 1991 Proc. Natl. sions, of orientated molecules of amphipathic substances Acad. Sci. USA August 15: 88(16): 7276-80; and Livak and existing in equilibrium in Solution with the chemical species Scmittgen, 2001 Methods December 25(4):402-8) using the from which it is formed. Micelles are generally electrically default settings of an ABI Prism 7000 Sequence Detection 35 charged. In aqueous Solution the individual molecules of the instrument (Applied Biosystems)) or by an absolute quanti micellar aggregate are oriented with their polar groups point fication method such as TaqMan PCR (Applied Biosystems) ing towards the aqueous medium and their hydrophobic moi with ABI Prism 7000 Genetic Analyzer using a oligonucle ety directed into the centre of the micelle. otide set and a standard oligonucleotide recognizing the hor The lipid micelles may comprise a lipid and/or an oil. mone (e.g. homo sapiens PYY) specifically. 40 Therefore in one embodiment the present invention pro The microbial Suspension for use in the above assay may be vides the use of a combination of at least one strain of a prepared by culturing the microorganism on a Suitable microorganism and/or a metabolite thereofand a lipid micelle medium. The culture may be centrifuged to form a cell pellet for modulating Satiety signalling and/or for treating and/or which may be subsequently suspended in a suitable medium, preventing excess weight (or obesity) and/or a disease caused e.g. DMEM. 45 by excess weight (or obesity). The metabolite Suspension for use in the above assay may As used herein the term “thickener or gelling agent” refers be prepared by culturing the microorganism on a Suitable to a product that prevents separation by slowing or preventing culture medium. The culture may be centrifuged and/or the the movement of particles, either droplets of immiscible liq culture broth filtered (suitably sterile-filtered) to provide the uids, air or insoluble solids. Thickening occurs when indi metabolite Suspension. 50 vidual hydrated molecules cause an increase in Viscosity, Microorganisms which cause a modification in hormone slowing the separation. Gelation occurs when the hydrated (e.g. an increase in PYY) expression level compared with an molecules link to form a three-dimensional network that traps untreated control, may be microorganisms according to the the particles, thereby immobilising them. present invention and/or which can be used in accordance The term “stabiliser as used here is defined as an ingredi with the present invention. 55 ent or combination of ingredients that keeps a product (e.g. a A skilled person would readily be able to screen probiotic food product) from changing over time. and non-probiotic microorganisms using the "Caco-2 cell The term "emulsifier as used herein refers to an ingredient based exposure assay to identify specific microorganisms, (e.g. a food productingredient) that prevents the separation of additional to the ones specifically taught herein, capable of emulsions. Emulsions are two immiscible Substances, one producing the claimed effect. 60 present in droplet form, contained within the other. Emul Combination with Other Components sions can consist of oil-in-water, where the droplet or dis The microorganism and/or metabolite thereof for use in the persed phase is oil and the continuous phase is water, or present invention may be used in combination with other water-in-oil, where the water becomes the dispersed phase components. Thus, the present invention also relates to com and the continuous phase is oil. Foams, which are gas-in binations. The microorganism and/or metabolite thereof may 65 liquid, and Suspensions, which are solid-in-liquid, can also be be referred to herein as “the composition of the present inven stabilised through the use of emulsifiers. Aeration can occur tion. in a three-phase system where air is entrapped by liquid oil US 8,257,695 B2 15 16 then stabilised by agglomerated fat crystals stabilised with an Examples of diluents include one or more of water, etha emulsifier. Emulsifiers have a polar group with an affinity for nol, propylene glycol and glycerin, and combinations thereof. water (hydrophilic) and a non-polar group which is attracted The other components may be used simultaneously (e.g. to oil (lipophilic). They are absorbed at the interfaces of the when they are in admixture together or even when they are two Substances, providing an interfacial film acting to stabi 5 delivered by different routes) or sequentially (e.g. they may lise the emulsion. The hydrophilic/lipophilic properties of be delivered by different routes). emulsifiers are affected by the structure of the molecule. Preferably, when the composition of the present invention These properties are identified by the hydrophilic/lipophilic when admixed with any other components, the microorgan balance (HLB) value. Low HLB values indicate greater lipo isms remain viable. philic tendencies which are used to stabilise water-in-oil 10 As used herein the term “component suitable for animal or emulsions. High HLB values are assigned to hydrophilic human consumption' means a compound which is or can be emulsifiers, typically used in oil-in-water emulsions. These added to the composition of the present invention as a Supple values are derived from simple systems. Because foods often ment which may be of nutritional benefit, a fibre substitute or contain other ingredients that affect the emulsification prop have a generally beneficial effect to the consumer. The ingre erties, the HLB values may not always be a reliable guide for 15 dients can be used in a wide variety of products that require emulsifier selection. gelling, texturising, stabilising, Suspending, film-forming As used herein the term “binder refers to an ingredient and structuring, retention of juiciness, without adding unnec (e.g. a food ingredient) that binds the product together essary viscosity. Preferably, the ingredients will be able to through a physical or chemical reaction. During 'gelation' improve the shelf life and stability of the viable culture. for instance, water is absorbed, providing a binding effect. The components may be prebiotics such as alginate, Xan However, binders can absorb other liquids, such as oils, hold than, pectin, locust bean gum (LBG), inulin, guar gum, ing them within the product. In the context of the present galacto-oligosaccharide (GOS), fructo-oligosaccharide invention binders would typically be used in solid or low (FOS), polydextrose (i.e. LitesseR), lactitol, lactosucrose, moisture products for instance baking products: pastries, Soybean oligosaccharides, palatinose, isomalto-oligosaccha doughnuts, bread and others. 25 rides, gluco-oligosaccharides and Xylo-oligosaccharides. The term “crystal modifier as used herein refers to an The optimum amount of the composition to be used in the ingredient (e.g. a food ingredient) that affects the crystallisa combination of the present invention will depend on the prod tion of either fat or water. Stabilisation of ice crystals is uct to be treated and/or the method of contacting the product important for two reasons. The first is directly related to the with the composition and/or the intended use for the same. product stability from a separation standpoint. The more 30 The amount of viable microorganism used in the composi freeze? thaw cycles a product encounters, the larger the ice tions should be a sufficient amount to be effective and to crystals become. These large crystals can breakdown product remain sufficiently effective in improving the aroma, flavour, structure, either naturally occurring, as in the case of cell mildness, consistency, texture, body, mouth feel, Viscosity, walls, or that which is created by “elation’. Because the water structure and/or organoleptic properties, nutrition and/or is no longer held in place, the product may exhibit syneresis, 35 health benefits of food products containing said composition. or weeping, after thawing. Secondly, in the case of a product This length of time for effectiveness should extend up to at which is consumed frozen, these large crystals result in an least the time of utilisation of the product. undesirable, gritty mouth feel. Concentrates "Carriers' or “vehicles' mean materials suitable for com The compositions for use in the present invention may be in pound administration and include any such material known in 40 the form of concentrates. Typically these concentrates com the art such as, for example, any liquid, gel, Solvent, liquid prise a Substantially high concentration of a viable microor diluent, solubilizer, or the like, which is non-toxic and which ganism and/or a metabolite thereof. The microorganism and/ does not interact with any components of the composition in or metabolite thereof may be referred to herein as “the a deleterious manner. composition