WO2013086330A1 - Nutritional compositions comprising curcumin and docosahexaenoic acid for improving cognition - Google Patents

Nutritional compositions comprising curcumin and docosahexaenoic acid for improving cognition Download PDF

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Publication number
WO2013086330A1
WO2013086330A1 PCT/US2012/068462 US2012068462W WO2013086330A1 WO 2013086330 A1 WO2013086330 A1 WO 2013086330A1 US 2012068462 W US2012068462 W US 2012068462W WO 2013086330 A1 WO2013086330 A1 WO 2013086330A1
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Prior art keywords
curcumin
individual
composition
docosahexaenoic acid
nutritional
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PCT/US2012/068462
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French (fr)
Inventor
Rema VAZHAPPILLY
Tapas Das
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Abbott Laboratories
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Publication of WO2013086330A1 publication Critical patent/WO2013086330A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/202Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • 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
    • A23L33/105Plant extracts, their artificial duplicates or their derivatives
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • 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
    • A23L33/115Fatty acids or derivatives thereof; Fats or oils
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • 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
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/12Ketones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/88Liliopsida (monocotyledons)
    • A61K36/906Zingiberaceae (Ginger family)
    • A61K36/9066Curcuma, e.g. common turmeric, East Indian arrowroot or mango ginger
    • 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
    • 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
    • A23V2200/00Function of food ingredients
    • 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
    • A23V2200/00Function of food ingredients
    • A23V2200/30Foods, ingredients or supplements having a functional effect on health
    • A23V2200/322Foods, ingredients or supplements having a functional effect on health having an effect on the health of the nervous system or on mental function
    • 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
    • A23V2250/00Food ingredients
    • A23V2250/18Lipids
    • A23V2250/186Fatty acids
    • A23V2250/1868Docosahexaenoic acid
    • 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
    • A23V2250/00Food ingredients
    • A23V2250/20Natural extracts
    • A23V2250/21Plant extracts
    • A23V2250/2112Curcumin, turmeric

Definitions

  • the present disclosure relates to nutritional compositions comprising Curcumin and docosahexaenoic acid (DHA) and to the methods of administering the compositions for improving cognitive performance and/or memory, enhancing memory acquisition, memory retention and recall in an individual, as well as reducing brain dysfunction and cognitive decline.
  • DHA docosahexaenoic acid
  • Curcumin is utilized in combination with the DHA.
  • Manufactured nutritional liquids and powders comprising a targeted selection of nutrition ingredients are well known and widely available, some of which may provide a sole source of nutrition while others may provide a supplemental source.
  • These nutritionals include powders that can be reconstituted with water or other aqueous liquid, as well as ready to drink nutritional liquids such as milk or protein based emulsions or non-emulsified liquids. These nutritional liquids are especially useful when formulated with selected nutritional ingredients.
  • Cognitive failure which includes dysfunction or loss of cognitive function (e.g., learning, thinking and memory), commonly occurs in association with central nervous system (CNS) disorders or conditions, including neurodegenerative diseases. Cognitive dysfunction may cause significant impairment of social and/or occupational functioning, which can interfere with the ability of an individual to perform activities of daily living and greatly impact the autonomy and quality of life of the individual.
  • CNS central nervous system
  • One embodiment is directed to a method for improving memory acquisition and memory retention and recall in an individual.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for improving cognitive performance in an individual.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for improving memory acquisition in an individual. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for improving memory retention and recall in an individual.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for enhancing N- Methyl-D-aspartate receptor (NMDAR) dependent hippocampal long-term
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for enhancing the NMDAR and 2-amino-3-(5-methyl-3-oxo-l,2-oxazol-4-yl)propanoic acid receptor (AMPAR) mediated hippocampal synaptic plasticity, which may be another key mechanism underlying learning and memory.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for preventing the over- activation of NMDAR, which may result in neuronal death.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a method for enhancing neuronal membrane fluidity.
  • the method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Another embodiment is directed to a nutritional composition for improving cognitive performance.
  • the composition comprises an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
  • Nutritional compositions including Curcumin, and in particular bioavailable Curcumin, and DHA in combination provide enhanced bioavailability of the individual components of Curcumin and DHA to an individual upon
  • this combination of components is more efficacious in providing improved cognitive functioning and/or performance to an individual, as well as reducing cognitive impairment and/or brain dysfunction in an individual.
  • Curcumin or bioavailable Curcumin and DHA produces an added benefit on cognitive functioning by producing an effect in enhancing NMDAR and AMPAR dependent hippocampal synaptic plasticity, which is a molecular mechanism involved in learning and memory.
  • Curcumin or bioavailable Curcumin and DHA produces a sequential action by improving memory acquisition that is essential for the process of learning, and by improving memory retention and recall that is necessary for the retrieval of learned processes.
  • Curcumin or bioavailable Curcumin and DHA may also provide benefits to an individual by its complementary mode of action on neuroprotection.
  • Neuronal death due to the oxidative stress resulting from NMDAR over-activation i.e., NMDAR mediated excitotoxicity
  • NMDAR mediated excitotoxicity is a major problem associated with cognitive impairment, brain dysfunction, and neurodegenerative diseases (e.g., Alzheimer's Disease).
  • Curcumin, and particularly bioavailable Curcumin offers significant neuroprotection by preventing NMDAR mediated excitotoxicity and resulting neuronal death.
  • DHA offers benefits such as the maintenance of neuronal membrane fluidity, which is essential for synaptic receptor function, and neurotransmitter release, which is essential for the cognitive performance of an individual. While DHA may be taken up by the brain from the diet to provide the above benefits, DHA is highly susceptible to oxidation and may therefore induce oxidative stress in neuronal membranes that may, in turn, negatively affect the neuronal health and function.
  • Curcumin and in particular bioavailable Curcumin, which possesses strong antioxidant properties, can prevent the oxidation of DHA as well as provide neuroprotection and prevention of neuronal death due to oxidative stress, which is induced by increased calcium influx, thereby allowing the subsequent release of proteolytic enzymes, transcription factors, and reactive oxygen species. Therefore, a Curcumin or bioavailable Curcumin and DHA combination will have a
  • Curcumin, and in particular bioavailable Curcumin, and DHA act in combination to further provide anti-inflammatory and anti-amyloidogenic properties to an individual.
  • Neuronal inflammation and amyloid ⁇ protein deposition are associated with cognitive impairment and/or brain dysfunction that results from age- related cognitive decline and/or cognitive decline associated with neurodegenerative diseases.
  • These anti-inflammatory and anti-amyloidogenic properties of Curcumin or bioavailable Curcumin and DHA therefore, provide added benefits when used in combination, thereby reducing cognitive impairment and/or brain dysfunction.
  • the nutritional compositions and methods of the present disclosure offer an alternative therapeutic or nutritional intervention option that may contribute to the improvement of cognitive performance, as well as to the reduction of cognitive impairment and brain dysfunction, in individuals, and particularly in adults, older adults, and the elderly.
  • FIG. 1A is a chart depicting the effect of the combination of
  • FIGS. IB- ID are graphs depicting the effect of the combination of Curcumin and DHA on NMDAR dependent hippocampal LTP as analyzed in
  • FIG. 2A is a chart depicting the neuroprotective effect of Curcumin on primary hippocampal neurons from NMDAR mediated excitotoxicity.
  • FIG. 2B is a chart depicting the neuroprotective effect of DHA on primary hippocampal neurons from NMDAR mediated excitotoxicity.
  • compositions and methods herein are directed to nutritional compositions comprising Curcumin, and in particular bioavailable Curcumin, and DHA that can improve general cognitive performance in an individual, including memory acquisition, memory retention and recall.
  • age refers to an individual of at least 45 years of age, including at least 50 years of age, including at least 55 years of age, including at least 60 years of age, including at least 65 years of age, including at least 70 years of age, including at least 75 years of age, including at least 80 years of age, further including from about 55 years of age to about 80 years of age.
  • Curcumin refers to Curcumin and derivatives and analogs thereof.
  • bioavailable refers to the ability of a compound to enter into and remain in the bloodstream of an individual such that the substance can be absorbed into cells in the body. As the degree of bioavailability of a compound increases, the compound becomes more likely to enter into and remain in the bloodstream where it can be absorbed and used by the body. As the degree of bioavailability of a compound decreases, the compound becomes more likely to go directly into the gastrointestinal area and be expelled from the body before entering the bloodstream.
  • the nutritional composition may further comprise vitamins, minerals, and other ingredients and represent a sole, primary, or supplemental source of nutrition.
  • fat lipid
  • oil oil
  • synthetic lipid materials so long as such synthetic materials are suitable for oral administration to humans.
  • susceptible means having little resistance to a certain condition or disease, including being genetically predisposed, having a family history of, and/or having symptoms of the condition or disease.
  • cognitive performance refers to the learning, thinking, and memory functions (i.e., memory acquisition, memory retention and recall) of the brain. Accordingly, the term “improving cognitive performance” as used herein, unless otherwise specified, refers to improving the learning, thinking, and/or memory (memory acquisition, memory retention, and memory recall) functions of an individual.
  • age-related cognitive decline refers to a gradual decline in learning, thinking, and/or memory functions that are normal consequences of aging.
  • neurodegenerative disease refers to the progressive loss of structure or function of neurons, including the death of neurons and includes diseases such as Parkinson's disease, Alzheimer's disease, Huntington's disease, dementia, amyotrophic lateral sclerosis, stroke, and schizophrenia.
  • the various embodiments of the nutritional compositions of the present disclosure may also be substantially free of any optional or selected essential ingredient or feature described herein, provided that the remaining composition or powder still contains all of the required ingredients or features as described herein.
  • the term "substantially free” means that the selected composition contains less than a functional amount of the optional ingredient, typically less than about 1%, including less than about 0.5%, including less than about 0.1%, and also including zero percent, by weight of such optional or selected essential ingredient.
  • the nutritional compositions may comprise, consist of, or consist essentially of the essential elements of the products as described herein, as well as any additional or optional element described herein or otherwise useful in nutritional product applications.
  • the nutritional compositions of the present disclosure may be formulated and administered in any known or otherwise suitable oral product form. Any solid, liquid, or powder form, including combinations or variations thereof, are suitable for use herein, provided that such forms allow for safe and effective oral delivery to the individual of the essential ingredients as also defined herein.
  • the nutritional compositions are most suitably formed as aqueous emulsions, including water-in-oil emulsions, oil-in-water emulsions, or complex (e.g., oil-in- water-in-oil emulsions) or other emulsion systems.
