EP3989989A1 - Intestinal microbiota bacteria and composition containing same for use in the prevention and/or treatment of diseases characterised by excess 2-hydroxyglutarate - Google Patents
Intestinal microbiota bacteria and composition containing same for use in the prevention and/or treatment of diseases characterised by excess 2-hydroxyglutarateInfo
- Publication number
- EP3989989A1 EP3989989A1 EP20739276.2A EP20739276A EP3989989A1 EP 3989989 A1 EP3989989 A1 EP 3989989A1 EP 20739276 A EP20739276 A EP 20739276A EP 3989989 A1 EP3989989 A1 EP 3989989A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- bacteria
- composition
- use according
- genus
- disease
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
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Classifications
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- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs 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
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- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K2035/11—Medicinal preparations comprising living procariotic cells
- A61K2035/115—Probiotics
Definitions
- the invention relates to the treatment of pathologies characterized by the excess in humans or animals of 2-hydroxyglutarate, in particular diseases having a degenerative effect on cells such as neurons, motor nerve cells, cancers. brain, colon, kidney, blood, skin, liver, lymph, prostate, thyroid, stomach, breast, pancreas, pituitary, and 2-hydroxyglutaric aciduria.
- Alzheimer's disease dementias, Parkinson's disease and associated disorders, prion diseases, neuromuscular diseases, Huntington's disease, spinocerebellar ataxia, progressive spinal muscular atrophy, lateral sclerosis amyotrophic.
- Dementia is the most serious form of pathological aging of the brain. It causes an increasing impairment of memory and cognitive functions as well as behavioral disorders leading to a progressive loss of autonomy. It is the cause of disabilities and addictions in the elderly. Alzheimer's disease is a decline in cognitive faculties and memory. Nerve cells are gradually destroyed in areas of the brain related to memory and language. Over time, the affected person has more and more difficulty memorizing events, recognizing objects and faces, remembering the meanings of words and exercising judgment.
- the treatments offered consist of treating certain symptoms of the patient with drugs (Donepezil, Rivastigmine, Galantamine, Memantine) or of taking charge of the patient in a non-pharmacological manner (speech therapy, physiotherapy, osteopathy, psychology, occupational therapy, psychomotor skills. treatments are not satisfactory because they do not prevent the progression of the disease, treat certain only occasional disorders.
- Parkinson's disease affects the central nervous system responsible for progressive disorders such as slowed movements, tremors, stiffness and cognitive impairment. It is the second most common neurodegenerative disease, after Alzheimer's disease.
- Huntington's disease is an inherited disease characterized by significant motor, cognitive and psychiatric disturbances, and progresses to loss of autonomy and ultimately death. We can classify these symptoms into three main families.
- Prion diseases are diseases characterized in particular by degeneration of the central nervous system. They are also called subacute transmissible spongiform encephalopathies (TSSS). These diseases are caused by the accumulation in the brain of a normal but poorly conformed protein, the prion protein. These diseases are characterized by a rapid and fatal course.
- TSSS subacute transmissible spongiform encephalopathies
- Neuromuscular diseases are diseases that affect the motor nerve cells of the spinal cord or motor neurons (spinal atrophies, amyotrophic lateral sclerosis), the roots and nerves of the limbs (peripheral neuropathies), the junction between the nerve and the muscle (myasthenia gravis) and muscle (myopathies). They can affect the motor skills of the legs or arms but sometimes also other organs and functions which depend on the muscles (motor skills of the eyes, speech, swallowing, digestion, breathing, heart). The cause can be genetic or due to a malfunction of the immunity ("autoimmune" disease) which will cause damage to the nerves (dysimmune neuropathies), the neuromuscular junction (myasthenia gravis) or inflammation of the muscles (myositis). . There are other possible causes: drug or environmental toxicity, vitamin deficiency, endocrine or general diseases, infections.
- Treatments are different depending on the cause of the disease. In genetic diseases, therapeutic trials are only in their early stages, no routine treatment exists. In the event of an abnormality in the metabolism of the cell, there are often drugs which aim to alleviate the consequences of this deficiency. In dysimmune diseases, there are many treatments that can be effective. However, undesirable side effects are known as haematological effects.
- Spinocerebellar ataxia corresponds to autosomal dominant type 1 cerebellar ataxia. It is characterized by ataxia, progressive external ophthalmoplegia and other neurological manifestations.
- the treatments offered consist of direct treatment of the cause of the disease by surgery, blood thinning drugs, antibiotics or steroids. Orphan drug treatments are also used. These treatments are not satisfactory because they are orphan drugs not developed for these indications, side effects can be various: eosinophilia, leukopenia, thrombocytopenia, diarrhea, rash and increased liver enzymes.
- the other treatments can have the side effect of hemorrhages, digestive disorders such as nausea, vomiting, diarrhea, allergies, photosensitization.
