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TW201438720A - Dietary oligosaccharides to enhance learning and memory - Google Patents

Dietary oligosaccharides to enhance learning and memory Download PDF

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TW201438720A
TW201438720A TW102147014A TW102147014A TW201438720A TW 201438720 A TW201438720 A TW 201438720A TW 102147014 A TW102147014 A TW 102147014A TW 102147014 A TW102147014 A TW 102147014A TW 201438720 A TW201438720 A TW 201438720A
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lactose
nutritional
nutritional composition
tetraose
breast milk
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TW102147014A
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Jomay Chow
Matthew R Panasevich
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Abbott Lab
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    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/20Reducing nutritive value; Dietetic products with reduced nutritive value
    • A23L33/21Addition of substantially indigestible substances, e.g. dietary fibres
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES, NOT OTHERWISE PROVIDED FOR; PREPARATION OR TREATMENT THEREOF
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/40Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

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Abstract

Use of a nutritional composition comprising at least one human milk oligosaccharide in the manufacture of a medicament for enhancing learning and memory in an individual in need thereof where the human milk oligosaccharide is selected from lacto-N-neotetraose, lacto-N-tetraose, disialylated lacto-N-tetraose, 3'-fucosyllactose, and 3'-sialyllactose.

Description

增強學習及記憶力之膳食寡糖 Dietary oligosaccharides that enhance learning and memory 相關申請案之交叉引用Cross-reference to related applications

本申請案主張2012年12月18日申請之美國臨時申請案第61/738,486號之權益。 This application claims the benefit of U.S. Provisional Application No. 61/738,486, filed on December 18, 2012.

本發明係關於包含至少一種母乳寡糖之營養組合物的用途,其係用於製造用以增強有需要之個體之學習及記憶力的藥物。更具體言之,該母乳寡糖係選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖。 The present invention relates to the use of a nutritional composition comprising at least one breast milk oligosaccharide for the manufacture of a medicament for enhancing the learning and memory of an individual in need thereof. More specifically, the breast milk oligosaccharide is selected from the group consisting of lactose-N-neotetraose, lactose-N-tetraose, disialylated lactose-N-tetraose, 3'-trehalose lactose, and 3'-sialic acid. Lactose.

嬰兒在其生命的第一年中經歷快速生長及發育。在此期間,體重增加約190%,同時頭圍擴大1/3。因為腦部在嬰兒及兒童期早期期間生長及發育最快,所以在此期間供應最佳營養對於適當腦部發育至關重要。目前,所有商業嬰兒配方及用於增強認知發育目的之許多產前補充劑中均添加有長鏈聚不飽和脂肪酸(LCPUFA),諸如二十碳六烯酸(DHA)及二十碳四烯酸(ARA)。此外,新興研究表明,具有9-碳化合物唾液酸(在哺乳動物乳汁中發現之一種腦神經節苷脂組分)之膳食補充亦可增強學習及記憶力。 Infants experience rapid growth and development during their first year of life. During this period, the weight gain was about 190%, while the head circumference was increased by 1/3. Because the brain grows and develops fastest during early childhood and early childhood, supplying optimal nutrition during this period is critical for proper brain development. Currently, long-chain polyunsaturated fatty acids (LCPUFA), such as docosahexaenoic acid (DHA) and eicosatetraenoic acid, are added to all commercial infant formulas and many prenatal supplements for cognitive development purposes. (ARA). In addition, emerging research suggests that dietary supplementation with a 9-carbon compound sialic acid (a brain ganglioside component found in mammalian milk) can also enhance learning and memory.

人類內臟微生物組與其宿主共生存在,且其可對健康及疾病發揮顯著作用(Nicholson,2012)。此複合微生物群落在採集來自未消化 之碳水化合物之能量、促進宿主免疫系統成熟及提供針對潛在病原體之移生抗性中起到關鍵作用(Clemente等人,2012)。然而,在一些條件下,內臟微生物組亦可對人類健康產生負面影響。內臟微生物相組成之非所要改變與過敏症、乳糜瀉、胃癌、自閉症、肥胖症、厭食、發炎性腸病(IBD)及2型糖尿病之發展有關(Clemente等人,2012)。 The human visceral microbiome coexists with its host and can play a significant role in health and disease (Nicholson, 2012). This composite microbial community is collected from undigested The energy of carbohydrates, the promotion of host immune system maturation and the provision of key resistance to potential pathogens (Clemente et al., 2012). However, under some conditions, the visceral microbiome can also have a negative impact on human health. The undesired changes in visceral microbial phase composition are associated with the development of allergies, celiac disease, gastric cancer, autism, obesity, anorexia, inflammatory bowel disease (IBD), and type 2 diabetes (Clemente et al., 2012).

儘管越來越多的證據表明腸道微生物相之組成改變了神經元發育及行為(Diaz Heijtz等人,2011),但有關飲食、內臟微生物相與中樞及周邊神經系統之間的關係知之甚少。迄今,已在動物模型中顯示,經口投與某些益生菌可改變腦部脂質組成(Wall等人,2012)、對內臟疼痛之敏感性(Kamiya等人,2006;Duncker等人,2011;McKernan等人,2010),以及焦慮樣行為(Desbonnet等人,2008)。然而,有關不可消化之膳食碳水化合物(諸如母乳寡糖)、腸道微生物相與神經元發育及功能之間的相互作用實際上一無所知。 Although there is growing evidence that the composition of the intestinal microbial phase alters neuronal development and behavior (Diaz Heijtz et al., 2011), little is known about the relationship between diet, visceral microbial phase and central and peripheral nervous systems. . To date, it has been shown in animal models that oral administration of certain probiotics can alter brain lipid composition (Wall et al., 2012) and sensitivity to visceral pain (Kamiya et al., 2006; Duncker et al., 2011; McKernan et al., 2010), and anxiety-like behavior (Desbonnet et al., 2008). However, the interaction between indigestible dietary carbohydrates (such as breast milk oligosaccharides), intestinal microbial phase and neuronal development and function is virtually unknown.

參考文獻: references:

Clemente JC, Ursell LK, Wegener Parfrey L, et al. The impact of the gut microbiota on human health: an integrative view. Cell 2012;148:1258-70. Clemente JC, Ursell LK, Wegener Parfrey L, et al . The impact of the gut microbiota on human health: an integrative view. Cell 2012;148:1258-70.

Desbonnet L, Garrett L, Clarke G, et al. The probiotic Bifidobacteria infantis: An assessment of potential antidepressant properties in the rat. J Psychiatr Res 2008;43:164-74. Desbonnet L, Garrett L, Clarke G, et al . The probiotic Bifidobacteria infantis: An assessment of potential antidepressant properties in the rat. J Psychiatr Res 2008;43:164-74.

Diaz Heijtz R, Wang S, Anuar F, et al. Normal gut microbiota modulates brain development and behavior. PNAS 2011;108:3047-52. Diaz Heijtz R, Wang S, Anuar F, et al . Normal gut microbiota modulates brain development and behavior. PNAS 2011;108:3047-52.

Duncker SC, Kamiya T, Wang L, et al. Probiotic Lactobacillus reuteri alleviates the response to gastric distension in rats. J Nutr 2011;141:1813-18. Duncker SC, Kamiya T, Wang L, et al . Probiotic Lactobacillus reuteri alleviates the response to gastric distension in rats. J Nutr 2011;141:1813-18.

Kamiya T, Wang L, Forsythe, P, et al. Inhibitory effects of Lactobacillus reuteri on visceral pain induced by colorectal distension in Sprague-Dawley rats. Gut 2006;55:191-96. Kamiya T, Wang L, Forsythe, P, et al . Inhibitory effects of Lactobacillus reuteri on visceral pain induced by colorectal distension in Sprague-Dawley rats. Gut 2006;55:191-96.

Mckernan DP, Fitzgerald P, Finan TG, et al. The probiotic Bifidobacterium infantis 35624 displays visceral antinociceptive effects in the rat. Neurogastroenterol Motil 2010;22:1029-36 Mckernan DP, Fitzgerald P, Finan TG, et al . The probiotic Bifidobacterium infantis 35624 displays visceral antinociceptive effects in the rat. Neurogastroenterol Motil 2010;22:1029-36

Nicholson JK. Host-gut microbiota metabolic interactions. Science 2012; 336:1262-67. Nicholson JK. Host-gut microbiota metabolic interactions. Science 2012; 336:1262-67.

Wall R, Marques TM, O' Sullivan O, et al. Contrasting effects of Bifidobacterium breve NCIMB 702258 and Bifidobacterium breve DPC 6330 on the composition of murine brain fatty acids and gut microbiota. Am J Clin Nutr 2012, Vol. 95, p. 1278-87. Wall R, Marques TM, O' Sullivan O, et al . Contrasting effects of Bifidobacterium breve NCIMB 702258 and Bifidobacterium breve DPC 6330 on the composition of murine brain fatty acids and gut microbiota. Am J Clin Nutr 2012, Vol. 95, p. 1278-87.

本發明提供包含至少一種母乳寡糖之營養組合物之用途,其係用於製造用以增強有需要之個體之學習及記憶力的藥物,其中該母乳寡糖係選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖。 The present invention provides the use of a nutritional composition comprising at least one breast milk oligosaccharide for the manufacture of a medicament for enhancing the learning and memory of an individual in need thereof, wherein the breast milk oligosaccharide is selected from the group consisting of lactose-N-neotetraose Lactose-N-tetraose, disialylated lactose-N-tetraose, 3'-trehalose lactose and 3'-sialyllactose.

定義definition

術語「殺菌釜封裝」與「殺菌釜滅菌」在本文中可互換使用,且除非另外說明,否則其係指用營養液填充容器(最通常為金屬罐或其他類似封裝),接著使填充液體之封裝經受必要熱滅菌步驟以形成經滅菌的殺菌釜封裝之營養液產品的慣例。 The terms "sterilizer" and "sterilizer" are used interchangeably herein and, unless otherwise stated, refer to filling a container with a nutrient solution (most commonly a metal can or other similar package), followed by filling with a liquid. The formulation of the package is subjected to the necessary heat sterilization steps to form a sterilized sterilizer-encapsulated nutrient solution product.

除非另外說明,否則如本文所用之術語「無菌封裝」係指不依賴上述殺菌釜封裝步驟來製造封裝產品,其中營養液及封裝在填充之 前分別進行滅菌,接著在滅菌或無菌加工條件下組合形成經滅菌的無菌封裝之營養液產品。 The term "aseptically packaged" as used herein, unless otherwise indicated, means that the packaged product is manufactured without relying on the above described sterilization step, wherein the nutrient solution and the package are filled. The sterilizing is separately performed separately, and then combined under sterile or aseptic processing conditions to form a sterilized aseptically packaged nutrient solution product.

除非另外說明,否則如本文所用之術語「脂肪」與「油」可互換使用,意指源自植物或動物或者由植物或動物加工得到之脂質材料。此等術語亦包括合成脂質材料,只要該等合成材料適於經口投與人類。 The terms "fat" and "oil" as used herein, unless otherwise indicated, are used interchangeably and mean a lipid material derived from a plant or animal or processed from a plant or animal. These terms also include synthetic lipid materials as long as the synthetic materials are suitable for oral administration to humans.

除非另外說明,否則如本文所用之術語「母乳寡糖」或「HMO」一般係指在人類乳汁中發現的可呈酸性或中性形式之許多複合碳水化合物,及其前驅物。例示性非限制性母乳寡糖包括3'-唾液酸基乳糖(3SL)、6'-唾液酸基乳糖(6SL)、乳糖-N-新四糖(LNnT)、乳糖-N-四糖(LNT)、二唾液酸化乳糖-N-四糖(DSLNT)、3'-海藻糖基乳糖(3FL)及3'-唾液酸基乳糖(3SL),及2'-海藻糖基乳糖(2FL)。 The term "breast oligosaccharide" or "HMO" as used herein, unless otherwise indicated, generally refers to a plurality of complex carbohydrates found in human milk that may be in acidic or neutral form, and precursors thereof. Exemplary non-limiting breast milk oligosaccharides include 3'-sialyl lactose (3SL), 6'-sialyl lactose (6SL), lactose-N-neotetraose (LNnT), lactose-N-tetraose (LNT) ), disialylated lactose-N-tetraose (DSLNT), 3'-trehalosyl lactose (3FL) and 3'-sialyl lactose (3SL), and 2'-trehalosyl lactose (2FL).

除非另外說明,否則如本文所用之術語「存放穩定的」係指營養產品在封裝且接著在18-24℃下儲存至少3個月,包括約6個月至約24個月,且亦包括約12個月至約18個月後仍為商業上穩定的。 The term "storage stable" as used herein, unless otherwise indicated, means that the nutritional product is packaged and then stored at 18-24 ° C for at least 3 months, including from about 6 months to about 24 months, and also includes It is still commercially stable from 12 months to about 18 months.

如本文所用之術語「營養調配物」或「營養組合物」可互換使用,且除非另外說明,否則其係指包括營養液、營養粉末、營養固體、營養半固體、營養半液體、營養補充劑及此項技術中已知之任何其他營養食物產品的合成配方。營養粉末可復原形成營養液,其均適於人類經口消費。術語「營養調配物」或「營養組合物」不包括人類乳汁。 The terms "nutritional formulation" or "nutritional composition" as used herein are used interchangeably and, unless otherwise indicated, are meant to include nutrient solutions, nutritional powders, nutritional solids, nutrient semi-solids, nutrient semi-liquids, nutritional supplements. And synthetic formulations of any other nutraceutical product known in the art. The nutritional powder can be reconstituted to form a nutrient solution, which is suitable for human oral consumption. The term "nutritional formulation" or "nutritional composition" does not include human milk.

除非另外說明,否則如本文所用之術語「營養液」係指即飲液體形式、濃縮形式之營養產品及藉由在使用之前復原本文所述之營養粉末而製成之營養液。 The term "nutrient solution" as used herein, unless otherwise indicated, refers to a ready-to-drink liquid form, a concentrated form of a nutritional product, and a nutrient solution made by restoring the nutritional powder described herein prior to use.

除非另外說明,否則如本文所用之術語「營養粉末」係指可流動或可挖取形式之營養產品,其可在消費之前用水或另一水性液體復 原且包括噴霧乾燥及乾式混合/乾式摻合之粉末兩者。 The term "nutritional powder" as used herein, unless otherwise indicated, refers to a nutritive product in a flowable or excavable form that can be reconstituted with water or another aqueous liquid prior to consumption. Both raw and spray-dried and dry blended/dry blended powders are included.

除非另外說明,否則如本文所用之術語「營養半固體」係指性質(諸如剛性)介於固體與液體之間的營養產品。一些半固體實例包括布丁狀物、明膠及黏團(dough)。 The term "nutritional semi-solid" as used herein, unless otherwise indicated, refers to a nutritional product having a property (such as rigidity) between a solid and a liquid. Some semi-solid examples include puddings, gelatin, and dough.

