NZ708274B2 - Formulas comprising optimised amino acid profiles - Google Patents
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Abstract
The present invention relates to infant formulas and follow-on formulas containing optimised amino acid profiles comprising 1. 3.2-5.0 g threonine per 100 g protein; 2. 0.7-1.1 g tryptophan per 100 g protein; 3. a ratio of tryptophan to the sum of all neutral amino acids isoleucine, leucine, valine, phenylalanine, tyrosine, and methionine of from 0.030 to 0.025; and 4. 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein, 6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein, and/or 5.2-8.1 g valine per 100 g protein. The formulas may contain intact proteins, hydrolysed proteins, protein fractions, free amino acids and/or a combination thereof selected based on their ability to provide the formula with the optimised amino acid profile. The amino acid profile allows for provision of the optimal amounts of amino acids required for growth while reducing total protein intake. Thus the present invention also relates to the administration of these formulas to infants in order to achieve balanced growth and/or development, and may also assist in preventing or reducing the risk of obesity later in life. phenylalanine, tyrosine, and methionine of from 0.030 to 0.025; and 4. 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein, 6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein, and/or 5.2-8.1 g valine per 100 g protein. The formulas may contain intact proteins, hydrolysed proteins, protein fractions, free amino acids and/or a combination thereof selected based on their ability to provide the formula with the optimised amino acid profile. The amino acid profile allows for provision of the optimal amounts of amino acids required for growth while reducing total protein intake. Thus the present invention also relates to the administration of these formulas to infants in order to achieve balanced growth and/or development, and may also assist in preventing or reducing the risk of obesity later in life.
Description
FORMULAS COMPRISING OPTMISED AMINO ACID PROFILES
FIELD
The present invention relates to infant formulas and follow-on formulas
containing optimised amino acid profiles. The formulas may contain intact proteins,
hydrolysed proteins, protein fractions, free amino acids and/or a combination thereof
selected based on their ability to provide the formula with an optimised amino acid
profile. The present invention also relates to the administration of these formulas to
infants in order to achieve balanced growth and/or development, and may also assist in
preventing or reducing the risk of obesity later in life.
BACKGROUND
Amino acids are essential building blocks of proteins in the human body. Some
amino acids are classified as essential, meaning that the human body cannot synthesise
the amino acid so it must be sourced from the diet. The essential amino acids for
humans are valine, isoleucine, leucine, lysine, methionine, threonine, phenylalanine,
histidine, and tryptophan. Cysteine and tyrosine are considered to be conditionally
essential amino acids, because of their strong link to methionine and phenylalanine
respectively. The remaining amino acids (alanine, arginine, asparagine, aspartic acid,
glutamic acid, glutamine, glycine, proline, and serine) are non-essential amino acids
and can either be synthesised or sourced from the diet.
Infant formulas typically contain a higher level of total protein compared to
human breast milk. This is despite the generally accepted hypothesis that too much
protein leads to differences in postprandial metabolic kinetics and ultimately,
differences in growth and development. For instance, some key examples are the
differences in early growth and improved body composition of breastfed infants when
compared to formula fed infants (Dewey, 1992; Dewey 1998; and Gale, 2012), and the
association of high protein levels in early nutrition with an increase in childhood
adiposity (Heinig, 1993; and Koletzko, 2009).
The fact that the proteins used in infant formulas do not typically match the
protein quality (e.g., amino acid levels or profile) of human breast milk has also been
considered a contributing factor to these differences (Günther, 2007), although it has
not been investigated to the same extent.
SUMMARY
In work leading up to the present invention the present inventors researched
amino acid uptake and protein synthesis by infants and discovered that an infant’s
requirements of essential amino acids do not necessarily appear to be in line with
existing expectations, recommendations, individual protein sources, or products. The
present invention is thus based on the inventors’ discovery that it is amino acid
composition of the protein source (or quality) that needs primary consideration when
developing infant formulas, while protein level appears to be a required, but secondary
consideration.
The inventors then used the results of their research to develop optimised amino
acid profiles and formulations suitable to achieve these profiles, including formulations
comprising intact proteins, hydrolysed proteins, protein fractions, free amino acids
and/or combinations thereof. The formulations are proposed to promote balanced
growth and/or development (e.g., brain, cognitive function, body, body composition).
It is also proposed that such formulations can be produced with altered (e.g., lowered)
levels of total protein but with optimal amino acid profiles, thus meeting the needs of
infants and therefore promoting balanced growth and/or development in infants while
preventing or reducing the risk of obesity in the infant at a later stage of life, and also to
prevent or reduce the risk of obesity-related diseases and conditions such as metabolic
diseases (e.g., metabolic syndrome, diabetes), and cardiovascular disease.
Thus, according to a first aspect of the present invention, we therefore provide a
proteinaceous composition. The proteinaceous composition may comprise intact
proteins, hydrolysed proteins, protein fractions, free amino acids and/or a combination
thereof. The proteinaceous composition is suitably intended to be part of an infant
formula or a follow-on formula, and is suitably intended for a human infant.
In some embodiments (a), the proteinaceous composition comprises 3.2-5.0 g
threonine per 100 g protein, and/or the proteinaceous composition comprises 0.7-1.1 g
tryptophan per 100 g protein. Suitably, the proteinaceous composition comprises 3.2-
.0 g threonine per 100 g protein and 0.7-1.1 g tryptophan per 100 g protein.
Optionally, the proteinaceous composition comprises at least 0.6 g, 0.7 g, 0.8 g, 0.9 g,
or 1.0 g cysteine per 100 g protein.
In some embodiments (b), the proteinaceous composition comprises a ratio of
tryptophan to neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine,
and methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). Suitably, the proteinaceous
composition comprises a ratio of tryptophan to neutral amino acids of from 1:34.1
(0.029) to 1:40.1 (0.025), even more suitably, the proteinaceous composition comprises
a ratio of from 1:35.1 (0.028) to 1:39.1 (0.026), most suitably the proteinaceous
composition comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026). Optionally, the
proteinaceous composition comprises at least 0.6 g, 0.7 g, 0.8 g, 0.9 g, or 1.0 g cysteine
per 100 g protein.
In some suitable embodiments (c), the proteinaceous composition comprises 5.0-
7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein, 6.2-9.7 g lysine
per 100 g protein, 1.8-2.8 g methionine per 100 g protein, and/or 5.2-8.1 g valine per
100 g protein. Optionally, the proteinaceous composition comprises at least 0.6 g, 0.7
g, 0.8 g, 0.9 g, or 1.0 g cysteine per 100 g protein.
In an exemplary embodiment, the proteinaceous composition complies with at
least one of (a) or (b) together with (c). In a further exemplary embodiment, the
proteinaceous composition complies with both (a) and (b), optionally together with (c).
In a particular embodiment, the proteinaceous composition comprises:
a) 3.2-5.0 g threonine per 100 g protein;
b) 0.7-1.1 g tryptophan per 100 g protein;
c) a ratio of tryptophan to the sum of all neutral amino acids isoleucine,
leucine, valine, phenylalanine, tyrosine, and methionine of from 0.030 to
0.025; and
d) 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein,
6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein,
and/or 5.2-8.1 g valine per 100 g protein. In certain embodiments the
proteinaceous composition further comprises 1.9 – 3.0 g histidine, 3.8 – 5.9
g phenylalanine, 1.2 – 4.0 g cysteine and 2.6 – 8.4 g tyrosine, per 100 g
protein.
There is provided, according to a second aspect of the present invention, a
formula comprising the proteinaceous composition as defined above. In a particular
embodiment the infant formula comprises the proteinaceous composition at a level of:
a) 1.4 to 1.8 g per 100 kcal of formula; or
b) 0.9 to 1.2 g per 100 ml of formula.
Optionally the infant formula:
a) comprises 45-52 mg threonine per 100 mL formula;
b) comprises 10-12 mg tryptophan per 100 mL formula;
c) provides, or is formulated to provide threonine in an amount of 68-78
mg / kg body weight / day; and/or
d) provides, or is formulated to provide tryptophan in an amount of 15-
17 mg / kg body weight / day.
According to a third aspect of the present invention is provided a formula
comprising a proteinaceous composition, wherein the formula comprises 45-52 mg
threonine per 100 mL formula and/or the formula comprises 10-12 mg tryptophan per
100 mL formula. Suitably, the formula comprises 45-52 mg threonine per 100 mL
formula and 10-12 mg tryptophan per 100 mL formula.
In some suitable embodiments (a), the formula comprises a ratio of tryptophan to
neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the
formula comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029)
to 1:40.1 (0.025), even more suitably, the formula comprises a ratio of from 1:35.1
(0.028) to 1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1
(0.028) to 1:38.1 (0.026).
In some suitable embodiments (b), the formula comprises 70-81 mg isoleucine
per 100 mL formula, 93-107 mg leucine per 100 mL formula, 87-100 mg lysine per 100
mL formula, 25-29 mg methionine per 100 mL formula, and/or 73-84 mg valine per
100 mL formula.
In an exemplary embodiment, the formula complies with both (a) and (b).
According to a fourth aspect of the present invention is provided a formula
comprising a proteinaceous composition, wherein the formula provides, or is
formulated to provide, threonine in an amount of 68-78 mg / kg body weight / day,
and/or the formula provides, or is formulated to provide, tryptophan in an amount of
-17 mg / kg body weight / day. Suitably, the formula provides, or is formulated to
provide, threonine in an amount of 68-78 mg / kg body weight / day and tryptophan in
an amount of 15-17 mg / kg body weight / day.
In some suitable embodiments (a), the formula comprises a ratio of tryptophan to
neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the
formula comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029)
to 1:40.1 (0.025), even more suitably, the formula comprises a ratio of from 1:35.1
(0.028) to 1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1
(0.028) to 1:38.1 (0.026).
In some suitable embodiments (b), the formula provides, or is formulated to
provide, isoleucine in an amount from 105-121 mg / kg body weight / day, leucine in
an amount from 140-161 mg / kg body weight / day, lysine in an amount from 130-150
mg / kg body weight / day, methionine in an amount from 38-44 mg / kg body weight /
day, and/or valine in an amount from 110-127 mg / kg body weight / day.
In an exemplary embodiment, the formula complies with both (a) and (b).
The proteinaceous composition or formula of any aspect of the present invention
may comprise a ratio of essential amino acids to non-essential amino acids of 40-60 :
40-60, suitably 45-55 : 45-55, even more suitably 48-52 : 48-52.
The proteinaceous composition or formula of any aspect of the present invention
may comprise an infant formula or a follow-on formula. Suitably, the formula of any
aspect of the present invention is intended for a term infant. Suitably, the formula of
any aspect of the present invention is intended for a human infant. More suitably, the
formula of any aspect of the present invention is intended for a human term infant.
Suitably, the proteinaceous composition or formula of any aspect of the present
invention does not comprise or consist of human breast milk.
The formula of any aspect of the present invention may further comprise a non-
digestible oligosaccharide. Suitably, the non-digestible oligosaccharide may be
selected from the group consisting of galacto-oligosaccharides, fructo-oligosaccharides
and acidic oligosaccharides.
The formula of any aspect of the present invention may further comprise a
polyunsaturated fatty acid (PUFA). Suitably, the PUFA may be selected from the group
consisting of alpha-linolenic acid (ALA), linoleic acid (LA), eicosapentaenoic acid
(EPA), docosahexaenoic acid (DHA), arachidonic acid (ARA), and docosapentaenoic
acid (DPA).
The formula of any aspect of the present invention may further comprise a
probiotic.
The probiotic may comprise a lactic acid producing bacterium. The probiotic may
comprise a Lactobacillus species. The probiotic may comprise a Bifidobacterium
species.
The formula of any aspect of the present invention may comprise a powder
suitable for making a liquid composition after reconstitution with an aqueous solution,
such as with water.
The formula of any aspect of the present invention may comprise a ready-to-use
liquid food.
According to a fifth aspect of the present invention, there is provided a formula as
defined herein for use in promoting, assisting or achieving balanced growth or
development in an infant. Also provided is the use of a composition in the manufacture
of a formula as defined herein for promoting, assisting or achieving balanced growth or
development in an infant. Also provided is a method for promoting, assisting or
achieving balanced growth or development in an infant, wherein the method comprises
administering to the infant a formula as defined herein.
In some embodiments of the above fifth aspect of the present invention, the
formula suitably comprises a protein intake level of 0.9 to 1.4 g of protein per 100 mL
of infant formula, more suitably 1.0-1.2 g of protein per 100 mL of infant formula. In
some other embodiments of the above fifth aspect of the present invention, the formula
suitably comprises a protein intake level of 1.4 to 2.1 g of protein per 100 kcal of infant
formula, more suitably 1.5-1.8 g of protein per 100 kcal of infant formula.
As a sixth aspect of the present invention, there is provided a formula as defined
herein for use in preventing or reducing the risk of unbalanced growth or development
in an infant. Also provided is the use of a composition in the manufacture of a formula
as defined herein for preventing or reducing the risk of unbalanced growth or
development in an infant. Also provided is a method for preventing or reducing the
risk of unbalanced growth or development in an infant, wherein the method comprises
administering to the infant a formula as defined herein.
In some embodiments of the above sixth aspect of the present invention, the
formula suitably comprises a protein intake level of 0.9 to 1.4 g of protein per 100 mL
of infant formula, more suitably 1.0-1.2 g of protein per 100 mL of infant formula. In
some other embodiments of the above sixth aspect of the present invention, the formula
suitably comprises a protein intake level of 1.4 to 2.1 g of protein per 100 kcal of infant
formula, more suitably 1.5-1.8 g of protein per 100 kcal of infant formula.
We provide, according to a seventh aspect of the present invention, a formula (i)
for use in promoting, assisting or achieving balanced growth or development in an
infant and/or for use in preventing or reducing the risk of unbalanced growth or
development in an infant, wherein the formula (i) comprises a proteinaceous
composition, and wherein the proteinaceous composition of formula (i) comprises 5.0-
7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein, 6.2-9.7 g lysine
per 100 g protein, 1.8-2.8 g methionine per 100 g protein, 3.2-5.0 g threonine per 100 g
protein, 0.7-1.1 g tryptophan per 100 g protein, and/or 5.2-8.1 g valine per 100 g
protein. Also provided is the use of a composition in the manufacture of the formula (i)
for promoting, assisting or achieving balanced growth or development in an infant
and/or for preventing or reducing the risk of unbalanced growth or development in an
infant. Also provided is a method for promoting, assisting or achieving balanced
growth or development in an infant and/or for preventing or reducing the risk of
unbalanced growth or development in an infant, wherein the method comprises
administering to the infant the formula (i).
In some suitable embodiments (a), the proteinaceous composition of formula (i)
comprises 3.2-5.0 g threonine per 100 g protein, and/or the proteinaceous composition
of formula (i) comprises 0.7-1.1 g tryptophan per 100 g protein. More suitably, the
proteinaceous composition of formula (i) comprises 3.2-5.0 g threonine per 100 g
protein and 0.7-1.1 g tryptophan per 100 g protein.
