WO1986001715A1 - Preparations de triglyceride pour la prevention du catabolisme - Google Patents
Preparations de triglyceride pour la prevention du catabolisme Download PDFInfo
- Publication number
- WO1986001715A1 WO1986001715A1 PCT/US1985/001747 US8501747W WO8601715A1 WO 1986001715 A1 WO1986001715 A1 WO 1986001715A1 US 8501747 W US8501747 W US 8501747W WO 8601715 A1 WO8601715 A1 WO 8601715A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- oil
- acid
- structured lipid
- chain triglyceride
- pharmaceutical composition
- Prior art date
Links
- UFTFJSFQGQCHQW-UHFFFAOYSA-N triformin Chemical compound O=COCC(OC=O)COC=O UFTFJSFQGQCHQW-UHFFFAOYSA-N 0.000 title claims description 16
- 230000015556 catabolic process Effects 0.000 title claims description 7
- 238000002360 preparation method Methods 0.000 title description 6
- 230000002265 prevention Effects 0.000 title description 2
- 150000002632 lipids Chemical class 0.000 claims abstract description 29
- 150000003626 triacylglycerols Chemical class 0.000 claims abstract description 8
- 230000006609 metabolic stress Effects 0.000 claims abstract description 6
- 239000003921 oil Substances 0.000 claims description 21
- 235000019198 oils Nutrition 0.000 claims description 21
- 239000002253 acid Substances 0.000 claims description 18
- 239000000203 mixture Substances 0.000 claims description 12
- 235000019197 fats Nutrition 0.000 claims description 9
- 229940057917 medium chain triglycerides Drugs 0.000 claims description 9
- 239000003240 coconut oil Substances 0.000 claims description 8
- 235000019864 coconut oil Nutrition 0.000 claims description 8
- 239000003549 soybean oil Substances 0.000 claims description 8
- 235000012424 soybean oil Nutrition 0.000 claims description 8
- 230000037396 body weight Effects 0.000 claims description 7
- 150000001413 amino acids Chemical class 0.000 claims description 5
- 235000019485 Safflower oil Nutrition 0.000 claims description 4
- 238000001243 protein synthesis Methods 0.000 claims description 4
- 235000005713 safflower oil Nutrition 0.000 claims description 4
- 239000003813 safflower oil Substances 0.000 claims description 4
- 235000020238 sunflower seed Nutrition 0.000 claims description 4
- 230000014616 translation Effects 0.000 claims description 4
- 235000007909 Astrocaryum tucuma Nutrition 0.000 claims description 3
- 244000231729 Astrocaryum tucuma Species 0.000 claims description 3
- 235000019483 Peanut oil Nutrition 0.000 claims description 3
- 239000002285 corn oil Substances 0.000 claims description 3
- 235000005687 corn oil Nutrition 0.000 claims description 3
- 229910052500 inorganic mineral Inorganic materials 0.000 claims description 3
- 239000011707 mineral Substances 0.000 claims description 3
- 239000003346 palm kernel oil Substances 0.000 claims description 3
- 235000019865 palm kernel oil Nutrition 0.000 claims description 3
- 239000000312 peanut oil Substances 0.000 claims description 3
- 229940088594 vitamin Drugs 0.000 claims description 3
- 229930003231 vitamin Natural products 0.000 claims description 3
- 235000013343 vitamin Nutrition 0.000 claims description 3
- 239000011782 vitamin Substances 0.000 claims description 3
- 238000000034 method Methods 0.000 claims 8
- 239000008194 pharmaceutical composition Substances 0.000 claims 6
- POULHZVOKOAJMA-UHFFFAOYSA-N dodecanoic acid Chemical compound CCCCCCCCCCCC(O)=O POULHZVOKOAJMA-UHFFFAOYSA-N 0.000 claims 4
- 239000005639 Lauric acid Substances 0.000 claims 2
- 235000021323 fish oil Nutrition 0.000 claims 2
- 241001465754 Metazoa Species 0.000 description 5
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 4
- 239000008103 glucose Substances 0.000 description 4
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 3
- 239000000839 emulsion Substances 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 239000002960 lipid emulsion Substances 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- 206010040047 Sepsis Diseases 0.000 description 2
- YZXBAPSDXZZRGB-DOFZRALJSA-N arachidonic acid Chemical compound CCCCC\C=C/C\C=C/C\C=C/C\C=C/CCCC(O)=O YZXBAPSDXZZRGB-DOFZRALJSA-N 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- GHVNFZFCNZKVNT-UHFFFAOYSA-N decanoic acid Chemical compound CCCCCCCCCC(O)=O GHVNFZFCNZKVNT-UHFFFAOYSA-N 0.000 description 2
- 235000014113 dietary fatty acids Nutrition 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 229930195729 fatty acid Natural products 0.000 description 2
- 239000000194 fatty acid Substances 0.000 description 2
- 150000004665 fatty acids Chemical class 0.000 description 2