  • the nutritional emulsion embodiments are most typically oil-in- water emulsions comprising an internal or discontinuous oil phase that comprises the Curcumin or bioavailable Curcumin and DHA as defined herein.
  • Curcumin is the principal Curcuminoid of turmeric. Conventionally, Curcumin has suffered lower bioavailability when taken orally, and thus when formulated at higher concentrations to counter its inherent poor bioavailability to achieve the desired systemic delivery, the products often take on an intense undesirable yellow color. In some embodiments, the present nutritional compositions use "bioavailable
  • Curcumin which has an improved bioavailability as compared to conventionally used Curcumin.
  • the bioavailable Curcumin can be utilized in lower concentrations in the nutritional compositions and methods of the present disclosure, while still maintaining its anti-inflammatory, antioxidative, and anti-amyloidogenic activity.
  • bioavailable Curcumin refers to Curcumin and derivatives and analogs thereof, including natural and synthetic derivatives of Curcumin, as well as any combination of one or more of Curcumin and a derivative and/or analog.
  • bioavailable Curcumin should be understood to encompass compounds having a 1,7-bis (4-hydroxyphenyl)-l,6-heptadiene-3,5- dione or l,7-bis(4-hydroxyphenyl) hept-4-en-3-one skeleton wherein the phenyl groups independently may bear one or more alkoxy residues, especially one methoxy residue in the 3-position.
  • additional Curcuminoids such as demethoxyCurcumin and bisdemethoxyCurcumin, may also be present in the nutritional compositions. When present, demethoxyCurcumin and
  • bisdemethoxyCurcumin may be present as part of a complex with Curcumin.
  • the "bioavailable Curcumin” used in the nutritional compositions of the present disclosure shows improved oral bioavailability as compared to Curcumins that are not substantially “bioavailable.”
  • the oral bioavailability can be determined in experiments involving oral administration of the bioavailable Curcumin composition of the present disclosure (and/or a corresponding amount of non-bioavailable
  • Curcumin to a subject and measuring the level of the Curcumin in a biological sample obtained from the subject over time
  • the biological sample may be derived from a body fluid, for example serum, plasma, whole blood, or cerebrospinal fluid, and/or a tissue, e.g. from brain, liver, kidney, or heart.
  • AUC area under the curve
  • a higher AUC relative to the AUC obtained by administration of non- bioavailable Curcumin indicates an improved bioavailability.
  • the absolute bioavailability may be calculated from the resulting AUC data as a percentage based on the corresponding AUC data obtained from intravenous administration of
  • the bioavailable Curcumin amount in the blood determined as AUC0-6H after a single oral administration of a dose of the bioavailable Curcumin-containing nutritional composition of the present disclosure corresponding to 20 mg of total Curcumin to a human subject or an animal subject, preferably a rat, is significantly higher than after oral administration of the same amount of non-bioavailable Curcumin in the composition, preferably at least 2 times, at least 3 times, at least 4 times, at least 6 times, at least 8 times, at least 10 times, or at least 15 times, and, for example, up to 30 times higher.
  • Bioavailable Curcumin can be prepared in a number of ways including, for example, using Meltrex® or similar melt-extrusion technology to prepare extruded solids and improve the bioavailability of the Curcumin as compared to Curcumin not produced by melt extrusion.
  • Meltrex® or similar melt-extrusion technology methods are known in the art and can be applied to produce bioavailable Curcumin by one skilled in the art based on the disclosure herein.
  • Curcumin or bioavailable Curcumin can be co-supplemented with piperine (generally extracted from black pepper) to increase the bioavailability and hence the absorbability of Curcumin.
  • the piperine is co-supplemented in an amount of about 20 mg to increase the
  • the Curcumin or bioavailable Curcumin may be solubilized in an oil having an HLB of from about 0.7 to about 14 (polar oils) such that the resulting oil mixture provides increased bioavailability of Curcumin.
  • polar oils a medium chain triglyceride oil (MCT oil).
  • the bioavailable Curcumin is a mixture of Curcuminoids (i.e., Curcumin, demethoxyCurcumin and bisdemethoxyCurcumin) obtained from the rhizomes of Curcuma Longa.
  • Curcumin is obtained using Meltrex® technology (Abbott Nutrition, Columbus, Ohio).
  • the bioavailable Curcumin is Meriva Bioavailable Curcumin, commercially available from Idena SPA (Milan, Italy).
  • the Curcumin or bioavailable Curcumin concentration in the nutritional compositions may range from at least about 0.001%, including from about 0.002% to about 3.36%, including from about 0.005%) to about 1.87%, also including from about 0.03%> to about 0.935%), also including from about 0.1 % to about 0.467%), and also including from about 0.234% to about 0.3%, by weight of the nutritional composition.
  • Exemplary embodiments of the present disclosure include nutritional compositions having Curcumin or bioavailable Curcumin in amounts ranging from about 0.002% to about 0.25%, from 0.002% to about 0.234%, from about 0.005% to about 0.467%, from about 0.03% to about 0.935%, from about 0.1% to about 1.9%, from about 0.1% to about 1.87%, and from about 0.3% to about 3.36%, by weight of the nutritional composition.
  • the nutritional compositions of the present disclosure desirably include sufficient Curcumin or bioavailable Curcumin to provide an individual with at least about 1 milligram, including at least about 3 milligrams, including from about 10 milligrams to about 10,000 milligrams, including from about 100 milligrams to about 4000 milligrams, including from about 400 milligrams to about 2000 milligrams, including from about 1200 milligrams to about 1800 milligrams, per day of Curcumin or bioavailable Curcumin.
  • the total daily amount of Curcumin or bioavailable Curcumin may be administered to an individual in a single undivided dose, or may be split into one, two, three, four or more doses per day.
  • DHA Docosahexaenoic acid
  • the nutritional compositions of the present disclosure include DHA.
  • DHA cis-docosa-4,7,10,13,16,19-hexa-enoic acid
  • PUFA omega-3 polyunsaturated fatty acid
  • DHA is essential for the proper functioning of adult brains and the central nervous system, deficiencies of which have been associated with cognitive decline.
  • DHA is either directly obtained from the diet or derived from eicosapentaenoic acid (EPA) via docosapentaenoic acid (DP A) as an intermediate.
  • EPA eicosapentaenoic acid
  • DP A docosapentaenoic acid
  • Common dietary sources of DHA include marine, plant and animal sources such as mackerel, chicken, herring, eel, pig, tuna, clams, veal, beef, pork, turkey, cod, anchovy, and trout and/or plant sources such as soybeans, cabbage, whole-grain barley, rice, and carrots.
  • the DHA concentration in the nutritional compositions may range from at least about 0.001%, including from about 0.001% to about 4.6%>, including from about 0.01%> to about 2.8%, including from about 0.02% to about 1.4%, also including from about 0.02% to about 0.7%, also including from about 0.02% to about 0.4%), and also including from about 0.025%) to about 0.34%, by weight of the nutritional composition.
  • the nutritional compositions of the present disclosure desirably include sufficient DHA to provide an individual with from about 100 milligrams to about 2000 milligrams, including from about 200 milligrams to about 2000 milligrams, including from about 200 milligrams to about 1000 milligrams, including from about 500 milligrams to about 1500 milligrams, including from about 1000 milligrams to about 1400 milligrams, per day of DHA.
  • the total daily amount of DHA may be administered to an individual in a single undivided dose, or may be split into one, two, three, four or more doses per day.
  • the nutritional compositions of the present disclosure may further comprise one or more optional macronutrients in addition to the Curcumin or bioavailable Curcumin and DHA described herein.
  • the optional macronutrients include proteins, lipids, carbohydrates, and combinations thereof.
  • the nutritional compositions are desirably formulated as dietary products containing all three macronutrients.
  • Micronutrients suitable for use herein include any protein, lipid, or carbohydrate or source thereof that is known for or otherwise suitable for use in an oral nutritional composition, provided that the optional macronutrient is safe and effective for oral administration and is otherwise compatible with the other ingredients in the nutritional composition.
  • the concentration or amount of optional lipid, carbohydrate, and protein in the nutritional composition can vary considerably depending upon the particular product form (e.g., bars or other solid dosage forms, milk or soy-based liquids or other clear beverages, reconstitutable powders, etc.) and the various other formulations and targeted dietary needs.
  • These optional macronutrients are most typically formulated within any of the embodied ranges described in the following tables.
  • compositions may be simple, complex, or variations or combinations thereof, all of which are optionally in addition to the Curcumin or bioavailable Curcumin as described herein.
  • suitable carbohydrates include hydrolyzed or modified starch or cornstarch, maltodextrin, isomaltulose, sucromalt, glucose polymers, sucrose, corn syrup, corn syrup solids, rice-derived carbohydrate, glucose, fructose, lactose, high fructose corn syrup, honey, sugar alcohols (e.g., maltitol, erythritol, sorbitol), and combinations thereof.
  • Optional carbohydrates suitable for use herein also include soluble dietary fiber, non-limiting examples of which include gum Arabic,
  • fructooligosaccharide FOS
  • Insoluble dietary fiber is also suitable as a carbohydrate source herein, non-limiting examples of which include oat hull fiber, pea hull fiber, soy hull fiber, soy cotyledon fiber, sugar beet fiber, cellulose, corn bran, and combinations thereof.
  • Optional proteins suitable for use in the nutritional compositions include hydrolyzed, partially hydrolyzed or non-hydro lyzed proteins or protein sources, and can be derived from any known or otherwise suitable source such as milk (e.g., casein, whey), animal (e.g., meat, fish, egg albumen), cereal (e.g., rice, corn), vegetable (e.g., soy, pea, potato), or combinations thereof.
  • milk e.g., casein, whey
  • animal e.g., meat, fish, egg albumen
  • cereal e.g., rice, corn
  • vegetable e.g., soy, pea, potato
  • the proteins for use herein can also include, or be entirely or partially replaced by, free amino acids known for use in nutritional products, non-limiting examples of which include L-tryptophan, L- glutamine, L-tyrosine, L-methionine, L-cysteine, taurine, L-arginine, L-carnitine, and combinations thereof.
  • Optional lipids suitable for use in the nutritional compositions include coconut oil, fractionated coconut oil, soy oil, corn oil, olive oil, safflower oil, high oleic safflower oil, high GLA-safflower oil, MCT oil (medium chain triglycerides), sunflower oil, high oleic sunflower oil, palm and palm kernel oils, palm olein, canola oil, flaxseed oil, borage oil, cottonseed oils, evening primrose oil, blackcurrant seed oil, transgenic oil sources, fungal oils, marine oils (e.g., tuna, sardine) and so forth.