In some suitable embodiments (b), the proteinaceous composition of formula (i)
comprises a ratio of tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8
(0.025). More suitably, the proteinaceous composition of formula (i) comprises a ratio
of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even
more suitably, the proteinaceous composition of formula (i) comprises a ratio of from
1:35.1 (0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of
formula (i) comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the proteinaceous composition of formula (i)
complies with both (a) and (b).
We provide, according to an eighth aspect of the present invention, a formula (ii)
for use in promoting, assisting or achieving balanced growth or development in an
infant and/or for use in preventing or reducing the risk of unbalanced growth or
development in an infant, wherein the formula (ii) comprises a proteinaceous
composition, and wherein the proteinaceous composition of formula (ii) comprises a
ratio of tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025).
Also provided is the use of a composition in the manufacture of the formula (ii) for
promoting, assisting or achieving balanced growth or development in an infant and/or
for preventing or reducing the risk of unbalanced growth or development in an infant.
Also provided is a method for promoting, assisting or achieving balanced growth or
development in an infant and/or for preventing or reducing the risk of unbalanced
growth or development in an infant, wherein the method comprises administering to the
infant the formula (ii).
Suitably, the proteinaceous composition of formula (ii) comprises a ratio of
tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more
suitably, the proteinaceous composition of formula (ii) comprises a ratio of from 1:35.1
(0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of formula (ii)
comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In some suitable embodiments (a), the proteinaceous composition of formula (ii)
comprises 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein,
6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein, 3.2-5.0 g
threonine per 100 g protein, 0.7-1.1 g tryptophan per 100 g protein, and/or 5.2-8.1 g
valine per 100 g protein. More suitably, the proteinaceous composition of formula (ii)
comprises 3.2-5.0 g threonine per 100 g protein and/or the proteinaceous composition
of formula (ii) comprises 0.7-1.1 g tryptophan per 100 g protein. In an even more
suitable embodiment, the proteinaceous composition of formula (ii) comprises 3.2-5.0 g
threonine per 100 g protein and 0.7-1.1 g tryptophan per 100 g protein.
In some suitable embodiments (b), the formula (ii) comprises 70-81 mg
isoleucine per 100 mL formula, 93-107 mg leucine per 100 mL formula, 87-100 mg
lysine per 100 mL formula, 25-29 mg methionine per 100 mL formula, 45-52 mg
threonine per 100 mL formula, 10-12 mg tryptophan per 100 mL formula, and/or 73-84
mg valine per 100 mL formula. More suitably, the formula (ii) comprises 45-52 mg
threonine per 100 mL formula and/or the formula (ii) comprises 10-12 mg tryptophan
per 100 mL formula. In an even more suitable embodiment, the formula (ii) comprises
45-52 mg threonine per 100 mL formula and 10-12 mg tryptophan per 100 mL formula.
In an exemplary embodiment, the formula (ii) complies with both (a) and (b).
We provide, according to a ninth aspect of the present invention, a formula (iii) for
use in promoting, assisting or achieving balanced growth or development in an infant
and/or for use in preventing or reducing the risk of unbalanced growth or development
in an infant, wherein the formula (iii) comprises a proteinaceous composition, and
wherein the formula (iii) comprises 70-81 mg isoleucine per 100 mL formula, 93-107
mg leucine per 100 mL formula, 87-100 mg lysine per 100 mL formula, 25-29 mg
methionine per 100 mL formula, 45-52 mg threonine per 100 mL formula, 10-12 mg
tryptophan per 100 mL formula, and/or 73-84 mg valine per 100 mL formula. Also
provided is the use of a composition in the manufacture of the formula (iii) for
promoting, assisting or achieving balanced growth or development in an infant and/or
for preventing or reducing the risk of unbalanced growth or development in an infant.
Also provided is a method for promoting, assisting or achieving balanced growth or
development in an infant and/or for preventing or reducing the risk of unbalanced
growth or development in an infant, wherein the method comprises administering to the
infant the formula (iii).
In some suitable embodiments (a), the formula (iii) comprises 45-52 mg
threonine per 100 mL formula, and/or the formula (iii) comprises 10-12 mg tryptophan
per 100 mL formula. More suitably, the formula (iii) comprises 45-52 mg threonine
per 100 mL formula and 10-12 mg tryptophan per 100 mL formula.
In some suitable embodiments (b), the formula (iii) comprises a ratio of
tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). More
suitably, the formula (iii) comprises a ratio of tryptophan to neutral amino acids of from
1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the formula (iii) comprises a ratio
of from 1:35.1 (0.028) to 1:39.1 (0.026), most suitably the formula (iii) comprises a
ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the formula (iii) complies with both (a) and (b).
We provide, according to a tenth aspect of the present invention, a formula (iv)
for use in promoting, assisting or achieving balanced growth or development in an
infant and/or for use in preventing or reducing the risk of unbalanced growth or
development in an infant, wherein the formula (iv) comprises a proteinaceous
composition, and wherein the formula (iv) provides or is formulated to provide 105-121
mg isoleucine / kg body weight / day, 140-161 mg leucine / kg body weight / day, 130-
150 mg lysine / kg body weight / day, 38-44 mg methionine / kg body weight / day, 68-
78 mg threonine / kg body weight / day, 15-17 mg tryptophan / kg body weight / day,
and/or 110-127 mg valine / kg body weight / day. Also provided is the use of a
composition in the manufacture of the formula (iv) for promoting, assisting or
achieving balanced growth or development in an infant and/or for preventing or
reducing the risk of unbalanced growth or development in an infant. Also provided is a
method for promoting, assisting or achieving balanced growth or development in an
infant and/or for preventing or reducing the risk of unbalanced growth or development
in an infant, wherein the method comprises administering to the infant the formula (iv).
In some suitable embodiments (a), the formula (iv) provides or is formulated to
provide 68-78 mg threonine / kg body weight / day, and/or the formula (iv) provides or
is formulated to provide 15-17 mg tryptophan / kg body weight / day. Suitably, the
formula (iv) provides or is formulated to provide 68-78 mg threonine / kg body weight /
day and 15-17 mg tryptophan / kg body weight / day.
In some suitable embodiments (b), the formula (iv) comprises a ratio of
tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). Suitably,
the formula (iv) comprises a ratio of tryptophan to neutral amino acids of from 1:34.1
(0.029) to 1:40.1 (0.025), even more suitably, the formula (iv) comprises a ratio of from
1:35.1 (0.028) to 1:39.1 (0.026), most suitably the formula (iv) comprises a ratio of
from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the formula (iv) complies with both (a) and (b).
In the fifth, sixth, seventh, eighth, ninth and tenth aspects of the present
invention, the term “growth or development” may refer to growth and development of
the brain of an infant and/or the cognitive function of the infant as discussed further
below, and/or to growth and development of the body of an infant and/or the infant’s
body composition, also as discussed further below.
We provide, according to an eleventh aspect of the present invention, a formula
as defined herein for use in preventing or reducing the risk of obesity later in life in an
infant. Also provided is the use of a composition in the manufacture of a formula as
defined herein for preventing or reducing the risk of obesity later in life in an infant.
Also provided is a method for preventing or reducing the risk of obesity later in life in
an infant, wherein the method comprises administering to the infant a formula as
defined herein.
In some embodiments of the above eleventh aspect of the present invention, the
formula suitably comprises a protein intake level of 0.9 to 1.4 g of protein per 100 mL
of infant formula, more suitably 1.0-1.2 g of protein per 100 mL of infant formula. In
some other embodiments of the above eleventh aspect of the present invention, the
formula suitably comprises a protein intake level of 1.4 to 2.1 g of protein per 100 kcal
of infant formula, more suitably 1.5-1.8 g of protein per 100 kcal of infant formula.
We provide, according to a twelfth aspect of the present invention, a formula (v)
for use in preventing or reducing the risk of obesity later in life in an infant, wherein
the formula (v) comprises a proteinaceous composition, and wherein the proteinaceous
composition of formula (v) comprises 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g
leucine per 100 g protein, 6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per
100 g protein, 3.2-5.0 g threonine per 100 g protein, 0.7-1.1 g tryptophan per 100 g
protein, and/or 5.2-8.1 g valine per 100 g protein. Also provided is the use of a
composition in the manufacture of the formula (v) for preventing or reducing the risk of
obesity later in life in an infant. Also provided is a method for preventing or reducing
the risk of obesity later in life in an infant, wherein the method comprises administering
to the infant the formula (v).
In some suitable embodiments (a), the proteinaceous composition of formula (v)
comprises 3.2-5.0 g threonine per 100 g protein, and/or the proteinaceous composition
of formula (v) comprises 0.7-1.1 g tryptophan per 100 g protein. More suitably, the
proteinaceous composition of formula (v) comprises 3.2-5.0 g threonine per 100 g
protein and 0.7-1.1 g tryptophan per 100 g protein.
In some suitable embodiments (b), the proteinaceous composition of formula (v)
comprises a ratio of tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8
(0.025). More suitably, the proteinaceous composition of formula (v) comprises a ratio
of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even
more suitably, the proteinaceous composition of formula (v) comprises a ratio of from
1:35.1 (0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of
formula (v) comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the proteinaceous composition of formula (v)
complies with both (a) and (b).
We provide, according to a thirteenth aspect of the present invention, a formula
(vi) for use in preventing or reducing the risk of obesity later in life in an infant,
wherein the formula (vi) comprises a proteinaceous composition, and wherein the
proteinaceous composition of formula (vi) comprises a ratio of tryptophan to neutral
amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). Also provided is the use of a
composition in the manufacture of the formula (vi) for preventing or reducing the risk
of obesity later in life in an infant. Also provided is a method for preventing or
reducing the risk of obesity later in life in an infant, wherein the method comprises
administering to the infant the formula (vi).
Suitably, the proteinaceous composition of formula (vi) comprises a ratio of
tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more
suitably, the proteinaceous composition of formula (vi) comprises a ratio of from
1:35.1 (0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of
formula (vi) comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In some suitable embodiments (a), the proteinaceous composition of formula (vi)
comprises 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein,
6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein, 3.2-5.0 g
threonine per 100 g protein, 0.7-1.1 g tryptophan per 100 g protein, and/or 5.2-8.1 g
valine per 100 g protein. More suitably, the proteinaceous composition of formula (vi)
comprises 3.2-5.0 g threonine per 100 g protein and/or the proteinaceous composition
of formula (vi) comprises 0.7-1.1 g tryptophan per 100 g protein. In an even more
suitable embodiment, the proteinaceous composition of formula (vi) comprises 3.2-5.0
g threonine per 100 g protein and 0.7-1.1 g tryptophan per 100 g protein.
In some suitable embodiments (b), the formula (vi) comprises 70-81 mg
isoleucine per 100 mL formula, 93-107 mg leucine per 100 mL formula, 87-100 mg
lysine per 100 mL formula, 25-29 mg methionine per 100 mL formula, 45-52 mg
threonine per 100 mL formula, 10-12 mg tryptophan per 100 mL formula, and/or 73-84
mg valine per 100 mL formula. More suitably, the formula (vi) comprises 45-52 mg
threonine per 100 mL formula and/or the formula (vi) comprises 10-12 mg tryptophan
per 100 mL formula. In an even more suitable embodiment, the formula (vi) comprises
45-52 mg threonine per 100 mL formula and 10-12 mg tryptophan per 100 mL formula.
In an exemplary embodiment, the formula (vi) complies with both (a) and (b).
We provide, according to a fourteenth aspect of the present invention, a formula
(vii) for use in preventing or reducing the risk of obesity later in life in an infant,
wherein the formula (vii) comprises a proteinaceous composition, and wherein the
formula (vii) comprises 70-81 mg isoleucine per 100 mL formula, 93-107 mg leucine
per 100 mL formula, 87-100 mg lysine per 100 mL formula, 25-29 mg methionine per
100 mL formula, 45-52 mg threonine per 100 mL formula, 10-12 mg tryptophan per
100 mL formula, and/or 73-84 mg valine per 100 mL formula. Also provided is the use
of a composition in the manufacture of the formula (vii) for preventing or reducing the
risk of obesity later in life in an infant. Also provided is a method for preventing or
reducing the risk of obesity later in life in an infant, wherein the method comprises
administering to the infant the formula (vii).
In some suitable embodiments (a), the formula (vii) comprises 45-52 mg
threonine per 100 mL formula, and/or the formula (vii) comprises 10-12 mg tryptophan
per 100 mL formula. More suitably, the formula (vii) comprises 45-52 mg threonine
per 100 mL formula and 10-12 mg tryptophan per 100 mL formula.
In some suitable embodiments (b), the formula (vii) comprises a ratio of
tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). More
suitably, the formula (vii) comprises a ratio of tryptophan to neutral amino acids of
from 1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the formula (vii) comprises a
ratio of from 1:35.1 (0.028) to 1:39.1 (0.026), most suitably the formula (vii) comprises
a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the formula (vii) complies with both (a) and (b).
We provide, according to a fifteenth aspect of the present invention, a formula
(viii) for use in preventing or reducing the risk of obesity later in life in an infant,
wherein the formula (viii) comprises a proteinaceous composition, and wherein the
formula (viii) provides or is formulated to provide 105-121 mg isoleucine / kg body
weight / day, 140-161 mg leucine / kg body weight / day, 130-150 mg lysine / kg body
weight / day, 38-44 mg methionine / kg body weight / day, 68-78 mg threonine / kg
body weight / day, 15-17 mg tryptophan / kg body weight / day, and/or 110-127 mg
valine / kg body weight / day. Also provided is the use of a composition in the
manufacture of the formula (viii) for preventing or reducing the risk of obesity later in
life in an infant. Also provided is a method for preventing or reducing the risk of
obesity later in life in an infant, wherein the method comprises administering to the
infant the formula (viii).
In some suitable embodiments (a), the formula (viii) provides or is formulated to
provide 68-78 mg threonine / kg body weight / day, and/or the formula (viii) provides
or is formulated to provide 15-17 mg tryptophan / kg body weight / day. More
suitably, the formula (viii) provides or is formulated to provide 68-78 mg threonine / kg
body weight / day and 15-17 mg tryptophan / kg body weight / day.
In some suitable embodiments (b), the formula (viii) comprises a ratio of
tryptophan to neutral amino acids of from 1:33.4 (0.030) to 1:40.8 (0.025). More
suitably, the formula (viii) comprises a ratio of tryptophan to neutral amino acids of
from 1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the formula (viii) comprises
a ratio of from 1:35.1 (0.028) to 1:39.1 (0.026), most suitably the formula (viii)
comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the formula (viii) complies with both (a) and (b).
The proteinaceous compositions and formulas of the various aspects of the
invention are discussed in more detail further below.
BRIEF DESCRIPTION OF THE FIGURES
Figure 1 shows an example of a graph plotted by the IAAO method for a test
amino acid as described in the introduction for Example 1.
