COMPOSITION WITH ANTIOXIDANT ACTIVITY FOR PHARMACEUTICAL OR DIETARY OR COSMETIC USE
DESCRIPTION
The present invention relates to a composition with antioxidant activity for pharmaceutical or dietary or cosmetic use.
It is noted that a moderate consumption of red wine is associated with a reduction in the incidence of cardiovascular events (More, Medicine 1986:65:245-67; Graziano, N Engl J Med 1993:329:1829-34). Components of red wine such as flavonoids are thought to be beneficial to the cardiovascular system by virtue of their capacity to inhibit platelet function.
The same Applicant is author of the patent EP1328268 in which a composition with antioxidant activity for pharmaceutical or dietary or cosmetic use is described, characterised by comprising as active principle a combination of the flavonoids catechin and quercetin, which exhibit synergistic activity, when associated in reciprocal molar ratios selected within a critical range, extending from 6:1 to 3:1 moles of catechin:quercetin.
It is noted that said oxidative stress favours numerous pathologies. It is also noted that there are various pathological conditions in the pathogenesis of which oxidative stress appears to play an important role. Oxidative events are particularly notable in various conditions such as: hypoxia, inflammation, irradiation by ultraviolet light, alcohol abuse, ageing.
The following is a list of some of the principal pathologies in which oxidative stress is implicated: atherosclerosis, ischemic cardiopathy, cerebral vascular insufficiency, complications of diabetes, hypertension, nephropathy, retinopathy, cataracts, chronic hepatopathies, neurodegenerative pathologies (Alzheimer, Parkinson), tumours, immunodeficiencies, chronic colitises. The present invention proposes as its object the prevention and treatment of oxidative stress in general and of all consequent pathologies, in particular chronic inflammatory pathologies and cardiovascular diseases. Within this framework of the art it has been surprisingly found, and constitutes an aspect of the present invention, that a selected combination of the three flavonoids resveratrol, catechin and caffeic acid is able to develop antioxidant activity with
synergistic action.
In particular, the invention provides a composition with antioxidant activity for pharmaceutical or dietary or cosmetic use, characterised by comprising as active principle a combination of resveratrol, catechin and caffeic acid. In such composition the molar ratio of caffeic acid to catechin is preferably within the range from about 1 :2 to 1 :6, respectively.
Even more preferably, the molar ratio of caffeic acid to catechin is about 1 :4, respectively.
Moreover, the molar ratio of resveratrol to caffeic acid in the composition of the invention is preferably within the range from about 1 :3 to 1 :9, respectively.
Even more preferably the molar ratio of resveratrol to caffeic acid is about 1 :6, respectively.
The invention here described has its origin in experimental observations gained by a study, hereinafter reported as an example to better describe the action of said active principle and in no way limiting the scope of the invention, conducted with the initial aim of investigating if a moderate daily consumption of wine influences oxidative stress and platelet function.
STUDY
Study plan 20 healthy volunteers not presenting signs of cardiovascular diseases and without risk factors for atherosclerosis such as hypertension, diabetes, dyslipidemia, obesity, or a smoking habit, were examined.
None of the subjects had taken antioxidant vitamins or other types of antioxidant or antiplatelet medication in the month prior to the study. All the subjects were subjected to a period of preparation of one week during which they abstained from drinking wine or alcoholic drinks and NSAID and were subjected to a verification of the type of diet they normally followed.