- Spinal amyotrophies or anterior spinal amyotrophies are a group of neuromuscular diseases characterized by progressive muscle weakness due to the degeneration and loss of the anterior motor neurons in the spinal cord and brainstem nuclei. These diseases are presented in four forms depending on the age of onset and the severity of the disease. Currently, the treatments proposed consist of a drug treatment (Nusinersen known as Spinraza ® ) which is not effective in all forms of these diseases and has respiratory and infectious side effects.
- Nusinersen known as Spinraza ®
- Amyotrophic lateral sclerosis or Charcot's disease, is a disease characterized by progressive degeneration of motor neurons in the cerebral cortex. It causes progressive paralysis of the entire skeletal musculature of the limbs, trunk and cephalic extremity.
- 2-hydroxyglutarate causes abnormal myelination, disrupts the homeostasis of neuronal stem cells, increases the mortality of central nervous system cells.
- the various brain cancers are also characterized by an excess production of 2-hydroxyglutarate in the sick person or animal.
- 2-hydroxyglutarate is known for its status as a marker of neurodegenerative diseases as well as its role of oncometabolite in the development of brain tumors.
- 2-Hydroxyglutarate acts to inhibit DNA repair.
- the production of high levels of 2-hydroxyglutarate results in the inhibition of DNA repair pathways in cancer cells and therefore the accumulation of damaged DNA.
- 2-Hydroxyglutarate is also known for its role as a marker of renal cell carcinomas and in tissues under oxygen limitation or hypoxic conditions such as hepatocellular carcinomas or colon carcinomas, so it has a role in cancers of the breast. kidney and colon.
- 2-hydroxyglutarate Inhibition of DNA repair by 2-hydroxyglutarate has been reported in other types of cancer: blood, skin, liver, lymph, prostate, thyroid, 'stomach, breast, pancreas, pituitary gland (Ye, D., Guan, K.-L. & Xiong, Y. Metabolism, Activity, and Targeting of D- and L-2-Hydroxyglutarates. Trends in cancer 4, 151-165 (2018)).
- 2-Hydroxyglutaric aciduria is a group of neurometabolic diseases with a broad clinical spectrum ranging from severe neonatal manifestations to progressive forms, and asymptomatic cases, characterized biochemically by high levels of 2-hydroxyglutaric acid in plasma , cerebrospinal fluid and urine.
- L-2-hydroxyglutaric aciduria is characterized by psychomotor retardation, cerebellar ataxia and epilepsy, and D-2-hydroxyglutaric aciduria (see this term) by variable metabolic, neurological and dysmorphic manifestations.
- neurons and muscle nerve cells early diagnosis, optimization of physical health, cognitive and well-being activities, screening and treatment of physical and mental comorbidities.
- the main cancer treatments are chemotherapy and radiotherapy, which have limited efficacy allowing a low survival rate and very serious side effects such as hair loss, nausea and vomiting, diarrhea, reduced blood pressure.
- the invention is aimed at the use of particular bacteria of the human intestinal microbiota, in particular bacteria of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus genus Massiliomicrobiota.
- Parasutterella excrementihominis Bacteria of the genus Parasutterella have already been studied and described. This is particularly the case with Parasutterella excrementihominis and Parasutterella secunda, which have been observed in several studies without an explanation of causation. Parasutterella excrementihominis was first described in 2009 and Parasutterella secunda was first described in 2011. Other species were also studied. This is the case with Parasutterella mcl which has been associated with the abundance of certain metabolites in healthy mice.
- Bacteria of the genus Negativibacillus have been described. This is the case with Negativibacillus massiliensis, which was described in 2016. Bacteria of the genus Negativibacillus have been characterized according to the description presented in “Negativibacillus massiliensis” gen. Nov., sp. Nov., isolated from human left colon, D. Spainboni, M. Mailhe, V. Vitton, C. Andrieu, P.-E. Fournier, D. Raoult, New Microbe and New Infect 2017; 17: 36-38. No therapeutic use of bacteria of the genus Negativibacillus has ever been described or considered.
- Massiliomicrobiota timonensis and Massiliomicrobiota escudieri are known.
- Massiliomicrobiota timonensis was first described in 2016. Massiliomicrobiota escudieri was first described in 2018. Bacteria of the genus Massiliomicrobiota were characterized according to the description presented in “Massiliomicrobiota timonensis”, a new bacterial species isolated from the human gut, S. Ndongo, S. Khelaifia, P.-E. Fournier, D. Raoult, New Microbe and New Infect 2016; 13: 25-26 and in “Massiliomicrobiota escudieri sp. nov.
- Massiliomicrobiota - bacteria of the genus Massiliomicrobiota, in particular Massiliomicrobiota timonensis and Massiliomicrobiota escudieri, and
- the subject of the invention is a bacterium of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota, for its use in the prevention and / or the treatment of at least one disease characterized by an excess of 2-hydroxyglutarate in humans or animals, in particular neurodegenerative diseases and cancers.