13 13
Figure 2 shows the rates of release of CO in the breath of 21 infants (F CO ) at
different lysine intakes as described in Example 1, and in particular Example 1a. Using
a biphasic linear regression crossover model, the mean breakpoint was estimated to be
-1 -1 2
130 mg·kg ·d (P < 0.0001, r = 0.46).
13 13
Figure 3 shows the rates of release of CO2 in the breath of 33 infants (F CO2) at
different methionine intakes as described in Example 1, and in particular Example 1b.
Using a biphasic linear regression crossover model, the mean breakpoint was estimated
-1 -1 2
to be 38 mg·kg ·d (P < 0.0001, r = 0.59).
13 13
Figure 4 shows the rates of release of CO2 in the breath of 32 infants (F CO2) at
different threonine intakes as described in Example 1, and in particular Example 1c.
Using a biphasic linear regression crossover model, the mean breakpoint was estimated
-1 -1 2
to be 68 mg·kg ·d (P < 0.0001, r = 0.362).
13 13
Figure 5 shows the rates of release of CO2 in the breath of 30 infants (F CO2) at
different tryptophan intakes as described in Example 1, and in particular Example 1d.
Using a biphasic linear regression crossover model, the mean breakpoint was estimated
-1 -1 2
to be 15 mg·kg ·d (P < 0.05, r = 0.13).
13 13
Figure 6 shows the rates of release of CO in the breath of 28 infants (F CO ) at
different valine intakes as described in Example 1, and in particular Example 1e. Using
a biphasic linear regression crossover model, the mean breakpoint was estimated to be
-1 -1 2
110 mg·kg ·d (P = 0.001, r = 0.35).
13 13
Figure 7 shows the rates of release of CO in the breath of 22 infants (F CO ) at
different isoleucine intakes as described in Example 1, and in particular Example 1f.
Using a biphasic linear regression crossover model, the mean breakpoint was estimated
-1 -1 2
to be 105 mg·kg ·d (P < 0.0001, r = 0.61).
13 13
Figure 8 shows the rates of release of CO2 in the breath of 33 infants (F CO2) at
different leucine as described in Example 1, and in particular Example 1g. Using a
biphasic linear regression crossover model, the mean breakpoint was estimated to be
-1 -1 2
140 mg·kg ·d (P = 0.002, r = 0.26).
Figure 9 shows the weight gain results of the piglet study described in Example 6,
where piglets were fed one of three diets: diet 1 was a control infant formula with
normal levels of protein and a non-adjusted amino acid composition for infants (n=26);
diet 2 was a control formula with 20% less total protein without amino acid adjustment
(n= 27); and diet 3 was a formula with an optimised amino acid composition based on
the results described in the earlier examples, and with 20% lower total protein
compared to the protein level of diet 1 (n=26). The growth rate for the piglets over the
17 day study period is shown in Figure 9, where it can be seen that the piglets fed diets
1 and 3 were comparable to each other, while the growth rate for the piglets fed diet 2
was less.
DETAILED DESCRIPTION
Proteinaceous Composition – Amino Acid Profile
The present invention is based on the inventors’ discovery of the requirements of
infants for individual essential amino acids by actual measurements of requirement
levels in formula-fed infants, and the subsequent determination of those levels in the
context of product (e.g., infant formula or follow-on formula) development, as well as
the development of optimised amino acid profiles (i.e., the combinations of the required
levels of individual essential amino acids) and formulations suitable to achieve these
profiles, including formulations comprising intact proteins, hydrolysed proteins, protein
fractions, free amino acids and/or combinations thereof.
Interestingly, it is noted that the requirements of some essential amino acids
deviate from the levels reported in human breast milk, or used in commercially
available infant formulas. Thus, the inventors surprisingly discovered that the levels of
essential amino acids required for protein synthesis (and therefore for growth and
development) in term infants are met at formula intake levels where the intake levels
differs distinctly from that found in human breast milk and in commercially available
formulas for specific essential amino acids, where the combined profile of two or more
of those intake levels differs distinctly from that found in human breast milk and in
commercially available formulas for specific essential amino acids, and where the
ratios between several amino acids differs distinctly from those found in human breast
milk and in commercially available formulas.
For instance, the individual breakpoints for the essential amino acids that act as
precursors for neurotransmitters in the brain, such as tryptophan and threonine, are
lower than the levels found in human breast milk and/or commercially available
formulas. Furthermore, the ratio between tryptophan and the neutral amino acids
(valine, leucine, isoleucine, phenylalanine, tyrosine, and methionine) may affect the
bioavailability of tryptophan, a precursor for the production of serotonin in the brain,
and was calculated to be different to that found in human breast milk and/or
commercially available formulas. Details of these discoveries and their relevance are
discussed in more detail below.
Furthermore, using the new levels of amino acids in compositions may allow for
compositions that promote balanced growth and/or development, as further described
herein. It may also allow for effective lowering of protein levels in infant formula, also
as further described herein.
Threonine
Commercial formulas typically provide threonine ranging from 105-125 mg·kg
1 -1 -1 -1
·d when given 150 mL·kg ·d (Viadel, 2000). By contrast, the present inventors
-1 -1
established the threonine requirement of infants to be 68 mg·kg ·d , and this was
subsequently determined to be 45-52 mg / 100 mL (formula) and 3.2-5.0 g / 100 g
(protein). This suggests that the threonine levels required by infants are considerably
(and unexpectedly) lower than those in existing commercial formulas.
Hyperthreoninemia has been associated with seizures and growth retardation
(Reddi, 1978) and other undesirable conditions including congenital amaurosis
(Hayasaka, 1986). Commercial dairy-based formulas therefore typically use acid whey
to reduce the risk of hyperthreoninemia (Rigo, 2001). Nevertheless, as the threonine
requirements determined in the present invention appear to be even lower than the
levels of current formulas that are expected to be safe, there may still be a risk that
infants receive through existing commercial formulas more threonine than they require.
In addition, infants fed with formula are reported to have a lower capacity to oxidise
threonine compared to breastfed infants (Darling, 1999). Moreover, the use of acid
whey (to reduce threonine levels in infant formulas) will also result in higher
tryptophan levels, which are considered, in contrast to current beliefs, undesirable (see
below).
An excessive dietary content of threonine (i.e., higher levels than breast milk and
existing commercial formulas) has been shown to elevate threonine levels and glycine
levels in various tissues, including the brain (Castagné, 1993; and Boehm, 1998). This
increase of glycine levels in the brain is believed to affect the neurotransmitter balance
in the brain, which may have consequences for brain development (Boehm, 1998).
Accordingly, the present invention contemplates proteinaceous compositions and
infant formulas comprising threonine levels that meet the requirements of an infant, but
do not demonstrably exceed these requirements. It is believed that such proteinaceous
compositions and formulas can promote balanced brain development in the infant.
Tryptophan
Commercial formulas typically provide tryptophan ranging from 24-32 mg·kg
1 -1 -1 -1
·d when given 150 mL·kg ·d (Viadel, 2000). By contrast, the present inventors
-1 -1
established the tryptophan requirement of infants to be 15 mg·kg ·d , and this was
subsequently determined to be 10-12 mg / 100 mL (formula) and 0.7-1.1 g / 100 g
(protein). This suggests that the tryptophan levels required by infants are considerably
(and unexpectedly) lower than those in existing commercial formulas.
This finding is also in contrast to the literature which generally teaches that infant
formulas with increased levels of tryptophan are beneficial for infants (Trabulsi, 2011;
and Sandström, 2008). In fact, increased levels of tryptophan were believed to be
desirously achieved when using acid whey in infant formulas. The whey protein alpha-
lactalbumin is known to contain high levels of tryptophan. Accordingly, in suitable
embodiments of the present invention the proteinaceous composition or infant formula
does not comprise only (e.g., consist of) acid whey. More suitably, the proteinaceous
composition or infant formula does not comprise acid whey. In some embodiments of
the present invention the proteinaceous composition or infant formula does not
comprise only (e.g., consist of) alpha-lactalbumin. More suitably, the proteinaceous
composition or infant formula does not comprise alpha-lactalbumin.
Tryptophan is required for the formation of serotonin. Serotonin, being a
neurotransmitter, plays an important role in the brain and helps to relay messages from
one part of the brain to another. Most brain cells are directly or indirectly associated
with serotonin, including cells that relate to mood, appetite, sleep, memory, learning,
and some social behaviours. Dietary tryptophan intake has been shown to modulate
sleep pattern in infants.
Considering the role of tryptophan in the serotonin pathway, the present
inventors’ findings with regards to tryptophan levels may indicate that an infant’s body
does not require significant levels of tryptophan for growth and therefore any excess
may lead to higher levels of serotonin in the brain. High serotonin levels are
undesirable as this may detrimentally affect cortex development (Riccio, 2011) thereby
increasing the risk for psychiatric disease in later life. High serotonin levels have been
associated with a risk of affective disorders, depression and schizophrenia. High long
term dietary intake of tryptophan has also been associated with insulin sensitivity in
animal studies (Koopmans, 2009).
Ratio of tryptophan to neutral amino acids
It has been stated that the altered ratio of tryptophan to neutral amino acids
(valine, leucine, isoleucine, phenylalanine, tyrosine, and methionine) in infant formulas
might have possible implications on brain development, because the neutral amino
acids compete with the uptake of tryptophan through the blood brain barrier, also
referred to as transporter competition (Dörner, 1983; and Heine, 1999), and there may
also be effects on obesity given the role of tryptophan and its metabolites in appetite
and food intake regulation (Dörner, 1983). This forms the rationale for many
publications and infant formulas that focus on lowering protein levels (to avoid
unnecessary metabolic load), while providing the right amount of tryptophan to the
infant, mainly achieved by enrichment of whey-fractions such as alpha-lactalbumin
(Heine, 1996; and Lien, 2003).
The insulin response to a carbohydrate containing meal in adults will induce a
transfer of large neutral amino acids into muscle tissue, which as a result produces a
relatively high plasma tryptophan : large neutral amino acid ratio, enhancing the
transfer of tryptophan into the brain (Lien, 2003). Infants, however, have a higher level
of glucagon and epinephrine, which limits the insulin-induced flow of large neutral
amino acids into muscle tissue. Combined with lower muscle mass, and a relatively
high protein intake per kilogram of bodyweight, it has been stated that infants rely more
heavily on the dietary balance of tryptophan : large neutral amino acids to maintain
adequate brain tryptophan uptake (Lien, 2003).
The ratio of tryptophan to neutral amino acids is on average 1:18.2 (0.055) for
human milk (WHO/FAO/UNU, 2007), which is the reference value for most
commercial products currently on the market. The findings in the present invention
clearly deviate from this hypothesis. In the present invention, the ratio of tryptophan to
neutral amino acids was found to be much lower ranging from 1:33.4 (0.030) to 1:40.8
(0.025), depending on tyrosine levels. Accordingly, it appears that if an infant formula
were to be developed to meet the higher ratios based on the earlier publications and the
value for human milk, there may be a risk that the formula would contain too much
tryptophan.
While the ratio found in the present invention might seem to be against the
teachings in the art, it is believed to be valid and in particular it is noted that the
tryptophan breakpoint obtained in the present experiments employed an excess of all
other amino acids (including neutral amino acids), so the breakpoint results were
obtained in a state of transporter competition.
Furthermore, the present invention is based on actual measurements of infants’
needs. This means that the large neutral amino acids taken up by the body will be
transferred and almost all of it incorporated into the muscle tissue, and that there will
not be an excess of those amino acids. Without wishing to be bound by theory, it is
hypothesised that this results in a beneficial tryptophan : large neutral amino acid ratio
in the plasma, which enables a lowering of the amount of tryptophan (as compared to
human milk and commercially available formulas).
Accordingly, it is believed that it may be beneficial to consider the level of
tryptophan in formulas in the context of optimal balanced levels of neutral amino acids.
It also appears that the tryptophan results of the present invention may support a
lowering of the levels of the neutral amino acids, which is reflected in the amino acid
profile determined herein when compared with the profiles found in human breast milk
or in commercially available formulas.
PROTEINACEOUS COMPOSITIONS AND INFANT FORMULAS
Thus, one aspect of the present invention provides a proteinaceous composition.
The proteinaceous composition may comprise intact proteins, hydrolysed proteins,
protein fractions, free amino acids and/or a combination thereof. The proteinaceous
composition is suitably intended to be part of an infant formula or a follow-on formula,
and is suitably intended for a human infant.
In some embodiments (a), the proteinaceous composition comprises one or more
of the following amino acids for every 100 grams of protein in the proteinaceous
composition:
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g; and/or
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g.
Optionally, the proteinaceous composition comprises at least 0.6 g, 0.7 g, 0.8 g, 0.9
g, or 1.0 g cysteine per 100 g protein.
Suitably, the proteinaceous composition comprises threonine in an amount from
3.2-5.0 g / 100 g protein, more suitably in an amount from 3.2-4.5 g / 100 g protein,
most suitably in an amount from 3.5-4.0 g / 100 g protein.
Suitably, the proteinaceous composition comprises tryptophan in an amount from
0.7-1.1 g / 100 g protein, more suitably in an amount from 0.7-1.0 g / 100 g protein,
most suitably in an amount from 0.8-0.9 g / 100 g protein.
In some exemplary embodiments, the proteinaceous composition comprises 3.2-
.0 g threonine per 100 g protein, suitably 3.2-4.5 g threonine per 100 g protein, more
suitably 3.5-4.0 g threonine per 100 g protein, and the proteinaceous composition
further comprises 0.7-1.1 g tryptophan per 100 g protein, suitably 0.7-1.0 g per 100 g
protein, more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the proteinaceous composition comprises a ratio of
tryptophan to neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine,
and methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). Suitably, the proteinaceous
composition comprises a ratio of tryptophan to neutral amino acids of from 1:34.1
(0.029) to 1:40.1 (0.025), even more suitably, the proteinaceous composition comprises
a ratio of from 1:35.1 (0.028) to 1:39.1 (0.026), most suitably the proteinaceous
composition comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026). Optionally, the
proteinaceous composition comprises at least 0.6 g, 0.7 g, 0.8 g, 0.9 g, or 1.0 g cysteine
per 100 g protein.
In some embodiments (c), the proteinaceous composition comprises one or more,
suitably at least two, more suitably at least three, even more suitably at least four, most
suitably all of the following amino acids for every 100 gram of protein:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
Optionally, the proteinaceous composition comprises at least 0.6 g, 0.7 g, 0.8 g, 0.9
g, or 1.0 g cysteine per 100 g protein.
In an exemplary embodiment, the proteinaceous composition complies with (a)
and (b). In another exemplary embodiment, the proteinaceous composition complies
with (a) and (c). In yet another exemplary embodiment, the proteinaceous composition
complies with (b) and (c). In a further exemplary embodiment, the proteinaceous
composition complies with both (a) and (b), together with (c).