All followed a typical Mediterranean diet based on carbohydrates, olive oil, fruit and vegetables with no evident differences in the quantity of flavonoids consumed with food. After the preparation phase, the subjects were randomly assigned to consume either 300 ml/day in total of red wine (n=10, males 4, females 6, average age 45 ± 6) or white wine (n=10, males 5, females 5, average age 42 ± 5) during
lunch. During the entire observation period, any other type of alcoholic beverage was prohibited. At baseline conditions and after 15 days of observation, a blood sample was taken between 8.00 and 9.00 am from every subject who had fasted for at least 12 hours; therefore the interval between the last intake of wine and the blood sampling was 12 hours. A bottle of wine (750 ml) was delivered to each subject every two days and the amount remaining in each bottle was measured to verify compliance. One of the subjects randomly assigned to the white wine group followed the protocol for two weeks but then refused to return for testing for blood changes. In addition to the routine analyses, the laboratory study consisted of measuring the latent period of collagen-induced platelet aggregation, collagen- induced H202 formation and plasma flavonoid concentration. Preparation of the platelets
Blood mixed with 0.13 mM of sodium citrate (9:1 ratio) was collected from each subject. For the flow cytometric analysis and for the in-vitro study of the effect of flavonoids on platelet aggregation, the platelets were separated from plasma proteins by centrifugation and suspended in calcium-free Tyrode's buffer containing 0.2% bovine serum albumin, 5 mMol/L glucose and 10mmol/L Hepes, pH 7.35; the cell suspension was adjusted to give a final concentration of 2 x 108 cells/ml. Flow cytometric analysis
The platelet suspension (2 x 108 cells/ml) was incubated (15 minutes at 37°C) with DCFH-DA (40 μmol/L) and activated with 2 μg/ml of collagen. The reaction was interrupted after one minute with EGTA 2mmol/L All the samples were analysed using a Coulter XL-MCL flow cytometer (Hialeah, USA) equipped with an argon laser (480 nm emission). The instrument was calibrated for measuring logarithmic forward light scatter (LFS) which is a measure of particle size, logarithmic 90° light scatter (LSS) which is a measure of cell granularity, and green fluorescence (DCF) at 510-550 nm (LFL1). The fluorescent signal generated by the sample was expressed in the in-vitro study as Index of Stimulation (I.S. = intensity of mean channel fluorescence of stimulated platelets/ intensity of mean channel fluorescence of non-stimulated platelets. In the ex-vivo study, the fluorescence parameters were expressed as arbitrary units (a.u.)
Aggregation test
The latent period of collagen-induced platelet aggregation was evaluated by measuring the time delay between adding the agonist and the start of platelet aggregation. The determination was calculated with a specific aggregometer (Helena Laboratories: Beaumont, Texas). The platelets in the in-vitro study (2 x 108 cells/ml) were pre-incubated in either the presence of catechin (0.2 μM), caffeic acid (0.2 μM) and resveratrol (0.5 μM), used either individually or together (30 minutes at 37°C for each incubation) before activation with collagen (2 μg/ml), or in their absence. Measurement of plasma flavonoids Chemical substances
Resveratrol, (+)-catechin, caffeic acid, quercetin and β-glucoronidase (EC 3.2.1.31) from Helix Pomatia, type H-2, were acquired from Sigma (St. Louis, MO, USA), β-glucoronidase activity was 105,000 units/ml and sulphatase activity was 343,000 units/ml. Methanol and ethyl acetate were of HPLC grade and were acquired from Carlo Erba (Milan, Italy). Enzymatic treatment of plasma
The plasma samples were incubated with a hydrolysing solution to obtain free phenolic compounds. Briefly: 1.5 ml of plasma were mixed with 2 ml 100 mM acetate butter (pH 5.0) containing 4,000 units of glucuronidase plus 200 units of sulfatase. The mixture was incubated for 1 hour at 37°C and then extracted three times with ethyl acetate; 3.0 ml of ethyl acetate were added each time and the mixture was agitated for 4 minutes. After having centrifuged the mixture for 5 minutes at 3,500 r.p.m., the upper layers were removed. The combined extracts were made to pass through anhydrous sodium sulphate and dried under nitrogen. The samples were conserved at -70°C until required. Configuration and HPLC analysis
The separation of free phenolic compounds was achieved as previously described. Briefly: the HPLC system was formed from a Perkin Elmer series 410 Lc pump with a SEC-4 control element for the gradient elution. The mobile phase was formed from two solutions: solution A was 0.22 M acetic acid, solution B was methanol. A binary gradient (between 7 and 24%) was applied, at a flow rate of 1
ml/min, to a Wakosil II 5C18 RS analytical column (5 μm, 150 x 4.6 mm internal diameter, SGE) equipped with a 10 mm SGE pre-column and maintained at 30°C. The plasma extracts were re-dissolved just before the analysis in methanol and 20μL were injected into the system. The eluate was monitored with a Coulochem II electrochemical detector (ESA, Bedford, MA, USA) equipped with a model 5011 analytical cell. The settings were the following: the first electrode was set at -100 mV and the second electrode (the analytical electrode) at +600 mV. The detector output was recorded on a Perkin Elmer Turbochrom Chromatography workstation. The detection limit of the procedure was < 0.2 ngr/ml. Identification of ethanol
For plasma ethanol levels, a colorimetric kit was used (SIGMA Diagnostic, procedure 333-UV based on the production of NADH after alcohol oxidation by alcohol dehydrogenase). Statistical analysis Statistical analysis was undertaken by the chi square statistical test and appropriate t-test. Where necessary the data were normalized using logarithmic transformation. The effect of the treatment was analysed by analysis of variance (ANOVA) of two-way repeated measurements. The data were presented as mean ± SD, median and 95% tolerance limits. To evaluate the statistical significance only "two-tail" probabilities were used. A value p < 0.05 was considered as statistically significant (16). All calculations were executed using personal computer software (Stat View II, Abacus Concepts, Berkeley, California). Results Ex-vivo study At baseline conditions no difference in the latent period of collagen-induced platelet aggregation was observed between the two groups. At the end of the treatment the latent period was prolonged by 57.5% (p < 0.002) in subjects who had consumed white wine and by 148.0% (p < 0.001) in subjects treated with red wine. The two groups presented a significant difference in the latent period at the end of treatment (p < 0.05).