除非另外說明,否則如本文所用之術語「營養半液體」係指性質(諸如流動性)介於液體與固體之間的營養產品。一些半液體實例包括濃稠奶昔(thick shake)及液體凝膠。 The term "nutritional semi-liquid" as used herein, unless otherwise indicated, refers to a nutritional product having a property (such as fluidity) between a liquid and a solid. Some semi-liquid examples include thick shakes and liquid gels.

除非另外說明,否則如本文所用之術語「嬰兒」或「足月嬰兒」係指12個月或不到12個月的個體(person)。如本文所用之術語「早產嬰兒」係指在妊娠36週之前出生的個體。 The term "infant" or "term infant" as used herein, unless otherwise indicated, refers to a person who is 12 months or less. The term "premature baby" as used herein refers to an individual born before 36 weeks of gestation.

除非另外說明,否則如本文所用之術語「幼童」係指大於1歲到至多3歲的個體。 The term "younger" as used herein, unless otherwise indicated, refers to an individual from greater than 1 year old to up to 3 years old.

除非另外說明,否則如本文所用之術語「兒童」係指大於3歲到至多12歲的個體。 The term "child" as used herein, unless otherwise indicated, refers to an individual that is older than 3 years old and up to 12 years old.

除非另外說明,否則如本文所用之術語「新生兒」係指出生到至多4週的個體。 The term "neonatal" as used herein, unless otherwise indicated, refers to an individual who has been born for up to 4 weeks.

除非另外說明,否則如本文所用之術語「嬰兒配方」或「合成嬰兒配方」可互換使用且其係指適於嬰兒消費之液體、固體、半固體及半液體母乳替代物或代用品。合成配方包括半純化或純化起源之組分。除非另外說明,否則如本文所用之術語「半純化」或「純化」係指材料已藉由純化天然材料或藉由合成來製備。術語「嬰兒配方」或「合成嬰兒配方」不包括人類乳汁。 The terms "infant formula" or "synthetic infant formula" as used herein, unless otherwise indicated, are used interchangeably and refer to liquid, solid, semi-solid and semi-liquid breast milk substitutes or substitutes suitable for infant consumption. Synthetic formulations include components that are semi-purified or purified from origin. The term "semi-purified" or "purified" as used herein, unless otherwise indicated, means that the material has been prepared by purifying a natural material or by synthesis. The term "infant formula" or "synthetic infant formula" does not include human milk.

除非另外說明,否則如本文所用之術語「合成兒科配方」係指適於嬰兒或至多36個月(3歲)大的幼童消費之液體、固體、半固體及半液體母乳替代物或代用品。合成配方包括半純化或純化起源之組分。除非另外說明,否則如本文所用之術語「半純化」或「純化」係 指材料已藉由純化天然材料或藉由合成來製備。術語「合成兒科營養配方」不包括人類乳汁。 The term "synthetic pediatric formulation" as used herein, unless otherwise indicated, refers to liquid, solid, semi-solid and semi-liquid breast milk substitutes or substitutes suitable for infants or young children up to 36 months (3 years old). . Synthetic formulations include components that are semi-purified or purified from origin. The term "semi-purified" or "purified" as used herein, unless otherwise stated. It is meant that the material has been prepared by purifying the natural material or by synthesis. The term "synthetic pediatric nutritional formula" does not include human milk.

除非另外說明,否則如本文所用之術語「合成兒童配方」係指適於至多12歲之兒童消費之液體、固體、半固體及半液體母乳替代物或代用品。合成配方包括半純化或純化起源之組分。除非另外說明,否則如本文所用之術語「半純化」或「純化」係指材料已藉由純化天然材料或藉由合成來製備。術語「合成兒童營養配方」不包括人類乳汁。 The term "synthetic child formula" as used herein, unless otherwise indicated, refers to liquid, solid, semi-solid and semi-liquid breast milk substitutes or substitutes suitable for consumption by children up to 12 years of age. Synthetic formulations include components that are semi-purified or purified from origin. The term "semi-purified" or "purified" as used herein, unless otherwise indicated, means that the material has been prepared by purifying a natural material or by synthesis. The term "synthetic child nutrition formula" does not include human milk.

除非另外說明,否則如本文所用之術語「早產嬰兒配方」係指適於早產嬰兒消費之液體及固體營養產品。 The term "premature infant formula" as used herein, unless otherwise indicated, refers to liquid and solid nutritional products suitable for consumption by premature infants.

除非另外說明,否則如本文所用之術語「母乳強化劑」係指適於與乳汁或早產嬰兒配方或嬰兒配方混合以供早產或足月嬰兒消費之液體及固體營養產品。 The term "mammal milk fortifier" as used herein, unless otherwise indicated, refers to a liquid and solid nutritional product suitable for mixing with a milk or premature infant formula or infant formula for preterm or term infant consumption.

如本文所述之營養組合物可向包括嬰兒以及懷有該等嬰兒之孕婦或為該等嬰兒哺乳之母親在內之個體投與,或在一些實施例中,可向「有需要」之特定嬰兒子類投與;亦即,投與將會因嬰兒配方之投與而特別受益之特定嬰兒(或懷有該等嬰兒之孕婦或為該等嬰兒哺乳之母親)。舉例而言,特定嬰兒可能「需要」如本文所述之嬰兒配方,若其易於發生(亦即,有遺傳傾向、具有家族史及/或具有提示神經疾病或病狀之症狀)異常認知發育、精神疾病或缺陷、大腦性麻痹或其他腦部病症。在特定實施例中,「需要」本文揭示之營養組合物之嬰兒為早產嬰兒。 The nutritional composition as described herein may be administered to an individual, including an infant and a pregnant woman with the infant or a mother breastfeeding the infant, or in some embodiments, may be Infant sub-categories; that is, the administration of specific babies (or pregnant women who have such babies or mothers who are breast-feeding) for the infant formula. For example, a particular infant may "need" an infant formula as described herein, if it is prone to occur (ie, has a genetic predisposition, has a family history, and/or has symptoms indicative of a neurological disease or condition), abnormal cognitive development, Mental illness or deficiency, cerebral palsy or other brain condition. In a particular embodiment, the infant in need of the nutritional composition disclosed herein is a premature infant.

除非另外說明,否則如本文所用之所有百分比、份數及比率係以總組合物之重量計。除非另外說明,否則所有該等重量只要是關於所列成分,即基於活性物含量,且因此不包括市售材料中可能包括之溶劑或副產物。 All percentages, parts and ratios as used herein are by weight of the total composition, unless otherwise stated. Unless otherwise stated, all such weights are as far as the listed ingredients are, i.e., based on the active level, and thus do not include solvents or by-products that may be included in commercially available materials.

不管是否明確揭示,如本文所用之數值範圍欲包括在該範圍內之每一個數值及數值子集。此外,此等數值範圍應解釋為向針對該範圍內之任何數值或數值子集之技術方案提供支持。舉例而言,揭示1至10應解釋為支持2至8、3至7、5至6、1至9、3.6至4.6、3.5至9.9等之範圍。 The numerical ranges as used herein are intended to include a In addition, such numerical ranges should be interpreted as providing support to the technical solutions for any value or subset of values within the range. For example, the disclosures 1 to 10 should be construed as supporting ranges of 2 to 8, 3 to 7, 5 to 6, 1 to 9, 3.6 to 4.6, 3.5 to 9.9, and the like.

除非另外說明或明確指出與提及之上下文相反,否則本發明所有提及之單個特徵或限制應包括相應複數個特徵或限制,且反之亦然。 All the individual features or limitations referred to in the present invention should include a corresponding plurality of features or limitations, and vice versa, unless otherwise stated or clearly indicated.

除非另外說明或明確指出與所提及組合之上下文相反,否則如本文所用之方法或製程步驟之所有組合可以任何順序執行。 All combinations of methods or process steps as used herein may be performed in any order, unless otherwise stated or indicated to the contrary.

γ-胺基丁酸(GABA)及胍丁胺皆幫助改善學習、研究能力及注意力。GABA為中樞神經系統之主要抑制性神經傳遞素。認為其提高腦中血漿生長激素濃度及蛋白質合成速率,此有助於促進腦發育。動物研究表明,胍丁胺使經歷空間學習任務之大鼠的突觸末梢中之精神集中度提高85%。此表明胍丁胺在此類學習中起到關鍵作用。此等化合物皆可自食物吸收或由宿主細胞內源產生。 Both gamma-aminobutyric acid (GABA) and agmatine help improve learning, research and attention. GABA is the major inhibitory neurotransmitter of the central nervous system. It is believed to increase plasma growth hormone concentration and protein synthesis rate in the brain, which helps to promote brain development. Animal studies have shown that agmatine increases mental concentration in the synaptic terminals of rats undergoing spatial learning tasks by 85%. This suggests that agmatine plays a key role in this type of learning. These compounds can all be taken from food or produced endogenously by the host cell.

已發現,藉由供給特定母乳寡糖(HMO)可使已存在腸菌群之人類內臟中產生GABA及胍丁胺。如表1及表2中所示且如實例51中所述進行的,自母乳餵養嬰兒(BF)或配方餵養嬰兒(FF)獲取且用HMO乳糖-N-新四糖(LNnT)培育之糞便樣品的厭氧醱酵培養物顯示GABA及胍丁胺相對於空白組急劇增加。此活體外研究顯示,消費所選HMO將在活體內由人類自身之腸菌群產生GABA及胍丁胺。 It has been found that GABA and agmatine can be produced in the human viscera of the already existing intestinal flora by supplying specific breast milk oligosaccharides (HMO). Feces obtained from breast-fed infants (BF) or formula-fed infants (FF) and incubated with HMO lactose-N-neotetraose (LNnT) as shown in Tables 1 and 2 and as described in Example 51 The anaerobic fermentation culture of the sample showed a dramatic increase in GABA and agmatine relative to the blank group. This in vitro study showed that consumption of selected HMOs would produce GABA and agmatine from human intestinal flora in vivo.

本發明提供包含至少一種母乳寡糖之營養組合物之用途,其係用於製造用以增強有需要之個體之學習及記憶力的藥物,其中該母乳寡糖係選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖。不受特定理論約束,咸信向個體供給包含乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖或3'-唾液酸基乳糖之營養組合物將使腸菌群消費此等化合物且使GABA、胍丁胺或兩者大量增加。GABA、胍丁胺或兩者將經由個體內臟吸收至其血流中且接著通過血腦屏障。 GABA、胍丁胺或兩者將接著改善個體之學習、研究能力、注意力或其任何組合。或者,GABA、胍丁胺或兩者可能無需通過血腦屏障來產生所要作用。 The present invention provides the use of a nutritional composition comprising at least one breast milk oligosaccharide for the manufacture of a medicament for enhancing the learning and memory of an individual in need thereof, wherein the breast milk oligosaccharide is selected from the group consisting of lactose-N-neotetraose Lactose-N-tetraose, disialylated lactose-N-tetraose, 3'-trehalose lactose and 3'-sialyllactose. Without being bound by a particular theory, Xianxin supplies the individual with lactose-N-neotetraose, lactose-N-tetraose, disialylated lactose-N-tetraose, 3'-trehalosyl lactose or 3'-sialic acid. The nutritional composition of lactose will cause the intestinal flora to consume such compounds and increase the amount of GABA, agmatine or both. GABA, agmatine or both will be absorbed into the bloodstream via the internal organs of the individual and then through the blood brain barrier. GABA, agmatine, or both will then improve the individual's learning, research capabilities, attention, or any combination thereof. Alternatively, GABA, agmatine, or both may not need to pass through the blood-brain barrier to produce the desired effect.

本發明方法中所用之組合物中可單獨或組合包括之HMO的具體非限制性實例包括:乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖或3'-唾液酸基乳糖。在一個實例中,用於減輕有需要個體之壓力的營養組合物包含至少一種選自乳糖-N-新四糖及乳糖-N-四糖之母乳寡糖。在另一實施例中,營養組合物包含乳糖-N-新四糖。在另一實施例中,營養組合物包含乳糖-N-四糖。 Specific non-limiting examples of HMOs which may be included alone or in combination in the compositions used in the methods of the invention include: lactose-N-neotetraose, lactose-N-tetraose, disialylated lactose-N-tetraose, 3 '- Trehalose lactose or 3'-sialyllactose. In one example, the nutritional composition for relieving the pressure of the individual in need comprises at least one breast milk oligosaccharide selected from the group consisting of lactose-N-neotetraose and lactose-N-tetraose. In another embodiment, the nutritional composition comprises lactose-N-neotetraose. In another embodiment, the nutritional composition comprises lactose-N-tetraose.

在一個實施例中,營養組合物為液體且包含約0.001mg/mL至約20mg/mL,包括約0.001mg/mL至約10mg/mL,包括約0.001mg/mL至約5mg/mL,包括約0.01mg/mL至約20mg/mL,包括約0.001mg/mL至低於2mg/mL且包括約0.01mg/mL至低於2mg/mL之量的至少一種選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四 糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖之母乳寡糖。 In one embodiment, the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 20 mg/mL, including from about 0.001 mg/mL to about 10 mg/mL, including from about 0.001 mg/mL to about 5 mg/mL, including about 0.01 mg/mL to about 20 mg/mL, including at least one selected from the group consisting of about 0.001 mg/mL to less than 2 mg/mL and including from about 0.01 mg/mL to less than 2 mg/mL, selected from the group consisting of lactose-N-neotetraose, Lactose-N-tetraose, disialylated lactose-N-four Sugar, 3'-trehalose lactose and 3'-sialyllactose lactose oligosaccharides.

在一具體實施例中,營養組合物為液體且包含約0.001mg/mL至約20mg/mL,包括約0.001mg/mL至約10mg/mL,包括約0.001mg/mL至約5mg/mL,包括約0.001mg/mL至低於2mg/mL,且包括約0.01mg/mL至約20mg/mL,包括約0.01mg/mL至低於2mg/mL之量的至少一種選自乳糖-N-新四糖及乳糖-N-四糖之母乳寡糖。 In a particular embodiment, the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 20 mg/mL, including from about 0.001 mg/mL to about 10 mg/mL, including from about 0.001 mg/mL to about 5 mg/mL, including From about 0.001 mg/mL to less than 2 mg/mL, and including from about 0.01 mg/mL to about 20 mg/mL, including at least one selected from the group consisting of lactose-N-new four in an amount from about 0.01 mg/mL to less than 2 mg/mL Sugar and lactose-N-tetrasaccharide milk oligosaccharides.