- such bacteria when they are administered to a human being or an animal exhibiting a neurodegenerative disease or a cancer, are capable of acting on the 2-hydroxyglutarate produced in excess during these diseases.
- bacteria of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota are preferably used in compositions.
- a subject of the invention is therefore also the compositions comprising at least one bacterium of the Christensenellaceae family, preferably of the genus Christensenella, and / or a bacterium of the genus Parasutterella and / or a bacterium of the genus Negativibacillus and / or a bacterium of the genus Massiliomicrobiota. , for its use in the prevention or treatment of diseases characterized by the excess of 2-hydroxyglutarate in humans or animals, in particular in the prevention or treatment of neurodegenerative diseases and / or cancers.
- Figure 1 demonstrates the antiproliferative effect of the supernatants of bacteria according to the invention, in particular 3 strains of C. minuta on a human colon adenocarcinoma cell line, the HTC-116 line, after 24 hours and 48 hours of treatment.
- FIG. 2 demonstrates the antiproliferative effect of the supernatants of bacteria according to the invention, in particular 3 strains of C. minuta on a human hepatocarcinoma cell line, the HepG2 line after 24 hours and 48 hours of treatment.
- disease characterized by the excess of 2-hydroxyglutarate or “disease characterized by an overproduction of 2-hydroxyglutarate” within the meaning of the invention is meant a disease of which at least one of the causes is the excess or overproduction of 2-hydroxyglutarate in the body of the sick person or animal. It may in particular be a neurodegenerative disease or cancer.
- the term “marker” of a disease means a molecule or a substance, the dosage of which makes it possible to follow the course of said disease.
- the subject of the invention is therefore a bacterium of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota, for its use in the prevention and / or treatment. at least one disease characterized by an excess of 2-hydroxyglutarate in humans or animals.
- Bacteria of the genus Negativibacillus have been characterized according to the description presented in “Negativibacillus massiliensis” gen. Nov., sp. Nov., isolated from human left colon, D. Spainboni, M. Mailhe, V. Vitton, C. Andrieu, P.-E. Fournier, D. Raoult, New Microbe and New Infect 2017; 17: 36-38 and in “Massiliomicrobiota escudieri sp. nov. isolated as part of a culturomics exploration of the gut microbiota of renal cancer patients ”, unpublished, Tidjani Alou, M., Derosa, L. and Zitvogel, L., submitted (ll-JUN-2018) U1015, Institut Gustave Roussy, 114 rue édouard vaillant, Villejuif 94800, France, Metropolitan.
- Bacteria of the genus Massiliomicrobiota were characterized according to the description presented in “Massiliomicrobiota timonensis”, a new bacterial species isolated from the human gut, S. Ndongo, S. Khelaifia, P.-E. Fournier, D. Raoult, New Microbe and New Infect 2016; 13: 25-26.
- the subject of the invention is a bacterium of the Christensenellaceae family, in particular of the genus Christensenella, and / or of bacteria of the genus Parasutterella and / or of bacteria of the genus Negativibacillus and / or of bacteria of the genus Massiliomicrobiota, for its use in prevention and / or treatment of at least one neurodegenerative disease and / or at least one cancer in humans or animals.
- the subject of the invention is a bacterium of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota, for its use in the prevention and / or the treatment of at least one neurodegenerative disease selected from Alzheimer's disease, dementias, Parkinson's disease and associated disorders, prion diseases, neuromuscular diseases, Huntington's disease, spinocerebellar ataxia, progressive spinal atrophy, amyotrophic lateral sclerosis.
- a neurodegenerative disease selected from Alzheimer's disease, dementias, Parkinson's disease and associated disorders, prion diseases, neuromuscular diseases, Huntington's disease, spinocerebellar ataxia, progressive spinal atrophy, amyotrophic lateral sclerosis.
- the subject of the invention is a bacterium of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota, for its use in the prevention and / or or the treatment of at least one cancer of the brain and / or kidneys and / or liver and / or colon, in humans or animals.
- a subject of the invention is a bacterium of the Christensenellaceae family and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota, for its use in the prevention and / or treatment of at least one cancer of the breast. brain and / or kidneys and / or liver and / or colon, in humans or animals.
- the subject of the invention is a bacterium of the genus Parasutterella, for its use in the prevention and / or the treatment of at least one neurodegenerative disease, preferably chosen from Alzheimer's disease, dementias, disease. of Parkinson's disease and associated disorders, prion disease, neuromuscular disease, Huntington's disease, spinocerebellar ataxia, progressive spinal muscular atrophy, amyotrophic lateral sclerosis.
- at least one neurodegenerative disease preferably chosen from Alzheimer's disease, dementias, disease. of Parkinson's disease and associated disorders, prion disease, neuromuscular disease, Huntington's disease, spinocerebellar ataxia, progressive spinal muscular atrophy, amyotrophic lateral sclerosis.