  • coconut oil fractionated coconut oil, soy oil, corn oil, olive oil, safflower oil, high oleic safflower oil, high GLA-safflower oil, MCT oil (medium chain triglycerides), sunflower oil, high oleic sunflower oil, palm and palm kernel oils, palm olein, canola oil, flaxseed oil,
  • the nutritional compositions may further comprise other optional ingredients that may modify the physical, nutritional, chemical, hedonic or processing characteristics of the products or serve as pharmaceutical or additional nutritional components when used in a targeted population.
  • optional ingredients are known or otherwise suitable for use in other nutritional products and may also be used in the nutritional compositions described herein, provided that such optional ingredients are safe and effective for oral administration and are compatible with the essential and other ingredients in the composition.
  • Non-limiting examples of such other optional ingredients include preservatives, anti-oxidants, buffers, pharmaceutical actives, sweeteners, colorants, flavors, flavor enhancers, thickening agents and stabilizers, emulsifying agents, lubricants, and combinations thereof.
  • the nutritional compositions may further include one or more minerals, non-limiting examples of which include phosphorus, sodium, chloride, magnesium, manganese, iron, copper, zinc, iodine, calcium, potassium, chromium, molybdenum, selenium, and combinations thereof.
  • minerals non-limiting examples of which include phosphorus, sodium, chloride, magnesium, manganese, iron, copper, zinc, iodine, calcium, potassium, chromium, molybdenum, selenium, and combinations thereof.
  • the nutritional compositions may also include one or more vitamins, non-limiting examples of which include carotenoids (e.g., beta-carotene, zeaxanthin, lutein, lycopene), biotin, choline, inositol, folic acid, pantothenic acid, TP AN, choline, vitamin A, thiamine (vitamin Bl), riboflavin (vitamin B2) niacin (vitamin B3), pyridoxine (vitamin B6), cyanocobalamin (vitamin B12), ascorbic acid (vitamin C), vitamin D, vitamin E, vitamin K, and various salts, esters, or other derivatives thereof, and combinations thereof.
  • carotenoids e.g., beta-carotene, zeaxanthin, lutein, lycopene
  • biotin choline
  • inositol folic acid
  • pantothenic acid TP AN
  • choline vitamin A
  • the nutritional compositions may be prepared by any known or otherwise effective manufacturing technique for preparing the selected product form. Many such techniques are known for any given product form such as nutritional liquids and nutritional powders and can easily be applied by one of ordinary skill in the nutrition and formulation arts to the nutritional products described herein.
  • Liquid, milk or soy-based nutritional liquids may be prepared by first forming an oil and fiber blend containing all formulation oils, any emulsifier, fiber and fat-soluble vitamins. Additional slurries (typically a
  • carbohydrate and two protein slurries are prepared separately by mixing the carbohydrate and minerals together and the protein in water. The slurries are then mixed together with the oil blend. The resulting mixture is homogenized, heat processed, standardized with any water-soluble vitamins, flavored and the liquid terminally sterilized or aseptically filled or dried to produce a powder.
  • compositions of the present disclosure may also be manufactured by other known or otherwise suitable techniques not specifically described herein without departing from the spirit and scope of the present disclosure.
  • the present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive and that all changes and equivalents also come within the description of the present disclosure.
  • the methods include the oral administration of the nutritional compositions that include Curcumin or bioavailable Curcumin in combination with DHA, to improve cognitive performance in any individual.
  • the combination of bioavailable Curcumin and DHA may improve general cognition by producing a sequential action on memory acquisition, memory retention and memory recall that contributes to the cognitive functions of learning, thinking, and memory.
  • the nutritional compositions including the combination of Curcumin or bioavailable Curcumin and DHA may have a complementary mode of action in maintaining neuronal membrane fluidity, allowing for proper hormone and neurotransmitter function. This may further improve cognitive performance.
  • the nutritional compositions can be utilized to improve a cognitive impairment and/or brain dysfunction that may be associated with a neurodegenerative disease.
  • the combination of Curcumin or bioavailable Curcumin and DHA shows anti-amyloidogenic properties and anti-inflammation properties, thereby reducing neuronal inflammation and clearance of amyloid ⁇ protein deposit that can lead to a cognitive impairment and/or brain dysfunction associated with neurodegenerative diseases or conditions such as Alzheimer's disease, Huntington's disease, Parkinson's disease, dementia, amyotrophic lateral sclerosis, stroke, and/or schizophrenia.
  • cognitive function may be improved.
  • the nutritional compositions of the present disclosure may improve a cognitive impairment and/or brain dysfunction associated with age-related cognitive decline or cognitive decline associated with a neurodegenerative disease by enhancing synaptic plasticity, which is controlled by N- methyl-D-aspartate receptor (NMDAR).
  • NMDAR N- methyl-D-aspartate receptor
  • the composition restores the suboptimum level of NMDAR activity to optimum levels, even during weak stimulation, and, at the same time, prevents neuronal death from NMDAR over-activation. Consequently, NMDAR dependent hippocampal long term potentiation (LTP) is enhanced, which is one key underlying molecular mechanism of learning and memory.
  • NMDAR dependent hippocampal long term potentiation LTP
  • the nutritional compositions may improve learning and memory in an individual by enhancing the NMDAR and 2-amino-3-(5-methyl-3-oxo-l,2- oxazol-4-yl) propanoic acid receptor (AMPAR) mediated hippocampal synoptic plasticity.
  • AMPAR 2-amino-3-(5-methyl-3-oxo-l,2- oxazol-4-yl) propanoic acid receptor
  • the methods of the present disclosure may be directed to individuals who have a neurodegenerative disease or condition, or a disease or condition related to a neurodegenerative disease or condition
  • the methods of the present disclosure as described herein are also intended in some embodiments to include the use of such methods in "at risk" individuals, including individuals unaffected by or not otherwise afflicted with neurodegenerative diseases or conditions such as those described above, for the purpose of preventing, minimizing, or delaying the development of such diseases or conditions over time.
  • the methods of the present disclosure preferably include continuous, daily administration of the compositions as described herein.
  • Such preventive methods may be directed at adults or others, particularly older adults, who are susceptible to developing neurodegenerative diseases due to hereditary considerations, environmental considerations, and the like.
  • the individual desirably consumes at least one serving of the nutritional composition daily, and in some embodiments, may consume two, three, or even more servings per day.
  • Each serving is desirably administered as a single, undivided dose, although the serving may also be divided into two or more partial or divided servings to be taken at two or more times during the day.
  • the methods of the present disclosure include continuous day after day administration, as well as periodic or limited administration, although continuous day after day administration is generally desirable.
  • the methods of the present disclosure are preferably applied on a daily basis, wherein the daily administration is maintained continuously for at least 3 days, including at least 5 days, including at least 1 month, including at least 6 weeks, including at least 8 weeks, including at least 2 months, including at least 6 months, desirably for at least about 18-24 months, desirably as a long term, continuous, daily, dietary supplement.
  • the exemplified products are nutritional products prepared in accordance with manufacturing methods well known in the nutrition industry for preparing nutritional liquids (e.g., emulsions and clear liquids) and powders.
  • Examples 1-5 illustrate nutritional emulsions of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
  • Flavoring agent 3.5 3.5 3.5 3.5 3.5 3.5 3.5
  • Vitamin/mineral premix 0.280 0.280 0.280 0.280 0.280 0.280
  • Vitamin E 0.039 0.039 0.039 0.039 0.039 0.039 0.039 0.039 0.039 0.039
  • Vitamin A palmitate 0.003 0.003 0.003 0.003 0.003 0.003
  • Vitamin D 3 0.002 0.002 0.002 0.002 0.002
  • Examples 6-10 illustrate nutritional emulsions of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
  • Liquid sucralose (25%) 0.500 0.500 0.500 0.500 0.500 0.500 0.500 0.500 0.500 0.500 0.500
  • Vitamin/mineral premix 0.222 0.222 0.222 0.222 0.222 0.222
  • Examples 11-15 illustrate nutritional clear liquids of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
  • Examples 16-20 illustrate nutritional powders of the present disclosure, the ingredients of which are listed in the table below. These products are prepared by spray drying methods in separate batches, and are reconstituted with water prior to use to the desired target ingredient concentrations. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
  • neuronal activation leads to pre-synaptic release of glutamate resulting in the activation of post-synaptic AMPA and NMDA receptors.
  • Activation of post-synaptic AMPA receptors results in the flow of Na + ions, causing the depolarization of post-synaptic neuron. This depolarization abolishes the blocking
  • NMDA receptors by Mg , resulting in the opening of NMDA receptor channels for Na + and Ca 2+ ions.
  • Ca 2+ influx through NMDA receptors is known to trigger
  • CaMKII Ca /calmodulin-dependent protein kinase
  • NMDAR dependant hippocampal LTP was used as a physiological marker to assess the efficacy of Curcumin and DHA in enhancing cognitive function.
  • NMDAR dependant LTP was recorded on hippocampal brain slices in vitro.
  • mice were housed and used in accordance to the French and European legislations for animal care. The mice were sacrificed by fast decapitation, without previous anaesthesia. The brain was quickly removed and soaked in ice-cold oxygenated buffer with the following composition:
  • Hippocampus slices 350 ⁇ were cut with a Macllwain tissue- chopper and incubated at room temperature for at least 60 minutes in Artificial Cerebro-Spinal Fluid (ACSF) having the following composition:
  • Curcumin was prepared as a 150, 100, 50, or 25 mM Stock solution in Cremphor El (ref.: C5135, Sigma, batch: 1439553 13509161) from powder on each day of experimentation. This stock solution was then 10000X diluted in ACSF to reach the final 15, 10, 5.0, or 2.5 ⁇ concentration.
  • D-AP5 (ref: Asc-271, ASCENT, batch: APN08163-1-1) was dissolved as a 30 mM stock solution in water, aliquoted and stored at -20°C until use. Aliquots were thawed and vortexed each day of experiment and then 1000X or 10000X diluted in ACSF to reach the final concentration of 30 ⁇ or 3 ⁇ .
  • NBQX (ref: Asc-045, ASCENT, batch: APN07044-8-3) was dissolved as a 10 mM stock solution in water, aliquoted and stored at -20°C until use. Aliquots were thawed and vortexed each day of experiment and then 1000X diluted in ACSF to reach the final concentration of 10 ⁇ .
  • a 350- ⁇ thick mouse hippocampal slice was disposed on the multi- electrode array (100 ⁇ distant electrodes).
  • One electrode was chosen to stimulate Schaeffer collaterals at the CA3/CA1 interface.