在一具體實施例中,營養組合物為液體且包含約0.001mg/mL至約20mg/mL,包括約0.001mg/mL至約10mg/mL,包括約0.001mg/mL至約5mg/mL,包括約0.001mg/mL至低於2mg/mL,且包括約0.01mg/mL至約20mg/mL,包括約0.01mg/mL至低於2mg/mL之量的乳糖-N-四糖。 In a particular embodiment, the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 20 mg/mL, including from about 0.001 mg/mL to about 10 mg/mL, including from about 0.001 mg/mL to about 5 mg/mL, including From about 0.001 mg/mL to less than 2 mg/mL, and including from about 0.01 mg/mL to about 20 mg/mL, including lactose-N-tetraose in an amount from about 0.01 mg/mL to less than 2 mg/mL.

在一具體實施例中,營養組合物為液體且包含約0.001mg/mL至約20mg/mL,包括約0.001mg/mL至約10mg/mL,包括約0.001mg/mL至約5mg/mL,包括約0.001mg/mL至低於2mg/mL,且包括約0.01mg/mL至約20mg/mL,包括約0.01mg/mL至低於2mg/mL之量的乳糖-N-新四糖。 In a particular embodiment, the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 20 mg/mL, including from about 0.001 mg/mL to about 10 mg/mL, including from about 0.001 mg/mL to about 5 mg/mL, including From about 0.001 mg/mL to less than 2 mg/mL, and including from about 0.01 mg/mL to about 20 mg/mL, including lactose-N-neotetraose in an amount from about 0.01 mg/mL to less than 2 mg/mL.

在一個實施例中,營養組合物為粉末且以粉末重量計包含約0.0005%至約5%,包括約0.01%至約1%之量的至少一種選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖之母乳寡糖。 In one embodiment, the nutritional composition is a powder and comprises from about 0.0005% to about 5% by weight of the powder, including at least one selected from the group consisting of lactose-N-neotetraose, lactose, in an amount from about 0.01% to about 1%. N-tetrasaccharide, disialylated lactose-N-tetraose, 3'-trehalose lactose, and 3'-sialyl lactose, a milk oligosaccharide.

在一具體實施例中,營養組合物為粉末且以粉末重量計包含約0.0005%至約5%,諸如約0.01%至約1%之量的至少一種選自乳糖-N-新四糖及乳糖-N-四糖之母乳寡糖。 In a particular embodiment, the nutritional composition is a powder and comprises from about 0.0005% to about 5% by weight of the powder, such as from about 0.01% to about 1%, at least one selected from the group consisting of lactose-N-neotetraose and lactose. -N-tetrasaccharide milk oligosaccharide.

在一具體實施例中,營養組合物為粉末且以粉末重量計包含約0.0005%至約5%,諸如約0.01%至約1%之量的乳糖-N-四糖。 In a particular embodiment, the nutritional composition is a powder and comprises from about 0.0005% to about 5%, such as from about 0.01% to about 1%, by weight of the powder, of lactose-N-tetraose.

在一具體實施例中,營養組合物為粉末且以粉末重量計包含約 0.0005%至約5%,諸如約0.01%至約1%之量的乳糖-N-新四糖。 In a specific embodiment, the nutritional composition is a powder and comprises about a weight of the powder. Lactose-N-neotetraose in an amount of from 0.0005% to about 5%, such as from about 0.01% to about 1%.

在一具體實施例中,營養組合物為條(bar)且以條重量計包含約0.0005%至約10%,包括約0.01%至約5%之量的至少一種選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖之母乳寡糖。 In a specific embodiment, the nutritional composition is a bar and comprises from about 0.0005% to about 10% by weight of the bar, including at least one selected from the group consisting of lactose-N-new four in an amount of from about 0.01% to about 5% Sugar, lactose-N-tetraose, disialylated lactose-N-tetraose, 3'-trehalose lactose and 3'-sialyllactose lactose oligosaccharides.

在一具體實施例中,營養組合物為條且以條重量計包含約0.0005%至約10%,諸如約0.01%至約5%之量的至少一種選自乳糖-N-新四糖及乳糖-N-四糖之母乳寡糖。 In a specific embodiment, the nutritional composition is a strip and comprises from about 0.0005% to about 10% by weight of the strip, such as from about 0.01% to about 5%, at least one selected from the group consisting of lactose-N-neotetraose and lactose -N-tetrasaccharide milk oligosaccharide.

在一具體實施例中,營養組合物為條且以條重量計包含約0.0005%至約10%,諸如約0.01%至約5%之量的乳糖-N-四糖。 In a particular embodiment, the nutritional composition is a strip and comprises from about 0.0005% to about 10%, such as from about 0.01% to about 5%, by weight of the strip, of lactose-N-tetraose.

在一具體實施例中,營養組合物為條且以條重量計包含約0.0005%至約10%,諸如約0.01%至約5%之量的乳糖-N-新四糖。 In a particular embodiment, the nutritional composition is a strip and comprises from about 0.0005% to about 10%, such as from about 0.01% to about 5%, by weight of the strip, of lactose-N-neotetraose.

母乳寡糖(HMO)Breast milk oligosaccharide (HMO)

母乳寡糖為人類乳汁的一種主要組分,其含有平均每公升10g中性寡糖及每公升1g酸性寡糖。母乳寡糖之組成非常複雜且已知超過200種不同的寡糖樣結構。 Mammary oligosaccharide is a major component of human milk containing an average of 10 g of neutral oligosaccharides per liter and 1 g of acidic oligosaccharides per liter. The composition of breast milk oligosaccharides is very complex and more than 200 different oligosaccharide-like structures are known.

營養組合物中可包括單獨HMO,或在一些實施例中,包括HMO與其他免疫增強因子(例如長鏈聚不飽和脂肪酸、抗氧化劑、核苷酸等)之組合。HMO可自哺乳動物分泌之乳汁分離或增濃,該等哺乳動物包括(但不限於):人類、牛、綿羊、豬或山羊物種。HMO亦可經由微生物醱酵、酶促過程、化學合成或其組合產生。 HMO alone or in some embodiments, including HMO in combination with other immune enhancing factors (eg, long chain polyunsaturated fatty acids, antioxidants, nucleotides, etc.) may be included. HMOs may be isolated or enriched from milk secreted by mammals including, but not limited to, human, bovine, ovine, porcine or goat species. HMO can also be produced via microbial fermentation, enzymatic processes, chemical synthesis, or a combination thereof.

除上文所述之該等HMO外,營養組合物可包含另外的HMO,諸如:酸性寡糖、中性寡糖、n-乙醯基葡萄糖化寡糖及HMO前驅物。本發明組合物中可單獨或組合包括之HMO的具體非限制性實例包括:唾液酸(亦即,游離唾液酸、脂質結合之唾液酸、蛋白質結合之唾液酸);D-葡萄糖(Glc);D-半乳糖(Gal);N-乙醯基葡糖胺(GlcNAc);L- 海藻糖(Fuc);海藻糖基寡糖(亦即,乳糖-N-海藻五糖I;乳糖-N-海藻五糖II;2'-海藻糖基乳糖;3'-海藻糖基乳糖;乳糖-N-海藻五糖III;乳糖-N-二海藻六糖I;及乳糖二海藻四糖);未海藻糖基化、未唾液酸化之寡糖(亦即,乳糖-N-四糖及乳糖-N-新四糖);唾液酸寡糖(亦即,3'-唾液酸基-3-海藻糖基乳糖;二唾液酸基單海藻糖基乳糖-N-新六糖;單海藻糖基單唾液酸基乳糖-N-八糖(唾液酸基Lea);唾液酸基乳糖-N-海藻六糖II;二唾液酸基乳糖-N-海藻五糖II;單海藻糖基二唾液酸基乳糖-N-四糖);及唾液酸基海藻糖基寡糖(亦即,2'-唾液酸基乳糖;2-唾液酸基乳糖胺;3'-唾液酸基乳糖;3'-唾液酸基乳糖胺;6'-唾液酸基乳糖;6'-唾液酸基乳糖胺;唾液酸基乳糖-N-新四糖c;單唾液酸基乳糖-N-六糖;二唾液酸基乳糖-N-六糖I;單唾液酸基乳糖-N-新六糖I;單唾液酸基乳糖-N-新六糖II;二唾液酸基乳糖-N-新六糖;二唾液酸基乳糖-N-四糖;二唾液酸基乳糖-N-六糖II;唾液酸基乳糖-N-四糖a;二唾液酸基乳糖-N-六糖I;及唾液酸基乳糖-N-四糖b)。在還原端之葡萄糖(Glc)由N-乙醯基葡糖胺置換的變體(例如2'-海藻糖基-N-乙醯基葡糖胺(2'FLNac)為2'-海藻糖基乳糖的此種變體)亦為適用的。此等HMO更完整地描述於美國專利申請案第2009/0098240號中,其以全文引用的方式併入本文中。本發明組合物中亦可包括之HMO的其他適合實例包括乳糖-N-海藻五糖V、乳糖-N-六糖、對-乳糖-N-六糖、乳糖-N-新六糖、對-乳糖-N-新六糖、單海藻糖基乳糖-N-六糖II、異構的海藻糖基化乳糖-N-六糖(1)、異構的海藻糖基化乳糖-N-六糖(3)、異構的海藻糖基化乳糖-N-六糖(2)、二海藻糖基-對-乳-N-新六糖、二海藻糖基-對-乳-N-六糖、二海藻糖基乳糖-N-六糖、乳糖-N-新八糖、對-乳糖-N-八糖、異-乳糖-N-八糖、乳糖-N-八糖、單海藻糖基乳糖-新八糖、單海藻糖基乳糖-N-八糖、二海藻糖基乳糖-N-八糖I、二海藻糖基乳糖-N-八糖II、二海藻糖基乳糖-N-新八糖II、二海藻糖 基乳糖-N-新八糖I、乳糖-N-十糖、三海藻糖基乳糖-N-新八糖、三海藻糖基乳糖-N-八糖、三海藻糖基-異-乳糖-N-八糖、乳糖-N-二海藻六糖II、唾液酸基-乳糖-N-四糖a、唾液酸基-乳糖-N-四糖b、唾液酸基-乳糖-N-四糖c、唾液酸基-海藻糖基-乳糖-N-四糖I、唾液酸基-海藻糖基-乳糖-N-四糖II及二唾液酸基-乳糖-N-四糖,及其組合。特別適合之營養組合物包括以下HMO或HMO前驅物中至少一者:唾液酸(SA);3'-唾液酸基乳糖(3'SL);6'-唾液酸基乳糖(6'SL);2'-海藻糖基乳糖(2'FL);3'-海藻糖基乳糖(3'FL);乳糖-N-四糖及乳糖-N-新四糖(LNnT),且尤其是6'SL與3'SL之組合;3'FL與SA之組合;2'FL與3'FL之組合;2'FL、3'SL與6'SL之組合;3'SL、3'FL與LNnT之組合;及6'SL、2'FL與LNnT之組合。 In addition to the HMOs described above, the nutritional composition may comprise additional HMOs such as: acidic oligosaccharides, neutral oligosaccharides, n-acetyl glucosylated oligosaccharides, and HMO precursors. Specific non-limiting examples of HMOs that may be included alone or in combination in the compositions of the present invention include: sialic acid (i.e., free sialic acid, lipid-bound sialic acid, protein-bound sialic acid); D-glucose (Glc); D-galactose (Gal); N-ethyl glucosamine (GlcNAc); L- Trehalose (Fuc); trehalose-based oligosaccharide (ie, lactose-N-algae pentasaccharide I; lactose-N-algae pentasaccharide II; 2'-trehalosyl lactose; 3'-trehalose lactose; lactose -N-algae pentasaccharide III; lactose-N-di-algae hexasaccharide I; and lactose di-algae tetrasaccharide); non-fucosylated, unsialylated oligosaccharides (ie, lactose-N-tetraose and lactose) -N-neotetraose); sialic acid oligosaccharide (i.e., 3'-sialyl-3-trehalosyl lactate; disialyl-mono-fucosyl lactose-N-six hexose; single-trehalose Monosialyl lactose-N-octasaccharide (sialyl Lea); sialyl lactose-N-algae hexasaccharide II; disialyl lactose-N-algae pentasaccharide II; single trehalose disialic acid group Lactose-N-tetraose); and sialyl-based trehalose-based oligosaccharides (i.e., 2'-sialyl lactose; 2-sialyl lactosamine; 3'-sialyl lactose; 3'-sialic acid Lactosamine; 6'-sialyl lactose; 6'-sialyl lactosamine; sialyl lactose-N-neotetraose c; monosialyl lactose-N-hexaose; disialyl lactose N-hexasaccharide I; monosialyl lactose-N-six hexose I; monosialyl lactose-N-six hexose II Disialyl lactose-N-new hexasaccharide; disialyl lactose-N-tetraose; disialyl lactose-N-hexasaccharide II; sialyl lactose-N-tetraose a; disialyl group Lactose-N-hexasaccharide I; and sialyl lactose-N-tetraose b). A variant in which the glucose (Glc) at the reducing end is replaced by N-ethyl glucosamine (for example, 2'- trehalyl-N-ethyl glucosamine (2'FLNac) is 2'-trehalose Such variants of lactose are also suitable. Such HMOs are more fully described in U.S. Patent Application Serial No. 2009/0098240, which is incorporated herein in its entirety by reference. Other suitable examples of HMOs that may also be included in the compositions of the present invention include lactose-N-algae pentasaccharide V, lactose-N-hexaose, p-lactose-N-hexaose, lactose-N-hexasaccharide, p- Lactose-N-new hexasaccharide, mono-fucosyl lactose-N-hexasaccharide II, isomeric fucosylated lactose-N-hexaose (1), isomerized trehalosylated lactose-N-hexaose (3) Heteromeric fucosylated lactose-N-hexaose (2), di-trehalose-p-lactyl-N-hexaose, di-trehalose-p-lact-N-hexaose, 2-trehalose lactose-N-hexasaccharide, lactose-N-new octasaccharide, p-lactose-N-octasaccharide, iso-lactose-N-octasaccharide, lactose-N-octasaccharide, mono-fucosyl lactose- New octasaccharide, mono-fucosyl lactose-N-octasaccharide, di-trehalose lactose-N-octasaccharide I, di-trehalose lactose-N-octasaccharide II, di-trehalose lactose-N-new octasaccharide II, two trehalose Lactose-N-new octasaccharide I, lactose-N-decasaccharide, tri-trehalose lactose-N-new octasaccharide, tri-trehalose lactose-N-octasaccharide, tri-trehalose-iso-lactose-N - octasaccharide, lactose-N-dicoalhexaose II, sialyl-lactose-N-tetraose a, sialyl-lactose-N-tetraose b, sialyl-lactose-N-tetraose c, Sialyl-trehalose-lactose-N-tetraose I, sialic acid-trehalose-lactose-N-tetraose II and disialyl-lactose-N-tetraose, and combinations thereof. Particularly suitable nutritional compositions include at least one of the following HMO or HMO precursors: sialic acid (SA); 3'-sialyl lactose (3'SL); 6'-sialyl lactose (6'SL); 2'-trehalosyl lactose (2'FL); 3'-trehalosyl lactose (3'FL); lactose-N-tetraose and lactose-N-neotetraose (LNnT), and especially 6'SL Combination with 3'SL; combination of 3'FL and SA; combination of 2'FL and 3'FL; combination of 2'FL, 3'SL and 6'SL; combination of 3'SL, 3'FL and LNnT ; and a combination of 6'SL, 2'FL and LNnT.