of the present invention' or “compositions”. Examples of nutritionally acceptable carriers include, for 45 Powders, granules and liquid compositions in the form of example, water, salt solutions, alcohol, silicone, waxes, concentrates may be diluted with water or resuspended in petroleum jelly, vegetable oils, polyethylene glycols, propy water or other Suitable diluents, for example, an appropriate lene glycol, liposomes, Sugars, gelatin, lactose, amylose, growth medium Such as milk or mineral or vegetable oils, to magnesium Stearate, talc, Surfactants, silicic acid, Viscous give compositions ready for use. paraffin, perfume oil, fatty acid monoglycerides and diglyc 50 The combinations of the present invention in the form of erides, petroethral fatty acid esters, hydroxymethyl-cellulose, concentrates may be prepared according to methods known in polyvinylpyrrolidone, and the like. the art. Examples of excipients include one or more of microcrys In one aspect of the present invention the product is con talline cellulose and other celluloses, lactose, sodium citrate, tacted by a composition in a concentrated form. Preferably, calcium carbonate, dibasic calcium phosphate, glycine, 55 the product is contacted by a spray-dried and/or resuspended starch, milk Sugar and high molecular weight polyethylene composition. glycols. The compositions of the present invention may be spray Examples of disintegrants include one or more of starch dried or freeze-dried by methods known in the art. (preferably corn, potato or tapioca starch), Sodium starch Typical processes for making particles using a spray drying glycollate, croScarmellose Sodium and certain complex sili 60 process involve a solid material which is dissolved in an Cates. appropriate solvent (e.g. a culture of a micro-organism in a Examples of granulation binders include one or more of fermentation medium). Alternatively, the material can be sus polyvinylpyrrolidone, hydroxypropylmethylcellulose pended or emulsified in a non-solvent to form a suspension or (HPMC), hydroxypropylcellulose (HPC), sucrose, maltose, emulsion. Other ingredients (as discussed above) or compo gelatin and acacia. 65 nents such as anti-microbial agents, stabilising agents, dyes Examples of lubricating agents include one or more of and agents assisting with the drying process may optionally magnesium Stearate, Stearic acid, glyceryl behenate and talc. be added at this stage. US 8,257,695 B2 17 18 The solution then is atomised to form a fine mist of drop included in the emulsion or raw ingredients of a foodstuff. In lets. The droplets immediately enter a drying chamber where a further alternative, the composition may be applied as a they contact a drying gas. The solvent is evaporated from the seasoning, glaze, colorant mixture, and the like. droplets into the drying gas to solidify the droplets, thereby For some applications, it is important that the composition forming particles. The particles are then separated from the is made available on or to the surface of a product to be drying gas and collected. affected/treated. This allows the composition to impart one or Products more of the following favourable characteristics: nutrition Any product which can benefit from the composition may and/or health benefits. be used in the present invention. These include but are not The compositions of the present invention may be applied limited to fruit conserves and dairy foods and dairy food 10 derived products, cosmetic and pharmaceutical products. The to intersperse, coat and/or impregnate a product with a con microorganism and/or metabolite thereof may be referred to trolled amount of a viable microorganism. herein as “the composition of the present invention” or “the Food composition'. The composition of the present invention may be used By way of example, the composition of the present inven 15 as—or in the preparation of a food. Here, the term “food is tion can be used as an ingredient to Soft drinks, a fruit juice or used in a broad sense—and covers food for humans as well as a beverage comprising whey protein, health teas, cocoa food for animals (i.e. a feed). In a preferred aspect, the food is drinks, milk drinks and lactic acid bacteria drinks, yoghurt for human consumption. and drinking yoghurt, cheese, ice cream, water ices and des The food may be in the form of a solution or as a solid serts, confectionery, biscuits cakes and cake mixes, Snack depending on the use and/or the mode of application and/or foods, balanced foods and drinks, fruit fillings, care glaze, the mode of administration. chocolate bakery filling, cheese cake flavoured filling, fruit When used as-or in the preparation of a food—such as flavoured cake filling, cake and doughnut icing, instant bak functional food—the composition of the present invention ery filling creams, fillings for cookies, ready-to-use bakery may be used in conjunction with one or more of a nutrition filling, reduced calorie filling, adult nutritional beverage, 25 ally acceptable carrier, a nutritionally acceptable diluent, a acidified Soy/juice beverage, aseptic/retorted chocolate drink, nutritionally acceptable excipient, a nutritionally acceptable bar mixes, beverage powders, calcium fortified Soy/plain and adjuvant, a nutritionally active ingredient. chocolate milk, calcium fortified coffee beverage. Preferably, the composition is used to ferment milk or The composition can further be used as an ingredient in sucrose fortified milk or lactic media with Sucrose and/or food products such as American cheese sauce, anti-caking 30 maltose where the resulting media containing all components agent for grated & shredded cheese, chip dip, cream cheese, of the composition—i.e. said microorganism according to the dry blended whip topping fat free sour cream, freeze? thaw dairy whipping cream, freeze? thaw stable whipped tipping, present invention—can be added as an ingredient to yoghurt low fat and light natural cheddar cheese, low fat Swiss style milk in Suitable concentrations—such as for example in con yoghurt, aerated frozen desserts, hard pack ice cream, label 35 centrations in the final product which offer a daily dose of friendly, improved economics & indulgence of hard pack ice 10-10" cfu. The microorganism according to the present cream, low fat ice cream: Soft serve, barbecue Sauce, cheese invention may be used before or after fermentation of the dip sauce, cottage cheese dressing, dry mix Alfredo Sauce, yoghurt. mix cheese sauce, dry mix tomato sauce and others. For some aspects the microorganisms according to the For certain aspects, preferably the present invention may 40 present invention are used as-or in the preparation of ani be used in connection with yoghurt production, such as fer mal feeds, such as livestock feeds, in particular poultry (Such mented yoghurt drink, yoghurt, drinking yoghurt, cheese, as chicken) feed, or pet food. fermented cream, milk based desserts and others. Food Ingredient Suitably, the composition can be further used as an ingre The composition of the present invention may be used as a dient in one or more of cheese applications, meat applica 45 food ingredient and/or feed ingredient. tions, or applications comprising protective cultures. As used herein the term “food ingredient’ or “feed ingre The present invention also provides a method of preparing dient' includes a formulation which is or can be added to a food or a food ingredient, the method comprising admixing functional foods or foodstuffs as a nutritional Supplement. the composition according to the present invention with The food ingredient may be in the form of a solution or as another food ingredient. 