  • An I/O curve was performed to monitor evoked-responses for stimulations between 100 and 800 ⁇ , by 100 ⁇ steps.
  • the stimulus was a monopolar biphasic current pulse (negative for 60 ⁇ and then positive for 60 ⁇ ), settled to evoke 40% of the maximal amplitude response (as determined with the I/O curve) and applied every 30 seconds to evoke "responses" (i.e. field Excitatory Post Synaptic Potentials; fEPSP) in the CA1 region.
  • fEPSP field Excitatory Post Synaptic Potentials
  • Evoked-responses were recorded if they satisfied quality criteria described in Standard Operating Procedures: correct location, stable baseline (fluctuation within +/- 10 % during ten consecutive minutes), amplitude > 100 ⁇ after background noise subtraction.
  • the fEPSP from selected electrodes were simultaneously sampled at 5 kHz and recorded on the hard disk of a PC until offline analysis.
  • fEPSP amplitudes of selected electrodes were compiled online (with MC Rack program) to monitor and to follow the good performance of the experiments. Data was plotted in a standard spreadsheet file for off-line analysis. The fEPSP resulted from glutamatergic synaptic transmission consecutive to afferent pathway stimulation.
  • the slices were continuously perfused with ACSF solutions (bubbled with 95% 0 2 -5% C0 2 ) at the rate of 3 mL/min with a peristaltic pump (ME A chamber volume: ⁇ 1 mL). Complete solution exchange in the ME A chamber was achieved 20 seconds after the switch of solutions.
  • the perfusion liquid was continuously pre-heated at 37 °C just before reaching the MEA chamber with a heated-perfusion cannula (PH01, Multichannel Systems, Reutlingen,
  • the temperature of the MEA chamber was maintained at 37 +/- 0.1 °C with a Peltier element located in the MEA amplifier headstage.
  • Curcumin and DHA showed significant enhancement of hippocampal LTP by modulating the NMDAR activity.
  • NMDAR neurodegenerative diseases
  • Glutamate is the major excitatory neurotransmitter in the brain that activates the major ion channel receptors such as NMDAR and AMPAR that contribute to synaptic plasticity.
  • NMDAR and AMPAR major ion channel receptors
  • NMDA is a specific agonist of NMDAR that is capable of causing the excitotoxic neuronal death due to
  • NMDA NMDAR mediated excitotoxicity
  • Hippocampal neurons were plated in 96-well plates and cultured for 10 days. NMDA and glutamate neurotoxicity assays were performed as detailed below. All preincubation experiments were performed in neurobasal medium
  • Curcumin showed a comparatively significant neuroprotection by inhibiting the over-activation of NMDAR mediated excitotoxicity as compared to DHA (FIGS. 2 A and 2B). Curcumin offers significant
  • neuroprotection by preventing NMDAR mediated excitotoxicity and resulting neuronal death due to the oxidative stress induced by the increased calcium influx and subsequent release of proteolytic enzymes, transcription factors and reactive oxygen species.

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Abstract

Disclosed are nutritional compositions including a combination of Curcumin and/or bioavailable Curcumin and docosahexaenoic acid. The combination improves cognitive performance in an individual, and, in one embodiment, improves a cognitive impairment and/or brain dysfunction associated with age-related cognitive decline or cognitive decline resulting from a neurodegenerative disease. This combination is also effective in improving memory acquisition, memory retention and recall in an individual.

Description

NUTRITIONAL COMPOSITIONS COMPRISING CURCUMIN AND DOCOSAHEXAENOIC ACID FOR IMPROVING COGNITION
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application claims priority to and the benefit of U.S. Provisional Patent Application No. 61/568,329, filed on December 8, 2011, the contents of which are incorporated by reference herein.
FIELD OF THE DISCLOSURE
[0002] The present disclosure relates to nutritional compositions comprising Curcumin and docosahexaenoic acid (DHA) and to the methods of administering the compositions for improving cognitive performance and/or memory, enhancing memory acquisition, memory retention and recall in an individual, as well as reducing brain dysfunction and cognitive decline. In some embodiments, bioavailable
Curcumin is utilized in combination with the DHA.
BACKGROUND OF THE DISCLOSURE
[0003] Manufactured nutritional liquids and powders comprising a targeted selection of nutrition ingredients are well known and widely available, some of which may provide a sole source of nutrition while others may provide a supplemental source. These nutritionals include powders that can be reconstituted with water or other aqueous liquid, as well as ready to drink nutritional liquids such as milk or protein based emulsions or non-emulsified liquids. These nutritional liquids are especially useful when formulated with selected nutritional ingredients. [0004] An estimated 4 to 5 million Americans, about 15% of those older than age 65, have some form and degree of cognitive failure. Cognitive failure, which includes dysfunction or loss of cognitive function (e.g., learning, thinking and memory), commonly occurs in association with central nervous system (CNS) disorders or conditions, including neurodegenerative diseases. Cognitive dysfunction may cause significant impairment of social and/or occupational functioning, which can interfere with the ability of an individual to perform activities of daily living and greatly impact the autonomy and quality of life of the individual.
[0005] Accordingly, there has recently been an increased interest in designing and marketing so-called "smart formulations" that include nutritional products designed specifically for brain health and nourishment. Many of these products are specifically designed for improving cognition and preventing
neurodegenerative diseases and related cognitive decline. To date, these formulations and products have had limited success.
[0006] As such, there is a need for nutritional compositions and methods for enhancing cognitive performance, and particularly, memory acquisition, memory retention, and memory recall that may contribute to the learning and memory processes. It would be beneficial if such nutritional compositions and methods could also improve a cognitive impairment and/or brain dysfunction, such as from age- related cognitive decline or from neurodegenerative diseases.
SUMMARY OF THE DISCLOSURE
[0007] One embodiment is directed to a method for improving memory acquisition and memory retention and recall in an individual. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0008] Another embodiment is directed to a method for improving cognitive performance in an individual. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid. [0009] Another embodiment is directed to a method for improving memory acquisition in an individual. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0010] Another embodiment is directed to a method for improving memory retention and recall in an individual. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0011] Another embodiment is directed to a method for enhancing N- Methyl-D-aspartate receptor (NMDAR) dependent hippocampal long-term
potentiation (LTP), a physiological correlate or a measure of synaptic plasticity, which may be a key underlying molecular mechanism of learning and memory. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0012] Another embodiment is directed to a method for enhancing the NMDAR and 2-amino-3-(5-methyl-3-oxo-l,2-oxazol-4-yl)propanoic acid receptor (AMPAR) mediated hippocampal synaptic plasticity, which may be another key mechanism underlying learning and memory. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0013] Another embodiment is directed to a method for preventing the over- activation of NMDAR, which may result in neuronal death. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0014] Another embodiment is directed to a method for enhancing neuronal membrane fluidity. The method comprises administering to the individual a composition comprising an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid. [0015] Another embodiment is directed to a nutritional composition for improving cognitive performance. The composition comprises an effective amount of Curcumin or bioavailable Curcumin and docosahexaenoic acid.
[0016] Nutritional compositions including Curcumin, and in particular bioavailable Curcumin, and DHA in combination provide enhanced bioavailability of the individual components of Curcumin and DHA to an individual upon
administration. Therefore, this combination of components is more efficacious in providing improved cognitive functioning and/or performance to an individual, as well as reducing cognitive impairment and/or brain dysfunction in an individual. Specifically, the combination of Curcumin or bioavailable Curcumin and DHA produces an added benefit on cognitive functioning by producing an effect in enhancing NMDAR and AMPAR dependent hippocampal synaptic plasticity, which is a molecular mechanism involved in learning and memory. In addition, Curcumin or bioavailable Curcumin and DHA produces a sequential action by improving memory acquisition that is essential for the process of learning, and by improving memory retention and recall that is necessary for the retrieval of learned processes.
[0017] The combination of Curcumin or bioavailable Curcumin and DHA may also provide benefits to an individual by its complementary mode of action on neuroprotection. Neuronal death due to the oxidative stress resulting from NMDAR over-activation (i.e., NMDAR mediated excitotoxicity) is a major problem associated with cognitive impairment, brain dysfunction, and neurodegenerative diseases (e.g., Alzheimer's Disease). It has now been found that Curcumin, and particularly bioavailable Curcumin, offers significant neuroprotection by preventing NMDAR mediated excitotoxicity and resulting neuronal death.
[0018] Additionally, DHA offers benefits such as the maintenance of neuronal membrane fluidity, which is essential for synaptic receptor function, and neurotransmitter release, which is essential for the cognitive performance of an individual. While DHA may be taken up by the brain from the diet to provide the above benefits, DHA is highly susceptible to oxidation and may therefore induce oxidative stress in neuronal membranes that may, in turn, negatively affect the neuronal health and function. It has now been found, however, that administration of Curcumin, and in particular bioavailable Curcumin, which possesses strong antioxidant properties, can prevent the oxidation of DHA as well as provide neuroprotection and prevention of neuronal death due to oxidative stress, which is induced by increased calcium influx, thereby allowing the subsequent release of proteolytic enzymes, transcription factors, and reactive oxygen species. Therefore, a Curcumin or bioavailable Curcumin and DHA combination will have a
complementary mode of action to provide cognitive benefits.
[0019] Curcumin, and in particular bioavailable Curcumin, and DHA act in combination to further provide anti-inflammatory and anti-amyloidogenic properties to an individual. Neuronal inflammation and amyloid β protein deposition are associated with cognitive impairment and/or brain dysfunction that results from age- related cognitive decline and/or cognitive decline associated with neurodegenerative diseases. These anti-inflammatory and anti-amyloidogenic properties of Curcumin or bioavailable Curcumin and DHA, therefore, provide added benefits when used in combination, thereby reducing cognitive impairment and/or brain dysfunction.
[0020] Accordingly, the nutritional compositions and methods of the present disclosure offer an alternative therapeutic or nutritional intervention option that may contribute to the improvement of cognitive performance, as well as to the reduction of cognitive impairment and brain dysfunction, in individuals, and particularly in adults, older adults, and the elderly.
BRIEF DESCRIPTION OF THE FIGURES
[0021] FIG. 1A is a chart depicting the effect of the combination of
Curcumin and DHA on NMDAR dependent hippocampal LTP as analyzed in
Example 21.
[0022] FIGS. IB- ID are graphs depicting the effect of the combination of Curcumin and DHA on NMDAR dependent hippocampal LTP as analyzed in
Example 21. [0023] FIG. 2A is a chart depicting the neuroprotective effect of Curcumin on primary hippocampal neurons from NMDAR mediated excitotoxicity.