其他例示性組合包括:SA、3'SL、6'SL、3'FL、2'FL與LNnT;3'SL、6'SL、3'FL、2'FL與LNnT;SA、6'SL、3'FL、2'FL與LNnT;SA、3'SL、3'FL、2'FL與LNnT;SA、3'SL、6'SL、2'FL與LNnT;SA、3'SL、6'SL、3'FL與LNnT;SA、3'SL、6'SL、3'FL與2'FL;SA與3'SL;SA與6'SL;SA與2'FL;SA與LNnT;SA、3'SL與6'SL;SA、3'SL與3'FL;SA、3'SL與2'FL;SA、3'SL與LNnT;SA、6'SL與3'FL;SA、6'SL與2'FL;SA、6'SL與LNnT;SA、3'FL與2'FL;SA、3'FL與LNnT;SA、2'FL與LNnT;SA、3'SL、6'SL與3'FL;SA、3'SL、6'SL與2'FL;SA、3'SL、6'SL與LNnT;SA、3'SL、3'FL與2'FL;SA、3'SL、3'FL與LNnT;SA、3'SL、2'FL與LNnT;SA、6'SL、3'FL與2'FL;SA、6'SL、2'FL與LNnT;SA、6'SL、3'FL與LNnT;SA、3'FL、2'FL與LNnT;SA、6'SL、2'FL與LNnT;SA、3'SL、3'FL、2'FL與LNnT;SA、6'SL、3'FL、2'FL與LNnT;SA、3'SL、6'SL、3'FL與LNnT;SA、3'SL、3'FL、2'FL與LNnT;SA、3'SL、6'SL、2'FL與LNnT;3'SL、6'SL、3'FL與2'FL;3'SL、6'SL、 2'FL與LNnT;3'SL、3'FL、2'FL與LNnT;3'SL、6'SL、3'FL與LNnT;3'SL、6'SL與3'FL;3'SL、3'FL與2'FL;3'SL、2'FL與LNnT;3'SL、6'SL與2'FL;3'SL、6'SL與LNnT;3'SL與3'FL;3'SL與2'FL;3'SL與LNnT;6'SL與3'FL;6'SL與2'FL;6'SL與LNnT;6'SL、3'FL與LNnT;6'SL、3'FL、2'FL與LNnT;3'FL、2'FL與LNnT;3'FL與LNnT;及2'FL與LNnT。 Other exemplary combinations include: SA, 3'SL, 6'SL, 3'FL, 2'FL, and LNnT; 3'SL, 6'SL, 3'FL, 2'FL, and LNnT; SA, 6'SL, 3'FL, 2'FL and LNnT; SA, 3'SL, 3'FL, 2'FL and LNnT; SA, 3'SL, 6'SL, 2'FL and LNnT; SA, 3'SL, 6' SL, 3'FL and LNnT; SA, 3'SL, 6'SL, 3'FL and 2'FL; SA and 3'SL; SA and 6'SL; SA and 2'FL; SA and LNnT; SA, 3'SL and 6'SL; SA, 3'SL and 3'FL; SA, 3'SL and 2'FL; SA, 3'SL and LNnT; SA, 6'SL and 3'FL; SA, 6' SL and 2'FL; SA, 6'SL and LNnT; SA, 3'FL and 2'FL; SA, 3'FL and LNnT; SA, 2'FL and LNnT; SA, 3'SL, 6'SL and 3'FL; SA, 3'SL, 6'SL and 2'FL; SA, 3'SL, 6'SL and LNnT; SA, 3'SL, 3'FL and 2'FL; SA, 3'SL, 3'FL and LNnT; SA, 3'SL, 2'FL and LNnT; SA, 6'SL, 3'FL and 2'FL; SA, 6'SL, 2'FL and LNnT; SA, 6'SL, 3'FL and LNnT; SA, 3'FL, 2'FL and LNnT; SA, 6'SL, 2'FL and LNnT; SA, 3'SL, 3'FL, 2'FL and LNnT; SA, 6' SL, 3'FL, 2'FL and LNnT; SA, 3'SL, 6'SL, 3'FL and LNnT; SA, 3'SL, 3'FL, 2'FL and LNnT; SA, 3'SL, 6'SL, 2'FL and LNnT; 3'SL, 6'SL, 3'FL and 2'FL; 3'SL, 6'SL 2'FL and LNnT; 3'SL, 3'FL, 2'FL and LNnT; 3'SL, 6'SL, 3'FL and LNnT; 3'SL, 6'SL and 3'FL; 3'SL, 3'FL and 2'FL; 3'SL, 2'FL and LNnT; 3'SL, 6'SL and 2'FL; 3'SL, 6'SL and LNnT; 3'SL and 3'FL; 3' SL and 2'FL; 3'SL and LNnT; 6'SL and 3'FL; 6'SL and 2'FL; 6'SL and LNnT; 6'SL, 3'FL and LNnT; 6'SL, 3' FL, 2'FL and LNnT; 3'FL, 2'FL and LNnT; 3'FL and LNnT; and 2'FL and LNnT.

長鏈聚不飽和脂肪酸(LCPUFA)Long-chain polyunsaturated fatty acids (LCPUFA)

除上述HMO外,營養組合物可包括LCPUFA。營養組合物中包括LCPUFA來提供營養支持,以及降低氧化應力並增進腸上皮及相關免疫細胞群體之生長及功能發育。在一些實施例中,營養組合物包括一或多種HMO與一或多種LCPUFA之組合,使得組合物向最終使用者提供協同益處,諸如在調節抗病毒免疫反應及抑制炎症方面之協同益處。在一些實施例中,與LCPUFA組合使用以提供協同作用之HMO為酸性HMO。 In addition to the HMOs described above, the nutritional composition can include an LCPUFA. LCPUFA is included in the nutritional composition to provide nutritional support, as well as to reduce oxidative stress and to enhance the growth and functional development of the intestinal epithelium and related immune cell populations. In some embodiments, the nutritional composition includes a combination of one or more HMOs with one or more LCPUFAs such that the composition provides synergistic benefits to the end user, such as synergistic benefits in modulating antiviral immune responses and inhibiting inflammation. In some embodiments, the HMO used in combination with the LCPUFA to provide synergy is an acidic HMO.

用於營養組合物中之例示性LCPUFA包括例如ω-3 LCPUFA及ω-6 LCPUFA。特定LCPUFA包括二十二碳六烯酸(DHA)、二十碳五烯酸(EPA)、二十二碳五烯酸(DPA)、二十碳四烯酸(ARA)、亞麻油酸、次亞麻油酸(α次亞麻油酸)及源自油來源之γ-次亞麻油酸,該等油來源諸如為植物油、海洋浮游生物、真菌油及魚油。在一個特定實施例中,LCPUFA係源自魚油,諸如鯡魚油、鮭魚油、鯷魚油、鱈魚油、大比目魚油、鮪魚油或鯡魚油。與HMO一起用於營養組合物中之尤佳LCPUFA包括DHA、ARA、EPA、DPA及其組合。 Exemplary LCPUFAs for use in nutritional compositions include, for example, omega-3 LCPUFAs and omega-6 LCPUFAs. Specific LCPUFAs include docosahexaenoic acid (DHA), eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA), arachidonic acid (ARA), linoleic acid, sub- Linoleic acid (alpha linoleic acid) and gamma-linolenic acid derived from oil sources such as vegetable oil, marine plankton, fungal oil and fish oil. In a particular embodiment, the LCPUFA is derived from fish oil such as salmon oil, salmon oil, salmon oil, salmon oil, halibut oil, salmon oil or salmon oil. Particularly preferred LCPUFAs for use in nutritional compositions with HMO include DHA, ARA, EPA, DPA, and combinations thereof.

為了降低營養組合物中高劑量LCPUFA之潛在副作用,LCPUFA之含量較佳以營養組合物中總脂肪內含物重量計不超過3%,包括以總脂肪內含物重量計低於2%,且包括以總脂肪內含物重量計低於1%。 In order to reduce the potential side effects of high dose LCPUFA in the nutritional composition, the LCPUFA content is preferably no more than 3% by weight of the total fat content of the nutritional composition, including less than 2% by weight of the total fat content, and includes Less than 1% by weight of total fat content.

提供的LCPUFA可呈游離脂肪酸形式、三酸甘油酯形式、二酸甘油酯形式、單酸甘油酯形式、磷脂形式、酯化形式或上述一或多者之混合物形式,較佳呈三酸甘油酯形式。 The LCPUFA may be provided in the form of a free fatty acid, a triglyceride, a diglyceride, a monoglyceride, a phospholipid, an esterified form or a mixture of one or more of the foregoing, preferably a triglyceride. form.

營養組合物可包含約0.01mM至約10mM且包括約0.01mM至約1mM的LCPUFA總濃度。或者,營養組合物可包含約0.001g/L至約1g/L的LCPUFA總濃度。 The nutritional composition can comprise a total concentration of LCPUFA from about 0.01 mM to about 10 mM and including from about 0.01 mM to about 1 mM. Alternatively, the nutritional composition may comprise a total concentration of LCPUFA from about 0.001 g/L to about 1 g/L.

在一個實施例中,營養組合物包括約100至約425mg/L或約12至約53mg/100kcal濃度的總長鏈ω-6脂肪酸,及/或另外包括約40至約185mg/L或約5至約23mg/100kcal濃度的總長鏈ω-3脂肪酸。在一個具體實施例中,營養組合物中的長鏈ω-6脂肪酸與長鏈ω-3脂肪酸之比率在約2:1至約3:1範圍內,較佳為約2.5:1。 In one embodiment, the nutritional composition comprises a total long chain omega-6 fatty acid at a concentration of from about 100 to about 425 mg/L or from about 12 to about 53 mg/100 kcal, and/or additionally comprising from about 40 to about 185 mg/L or from about 5 to about A total long chain omega-3 fatty acid at a concentration of about 23 mg/100 kcal. In a particular embodiment, the ratio of long chain omega-6 fatty acids to long chain omega-3 fatty acids in the nutritional composition is in the range of from about 2:1 to about 3:1, preferably about 2.5:1.

在一個具體實施例中,營養組合物包括約0.025mg/mL至約0.130mg/mL或約3至約16mg/100kcal濃度之DHA。在另一實施例中,營養組合物包括約0.080mg/mL至約0.250mg/mL或約10至約31mg/100kcal濃度之ARA。在另一實施例中,營養組合物包括DHA與ARA之組合,使得DHA比ARA之比率在約1:4至約1:2範圍內。 In a particular embodiment, the nutritional composition comprises DHA at a concentration of from about 0.025 mg/mL to about 0.130 mg/mL or from about 3 to about 16 mg/100 kcal. In another embodiment, the nutritional composition comprises ARA at a concentration of from about 0.080 mg/mL to about 0.250 mg/mL or from about 10 to about 31 mg/100 kcal. In another embodiment, the nutritional composition comprises a combination of DHA and ARA such that the ratio of DHA to ARA is in the range of from about 1:4 to about 1:2.

抗氧化劑Antioxidants

此外,營養組合物可包含一或多種抗氧化劑與HMO(以及視情況存在之LCPUFA及/或核苷酸)之組合來提供營養支持,以及降低氧化應力。在一些實施例中,營養組合物包括HMO與抗氧化劑之組合,使得該組合物向最終使用者提供協同益處,諸如在調節抗病毒免疫反應及抑制炎症方面之協同益處。在一些實施例中,HMO係與類胡蘿蔔素(且具體言之葉黃素、β-胡蘿蔔素、玉米黃素及/或番茄紅素)組合使用以提供協同作用。 In addition, the nutritional composition may comprise one or more antioxidants in combination with HMO (and optionally LCPUFAs and/or nucleotides) to provide nutritional support and to reduce oxidative stress. In some embodiments, the nutritional composition includes a combination of HMO and antioxidant such that the composition provides synergistic benefits to the end user, such as synergistic benefits in modulating antiviral immune responses and inhibiting inflammation. In some embodiments, the HMO system is used in combination with carotenoids (and in particular lutein, beta-carotene, zeaxanthin, and/or lycopene) to provide synergy.

可包括適於經口投與之任何抗氧化劑用於本發明之營養組合物中,包括例如維生素A、維生素E、維生素C、視黃醇、生育酚,及類 胡蘿蔔素,例如包括葉黃素、β-胡蘿蔔素、玉米黃素及番茄紅素,及其組合。 Any antioxidant suitable for oral administration may be included for use in the nutritional compositions of the present invention, including, for example, vitamin A, vitamin E, vitamin C, retinol, tocopherol, and the like. Carotenes, for example, include lutein, beta-carotene, zeaxanthin, and lycopene, and combinations thereof.

用於營養組合物中之抗氧化劑可與單獨HMO一起使用,或與HMO及LCPUFA及/或核苷酸組合使用。在一個實施例中,營養組合物中所用之抗氧化劑包括類胡蘿蔔素。在一個實施例中,類胡蘿蔔素為葉黃素、番茄紅素、玉米黃素及/或β-胡蘿蔔素。如本文所選擇及定義的含有此等組合之營養組合物可用於調節早產及足月嬰兒之炎症及/或C反應蛋白含量。 The antioxidants used in the nutritional compositions can be used with HMO alone or in combination with HMO and LCPUFA and/or nucleotides. In one embodiment, the antioxidants used in the nutritional composition include carotenoids. In one embodiment, the carotenoid is lutein, lycopene, zeaxanthin, and/or beta-carotene. Nutritional compositions containing such combinations as selected and defined herein can be used to modulate the levels of inflammation and/or C-reactive protein in preterm and term infants.