50 a solid-depending on the use and/or the mode of application Advantageously, the present invention relates to products and/or the mode of administration. that have been contacted with the composition of the present Food Supplements invention (and optionally with other components/ingredi The composition of the present invention may be—or may ents), wherein the composition is used in an amount to be be added to food Supplements. capable of improving the nutrition and/or health benefits of 55 the product. Functional Foods As used hereintheterm “contacted’ refers to the indirector The composition of the present invention may be—or may direct application of the composition of the present invention be added to—functional foods. to the product. Examples of the application methods which As used herein, the term “functional food’ means food may be used, include, but are not limited to, treating the 60 which is capable of providing not only a nutritional effect, but product in a material comprising the composition, direct is also capable of delivering a further beneficial effect to application by mixing the composition with the product, COSU. spraying the composition onto the product surface or dipping Accordingly, functional foods are ordinary foods that have the product into a preparation of the composition. components or ingredients (such as those described herein) Where the product of the invention is a foodstuff; the 65 incorporated into them that impart to the food a specific composition of the present invention is preferably admixed functional—e.g. medical or physiological benefit—other with the product. Alternatively, the composition may be than a purely nutritional effect. US 8,257,695 B2 19 20 Although there is no legal definition of a functional food, (GOS or TOS). Other suitable, prebiotics include palati most of the parties with an interest in this area agree that they noseoligosaccharide, soybean oligosaccharide, gentiooli are foods marketed as having specific health effects beyond gosaccharide, Xylooligomers, non-degradable starch, lac basic nutritional effects. tosaccharose, lactulose, lactitol, maltitol, polydextrose (i.e. Some functional foods are nutraceuticals. Here, the term Litesse?R) or the like. “nutraceutical means a food which is capable of providing In one embodiment the present invention relates to the not only a nutritional effect and/or a taste satisfaction, but is combination of a microorganism and/or metabolite thereof also capable of delivering a therapeutic (or other beneficial) according to the present invention with a prebiotic. effect to the consumer. Nutraceuticals cross the traditional The prebiotic for use in this combination may be one or dividing lines between foods and medicine. 10 Surveys have suggested that consumers place the most more of the following: inulin (fructo-oligosaccharide, or emphasis on functional food claims relating to heart disease. FOS) and transgalacto-oligosaccharides (GOS or TOS). Preventing cancer is another aspect of nutrition which inter Other Suitable, prebiotics include palatinoseoligosaccharide, ests consumers a great deal, but interestingly this is the area Soybean oligosaccharide, gentiooligosaccharide, Xylooligo that consumers feel they can exert least control over. In fact, 15 mers, non-degradable starch, lactosaccharose, lactulose, lac according to the World Health Organization, at least 35% of titol, maltitol, polydextrose (i.e. Litesse?R), or lactitol. cancer cases are diet-related. Furthermore claims relating to The prebiotic may be administered simultaneously with osteoporosis, gut health and obesity effects are also key fac (e.g. in admixture together with or delivered simultaneously tors that are likely to incite functional food purchase and drive by the same or different routes) or sequentially to (e.g. by the market development. same or different routes) the microorganism according to the Probiotic present invention and/or a metabolite thereof. For some applications, it is believed that the viable lactic The present invention contemplates the use of a microor acid microorganisms in the composition of the present inven ganism and/and/or a metabolite thereof in combination with a tion can exert a probiotic culture effect. It is also within the prebiotic in the manufacture of a medicament for use in Scope of the present invention to add to the composition of the 25 inducing Satiety and/or treating or preventing excess weight present invention further probiotic and/or prebiotics. or obesity. Here, a prebiotic is: Synbiotics “a non-digestible food ingredient that beneficially affects The present invention also contemplates using both pre the host by selectively stimulating the growth and/or the and probiotics as ingredients in a combination along with the activity of one or a limited number of beneficial bacteria'. 30 composition of the present invention which when combined, The term “probiotic culture' as used herein defines live become Synbiotics. The microorganism according the present microorganisms (including bacteria or yeasts for example) invention and/or a metabolite thereof may be referred to which, when for example ingested or locally applied in Suf hereinas “the composition'. The purpose of this is to combine ficient numbers, beneficially affects the host organism, i.e. by the effects of new beneficial bacteria and the stimulation of conferring one or more demonstrable health benefits on the 35 host organism. Probiotics may improve the microbial balance the body-own beneficial bacteria. There is a high potential in in one or more mucosal Surfaces. For example, the mucosal the development and the consumption of such mixtures, since Surface may be the intestine, the urinary tract, the respiratory Some of these may well show powerful synergistic nutritional tract or the skin. The term “probiotic” as used herein also and/or health effects. encompasses live microorganisms that can stimulate the ben 40 Thus the composition of the present invention may be eficial branches of the immune system and at the same time specifically designed to contain different components which decrease the inflammatory reactions in a mucosal Surface, for can provide a Synbiotic effect to the consumer. example the gut. Pharmaceutical Whilst there are no lower or upper limits for probiotic The composition of the present invention may be used intake, it has been suggested that at least 10°-10', preferably 45 as—or in the preparation of a pharmaceutical. Here, the at least 10-10', preferably 10-10, cfu as a daily dose will term "pharmaceutical” is used in a broad sense—and covers be effective to achieve the beneficial health effects in a host pharmaceuticals for humans as well as pharmaceuticals for organism, such as a human. animals (i.e. veterinary applications). In a preferred aspect, In addition to the probiotic effect the microorganism the pharmaceutical is for human use and/or for animal hus according to the present invention may have, it is also within 50 bandry. the scope of the present invention to provide prebiotics as The pharmaceutical can be for therapeutic purposes— other compounds which can be included in a combination which may be curative or palliative or preventative in nature. along with the composition. The microorganism according to The pharmaceutical may even be for diagnostic purposes. the present invention and/or a metabolite thereof may be When used as or in the preparation of a pharmaceuti herein referred to as “the composition”. The prebiotic com 55 cal, the composition of the present invention may be used in ponent of the combination comprising the composition of the conjunction with one or more of a pharmaceutically accept present invention are characterised with slow fermentation in able carrier, a pharmaceutically acceptable diluent, a pharma the large bowel. Such prebiotics can exert a positive effect on ceutically acceptable excipient, a pharmaceutically accept the gut flora, specifically in the left side of the colon, an area able adjuvant, a pharmaceutically active ingredient. of the gut which is especially prone to disorders in particular 60 The pharmaceutical may be in the form of a solution or as bowel cancer and ulcerative colitis. a solid-depending on the use and/or the mode of application Prebiotics are typically non-digestible carbohydrate and/or the mode of administration. (oligo- or polysaccharides) or a Sugar alcohol which is not Pharmaceutical Ingredient degraded or absorbed in the upper digestive tract. Known The microorganisms of the present invention may be used prebiotics used in commercial products and useful in accor 65 as pharmaceutical ingredients. Here, the composition may be dance with the present invention include inulin (fructo-oli the sole active component or it may be at least one of a number gosaccharide, or FOS) and transgalacto-oligosaccharides (i.e. 2 or more) of active components. US 8,257,695 B2 21 22 The pharmaceutical ingredient may be in the form of a EXAMPLES Solution or as a Solid-depending on the use and/or the mode of application and/or the mode of administration. The present invention will now be described, by way of Forms example only, in which reference may be made to the follow The microorganism of the present invention and/or a 5 ing figures: metabolite thereof may be used in any suitable form— FIG. 1 shows the gene expression pattern of Peptide YY whether when alone or when present in a combination with (PYY) in Caco-2 cells treated with L. acidophilus. The data other components or ingredients. The microorganism of the was normalized against the RNA amount. The fold difference present invention and/or a metabolite thereof may be referred was calculated as in Livak and Schmittgen, 2001; to herein as “the composition'. Likewise, combinations com 10 prising the composition of the present invention and other FIG. 2 shows the effect of L. acidophilus conditioned cul components and/or ingredients (i.e. ingredients—such as ture medium on PYY expression in Caco-2 cells; food ingredients, functional food ingredients