Another aspect of the present invention provides a formula comprising a
proteinaceous composition.
In some embodiments (a), the proteinaceous composition of the formula
comprises one or more of the following amino acids for every 100 grams of protein in
the proteinaceous composition:
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g; and/or
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g.
Suitably, the proteinaceous composition of the formula comprises threonine in an
amount from 3.2-5.0 g / 100 g protein, more suitably in an amount from 3.2-4.5 g / 100
g protein, most suitably in an amount from 3.5-4.0 g / 100 g protein.
Suitably, the proteinaceous composition of the formula comprises tryptophan in
an amount from 0.7-1.1 g / 100 g protein, more suitably in an amount from 0.7-1.0 g /
100 g protein, most suitably in an amount from 0.8-0.9 g / 100 g protein.
In some exemplary embodiments, the proteinaceous composition of the formula
comprises 3.2-5.0 g threonine per 100 g protein, suitably 3.2-4.5 g threonine per 100 g
protein, more suitably 3.5-4.0 g threonine per 100 g protein, and the proteinaceous
composition of the formula further comprises 0.7-1.1 g tryptophan per 100 g protein,
suitably 0.7-1.0 g per 100 g protein, more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the proteinaceous composition of the formula
comprises a ratio of tryptophan to neutral amino acids (isoleucine, leucine, valine,
phenylalanine, tyrosine, and methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025).
Suitably, the proteinaceous composition of the formula comprises a ratio of tryptophan
to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the
proteinaceous composition of the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the proteinaceous composition of the formula comprises a
ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In some embodiments (c), the proteinaceous composition of the formula
comprises one or more, suitably at least two, more suitably at least three, even more
suitably at least four, most suitably all of the following amino acids for every 100 gram
of protein:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
In an exemplary embodiment, the proteinaceous composition complies with (a)
and (b). In another exemplary embodiment, the proteinaceous composition complies
with (a) and (c). In yet another exemplary embodiment, the proteinaceous composition
complies with (b) and (c). In a further exemplary embodiment, the proteinaceous
composition complies with both (a) and (b), together with (c).
Yet another aspect of the present invention provides a formula comprising a
proteinaceous composition, wherein the formula may comprise one or more of the
following amino acids for every 100 mL of formula:
threonine in an amount from 45-52 mg, suitably in an amount from 45-50 mg,
more suitably in an amount from 45-47 mg; and/or
tryptophan in an amount from 10-12 mg, suitably in an amount from 10-11 mg,
more suitably in an amount of 10 mg.
Suitably, the formula comprises threonine in an amount from 45-52 mg / 100 mL
formula, more suitably in an amount from 45-50 mg / 100 mL formula, most suitably in
an amount from 45-47 mg / 100 mL formula.
Suitably, the formula comprises tryptophan in an amount from 10-12 mg / 100
mL formula, more suitably in an amount from 10-11 mg / 100 mL formula, most
suitably in an amount of 10 mg / 100 mL formula.
In some exemplary embodiments, the formula comprises 45-52 mg threonine per
100 mL formula, suitably 45-50 mg threonine per 100 mL formula, more suitably 45-
47 mg threonine per 100 mL formula, and the formula further comprises 10-12 mg
tryptophan per 100 mL formula, suitably 10-11 mg per 100 mL formula, more suitably
mg per 100 mL formula.
In some suitable embodiments (a), the formula comprises a ratio of tryptophan to
neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and
methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula
comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1
(0.025), even more suitably, the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In some suitable embodiments (b), the formula comprises one or more, suitably at
least two, more suitably at least three, even more suitably at least four, most suitably all
of the following amino acids for every 100 millilitres of formula:
isoleucine in an amount from 70-81 mg, suitably in an amount from 70-77 mg,
more suitably in an amount from 70-74 mg;
leucine in an amount from 93-107 mg, suitably in an amount from 93-102 mg,
more suitably in an amount from 93-98 mg;
lysine in an amount from 87-100 mg, suitably in an amount from 87-96 mg, more
suitably in an amount from 87-91 mg;
methionine in an amount from 25-29 mg, suitably in an amount from 25-28 mg,
more suitably in an amount from 25-26 mg; and/or
valine in an amount from 73-84 mg, suitably in an amount from 73-80 mg, more
suitably in an amount from 73-77 mg.
In an exemplary embodiment, the formula complies with both (a) and (b).
Yet another aspect of the present invention provides a formula comprising a
proteinaceous composition, wherein the formula provides or is formulated to provide
one or more of the following amino acids for every kilogram of body weight of the
infant each day:
threonine in an amount from 68-78 mg, suitably in an amount from 68-75 mg;
and/or
tryptophan in an amount from 15-17 mg, suitably in an amount from 15-16 mg.
Suitably, the formula provides or is formulated to provide threonine for every
kilogram of body weight of the infant each day in an amount from 68-78 mg, more
suitably in an amount from 68-75 mg.
Suitably, the formula provides or is formulated to provide tryptophan for every
kilogram of body weight of the infant each day in an amount from 15-17 mg, more
suitably in an amount from 15-16 mg.
In some exemplary embodiments, the formula provides or is formulated to
provide threonine for every kilogram of body weight of the infant each day in an
amount from 68-78 mg, suitably in an amount from 68-75 mg, and the formula
provides or is formulated to provide tryptophan for every kilogram of body weight of
the infant each day in an amount from 15-17 mg, suitably in an amount from 15-16 mg.
In some suitable embodiments (a), the formula comprises a ratio of tryptophan to
neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and
methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula
comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1
(0.025), even more suitably, the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In some suitable embodiments (b), the formula provides or is formulated to
further provide one or more, suitably at least two, more suitably at least three, even
more suitably at least four, most suitably all of the following amino acids for every
kilogram of body weight of the infant each day:
isoleucine in an amount from 105-121 mg, suitably in an amount from 105-116
leucine in an amount from 140-161 mg, suitably in an amount from 140-154
lysine in an amount from 130-150 mg, suitably in an amount from 130-143 mg;
methionine in an amount from 38-44 mg, suitably in an amount from 38-42 mg;
and/or
valine in an amount from 110-127 mg, suitably in an amount from 110-121 mg.
In an exemplary embodiment, the formula complies with both (a) and (b).
The proteinaceous composition or formula of any aspect of the present invention
may comprise an infant formula or a follow-on formula. Suitably, the formula of any
aspect of the present invention is intended for a term infant. Suitably, the formula of
any aspect of the present invention is intended for a human infant. More suitably, the
formula of any aspect of the present invention is intended for a human term infant.
Suitably, the proteinaceous composition or formula of any aspect of the present
invention does not comprise or consist of human breast milk.
Suitable proteinaceous compositions and formulas are further described herein.
PROTEINACEOUS COMPOSITION - SOURCES
The proteinaceous compositions of the present invention may comprise an intact
protein, a hydrolysed protein, a protein fraction, a free amino acid and/or a combination
thereof, such that the proteinaceous composition comprises the amino acid profile of
any aspect of the present invention.
The term “an intact protein” as used herein refers to any form of intact protein,
including but not limited to a protein concentrate and/or a protein isolate, as well as
other forms of intact proteins.
The term “hydrolysed protein” as used herein refers to partially and/or
extensively hydrolysed proteins. Suitably the proteinaceous composition of the present
invention comprises a hydrolysed protein with a degree of hydrolysis of between 5%
and 25%, more suitably between 7.5% and 21%, most suitably between 10% and 20%.
The degree of hydrolysis is defined as the percentage of peptide bonds which have been
broken by enzymatic hydrolysis, with 100% being the total potential peptide bonds
present. A suitable method for preparing a protein hydrolysate is described in WO
2001/041581, the entire contents of which is incorporated herein by reference. The use
of these proteins may reduce the allergic reactions of an infant.
The proteinaceous composition may comprise any suitable intact protein,
hydrolysed protein, protein fraction, free amino acid and/or a combination thereof,
which is selected such that the requirements for the amino acid profile of the
proteinaceous composition as defined herein are met. For instance, as discussed
elsewhere, the present inventors have demonstrated the desirability of lowering the
levels of tryptophan and threonine relative to those found in human breast milk and/or
commercially available formulas, and/or to provide a ratio between tryptophan and the
neutral amino acids that is different to that found in human breast milk and/or
commercially available formulas. Other considerations known to those skilled in the
art should be taken into account in selecting a suitable proteinaceous composition. For
instance, some protein sources exhibit a high level of variation between batches of the
protein, which may be due to genetic background of the source of the protein and also
seasonal variation. Furthermore, a proteinaceous composition produced by
fermentation with some microorganisms may be not suitable if the fermenting
microorganisms are still present in the composition and are deemed undesirable for the
purpose of the composition. Such selection considerations will be well known to those
skilled in the art.
In some embodiments, the proteinaceous composition comprises an intact
protein, and a free amino acid. In some embodiments, the proteinaceous composition
comprises a hydrolysed protein and/or a protein fraction, and a free amino acid. In
some embodiments, the proteinaceous composition comprises free amino acids. In
some embodiments, the proteinaceous composition consists essentially of or consists of
free amino acids.
The proteinaceous composition may comprise a non-human animal protein (such
as milk proteins, including caseins and whey proteins, meat proteins and egg proteins),
a non-animal protein, a dairy protein, a non-cow dairy protein, a non-dairy protein, a
vegetable protein, an algal protein, a hydrolysate of any of these proteins, a fraction of
any of these proteins, a free amino acid, and/or a combination of any of these amino
acid sources.
In some embodiments, the proteinaceous composition comprises an animal
protein and a non-animal protein, and optionally a free amino acid. The animal protein
and/or the non-animal protein may comprise an intact protein, a protein hydrolysate, or
a protein fraction. Suitably, the proteinaceous composition comprises a dairy protein
and a non-animal protein, and optionally a free amino acid. The proteinaceous
composition may comprise a dairy protein and a vegetable protein, and optionally a
free amino acid. The dairy protein and/or the vegetable protein may comprise an intact
protein, a protein hydrolysate, or a protein fraction. The proteinaceous composition
may comprise a dairy protein and an algal protein, and optionally a free amino acid.
The dairy protein and/or the algal protein may comprise an intact protein, a protein
hydrolysate, or a protein fraction. The proteinaceous composition may comprise a non-
cow dairy protein and a vegetable protein, and optionally a free amino acid. The non-
cow dairy protein and/or the vegetable protein may comprise an intact protein, a protein
hydrolysate, or a protein fraction. The proteinaceous composition may comprise a non-
cow dairy protein and an algal protein, and optionally a free amino acid. The non-cow
dairy protein and/or the algal protein may comprise an intact protein, a protein
hydrolysate, or a protein fraction.
In some embodiments, the proteinaceous composition does not comprise an
animal-milk-derived (e.g., dairy) protein. More suitably, the proteinaceous
composition does not comprise a cow-derived protein (e.g., cow’s milk protein) and/or
does not comprise a goat-derived protein (e.g., goat’s milk protein). In some
embodiments, the proteinaceous composition does not comprise only (e.g., consist of)
acid whey. More suitably, the proteinaceous composition does not comprise acid
whey. In some embodiments, the proteinaceous composition does not comprise only
(e.g., consist of) alpha-lactalbumin. More suitably, the proteinaceous composition does
not comprise alpha-lactalbumin.
In some embodiments, the proteinaceous composition does not comprise a soy
protein.
Suitably, the proteinaceous composition comprises at least 40%, 50%, 60%, 70%,
80%, 90%, or 95% (or any integer inbetween) of amino acid sources comprising an
intact protein, a hydrolysed protein, a protein fraction, such that the proteinaceous
composition comprises less than 5%, 10%, 20%, 30%, 40%, 50%, or 60% (or any
integer inbetween) of a free amino acid. Most suitably, the proteinaceous composition
comprises at least 60% of amino acid sources comprising an intact protein, a
hydrolysed protein, a protein fraction, such that the proteinaceous composition
comprises 40% or less of a free amino acid.
Reference throughout this document (both specification and claims) is made to
weight units (milligrams or grams) of amino acids. Where expressed per weight unit of
protein (e.g., per 100 g protein), it should be noted that this expression refers to the
relative weight of the amino acid(s) in terms of the protein weight, where the protein
weight means the weight of all proteinaceous matter.
Furthermore, where reference throughout this document (both specification and
claims) is made to weight units (milligrams or grams) of amino acids, it should be
noted that these units are protein equivalent weights of amino acids (i.e., the weight of
amino acid when present in a protein). Thus, where a free amino acid is employed in
the present invention, the dehydration synthesis reactions which occur when a protein is
formed from free amino acids must be taken into account. Accordingly, if a free amino
acid is employed in the present invention, the weight of the free amino acid that is
required is 17% higher than the protein equivalent weight (as expressed herein). To
illustrate, if a proteinaceous composition of the present invention as referred to herein
requires 15 mg of tryptophan, this refers to 15 mg of tryptophan when present in a
protein, and will be met with 17.55 mg of tryptophan in free amino acid form. Such
calculations and conversions are well known to those skilled in the art.
Suitable amino acid sources for the proteinaceous composition include, but are
not limited to, cow’s milk protein, whey (including acid whey, sweet whey, and alpha-
lactalbumin enriched whey), alpha-lactalbumin, beta-lactoglobulin, glycomacropeptide,
casein (including beta-casein), skim milk, lactoferrin, colostrum, goat’s milk protein,
fish (including cod fish hydrolysate and Neptune krill), chicken protein, pork protein,
soy protein (including soy protein isolate), pea protein (including pea protein isolate),
wheat protein, rice protein, rice bran, potato protein (including potato protein isolate),
lupin (including lupin protein from mature seeds, and sweet lupin concentrate), cotton
(including cotton seed hydrolysate), canola, sesame, corn, oats, beans (including kidney
bean), ferredoxin (derived from various plant sources), green plant sources (including
RuBisCO), fractions of any of these proteins, hydrolysates of any of these proteins, and
free amino acids (including amino acids isolated from an amino acid source and/or
amino acids that have been chemically or synthetically produced).
The amino acid sources may be commercially available sources (e.g., Soy
ProtYield).
The amino acid profile of the proteinaceous compositions of the present
invention, as described herein, refers to one or more essential amino acids (or
conditionally essential amino acids in some instances). It will be recognised by those
skilled in the art that the proteinaceous composition will also comprise non-essential
amino acids. Suitably, the proteinaceous composition or formula of the present
invention comprises a ratio of essential amino acids : non-essential amino acids of 40-
60 : 40-60, suitably 45-55 : 45-55, even more suitably 48-52 : 48-52. This is in line
with the typical ratio of essential amino acids in human breast milk and commercially
available formulas, thus it is noted that the in these suitable embodiments, and in
particular where the lowering of specific essential amino acids (e.g., threonine and
tryptophan) has been shown to be desirable, the present invention does not contemplate
a lowering of the essential amino acids relative to the non-essential amino acids.