營養組合物可包含葉黃素、番茄紅素、玉米黃素及β-胡蘿蔔素中至少一者以提供約0.001μg/mL至約10μg/mL的類胡蘿蔔素總量。在一個實施例中,營養組合物可包含約0.001μg/mL至約10μg/mL,包括約0.044μg/mL至約5μg/mL葉黃素,及約0.001μg/mL至約5μg/mL,包括約0.001μg/mL至約0.0190μg/mL,包括約0.001μg/mL至約0.0140μg/mL之量的葉黃素。在另一實施例中,營養組合物包含約0.001μg/mL至約10μg/mL,包括約0.0185μg/mL至約5μg/mL及約0.001μg/mL至約5μg/mL,包括約0.001μg/mL至約0.0130μg/mL,包括約0.001μg/mL至約0.0075μg/mL番茄紅素。在另一實施例中,營養組合物包含約1μg/mL至約10μg/mL,包括約0.034μg/mL至約5μg/mL及約1μg/mL至約5μg/mL,包括約0.001μg/mL至約0.025μg/mL,包括約0.001μg/mL至約0.011μg/mL β-胡蘿蔔素。營養組合物中可包括此等量之β-胡蘿蔔素、葉黃素、玉米黃素及番茄紅素的任何組合。營養組合物中可視情況包括其他類胡蘿蔔素。營養組合物中包括的任一種或所有類胡蘿蔔素可來自天然來源或為人工合成的。 The nutritional composition can comprise at least one of lutein, lycopene, zeaxanthin, and beta-carotene to provide a total amount of carotenoids from about 0.001 [mu]g/mL to about 10 [mu]g/mL. In one embodiment, the nutritional composition may comprise from about 0.001 μg/mL to about 10 μg/mL, including from about 0.044 μg/mL to about 5 μg/mL lutein, and from about 0.001 μg/mL to about 5 μg/mL, including Lutein is present in an amount from about 0.001 μg/mL to about 0.0190 μg/mL, including from about 0.001 μg/mL to about 0.0140 μg/mL. In another embodiment, the nutritional composition comprises from about 0.001 μg/mL to about 10 μg/mL, including from about 0.0185 μg/mL to about 5 μg/mL and from about 0.001 μg/mL to about 5 μg/mL, including about 0.001 μg/ The mL is from about 0.0130 μg/mL, including from about 0.001 μg/mL to about 0.0075 μg/mL lycopene. In another embodiment, the nutritional composition comprises from about 1 μg/mL to about 10 μg/mL, including from about 0.034 μg/mL to about 5 μg/mL and from about 1 μg/mL to about 5 μg/mL, including from about 0.001 μg/mL to About 0.025 μg/mL, including from about 0.001 μg/mL to about 0.011 μg/mL β-carotene. Any combination of such amounts of beta-carotene, lutein, zeaxanthin, and lycopene can be included in the nutritional composition. Other carotenoids may be included in the nutritional composition as appropriate. Any or all of the carotenoids included in the nutritional composition may be derived from natural sources or artificially synthesized.

所選組合中之類胡蘿蔔素各自可自適用於營養組合物中的任何已知或另外適合之材料來源獲得,且其各自可個別地提供或一起提供,或以任何組合提供且來自許多來源,包括諸如含有其他維生素或 礦物質與一或多種如本文所述之類胡蘿蔔素之組合的綜合維生素預混物的來源。葉黃素、番茄紅素、β-胡蘿蔔素或其組合之一些適合來源的非限制性實例包括LycoVit®番茄紅素(可購自BASF,Mount Olive,NJ);呈油、粉末或珠粒形式之Lyc-O-Mato®番茄提取物(可購自LycoRed Corp.,Orange,NJ);β-胡蘿蔔素、葉黃素或番茄紅素(可購自DSM Nutritional Products,Parsippany,NJ);FloraGLO®葉黃素(可購自Kemin Health,Des Moines,IA);Xangold®天然葉黃素酯(可購自Cognis,Cincinnati,OH);及Lucarotin® β-胡蘿蔔素(可購自BASF,Mount Olive,N.J.)。 Each of the carotenoids in the selected combination can be obtained from any known or otherwise suitable source of material suitable for use in the nutritional composition, and each of which can be provided individually or together, or in any combination and from a number of sources, Including, for example, other vitamins or A source of a multivitamin premix of minerals in combination with one or more carotenoids as described herein. Non-limiting examples of some suitable sources of lutein, lycopene, beta-carotene or combinations thereof include LycoVit® lycopene (available from BASF, Mount Olive, NJ); in the form of oil, powder or beads Lyc-O-Mato® tomato extract (available from LycoRed Corp., Orange, NJ); beta-carotene, lutein or lycopene (available from DSM Nutritional Products, Parsippany, NJ); FloraGLO® Lutein (available from Kemin Health, Des Moines, IA); Xangold® natural lutein ester (available from Cognis, Cincinnati, OH); and Lucarotin® beta-carotene (available from BASF, Mount Olive, NJ).

核苷酸Nucleotide

除HMO外,營養組合物可另外包含選自以下之核苷酸及/或核苷酸前驅物:核苷、嘌呤鹼基、嘧啶鹼基、核糖及去氧核糖。核苷酸可為單磷酸鹽、二磷酸鹽或三磷酸鹽形式。核苷酸可為核糖核苷酸或去氧核糖核苷酸。核苷酸可為單體、二聚體或多聚體的(包括RNA及DNA)。核苷酸可以游離酸形式或鹽形式,較佳以單鈉鹽形式存在於營養組合物中。在一些實施例中,營養組合物包括HMO與核苷酸之組合,使得該組合物向最終使用者提供協同益處,諸如在調節抗病毒免疫反應及抑制炎症及/或改善腸屏障完整性方面之協同益處。 In addition to HMO, the nutritional composition may additionally comprise nucleotide and/or nucleotide precursors selected from the group consisting of nucleosides, purine bases, pyrimidine bases, ribose and deoxyribose. The nucleotide can be in the form of a monophosphate, diphosphate or triphosphate. The nucleotide can be a ribonucleotide or a deoxyribonucleotide. Nucleotides can be monomeric, dimeric or multimeric (including RNA and DNA). The nucleotide may be present in the nutritional composition in free acid form or in the form of a salt, preferably in the form of a monosodium salt. In some embodiments, the nutritional composition comprises a combination of HMO and nucleotide such that the composition provides synergistic benefits to the end user, such as in modulating an antiviral immune response and inhibiting inflammation and/or improving intestinal barrier integrity. Synergy benefits.

在本發明之營養組合物中併入核苷酸會改善腸屏障完整性及/或成熟,此對具有較少發育腸菌群且因此腸屏障成熟較慢的早產及足月嬰兒有益。 Incorporation of nucleotides in the nutritional compositions of the present invention improves intestinal barrier integrity and/or maturation, which is beneficial for preterm and term infants with less developing intestinal flora and thus slower intestinal barrier maturation.

用於營養組合物中之適合核苷酸及/或核苷包括5'-單磷酸胞苷、5'-單磷酸尿苷、5'-單磷酸腺苷、5'-1-單磷酸鳥苷及/或5'-單磷酸肉苷中之一或多者,諸如5'-單磷酸胞苷、5'-單磷酸尿苷、5'-單磷酸腺苷、5'-單磷酸鳥苷及5'-單磷酸肉苷。 Suitable nucleotides and/or nucleosides for use in the nutritional composition include 5'-monophosphate cytidine, 5'-monophosphate uridine, 5'-monophosphate adenosine, 5'-1-monophosphate guanosine And/or one or more of 5'-monophosphate monophosphate, such as 5'-monophosphate cytidine, 5'-monophosphate uridine, 5'-monophosphate adenosine, 5'-monophosphate guanosine and 5'-monophosphate glucoside.

核苷酸係以至少約5mg/L,包括至少約10mg/L,包括約10mg/L 至約200mg/L,包括約42mg/L至約102mg/L,且包括至少約72mg/L營養產品的核苷酸總量存在於營養組合物中。 The nucleotide system is at least about 5 mg/L, including at least about 10 mg/L, including about 10 mg/L. To a total of about 200 mg/L, including from about 42 mg/L to about 102 mg/L, and the total amount of nucleotides comprising at least about 72 mg/L of the nutritional product is present in the nutritional composition.

在一個具體實施例中,當營養組合物為營養粉末時,核苷酸可以至少約0.007%,包括約0.0078%至約0.1556%,且包括約0.056%(以營養粉末之重量計),或每100g營養粉末至少約0.007g,包括約0.0078g至約0.1556g,且包括約0.056g核苷酸之含量存在。 In a particular embodiment, when the nutritional composition is a nutritional powder, the nucleotides can be at least about 0.007%, including from about 0.0078% to about 0.1556%, and include about 0.056% (by weight of the nutritional powder), or per 100 g of the nutritional powder is at least about 0.007 g, including from about 0.0078 g to about 0.1556 g, and is present in an amount comprising about 0.056 g of nucleotide.

在另一具體實施例中,當營養組合物為即食營養液時,核苷酸係以至少約0.001%,包括約0.001%至約0.0197%,且包括約0.0071%(以營養粉末之重量計),或每100g即食營養液至少約0.001g,包括約0.001g至約0.0197g,且包括約0.0071g核苷酸之含量存在。 In another specific embodiment, when the nutritional composition is a ready-to-feed nutrient solution, the nucleotides are at least about 0.001%, including from about 0.001% to about 0.017%, and include about 0.0071% (by weight of the nutritional powder) Or at least about 0.001 g per 100 g of ready-to-feed nutrient solution, including from about 0.001 g to about 0.017 g, and is present in an amount comprising about 0.0071 g of nucleotide.

在另一具體實施例中,當營養組合物為濃縮營養液時,核苷酸係以至少約0.0019%,包括約0.0019%至約0.0382%,且包括約0.0138%(以營養粉末之重量計),或每100g濃縮營養液至少約0.0019g,包括約0.0019g至約0.0382g,且包括約0.0138g核苷酸之含量存在。 In another specific embodiment, when the nutritional composition is a concentrated nutrient solution, the nucleotides are at least about 0.0019%, including from about 0.0019% to about 0.0382%, and include about 0.0138% (by weight of the nutritional powder) Or at least about 0.0019 g per 100 g of concentrated nutrient solution, including from about 0.0019 g to about 0.0382 g, and is present in an amount comprising about 0.0138 g of nucleotides.

大量營養素Mass of nutrients

營養組合物可調配成包括蛋白質、脂肪及碳水化合物中至少一者。在許多實施例中,營養組合物將含有一或多種HMO且包含脂肪、蛋白質及碳水化合物中至少一者。 The nutritional composition can be formulated to include at least one of protein, fat, and carbohydrate. In many embodiments, the nutritional composition will contain one or more HMOs and comprise at least one of a fat, a protein, and a carbohydrate.

儘管脂肪、蛋白質及碳水化合物之總濃度或總量可取決於產品類型(亦即,母乳強化劑、早產嬰兒配方、嬰兒配方等)、產品形式(亦即,營養固體、粉末、即飲液體、濃縮液或營養條)以及預期使用者之目標膳食需要而變化,但該等濃度或量最通常在以下具體範圍中之一者內,包括如本文所述之任何其他必需脂肪、蛋白質及/或碳水化合物成分在內。 Although the total concentration or total amount of fat, protein and carbohydrate may depend on the type of product (ie, breast milk fortifier, premature infant formula, infant formula, etc.), product form (ie, nutritive solids, powder, ready-to-drink liquid, The concentrate or nutrient strip) and the intended user's target dietary requirements vary, but such concentrations or amounts are most typically within one of the following specific ranges, including any other essential fats, proteins, and/or as described herein. Carbohydrate ingredients.

對於液體配方,碳水化合物濃度以重量計最通常在約5%至約 40%範圍內,包括約7%至約30%,包括約10%至約25%;脂肪濃度以重量計最通常在約1%至約30%範圍內,包括約2%至約15%,且亦包括約3%至約10%;且蛋白質濃度以重量計最通常在約0.5%至約30%範圍內,包括約1%至約15%,且亦包括約2%至約10%。 For liquid formulations, the carbohydrate concentration is most typically from about 5% to about the weight. Within 40%, including from about 7% to about 30%, including from about 10% to about 25%; the fat concentration is most typically from about 1% to about 30% by weight, including from about 2% to about 15%, Also included is from about 3% to about 10%; and the protein concentration is most typically in the range of from about 0.5% to about 30% by weight, including from about 1% to about 15%, and also including from about 2% to about 10%.

對於液體母乳強化劑產品,碳水化合物濃度最通常以母乳強化劑重量計在約10%至約75%範圍內,包括約10%至約50%,包括約20%至約40%;脂肪濃度最通常以母乳強化劑重量計在約10%至約40%範圍內,包括約15%至約37%,且亦包括約18%至約30%;且蛋白質濃度最通常以母乳強化劑重量計在約5%至約40%範圍內,包括約10%至約30%,且亦包括約15%至約25%。 For liquid human milk fortifier products, the carbohydrate concentration is most typically in the range of from about 10% to about 75% by weight of the breast milk fortifier, including from about 10% to about 50%, including from about 20% to about 40%; Typically in the range of from about 10% to about 40% by weight of the breast milk fortifier, including from about 15% to about 37%, and also including from about 18% to about 30%; and the protein concentration is most often at the weight of the breast milk fortifier It ranges from about 5% to about 40%, including from about 10% to about 30%, and also includes from about 15% to about 25%.

本文所述之任何液體營養組合物中碳水化合物、脂肪及/或蛋白質之量亦可另外或替代性表徵為液體營養組合物中總卡路里之百分比,如下表中所述。本發明方法中所用液體營養組合物之此等大量營養素最通常係在下表所述之任何卡路里範圍(實施例A-F)內調配(每一數值前冠以術語「約」)。 The amount of carbohydrate, fat and/or protein in any of the liquid nutritional compositions described herein may additionally or alternatively be characterized as a percentage of total calories in the liquid nutritional composition, as described in the following table. These macronutrients of the liquid nutritional compositions used in the method of the present invention are most commonly formulated in any of the calorie ranges (Examples A-F) described in the table below (each value is preceded by the term "about").

在一個具體實例中,液體嬰兒配方(即食液及濃縮液)包括蛋白質組分可佔該配方之卡路里含量約7.5%至約25%;碳水化合物組分可佔該嬰兒配方之總卡路里含量約35%至約50%;且脂肪組分可佔該嬰兒 配方之總卡路里含量約30%至約60%的彼等實施例。此等範圍僅作為實例提供,且不欲作為限制。下表中註釋其他適合範圍(每一數值前冠以術語「約」)。 In one embodiment, the liquid infant formula (ie, the food liquid and concentrate) comprises a protein component which may comprise from about 7.5% to about 25% of the calorie content of the formula; the carbohydrate component may comprise a total calorie content of the infant formula of about 35%; % to about 50%; and the fat component can account for the baby The formulations have a total calorie content of from about 30% to about 60% of their examples. These ranges are provided by way of example only and are not intended to be limiting. The other suitable ranges are noted in the table below (each value is preceded by the term "about").