or pharmaceu FIG.3 shows the gene expression of PYY after exposure to tical ingredients) may be used in any Suitable form. different microorganisms having probiotic properties; The microorganism of the present invention may be used in 15 FIG. 4 shows the effect of L. acidophilus NCFM bacterial the form of solid or liquid preparations or alternatives thereof. cells; simple lipid micelles and a combination thereof on Examples of solid preparations include, but are not limited to PYY expression in differentiated Caco-2 cells; tablets, capsules, dusts, granules and powders which may be FIG. 5 shows the effects of L. acidophilus metabolites: wettable, spray-dried or freeze-dried. Examples of liquid complex lipid micelles and a combination thereof on PYY preparations include, but are not limited to, aqueous, organic expression in differentiated caco-2 cells; and or aqueous-organic solutions, Suspensions and emulsions. FIG. 6 shows the effect L. acidophilus NCFM cell-free Suitable examples of forms include one or more of tablets, supernatant and bacteria on PYY expression; and pills, capsules, ovules, solutions or Suspensions, which may FIG.7 shows the effect of L. curvatus 853 on PYY expres contain flavouring or colouring agents, for immediate-, S1O. delayed-, modified-, Sustained-, pulsed- or controlled-release 25 applications. EXAMPLE 1. By way of example, if the composition of the present invention is used in a tablet form—such for use as a functional To Analyze the Gene Expression Pattern of Peptide YY ingredient—the tablets may also contain one or more of (PYY) in Caco-2 Treated with L. acidophilus. excipients such as microcrystalline cellulose, lactose, sodium 30 Method: citrate, calcium carbonate, dibasic calcium phosphate and The human colonic carcinoma cell line Caco-2 were culti glycine; disintegrants such as starch (preferably corn, potato vated on semiporous cell culture inserts and differentiated or tapioca starch), sodium starch glycollate, croScarmellose according to a 5-day differentiation protocol using differen Sodium and certain complex silicates; granulation binders tiation media (DM) composed of Entero-STIM medium Such as polyvinylpyrrolidone, hydroxypropylmethylcellu 35 supplemented with MITO+ serum extender and containing lose (HPMC), hydroxypropylcellulose (HPC), sucrose, gela no antibiotics. The differentiation was monitored using TER tin and acacia; lubricating agents such as magnesium Stearate, measurements and alkaline phosphatase activity measure Stearic acid, glyceryl behenate and talc may be included. ment. Examples of nutritionally acceptable carriers for use in The Lactobacillus acidophilus (strain PTA-4797) bacteria preparing the forms include, for example, water, salt Solu 40 were cultivated on MRS broth supplemented with 1% tions, alcohol, silicone, waxes, petroleum jelly, vegetable (weight/vol)glucose until the ODoo reached 0.6-0.7. The L. oils, polyethylene glycols, propylene glycol, liposomes, Sug acidophilus treatment was added into apical side of the cell ars, gelatin, lactose, amylose, magnesium Stearate, talc, Sur culture insert and incubated for 24 hours. The RNA was factants, silicic acid, Viscous paraffin, perfume oil, fatty acid isolated from the cells according to the protocol provided by monoglycerides and diglycerides, petroethral fatty acid 45 RNeasy mini kit (Qiagen), and the cDNA synthesized using esters, hydroxymethyl-cellulose, polyvinylpyrrolidone, and Superscript III reverse transcriptase (Invitrogen). The gene the like. expression pattern was monitored either using the SYBR Preferred excipients for the forms include lactose, starch, a Green (Applied Biosystems) with ABI Prism 7000 Genetic cellulose, milk Sugar or high molecular weight polyethylene Analyzer with primers specific for homo sapiens peptide YY. glycols. 50 Thforward primer was: 5' GGA GGC CTCAGCTTGACC For aqueous Suspensions and/or elixirs, the composition of 3' (SEQ ID NO: 1) and reverse primer: 5'TGC GCA CGA the present invention may be combined with various sweet ACA CCATAG 3' (SEQID NO: 2). The obtained threshold ening or flavouring agents, colouring matter or dyes, with cycle (Ct), which is the PCR-cycle at which the fluorescence emulsifying and/or Suspending agents and with diluents such intensity crosses a background threshold value, was trans as water, propylene glycol and glycerin, and combinations 55 formed into relative expression value using the method of thereof. Livak et al. (2001). The forms may also include gelatin capsules; fibre cap As a control, Caco-2 cells grown similarly on cell culture sules, fibre tablets etc.; or even fibre beverages. inserts without treatment with L. acidophilus. Further examples of form is in the form of a cream for Results: example. For some aspects the microorganism and/or a 60 The results from alkaline phosphatase activity as well as metabolite thereof may be included in pharmaceutical and/or TER measurements indicate that the cells were well differen cosmetic creams such as Sun creams and/or after-Sun creams tiated (data not shown). for example. The gene expression analysis shows that the expression of In one aspect, the composition according to the present satiety marker peptide YY (PYY). The peptide YY (PYY) invention may be administered in an aerosol, for example by 65 expression increased with 25.5% when compared to control way of a nasal spray, for instance for administration to the when the CaCo-2 cells were treated with L. acidophilus respiratory tract. (p<0.05, ANOVA) (FIG. 1). US 8,257,695 B2 23 24 The L. acidophilus—treatment of Caco-2 cells increased 5 mM glucose (p<0.05) compared to the respective control the expression of a satiety marker, peptide YY. The result with similar glucose amount). The co-cultivation of L. acido indicates that consumption of Lactobacillus acidophilus can philus together with Caco2 cells increased the expression of increase postprandial satiety by increasing Satiety signalling PYY by 1.7-fold in samples containing 0.5 mM glucose, and in the intestine. 5 by 2-fold in Samples containing 5 mM glucose compared to the respective control cells with similar glucose values. EXAMPLE 2 EXAMPLE 3 In vitro Experiment Mimicking the Meal with Glucose Experiment with Differentiated Caco-2 Cells. Effect of L. 10 In vitro Experiments with Other Probiotics acidophilus Conditioned Culture Broth in Cells Treated with Various Amounts of Glucose The Caco-2 were cultivated on semiporous cell culture The Caco-2 were cultivated on semiporous cell culture inserts and differentiated according to a 5-day differentiation inserts and differentiated according to a 5-day differentiation protocol using differentiation media (DM) composed of protocol using differentiation media (DM) composed of 15 Entero-STIM medium supplemented with MITO+ serum Entero-STIM medium supplemented with MITO+ serum extender and containing no antibiotics. The differentiation extender and containing no antibiotics. The differentiation was monitored using TER-measurements and alkaline phos was monitored using TER-measurements and alkaline phos phatase activity measurement. phatase activity measurement. On the fourth day of the The treatments of the Caco2-cells consisted of control experiment, the medium was changed with a medium con cells, which were treated with Caco-2 culture medium, and taining no glucose on both sides of the insert and the cells test cells, which were treated with probiotic culture broth in were starved from glucose for 24 h. Caco-2 culture medium. In addition, control Caco2-cells with The treatments of the Caco2-cells consisted of control addition of MRS broth diluted in Caco-2 culture medium was cells, which were treated on the apical side with 0.5 mM, and included. Cells were incubated for 24 hours at 37° C., 5% 5 mM glucose containing medium, and test cells, which were 25 CO, treated on the apical side with 0.5 mM and 5 mM glucose The probiotic bacteria were cultivated on MRS broth containing medium with concomitant addition of L acidophi Supplemented with 1% (weight/vol) glucose until the ODoo lus treatment. In addition, control Caco2-cells without any reached 0.6-0.7. The cells were centrifuged and culture broth addition of glucose containing medium on the apical side was was sterile-filtered and used in the test medium. The probiotic included. In all wells 5 mM glucose on the basal side was 30 strains tested included following commercialized strains: B. added. The cells were incubated for 24 h at 37° C., 5% CO. lactis 420 (from Danisco), B. lactis HNO19 (Trade name The L. acidophilus bacteria were cultivated on MRS broth containing no sugar until the ODoo reached 0.6-0.7. The cells HowaruTM Bifido—Danisco A/S) and L. salivarius LS-33 were centrifuged and the culture broth was sterile-filtered and (from Danisco). used in the test mediums. 