[0024] FIG. 2B is a chart depicting the neuroprotective effect of DHA on primary hippocampal neurons from NMDAR mediated excitotoxicity.
DETAILED DESCRIPTION OF THE DISCLOSURE
[0025] The compositions and methods herein are directed to nutritional compositions comprising Curcumin, and in particular bioavailable Curcumin, and DHA that can improve general cognitive performance in an individual, including memory acquisition, memory retention and recall. These and other essential or optional elements or features of the various embodiments are described in detail hereafter.
[0026] The term "older adult" as used herein, unless otherwise specified, refers to an individual of at least 45 years of age, including at least 50 years of age, including at least 55 years of age, including at least 60 years of age, including at least 65 years of age, including at least 70 years of age, including at least 75 years of age, including at least 80 years of age, further including from about 55 years of age to about 80 years of age.
[0027] The term "Curcumin" refers to Curcumin and derivatives and analogs thereof.
[0028] The term "bioavailable" as used herein, unless otherwise specified, refers to the ability of a compound to enter into and remain in the bloodstream of an individual such that the substance can be absorbed into cells in the body. As the degree of bioavailability of a compound increases, the compound becomes more likely to enter into and remain in the bloodstream where it can be absorbed and used by the body. As the degree of bioavailability of a compound decreases, the compound becomes more likely to go directly into the gastrointestinal area and be expelled from the body before entering the bloodstream. [0029] The term "nutritional composition" as used herein, unless otherwise specified, refers to nutritional liquids and nutritional powders that comprise at least one of protein, fat, and carbohydrate and is suitable for oral administration to a human. The nutritional composition may further comprise vitamins, minerals, and other ingredients and represent a sole, primary, or supplemental source of nutrition.
[0030] The terms "fat," "lipid" and "oil" as used herein, unless otherwise specified, are used interchangeably to refer to lipid materials derived or processed from plants or animals. These terms also include synthetic lipid materials so long as such synthetic materials are suitable for oral administration to humans.
[0031] The term "susceptible" as used herein, unless otherwise specified, means having little resistance to a certain condition or disease, including being genetically predisposed, having a family history of, and/or having symptoms of the condition or disease.
[0032] The term "synergy" or "synergistic amount" as used herein, unless otherwise specified, refers to the interaction of two or more compounds so that their combined effect is greater than the additive sum of their individual effects.
[0033] The term "cognitive performance" as used herein, unless otherwise specified, refers to the learning, thinking, and memory functions (i.e., memory acquisition, memory retention and recall) of the brain. Accordingly, the term "improving cognitive performance" as used herein, unless otherwise specified, refers to improving the learning, thinking, and/or memory (memory acquisition, memory retention, and memory recall) functions of an individual.
[0034] The term "improving a cognitive impairment and/or brain dysfunction" as used herein, unless otherwise specified, refers to the treating, preventing, and/or reducing the incidence or severity of cognitive decline associated with age-related cognitive decline or neurodegenerative disease. [0035] The term "age-related cognitive decline" as used herein, unless otherwise specified, refers to a gradual decline in learning, thinking, and/or memory functions that are normal consequences of aging.
[0036] The term "neurodegenerative disease" as used herein, unless otherwise specified, refers to the progressive loss of structure or function of neurons, including the death of neurons and includes diseases such as Parkinson's disease, Alzheimer's disease, Huntington's disease, dementia, amyotrophic lateral sclerosis, stroke, and schizophrenia.
[0037] All percentages, parts and ratios as used herein, are by weight of the total product, unless otherwise specified. All such weights as they pertain to listed ingredients are based on the active level and, therefore, do not include solvents or byproducts that may be included in commercially available materials, unless otherwise specified.
[0038] All references to singular characteristics or limitations of the present disclosure shall include the corresponding plural characteristic or limitation, and vice versa, unless otherwise specified or clearly implied to the contrary by the context in which the reference is made.
[0039] All combinations of method or process steps as used herein can be performed in any order, unless otherwise specified or clearly implied to the contrary by the context in which the referenced combination is made.
[0040] The various embodiments of the nutritional compositions of the present disclosure may also be substantially free of any optional or selected essential ingredient or feature described herein, provided that the remaining composition or powder still contains all of the required ingredients or features as described herein. In this context, and unless otherwise specified, the term "substantially free" means that the selected composition contains less than a functional amount of the optional ingredient, typically less than about 1%, including less than about 0.5%, including less than about 0.1%, and also including zero percent, by weight of such optional or selected essential ingredient. [0041] The nutritional compositions may comprise, consist of, or consist essentially of the essential elements of the products as described herein, as well as any additional or optional element described herein or otherwise useful in nutritional product applications.
Product Form
[0042] The nutritional compositions of the present disclosure may be formulated and administered in any known or otherwise suitable oral product form. Any solid, liquid, or powder form, including combinations or variations thereof, are suitable for use herein, provided that such forms allow for safe and effective oral delivery to the individual of the essential ingredients as also defined herein.
[0043] The nutritional compositions are most suitably formed as aqueous emulsions, including water-in-oil emulsions, oil-in-water emulsions, or complex (e.g., oil-in- water-in-oil emulsions) or other emulsion systems. As applied to the nutritional compositions herein, the nutritional emulsion embodiments are most typically oil-in- water emulsions comprising an internal or discontinuous oil phase that comprises the Curcumin or bioavailable Curcumin and DHA as defined herein.
Curcumin and Bioavailable Curcumin
[0044] Curcumin, 1,7-bis (4-hydroxyphenyl)-l,6-heptadiene-3,5-dione and having the formula
Figure imgf000010_0001
is the principal Curcuminoid of turmeric. Conventionally, Curcumin has suffered lower bioavailability when taken orally, and thus when formulated at higher concentrations to counter its inherent poor bioavailability to achieve the desired systemic delivery, the products often take on an intense undesirable yellow color. In some embodiments, the present nutritional compositions use "bioavailable
Curcumin", which has an improved bioavailability as compared to conventionally used Curcumin. As such, the bioavailable Curcumin can be utilized in lower concentrations in the nutritional compositions and methods of the present disclosure, while still maintaining its anti-inflammatory, antioxidative, and anti-amyloidogenic activity.
[0045] The term "bioavailable Curcumin" refers to Curcumin and derivatives and analogs thereof, including natural and synthetic derivatives of Curcumin, as well as any combination of one or more of Curcumin and a derivative and/or analog. In particular, the term "bioavailable Curcumin" should be understood to encompass compounds having a 1,7-bis (4-hydroxyphenyl)-l,6-heptadiene-3,5- dione or l,7-bis(4-hydroxyphenyl) hept-4-en-3-one skeleton wherein the phenyl groups independently may bear one or more alkoxy residues, especially one methoxy residue in the 3-position. In some embodiments, additional Curcuminoids, such as demethoxyCurcumin and bisdemethoxyCurcumin, may also be present in the nutritional compositions. When present, demethoxyCurcumin and
bisdemethoxyCurcumin may be present as part of a complex with Curcumin.
[0046] The "bioavailable Curcumin" used in the nutritional compositions of the present disclosure shows improved oral bioavailability as compared to Curcumins that are not substantially "bioavailable." The oral bioavailability can be determined in experiments involving oral administration of the bioavailable Curcumin composition of the present disclosure (and/or a corresponding amount of non-bioavailable
Curcumin) to a subject and measuring the level of the Curcumin in a biological sample obtained from the subject over time, wherein the biological sample may be derived from a body fluid, for example serum, plasma, whole blood, or cerebrospinal fluid, and/or a tissue, e.g. from brain, liver, kidney, or heart. For analysis, the Curcumin level in the examined body fluid or tissue may be plotted against time, and the area under the curve (AUC), for example the total area under the curve from t = 0 (time of administration) to t = infinity (= AUCO-infmity), or the area under the curve within a defined period, e.g. from t = 0 to t = 6 hours (AUC0-6H), may be calculated. In general, a higher AUC relative to the AUC obtained by administration of non- bioavailable Curcumin indicates an improved bioavailability. The absolute bioavailability may be calculated from the resulting AUC data as a percentage based on the corresponding AUC data obtained from intravenous administration of
Curcumins.
[0047] In some embodiments, the bioavailable Curcumin amount in the blood, determined as AUC0-6H after a single oral administration of a dose of the bioavailable Curcumin-containing nutritional composition of the present disclosure corresponding to 20 mg of total Curcumin to a human subject or an animal subject, preferably a rat, is significantly higher than after oral administration of the same amount of non-bioavailable Curcumin in the composition, preferably at least 2 times, at least 3 times, at least 4 times, at least 6 times, at least 8 times, at least 10 times, or at least 15 times, and, for example, up to 30 times higher.
[0048] As used herein, the amount of Curcumin in the blood being
"significantly higher" means a statistically significant increase of this parameter in subjects after oral administration of 20 mg of bioavailable Curcumin in the nutritional composition of the present disclosure as compared to the control 20 mg of Curcumin that is not bioavailable. A statistical test known in the art, such as ANOVA or Student's t-test, may be used to determine the significance of this difference, wherein the p-value is at least <0.1, <0.5, <0.01, <0.005, <0.001 or <0.0001.
[0049] Bioavailable Curcumin can be prepared in a number of ways including, for example, using Meltrex® or similar melt-extrusion technology to prepare extruded solids and improve the bioavailability of the Curcumin as compared to Curcumin not produced by melt extrusion. Meltrex® or similar melt-extrusion technology methods are known in the art and can be applied to produce bioavailable Curcumin by one skilled in the art based on the disclosure herein.
[0050] In another embodiment, Curcumin or bioavailable Curcumin can be co-supplemented with piperine (generally extracted from black pepper) to increase the bioavailability and hence the absorbability of Curcumin. In one embodiment, the piperine is co-supplemented in an amount of about 20 mg to increase the
bioavailability of the Curcumin. [0051] In another embodiment, the Curcumin or bioavailable Curcumin may be solubilized in an oil having an HLB of from about 0.7 to about 14 (polar oils) such that the resulting oil mixture provides increased bioavailability of Curcumin. One suitable polar oil for dissolving the Curcumin is a medium chain triglyceride oil (MCT oil).
[0052] In one embodiment of the present disclosure, the bioavailable Curcumin is a mixture of Curcuminoids (i.e., Curcumin, demethoxyCurcumin and bisdemethoxyCurcumin) obtained from the rhizomes of Curcuma Longa. In another embodiment, the bioavailable Curcumin is obtained using Meltrex® technology (Abbott Nutrition, Columbus, Ohio). In yet another embodiment, the bioavailable Curcumin is Meriva Bioavailable Curcumin, commercially available from Idena SPA (Milan, Italy).