當營養產品為粉末狀成人、兒童、幼童、新生兒、兒科、早產或足月嬰兒配方時,蛋白質組分係以早產或足月嬰兒配方之重量計約5%至約35%,包括約8%至約12%,且包括約10%至約12%之量存在;脂肪組分係以早產或足月嬰兒配方之重量計約10%至約35%,包括約25%至約30%,且包括約26%至約28%之量存在;且碳水化合物組分係以早產或足月嬰兒配方之重量計約30%至約85%,包括約45%至約60%,包括約50%至約55%之量存在。 When the nutritional product is in the form of a powdered adult, child, young child, neonatal, pediatric, preterm or term infant formula, the protein component is from about 5% to about 35% by weight of the preterm or term infant formula, including From 8% to about 12%, and including from about 10% to about 12%; the fat component is from about 10% to about 35% by weight of the preterm or term infant formula, including from about 25% to about 30% And comprising from about 26% to about 28%; and the carbohydrate component is from about 30% to about 85%, including from about 45% to about 60%, including about 50% by weight of the preterm or term infant formula % to about 55% is present.

對於粉末狀母乳強化劑,蛋白質組分係以母乳強化劑之重量計約1%至約55%,包括約10%至約50%,且包括約10%至約30%之量存在;脂肪組分係以母乳強化劑之重量計約1%至約30%,包括約1%至約25%,且包括約1%至約20%之量存在;且碳水化合物組分係以母乳強化劑之重量計約15%至約75%,包括約15%至約60%,包括約20%至約50%之量存在。 For powdered breast milk fortifiers, the protein component is present from about 1% to about 55% by weight of the breast milk fortifier, including from about 10% to about 50%, and includes from about 10% to about 30%; The fraction is present from about 1% to about 30% by weight of the breast milk fortifier, including from about 1% to about 25%, and includes from about 1% to about 20%; and the carbohydrate component is a breast milk fortifier The weight ranges from about 15% to about 75%, including from about 15% to about 60%, including from about 20% to about 50%.

本發明方法中所用之粉末狀營養組合物中脂肪、碳水化合物及蛋白質之總量或總濃度可取決於所選組合物及預期使用者之膳食或醫學需求而顯著變化。下文闡述了大量營養素濃度之其他適合實例。在此情形中,總量或總濃度係指粉末狀產品中之所有脂肪、碳水化合物及蛋白質來源。對於粉末狀營養組合物,該等總量或總濃度最通常且較佳係在下表中所述之任何具體範圍內調配(每一數值前冠以術語 「約」)。 The total or total concentration of fat, carbohydrate and protein in the powdered nutritional composition used in the method of the invention may vary significantly depending on the selected composition and the intended user's dietary or medical need. Other suitable examples of large nutrient concentrations are set forth below. In this case, the total or total concentration refers to all sources of fat, carbohydrate and protein in the powdered product. For powdered nutritional compositions, these total or total concentrations are most commonly and preferably formulated in any of the specific ranges described in the table below (each value is preceded by a term "approximately").

當營養產品為營養條時,蛋白質組分係以營養條之重量計約5%至約45%,包括約15%至約35%,且包括約20%至約30%之量存在;脂肪組分係以營養條之重量計約2%至約25%,包括約5%至約20%,且包括約10%至約15%之量存在;且碳水化合物組分係以營養條之重量計約2%至約25%,包括約5%至約20%,包括約5%至約15%之量存在。 When the nutritional product is a nutritional bar, the protein component is from about 5% to about 45% by weight of the nutritional bar, including from about 15% to about 35%, and includes from about 20% to about 30%; The fraction is present in an amount from about 2% to about 25%, including from about 5% to about 20%, and including from about 10% to about 15% by weight of the nutritional bars; and the carbohydrate component is based on the weight of the nutritional bars From about 2% to about 25%, including from about 5% to about 20%, including from about 5% to about 15%.

脂肪fat

本發明方法中所用之營養組合物可包含一或多種脂肪來源。用於本文之適合其他脂肪來源包括適用於口服營養產品且可與該等產品之基本成分及特徵相容的任何脂肪或脂肪來源。舉例而言,在一個具體實施例中,其他脂肪係源自長鏈聚不飽和脂肪酸及/或短鏈脂肪酸。 The nutritional composition used in the methods of the invention may comprise one or more sources of fat. Suitable fat sources for use herein include any fat or fat source suitable for use in oral nutritional products and compatible with the essential ingredients and characteristics of such products. For example, in one particular embodiment, the other fat is derived from a long chain polyunsaturated fatty acid and/or a short chain fatty acid.

用於本文所述之營養產品中的適合脂肪或其來源的其他非限制性實例包括椰子油、分餾椰子油、大豆油、玉米油、橄欖油、紅花油、高油酸紅花油、油酸(EMERSOL 6313 OLEIC ACID,Cognis Oleochemicals,Malaysia)、MCT油(中鏈三酸甘油酯)、葵花子油、高油酸葵花子油、棕櫚油及棕櫚仁油、棕櫚液油、菜籽油、水產動物油、魚油、真菌油、海藻油、棉籽油及其組合。 Other non-limiting examples of suitable fats or sources thereof for use in the nutritional products described herein include coconut oil, fractionated coconut oil, soybean oil, corn oil, olive oil, safflower oil, high oleic safflower oil, oleic acid ( EMERSOL 6313 OLEIC ACID, Cognis Oleochemicals, Malaysia), MCT oil (medium chain triglyceride), sunflower oil, high oleic sunflower oil, palm oil and palm kernel oil, palm oil, rapeseed oil, aquatic animal oil, fish oil , fungal oil, algae oil, cottonseed oil and combinations thereof.

蛋白質protein

本發明方法中所用之營養組合物可另外包含蛋白質。適用於口服營養組合物中且可與該等產品之基本成分及特徵相容的任何蛋白質 來源均適用於營養組合物中。 The nutritional composition used in the method of the invention may additionally comprise a protein. Any protein that is suitable for use in an oral nutritional composition and that is compatible with the essential ingredients and characteristics of such products Sources are all suitable for use in nutritional compositions.

用於營養產品中之適合蛋白質或其來源之非限制性實例包括水解、部分水解或未水解之蛋白質或蛋白質來源,其可源自任何已知或另外適合之來源,諸如乳汁(例如酪蛋白、乳清)、動物(例如肉、魚)、穀類(例如稻、玉米)、蔬菜(例如大豆)或其組合。該等蛋白質之非限制性實例包括乳蛋白分離物、如本文所述之乳蛋白濃縮物、酪蛋白分離物、廣泛水解之酪蛋白、乳清蛋白、酪蛋白鈉或酪蛋白鈣、全脂牛乳、部分或完全脫脂乳、大豆蛋白分離物、大豆蛋白濃縮物等。 在一個具體實施例中,營養組合物包括源自人類及/或牛起源之乳蛋白的蛋白質來源。 Non-limiting examples of suitable proteins or sources thereof for use in a nutritional product include hydrolyzed, partially hydrolyzed or unhydrolyzed protein or protein sources, which may be derived from any known or otherwise suitable source, such as milk (eg, casein, Whey), animals (eg meat, fish), cereals (eg rice, corn), vegetables (eg soybean) or combinations thereof. Non-limiting examples of such proteins include milk protein isolates, milk protein concentrates as described herein, casein isolates, extensively hydrolyzed casein, whey proteins, casein sodium or casein calcium, whole fat milk , partially or completely skim milk, soy protein isolate, soy protein concentrate, and the like. In a particular embodiment, the nutritional composition comprises a protein source derived from milk proteins of human and/or bovine origin.

碳水化合物Carbohydrate

本發明方法中所用之營養產品可另外視情況包含適用於口服營養產品中且可與該等產品之基本成分及特徵相容的任何碳水化合物。 The nutritional product used in the methods of the present invention may additionally comprise any carbohydrate suitable for use in an oral nutritional product and compatible with the essential ingredients and characteristics of such products.

用於本文所述之營養產品中的適合碳水化合物或其來源之非限制性實例可包括麥芽糊精、水解或改質澱粉或玉米澱粉、葡萄糖聚合物、玉米糖漿、玉米糖漿固體、源自稻之碳水化合物、源自豌豆之碳水化合物、源自馬鈴薯之碳水化合物、木薯澱粉、蔗糖、葡萄糖、果糖、乳糖、高果糖玉米糖漿、蜂蜜、糖醇(例如麥芽糖醇、赤藻糖醇、山梨糖醇)、人工甜味劑(例如蔗糖素、乙醯磺胺酸鉀、甜菊)及其組合。特別合乎需要之碳水化合物為低右旋糖當量(DE)麥芽糊精。 Non-limiting examples of suitable carbohydrates or sources thereof for use in the nutritional products described herein can include maltodextrin, hydrolyzed or modified starch or corn starch, glucose polymer, corn syrup, corn syrup solids, derived from Carbohydrate, pea-derived carbohydrates, potato-derived carbohydrates, tapioca starch, sucrose, glucose, fructose, lactose, high fructose corn syrup, honey, sugar alcohols (eg maltitol, erythritol, sorbus) Sugar alcohols), artificial sweeteners (such as sucralose, potassium sulfonate, stevia) and combinations thereof. A particularly desirable carbohydrate is low dextrose equivalent (DE) maltodextrin.

其他視情況存在之成分Other ingredients that exist as the case may be

本發明方法中所用之營養組合物可另外包含其他視情況存在之組分,其可改良產品之物理、化學、美感或加工特徵,或當用於目標群體時用作醫藥或其他營養組分。許多該等視情況存在之成分為已知的或另外適用於醫療食品或其他營養產品或醫藥劑型中,且亦可用於本文之組合物中,其限制條件為該等視情況存在之成分對於經口投與 為安全的且可與所選產品形式中之基本及其他成分相容。 The nutritional composition used in the method of the present invention may additionally comprise other components as appropriate, which may improve the physical, chemical, aesthetic or processing characteristics of the product, or be used as a pharmaceutical or other nutritional component when used in a target population. Many of such optional ingredients are known or otherwise suitable for use in a medical food or other nutritional product or pharmaceutical dosage form, and may also be used in the compositions herein, with the proviso that the ingredients present as the case may be Oral vote It is safe and compatible with the basic and other ingredients in the selected product form.

該等視情況存在之成分的非限制性實例包括防腐劑、乳化劑、緩衝劑、果寡糖、半乳寡糖、聚右旋糖及其他益菌助生質(例如其他中性或酸性HMO、菊糖、寡聚果糖、聚右旋糖、果膠水解產物及膠狀物)、益生菌(例如動物雙歧桿菌乳亞種BB-12(B.animalis subsp.lactis BB-12)、雷特氏B菌HN019(B.lactis HN019)、雷特氏B菌Bi07、鼠李糖乳桿菌GG(L.rhamnosus GG)、鼠李糖乳桿菌HN001、嗜酸乳桿菌LA-5(L.acidophilus LA-5)、嗜酸乳桿菌NCFM、醱酵乳桿菌CECT5716(L.fermentum CECT5716)、龍根菌BB536(B.longum BB536)、龍根菌AH1205、龍根菌AH1206、短雙歧桿菌M-16V(B.breve M-16V)、羅伊氏乳桿菌ATCC 55730(L.reuteri ATCC 55730)、羅伊氏乳桿菌ATCC PTA-6485、羅伊氏乳桿菌DSM 17938)、後生元(postbiotics)(益生菌之代謝產物)、長鏈聚不飽和脂肪酸(DHA、ARA、DPA、EPA等)、核苷酸、包括生育酚在內之抗氧化劑/消炎化合物、類胡蘿蔔素、抗壞血酸鹽/維生素C、抗壞血酸棕櫚酸酯、多酚(例如薑黃素)、麩胱甘肽及超氧化歧化酶(甜瓜)、人類及/或牛起源之乳蛋白、大豆蛋白、豌豆蛋白、人類及/或牛起源之其他生物活性因子(例如生長激素、細胞激素、TFG-β)、甘油三丁酸酯或其他含有SCFA之單酸甘油酯、二酸甘油酯或三酸甘油酯、母乳來源之脂質、游離胺基酸或肽(例如HMB、精胺酸、白胺酸及/或麩醯胺酸)、乳糖、其他水溶性維生素及脂溶性維生素、礦物質及痕量元素、醫藥活性物質、如本文所述之其他養分、著色劑、調味劑、增稠劑及穩定劑、乳化劑、潤滑劑等。 Non-limiting examples of such optional ingredients include preservatives, emulsifiers, buffers, fructooligosaccharides, galactooligosaccharides, polydextrose, and other probiotics (eg, other neutral or acidic HMOs, Inulin, oligofructose, polydextrose, pectin hydrolysate and gel), probiotics (eg B. animalis subsp. lactis BB-12), Leiter B-bacteria HN019 ( B.lactis HN019), B-bacteria Bi07, Lactobacillus rhamnosus GG ( L. rhamnosus GG), Lactobacillus rhamnosus HN001, Lactobacillus acidophilus LA-5 ( L.acidophilus LA -5), Lactobacillus acidophilus NCFM, Lactobacillus brevis CECT5716 ( L. fermentum CECT5716), Rhizopus BB536 ( B. longum BB536), Rhizopus AH1205, Rhizopus AH1206, Bifidobacterium breve M-16V ( B.breve M-16V), Lactobacillus reuteri ATCC 55730 ( L. reuteri ATCC 55730), Lactobacillus reuteri ATCC PTA-6485, Lactobacillus reuteri DSM 17938), postbiotics (probiotics) Metabolites), long-chain polyunsaturated fatty acids (DHA, ARA, DPA, EPA, etc.), nucleotides, antioxidants/anti-inflammatory compounds including tocopherols, carotenoids , ascorbate/vitamin C, ascorbyl palmitate, polyphenols (eg curcumin), glutathione and superoxide dismutase (melon), human and/or bovine origin milk proteins, soy protein, pea protein, human And/or other biologically active factors of bovine origin (eg growth hormone, cytokines, TFG-β), glyceryl tributyrate or other monoglycerides containing SCFA, diglycerides or triglycerides, sources of breast milk Lipids, free amino acids or peptides (eg HMB, arginine, leucine and/or glutamic acid), lactose, other water-soluble vitamins and fat-soluble vitamins, minerals and trace elements, pharmaceutically active substances Other nutrients, colorants, flavoring agents, thickening agents and stabilizers, emulsifiers, lubricants, and the like as described herein.