- bacteria of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota when they are administered to a human being or an animal presenting neurodegenerative disease, are capable of acting on molecules produced in excess during neurodegenerative disease or cancer, in particular on 2-hydroxyglutarate.
- the decrease in the amount of 2-hydroxyglutarate is a sign of the reduction of those diseases having a degenerative effect on neurons, that is, bacteria at the origin of this production are less stimulated.
- the excessive production in question of the disease having a degenerative effect is slowed down and the system gradually returns to the norm.
- a substrate for 2-hydroxyglutarate, glutarate decreases as 2-hydroxyglutarate increases.
- a return to normal by a decrease in 2-hydroxyglutarate is accompanied by an increase in glutarate.
- the decrease in the synthesis of 2-hydroxyglutarate is a sign of the reduction in the inhibition of DNA repair pathways, that is to say that the bacteria responsible for this production are less stimulated.
- the excessive production involved in inhibiting DNA repair is slowed down and the system gradually returns to normal.
- a substrate for 2-hydroxyglutarate, glutarate decreases as 2-hydroxyglutarate increases.
- a return to normal by a decrease in 2-hydroxyglutarate is accompanied by an increase in glutarate.
- 2-hydroxyglutaric aciduria the decrease in 2-hydroxyglutarate synthesis is a sign of the reduction in clinical symptoms associated with this disease.
- a substrate for 2-hydroxyglutarate, glutarate decreases as 2-hydroxyglutarate increases.
- a decrease in 2-hydroxyglutarate is accompanied by an increase in glutarate.
- the bacteria useful according to the invention are administered to humans or animals in an amount effective for an action on 2-hydroxyglutarate, that is to say to reduce its production in the organism.
- the bacteria or bacteria can be administered at a dose of 10 9 to 10 12 colony forming units (CFU) per day, regardless of the weight of the person or of the animal.
- CFU colony forming units
- it is a single dose, that is to say administered all at once or a dose before each meal, ie three times a day.
- the bacteria or bacteria useful according to the invention are: - bacteria of the Christensenellaceae family, preferably of the Christensenella genus. It may in particular be Christensenella massiliensis, Christensenella timonensis and / or Christensenella minuta. According to a particularly suitable variant, it is Christensenella minuta.
- These bacteria can be isolated from human stool, for example according to the protocols published by Morotomi et al. 2012 (Morotomi, M., Nagai, F. & Watanabe, Y. Description of Christensenella minuta gen. Nov., Sp.
- Parasutterella excrementihominis and Parasutterella secundo are isolated from human stool, for example according to the protocols published by Nagai et al. 2009 (Parasutterella excrementihominis gen. Nov., Sp. Nov., A member of the family Alcaligenaceae isolated from human faeces Nagai F Morotomi M Sakon H Tanaka R, International Journal of Systematic and Evolutionary Microbiology, 2009) and Morotomi et al. 2011 (Parasutterella secundo sp. Nov., Isolated from human faeces and proposai of Sutterellaceae fam. Nov. In the order Burkholderiales, Morotomi M Nagai F Watanabe Y, International Journal of Systematic and Evolutionary Microbiology, 2011). These documents also describe the methods of culturing useful bacteria according to the invention.
- Negativibacillus massiliensis a bacteria of the genus Negativibacillus, preferably Negativibacillus massiliensis.
- These bacteria can be isolated from human stool, for example according to the protocols published by Fournier et al. 2016 ("Negativibacillus massiliensis" gen. Nov., Sp. Nov., Isolated from human left colon, Fournier P Ricaboni D Vitton V Raoult D Andrieu C Mailhe M, New Microbes and New Infections, 2016). This document also describes the methods of culturing useful bacteria according to the invention.
- Massiliomicrobiota bacteria of the genus Massiliomicrobiota. It may be in particular Massiliomicrobiota timonensis and Massiliomicrobiota escudieri. According to a particularly suitable variant, it is Massiliomicrobiota timonensis.
- Massiliomicrobiota timonensis These bacteria can be isolated from stool human, for example according to the protocol published by Ndongo et al. 2016 ("Massiliomicrobiota timonensis", a new bacterial species isolated from the human gut. Ndongo S Khelaifia S Fournier P Raoult D. New microbes and new infections, 2016 vol: 13 pp: 25-6). New Microbes and New Infections 13, 32-33 (2016)). This document also describes the methods of culturing useful bacteria according to the invention.
- bacteria (s) useful according to the invention are preferably administered in a composition.
- composition comprising bacteria according to the invention
- a subject of the invention is therefore also a composition
- a composition comprising at least one bacterium of the Christensenellaceae family and / or a bacterium of the genus Parasutterella and / or a bacterium of the genus Negativibacillus and / or a bacterium of the genus Massiliomicrobiota, in the prevention and / or or the treatment of diseases characterized by an excess of 2-hydroxyglutarate, in particular neurodegenerative diseases and / or cancers, in humans or animals.