[0053] The Curcumin or bioavailable Curcumin concentration in the nutritional compositions may range from at least about 0.001%, including from about 0.002% to about 3.36%, including from about 0.005%) to about 1.87%, also including from about 0.03%> to about 0.935%), also including from about 0.1 % to about 0.467%), and also including from about 0.234% to about 0.3%, by weight of the nutritional composition. Exemplary embodiments of the present disclosure include nutritional compositions having Curcumin or bioavailable Curcumin in amounts ranging from about 0.002% to about 0.25%, from 0.002% to about 0.234%, from about 0.005% to about 0.467%, from about 0.03% to about 0.935%, from about 0.1% to about 1.9%, from about 0.1% to about 1.87%, and from about 0.3% to about 3.36%, by weight of the nutritional composition.
[0054] The nutritional compositions of the present disclosure desirably include sufficient Curcumin or bioavailable Curcumin to provide an individual with at least about 1 milligram, including at least about 3 milligrams, including from about 10 milligrams to about 10,000 milligrams, including from about 100 milligrams to about 4000 milligrams, including from about 400 milligrams to about 2000 milligrams, including from about 1200 milligrams to about 1800 milligrams, per day of Curcumin or bioavailable Curcumin. The total daily amount of Curcumin or bioavailable Curcumin may be administered to an individual in a single undivided dose, or may be split into one, two, three, four or more doses per day.
Docosahexaenoic acid (DHA)
[0055] In addition to the Curcumin, and in some embodiments, bioavailable Curcumin, the nutritional compositions of the present disclosure include DHA. DHA, cis-docosa-4,7,10,13,16,19-hexa-enoic acid, is an omega-3 polyunsaturated fatty acid (PUFA) and is the most abundant omega-3 PUFA in the brain and retina, accounting for 40% of the PUFAs in the brain and 60% of the PUFAs in the retina. DHA is essential for the proper functioning of adult brains and the central nervous system, deficiencies of which have been associated with cognitive decline.
[0056] In the human body, DHA is either directly obtained from the diet or derived from eicosapentaenoic acid (EPA) via docosapentaenoic acid (DP A) as an intermediate. Common dietary sources of DHA include marine, plant and animal sources such as mackerel, chicken, herring, eel, pig, tuna, clams, veal, beef, pork, turkey, cod, anchovy, and trout and/or plant sources such as soybeans, cabbage, whole-grain barley, rice, and carrots.
[0057] The DHA concentration in the nutritional compositions may range from at least about 0.001%, including from about 0.001% to about 4.6%>, including from about 0.01%> to about 2.8%, including from about 0.02% to about 1.4%, also including from about 0.02% to about 0.7%, also including from about 0.02% to about 0.4%), and also including from about 0.025%) to about 0.34%, by weight of the nutritional composition.
[0058] The nutritional compositions of the present disclosure desirably include sufficient DHA to provide an individual with from about 100 milligrams to about 2000 milligrams, including from about 200 milligrams to about 2000 milligrams, including from about 200 milligrams to about 1000 milligrams, including from about 500 milligrams to about 1500 milligrams, including from about 1000 milligrams to about 1400 milligrams, per day of DHA. The total daily amount of DHA may be administered to an individual in a single undivided dose, or may be split into one, two, three, four or more doses per day.
Macronutrients
[0059] The nutritional compositions of the present disclosure may further comprise one or more optional macronutrients in addition to the Curcumin or bioavailable Curcumin and DHA described herein. The optional macronutrients include proteins, lipids, carbohydrates, and combinations thereof. The nutritional compositions are desirably formulated as dietary products containing all three macronutrients.
[0060] Macronutrients suitable for use herein include any protein, lipid, or carbohydrate or source thereof that is known for or otherwise suitable for use in an oral nutritional composition, provided that the optional macronutrient is safe and effective for oral administration and is otherwise compatible with the other ingredients in the nutritional composition.
[0061] The concentration or amount of optional lipid, carbohydrate, and protein in the nutritional composition can vary considerably depending upon the particular product form (e.g., bars or other solid dosage forms, milk or soy-based liquids or other clear beverages, reconstitutable powders, etc.) and the various other formulations and targeted dietary needs. These optional macronutrients are most typically formulated within any of the embodied ranges described in the following tables.
Figure imgf000015_0001
Each numerical value preceded by the term "about"
Figure imgf000015_0002
Carbohydrate 0-98 1-50 10-30
Lipid 0-98 1-30 3-15
Protein 0-98 1-30 2-10
Each numerical value preceded by the term "about"
Carbohydrate
[0062] Optional carbohydrates suitable for use in the nutritional
compositions may be simple, complex, or variations or combinations thereof, all of which are optionally in addition to the Curcumin or bioavailable Curcumin as described herein. Non-limiting examples of suitable carbohydrates include hydrolyzed or modified starch or cornstarch, maltodextrin, isomaltulose, sucromalt, glucose polymers, sucrose, corn syrup, corn syrup solids, rice-derived carbohydrate, glucose, fructose, lactose, high fructose corn syrup, honey, sugar alcohols (e.g., maltitol, erythritol, sorbitol), and combinations thereof.
[0063] Optional carbohydrates suitable for use herein also include soluble dietary fiber, non-limiting examples of which include gum Arabic,
fructooligosaccharide (FOS), sodium carboxymethyl cellulose, guar gum, citrus pectin, low and high methoxy pectin, oat and barley glucans, carrageenan, psyllium and combinations thereof. Insoluble dietary fiber is also suitable as a carbohydrate source herein, non-limiting examples of which include oat hull fiber, pea hull fiber, soy hull fiber, soy cotyledon fiber, sugar beet fiber, cellulose, corn bran, and combinations thereof.
Protein
[0064] Optional proteins suitable for use in the nutritional compositions include hydrolyzed, partially hydrolyzed or non-hydro lyzed proteins or protein sources, and can be derived from any known or otherwise suitable source such as milk (e.g., casein, whey), animal (e.g., meat, fish, egg albumen), cereal (e.g., rice, corn), vegetable (e.g., soy, pea, potato), or combinations thereof. The proteins for use herein can also include, or be entirely or partially replaced by, free amino acids known for use in nutritional products, non-limiting examples of which include L-tryptophan, L- glutamine, L-tyrosine, L-methionine, L-cysteine, taurine, L-arginine, L-carnitine, and combinations thereof.
Lipid
[0065] Optional lipids suitable for use in the nutritional compositions, which are optionally in addition to the DHA as described herein, include coconut oil, fractionated coconut oil, soy oil, corn oil, olive oil, safflower oil, high oleic safflower oil, high GLA-safflower oil, MCT oil (medium chain triglycerides), sunflower oil, high oleic sunflower oil, palm and palm kernel oils, palm olein, canola oil, flaxseed oil, borage oil, cottonseed oils, evening primrose oil, blackcurrant seed oil, transgenic oil sources, fungal oils, marine oils (e.g., tuna, sardine) and so forth.
Optional Ingredients
[0066] The nutritional compositions may further comprise other optional ingredients that may modify the physical, nutritional, chemical, hedonic or processing characteristics of the products or serve as pharmaceutical or additional nutritional components when used in a targeted population. Many such optional ingredients are known or otherwise suitable for use in other nutritional products and may also be used in the nutritional compositions described herein, provided that such optional ingredients are safe and effective for oral administration and are compatible with the essential and other ingredients in the composition.
[0067] Non-limiting examples of such other optional ingredients include preservatives, anti-oxidants, buffers, pharmaceutical actives, sweeteners, colorants, flavors, flavor enhancers, thickening agents and stabilizers, emulsifying agents, lubricants, and combinations thereof.
[0068] The nutritional compositions may further include one or more minerals, non-limiting examples of which include phosphorus, sodium, chloride, magnesium, manganese, iron, copper, zinc, iodine, calcium, potassium, chromium, molybdenum, selenium, and combinations thereof. [0069] The nutritional compositions may also include one or more vitamins, non-limiting examples of which include carotenoids (e.g., beta-carotene, zeaxanthin, lutein, lycopene), biotin, choline, inositol, folic acid, pantothenic acid, TP AN, choline, vitamin A, thiamine (vitamin Bl), riboflavin (vitamin B2) niacin (vitamin B3), pyridoxine (vitamin B6), cyanocobalamin (vitamin B12), ascorbic acid (vitamin C), vitamin D, vitamin E, vitamin K, and various salts, esters, or other derivatives thereof, and combinations thereof.
Methods of Manufacture
[0070] The nutritional compositions may be prepared by any known or otherwise effective manufacturing technique for preparing the selected product form. Many such techniques are known for any given product form such as nutritional liquids and nutritional powders and can easily be applied by one of ordinary skill in the nutrition and formulation arts to the nutritional products described herein.
[0071] Liquid, milk or soy-based nutritional liquids, for example, may be prepared by first forming an oil and fiber blend containing all formulation oils, any emulsifier, fiber and fat-soluble vitamins. Additional slurries (typically a
carbohydrate and two protein slurries) are prepared separately by mixing the carbohydrate and minerals together and the protein in water. The slurries are then mixed together with the oil blend. The resulting mixture is homogenized, heat processed, standardized with any water-soluble vitamins, flavored and the liquid terminally sterilized or aseptically filled or dried to produce a powder.
[0072] The compositions of the present disclosure may also be manufactured by other known or otherwise suitable techniques not specifically described herein without departing from the spirit and scope of the present disclosure. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive and that all changes and equivalents also come within the description of the present disclosure. Methods of Use
[0073] The methods include the oral administration of the nutritional compositions that include Curcumin or bioavailable Curcumin in combination with DHA, to improve cognitive performance in any individual. Particularly, the combination of bioavailable Curcumin and DHA may improve general cognition by producing a sequential action on memory acquisition, memory retention and memory recall that contributes to the cognitive functions of learning, thinking, and memory.
[0074] In addition to memory acquisition and memory recall, the nutritional compositions including the combination of Curcumin or bioavailable Curcumin and DHA may have a complementary mode of action in maintaining neuronal membrane fluidity, allowing for proper hormone and neurotransmitter function. This may further improve cognitive performance.
[0075] Additionally, in some embodiments, the nutritional compositions can be utilized to improve a cognitive impairment and/or brain dysfunction that may be associated with a neurodegenerative disease. Particularly, the combination of Curcumin or bioavailable Curcumin and DHA shows anti-amyloidogenic properties and anti-inflammation properties, thereby reducing neuronal inflammation and clearance of amyloid β protein deposit that can lead to a cognitive impairment and/or brain dysfunction associated with neurodegenerative diseases or conditions such as Alzheimer's disease, Huntington's disease, Parkinson's disease, dementia, amyotrophic lateral sclerosis, stroke, and/or schizophrenia. By reducing this neuronal inflammation and clearing of the amyloid protein, cognitive function may be improved.