營養組合物可另外包含甜味劑,較佳包括至少一種糖醇,諸如麥芽糖醇、赤藻糖醇、山梨糖醇、木糖醇、甘露糖醇、異麥芽糖醇及乳糖醇,且亦較佳包括至少一種人工或高效甜味劑,諸如乙醯磺胺酸 鉀、阿斯巴甜糖(aspartame)、蔗糖素、糖精、甜菊及塔格糖(tagatose)。此等甜味劑,尤其是糖醇與人工甜味劑之組合,尤其適用於調配具有所要風味特徵之本發明之液體飲料實施例。此等甜味劑組合在掩蔽有時與向液體飲料添加植物蛋白質有關之非所要風味方面尤其有效。營養產品中視情況存在之糖醇的濃度範圍以營養產品之重量計可為至少0.01%,包括約0.1%至約10%,且亦包括約1%至約6%。視情況存在之人工甜味劑的濃度範圍以營養產品之重量計可為約0.01%,包括約0.05%至約5%,亦包括約0.1%至約1.0%。 The nutritional composition may additionally comprise a sweetener, preferably at least one sugar alcohol such as maltitol, erythritol, sorbitol, xylitol, mannitol, isomalt and lactitol, and is also preferred. Including at least one artificial or high-potency sweetener, such as acesulfame Potassium, aspartame, sucralose, saccharin, stevia and tagatose. Such sweeteners, especially combinations of sugar alcohols and artificial sweeteners, are particularly suitable for formulating liquid beverage embodiments of the present invention having the desired flavor characteristics. Such sweetener combinations are particularly effective in masking occasionally undesired flavors associated with the addition of vegetable proteins to liquid beverages. The concentration of sugar alcohol in the nutritional product as the case may be at least 0.01% by weight of the nutritional product, including from about 0.1% to about 10%, and also including from about 1% to about 6%. The concentration of the artificial sweetener, as appropriate, may range from about 0.01% by weight of the nutritional product, including from about 0.05% to about 5%, and also from about 0.1% to about 1.0%.

如本文所述之營養組合物中可包括助流劑或抗結塊劑來延遲粉末隨時間之凝集或結塊且使粉末實施例容易自其容器流出。已知或另外適用於營養粉末或產品形式中之任何已知助流劑或抗結塊劑均適用於本文中,其非限制性實例包括磷酸三鈣、矽酸鹽及其組合。營養組合物中助流劑或抗結塊劑之濃度取決於產品形式、其他所選成分、所要流動特性等而變化,但最通常以營養組合物之重量計在約0.1%至約4%之範圍內,包括約0.5%至約2%。 Glidants or anti-caking agents can be included in the nutritional compositions as described herein to delay agglomeration or agglomeration of the powder over time and to facilitate the flow of the powder embodiment from its container. Any of the known glidants or anti-caking agents known or otherwise suitable for use in nutritional powders or product forms are suitable herein, non-limiting examples of which include tricalcium phosphate, citrate, and combinations thereof. The concentration of the flow aid or anti-caking agent in the nutritional composition will vary depending on the form of the product, other selected ingredients, the desired flow characteristics, and the like, but is most typically from about 0.1% to about 4% by weight of the nutritional composition. Within the range, including from about 0.5% to about 2%.

營養組合物中亦可包括穩定劑。已知或另外適用於營養組合物中之任何穩定劑亦適用於本文中,其一些非限制性實例包括膠狀物,諸如三仙膠(xanthan gum)。穩定劑以營養組合物之重量計可佔約0.1%至約5.0%,包括約0.5%至約3%,包括約0.7%至約1.5%。 Stabilizers may also be included in the nutritional compositions. Any stabilizer known or otherwise suitable for use in a nutritional composition is also suitable for use herein, some non-limiting examples of which include gums such as xanthan gum. The stabilizer may comprise from about 0.1% to about 5.0% by weight of the nutritional composition, including from about 0.5% to about 3%, including from about 0.7% to about 1.5%.

營養組合物可另外包含多種其他維生素或相關養分中之任一者,其非限制性實例包括維生素A、維生素D、維生素E、維生素K、硫胺素、核黃素、吡哆醇、維生素B12、類胡蘿蔔素(例如β-胡蘿蔔素、玉米黃素、葉黃素、番茄紅素)、菸酸、葉酸、泛酸、生物素、維生素C、膽鹼、肌醇、其鹽及衍生物,及其組合。 The nutritional composition may additionally comprise any of a variety of other vitamins or related nutrients, non-limiting examples of which include vitamin A, vitamin D, vitamin E, vitamin K, thiamine, riboflavin, pyridoxine, vitamin B. 12 , carotenoids (such as β-carotene, zeaxanthin, lutein, lycopene), niacin, folic acid, pantothenic acid, biotin, vitamin C, choline, inositol, its salts and derivatives, And their combinations.

營養組合物可另外包含多種其他額外礦物質中之任一者,其非限制性實例包括鈣、磷、鎂、鐵、鋅、錳、銅、鈉、鉀、鉬、鉻、氯 化物及其組合。 The nutritional composition may additionally comprise any of a variety of other additional minerals, non-limiting examples of which include calcium, phosphorus, magnesium, iron, zinc, manganese, copper, sodium, potassium, molybdenum, chromium, chlorine Compounds and combinations thereof.

製造方法Production method

本發明之方法中所用之營養組合物可藉由用於製備所選產品固體或液體形式之任何已知或另外有效之製造技術製備。已知許多該等技術可用於任何既定產品形式(諸如營養液、營養粉末及營養條)且容易由一般技術人員應用於本文所述之營養組合物。 The nutritional compositions used in the methods of the present invention can be prepared by any known or otherwise effective manufacturing technique for preparing the solid or liquid form of the selected product. Many of these techniques are known to be useful in any established product form (such as nutrient solutions, nutritional powders, and nutritional bars) and are readily applied by a person of ordinary skill to the nutritional compositions described herein.

因此,本發明之方法中所用之營養組合物可藉由多種已知或另外有效之調配或製造方法中之任一者製備。在一種適合製造方法中,例如製備至少三種獨立漿料,包括脂肪包蛋白質(PIF)漿料、碳水化合物-礦物質(CHO-MIN)漿料及水包蛋白質(PIW)漿料。PIF漿料係藉由以下方式形成:加熱並混合油(例如菜籽油、玉米油等),接著在持續加熱及攪拌下添加乳化劑(例如卵磷脂)、脂溶性維生素,及全部蛋白質之一部分(例如乳蛋白濃縮物等)。CHO-MIN漿料係藉由在加熱攪拌下向水中添加以下物質來形成:礦物質(例如檸檬酸鉀、磷酸二鉀、檸檬酸鈉等)、痕量及超痕量礦物質(TM/UTM預混物)、增稠劑或懸浮劑(例如晶性織維素、結冷膠、角叉菜膠)。所得CHO-MIN漿料在持續加熱及攪拌下保持10分鐘,隨後添加其他礦物質(例如氯化鉀、碳酸鎂、碘化鉀等),及/或碳水化合物(例如HMO、果寡糖、蔗糖、玉米糖漿等)。接著藉由在加熱及攪拌下混合剩餘蛋白質(若存在的話)來形成PIW漿料。 Thus, the nutritional compositions used in the methods of the present invention can be prepared by any of a variety of known or otherwise effective methods of formulation or manufacture. In a suitable manufacturing process, for example, at least three separate pastes are prepared, including a fat-packed protein (PIF) slurry, a carbohydrate-mineral (CHO-MIN) slurry, and a water-in-package (PIW) slurry. The PIF slurry is formed by heating and mixing an oil (such as rapeseed oil, corn oil, etc.), followed by adding an emulsifier (such as lecithin), a fat-soluble vitamin, and a part of all proteins under continuous heating and stirring. (eg milk protein concentrate, etc.). CHO-MIN slurry is formed by adding the following substances to water under heating and stirring: minerals (such as potassium citrate, dipotassium phosphate, sodium citrate, etc.), traces and ultra-trace minerals (TM/UTM) Premix), thickener or suspending agent (eg crystalline avermectin, gellan gum, carrageenan). The resulting CHO-MIN slurry is held under continuous heating and stirring for 10 minutes, followed by the addition of other minerals (such as potassium chloride, magnesium carbonate, potassium iodide, etc.), and/or carbohydrates (eg, HMO, fructooligosaccharides, sucrose, corn). Syrup, etc.). The PIW slurry is then formed by mixing the remaining protein, if any, with heating and stirring.

接著在加熱攪拌下將所得漿料摻合在一起且將pH值調整至6.6-7.0,此後對組合物進行高溫短時(HTST)加工,在此期間對組合物進行熱處理,乳化及均質化,接著使其冷卻。添加水溶性維生素及抗壞血酸,必要時將pH值調整至所要範圍,添加調味劑,且添加水以實現所要總固體含量。接著組合物經無菌封裝以形成經無菌封裝之營養乳液。此乳液接著可進一步稀釋,熱處理且封裝形成即食或濃縮液, 或其可經熱處理且隨後經加工且以可復原粉末(例如噴霧乾燥、乾式混合、聚結粉末)形式封裝。 The resulting slurry is then blended under heating and the pH is adjusted to 6.6-7.0, after which the composition is subjected to high temperature short time (HTST) processing during which the composition is heat treated, emulsified and homogenized. Then it is allowed to cool. Water-soluble vitamins and ascorbic acid are added, pH is adjusted to the desired range if necessary, flavoring is added, and water is added to achieve the desired total solids content. The composition is then aseptically packaged to form a sterile encapsulated nutritional emulsion. The emulsion can then be further diluted, heat treated and packaged to form a ready-to-eat or concentrate solution. Or it may be heat treated and subsequently processed and packaged in the form of a recoverable powder (eg, spray dried, dry blended, coalesced powder).

營養固體(諸如噴霧乾燥之營養粉末或乾式混合之營養粉末)可藉由適於製備及調配營養粉末之任何已知或另外有效之技術集合來製備。 Nutritional solids, such as spray-dried nutritional powders or dry-mixed nutritional powders, can be prepared by any known or otherwise effective collection of techniques suitable for the preparation and formulation of nutritional powders.

舉例而言,當營養粉末為噴霧乾燥之營養粉末時,噴霧乾燥步驟可同樣包括已知或另外適用於製造營養粉末之任何噴霧乾燥技術。 已知許多不同的噴霧乾燥方法及技術可用於營養領域中,其均適用於製造本文之噴霧乾燥之營養粉末。 For example, when the nutritional powder is a spray dried nutritional powder, the spray drying step can likewise include any spray drying technique known or otherwise suitable for use in the manufacture of nutritional powders. Many different spray drying methods and techniques are known for use in the field of nutrition, all of which are suitable for use in the manufacture of spray dried nutritional powders herein.

一種製備噴霧乾燥之營養粉末之方法包含形成包含預消化脂肪,及視情況存在之蛋白質、碳水化合物及其他脂肪來源之水性漿料或液體並進行均質化,接著將漿料或液體噴霧乾燥以產生噴霧乾燥之營養粉末。該方法可進一步包含噴霧乾燥、乾式混合或以其他方式向噴霧乾燥之營養粉末中添加其他營養成分(包括本文所述成分中之任一種或多種)之步驟。 A method of preparing a spray-dried nutritional powder comprises forming and homogenizing an aqueous slurry or liquid comprising pre-digested fat, and optionally protein, carbohydrate and other fat sources, followed by spray drying the slurry or liquid to produce Spray dried nutritional powder. The method can further comprise the steps of spray drying, dry mixing, or otherwise adding other nutrients, including any one or more of the ingredients described herein, to the spray dried nutritional powder.

營養組合物可為條形式。在一種適合製造方法中,例如向混合器中添加紅花油、卵磷脂、甘油、水及調味劑。向混合器中添加乾燥粉末成分及維生素礦物質預混物且混合1分鐘。向混合器中添加玉米糖漿(加熱至95-105℉)且混合2分鐘。向混合器中添加大豆脆片及果汁軟糖小塊且混合2分鐘。向混合器中添加冷卻之巧克力糖球且混合1分鐘。使混合物成形為條。施加塗層(預加熱至95-100℉)。可使用許多不同的成分及混合程序來製造營養條。 The nutritional composition can be in the form of a strip. In a suitable manufacturing process, for example, safflower oil, lecithin, glycerin, water and flavoring agents are added to the mixer. A dry powder component and a vitamin and mineral premix were added to the mixer and mixed for 1 minute. Corn syrup (heated to 95-105 °F) was added to the mixer and mixed for 2 minutes. Soy chips and marshmallow pieces were added to the mixer and mixed for 2 minutes. Cool chocolate candy balls were added to the mixer and mixed for 1 minute. The mixture is formed into a strip. Apply a coating (preheated to 95-100 °F). Nutrient bars can be made using a number of different ingredients and mixing procedures.

用於製備營養產品之其他適合方法描述於例如美國專利第6,365,218號(Borschel等人)、美國專利6,589,576(Borschel等人)、美國專利第6,306,908號(Carlson等人)、美國專利申請案20030118703 A1(Nguyen等人)中,其描述以引用的方式併入本文中達到與本文一致之 程度。 Other suitable methods for preparing a nutritional product are described, for example, in U.S. Patent No. 6,365,218 (Borschel et al.), U.S. Patent No. 6,589,576 (Borschel et al.), U.S. Patent No. 6,306,908 (Carlson et al.), U.S. Patent Application No. 20030118703 A1 In Nguyen et al., the description of which is incorporated herein by reference. degree.

產品形式Product form

本發明之方法中所用之組合物可以已知或另外適合之口服產品形式調配及投與。任何固體、液體、半固體、半液體或粉末產品形式,包括其組合或變化形式,均適用於本文中,其限制條件為該等形式允許將成分(亦如本文所定義)安全且有效地經口遞送至個體。 The compositions used in the methods of the invention may be formulated and administered in the form of known or otherwise suitable oral products. Any solid, liquid, semi-solid, semi-liquid or powder product form, including combinations or variations thereof, is suitable herein for the purpose of allowing the ingredients (also as defined herein) to be safely and effectively The mouth is delivered to the individual.

本發明之方法中所用之組合物合意地調配成膳食產品形式,其在本文中定義為包含本發明之成分的彼等實施例,其為含有脂肪、蛋白質及碳水化合物中至少一者且較佳亦含有維生素、礦物質或其組合的產品形式。 The compositions used in the methods of the present invention are desirably formulated in the form of a dietary product, which is defined herein as embodiments comprising the ingredients of the present invention which comprise at least one of a fat, a protein and a carbohydrate and are preferably It also contains product forms of vitamins, minerals or a combination thereof.

營養組合物可用足夠種類及量之養分調配,以提供唯一、主要或補充營養來源,或提供用於罹患特定病狀之個體或具有如下文所述之目標營養益處的專門營養產品。 The nutritional composition may be formulated with sufficient variety and amount of nutrients to provide a unique, primary or supplemental source of nutrition, or to provide an individual nutritional product for a particular condition or a nutritional product having the desired nutritional benefits as described below.

適於根據本發明使用之特定產品的一些例示性非限制性實例包括早產嬰兒配方、足月嬰兒配方、母乳強化劑、兒科配方、成人營養配方、老人營養配方、醫學配方、老年營養配方、糖尿病營養配方、營養條及其類似物。 Some illustrative, non-limiting examples of particular products suitable for use in accordance with the present invention include premature infant formula, term infant formula, breast milk fortifier, pediatric formulation, adult nutritional formula, elderly nutritional formula, medical formula, aged nutritional formula, diabetes Nutritional formulas, nutritional bars and their analogues.