- the bacteria or bacteria are present in an effective amount in the composition allowing an effect on 2-hydroxyglutarate and on the disease or diseases to be treated, in particular neurodegenerative diseases and / or cancers, from which the persons or animals treated are affected.
- the composition useful according to the invention comprises 10 6 to 10 12 colony-forming units (CFU) of bacteria of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria. of the genus Massiliomicrobiota per daily dose of composition.
- CFU colony-forming units
- the composition useful according to the invention can be in liquid form.
- This medium can be, for example, Columbia agar medium for bacteria of the Christensenellaceae family, bacteria of the genus Negativibacillus, bacteria of the genus Massiliomicrobiota, or BTU medium for bacteria of the genus Parasutterella, anaerobic enriched with sheep blood, or an equivalent medium containing no derivative product of animal origin.
- the composition useful according to the invention can be provided in solid form.
- the bacteria can be present in lyophilized form, and can also include excipients such as, for example, microcrystalline cellulose, lactose, sucrose, fructose, levulose, starches, stachyose, raffinose, amylum , calcium lactate, magnesium sulfate, sodium citrate, calcium stearate, polyvinylpyrrolidone, maltodextrin, galactooligosaccharides, fructooligosaccharides, pectins, beta-glucans, lactoglobulins, isomaltooligosaccharides, polydextroses, sorbitol and / or glycerol.
- excipients such as, for example, microcrystalline cellulose, lactose, sucrose, fructose, levulose, starches, stachyose, raffinose, amylum , calcium lactate,
- compositions useful according to the invention can be in particular in the form of powder, microencapsulated powder, gelatin capsule, capsule, tablet, lozenge, granules, emulsion, suspension or suppository. According to a particularly suitable embodiment, they can be in a gastro-resistant form, such as a coated tablet containing microencapsulated bacteria.
- compositions When the compositions are in solid form, they are preferably packaged in capsules or in a coating hermetic to light and to oxygen maintained at an ambient temperature of between 15 ° C and 40 ° C and a humidity of between 3% and 70%.
- the bacteria can be used alive or inactivated, for example by heat, exposure to an appropriate pH, gamma rays or high pressure.
- At least part of the bacteria consists of living bacteria, in particular at least 50% (by number), even more preferably at least 90% (by number).
- the bacteria present in the composition useful according to the invention are at least 50% of living bacteria (by number), preferably for at least 90% of living bacteria (by number), even more preferably all alive.
- compositions useful according to the invention can be administered orally, topically, respiratory (inhalation) or rectally.
- compositions useful according to the invention, in addition to the bacteria useful according to the invention can comprise other compounds, such as:
- At least one bacterium making it possible to create an anaerobic environment favorable to the bacteria present in the composition, such as at least one bacterium chosen from bacteria of the genus Lactobacillus spp., Bifidobacterium spp., Streptococcus spp. and / or at least one other organism promoting the anaerobic conditions necessary for the survival of Christensenellaceae, such as at least one yeast chosen from Saccharomyces spp. or microorganisms of the Methanobacteriaceae family and / or
- At least one bacterium associated with the ecosystem of bacteria present in the composition because they facilitate their survival in the intestine such as at least one bacterium chosen from bacteria of the phylum Firmicutes, Bacteroidetes, Actinobacteria, Tenericutes, betaproteobacteria and Verrucomicrobia, and or
- bacterium chosen from bacteria of the order of Burkholderiales, Clostridales, Verrucomicrobiales, Aeromonadales, Alteromonadales, ML615J-28, RF32, YS2, of the Clostridiaceae, Lachnospiraceae, Erysipelotrichaceae, Ruminococcaceae family, Bacteroidaceae, Enterococcaceae, Rikenéllaceae, Dehalobacteriaceae, Veillonellaceae, Loctobocilloceae and / or
- Faecalibacterium chosen from bacteria of the genus Faecalibacterium, Akkermansia, Eubacterium, Sutterella, Burkholderia, Derxia, Brackiella, Oligella, Pelistega, Taylorella, Tetrathiobacter, Advenella, Alcicaligenes, Pigmentiphaga, Kerstersia, Achromoboctani, Bordetusimonella, Castellimonella, and Oscillospira, such as, for example, Faecalibacterium prausnitzii, Akkermansia muciniphila, Eubacterium halii, Oscillospira guilliermondii, Turicibacter sanguinis, Suterella parvirubra, Derxia gummosa, Brackiella oedipodis, Oligella urethrigen, Tetayaegauenalishauigenalis, tetayaegauenalisobacteria, Admiralishauigenalis, t
- At least one prebiotic such as for example at least one prebiotic chosen from galactooligosaccharides, fructooligosaccharides, inulins, arabinoxylans, beta-glucans, lactoglobulins and / or beta-caseins, and / or - at least one polyphenol such as for example at least one polyphenol chosen from quercetin, kaempferol, resveratrol, flavones (such as luteolin), flavan-3-ols (such as catechins), flavanones (such as narinenin) ), isoflavones, anthocyanidins, proanthocyanidins, and / or
- prebiotic such as for example at least one prebiotic chosen from galactooligosaccharides, fructooligosaccharides, inulins, arabinoxylans, beta-glucans, lactoglobulins and / or beta-caseins
- polyphenol such as for example at least one
- At least one pharmaceutical active principle preferably at least one pharmaceutical active principle exhibiting a therapeutic effect on the pathology (s) (diseases having a degenerative effect on neurons or muscle nerve cells and / or cancer (s) in particular) for which or which the bacteria present in the composition are used, such as for example:
- Chemotherapy drugs including targeted therapies or biotherapies, hormone therapy or immunotherapy
- the invention is now illustrated by examples of bacteria useful according to the invention, methods of culturing these bacteria, examples of compositions containing them and test results demonstrating the efficacy of bacteria of the Christensenellaceae family and / or bacteria of the genus Parasutterella and / or bacteria of the genus Negativibacillus and / or bacteria of the genus Massiliomicrobiota on 2-hydroxyglucarate and therefore on diseases induced by the excess of this molecule.