[0076] Furthermore, in some embodiments, the nutritional compositions of the present disclosure may improve a cognitive impairment and/or brain dysfunction associated with age-related cognitive decline or cognitive decline associated with a neurodegenerative disease by enhancing synaptic plasticity, which is controlled by N- methyl-D-aspartate receptor (NMDAR). Deficits in synaptic plasticity and/or neuronal death can result in cognitive impairment and/or brain dysfunction. The composition restores the suboptimum level of NMDAR activity to optimum levels, even during weak stimulation, and, at the same time, prevents neuronal death from NMDAR over-activation. Consequently, NMDAR dependent hippocampal long term potentiation (LTP) is enhanced, which is one key underlying molecular mechanism of learning and memory. Further, by preventing neuronal death, the neuronal loss associated with cognitive impairment and brain dysfunction can be avoided. In another embodiment, the nutritional compositions may improve learning and memory in an individual by enhancing the NMDAR and 2-amino-3-(5-methyl-3-oxo-l,2- oxazol-4-yl) propanoic acid receptor (AMPAR) mediated hippocampal synoptic plasticity.
[0077] Although in some embodiments the methods of the present disclosure may be directed to individuals who have a neurodegenerative disease or condition, or a disease or condition related to a neurodegenerative disease or condition, the methods of the present disclosure as described herein are also intended in some embodiments to include the use of such methods in "at risk" individuals, including individuals unaffected by or not otherwise afflicted with neurodegenerative diseases or conditions such as those described above, for the purpose of preventing, minimizing, or delaying the development of such diseases or conditions over time. For such prevention purposes, the methods of the present disclosure preferably include continuous, daily administration of the compositions as described herein. Such preventive methods may be directed at adults or others, particularly older adults, who are susceptible to developing neurodegenerative diseases due to hereditary considerations, environmental considerations, and the like.
[0078] The individual desirably consumes at least one serving of the nutritional composition daily, and in some embodiments, may consume two, three, or even more servings per day. Each serving is desirably administered as a single, undivided dose, although the serving may also be divided into two or more partial or divided servings to be taken at two or more times during the day. The methods of the present disclosure include continuous day after day administration, as well as periodic or limited administration, although continuous day after day administration is generally desirable. The methods of the present disclosure are preferably applied on a daily basis, wherein the daily administration is maintained continuously for at least 3 days, including at least 5 days, including at least 1 month, including at least 6 weeks, including at least 8 weeks, including at least 2 months, including at least 6 months, desirably for at least about 18-24 months, desirably as a long term, continuous, daily, dietary supplement.
EXAMPLES
[0079] The following examples illustrate specific embodiments and or features of the nutritional products of the present disclosure. The examples are given solely for the purpose of illustration and are not to be construed as limitations of the present disclosure, as many variations thereof are possible without departing from the spirit and scope of the disclosure.
[0080] The exemplified products are nutritional products prepared in accordance with manufacturing methods well known in the nutrition industry for preparing nutritional liquids (e.g., emulsions and clear liquids) and powders.
Examples 1-5
[0081] Examples 1-5 illustrate nutritional emulsions of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
Table 1: Nutritional Emulsions
Figure imgf000021_0001
Flavoring agent 3.5 3.5 3.5 3.5 3.5
Soy lecithin 1.6 1.6 1.6 1.6 1.6
Carrageenan 1.0 1.0 1.0 1.0 1.0
Magnesium carbonate 0.824 0.824 0.824 0.824 0.824
Choline chloride 0.750 0.750 0.750 0.750 0.750
Potassium phosphate dibasic 0.621 0.621 0.621 0.621 0.621
Potassium chloride 0.319 0.319 0.319 0.319 0.319
Vitamin/mineral premix 0.280 0.280 0.280 0.280 0.280
Ascorbic acid 0.250 0.250 0.250 0.250 0.250
Water soluble vitamin premix 0.242 0.242 0.242 0.242 0.242
L-carnitine 0.200 0.200 0.200 0.200 0.200
Potassium hydroxide 0.175 0.175 0.175 0.175 0.175
Vitamin E 0.039 0.039 0.039 0.039 0.039
Gellan gum 0.025 0.025 0.025 0.025 0.025
Beta carotene 0.014 0.014 0.014 0.014 0.014
Vitamin A palmitate 0.003 0.003 0.003 0.003 0.003
Vitamin D3 0.002 0.002 0.002 0.002 0.002
Potassium iodide 0.194 g 0.194 g 0.194 g 0.194 g 0.194 g
Examples 6-10
[0082] Examples 6-10 illustrate nutritional emulsions of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
Table 2: Nutritional Emulsions
Figure imgf000022_0001
Magnesium chloride 0.817 0.817 0.817 0.817 0.817
Potassium chloride 0.735 0.735 0.735 0.735 0.735
Maltodextrin 0.692 0.692 0.692 0.692 0.692
Ascorbic acid 0.597 0.597 0.597 0.597 0.597
Choline chloride 0.532 0.532 0.532 0.532 0.532
Liquid sucralose (25%) 0.500 0.500 0.500 0.500 0.500
Potassium hydroxide 0.427 0.427 0.427 0.427 0.427
Sodium chloride 0.300 0.300 0.300 0.300 0.300
Carrageenan 0.250 0.250 0.250 0.250 0.250
Flavoring agent 0.250 0.250 0.250 0.250 0.250
Vitamin/mineral premix 0.222 0.222 0.222 0.222 0.222
Acesulfame potassium 0.075 0.075 0.075 0.075 0.075
Vitamin DEK premix 0.053 0.053 0.053 0.053 0.053
Gellan gum 0.050 0.050 0.050 0.050 0.050
Vitamin A palmitate 0.0074 0.0074 0.0074 0.0074 0.0074
Potassium iodide 0.00018 0.00018 0.00018 0.00018 0.00018
Cyanocobalamin 0.000013 0.000013 0.000013 0.000013 0.000013
Examples 11-15
[0083] Examples 11-15 illustrate nutritional clear liquids of the present disclosure, the ingredients of which are listed in the table below. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
Table 3: Clear Liquids
Figure imgf000023_0001
EXAMPLES 16-20
[0084] Examples 16-20 illustrate nutritional powders of the present disclosure, the ingredients of which are listed in the table below. These products are prepared by spray drying methods in separate batches, and are reconstituted with water prior to use to the desired target ingredient concentrations. All ingredient amounts are listed as kg per 1000 kg batch of product, unless otherwise specified.
Table 4: Nutritional Powders
Figure imgf000024_0001
AN = As Needed EXAMPLE 21
[0085] In this Example, the administration of Curcumin and DHA, alone and in combination, on NMDAR dependent hippocampal LTP was analyzed.
[0086] Long lasting changes in the strength of AMPA and NMDA receptor mediated glutamatergic synaptic transmission in the hippocampus, known as hippocampal synaptic plasticity, is a key underlying molecular mechanism in learning and memory. AMPA and NMDA dependant hippocampal synaptic plasticity is associated with trafficking and delivery of AMPA receptors at the synapse in response to NMDAR activation. Previous studies have shown that in cognitive decline associated with aging or Alzheimer's disease onset, the strength of AMPA and NMDA synaptic transmission is compromised due to the internalization of NMDA and AMPA receptors, leading to deficits in NMDAR and AMPAR expression at the synapse. During learning, neuronal activation leads to pre-synaptic release of glutamate resulting in the activation of post-synaptic AMPA and NMDA receptors. Activation of post-synaptic AMPA receptors results in the flow of Na+ ions, causing the depolarization of post-synaptic neuron. This depolarization abolishes the blocking
2_|_
of NMDA receptors by Mg , resulting in the opening of NMDA receptor channels for Na+ and Ca2+ ions. Ca2+ influx through NMDA receptors is known to trigger
2_|_
intracellular signaling cascades, notably the phosphorylation of Ca /calmodulin- dependent protein kinase (CaMKII) that phosphorylates AMPA receptors and modulates the channel properties, ultimately resulting in long-term potentiation (LTP), the physiological correlate of synaptic plasticity (learning and memory).
[0087] Therefore in this Example, NMDAR dependant hippocampal LTP was used as a physiological marker to assess the efficacy of Curcumin and DHA in enhancing cognitive function. To evaluate the efficacy of Curcumin and DHA in enhancing cognitive function, NMDAR dependant LTP was recorded on hippocampal brain slices in vitro.
[0088] Experiments were carried out with 7-9 weeks-old C57/Black6 mice (from Elevage Janvier, Le Genest St Isle, France). Animals were housed and used in accordance to the French and European legislations for animal care. The mice were sacrificed by fast decapitation, without previous anaesthesia. The brain was quickly removed and soaked in ice-cold oxygenated buffer with the following composition:
Figure imgf000026_0001
[0089] Hippocampus slices (350 μιη) were cut with a Macllwain tissue- chopper and incubated at room temperature for at least 60 minutes in Artificial Cerebro-Spinal Fluid (ACSF) having the following composition:
Figure imgf000026_0002
During experiments, slices were continuously perfused with oxygenated ACSF.
[0090] 500 mg DHA was purchased as a 1.403 M stock solution in 1 ml of ethanol from Cayman Chemicals (ref : 9090310). This solution was diluted into ACSF to prepare 90, 60, 45, 30, or 15 mM stock solution, and then 1000X diluted into ACSF to reach a final 90, 60, 45, 30, or 15 μΜ concentration. [0091] Curcumin was prepared as a 150, 100, 50, or 25 mM Stock solution in Cremphor El (ref.: C5135, Sigma, batch: 1439553 13509161) from powder on each day of experimentation. This stock solution was then 10000X diluted in ACSF to reach the final 15, 10, 5.0, or 2.5 μΜ concentration.
[0092] D-AP5 (ref: Asc-271, ASCENT, batch: APN08163-1-1) was dissolved as a 30 mM stock solution in water, aliquoted and stored at -20°C until use. Aliquots were thawed and vortexed each day of experiment and then 1000X or 10000X diluted in ACSF to reach the final concentration of 30 μΜ or 3 μΜ.
[0093] NBQX (ref: Asc-045, ASCENT, batch: APN07044-8-3) was dissolved as a 10 mM stock solution in water, aliquoted and stored at -20°C until use. Aliquots were thawed and vortexed each day of experiment and then 1000X diluted in ACSF to reach the final concentration of 10 μΜ.