35 The RNA was isolated from the Caco2-cells according to The RNA was isolated from the Caco2-cells according to the protocol provided by RNeasy mini kit (Qiagen), and the the protocol provided by RNeasy mini kit (Qiagen), and the cDNA synthesized using Superscript III reverse transcriptase cDNA synthesized using Superscript III reverse transcriptase (Invitrogen). The gene expression pattern of PYY was moni (Invitrogen). The gene expression pattern of PYY was moni tored using the TaqMan probe chemistry (Applied Biosys tored using the TaqMan probe chemistry (Applied Biosys 40 tems) with ABI Prism 7000 Genetic Analyzer using a oligo tems) with ABI Prism 7000 Genetic Analyzer using a oligo nucleotide set recognizing the Homo sapiens PYY nucleotide set recognizing the homo sapiens PYY specifically. specifically. The oligonucleotides included: forward primer: 5' GGA The oligonucleotides included: forward primer: 5' GGA GGC CTC AGC TTG ACC 3' (SEQ ID NO: 1), reverse GGC CTC AGC TTG ACC 3' (SEQ ID NO: 1), reverse 45 primer: 5"TGC GCA CGA ACA CCATAG 3' (SEQ ID NO: primer: 5' TGC GCA CGA ACA CCATAG 3' (SEQID NO: 2), and a probe: Universal Probel library probe #10 (Roche). 2), and a probe: Universal Probel library probe #10 (Roche). The obtained threshold cycle (Ct), which is the PCR-cycle at The obtained threshold cycle (Ct), which is the PCR-cycle at which the fluorescence intensity crosses a background thresh which the fluorescence intensity crosses a background thresh old value, was transformed into absolute quantitative value old value, was transformed into absolute quantitative value 50 using a standard curve from quantified synthetic oligonucle using a standard curve from quantified synthetic oligonucle otides representing the antisense sequence of the target tran otides representing the antisense sequence of the target tran Script showing inverse log-linear relationship between the Script showing inverse log-linear relationship between the copy number and the PCR cycle (Nurmi et al., 2005 Nutrition copy number and the PCR cycle (Nurmi et al., 2005 Nutrition & Cancer 51 (1): 83-92.). The sequence of this standard & Cancer 51 (1): 83-92.) The sequence of this standard oli 55 oligonucleotide is: 5'TGC GCA CGA ACACCATAG CGA gonucleotide is: 5’ TGC GCA CGA ACA CCA TAG CGA TAG CTTGTGAAG CAG ACGAGCAGGAGGTGGAAG TAG CTTGTGAAG CAG ACGAGCAGGAGGTGGAAG GCG AGG GAA GTC CCA AGG GCT GCA CTG CCG GCG AGG GAA GTC CCA AGG GCT GCA CTG CCG CAG GTCAAG CTG AGG CCTCC 3' (SEQ ID NO:3). CAG GTCAAG CTG AGG CCTCC 3' (SEQ ID NO:3). Results 60 Results: The results from alkaline phosphatase activity as well as The results are shown in FIG. 3. TER measurements indicate that the cells were well differen The addition of B. lactis 420 and B. Lactis HNO19 tiated (data not shown). increased the expression PYY by 76% and 68%, respectively, The results are shown in FIG. 2. compared to the control. The treatment of L. salivarius 33 The addition of L. acidophilus culture broth increased the 65 increased the expression of PYY by 67% compared to the expression of PYY by 1.3-fold in samples containing 0.5 mM control. Therefore, other bacteria than L. acidophilus may glucose (p<0.05, ANOVA) and 2-fold in samples containing have the same Satiety inducing effect. US 8,257,695 B2 25 26 EXAMPLE 4 Trials to Monitor the Food Intake in a Meal: Male Wistar rats as described above are used. Ten rats are Measure of Satiety Signalling in Blood in Rats: used in each group (control and test diet fed groups of rats). In this study rat was used as a human model although some The rats first have ten days acclimatization to the test, after physiological differences exist. Unlike in human stomach 5 which the test starts and lasts for ten days. The rats are divided proximal part of rat Stomach is almost free of gastric juice that into five groups, one control and fourtest groups. In all groups enables bacteria to survive and ferment the food there. That the rats are fed ad libitum with control diet. The control group may cause differences in the satiety between human and rat. receives saline in gavage once per day and the test groups Thus the rat plasma obtained using the protocol below will be receive L. acidophilus at amount of 10 and 10" in gavage analysed for neuroendocrinological signals arising from 10 once per day. The rats are preferably fed during dark cycle. The food intake and the weight gain are monitored after stomach (ghrelin, leptin), intestine (CCK, GLP-1, PYY, orex each dark cycle on each rat. ins) or metabolites in blood circulation (acetic acid, glucose) Preliminary investigations Suggest that the addition of and their hormonal responses (insulin). microorganisms, and particularly probiotic strains, in the The gastrointestinal tract is rich in endocrine and neuronal 15 food of rats decreases food intake by these rats. cells that synthesize and secrete Satiety increasing peptides, Clinical Trial: Postprandial Satiety Signalling Study on cholecystokinin (CCK) and peptide YY (PYY), in the Humans response to the intraluminal stimuli associated withingestion A pilot study could be conducted with 15-20 volunteers of a meal. CCK inhibits food intake rapidly, and the duration (human subjects). The subjects are their own controls (two of inhibition is relatively brief. It is also known that short 20 separate tests with either control or test drink). chain fatty acid produced by gut microbes induce Satiety The subjects are preferably an equal number of middle inducing gut hormone PYY. Probiotics may cause also aged healthy men and women (body mass index BMI decrease in appetite stimulating peptides ghrelin and orexin. approximately 25). Plasma concentration of those peak before meal and decrease The Subjects undergo an overnight-fasting. rapidly after that. 25 Afterwards, they are given test drink (comprising one or Accordingly, attention will be focused on the plasma levels more of the Strains of interest disclosed in the present speci of satiety increasing peptides CCK and PYY and also appetite fication), and control drink (without the strains of interest). stimulating peptides ghrelin or orexin as an indicator of the After, venous blood samples are taken at 0, 2 and 5 hours. control of short-term food intake after probiotics supplemen A questionnaire has to be filled by the subjects, to relate the tation. Moreover the plasma concentration of acetic acid will 30 hunger and Satiety sensations they had after having had either be analysed to see the level of fermentation products in test or control drink. plasma. In parallel, concentrations of PYY are measured from Male Wistar rats (HsdRddHan: WIST) weighing 248 g plasma (Peninsula Laboratories, San Carlos, Calif., USA). (STDEV 12.1 g) at the start of the experiments were housed at 21°C. in a 12-hlight/dark cycle with free access to tap 35 EXAMPLE 5 water ad libitum. During the acclimatization period (14 days) the normal cycle was reversed and rats were trained to con Experiment with Differentiated Caco-2 Cells. Effect of L. sume all their food (20 g/day,) within 5 h from the start of the acidophilus Conditioned Culture Broth in Cells Treated with dark cycle at 8 AM. The Formulab Diet 5008 used was a Lipids high-energy, high protein diet and it contained Digestible 40 This experiment is performed to mimic a meal with fatty carbohydrates 49.55 and fiber. Rats were randomly allocated acids: to two treatment groups of 20 animals each, and one group of The experiment was done with Caco-2 cells which were 5 rats. The latter group was anesthetized at 8 AM before differentiated according a 5-day protocol (Yamashita, S., receiving food to provide fasting blood samples. The remain Konishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & ing groups were: Bifido 420 (10'), NCFM (10'), NCFM 45 Furuyama, Y. (2002).JPharm Sci 91,669-79). The cells were (10')+lactitol (2 g), lactitol (2 g) alone and control group. differentiated until the transepithelial electrical resistance Lactitol was included as it is known to increase postprandially (TEER) was over 200 ohmxcm. The complex lipid micelles circulating PYY concentration. All the test items were admin were prepared according to (Chateau, D., Pauquai, T., Delers, istered by tube feeding in a volume of 2.5 ml sterile water/ F. Rousset, M., Chambaz, J. & Demignot, S. (2005) J. Cell animal. Control group was given sterile water without any 50 Physiol 202, 767-776) with or without 10% L. acidophilus Supplement, in the same conditions. Animals were given stan NCFM metabolites. The Caco-2 cells were treated with the dard food after dosing. Each test group was divided into five lipid micelles for 3 hours after which the PYY expression was Subgroups and each subgroup was on turn anesthetized for measured from the cells. blood sampling at 1, 5, 10 and 24 h after the start of the dark Materials & Methods cycle. Rats were anesthetized with carbon dioxide for blood 55 Caco-2 cells (HTB-37, AmericanType Culture Collection, sampling by cardiac puncture. ATCC) were maintained at 37° C. in humidified 5% CO, PYY concentrations will be analysed from plasma accord atmosphere in basal culture medium consisting of Dulbecco's ing to Gee and Johnson (2005). Other hormones may be Modified Eagle's Medium (DMEM, Invitrogen Carlsbad, analysed including: GLP-1 with radioimmunoassay (RIAS) Calif., US) supplemented with 20% FBS (Invitrogen), 2 mM according to Deacon et al (2002) Am. J. Physiol. Endocrinol. 