FORMULA
The formula of the present invention may comprise an infant formula or a follow-
on formula. An infant formula is typically intended for infants from the age of 0 to 6
months, although it can also be used to describe an infant formula intended for infants
from the age of 0 to 12 months. A follow-on formula is typically intended for infants
aged 6 to 12 months. Accordingly, the term “formula” and “infant formula” as used
herein refers to a formula intended for an infant aged 0 to 12 months, more suitably 0 to
6 months. Suitably, the infant is a human infant. Suitably, the formula does not
comprise or consist of human breast milk.
The formula of the present invention may comprise an enteral composition, i.e.,
any composition that is enterally administered, such as orally. As used in this
document, the term “enteral” is intended to refer to the delivery directly into the
gastrointestinal tract of a subject (e.g., orally or via a tube, catheter or stoma).
The formula may be formulated for administration in a liquid form. In some
embodiments, the formula may comprise a powder suitable for making a liquid
composition after reconstitution with an aqueous solution, such as with water. The
formula may be made up as a packaged powder composition wherein the package is
provided with instructions to admix the powder with a suitable amount of aqueous
solution, thereby resulting in a liquid composition. In some other embodiments, the
formula may comprise a ready-to-use liquid food (e.g., is in a ready-to-feed liquid
form). A packed ready-to-use liquid food may involve fewer steps for preparation than
a powder to be reconstituted and hence may involve a reduced chance on contamination
by harmful micro-organisms.
The formula may be intended as a complete nutrition for infants. Suitably, the
infant is a human infant. Suitably, the formula of any aspect of the present invention is
intended for a term infant. More suitably, the formula of any aspect of the present
invention is intended for a human term infant. A “human term infant” is a human
infant born at 37-42 weeks of gestation.
The formula may further comprise a lipid, a carbohydrate, a vitamin and/or a
mineral. In some embodiments, the formula may comprise between 5 and 50 en%
lipid, between 5 and 50 en% protein, between 15 and 90 en% carbohydrate. Suitably,
the formula may comprise between 35 and 50 en% lipid, between 7.5 and 12.5 en%
protein and between 35 and 80 en% carbohydrate (en% is short for energy percentage
and represents the relative amount each constituent contributes to the total caloric value
of the preparation).
The formula may comprise a low level of protein, wherein a “low level” refers to
a protein intake level of 0.9 to 1.4 g of protein per 100 mL of infant formula. A protein
intake level of 0.9 to 1.4 g of protein per 100 mL of infant formula correlates to 1.4 to
2.1 g of protein per 100 kcal of infant formula, based on an energy level of 66 kcal per
100 mL. The formula may therefore comprise 0.9 to 1.4 g of protein per 100 mL of
infant formula, suitably 1.0-1.2 g of protein per 100 mL of infant formula. The formula
may comprise 1.4 to 2.1 g of protein per 100 kcal of infant formula, suitably 1.5-1.8 g
of protein per 100 kcal of infant formula.
The formula may further comprise a non-digestible oligosaccharide. Suitably, the
non-digestible oligosaccharide may be selected from the group consisting of galacto-
oligosaccharides, fructo-oligosaccharides and acidic oligosaccharides. Such
oligosaccharides are well known to those skilled in the art.
The formula may further comprise a polyunsaturated fatty acid (PUFA).
Suitably, the PUFA may be selected from the group consisting of alpha-linolenic acid
(ALA), linoleic acid (LA), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA),
arachidonic acid (ARA), and docosapentaenoic acid (DPA). Suitably, the PUFA may
be a long chain polyunsaturated fatty acid (LCPUFA) (e.g., EPA, DHA, ARA, DPA).
Such PUFAs are well known to those skilled in the art.
The formula may further comprise a probiotic. Suitable probiotics are well known
to those skilled in the art. The probiotic may comprise a lactic acid producing
bacterium. The probiotic may comprise a Lactobacillus species. The probiotic may
comprise a Lactobacillus rhamnosus strain (including L. rhamnosus GG, also referred
to as “LGG”), a Lactobacillus salivarius strain, a Lactobacillus casei strain, a
Lactobacillus paracasei strain (including L. paracasei F19), a Lactobacillus
acidophilus strain, a Lactobacillus reuteri strain, and/or a Lactobacillus helveticus
strain. The probiotic may comprise a Bifidobacterium species. The probiotic may
comprise a Bifidobacterium longum strain, a Bifidobacterium infantis strain, a
Bifidobacterium breve strain (including B. breve M-16V and B. breve BbC50), a
Bifidobacterium animalis strain (including B. animalis subsp. lactis, including subsp.
lactis BB-12 and subsp. lactis Bi-07), and/or a Bifidobacterium bifidum strain. In some
embodiments, the probiotic may be viable or non-viable. As used herein, the term
“viable”, refers to live microorganisms. The term “non-viable” or “non-viable
probiotic” means non-living probiotic microorganisms, their cellular components and
metabolites thereof. Such non-viable probiotics may have been heat-killed or otherwise
inactivated but retain the ability to favourably influence the health of the host. The
probiotics may be naturally-occurring, synthetic or developed through the genetic
manipulation of organisms, whether such new source is now known or later developed.
Suitably, the formula does not comprise Saccharomyces cerevisiae.
The formula may comprise a fermented or a non-fermented composition.
Fermentation by micro-organisms results in a lowering of the pH. As a non-fermented
composition, the formula may have a pH above 5.5, such as 6.0, such as 6.5 (for
example, in order to reduce damage to teeth). The pH may suitably be between 6 and 8.
The formula may be formulated to reduce stool irregularities (e.g., hard stools,
insufficient stool volume, diarrhoea), which is a major problem in many babies. The
formula may be administered in the form of a liquid formula which has an osmolality
between 50 and 500 m θsm/kg, such as between 100 and 400 m θsm/kg.
The formula may be administered in the form of a liquid formula with a viscosity
between 1 and 60 mPa.s, such as between 1 and 20 mPa.s, such as between 1 and 10
mPa.s, such as between 1 and 6 mPa.s. The low viscosity ensures a proper
administration of the liquid, e.g., a proper passage through the hole of a nipple in a
nursing bottle. Also, this viscosity closely resembles the viscosity of human milk.
Furthermore, a low viscosity results in a normal gastric emptying and a better energy
intake, which is essential for infants that need the energy for optimal growth and
development. The viscosity of the liquid may be determined using a Physica
Rheometer MCR 300 (Physica Messtechnik GmbH, Ostfilden, Germany) at shear rate
-1 o
of 95 s at 20 C.
The formula may be formulated so that it does not have an excessive caloric
density. Hence, the formula (in liquid form) may have a caloric density between 0.1
and 2.5 kcal/mL, such as a caloric density of between 0.4 and 1.2 kcal/mL, such as
between 0.55 and 0.75 kcal/mL.
The formula may have a long shelf life. For example, it may be shelf stable at
ambient temperature for at least 6 months, such as least 12 months, where it is in a
liquid, ready-to-feed form or where it is in a powder form.
BALANCED GROWTH AND/OR DEVELOPMENT
As described herein, the present inventors have developed optimised amino acid
profiles and formulations suitable to achieve these profiles. The formulations are
proposed to promote balanced growth and/or development in an infant, and/or to
prevent or reduce the risk of unbalanced growth and/or development in an infant.
The term “balanced” as used in the phrase “balanced growth and/or
development” is intended to refer to healthy or normal growth and/or development of
an infant. For example, the growth and/or development is not too low/little or too
high/much (“unbalanced growth and/or development”). This may be with reference to
published figures that define the healthy or normal growth and/or development of an
infant with reference to a population (geographic, demographic, ethnic, etc) within
which the infant belongs, or with reference to the growth and/or development an
unhealthy infant or group of unhealthy infants. Examples of published references
include the WHO growth curve (WHO, 2006).
The term “growth and/or development” as used herein may refer to growth and/or
development of the brain of an infant and/or the cognitive function of the infant, as
further defined below, and/or to growth and/or development of the body of an infant
and/or the infant’s body composition, also as further defined below.
According to one aspect of the present invention, there is provided a formula as
defined herein for use in promoting, assisting or achieving balanced growth or
development in an infant. Also provided is the use of a composition in the manufacture
of a formula as defined herein for promoting, assisting or achieving balanced growth or
development in an infant. Also provided is a method for promoting, assisting or
achieving balanced growth or development in an infant, wherein the method comprises
administering to the infant a formula as defined herein.
As another aspect of the present invention, there is provided a formula as defined
herein for use in preventing or reducing the risk of unbalanced growth or development
in an infant. Also provided is the use of a composition in the manufacture of a formula
as defined herein for preventing or reducing the risk of unbalanced growth or
development in an infant. Also provided is a method for preventing or reducing the
risk of unbalanced growth or development in an infant, wherein the method comprises
administering to the infant a formula as defined herein.
As a further aspect of the present invention, there is provided a formula (i) for use
in promoting, assisting or achieving balanced growth or development in an infant
and/or for use in preventing or reducing the risk of unbalanced growth or development
in an infant, wherein the formula (i) comprises a proteinaceous composition, and
wherein the proteinaceous composition of formula (i) comprises one or more, suitably
at least two, more suitably at least three, even more suitably at least four, most suitably
at least five, even more suitably at least six, most suitably all of the following amino
acids for every 100 grams of protein in the proteinaceous composition:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g;
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g;
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
Also provided is the use of a composition in the manufacture of the formula (i)
for promoting, assisting or achieving balanced growth or development in an infant
and/or for preventing or reducing the risk of unbalanced growth or development in an
infant. Also provided is a method for promoting, assisting or achieving balanced
growth or development in an infant and/or for preventing or reducing the risk of
unbalanced growth or development in an infant, wherein the method comprises
administering to the infant the formula (i).
In some embodiments (a), the proteinaceous composition of formula (i)
comprises threonine in an amount from 3.2-5.0 g / 100 g protein, suitably in an amount
from 3.2-4.5 g / 100 g protein, more suitably in an amount from 3.5-4.0 g / 100 g
protein, and/or the proteinaceous composition of formula (i) comprises tryptophan in an
amount from 0.7-1.1 g / 100 g protein, suitably in an amount from 0.7-1.0 g / 100 g
protein, more suitably in an amount from 0.8-0.9 g / 100 g protein. Suitably, the
proteinaceous composition of formula (i) comprises 3.2-5.0 g threonine per 100 g
protein, suitably 3.2-4.5 g threonine per 100 g protein, more suitably 3.5-4.0 g
threonine per 100 g protein, and the proteinaceous composition of formula (i) further
comprises 0.7-1.1 g tryptophan per 100 g protein, suitably 0.7-1.0 g per 100 g protein,
more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the proteinaceous composition of formula (i)
comprises a ratio of tryptophan to neutral amino acids (isoleucine, leucine, valine,
phenylalanine, tyrosine, and methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025).
Suitably, the proteinaceous composition of formula (i) comprises a ratio of tryptophan
to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the
proteinaceous composition of formula (i) comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the proteinaceous composition of formula (i) comprises a
ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the proteinaceous composition of formula (i)
complies with both (a) and (b).
Another aspect of the present invention provides a formula (ii) for use in
promoting, assisting or achieving balanced growth or development in an infant and/or
for use in preventing or reducing the risk of unbalanced growth or development in an
infant, wherein the formula (ii) comprises a proteinaceous composition, and wherein
the proteinaceous composition of formula (ii) comprises a ratio of tryptophan to neutral
amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and methionine) of
from 1:33.4 (0.030) to 1:40.8 (0.025). Also provided is the use of a composition in the
manufacture of the formula (ii) for promoting, assisting or achieving balanced growth
or development in an infant and/or for preventing or reducing the risk of unbalanced
growth or development in an infant. Also provided is a method for promoting,
assisting or achieving balanced growth or development in an infant and/or for
preventing or reducing the risk of unbalanced growth or development in an infant,
wherein the method comprises administering to the infant the formula (ii).
Suitably, the proteinaceous composition of formula (ii) comprises a ratio of
tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more
suitably, the proteinaceous composition of formula (ii) comprises a ratio of from 1:35.1
(0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of formula (ii)
comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In some embodiments (a), the proteinaceous composition of formula (ii)
comprises one or more, suitably at least two, more suitably at least three, even more
suitably at least four, most suitably at least five, even more suitably at least six, most
suitably all of the following amino acids for every 100 grams of protein in the
proteinaceous composition:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g;
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g;
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
In some suitable embodiments, the proteinaceous composition of formula (ii)
comprises threonine in an amount from 3.2-5.0 g / 100 g protein, suitably in an amount
from 3.2-4.5 g / 100 g protein, more suitably in an amount from 3.5-4.0 g / 100 g
protein, and/or the proteinaceous composition of formula (ii) comprises tryptophan in
an amount from 0.7-1.1 g / 100 g protein, suitably in an amount from 0.7-1.0 g / 100 g
protein, more suitably in an amount from 0.8-0.9 g / 100 g protein. Suitably, the
proteinaceous composition of formula (ii) comprises 3.2-5.0 g threonine per 100 g
protein, suitably 3.2-4.5 g threonine per 100 g protein, more suitably 3.5-4.0 g
threonine per 100 g protein, and the proteinaceous composition of formula (ii) further
comprises 0.7-1.1 g tryptophan per 100 g protein, suitably 0.7-1.0 g per 100 g protein,
more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the proteinaceous composition of formula (ii)
comprises one or more one or more, suitably at least two, more suitably at least three,
even more suitably at least four, most suitably at least five, even more suitably at least
six, most suitably all of the following amino acids for every 100 mL of formula:
isoleucine in an amount from 70-81 mg, suitably in an amount from 70-77 mg,
more suitably in an amount from 70-74 mg;
leucine in an amount from 93-107 mg, suitably in an amount from 93-102 mg,
more suitably in an amount from 93-98 mg;
lysine in an amount from 87-100 mg, suitably in an amount from 87-96 mg, more
suitably in an amount from 87-91 mg;
methionine in an amount from 25-29 mg, suitably in an amount from 25-28 mg,
more suitably in an amount from 25-26 mg;
threonine in an amount from 45-52 mg, suitably in an amount from 45-50 mg,
more suitably in an amount from 45-47 mg;
tryptophan in an amount from 10-12 mg, suitably in an amount from 10-11 mg,
more suitably in an amount of 10 mg; and/or
valine in an amount from 73-84 mg, suitably in an amount from 73-80 mg, more
suitably in an amount from 73-77 mg.
In some suitable embodiments, the formula (ii) comprises threonine in an amount
from 45-52 mg / 100 mL formula, suitably in an amount from 45-50 mg / 100 mL
formula, more suitably in an amount from 45-47 mg / 100 mL formula, and/or the
formula (ii) comprises tryptophan in an amount from 10-12 mg / 100 mL formula,
suitably in an amount from 10-11 mg / 100 mL formula, more suitably in an amount of
mg / 100 mL formula. Suitably, the formula (ii) comprises threonine in an amount
from 45-52 mg / 100 mL formula, suitably in an amount from 45-50 mg / 100 mL
formula, more suitably in an amount from 45-47 mg / 100 mL formula, and the formula
(ii) further comprises tryptophan in an amount from 10-12 mg / 100 mL formula,
suitably in an amount from 10-11 mg / 100 mL formula, more suitably in an amount of
mg / 100 mL formula.