- 239000000446 fuel Substances 0.000 description 2
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 2
- 150000004667 medium chain fatty acids Chemical class 0.000 description 2
- 230000002503 metabolic effect Effects 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- 210000000865 mononuclear phagocyte system Anatomy 0.000 description 2
- 235000016709 nutrition Nutrition 0.000 description 2
- 230000003647 oxidation Effects 0.000 description 2
- 238000007254 oxidation reaction Methods 0.000 description 2
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 239000005632 Capric acid (CAS 334-48-5) Substances 0.000 description 1
- 108010004103 Chylomicrons Proteins 0.000 description 1
- 102000004877 Insulin Human genes 0.000 description 1
- 108090001061 Insulin Proteins 0.000 description 1
- 241000282560 Macaca mulatta Species 0.000 description 1
- 208000002720 Malnutrition Diseases 0.000 description 1
- 208000034486 Multi-organ failure Diseases 0.000 description 1
- 208000010718 Multiple Organ Failure Diseases 0.000 description 1
- 102000008934 Muscle Proteins Human genes 0.000 description 1
- 108010074084 Muscle Proteins Proteins 0.000 description 1
- 206010053615 Thermal burn Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 235000020616 amino acid formula Nutrition 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000010171 animal model Methods 0.000 description 1
- 229940114079 arachidonic acid Drugs 0.000 description 1
- 235000021342 arachidonic acid Nutrition 0.000 description 1
- 210000001142 back Anatomy 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- LDVVMCZRFWMZSG-UHFFFAOYSA-N captan Chemical compound C1C=CCC2C(=O)N(SC(Cl)(Cl)Cl)C(=O)C21 LDVVMCZRFWMZSG-UHFFFAOYSA-N 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 229940013317 fish oils Drugs 0.000 description 1
- 235000013305 food Nutrition 0.000 description 1
- 235000013350 formula milk Nutrition 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 235000021588 free fatty acids Nutrition 0.000 description 1
- 230000003054 hormonal effect Effects 0.000 description 1
- 230000003345 hyperglycaemic effect Effects 0.000 description 1
- 201000001421 hyperglycemia Diseases 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 229940125396 insulin Drugs 0.000 description 1
- 150000004668 long chain fatty acids Chemical class 0.000 description 1
- 230000001071 malnutrition Effects 0.000 description 1
- 235000000824 malnutrition Nutrition 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 208000015380 nutritional deficiency disease Diseases 0.000 description 1
- 238000011903 nutritional therapy Methods 0.000 description 1
- 235000014571 nuts Nutrition 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 235000016236 parenteral nutrition Nutrition 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 230000006461 physiological response Effects 0.000 description 1
- 235000020777 polyunsaturated fatty acids Nutrition 0.000 description 1
- 239000002243 precursor Substances 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 150000003180 prostaglandins Chemical class 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000013222 sprague-dawley male rat Methods 0.000 description 1
- 230000035882 stress Effects 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 239000008399 tap water Substances 0.000 description 1
- 235000020679 tap water Nutrition 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 235000015112 vegetable and seed oil Nutrition 0.000 description 1
- 239000008158 vegetable oil Substances 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/22—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
- A61K31/23—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms
Definitions
- This invention relates to triglyceride preparations for enteral or parentral administration to prevent catabolism and to increase protein synthesis in subjects undergoing severe metabolic stress.
- This invention provides medium chain and long chain fatty acids chemically synthesized into structured triglycerides (lipids) for enteral or parentral administration as the lipid calorie source, in subjects undergoing severe metabolic stress.
- lipids structured triglycerides
- the structural lipids of this invention are randomly rearranged mixtures of medium chain triglycerides (MCT) and long chain triglycerides (LCT). They may be represented by the following formula,
- R 1 and R 2 may be independently a C 6 to C 12 acid, or a C 12 to C 18 ' acid, and R 3 may be a C 18 " or C 18 " acid.