60 stable glutamine (Invitrogen), 1x non-essential amino acids Metab. 282:E873-E879, ghrelin with RIA, CCK according to (Invitrogen), 20U/ml penicillin (Invitrogen), 20 ug/ml strep Paloheimo & Rehfeld (1995), orexin according to Heinonen tomycin (Invitrogen), and 0.5 ug/mlamphotericin (Invitro etal (2005), and acetic acid by HPLC. All blood samples will gen). be taken by cardiac puncture into EDTA tubes. The samples The Caco-2 cells were used at passage 26 and plated as were centrifuged by 1,600xg at 4°C. for 15 minutes. Plasma 65 6.6x10 cells/cm on 12-well cell culture inserts (BIOCOAT fraction will be removed and transferred into fresh tubes and HTS, BD Biosciences, Le Pont de Claix, France) and differ stored at -70° C. until analysis. entiated according to a 5-day protocol (Yamashita, S., Kon US 8,257,695 B2 27 28 ishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & sequence of the target transcript showing inverse log-linear Furuyama, Y. (2002).J Pharm Sci 91, 669-79). Briefly, after relationship between the copy number and the PCR-cycle plating, the cells were incubated of n at 37° C. at humidified (Nurmi, J.T., Puolakkainen, P. A. & Rautonen, N. E. (2005) 5% CO atmosphere in basal cell culture medium without Nutr Cancer 51, 83-92). The sequence of this standard oligo antibiotics after which the medium was aspirated and nucleotide is: 5'TGC GCA CGA ACA CCATAG CGATAG replaced with differentiation medium (Entero-STIM, BD CTTGTGAAG CAGACGAGCAGGAGGTGGAAG GCG Biosciences), supplemented with MITO+ serum extender AGG GAA GTC CCA AGG GCT GCA CTG CCG CAG (BD Biosciences) 250 ul/250 ml medium. At 4th day of GTC AAG CTG AGG CCTCC 3' (SEQ ID NO:3). culture, the medium was replaced, and at 5" day the experi The statistical analysis was done with Student's t-test. ment with lipid micelles was conducted. 10 Results L. acidophilus NCFM (from Danisco Cultures, Paris, The results are shown in FIG. 5. France) was cultivated at 37° C. anaerobically in Man, Rog The expression of satiety marker peptide YY (PYY) osa and Sharpe (MRS) broth supplemented with 1.0% glu increased when Caco-2 cells were treated either with L. aci cose until the OD600 reached 0.6-0.7. The bacterial cell den dophilus NCFM metabolites alone or combined with the sity was determined with flow cytometry (FACSCalibur, 15 complex lipid micelles. Becton Dickinson, San Jose, Calif., US) as previously In the experiment with complex lipid micelles (composed described (Apajalahti, J. H. Kettunen, H., Kettunen, A., Hol of 0.6 mM oleic acid, 2 mM 2-mono-oleylglycerol, 0.2 mM ben, W. E., Nurminen, P. H., Rautonen, N. & Mutanen, M. cholesterol and 0.05 mM L-O-phosphatidylcholine), the (2002) Appl. Environ. Microbiol. 68, 4986-4995). The cell MRS broth combined with the complex lipid micelle mixture free supernatants were collected by centrifugation (25°C., 5 did not induce the PYY expression when compared with the min, 3000 g) and Supernatant was removed. The L. acidophi treatment with complex lipid micelles alone. The L. acido lus NCFM cell-free supernatant (referred later as L. acido philus NCFM metabolites increased the expression of PYY philus NCFM metabolites) as well as the MRS control were compared to the controls (p<0.05 when compared to complex diluted 10% (v/v) in differentiation medium and complex lipid micelles alone, and p=0.05 when compared to 10% lipid micelles were prepared into the resulting media (see 25 MRS alone). When the complex lipid micelles were com below). bined with the 10% L. acidophilus NCFM metabolites it The complex lipid micelles were prepared into 24 mM further increased the PYY expression (p<0.05 when com taurocholate (Sigma, St Louis, Mo., USA) in differentiation pared either to complex lipid micelle treatment, or to 10% medium. The composition of complex micelles used was: 0.6 MRS treatment). mMoleic acid 2 mMtaurocholate—0.2 mM 2-mono-oley 30 lglycerol—0.05 mM cholesterol—0.2 mM phosphatidylcho EXAMPLE 6 line. One millilitre of micelles was prepared by mixing oleic acid (6 ul of 100 mM stock) with other lipids (2 Jul) in a sterile Effect of L. acidophilus NCFM Bacterial Cells on Differen glass tube. The lipids were dried under nitrogen gas at ambi tiated Caco-2 Cells Treated with Lipids ent temperature and the residue was dissolved in 83 ul of 24 35 The experiment was done with Caco-2 cells which were mMtaurocholate in differentiation medium and the volume differentiated according a 5-day protocol (Yamashita, S., was brought up to 1 ml either by bare differentiation medium, Konishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & by differentiation medium consisting of 10% (v/v) MRS, or Furuyama, Y. (2002).JPharm Sci 91,669-79). The cells were by differentiation medium consisting of 10% (v/v) L. acido differentiated until the transepithelial electrical resistance philus NCFM metabolites. 40 (TEER) was over 200 ohmxcm. The complex lipid micelles The lipid micelles were applied at fifth day of Caco-2 were prepared according to (Chateau, D., Pauquai, T., Delers, differentiation on the apical side of the cells, and were left to F. Rousset, M., Chambaz, J. & Demignot, S. (2005) J. Cell react with the cells for 3 hours. As controls 10% (v/v) MRS Physiol 202, 767-776), with or without L. acidophilus NCFM and complex lipid micelles without L. acidophilus NCFM bacterial cells in a ratio of 50 bacterial cells to one Caco-2 metabolites were used. They were prepared into differentia 45 cell. The Caco-2 cells were treated with the lipid micelles for tion medium. 3 hours after which the PYY expression was measured from After the treatments the cell culture media were aspirated the cells. and the cells were lysed with 150 ul of RA1 (Macherey Materials & Methods Nagel, Duren, Germany) Supplemented with 1% B-mercap Caco-2 cells (HTB-37, AmericanType Culture Collection, toethanol (Sigma). The RNA from the cell lysates was col 50 ATCC) were maintained at 37° C. in humidified 5% CO, lected with Nucleospin 96 RNA isolation kit according to atmosphere in basal culture medium consisting of Dulbecco's instruction provided by the manufacturer (Macherey-Nagel). Modified Eagle's Medium (DMEM, Invitrogen Carlsbad, The first-strand cDNA synthesis was done with random prim Calif., US) supplemented with 20% FBS (Invitrogen), 2 mM ers using SuperScript III according to the instructions pro stable glutamine (Invitrogen), 1x non-essential amino acids vided by the manufacturer (Invitrogen). The PYY expression 55 (Invitrogen), 20U/ml penicillin (Invitrogen), 20 ug/ml strep pattern in the samples was analyzed using ABI PRISM tomycin (Invitrogen), and 0.5 g/ml amphotericin (Invitro Sequence Detection System (Applied Biosystems, Foster gen). City, Calif., USA) using oligonucleotides specifically detect The Caco-2 cells were used at passage 26 and plated as ing homo sapiens PYY. The oligonucleotides included: for 6.6x10 cells/cm on 12-well cell culture inserts (BIOCOAT ward primer: 5' GGAGGCCTCAGCTTGACC3' (SEQID 60 HTS, BD Biosciences, Le Pont de Claix, France) and differ NO: 1); reverse primer: 5'TGCGCACGA ACACCATAG3' entiated according to a 5-day protocol (Yamashita, S., Kon (SEQ ID NO: 2); and the probe: Universal ProbelLibrary ishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & probe #10 (Roche). The obtained threshold cycle (Ct), which Furuyama, Y. (2002).J Pharm Sci 91, 669-79). Briefly, after is the PCR-cycle at which the fluorescence intensity crosses a plating, the cells were incubated of n at 37° C. at humidified background threshold value, was transformed into absolute 65 5% CO atmosphere in basal cell culture medium without quantitative value by using a standard curve from quantified antibiotics after which the medium was aspirated and synthetic oligonucleotides representing the antisense replaced with differentiation medium (Entero-STIM, BD US 8,257,695 B2 29 30 Biosciences), supplemented with MITO+ serum extender The statistical analysis was done with Student's t-test. (BD Biosciences) 250 ul/250 ml medium. At 4th day of Results culture, the medium was replaced, and at 5" day the experi The results are shown in FIG. 4. ment with lipid micelles was conducted. The expression of satiety marker peptide YY (PYY) L. acidophilus NCFM (from Danisco Cultures, Paris, 5 increased when Caco-2 cells were treated either with L. aci France) was cultivated at 37° C. anaerobically in Man, Rog dophilus NCFM bacterial cells alone or combined with the osa and Sharpe (MRS) broth supplemented with 1.0% simple lipid micelles. (weight/volume) glucose until the OD600 reached 0.6-0.7. In the experiment with simple lipid micelles composed of The bacterial cell density was determined with flow cytom 0.6 mM oleic acid in 2 mM taurocholate, the MRS broth etry (FACSCalibur, Becton Dickinson, San Jose, Calif., US) 10 combined with the simple lipid micelle mixture did not as previously described (Apajalahti, J. H. Kettunen, H., Ket induce the PYY expression when compared with the treat tunen, A., Holben, W. E., Nurminen, P. H., Rautonen, N. & ment with lipid micelles alone. The L. acidophilus NCFM Mutanen, M. (2002) Appl. Environ. Microbiol. 