In an exemplary embodiment, the formula (ii) complies with both (a) and (b).
As a further aspect of the present invention, there is provided a formula (iii) for
use in promoting, assisting or achieving balanced growth or development in an infant
and/or for use in preventing or reducing the risk of unbalanced growth or development
in an infant, wherein the formula (iii) comprises a proteinaceous composition, and
wherein the formula (iii) comprises one or more, suitably at least two, more suitably at
least three, even more suitably at least four, most suitably at least five, even more
suitably at least six, most suitably all of the following amino acids for every 100 mL of
formula:
isoleucine in an amount from 70-81 mg, suitably in an amount from 70-77 mg,
more suitably in an amount from 70-74 mg;
leucine in an amount from 93-107 mg, suitably in an amount from 93-102 mg,
more suitably in an amount from 93-98 mg;
lysine in an amount from 87-100 mg, suitably in an amount from 87-96 mg, more
suitably in an amount from 87-91 mg;
methionine in an amount from 25-29 mg, suitably in an amount from 25-28 mg,
more suitably in an amount from 25-26 mg;
threonine in an amount from 45-52 mg, suitably in an amount from 45-50 mg,
more suitably in an amount from 45-47 mg;
tryptophan in an amount from 10-12 mg, suitably in an amount from 10-11 mg,
more suitably in an amount of 10 mg; and/or
valine in an amount from 73-84 mg, suitably in an amount from 73-80 mg, more
suitably in an amount from 73-77 mg.
Also provided is the use of a composition in the manufacture of the formula (iii)
for promoting, assisting or achieving balanced growth or development in an infant
and/or for preventing or reducing the risk of unbalanced growth or development in an
infant. Also provided is a method for promoting, assisting or achieving balanced
growth or development in an infant and/or for preventing or reducing the risk of
unbalanced growth or development in an infant, wherein the method comprises
administering to the infant the formula (iii).
In some embodiments (a), the formula (iii) comprises threonine in an amount
from 45-52 mg / 100 mL formula, suitably in an amount from 45-50 mg / 100 mL
formula, more suitably in an amount from 45-47 mg / 100 mL formula, and/or the
formula (iii) comprises tryptophan in an amount from 10-12 mg / 100 mL formula,
suitably in an amount from 10-11 mg / 100 mL formula, more suitably in an amount of
mg / 100 mL formula. Suitably, the formula (iii) comprises 45-52 mg threonine per
100 mL formula, suitably 45-50 mg threonine per 100 mL formula, more suitably 45-
47 mg threonine per 100 mL formula, and the formula (iii) further comprises 10-12 mg
tryptophan per 100 mL formula, suitably 10-11 mg per 100 mL formula, more suitably
mg per 100 mL formula.
In some embodiments (b), the formula comprises a ratio of tryptophan to neutral
amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and methionine) of
from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula comprises a ratio of
tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more
suitably, the formula comprises a ratio of from 1:35.1 (0.028) to 1:39.1 (0.026), most
suitably the formula comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the formula (iii) complies with both (a) and (b).
As a further aspect of the present invention, there is provided a formula (iv) for
use in promoting, assisting or achieving balanced growth or development in an infant
and/or for use in preventing or reducing the risk of unbalanced growth or development
in an infant, wherein the formula (iv) comprises a proteinaceous composition, and
wherein the formula (iv) provides or is formulated to provide one or more, suitably at
least two, more suitably at least three, even more suitably at least four, most suitably at
least five, even more suitably at least six, most suitably all of the following amino acids
for every kilogram of body weight of the infant each day:
isoleucine in an amount from 105-121 mg, suitably in an amount from 105-116
leucine in an amount from 140-161 mg, suitably in an amount from 140-154 mg;
lysine in an amount from 130-150 mg, suitably in an amount from 130-143 mg;
methionine in an amount from 38-44 mg, suitably in an amount from 38-42 mg;
threonine in an amount from 68-78 mg, suitably in an amount from 68-75 mg;
tryptophan in an amount from 15-17 mg, suitably in an amount from 15-16 mg;
and/or
valine in an amount from 110-127 mg, suitably in an amount from 110-121 mg.
Also provided is the use of a composition in the manufacture of the formula (iv)
for promoting, assisting or achieving balanced growth or development in an infant
and/or for preventing or reducing the risk of unbalanced growth or development in an
infant. Also provided is a method for promoting, assisting or achieving balanced
growth or development in an infant and/or for preventing or reducing the risk of
unbalanced growth or development in an infant, wherein the method comprises
administering to the infant the formula (iv).
In some embodiments (a), the formula (iv) provides or is formulated to provide
threonine for every kilogram of body weight of the infant each day in an amount from
68-78 mg, suitably in an amount from 68-75 mg, and/or the formula (iv) provides or is
formulated to provide tryptophan for every kilogram of body weight of the infant each
day in an amount from 15-17 mg, suitably in an amount from 15-16 mg. Suitably, the
formula (iv) provides or is formulated to provide threonine for every kilogram of body
weight of the infant each day in an amount from 68-78 mg, suitably in an amount from
68-75 mg, and the formula (iv) provides or is formulated to provide tryptophan for
every kilogram of body weight of the infant each day in an amount from 15-17 mg,
suitably in an amount from 15-16 mg.
In some embodiments (b), the formula (iv) comprises a ratio of tryptophan to
neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and
methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula
comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1
(0.025), even more suitably, the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In an exemplary embodiment, the formula (iv) complies with both (a) and (b).
Brain and Cognitive Function
Balanced growth and/or development may refer to the balanced growth and/or
development of the brain of an infant and/or the cognitive function of the infant. This
may refer to physical development of the brain, including neurotransmitter activity and
also brain or head circumference. This may also refer to any brain function or
behaviour observed in the infant or later in the life of the infant, such as mood, appetite,
sleep, memory, learning, and some social behaviours of the infant. It may also refer to
preventing or reducing the infant’s risk for developing a psychiatric disease in later life
(e.g., an affective disorder, depression, schizophrenia).
As described herein, the recommended intakes determined for the essential amino
acids that are associated with brain function, such as tryptophan and threonine, were
found to be different to those found in commercially available formulas and in human
breast milk. Furthermore, the ratio between the neutral amino acids (valine, leucine,
isoleucine, phenylalanine, tyrosine, and methionine) and tryptophan was also found to
be significantly different to the recommended ratio, wherein it has been stated that an
altered ratio might have possible implications on brain development. It is therefore
believed that formulas that comprise the optimal amino acid profile as herein defined
advantageously promote, assist, or achieve balanced growth or development of brain
and cognitive function in infants.
Accordingly, a further aspect of the present invention provides a formula of the
present invention for use in promoting, assisting or achieving balanced growth or
development of brain or cognitive function in an infant. In yet another aspect, the
present invention provides the use of a formula of the present invention for promoting,
assisting or achieving balanced growth or development of brain or cognitive function in
an infant. In yet another aspect, the present invention provides the use of a
proteinaceous composition in the manufacture of a formula of the present invention for
promoting, assisting or achieving balanced growth or development of brain or cognitive
function in an infant. In yet a further aspect, the present invention provides a method
of promoting, assisting or achieving balanced growth or development of brain or
cognitive function in an infant, wherein the method comprises administering to the
infant a formula of the present invention.
Body Growth, Development and Composition
Balanced growth and/or development may refer to the balanced growth and/or
development of the body of an infant and/or the infant’s body composition. This may
refer to the height, weight, fat distribution (e.g., visceral fat versus subcutaneous fat), or
other parameter of the infant, such parameters being well known to those skilled in the
art.
In the studies performed on human infants described herein, the recommended
intakes determined for the essential amino acids that are associated with body growth
and body function (including insulin sensitivity), such as leucine and tryptophan, were
found to be different to those found in commercially available formulas and in human
breast milk. Furthermore, in the piglet growth studies performed, the growth rate of the
piglets ingesting the optimised amino acid profile was similar to those ingesting the
non-adjusted amino acid profile but with a higher protein level, and also with no
adverse developmental effects being detected. These results suggest that the optimised
essential amino acid composition allows for similar weight gain compared with a
composition containing a higher amount of total protein and a non-adjusted essential
amino acid composition.
It is therefore believed that formulas that comprise the optimal amino acid profile
as herein defined advantageously promote, assist, or achieve balanced growth or
development of body and body composition in infants.
Accordingly, an aspect of the present invention provides a formula of the present
invention for use in promoting, assisting or achieving balanced growth or development
of an infant’s body, and/or an infant’s body composition. The present invention also
provides the use of a formula of the present invention for promoting, assisting or
achieving balanced growth or development of an infant’s body, and/or an infant’s body
composition. The present invention also provides the use of a composition in the
manufacture of a formula of the present invention for promoting, assisting or achieving
balanced growth or development of an infant’s body, and/or an infant’s body
composition. The present invention also provides a method of promoting, assisting or
achieving balanced growth or development of an infant’s body, and/or an infant’s body
composition, wherein the method comprises administering to the infant a formula of the
present invention.
Another aspect of the present invention provides a formula of the present
invention for use in preventing or reducing the risk of unbalanced growth or
development of an infant’s body, and/or an infant’s body composition. The present
invention also provides the use of a formula of the present invention for preventing or
reducing the risk of unbalanced growth or development of an infant’s body, and/or an
infant’s body composition. The present invention also provides the use of a
composition in the manufacture of a formula of the present invention for preventing or
reducing the risk of unbalanced growth or development of an infant’s body, and/or an
infant’s body composition. The present invention also provides a method of preventing
or reducing the risk of unbalanced growth or development of an infant’s body, and/or
an infant’s body composition, wherein the method comprises administering to the
infant a formula of the present invention.
The formula suitably comprises a low level of protein, wherein a “low level”
refers to a protein intake level of 0.9 to 1.4 g of protein per 100 mL of infant formula.
A protein intake level of 0.9 to 1.4 g of protein per 100 mL of infant formula correlates
to 1.4 to 2.1 g of protein per 100 kcal of infant formula, based on an energy level of 66
kcal per 100 mL. More suitably, the formula of the embodiments above comprises 1.0-
1.2 g of protein per 100 mL of infant formula, or the formula of the embodiments
above comprises 1.5-1.8 g of protein per 100 kcal of infant formula.
REDUCING THE RISK OF OBESITY LATER IN LIFE
In the growth studies described herein, it was observed that that the growth rate
of the piglets ingesting the two formulas containing non-adjusted amino acid profile
(one with 80% protein of the control formula) differed. In particular, the piglets who
ingested the isocaloric formula with 20% lower protein exhibited a significantly lower
growth rate. It is noted that the volume of intake of these piglets was controlled such
that the piglets were not able to ingest more of the formula, even if this was desired.
It is known that lowering protein levels below the minimal requirements for
growth may lead to compensatory intake of formula to meet protein requirements and
thus pose a risk of overconsumption of energy from fats and carbohydrates (Formon,
1999). Therefore, although it has been previously proposed that infant formulas
containing low protein may reduce the risk of development of obesity in the infant at a
later stage of life (Koletzko, 2009), it is now apparent that it is also the protein quality,
and not only the protein quantity, that needs to be optimised in order to satisfactorily
reduce the risk of obesity in the infant at a later stage of life.
In the growth studies described herein, it was also observed that the growth rate
of the piglets ingesting the optimised amino acid profile was higher compared to those
ingesting the non-adjusted amino acid profile of the same protein level, and that the
growth rate was similar to those ingesting the non-adjusted amino acid profile but with
a higher protein level.
Moreover, there is consistent evidence that growth during the first year(s) of life
is associated with overweight later in childhood, adolescence or adulthood (Baird,
2005; Dennison, 2006; Silverwood, 2009; Ong, 2009; Taveras, 2009; and Tzoulaki,
2010).
Therefore it is proposed that formulations can be produced with lowered levels of
total protein but with optimal amino acid profiles as defined herein, thus meeting the
needs of infants and therefore promoting balanced growth and/or development in
infants while preventing or reducing the risk of obesity in the infant at a later stage of
life, and also to prevent or reduce the risk of obesity-related diseases and conditions
such as metabolic diseases (e.g., metabolic syndrome, diabetes), and cardiovascular
disease.
Accordingly, an aspect of the present invention provides a formula of the present
invention for use in preventing or reducing the risk of obesity later in life in an infant.
The present invention also provides the use of a formula of the present invention for
preventing or reducing the risk of obesity later in life in an infant. The present
invention also provides the use of a composition in the manufacture of a formula of the
present invention for preventing or reducing the risk of obesity later in life in an infant.
The present invention also provides a method of preventing or reducing the risk of
obesity later in life in an infant, wherein the method comprises administering to the
infant a formula of the present invention.
As a further aspect of the present invention, there is provided a formula (v) for
use in preventing or reducing the risk of obesity later in life in an infant, wherein the
formula (v) comprises a proteinaceous composition, and wherein the proteinaceous
composition of formula (v) comprises one or more, suitably at least two, more suitably
at least three, even more suitably at least four, most suitably at least five, even more
suitably at least six, most suitably all of the following amino acids for every 100 grams
of protein in the proteinaceous composition:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g;
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g;
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
Also provided is the use of a composition in the manufacture of the formula (v)
for preventing or reducing the risk of obesity later in life in an infant. Also provided is
a method for preventing or reducing the risk of obesity later in life in an infant, wherein
the method comprises administering to the infant the formula (v).
In some embodiments (a), the proteinaceous composition of formula (v)
comprises threonine in an amount from 3.2-5.0 g / 100 g protein, suitably in an amount
from 3.2-4.5 g / 100 g protein, more suitably in an amount from 3.5-4.0 g / 100 g
protein, and/or the proteinaceous composition of formula (v) comprises tryptophan in
an amount from 0.7-1.1 g / 100 g protein, suitably in an amount from 0.7-1.0 g / 100 g
protein, more suitably in an amount from 0.8-0.9 g / 100 g protein. Suitably, the
proteinaceous composition of formula (v) comprises 3.2-5.0 g threonine per 100 g
protein, more suitably 3.2-4.5 g threonine per 100 g protein, most suitably 3.5-4.0 g
threonine per 100 g protein, and the proteinaceous composition of formula (v) further
comprises 0.7-1.1 g tryptophan per 100 g protein, suitably 0.7-1.0 g per 100 g protein,
more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the proteinaceous composition of formula (v)
comprises a ratio of tryptophan to neutral amino acids (isoleucine, leucine, valine,
phenylalanine, tyrosine, and methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025).