- the Christensenella minuta bacteria can be cultured according to the operating protocol described below.
- the Christensenella massiliensis bacteria can be cultured according to the operating protocol described below.
- the composition of the meat filtrate is shown in Table 2.
- the meat filtrate is prepared as follows.
- Bacteria should be grown in anaerobic condition at 37 ° C.
- the Christensenella timonensis bacteria can be cultured according to the same operating protocol as that described in Example 2 for Christensenella massiliensis.
- the Parasutterella excrementihominis bacteria can be cultured according to the operating protocol described below.
- BTU (Minced meat medium + Formate / fumarate) + 5% bovine serum
- Ground beef (fat free) 500.0g) + distilled water (1000.0 ml) + IN NaOH (25.0 ml).
- Use lean beef or horse meat Remove fat and connective tissue before chopping. Mix the meat, water and NaOH, then boil for 15 min with stirring. Cool to room temperature, remove the fat from the surface and filter, keeping both: the meat particles and the filtrate. Add water to the filtrate for a final volume of 1000.0 ml, and then add: casitone (30.0g), yeast extract (5.0g), K2HPO4 (5.0 g), resazurin (l.Omg)
- Boil under a nitrogen atmosphere add 0.5g / l of cystine and adjust the pH to 7.0.
- test tubes For the preparation of the agar: use test tubes and put 15g of agar for 1000.01 of medium.
- Haemin, Vitamin K1 or vitamin K3 if needed. Add 1000.0ml of medium after autoclaving: Haemin solution (10.0ml) + Vitaline Kl or K3 solution (0.2ml).
- Haemin solution dissolve 50 mg of Haemin in 1 ml of 1 N NaOH, add 100 ml of distilled water and sterilize by filtration, store refrigerated.
- Vitamin K1 solution dissolve 0.1 ml of vitamin K1 in 20 ml of 95% ethanol and sterilize by filtration. Store refrigerated in a brown bottle.
- Vitamin K3 solution
- the Parasutterella secunda bacteria can be cultured according to the operating protocol described below.
- the Negativibacillus massiliensis bacteria can be cultured according to the operating protocol described below.
- Example 7 Massiliomicrobiota timonensis
- Massiliomicrobiota timonensis can be cultivated according to the operating protocol described in the following:
- Example 8 Massiliomicrobiota escudieri
- the Massiliomicrobiota escudieri bacteria can be cultured according to the same operating protocol as that described in Example 7 for Massiliomicrobiota timonensis.
- Example 9 Composition of Christensenella minuta useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Christensenella minuta 10 9 CFU / mL in the anaerobic RCM culture medium described above, modified to contain no product of animal origin and enriched in 5% glycerol. .
- Example 9 The composition of Example 9 is obtained from an RCB (“research cell bank”) prepared on the basis of Christensenella minuta 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen.
- RCB search cell bank
- the frozen composition must be warmed to room temperature until it returns to liquid form before use.
- Example 10 Composition of Christensenella massiliensis useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Christensenella massiliensis 10 9 CFU / mL in the anaerobic carboxymethylcellulose culture medium described above modified to contain no product of animal origin and enriched in 5% glycerol. .
- Example 10 The composition of Example 10 is obtained from an RCB (“research cell bank”) prepared on the basis of Christensenella massiliensis 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen. The frozen composition must be warmed to room temperature until it returns to liquid form before use.