- R 1 may be a C 6 to C 12 acid
- R 2 a C 12 to C 18 acid.
- C 18 ', C 18 " and C 18 " represent the number of double bonds in the fatty acid moiety being one, two and three double bonds respectively.
- the medium chain triglycerides may be lauric oils such as, balassee oil, coconut oil, cohune oil, palm kernel oil, tucum oil and fractions thereof.
- the preferred medium chain triglyceride oil is coconut oil.
- the long chain triglycerides may be polyunsaturated vegetable oils such as, corn oil, peanut oil, safflower oil, soybean oil, sunflower seed oil, and fish oils.
- the preferred long chain triglyceride oils are safflower oil, soybean oil, and sunflower seed oil.
- the percent composition of mixtures of medium chain triglycerides to long chain triglycerides of this invention may be 70 to 30%, 80 to 20%, 85 to 15%, or 90 to 10%. The 80 to 20% and the 85 to 15% mixtures are most preferred.
- the structured lipids of this invention may be mixtures of coconut oil and soybean oil, which lipids may have the following fatty acid carbon chain length (CCL) composition.
- CCL fatty acid carbon chain length
- the present invention provides enteral and parenteral preparations for use in stressed patients to prevent catabolism and to increase protein synthesis.
- the preparations provide from about 15 to 85% of the fat calories required in the stressed patient.
- compositions of this invention provide in a 70 Kg man, from about 0.7 gms of fat/Kg of body weight day to about 4.0 gms of fat/Kg of body weight/day.
- the lipid compositions are preferably administered with additional amino acids, vitamins and minerals as required. Modified amino acid formulas specifically designed for stressed subjects are preferred.
- the amino acids, vitamins and minerals can be administered in the same solution as the structured lipids or separately. It is preferred that the component groups be separately packaged to facilitate tailoring the diet to the patients specific needs.
- formulations may include preservatives or stablizers, as required.
- a structural lipid preparation of this invention is compared with a medium chain lipid, and a long chain lipid for the oxidation of lipids in traumatized animals.
- Group I a 20% medium chain lipid emulsion composed of 72.5% capric acid (C 8:0) and 27.5% coprylic acid (C 10:0) (obtained from Travenol Laboratories, Inc; Deerfield/ Illinois).
- Group II a 20% long chain triglyceride emulsion (20% Travamulsion®, Travenol Laboratories)
- Group III a 20% lipid emulsion composed of structured triglycerides chemically synthesized from 80% coconut oil and 20% soybean oil.
- Captex 710A Lot No. KH4022A Capital City Products Co., Columbus, Ohio
- the rats were placed in metabolic chambers that permitted the collection and analysis of their expired breath. At 15 minute intervals for twelve hours, the specific activity of expired carbon dioxide was determined. At the end of the study, the animals were sacrificed
- Such structured lipids should be preferable and suitable for both enteral and parenteral nutrition.
Landscapes
- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
Des triglycérides structurées (lipides) chimiquement synthétisées sont utilisées comme source lipidique de calories administrées par voie orale ou parentérale à des patients soumis à un stress métabolique grave.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US65077184A | 1984-09-13 | 1984-09-13 | |
US650,771 | 1984-09-13 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1986001715A1 true WO1986001715A1 (fr) | 1986-03-27 |
Family
ID=24610217
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1985/001747 WO1986001715A1 (fr) | 1984-09-13 | 1985-09-13 | Preparations de triglyceride pour la prevention du catabolisme |
Country Status (2)
Country | Link |
---|---|
EP (1) | EP0193602A1 (fr) |
WO (1) | WO1986001715A1 (fr) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2618332A1 (fr) * | 1987-07-23 | 1989-01-27 | Synthelabo | Emulsion lipidique destinee a la nutrition parenterale ou enterale |