68, 4986 bacterial cells increased the expression of PYY compared to 4995). The bacterial cells were collected by centrifugation the controls (p<0.05 when compared to lipid micelles alone, (25°C., 5 min, 3000 g) and supernatant was removed. The L. 15 and when compared to 10% MRS alone). When the lipid acidophilus NCFM bacterial cells were washed once with micelles were combined with the L. acidophilus NCFM bac differentiation medium and simple lipid micelles were pre terial cells in a ratio of 50 bacterial cells to one caco-2 cell the pared with the bacteria (see below). PYY expression was similarly induced although the high The simple lipid micelles were prepared into 24 mM tau variation caused a decrease in the statistical significance rocholate (Sigma, St Louis, Mo., USA) in differentiation (p=0.08 when compared to complex lipid micelle treatment). medium. The composition of simple micelles was: 0.6 mM oleic acid 2 mM taurocholate. One millilitre of micelles EXAMPLE 7 was prepared from oleic acid (6 ul of 100 mM stock) in a sterile glass tube. The oleic acid was dried under nitrogen gas Effect of L. acidophilus NCFM on PYY Expression (Time at ambient temperature and the residue was dissolved in 83 ul 25 Series) of 24 mM taurocholate in differentiation medium and the Trial Outline volume was brought up to 1 ml either by bare differentiation The experiment was done with Caco-2 cells which were medium, by differentiation medium consisting of 10% (v/v) differentiated according a 5-day protocol (Yamashita, S., MRS, or by differentiation medium consisting of L. acido Konishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & philus NCFM bacterial cells in a ratio of 50 bacterial cells to 30 Furuyama, Y. (2002).JPharm Sci 91,669-79). The cells were one Caco-2 cell. differentiated until the transepithelial electrical resistance The lipid micelles were applied at fifth day of Caco-2 (TEER) was over 200 ohmxcm. The cells were treated with differentiation on the apical side of the cells, and were left to bacterial cells (50 microbes: One Caco-2 cell) or with 0.1% react with the cells for 3 hours. As controls 10% (v/v) MRS (v/v), 1% (v/v), and 10% (v/v) cell-free supernatant diluted in medium and simple lipid micelles without L. acidophilus 35 caco-2 culture medium. The samples for PYY expression NCFM bacterial cells were used. They were prepared into studies were collected at two different time points 3 hand 24 differentiation medium. h after administering the test Substances. After the treatments the cell culture media were aspirated Materials & Methods and the cells were lysed with 150 ul of RA1 (Macherey Caco-2 cells (HTB-37, AmericanType Culture Collection, Nagel, Duren, Germany) Supplemented with 1% (3-mercap 40 ATCC) were maintained at 37° C. in humidified 5% CO, toethanol (Sigma). The RNA from the cell lysates was col atmosphere in basal culture medium consisting of Dulbecco's lected with Nucleospin 96 RNA isolation kit according to Modified Eagle's Medium (DMEM, Invitrogen Carlsbad, instruction provided by the manufacturer (Macherey-Nagel). Calif., US) supplemented with 20% FBS (Invitrogen), 2 mM The first-strand cDNA synthesis was done with random prim stable glutamine (Invitrogen), 1x non-essential amino acids ers using SuperScript III according to the instructions pro 45 (Invitrogen), 20U/ml penicillin (Invitrogen), 20 ug/ml strep vided by the manufacturer (Invitrogen). The PYY expression tomycin (Invitrogen), and 0.5 g/ml amphotericin (Invitro pattern in the samples was analyzed using ABI PRISM gen). Sequence Detection System (Applied Biosystems, Foster The Caco-2 cells were used at passage 58 and plated as City, Calif., USA) using oligonucleotides specifically detect 6.6x10 cells/cm on 12-well cell culture inserts (BIOCOAT ing homo sapiens PYY. The oligonucleotides included: for 50 HTS, BD Biosciences, Le Pont de Claix, France) and differ ward primer: 5' GGA GGC CTCAGCTTGACC3 (SEQ ID entiated according to a 5-day protocol (Yamashita, S., Kon NO: 1)"; reverse primer: 5’ TGC GCA CGA ACACCATAG ishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & 3' (SEQ ID NO: 2); and the probe: Universal ProbelLibrary Furuyama, Y. (2002).J Pharm Sci 91, 669-79). Briefly, after probe #10 (Roche). The obtained threshold cycle (Ct), which plating, the cells were incubated of n at 37° C. at humidified is the PCR-cycle at which the fluorescence intensity crosses a 55 5% CO atmosphere in basal cell culture medium without background threshold value, was transformed into absolute antibiotics after which the medium was aspirated and quantitative value by using a standard curve from quantified replaced with differentiation medium (Entero-STIM BD synthetic oligonucleotides representing the antisense Biosciences supplemented with MITO-- serum extender sequence of the target transcript showing inverse log-linear BD Biosciences. 250 ul/250 ml medium.) At 4th day of relationship between the copy number and the PCR-cycle 60 culture, the medium was replaced, and at 5" day the experi (Nurmi, J.T., Puolakkainen, P. A. & Rautonen, N. E. (2005) ment with bacteria as well as cell-free Supernatant was con Nutr Cancer 51, 83-92). ducted. The sequence of this standard oligonucleotide is: 5' TGC L. acidophilus NCFM (Danisco Cultures, Paris, France) GCA CGA ACACCATAG CGATAG CTTGTGAAG CAG was cultivated fresh in anaerobic conditions at 37°C. in Man, ACG AGC AGG AGG TGG AAG GCG AGG GAA GTC 65 Rogosa and Sharpe (MRS) broth supplemented with 1.0% CCA AGG GCT GCA CTG CCG CAG GTC AAG CTG glucose (w/v) until the OD600 reached 1.0-1.5. The cell-free AGGCCT CC3' (SEQ ID NO:3). supernatant was collected by centrifugation (25°C., 5 min, US 8,257,695 B2 31 32 3000 g) and removed, and diluted 0.1% (v/v), 1% (v/v) and L. curvatus 853 bacterial cells (50 microbes: One Caco-2 cell. 10% (v/v) in differentiation medium, and filtered through 0.2 The samples for gene expression analysis were collected after um sterile Syringe filter units (Sartorius, Goettingen, Ger 4 hours of treatment. many). The bacterial cell density was estimated based on the Materials & Methods OD-value, and they were washed once with EnteroStim and Caco-2 cells (HTB-37, AmericanType Culture Collection, resuspended into EnteroStim in a ratio 50 bacterial cells to ATCC) were maintained at 37° C. in humidified 5% CO, one Caco-2 cell. The test substances were applied onto the atmosphere in basal culture medium consisting of Dulbecco's apical side of the Caco-2 cells. Modified Eagle's Medium (DMEM, Invitrogen Carlsbad, After the treatments the cell culture media were aspirated Calif., US) supplemented with 20% FBS (Invitrogen), 2 mM and the cells were lysed with 150 ul of RA1 (Macherey 10 stable glutamine (Invitrogen), 1x non-essential amino acids Nagel, Duren, Germany) Supplemented with 1% B-mercap (Invitrogen), 20U/ml penicillin (Invitrogen), 20 ug/ml strep toethanol (Sigma). The samples for PYY expression analysis tomycin (Invitrogen), and 0.5 g/ml amphotericin (Invitro from L. acidophilus NCFM samples were taken after 3 hand gen). 24h incubation. The RNA from the cell lysates was collected with Nucleospin 96 RNA isolation kit according to instruc 15 The Caco-2 cells were used at passage 58 and plated as tion provided by the manufacturer (Macherey-Nagel). The 6.6x10 cells/cm on 12-well cell culture inserts (BIOCOAT first-strand cDNA synthesis was done with random primers HTS, BD Biosciences, Le Pont de Claix, France) and differ using SuperScript III according to the instructions provided entiated according to a 5-day protocol (Yamashita, S., Kon by the manufacturer (Invitrogen). The PYY expression pat ishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & tern in the samples was analyzed using ABIPRISM Sequence Furuyama, Y. (2002).J Pharm Sci 91, 669-79). Briefly, after Detection System (Applied Biosystems, Foster City, Calif., plating, the cells were incubated of n at 37° C. at humidified USA) using oligonucleotides specifically detecting homo 5% CO atmosphere in basal cell culture medium without sapiens PYY. The oligonucleotides included: forward primer: antibiotics after which the medium was aspirated and 5' GGA GGC CTC AGC TTG ACC 3' (SEQ ID NO: 1); replaced with differentiation medium (Entero-STIM BD reverse primer: 5' TGC GCA CGA ACA CCATAG 3 (SEQ 25 Biosciences supplemented with MITO-- serum extender ID NO: 2)"; and the probe: Universal ProbelLibrary probe #10 BD Biosciences. 