At baseline conditions the formation of platelet H2O2 not stimulated and induced by the collagen was similar in both groups. At the end of the treatment, formation of
H2O2 not stimulated and induced by the collagen was reduced by 22.0% (p < 0.03) and by 24% (p < 0.03) respectively in the subjects who had consumed white wine, and by 55.0% (p < 0.02) and by 54.5% (p < 0.02) respectively in the subjects who had consumed red wine. At the end of the treatment it was observed that platelet H2O2 formation was significantly lower in subjects treated with red wine compared with those who had consumed white wine (p < 0.05).
Four flavonoids were measured in human plasma, namely resveratrol, caffeic acid, catechin and quercetin. The latter was the only one not determinable before and after wine consumption. Catechin was nearly undetectable at the start, but increased after consumption of both red and white wine; caffeic acid increased with red wine and white wine, while resveratrol increased only after consumption of red wine. The results are reported in the following table 1. TABLE 1
Plasma flavonoid content (mean ± SEM) expressed in ng/ml before and after consumption of wine (*p < 0.02 Anova post hoc test; §p < 0.007 between the two groups after 15 days' wine consumption). ND = not determinable
Increases in individual flavonoids observed after red or white wine consumption were not significant. The sum total of the three flavonoids in plasma were similar
at baseline conditions; after consumption of white wine, the plasma flavonoids increased but not significantly (+8%, p > 0.05), while after consuming red wine the increase was statistically significant (+143%, p < 0.007). At the end of the treatment plasma flavonoids were significantly higher in subjects who had consumed red wine than those in the white wine group (p < 0.007, table 1 ).
Plasma ethanol was not detectable either before or after red or white wine consumption.
On the basis of the preceding observations, the following study was carried out on a selection of the three flavonoids resveratrol, caffeic acid and catechin. In vitro study
The attached figures 1 and 2 show, respectively, the latent period of platelet aggregation and formation of collagen-induced platelet H2O2 (administered at a concentration of 2 μg/ml), for the three flavonoids resveratrol, caffeic acid and catechin, both individually and in combination (mix), at the concentrations specified therein: catechin (0.2 μM), caffeic acid (0.2 μM) and resveratrol (0.5 μM), in both cases referred to a control.
In fig. 1 it can be observed that the latent period of collagen-induced platelet aggregation (lag phase (sec)) was not influenced by caffeic acid, catechin or resveratrol individually: however the simultaneous incubation of platelets with the three flavonoids in combination (mix) significantly prolonged the latent period by 130.0% (p < 0.01). As can be observed in fig. 2, the formation of collagen-induced platelet H2O2 (SI) was only slightly influenced by caffeic acid or resveratrol, and negligibly by catechin: however simultaneous incubation of platelets with the three flavonoids in combination (mix) induced significant inhibition of H2O2 (-51%, p < 0.01).
From the aforestated observations, a synergistic antioxidant action by the three selected flavonoids in combination can therefore be deduced. Said selective combination of the present invention is indicated for use as active principle for: atherosclerosis, ischemic cardiopathy, cerebral vascular insufficiency, complications of diabetes, hypertension, nephropathy, retinopathy, cataracts, chronic hepatopathies, neurodegenerative pathologies (Alzheimer, Parkinson) tumours, immunodeficiencies, chronic colitises.