[0094] All data was recorded with a MEA set-up, commercially available from Multichannel Systems MCS GmbH (Reutlingen, Germany), and composed of a 4-channel stimulus generator and a 60-channels amplifier head-stage connected to a 60-channels A/D card. Software for stimulation, recordings and analysis were commercially available from Multi Channel Systems: MC Stim (3.2.4 release) and MC Rack (4.0.0 release), respectively. All of the experiments were carried out with 3-dimensional MEA (Ayanda Biosystems, S.A., CH-1015 Lausanne, Switzerland) that consisted of 60 tip-shaped and 60^m-high electrodes spaced by 100 μιη. The MEA electrodes were made of platinum with kΩ 450 < impedance < 600 kΩ.
[0095] A 350-μιη thick mouse hippocampal slice was disposed on the multi- electrode array (100 μιη distant electrodes). One electrode was chosen to stimulate Schaeffer collaterals at the CA3/CA1 interface. An I/O curve was performed to monitor evoked-responses for stimulations between 100 and 800 μΑ, by 100 μΑ steps. The stimulus was a monopolar biphasic current pulse (negative for 60 μβ and then positive for 60 μβ), settled to evoke 40% of the maximal amplitude response (as determined with the I/O curve) and applied every 30 seconds to evoke "responses" (i.e. field Excitatory Post Synaptic Potentials; fEPSP) in the CA1 region. [0096] Short term memory formation, accompanied by a weak potentiation, effect of Curcumun and DHA on LTP induced by a weak tetanus was also analyzed. Following a 10-minute period to verify the baseline stability of fEPSP to elicite a weak potentiation, a weak tetanus (10 stimuli at 100 Hz for 0.1 s at 20% of IMAX (Kanno et al., Brain research, 2004)) was used. Weak tetanus-induced potentiation was followed over a 40-minute period.
[0097] Evoked-responses (fEPSP) were recorded if they satisfied quality criteria described in Standard Operating Procedures: correct location, stable baseline (fluctuation within +/- 10 % during ten consecutive minutes), amplitude > 100 μν after background noise subtraction. The fEPSP from selected electrodes were simultaneously sampled at 5 kHz and recorded on the hard disk of a PC until offline analysis. In parallel, fEPSP amplitudes of selected electrodes were compiled online (with MC Rack program) to monitor and to follow the good performance of the experiments. Data was plotted in a standard spreadsheet file for off-line analysis. The fEPSP resulted from glutamatergic synaptic transmission consecutive to afferent pathway stimulation. At the end of each experiment, 10 μΜ NBQX were perfused on the slice to validate the glutamatergic nature of synaptic transmission as well as to subtract background noise at individual electrode level. Control LTP were recorded in parallel, with hippocampal slices prepared from the same animals as the ones used to evaluate the compounds.
[0098] During experiments, the slices were continuously perfused with ACSF solutions (bubbled with 95% 02-5% C02) at the rate of 3 mL/min with a peristaltic pump (ME A chamber volume: ~1 mL). Complete solution exchange in the ME A chamber was achieved 20 seconds after the switch of solutions. The perfusion liquid was continuously pre-heated at 37 °C just before reaching the MEA chamber with a heated-perfusion cannula (PH01, Multichannel Systems, Reutlingen,
Germany). The temperature of the MEA chamber was maintained at 37 +/- 0.1 °C with a Peltier element located in the MEA amplifier headstage.
[0099] As shown in FIGS. 1A-1D, a combination of Curcumin at 2.5 μΜ and DHA at 22μΜ produced a significant effect in enhancing NMDAR dependant hippocampal LTP induced by weak tetanic frequency stimulation (one trains of 100 Hz stimulations for 0.1 seconds) of Schaffer collaterals of CA1 region of
hippocampus. Weak stimulation resulted in weak potentiation that normally occurs during short term memory formation.
[00100] Accordingly, Curcumin and DHA showed significant enhancement of hippocampal LTP by modulating the NMDAR activity.
EXAMPLE 22
[0101] In this Example, the ability of Curcumin and DHA to provide neuroprotection to hippocampal neurons from NMDAR mediated excitotoxicity was analyzed.
[0102] One of the major molecular events that contribute to neuronal death or damage in brain malfunctioning, cognitive impairment and neurodegenerative diseases, including Alzheimer's disease (AD), is glutamate or NMDAR mediated excitotoxicity. Glutamate is the major excitatory neurotransmitter in the brain that activates the major ion channel receptors such as NMDAR and AMPAR that contribute to synaptic plasticity. However, excessive release of glutamate and overstimulation of NMDAR can cause neuronal death or damage due to increased calcium influx resulting in the release of proteolytic enzymes, transcription factors and reactive oxygen species. Therefore, compounds or ingredients that prevent NMDAR mediated excitotoxicity will offer neuroprotection. NMDA is a specific agonist of NMDAR that is capable of causing the excitotoxic neuronal death due to
2_|_
the over activation of NMDAR in Mg free medium. The NMDA receptor channel is highly permeable to Ca 2+ but is blocked by Mg 2+ in a voltage-dependent manner. Therefore, in this Example, to induce NMDAR mediated excitotoxicity, NMDA was
2_|_ applied in the presence of different concentrations of Curcumin and DHA in a Mg free medium to hippocampal neurons. Neuroprotective effects of Curcumin and DHA from NMDAR mediated excitotoxicity were evaluated from the amount of lactate dehydrogenase (LDH) enzyme, a stable cytoplasmic enzyme that is released when the plasma membrane is damaged and released into the cell-culture supernatant in response to NMDAR mediated excitotoxicity.
[0103] Hippocampal neurons were plated in 96-well plates and cultured for 10 days. NMDA and glutamate neurotoxicity assays were performed as detailed below. All preincubation experiments were performed in neurobasal medium
2_|_
containing Mg , which was omitted only when NMDA was added for 15 minutes in Hanks' balanced salt solution containing 10 μΜ glycine and 2.7 mM CaCl2. After 10 days in culture, hippocampal neurons were incubated for 15 minutes with Curcumin (1, 5.0, 10, 20 and 40 μΜ) and DHA (15, 30, 45 and 60 μΜ) in the absence or presence of 200 μΜ NMDA. Cell viability was determined using cytotoxicity assay kits (LDH release, Roche) following the manufacturers' instructions.
[0104] The results demonstrated that Curcumin showed a significant inhibition of LDH release caused by NMDA induced cell death at 5, 10 and 20 μΜ (n=4, p<0.05, FIG. 2A). Curcumin at 1 μΜ showed a significant increase in LDH release caused by NMDA induced cell death. DHA did not show any inhibition of LDH release caused by NMDA induced cell death (i.e., offered neuroprotection) at 45 and 60 μΜ (FIG. 2B).
[0105] Accordingly, Curcumin showed a comparatively significant neuroprotection by inhibiting the over-activation of NMDAR mediated excitotoxicity as compared to DHA (FIGS. 2 A and 2B). Curcumin offers significant
neuroprotection by preventing NMDAR mediated excitotoxicity and resulting neuronal death due to the oxidative stress induced by the increased calcium influx and subsequent release of proteolytic enzymes, transcription factors and reactive oxygen species.

Claims

WHAT IS CLAIMED IS:
1. A method for improving in an individual at least one of cognitive performance, memory acquisition, memory recall, N-methyl-D-aspartate receptor dependent hippocampal long term potentiation, and combinations thereof, the method comprising administering to the individual a composition comprising an effective amount of bioavailable Curcumin and an effective amount of docosahexaenoic acid.
2. The method of claim 1 comprising from about 0.002% to about 0.25% bioavailable Curcumin by weight of the composition and from about 0.001% to about 4.6% docosahexaenoic acid by weight of the composition.
3. The method of claim 1 comprising from about 0.1% to about 1.9% bioavailable Curcumin by weight of the composition and from about 0.02% to about 0.4% docosahexaenoic acid by weight of the composition.
4. The method of claim 1 wherein the individual is administered from about 400 milligrams/day to about 2000 milligrams/day of bioavailable Curcumin and from about 100 milligrams/day to about 2000 milligrams/day of docosahexaenoic acid.
5. The method of claim 1 wherein the individual has age-related cognitive decline.
6. The method of claim 1 wherein the individual has a neurodegenerative disease selected from the group consisting of Alzheimer's disease, Huntington's disease, Parkinson's disease, dementia, amyotrophic lateral sclerosis, stroke, and schizophrenia.
7. The method of any one of claims 1 -6, wherein the method improves memory acquisition in the individual.
8. The method of any one of claims 1-6, wherein the method improves memory recall in the individual.
9. The method of any one of claims 1-6, wherein the method improves N- methyl-D-aspartate receptor dependent hippocampal long term potentiation in the individual.
10. A nutritional composition comprising an effective amount of bioavailable Curcumin and docosahexaenoic acid.
11. The nutritional composition of claim 10 comprising from about 0.002% to about 0.25% bioavailable Curcumin by weight of the composition and from about 0.001% to about 4.6% docosahexaenoic acid by weight of the
composition.
12. The nutritional composition of claim 10 comprising from about 0.1% to about 1.9% bioavailable Curcumin by weight of the composition and from about 0.02%) to about 0.4%> docosahexaenoic acid by weight of the composition.
13. The nutritional composition of any one of claims 10-12 further comprising at least one macronutrient selected from the group consisting of proteins, lipids, carbohydrates, sources thereof, and combinations thereof.
14. Use of bioavailable Curcumin and docosahexaenoic acid to improve at least one of cognitive performance, memory acquisition, memory recall, N-methyl-D- aspartate receptor dependent hippocampal long term potentiation, and combinations thereof in an individual.
15. Use according to claim 14, wherein the individual has age-related cognitive decline.
16. Use according to claim 14, wherein the individual has a
neurodegenerative disease selected from the group consisting of Alzheimer's disease, Huntington's disease, Parkinson's disease, dementia, amyotrophic lateral sclerosis, stroke, and schizophrenia.
17. Use according to any one of claims 14-16, wherein the bioavailable Curcumin and docosahexaenoic acid are contained within a nutritional composition
18. Use according to claim 17, wherein the nutritional composition comprises from about 0.002% to about 0.25% bioavailable Curcumin by weight of the nutritional composition and from about 0.001% to about 4.6% docosahexaenoic acid by weight of the nutritional composition.
19. Use according to claim 17, wherein the nutritional composition comprises from about 0.1% to about 1.9% bioavailable Curcumin by weight of the nutritional composition and from about 0.02% to about 0.4% docosahexaenoic acid by weight of the nutritional composition.
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