- RCB search cell bank
- Example 11 Composition of Christensenella timonensis useful according to the invention in liquid form
- An example of a composition useful according to the invention in liquid form is a composition comprising Christensenella timonensis 10 9 CFU / mL in the anaerobic carboxymethylcellulose culture medium described above modified to contain no product of animal origin and enriched in 5% glycerol.
- the composition of Example 11 is obtained from an RCB (“research cell bank”) prepared on the basis of Christensenella timonensis 10 10 CFU / mL then stored frozen at -20 ° C in an airtight bag. with oxygen.
- Example 12 Composition of Parasutterella excrementihominis useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Parasutterella excrementihominis 10 9 CFU / mL in the anaerobic BTU culture medium described above modified to contain no product of animal origin and enriched in 5% glycerol. .
- Example 12 The composition of Example 12 is obtained from an RCB (“research cell bank”) prepared on the basis of Parasutterella excrementihominis 10 10 CFU / mL then stored frozen at -20 ° C in an airtight bag. with oxygen.
- RCB search cell bank
- the frozen composition must be warmed to room temperature until it returns to liquid form before use.
- Example 13 Composition of Parasutterella secundo useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Parasutterella secundo 10 9 CFU / mL in the EG or anaerobic Columbia culture medium described above, modified to contain no product of animal origin and enriched in glycerol 5%.
- Example 13 The composition of Example 13 is obtained from an RCB (“research cell bank”) prepared on the basis of Parasutterella secundo 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen. The frozen composition must be warmed to room temperature until it returns to liquid form before use.
- RCB search cell bank
- Example 14 Composition of Negativibacillus massiliensis useful according to the invention in liquid form
- An example of a composition useful according to the invention in liquid form is a composition comprising Negativibacillus massiliensis 10 9 CFU / mL in the EG or anaerobic Columbia culture medium described below. - top modified to contain no product of animal origin and enriched with 5% glycerol.
- Example 14 The composition of Example 14 is obtained from an RCB (“research cell bank”) prepared on the basis of Negativibacillus massiliensis 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen.
- RCB search cell bank
- the frozen composition must be warmed to room temperature until it returns to liquid form before use.
- Example 15 Composition of Massiliomicrobiota timonensis useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Massiliomicrobiota timonensis 10 9 CFU / mL in the EG or anaerobic Columbia culture medium described above, modified to contain no product of animal origin and enriched with glycerol 5%.
- the composition of Example 15 is obtained from an RCB (“research cell bank”) prepared on the basis of Massiliomicrobiota timonensis 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen.
- Example 16 Composition of Massiliomicrobiota escudieri useful according to the invention in liquid form
- composition useful according to the invention in liquid form is a composition comprising Massiliomicrobiota escudieri 10 9 CFU / mL in the EG culture medium or else Columbia anaerobic described above modified to contain no product of animal origin and enriched with 5% glycerol.
- Example 16 The composition of Example 16 is obtained from an RCB (“research cell bank”) prepared on the basis of Massiliomicrobiota escudieri 10 10 CFU / mL then stored frozen at -20 ° C in an airtight sachet. with oxygen.
- RCB search cell bank
- the frozen composition must be warmed to room temperature until it returns to liquid form before use.
- Example 17 Composition of at least one bacterium useful according to the invention in liquid form mixed with at least one other distinct bacterium useful according to the invention in liquid form
- composition useful according to the invention in liquid form can be obtained by mixing at least one composition of Examples 9 to 16 with at least one composition distinct from Examples 9 to 16.
- Example 18 Composition useful according to the invention in solid form
- An example of a composition useful according to the invention in lyophilized form can be obtained by lyophilization of one of the compositions of Examples 9 to 17 in the frozen state.
- the objective of this study is to demonstrate in vitro the effect of treating neurodegenerative diseases and bacterial cancers according to the invention.
- the demonstration was carried out on 2-hydroxyglutarate, and its precursor, glutarate.
- - Donors must not have taken antibiotics during the six months preceding the experiment and have no history of gastrointestinal disorders.
- the donors were between 18 and 60 years old.
- - Collection of fresh samples of their faeces is obtained in sterile plastic containers, kept in anaerobic vials containing one sachet of 2.51 of AnaeroGenTM from OxoidTM (O2 ⁇ 0.1%; CO2: 7-15%). These samples were brought to the laboratory within two hours of production.
- - Faeces samples were diluted 1/5 (w / v) in phosphate buffered saline (IM) (PBS), pH 7.4. The suspension was homogenized in a stomacher for 120 seconds.
- IM phosphate buffered saline
- the basic nutrient medium was prepared from 2g / L of soybean tryptone broth, 2g / L of yeast extract, 0.1g / L of NaCl, 0.04g / L of K2HPO4, 0.01g / L of MgS0 3 .7H 2 0, 0.01g / L of CaCl 2 .6H 2 0, 2g / L NaHCOs, 0.5g / L of L-cystine HCl, 2m L / L of tween
- the 20mL biofermenters contained 18mL of basic nutrient medium autoclaved (121 ° C for 15 minutes) and poured aseptically into sterile biofermenters. This system was left to stand overnight with oxygen-free nitrogen bubbling through the medium at a rate of 2 mL / min.