More suitably, the proteinaceous composition of formula (v) comprises a ratio of
tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more
suitably, the proteinaceous composition of formula (v) comprises a ratio of from 1:35.1
(0.028) to 1:39.1 (0.026), most suitably the proteinaceous composition of formula (v)
comprises a ratio of from 1:36.1 (0.028) to 1:38.1 (0.026).
In an exemplary embodiment, the proteinaceous composition of formula (v)
complies with both (a) and (b).
Another aspect of the present invention provides a formula (vi) for use in
preventing or reducing the risk of obesity later in life in an infant, wherein the formula
(vi) comprises a proteinaceous composition, and wherein the proteinaceous
composition of formula (vi) comprises a ratio of tryptophan to neutral amino acids
(isoleucine, leucine, valine, phenylalanine, tyrosine, and methionine) of from 1:33.4
(0.030) to 1:40.8 (0.025). Also provided is the use of a composition in the manufacture
of the formula (vi) for preventing or reducing the risk of obesity later in life in an
infant. Also provided is a method for preventing or reducing the risk of obesity later in
life in an infant, wherein the method comprises administering to the infant the formula
(vi).
Suitably, the proteinaceous composition comprises a ratio of tryptophan to
neutral amino acids of from 1:34.1 (0.029) to 1:40.1 (0.025), even more suitably, the
proteinaceous composition comprises a ratio of from 1:35.1 (0.028) to 1:39.1 (0.026),
most suitably the proteinaceous composition comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In some embodiments (a), the proteinaceous composition of formula (vi)
comprises one or more, suitably at least two, more suitably at least three, even more
suitably at least four, most suitably at least five, even more suitably at least six, most
suitably all of the following amino acids for every 100 grams of protein in the
proteinaceous composition:
isoleucine in an amount from 5.0-7.8 g, suitably in an amount from 5.0-7.0 g,
more suitably in an amount from 5.5-6.3 g;
leucine in an amount from 6.6-10.3 g, suitably in an amount from 6.6-9.3 g, more
suitably in an amount from 7.3-8.4 g;
lysine in an amount from 6.2-9.7 g, suitably in an amount from 6.2-8.7 g, more
suitably in an amount from 6.8-7.8 g;
methionine in an amount from 1.8-2.8 g, suitably in an amount from 1.8-2.5 g,
more suitably in an amount from 2.0-2.3 g;
threonine in an amount from 3.2-5.0 g, suitably in an amount from 3.2-4.5 g,
more suitably in an amount from 3.5-4.0 g;
tryptophan in an amount from 0.7-1.1 g, suitably in an amount from 0.7-1.0 g,
more suitably in an amount from 0.8-0.9 g; and/or
valine in an amount from 5.2-8.1 g, suitably in an amount from 5.2-7.3 g, more
suitably in an amount from 5.7-6.6 g.
In some suitable embodiments, the proteinaceous composition of formula (vi)
comprises threonine in an amount from 3.2-5.0 g / 100 g protein, suitably in an amount
from 3.2-4.5 g / 100 g protein, more suitably in an amount from 3.5-4.0 g / 100 g
protein, and/or the proteinaceous composition of formula (vi) comprises tryptophan in
an amount from 0.7-1.1 g / 100 g protein, suitably in an amount from 0.7-1.0 g / 100 g
protein, more suitably in an amount from 0.8-0.9 g / 100 g protein. In a more suitable
embodiment, the proteinaceous composition of formula (vi) comprises 3.2-5.0 g
threonine per 100 g protein, more suitably 3.2-4.5 g threonine per 100 g protein, most
suitably 3.5-4.0 g threonine per 100 g protein, and the proteinaceous composition of
formula (vi) further comprises 0.7-1.1 g tryptophan per 100 g protein, suitably 0.7-1.0 g
per 100 g protein, more suitably 0.8-0.9 g per 100 g protein.
In some embodiments (b), the formula (vi) comprises one or more, suitably at
least two, more suitably at least three, even more suitably at least four, most suitably at
least five, even more suitably at least six, most suitably all of the following amino acids
for every 100 mL of formula:
isoleucine in an amount from 70-81 mg, suitably in an amount from 70-77 mg,
more suitably in an amount from 70-74 mg;
leucine in an amount from 93-107 mg, suitably in an amount from 93-102 mg,
more suitably in an amount from 93-98 mg;
lysine in an amount from 87-100 mg, suitably in an amount from 87-96 mg, more
suitably in an amount from 87-91 mg;
methionine in an amount from 25-29 mg, suitably in an amount from 25-28 mg,
more suitably in an amount from 25-26 mg;
threonine in an amount from 45-52 mg, suitably in an amount from 45-50 mg,
more suitably in an amount from 45-47 mg;
tryptophan in an amount from 10-12 mg, suitably in an amount from 10-11 mg,
more suitably in an amount of 10 mg; and/or
valine in an amount from 73-84 mg, suitably in an amount from 73-80 mg, more
suitably in an amount from 73-77 mg.
In some suitable embodiments, the formula (vi) comprises threonine in an amount
from 45-52 mg / 100 mL formula, suitably in an amount from 45-50 mg / 100 mL
formula, more suitably in an amount from 45-47 mg / 100 mL formula, and/or the
formula (vi) comprises tryptophan in an amount from 10-12 mg / 100 mL formula,
suitably in an amount from 10-11 mg / 100 mL formula, more suitably in an amount of
10 mg / 100 mL formula. In a more suitable embodiment, the formula (vi) comprises
45-52 mg threonine per 100 mL formula, suitably 45-50 mg threonine per 100 mL
formula, more suitably 45-47 mg threonine per 100 mL formula, and the formula (vi)
further comprises 10-12 mg tryptophan per 100 mL formula, suitably 10-11 mg per 100
mL formula, more suitably 10 mg per 100 mL formula.
In an exemplary embodiment, the formula (vi) complies with both (a) and (b).
As a further aspect of the present invention, there is provided a formula (vii) for
use in preventing or reducing the risk of obesity later in life in an infant, wherein the
formula (vii) comprises a proteinaceous composition, and wherein the formula (vii)
comprises one or more, suitably at least two, more suitably at least three, even more
suitably at least four, most suitably at least five, even more suitably at least six, most
suitably all of the following amino acids for every 100 mL of formula:
isoleucine in an amount from 70-81 mg, suitably in an amount from 70-77 mg,
more suitably in an amount from 70-74 mg;
leucine in an amount from 93-107 mg, suitably in an amount from 93-102 mg,
more suitably in an amount from 93-98 mg;
lysine in an amount from 87-100 mg, suitably in an amount from 87-96 mg, more
suitably in an amount from 87-91 mg;
methionine in an amount from 25-29 mg, suitably in an amount from 25-28 mg,
more suitably in an amount from 25-26 mg;
threonine in an amount from 45-52 mg, suitably in an amount from 45-50 mg,
more suitably in an amount from 45-47 mg;
tryptophan in an amount from 10-12 mg, suitably in an amount from 10-11 mg,
more suitably in an amount of 10 mg; and/or
valine in an amount from 73-84 mg, suitably in an amount from 73-80 mg, more
suitably in an amount from 73-77 mg.
Also provided is the use of a composition in the manufacture of the formula (vii)
for preventing or reducing the risk of obesity later in life in an infant. Also provided is
a method for preventing or reducing the risk of obesity later in life in an infant, wherein
the method comprises administering to the infant the formula (vii).
In some embodiments (a), the formula (vii) comprises threonine in an amount
from 45-52 mg / 100 mL formula, suitably in an amount from 45-50 mg / 100 mL
formula, more suitably in an amount from 45-47 mg / 100 mL formula, and/or the
formula (vii) comprises tryptophan in an amount from 10-12 mg / 100 mL formula,
suitably in an amount from 10-11 mg / 100 mL formula, more suitably in an amount of
mg / 100 mL formula. Suitably, the formula (vii) comprises 45-52 mg threonine per
100 mL formula, suitably 45-50 mg threonine per 100 mL formula, more suitably 45-
47 mg threonine per 100 mL formula, and the formula (vii) further comprises 10-12 mg
tryptophan per 100 mL formula, suitably 10-11 mg per 100 mL formula, more suitably
mg per 100 mL formula.
In some embodiments (b), the formula (vii) comprises a ratio of tryptophan to
neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and
methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula
comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1
(0.025), even more suitably, the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In an exemplary embodiment, the formula (vii) complies with both (a) and (b).
As a further aspect of the present invention, there is provided a formula (viii) for
use in preventing or reducing the risk of obesity later in life in an infant, wherein the
formula (viii) comprises a proteinaceous composition, and wherein the formula (viii)
provides or is formulated to provide one or more, suitably at least two, more suitably at
least three, even more suitably at least four, most suitably at least five, even more
suitably at least six, most suitably all of the following amino acids for every kilogram
of body weight of the infant each day:
isoleucine in an amount from 105-121 mg, suitably in an amount from 105-116
mg;
leucine in an amount from 140-161 mg, suitably in an amount from 140-154 mg;
lysine in an amount from 130-150 mg, suitably in an amount from 130-143 mg;
methionine in an amount from 38-44 mg, suitably in an amount from 38-42 mg;
threonine in an amount from 68-78 mg, suitably in an amount from 68-75 mg;
tryptophan in an amount from 15-17 mg, suitably in an amount from 15-16 mg;
and/or
valine in an amount from 110-127 mg, suitably in an amount from 110-121 mg.
Also provided is the use of a composition in the manufacture of the formula (viii)
for preventing or reducing the risk of obesity later in life in an infant. Also provided is
a method for preventing or reducing the risk of obesity later in life in an infant, wherein
the method comprises administering to the infant the formula (viii).
In some embodiments (a), the formula (viii) provides or is formulated to provide
threonine for every kilogram of body weight of the infant each day in an amount from
68-78 mg, suitably in an amount from 68-75 mg, and/or the formula (viii) provides or is
formulated to provide tryptophan for every kilogram of body weight of the infant each
day in an amount from 15-17 mg, suitably in an amount from 15-16 mg. Suitably, the
formula (viii) provides or is formulated to provide threonine for every kilogram of body
weight of the infant each day in an amount from 68-78 mg, suitably in an amount from
68-75 mg, and the formula (viii) provides or is formulated to provide tryptophan for
every kilogram of body weight of the infant each day in an amount from 15-17 mg,
suitably in an amount from 15-16 mg.
In some embodiments (b), the formula (viii) comprises a ratio of tryptophan to
neutral amino acids (isoleucine, leucine, valine, phenylalanine, tyrosine, and
methionine) of from 1:33.4 (0.030) to 1:40.8 (0.025). More suitably, the formula
comprises a ratio of tryptophan to neutral amino acids of from 1:34.1 (0.029) to 1:40.1
(0.025), even more suitably, the formula comprises a ratio of from 1:35.1 (0.028) to
1:39.1 (0.026), most suitably the formula comprises a ratio of from 1:36.1 (0.028) to
1:38.1 (0.026).
In an exemplary embodiment, the formula (viii) complies with both (a) and (b).
With “later in life” is meant an age exceeding the age at which the infant receives
the formula, suitably exceeding the age by at least 12 months, more suitably by 24
months, by 36 months, by 5 years, most suitably by 8 years. Suitably, “later in life”
means at toddler age, childhood age, adolescence age, or adult age. For instance, “later
in life” may refer to 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 y of age,
or >20y of age.
The phrase “preventing or reducing the risk of obesity” is herein defined to be a
prophylactic treatment of an infant, including but not limited to preventing the
development of obesity in the infant later in life, preventing the development of an
obesity-related diseases or conditions later in life (e.g., a metabolic disease, metabolic
syndrome, diabetes, cardiovascular disease), reducing (e.g., altering) the likelihood of
the development of obesity later in life., and/or reducing (e.g., altering) the likelihood
of the development of an obesity-related disease or condition later in life.
In these aspects, the formula suitably comprises a low level of protein, wherein a
“low level” refers to a protein intake level of 0.9 to 1.4 g of protein per 100 mL of
infant formula. A protein intake level of 0.9 to 1.4 g of protein per 100 mL of infant
formula correlates to 1.4 to 2.1 g of protein per 100 kcal of infant formula, based on an
energy level of 66 kcal per 100 mL. More suitably, the formula of the embodiments
above comprises 1.0-1.2 g of protein per 100 mL of infant formula, or the formula of
the embodiments above comprises 1.5-1.8 g of protein per 100 kcal of infant formula.
ADMINISTRATION
Provide herein is a method for providing nutrition to an infant, the method
comprising administering to the infant a proteinaceous composition or a formula of the
present invention. Suitably, the infant is a human infant.
We also provide for a method for providing nutrition to an infant, the method
comprising the steps a) admixing i) a nutritionally or pharmaceutically acceptable
liquid (e.g., water); and ii) a dry composition, wherein the dry composition comprises
the proteinaceous composition or formula of the present invention, and step b)
administering the liquid composition obtained in step a) to an infant.
Piglets
In some embodiments, the infant may be a piglet (e.g., an infant pig) as it is noted
that in the present experimental work, the compositions comprising the optimal amino
acid profile allowed for similar weight gain in the piglets compared with a composition
containing a higher amount of total protein and a non-adjusted essential amino acid
composition. Thus, this method may provide for effective lowering of the protein level
(and therefore cost) of feed for piglets. In such embodiments, the formula may
comprise a level of protein which is 20% lower than the current conventional levels of
protein given to piglets. Current levels of protein given to piglets are estimated to be
50.5 grams of protein / L of piglet feed (e.g., formula) and 4700 kJ / L (feed).
Accordingly, in some embodiments, the present invention provides a
proteinaceous composition or a formula that is formulated for administration to a piglet
(e.g., a piglet feed) and provides or is formulated to provide 34-46 g protein / L (feed).
More suitably, the proteinaceous composition or formula provides or is formulated to
provide 36-44 g protein / L (feed). Most suitably, the proteinaceous composition or
formula provides or is formulated to provide 39-41 g protein / L (feed).
In some embodiments, the present invention provides a proteinaceous
composition or a formula that is formulated for administration to a piglet (e.g., a piglet
feed) and provides or is formulated to provide 3200-4300 kJ protein / L of feed. More
suitably, the proteinaceous composition or formula provides or is formulated to provide
3400-4100 kJ protein / L (feed). Most suitably, the proteinaceous composition or
formula provides or is formulated to provide 3600-3900 kJ protein / L (feed).
EXAMPLES
Example 1: Lysine, methionine, threonine, tryptophan, valine, isoleucine and
leucine requirements in infants
Example 1 describes the determination of the essential amino acid requirements
in infants by way of the indicator amino acid oxidation (IAAO) method, and the
subsequent definition of the recommended ranges of dietary requirements for each
essential amino acid. The infants all had a gestational age of 37-43 weeks, a birth
weight of more than 2500 grams and a postnatal age of <28 days, and exhibited a
-1 -1
weight gain rate of > 5 g·kg ·d in the preceding 5 days (this weight gain rate is an
indication of good health).