EP0271909A3 (fr) * | 1986-12-17 | 1989-12-06 | Green Cross Corporation | Composition à base de triglycérides |
EP0365532A4 (en) * | 1987-04-01 | 1990-09-05 | New England Deaconess Hospital Corporation | Kernel oils and disease treatment |
US5227403A (en) * | 1986-10-01 | 1993-07-13 | The Nisshin Oil Mills, Ltd. | Fats and oils having superior digestibility and absorptivity |
WO1999030740A1 (fr) * | 1997-12-16 | 1999-06-24 | Abbott Laboratories | Procede renforçant l'absorption et le transport de composes liposolubles recourant a des glycerides structures |
FR2877577A1 (fr) * | 2004-11-09 | 2006-05-12 | Jean Pierre Maloisel | Extraits de fruits d'astrocaryum aculeatum a visee anti hypertrophie benigne de la prostate, anti inflammatoire et anti oxydante |
CN102846589A (zh) * | 2005-12-24 | 2013-01-02 | 帝斯曼知识产权资产管理有限公司 | 长期体重维持 |
JPWO2011115184A1 (ja) * | 2010-03-18 | 2013-07-04 | 日清オイリオグループ株式会社 | 生体内の蛋白質の分解抑制剤 |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3268340A (en) * | 1965-08-30 | 1966-08-23 | Drew Chem Corp | Margarine oil and margarine made therefrom |
GB2067587A (en) * | 1980-01-14 | 1981-07-30 | Bristol Myers Co | Readily assimilable fat compositions |
US4329359A (en) * | 1979-12-28 | 1982-05-11 | University Of Kentucky Research Foundation | Method for improving the metabolic stability and survival of newborn pigs |
-
1985
- 1985-09-13 WO PCT/US1985/001747 patent/WO1986001715A1/fr unknown
- 1985-09-13 EP EP19850904733 patent/EP0193602A1/fr not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3268340A (en) * | 1965-08-30 | 1966-08-23 | Drew Chem Corp | Margarine oil and margarine made therefrom |
US4329359A (en) * | 1979-12-28 | 1982-05-11 | University Of Kentucky Research Foundation | Method for improving the metabolic stability and survival of newborn pigs |
GB2067587A (en) * | 1980-01-14 | 1981-07-30 | Bristol Myers Co | Readily assimilable fat compositions |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5227403A (en) * | 1986-10-01 | 1993-07-13 | The Nisshin Oil Mills, Ltd. | Fats and oils having superior digestibility and absorptivity |
EP0271909A3 (fr) * | 1986-12-17 | 1989-12-06 | Green Cross Corporation | Composition à base de triglycérides |
EP0365532A4 (en) * | 1987-04-01 | 1990-09-05 | New England Deaconess Hospital Corporation | Kernel oils and disease treatment |
FR2618332A1 (fr) * | 1987-07-23 | 1989-01-27 | Synthelabo | Emulsion lipidique destinee a la nutrition parenterale ou enterale |
EP0302769A1 (fr) * | 1987-07-23 | 1989-02-08 | Clintec Nutrition Company | Emulsion lipidique destinée à la nutrition parentérale ou entérale |
US5840757A (en) * | 1987-07-23 | 1998-11-24 | Clintec Nutrition Company | Lipid emulsion intended for parenteral or enteral feeding |
WO1999030740A1 (fr) * | 1997-12-16 | 1999-06-24 | Abbott Laboratories | Procede renforçant l'absorption et le transport de composes liposolubles recourant a des glycerides structures |
US6013665A (en) * | 1997-12-16 | 2000-01-11 | Abbott Laboratories | Method for enhancing the absorption and transport of lipid soluble compounds using structured glycerides |
US6160007A (en) * | 1997-12-16 | 2000-12-12 | Abbott Laboratories | Method for enhancing the absorption and transport of lipid soluble compounds using structured glycerides |
FR2877577A1 (fr) * | 2004-11-09 | 2006-05-12 | Jean Pierre Maloisel | Extraits de fruits d'astrocaryum aculeatum a visee anti hypertrophie benigne de la prostate, anti inflammatoire et anti oxydante |
CN102846589A (zh) * | 2005-12-24 | 2013-01-02 | 帝斯曼知识产权资产管理有限公司 | 长期体重维持 |
EP1981490A4 (fr) * | 2005-12-24 | 2013-01-09 | Dsm Ip Assets Bv | Maintenance du poids a long terme |
JPWO2011115184A1 (ja) * | 2010-03-18 | 2013-07-04 | 日清オイリオグループ株式会社 | 生体内の蛋白質の分解抑制剤 |
EP2548554A4 (fr) * | 2010-03-18 | 2013-08-07 | Nisshin Oillio Group Ltd | Inhibiteur de protéolyse in vivo |
JP5860803B2 (ja) * | 2010-03-18 | 2016-02-16 | 日清オイリオグループ株式会社 | 生体内の蛋白質の分解抑制剤 |
Also Published As
Publication number | Publication date |
---|---|
EP0193602A1 (fr) | 1986-09-10 |
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