The active principle proposed by the present invention can be conveniently formulated in compositions in which catechin is preferably present in a quantity between 1.5 and 30.0 mg/dose, caffeic acid from 1.25 to 5.0 mg/dose and resveratrol from 0.25 to 9.0 mg/dose.
Tablets, capsules, granules and the like are preferred pharmaceutical or dietary forms for oral use. Non-limitative examples of practical implementations of pharmaceutical or dietary compositions (supplements) for oral use according to the present invention are hereinafter described. EXAMPLE 1
Capsules
Catechin 7.50 mg
Caffeic acid 1.25 mg
Resveratrol 0.25 mg
Microcrystalline cellulose 88.20 mg
Magnesium stearate 2.50 mg
Colloidal silica 0.30 mg
Hard gelatin capsule
EXAMPLE 2
Tablets
Catechin 15.0 mg
Caffeic acid 2.5 mg
Resveratrol 0.5 mg
Calcium phosphate dibasic dihydrate 67.0 mg
Microcrystalline cellulose 60.0 mg
Maize starch 50.0 mg
Magnesium stearate 4.0 mg
Colloidal silica 1.0 mg
EXAMPLE 3
Chewable tablets
Resveratrol 9.0 mg
Caffeic acid 5.0 mg
Catechin 1.5 mg
Mannitol 315.3 mg
Sorbitol 33.3 mg
Crospovidone 16.0 mg
Flavours 15.0 mg
Magnesium stearate 4.0 mg
Aspartame 0.6 mg
Acesulfame K 0.3 mg
EXAMPLE 4
Sachets
Catechin 30.0 mg
Caffeic acid 5.0 mg
Resveratrol 1.0 mg
Sorbitol 1872.5 mg
Flavours 40.0 mg
Citric acid 29.0 mg
Maltodextrin 15.0 mg
Aspartame 6.0 mg
Acesulfame K 1.5 mg
EXAMPLE 5
Drinkable vials
Catechin 30 mg
Caffeic acid 5 mg
Resveratrol 1 mg
Gynostemma Pentaphyllum 10 mg
Huperzia serrata 5 mg
Fructose 2 g
Grapefruit seed extract 3 mg
Water remainder to 10 ml
EXAMPLE 6
Sustained release tablets (Retard)
Catechin 30 mg
Caffeic acid 5 mg
Resveratrol 1 mg
Methyl sulphonyl methane 200 mg
Vitamin C 60 mg
Vitamin E 15 mg
Vitamin B6 3 mg
Calcium pantothenate 4.5 mg d-biotin 0.225 mg
Zinc (as AA chelate) 7.50 mg
Copper (as AA chelate 1.25 mg
Manganese (as AA chelate) 2.25 mg
Microcrystalline cellulose 102 mg
Calcium phosphate dibasic dihydrate 83 mg
Hydroxypropylmethylcellulose 50 mg
Magnesium stearate 8 mg
Silicon dioxide 2.5 mg
EXAMPLE 7
Cosmetic topical lotion
Catechin 30 mg
Caffeic acid 5 mg
Resveratrol 1 mg
Hydrolysed soya proteins 15 mg
Calcium pantothenate 15 mg
Biotin 0.15 mg
Grapefruit seed extract 30 mg
EDTA 3 mg
Hydrogenated castor oil 30 mg
Fragrance 6 mg
Cosmetic alcohol 750 mg
Water remainder to .5 mL
EXAMPLE 8
Cosmetic topical cream
Catechin 300 mg
Caffeic acid 50 mg
Resveratrol 10 mg
Cetylstearilic alcohol 3.8 g
Crodasoft (quaternium-9 cetrimonium methosulfate cetearyl alcohol) 2.5 g Emulium 22 (tribehenin PEG-20 esters octyldodecyl myristate) 2 g
Monoi butter 0.5 g
Cannabis sativa oil 0.25 g
Jaguar excel 0.1 g
Hydrolyzed soya protein 0.2 g Cyclomethicone 3 g
Calcium pantothenate 30 mg
Biotin 3 mg
Ultrasil A23 1 g
Fragrance 0.5 g Water 85 g