250 ul/250 ml medium.) At 4th day of (Roche). The obtained threshold cycle (Ct), which is the culture, the medium was replaced, and at 5" day the experi PCR-cycle at which the fluorescence intensity crosses a back ment with bacterial cells was conducted. ground threshold value, was transformed into absolute quan L. curvatus 853 was cultivated fresh in anaerobic condi titative value by using a standard curve from quantified syn 30 tions at 37° C. in Man, Rogosa and Sharpe (MRS) broth thetic oligonucleotides representing the antisense sequence of the target transcript showing inverse log-linear relationship supplemented with 1.0% glucose until the OD600 reached between the copy number and the PCR-cycle (Nurmi, J.T., 1.0-1.5. The cell-free supernatant was collected by centrifu Puolakkainen, P. A. & Rautonen, N. E. (2005) Nutr Cancer gation (25°C., 5 min, 3000 g) and removed. The bacterial cell 51, 83-92). The sequence of this standard oligonucleotide is: 35 density was estimated based on the OD-value, and they were 5' TGC GCA CGA ACA CCA TAG CGA TAG CTT GTG washed once with EnteroStim, diluted and applied onto the AAG CAG ACG. AGC AGG AGG TGG AAG GCG AGG apical side of the Caco-2 cells. GAA GTC CCA AGG GCT GCA CTG CCG CAG GTC After the 4-hour treatment the cell culture media were AAG CTG AGG CCTCC 3' (SEQ ID NO:3). aspirated and the cells were lysed with 150ll of RA1 (Mach The statistical analysis was done with ANOVA. 40 erey-Nagel, Duren, Germany) supplemented with 1% f-mer Results captoethanol (Sigma). The RNA from the cell lysates was FIG. 6 shows the effect L. acidophilus NCFM cell-free collected with Nucleospin 96 RNA isolation kit according to supernatant and bacteria on PYY expression. Three different instruction provided by the manufacturer (Macherey-Nagel). dilutions of cell-free supernatant 0.1 (v/v), 1% (v/v), and 10% The first-strand cDNA synthesis was done with random prim (v/v) were used. The samples for PYY expression study were 45 ers using SuperScript III according to the instructions pro collected 3 and 24 hours after test Substance application. vided by the manufacturer (Invitrogen). The PYY expression *p-0.05 compared to Enterostim (medium) control; LA pattern in the samples was analyzed using ABI PRISM NCFM bact=L. acidophilus NCFM bacteria Sequence Detection System (Applied Biosystems, Foster L. acidophilus NCFM bacterial cells increased the PYY City, Calif., USA) using oligonucleotides specifically detect expression at both time points, 3 hand 24 h after application 50 ing homo sapiens PYY. The oligonucleotides included: for of the bacteria ward primer: 5' GGAGGC CTCAGCTTGACC3' (SEQID Cell-free supernatant increased the PYY expression as NO: 1); reverse primer: 5'TGCGCACGA ACACCATAG3' 10% dilution after 3 h incubation. (SEQ ID NO: 2); and the probe: Universal Probe library The dose as well as the time of the treatment affects the probe #10 (Roche). The obtained threshold cycle (Ct), which PYY expression. The bacterial cells, particularly viable bac 55 is the PCR-cycle at which the fluorescence intensity crosses a terial cells, may have a more sustainable effect on PYY background threshold value, was transformed into absolute expression than the metabolites. quantitative value by using a standard curve from quantified synthetic oligonucleotides representing the antisense EXAMPLE 8 sequence of the target transcript showing inverse log-linear 60 relationship between the copy number and the PCR-cycle Effect of L. curvatus 853 Bacterial Cells on PYY Expression (Nurmi, J.T., Puolakkainen, P. A. & Rautonen, N. E. (2005) The experiment was done with Caco-2 cells which were Nutr Cancer 51, 83-92). The sequence of this standard oligo differentiated according a 5-day protocol (Yamashita, S., nucleotide is: 5'TGC GCA CGA ACA CCATAG CGATAG Konishi, K., Yamazaki, Y., Taki, Y., Sakane, T., Sezaki, H. & CTTGTGAAG CAGACGAGCAGGAGGTGGAAG GCG Furuyama, Y. (2002).JPharm Sci 91,669-79). The cells were 65 AGG GAA GTC CCA AGG GCT GCA CTG CCG CAG differentiated until the transepithelial electrical resistance GTC AAG CTG AGG CCTCC 3' (SEQ ID NO: 1). (TEER) was over 200 ohmxcm. The cells were treated with The statistical analysis was done with ANOVA. US 8,257,695 B2 33 34 Results The invention claimed is: FIG.7 shows the effect of L. curvatus 853 on PYY expres 1. A method of modulating Satiety signaling in a subject sion. The samples for PYY expression study were collected 4 which method comprises administering to the Subject an hours after test substance application. p-0.05 compared to effective amount of at least one strain of a microorganism medium only control. wherein the microorganism is selected from the group con L. curvatus 853 bacterial cells increased the PYY expres sisting of Lactobacillus acidophilus PTA-4797, Bacillus lac sion after 4 hours of incubation. tis 420, Bacillus lactis HNO19 and Lactobacillus salivarius All publications mentioned in the above specification are LS-33, wherein one or more satiety marker levels are herein incorporated by reference. Various modifications and increased in plasma orgut, and wherein each satiety marker is variations of the described methods and system of the present 10 selected from the group consisting of pancreatic polypeptide invention will be apparent to those skilled in the art without (PYY), cholecystokinin (CKK), Glucagon-like-peptide-1 departing from the scope and spirit of the present invention. (GLP-1), leptin, insulin and acetic acid. Although the present invention has been described in connec 2. The method of claim 1, wherein the microorganism tion with specific preferred embodiments, it should be under modulates one or more other Satiety markers. stood that the invention as claimed should not be unduly 15 3. The method of claim 1, wherein modulating satiety limited to such specific embodiments. Indeed, various modi signaling occurs post-prandially. fications of the described modes for carrying out the invention 4. The method of claim 1, wherein the satiety marker is which are obvious to those skilled in biochemistry and bio selected from the group consisting ghrelin, orexin and leptin, technology or related fields are intended to be within the and wherein leptin is obtained from brain. Scope of the following claims. 5. The method of claim 1, wherein the microorganism is incorporated into a Support. References 6. The method of claim 1, wherein the support is a phar maceutically acceptable Support or a food product. Livak KJ, and Schmittgen TD (2001) Analysis of relative 7. The method of claim 1, wherein the method is a cosmetic gene expression data using real-time quantitative PCR and 25 method of reducing excess weight in a non-obese Subject. the 2(-Delta Delta C(T)) Method. Methods, 25(4): 402-8. 8. The method of claim 6, wherein the support is a medi Yamashita S. Konishi K, Yamazaki Y. Taki Y. Sakane T. Cament. Sezani H, Furuyama Y (2002) New and better protocols for a 9. The method of claim 1, wherein the method is a method short-term Caco-2 cell culture system. J Pharm Sci 91(3): of treating excess weight and/or a disease caused by excess 669-679. weight.

SEQUENCE LISTING

<16O is NUMBER OF SEO ID NOS: 3

<21Os SEQ ID NO 1 <211 > LENGTH: 18 <212> TYPE: DNA <213> ORGANISM: Artificial <22O > FEATURE: <223s OTHER INFORMATION: Oligonucleotide primer

<4 OOs, SEQUENCE: 1 ggaggcctica gcttgacc 18

SEQ ID NO 2 LENGTH: 18 TYPE: DNA ORGANISM: Artificial FEATURE: OTHER INFORMATION: Oligonucleotide primer

<4 OOs, SEQUENCE: 2 tgcgcacgaa caccatag 18

SEQ ID NO 3 LENGTH: 104 TYPE: DNA ORGANISM: Artificial FEATURE: OTHER INFORMATION: Oligonucleotide

<4 OOs, SEQUENCE: 3 tgcgcacgaa caccatagcg at agcttgttg aag cagacga gcaggaggtg gaaggcgagg 6 O gaagtc.ccaa gggctgcact gcc.gcagg to aagctgaggc CtcC 104 US 8,257,695 B2 35 36 10. The method of claim 1, wherein the method is a method 14. The method of claim 1, wherein the microorganism is of treating obesity and/or a disease caused by obesity. administered in combination with a prebiotic. 11. The method of claim 1, wherein the microorganism is a 15. The method of claim 14, wherein the prebiotic is one or probiotic microorganism. more of the following inulin, a transgalacto-oligosaccharide, palantinoseoligosaccharide, soybean oligosaccharide, gen 12. The method of claim 1, wherein the microorganism is a tiooligosaccharide, oxylooligomers, non-degradable starch, lactic acid bacterium. lactosaccharose, lactulose, lactitol, maltitol, or polydextrose. 13. The method of claim 1, wherein the microorganism is a probiotic lactic acid bacterium. k k k k k