營養液Nutrient solution

營養液包括濃縮營養液及即食營養液兩者。此等營養液最通常調配成懸浮液或乳液,不過其他液體形式均在本發明之範疇內。 The nutrient solution includes both a concentrated nutrient solution and an instant nutrient solution. Such nutrient solutions are most often formulated as suspensions or emulsions, although other liquid forms are within the scope of the invention.

適用之營養乳液可為包含蛋白質、脂肪及碳水化合物之水性乳液。此等乳液一般為在約1℃至約25℃下可流動或可飲用之液體且通常為水包油、油包水或複合水性乳液形式,不過該等乳液最通常為具有連續水相及不連續油相之水包油乳液形式。 Suitable nutritional emulsions can be aqueous emulsions containing proteins, fats and carbohydrates. Such emulsions are generally in the form of a flowable or drinkable liquid at a temperature of from about 1 ° C to about 25 ° C and are typically in the form of oil-in-water, water-in-oil or complex aqueous emulsions, although such emulsions most typically have a continuous aqueous phase and A continuous oil phase in the form of an oil-in-water emulsion.

營養乳液可為且通常為存放穩定的。營養乳液通常含有以營養乳液重量計至多約95%水(以重量計),包括約50%至95%,亦包括約 60%至約90%,且亦包括約70%至約85%水。營養乳液可具有多種產品密度,但最通常具有大於約1.03g/mL,包括大於1.04g/mL,包括大於1.055g/mL,包括約1.06g/mL至約1.12g/mL,且亦包括約1.085g/mL至約1.10g/mL之密度。 The nutritional emulsion can be and is generally stable to storage. The nutritional emulsion typically contains up to about 95% water by weight, based on the weight of the nutritional emulsion, including from about 50% to 95%, and also includes about From 60% to about 90%, and also from about 70% to about 85% water. The nutritional emulsion can have a variety of product densities, but most typically has greater than about 1.03 g/mL, including greater than 1.04 g/mL, including greater than 1.055 g/mL, including from about 1.06 g/mL to about 1.12 g/mL, and also includes A density of from 1.085 g/mL to about 1.10 g/mL.

營養乳液可具有針對最終使用者之營養需求而定製之卡路里密度,不過在大多數情形中,乳液一般包含至少19kcal/fl oz(660kcal/l),更通常約20kcal/fl oz(675-680kcal/l)至約25kcal/fl oz(820kcal/l),甚至更通常約20kcal/fl oz(675-680kcal/l)至約24kcal/fl oz(800-810kcal/l)。一般而言,22-24kcal/fl oz配方更常用於早產或低出生體重嬰兒,且20-21kcal/fl oz(675-680至700kcal/l)配方更常用於足月嬰兒。在一些實施例中,乳液可具有約50-100kcal/l至約660kcal/l,包括約150kcal/l至約500kcal/l的卡路里密度。在一些具體實施例中,乳液可具有25,或50,或75,或100kcal/l之卡路里密度。 The nutritional emulsion can have a calorie density tailored to the nutritional needs of the end user, although in most cases the emulsion typically comprises at least 19 kcal/fl oz (660 kcal/l), more typically about 20 kcal/fl oz (675-680 kcal). /l) to about 25 kcal/fl oz (820 kcal/l), even more typically about 20 kcal/fl oz (675-680 kcal/l) to about 24 kcal/fl oz (800-810 kcal/l). In general, the 22-24kcal/fl oz formula is more commonly used in preterm or low birth weight infants, and the 20-21kcal/fl oz (675-680 to 700 kcal/l) formula is more commonly used in term infants. In some embodiments, the emulsion can have a caloric density of from about 50 to 100 kcal/l to about 660 kcal/l, including from about 150 kcal/l to about 500 kcal/l. In some embodiments, the emulsion can have a caloric density of 25, or 50, or 75, or 100 kcal/l.

營養乳液可具有約3.5至約8的pH值範圍,但最有利在約4.5至約7.5範圍內,包括約5.5至約7.3,包括約6.2至約7.2。 The nutritional emulsion can have a pH range of from about 3.5 to about 8, but most advantageously ranges from about 4.5 to about 7.5, including from about 5.5 to about 7.3, including from about 6.2 to about 7.2.

儘管營養乳液之食用分量可取決於多種變數而變化,但典型食用分量一般為至少約1mL,或甚至為至少2mL,或甚至為至少5mL,或甚至為至少10mL,或甚至為至少25mL,包括1mL至約300mL範圍,包括約4mL至約250mL,且包括約10mL至約240mL。 While the serving component of the nutritional emulsion may vary depending on a variety of variables, a typical edible component will generally be at least about 1 mL, or even at least 2 mL, or even at least 5 mL, or even at least 10 mL, or even at least 25 mL, including 1 mL. To a range of about 300 mL, including from about 4 mL to about 250 mL, and including from about 10 mL to about 240 mL.

營養固體Nutritional solid

營養固體可為任何固體形式,但通常為可流動或實質上可流動之微粒組合物,或至少微粒組合物形式。特別適合之營養固體產品形式包括噴霧乾燥、聚結及/或乾式摻合之粉末組合物。該等組合物容易挖取且用調羹或其他類似裝置量測,且預期使用者容易用適合水性液體(通常為水)將其復原形成供立即口服或經腸使用之營養組合物。 在此情形中,「立即」使用一般意謂在約48小時內,最通常在約24小 時內,較佳就在復原之後。 The nutritive solid can be in any solid form, but is typically a flowable or substantially flowable particulate composition, or at least a particulate composition. Particularly suitable nutritional solid product forms include spray dried, coalesced and/or dry blended powder compositions. The compositions are easily excavated and measured with a spoon or other similar device, and it is contemplated that the user will readily reconstitute it with an aqueous liquid (usually water) to form a nutritional composition for immediate oral or enteral use. In this case, "immediately" use generally means about 48 hours, most usually about 24 hours. In time, it is better to recover.

營養粉末可在使用之前用水復原成針對最終使用者之營養需求而定製之卡路里密度,不過在大多數情形中,粉末用水復原形成包含至少19kcal/fl oz(660kcal/l),更通常約20kcal/fl oz(675-680kcal/l)至約25kcal/fl oz(820kcal/l),甚至更通常約20kcal/fl oz(675-680kcal/l)至約24kcal/fl oz(800-810kcal/l)的組合物。一般而言,22-24kcal/fl oz配方更常用於早產或低出生體重嬰兒,且20-21kcal/fl oz(675-680至700kcal/l)配方更常用於足月嬰兒。在一些實施例中,復原之粉末可具有約50-100kcal/l至約660kcal/l,包括約150kcal/l至約500kcal/l的卡路里密度。在一些具體實施例中,乳液可具有25,或50,或75,或100kcal/l之卡路里密度。 The nutritional powder can be reconstituted with water to a calorie density tailored to the end user's nutritional needs prior to use, although in most cases the powder is reconstituted with water to form at least 19 kcal/fl oz (660 kcal/l), more typically about 20 kcal. /fl oz (675-680 kcal/l) to about 25 kcal/fl oz (820 kcal/l), even more typically about 20 kcal/fl oz (675-680 kcal/l) to about 24 kcal/fl oz (800-810 kcal/l) Compositions. In general, the 22-24kcal/fl oz formula is more commonly used in preterm or low birth weight infants, and the 20-21kcal/fl oz (675-680 to 700 kcal/l) formula is more commonly used in term infants. In some embodiments, the reconstituted powder can have a caloric density of from about 50 to 100 kcal/l to about 660 kcal/l, including from about 150 kcal/l to about 500 kcal/l. In some embodiments, the emulsion can have a caloric density of 25, or 50, or 75, or 100 kcal/l.

實例 Instance

例示性組合物為根據本文所述之製造方法製備之存放穩定的營養組合物,由此除非另外說明,否則每一例示性組合物包括無菌加工之實施例及殺菌釜封裝之實施例。 Exemplary compositions are shelf stable nutritional compositions prepared according to the methods of manufacture described herein, and thus, unless otherwise indicated, each exemplary composition includes examples of aseptic processing and embodiments of the autoclave package.

實例1-5Example 1-5

預示性實例1-5說明即食營養乳液,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 1-5 illustrate ready-to-eat nutritional emulsions, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例6-10Example 6-10

預示性實例6-10說明本發明之即食營養乳液,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 6-10 illustrate the ready-to-eat nutritional emulsions of the present invention, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例11-15Example 11-15

預示性實例11-15說明濃縮液體乳液,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 11-15 illustrate concentrated liquid emulsions, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例16-20Example 16-20

預示性實例16-20說明即食營養乳液,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 16-20 illustrate ready-to-eat nutritional emulsions whose ingredients are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例21-25Example 21-25

預示性實例21-25說明濃縮液體乳液,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 21-25 illustrate concentrated liquid emulsions, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例26-30Example 26-30

預示性實例26-30說明母乳強化劑液體,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 26-30 illustrate breast milk fortifier liquids, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

實例31-35Example 31-35

預示性實例31-35說明噴霧乾燥之營養粉末,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 31-35 illustrate spray dried nutritional powders whose ingredients are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

AN=需要時 AN=when needed

實例36-40Example 36-40

預示性實例36-40說明營養條,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 36-40 illustrate nutritional bars whose ingredients are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

實例41-45Example 41-45

預示性實例41-45說明液體調配物,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 41-45 illustrate liquid formulations, the ingredients of which are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

實例46-50Example 46-50

預示性實例46-50說明液體調配物,其成分列於下表中。除非另外說明,否則所有所列成分量係以公斤為單位。 Predictive Examples 46-50 illustrate liquid formulations whose ingredients are listed in the table below. Unless otherwise stated, all listed ingredients are in kilograms.

實例51Example 51

使用來自八個人類嬰兒(一組四個母乳餵養嬰兒且另一組四個配方餵養嬰兒)的糞便樣品作為乳糖-N-新四糖(LNnT)之厭氧醱酵(37℃)的接種液。在0小時、3小時及6小時對來自醱酵培養物之上清液進行取樣。未添加HMO之培養物用作對照組。亦對醱酵培養基樣品(空白組)進行分析,其構成約90%之起始培養物體積。 A stool sample from eight human infants (a group of four breast-fed infants and another group of four formula-fed infants) was used as an inoculum for lactose-N-neotetraose (LNnT) anaerobic fermentation (37 ° C) . The supernatant from the fermentation broth was sampled at 0 hours, 3 hours, and 6 hours. A culture in which no HMO was added was used as a control group. A sample of the fermentation medium (blank group) was also analyzed, which constituted approximately 90% of the starting culture volume.

對樣品進行萃取且分成數等份以在GC/MS及LC/MS/MS平台上分析。在層析圖中鑑別GABA及胍丁胺離子,且對峰面積進行積分以供定量分析。所得表1及表2中之資料顯示母乳餵養及配方餵養嬰兒的GABA及胍丁胺相較於空白組的相對比率。 Samples were extracted and divided into aliquots for analysis on GC/MS and LC/MS/MS platforms. GABA and agmatine ions were identified in the chromatogram and the peak area was integrated for quantitative analysis. The data in Tables 1 and 2 obtained show the relative ratio of GABA and agmatine compared to the blank group in breastfed and formula-fed infants.

儘管已藉由描述若干實施例來說明本發明且儘管已相當詳細地描述了說明性實施例,但申請者不欲將隨附申請專利範圍之範疇侷限或以任何方式限制於該細節。熟習此項技術者可顯而易知其他優勢及修改。 The present invention has been described by way of illustration of several embodiments, and the invention is not limited by the scope of the accompanying claims. Other advantages and modifications will be apparent to those skilled in the art.

Claims (13)

一種包含至少一種母乳寡糖之營養組合物之用途,其係用於製造用以增強有需要之個體之學習及記憶力的藥物,其中該母乳寡糖係選自乳糖-N-新四糖、乳糖-N-四糖、二唾液酸化乳糖-N-四糖、3'-海藻糖基乳糖及3'-唾液酸基乳糖。 Use of a nutritional composition comprising at least one breast milk oligosaccharide for the manufacture of a medicament for enhancing the learning and memory of an individual in need thereof, wherein the breast milk oligosaccharide is selected from the group consisting of lactose-N-neotetraose, lactose -N-tetraose, disialylated lactose-N-tetraose, 3'-trehalosyl lactose and 3'-sialyl lactose. 如請求項1之用途,其中該至少一種母乳寡糖包含乳糖-N-新四糖或乳糖-N-四糖。 The use of claim 1, wherein the at least one breast milk oligosaccharide comprises lactose-N-neotetraose or lactose-N-tetraose. 如請求項2之用途,其中該至少一種母乳寡糖包含乳糖-N-新四糖。 The use of claim 2, wherein the at least one breast milk oligosaccharide comprises lactose-N-neotetraose. 如請求項2之用途,其中該至少一種母乳寡糖包含乳糖-N-四糖。 The use of claim 2, wherein the at least one breast milk oligosaccharide comprises lactose-N-tetraose. 如請求項1之用途,其中該營養組合物為液體且包含約0.001mg/mL至約20mg/mL該母乳寡糖。 The use of claim 1, wherein the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 20 mg/mL of the breast milk oligosaccharide. 如請求項5之用途,其中該營養組合物為液體且包含約0.001mg/mL至約10mg/mL該母乳寡糖。 The use of claim 5, wherein the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 10 mg/mL of the breast milk oligosaccharide. 如請求項6之用途,其中該營養組合物為液體且包含約0.001mg/mL至約5mg/mL該母乳寡糖。 The use of claim 6, wherein the nutritional composition is a liquid and comprises from about 0.001 mg/mL to about 5 mg/mL of the breast milk oligosaccharide. 如請求項1之用途,其中該營養組合物為粉末且以該粉末重量計包含約0.0005%至約5%該母乳寡糖。 The use of claim 1, wherein the nutritional composition is a powder and comprises from about 0.0005% to about 5% of the breast milk oligosaccharide by weight of the powder. 如請求項8之用途,其中該營養組合物為粉末且以該粉末重量計包含約0.01%至約1%該母乳寡糖。 The use of claim 8, wherein the nutritional composition is a powder and comprises from about 0.01% to about 1% by weight of the powder of the breast milk oligosaccharide. 如請求項1之用途,其中該營養組合物進一步包含脂肪、蛋白質或碳水化合物中至少一者。 The use of claim 1, wherein the nutritional composition further comprises at least one of a fat, a protein or a carbohydrate. 如請求項10之用途,其中該營養組合物進一步包含蛋白質。 The use of claim 10, wherein the nutritional composition further comprises a protein. 如請求項1之用途,其中該營養組合物為嬰兒配方。 The use of claim 1, wherein the nutritional composition is an infant formula. 如請求項1至4及10至12中任一項之用途,其中該營養組合物為營養條、營養液或營養粉末。 The use of any one of claims 1 to 4 and 10 to 12, wherein the nutritional composition is a nutritional bar, a nutrient solution or a nutritional powder.
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