- the pH was maintained between 6.7 and 6.9 using HCl or NaOH (0.5M).
- the temperature of each biofermenter was controlled at 37 ° C and the contents of the vessel homogenized with a magnetic mixer
- predigested proteins (0.35g) was added to the containers before inoculation with 2mL of fecal inocula at T0.
- the predigested proteins were obtained according to the gastrointestinal digestion protocol adapted from that of Versantvoort et al (2005).
- the mixture was mixed and filtered through a 5-kDa cutoff filter to remove macromolecules.
- Relative peak area (peak area of a metabolite) / (peak area of internal standard x amount of sample).
- the DNA contained in the samples was extracted using the NucleoSpin ® 96 Soil kit from Macherey-Nagel according to the manufacturer's instructions. - The total extracted DNA was then fragmented randomly into fragments of 350 bp and then used to construct a library using the NEBNext Ultra II kit by New England Biolabs according to the manufacturer's instructions.
- the library was then sequenced using 2 x 150 bp paired-end sequencing on an Illumina HiSeq platform.
- the abundance of bacteria was measured by creating a catalog of metagenomic species (MGS) from a reference catalog containing 22M genes. These AMSs were then associated to an appropriate taxonomic level. In the case of Christensenella, these were detected at the genus level and are therefore referenced in this experiment by Christensenella spp.
- bacteria according to the invention are able to act by reducing the production of 2-hydroxyglutarate. They can therefore be used to prevent and / or treat neurodegenerative diseases and cancers.
- HCT-116 cells colon adenocarcinoma
- the objective of this study is to demonstrate in vitro the effect of bacteria according to the invention, in particular of C. minuta on the proliferation of tumor cells.
- the effect of the supernatants has was evaluated after 24 hours and 48 hours of treatment of a human colon adenocarcinoma cell line, the HCT-116 line.
- the operating protocol for the study is described below.
- the HCT-116 cell line was maintained in culture in McCoy's 5A medium supplemented with 10% feta calf serum (Gibco) and 1% penicillin / stretomycin (Sigma-Aldrich) in a humid atmosphere incubator at 37 ° C. and 5% CO2.
- the HCT-116 cells were seeded at a density of 10,000 cells / well in a total volume of 100 ⁇ l in a 96-well plate. After 24 h of incubation, the culture medium was removed from the adherent cells and new medium supplemented with 10% of C. minuta stationary phase supernatant was added (DSMZ: DSM22607, C. minuta 1, C. minuta 2 or C. minuta 3 and in GAM control (bacterial culture medium)). Each condition was made in 4 replicates. The cells were incubated for an additional 24 or 48 hours.
- Proliferation assay Cell proliferation was determined using the CelITiter-GIo 2.0 assay kit (Promega). The measurements were carried out according to the manufacturer's instructions. Briefly, the plates were removed from the incubator and allowed to equilibrate at room temperature for 30 min and an equal volume of CelITiter-GIo 2.0 reagent was added directly to the wells (100mI). The plates were stirred at 300 rpm for 2 min using a rotary shaker, then incubated at room temperature for 10 min. The reaction mixture was then transferred to a white-walled 96-well plate and the luminescent signal was measured using a microplate reader (FLUOstar Omega, BMG Labtech).
- a microplate reader FLUOstar Omega, BMG Labtech
- the supernatants of the various bacteria according to the invention tested induce a decrease in the proliferation of the tumor line HCT-116, making it possible to indicate a beneficial effect of the bacteria according to the invention in inhibiting tumor development.
- the objective of this study is to demonstrate in vitro the effect of bacteria according to the invention, in particular of C. minuta on the proliferation of tumor cells.
- the effect of the supernatants was evaluated after 24 hours and 48 hours of treatment of a human adenocarcinoma cell line, the HepG2 line.
- the operating protocol for the study is described below.
- the HepG2 cell line was maintained in culture in DMEM medium supplemented with 10% feta calf serum (Gibco) and 1% penicillin / stretomycin (Sigma-Aldrich) in a humid atmosphere incubator at 37 ° C and 5%. C02.
- the cell treatment and the proliferation test is identical to the test previously described on the HCT-116 line.
- Akt inhibitor VIII is used as a control for blocking cell proliferation.
- the supernatants of the bacteria according to the invention tested induce a decrease in the proliferation of the tumor line HepG2, making it possible to indicate a beneficial effect of the bacteria according to the invention in inhibiting tumor development.
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PCT/EP2020/067637 WO2020260358A1 (en) | 2019-06-25 | 2020-06-24 | Intestinal microbiota bacteria and composition containing same for use in the prevention and/or treatment of diseases characterised by excess 2-hydroxyglutarate |
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