IAAO Method
In the IAAO method, each infant was fed an amino acid based formula where
each essential amino acid was present in excess except the essential amino acid to be
tested. The infant was randomly assigned to receive the test amino acid in an amount
ranging from deficient to excess (i.e., each infant was given one specific level of the
test amino acid). Phenylalanine, labelled with a stable isotope, was used as the
indicator amino acid.
The IAAO method (Zello, 1993) is based on the concept that when the test amino
acid intake is insufficient to meet the infant’s requirements, protein synthesis will be
limited and all of the amino acids will be oxidised, including the indicator amino acid.
Oxidation of the indicator amino acid can be measured in expired air as CO2.
Figure 1 shows an example of the graph plotted by the IAAO method for a test
amino acid. As can be seen in Figure 1, as the dietary intake of the test amino acid
(shown on the x-axis) increases, protein synthesis increases and the oxidation rate of
the indicator amino acid (shown on the y-axis) decreases until the requirement of the
test amino acid is met (indicated as the breakpoint). Once the requirement of the test
amino acid is met, a further increase in its intake will have no further influence on the
oxidation rate of the indicator amino acid. Thus the breakpoint determines the dietary
requirement of the test amino acid in this setting.
IAAO Method – Protocol
24 hours before the study day, the infants consumed their test formula (including
the specific level of the test amino acid being given for each particular infant) for
adaptation, with the feeding regime conforming to that of the hospital. During the
study day, the feeding regime was changed to hourly bolus feeding of the infant’s test
formula to ensure a metabolic steady state in feed condition. In order to quantify
individual CO production, the infants received a primed (14 µmol/kg) continuous (9
13 13
µmol/kg/h) infusion of [ C]bicarbonate (sterile pyrogen free, 99% C APE;
Cambridge Isotopes, Woburn, MA) for 3 hours (Riedijk, 2005). Directly following the
3 hour bicarbonate infusion, a primed (34 µmol/kg) continuous (27 µmol/kg/h) enteral
13 13
infusion of L-[1- C]phenylalanine (99% C APE; Cambridge Isotopes) was given for
4 hours. To minimise invasiveness the tracers were given enterally by means of a
gastric tube.
Breath samples were collected by means of the direct sampling method described
by van der Schoor (2004). At baseline, two duplicate breath samples were obtained
before tracer infusion. During the last 45 minutes of [ C]bicarbonate infusion, and
during the last hour of L-[1- C]phenylalanine infusion, duplicated samples were
collected every ten and fifteen minutes, respectively. Samples were stored at room
temperature until monthly shipment to the Netherlands for analysis at the mass
spectrometry laboratory of the Erasmus Medical Center, Rotterdam. Expired CO
enrichment was measured by isotope mass spectrometry (ABCA; Europe Scientific,
van Loenen Instruments, Leiden, the Netherlands), and reported in units of atom
percent excess (APE).
For each participant, the estimated body CO production was calculated, as
described previously (Riedijk, 2005). The rate of fractional [1- C]phenylalanine
oxidation was calculated using this equation:
Fractional phenylalanine oxidation (%) = [IE x i ]/[i x IE ] x 100%
PHE B PHE B
Where IEPHE is the excess C isotopic enrichment in expired air during [1-
13 13
C]phenylalanine infusion (APE), iB is the infusion rate of [ C]bicarbonate
(µmol/kg/h), i is the infusion rate of [1- C]phenylalanine (µmol/kg/h), and IE is
PHE B
13 13
the excess C isotopic enrichment in expired air during [ C]bicarbonate infusion (van
Goudoever, 1993).
The results of the IAAO studies for amino acids: lysine, methionine, threonine,
tryptophan, valine, isoleucine and leucine, are described in Examples 1a-1g, and with
the results also illustrated graphically in Figures 2-8. As phenylalanine was used as the
indicator amino acid, each of Figures 2-8 plots the oxidation rates of the phenylalanine
(F CO ) against dietary intake of the test amino acid. Each point represents an
individual infant who was fed an amino acid based formula where each essential amino
acid was present in excess except the essential amino acid to be tested, where the test
amino acid was present in an amount ranging from deficient to excess.
Recommended dietary intake ranges
The recommended dietary intake range for the essential amino acids in each of
Examples 1a-1g was then determined using the following strategy.
First, the dietary requirement (breakpoint) of the IAAO results was estimated
using a biphasic linear regression crossover model and was taken as the primary
parameter.
To ensure that nearly all individuals meet the amino acid requirements, a safe
level of intake was defined. The safe level of protein intake proposed by the WHO
(WHO/FAO/UNU, 2007) was used, defining the safe level of protein intake as 125% of
the average protein requirement. In this instance, the safe level of amino acid intake
was therefore calculated to be >125% of the primary parameter (breakpoint value)
obtained as described above, to reach the population safe requirement value.
An assumption was made that this primary parameter (breakpoint value) is higher
than the requirement of protein bound amino acids based on the study by Metges
(2000) which showed > 20% higher first pass oxidation rate when free amino acids are
ingested compared to protein bound amino acids. Therefore 20% of the estimated
requirement was subtracted from the population safe requirement value, which is
believed to be conservative (i.e., an overestimate rather than underestimate).
The net effect of the above two calculations is therefore that the breakpoint
-1 -1
equals the recommended intake (measured in mg·kg ·d ).
-1 -1
The recommended intake measured in mg·kg ·d was then converted to units of
mg (of amino acid) / 100 mL (of infant formula). This calculation was made by
-1 -1
dividing the recommended intake (mg·kg ·d ) by the volume intake by an infant of
-1 -1
150 mL·kg ·d (Shaw, 2001) and multiplying by 100. This is described below as the
recommended dietary intake for each amino acid, expressed in mg (amino acid) / 100
mL (infant formula).
This recommended dietary intake range was also converted into units of g (amino
acid) / 100 g protein as follows. The calculations were based on a protein intake level
of 0.9 – 1.4 g (protein) / 100 mL (infant formula), or 900 – 1,400 mg (protein) / 100 mL
(infant formula) (Koletzko, 2009). This protein intake level correlates to 1.4 to 2.1 g
protein / 100 kcal infant formula based on an energy level of 66 kcal per 100 mL. The
recommended dietary intake for the amino acid expressed in mg / 100 mL was
therefore divided by the upper limit of protein intake level (1,400 mg / 100 mL) and
multiplied by 100 to reach the lower limit of the proposed interval. The recommended
dietary intake for the amino acid expressed in mg / 100 mL was also divided by the
lower limit of protein intake level (900 mg / 100 mL) and multiplied by 100 to reach
the upper limit of the proposed interval.
Example 1a: Lysine
Using the method described above, the breakpoint for lysine by a group of 21
-1 -1
infants was estimated to be 130 mg·kg ·d (this is also shown in Figure 2), and the
recommended dietary intake for lysine was then determined to be 87 mg / 100 mL (of
infant formula). Converted into g / 100 g protein as described above, the result for
lysine is 6.2 – 9.7 g / 100 g protein.
Example 1b: Methionine
Using the method described above, the mean breakpoint for methionine by a
-1 -1
group of 33 infants was estimated to be 38 mg·kg ·d (this is also shown in Figure 3).
It is noted that this estimation was made based on a diet that contained an excess of
-1 -1
cysteine (91 mg·kg ·d ). The recommended dietary intake for methionine was then
determined to be 25 mg / 100 mL (of infant formula). Converted into g / 100 g protein
as described above, the result for methionine is 1.8 – 2.8 g / 100 g protein.
Example 1c: Threonine
Using the method described above, the breakpoint for threonine by a group of 32
-1 -1
infants was estimated to be 68 mg·kg ·d (this is also shown in Figure 4) and the
recommended dietary intake for threonine was then determined to be 45 mg / 100 mL
(of infant formula). Converted into g / 100 g protein as described above, the result for
threonine is 3.2 – 5.0 g / 100 g protein.
Example 1d: Tryptophan
Using the method described above, the breakpoint for tryptophan by a group of
-1 -1
30 infants was estimated to be 15 mg·kg ·d (this is also shown in Figure 5) and the
recommended dietary intake for tryptophan was then determined to be 10 mg / 100 mL
(of infant formula). Converted into g / 100 g protein as described above, the result for
tryptophan is 0.7 – 1.1 g / 100 g protein.
Example 1e: Valine
Using the method described above, the breakpoint for valine by a group of 28
-1 -1
infants was estimated to be 110 mg·kg ·d (this is also shown in Figure 6) and the
recommended dietary intake for valine was then determined to be 73 mg / 100 mL (of
infant formula). Converted into g / 100 g protein as described above, the result for
valine is 5.2 – 8.1 g / 100 g protein.
Example 1f: Isoleucine
Using the method described above, the breakpoint for isoleucine by a group of 22
-1 -1
infants was estimated to be 105 mg·kg ·d (this is also shown in Figure 7) and the
recommended dietary intake for isoleucine was then determined to be 70 mg / 100 mL
(of infant formula). Converted into g / 100 g protein as described above, the result for
isoleucine is 5.0 – 7.8 g / 100 g protein.
Example 1g: Leucine
Using the method described above, the breakpoint for leucine by a group of 33
-1 -1
infants was estimated to be 140 mg·kg ·d (this is also shown in Figure 8) and the
recommended dietary intake for leucine was then determined to be 93 mg / 100 mL (of
infant formula). Converted into g / 100 g protein as described above, the result for
leucine is 6.6 – 10.3 g / 100 g protein.
Example 2: Histidine, phenylalanine, cysteine and tyrosine requirements in
infants
The IAAO methodology was not performed for the essential amino acids:
histidine and phenylalanine. Moreover, the IAAO methodology was (cannot) be used
for the conditionally essential amino acids: cysteine and tyrosine. Thus, the levels of
these amino acids were determined as explained below.
Example 2a: Histidine
The recommended dietary intake for histidine is proposed to be 41 mg / 100 kcal,
based on the level in human milk reference protein (Koletzko, 2005). With an infant
formula providing 66 kcal / 100 mL, this results in 27 mg of histidine / 100 mL. This
level (mg / 100 mL) was converted into g / 100 g protein as described in Example 1
above, to be 1.9 – 3.0 g / 100 g protein.
Example 2b: Phenylalanine
The recommended dietary intake for phenylalanine is proposed to be 81 mg / 100
kcal, based on the level in human milk reference protein (Koletzko, 2005). With an
infant formula providing 66 kcal / 100 mL, this results in 54 mg of phenylalanine / 100
mL. This level (mg / 100 mL) was converted into g / 100 g protein as described in
Example 1 above, to be 3.8 – 5.9 g / 100 g protein.
Example 2c: Cysteine
ESPGHAN proposes a ratio of methionine : cysteine in the range of 0.7-1.5 to 1
(Koletzko, 2005). The recommended dietary intake for methionine was determined to
be 25 mg / 100 mL (as described above, see Example 1b). Therefore, the ratio of
methionine : cysteine of 0.7 to 1 gives a level of cysteine of 36 mg / 100 mL and the
ratio of methionine : cysteine of 1.5 to 1 gives a level of cysteine of 17 mg / 100 mL.
Therefore the recommended dietary intake range for cysteine is 17 – 36 mg / 100 mL
(of infant formula).
Because the recommended dietary intake (in mg / 100 mL) is a range and not a
single figure, the range was converted into g / 100 g protein in a similar manner to the
calculations described in Example 1 above, but where the lower limit of the range for
cysteine expressed in mg / 100 mL was divided by the upper limit of protein intake
level (1,400 mg / 100 mL) and multiplied by 100 to reach the lower limit of the
proposed interval. The upper limit of the range for cysteine expressed in mg / 100 mL
was divided by the lower limit of protein intake level (900 mg / 100 mL) and multiplied
by 100 to reach the upper limit of the proposed interval. This led to a result for
cysteine of 1.2 – 4.0 g / 100 g protein.
Example 2d: Tyrosine
ESPGHAN proposes a ratio of phenylalanine : tyrosine in the range of 0.7-1.5 to
1 (Koletzko, 2005). The ESPGAN recommended dietary intake for phenylalanine is 54
mg / 100 mL (as above, Example 2b). Therefore, the ratio of phenylalanine : tyrosine of
0.7 to 1 gives a level of tyrosine of 76 mg / 100 mL and the ratio of phenylalanine :
tyrosine of 1.5 to 1 gives a level of tyrosine of 36 mg / 100 mL. Therefore the
recommended dietary intake range for tyrosine is 36 – 76 mg / 100 mL (of infant
formula).
Because the recommended dietary intake (in mg / 100 mL) is a range and not a
single figure, the range was converted into g / 100 g protein in a similar manner to the
calculations described in Example 1 above, but where the lower limit of the range for
tyrosine expressed in mg / 100 mL was divided by the upper limit of protein intake
level (1,400 mg / 100 mL) and multiplied by 100 to reach the lower limit of the
proposed interval. The upper limit of the range for tyrosine expressed in mg / 100 mL
was divided by the lower limit of protein intake level (900 mg / 100 mL) and multiplied
by 100 to reach the upper limit of the proposed interval. This led to a result for tyrosine
of 2.6 – 8.4 g / 100 g protein.
Example 3: Amino acid profiles
Bringing together the results from Examples 1 and 2, Table 1 below lists the
recommended dietary intake range for each essential amino acid both in mg (amino
acid) / 100 mL (of infant formula), and in g (amino acid) / 100 g protein, as described
earlier. Also included in Table 1 is the ratio of tryptophan to the neutral amino acids
(valine, leucine, isoleucine, phenylalanine, tyrosine, and methionine) calculated based
on the results in mg / 100 mL. This ratio is a range calculated using the mean level of
tyrosine levels (56 mg / 100 mL), and then with 10% variation of the ratio permitted
(e.g. to compensate for product-allowed variation). The ratio was thus determined to
be from 1:33.4 (0.030) to 1:40.8 (0.025).
Table 1: Recommended dietary intake range for each essential amino acid as
determined in Examples 1 and 2.
Essential amino Value
acid
[Units] mg / kg body weight / daymg / 100 mL g / 100 g
Cysteine N.D. 17-36 1.2-4.0
Histidine N.D. 27 1.9-3.0
Isoleucine 105 70 5.0-7.8
Leucine 140 93 6.6-10.3
Lysine 130 87 6.2-9.7
Methionine 38 25 1.8-2.8
Phenylalanine N.D. 54 3.8-5.9
Threonine 68 45 3.2-5.0
Tryptophan 15 10 0.7-1.1
Tyrosine N.D. 36-76 2.6-8.4
Valine 110 73 5.2-8.1
Tryptophan : neutral 1:33.4 (0.028)
amino acids to 1:40.8
(0.025)
Protein (g / 100 0.9-1.4
Protein (g / 100 1.4-2.1
kcal)
In general, the essential amino acid content of breast milk has been considered as
an appropriate requirement estimate (WHO, 2007). However, it is recognised that such
intakes may be different (e.g., generous) compared with actual demands. In the
absence of secure values, approaches to improve the requirement estimates, such as a
factorial approach based on growth and maintenance components of protein
requirements, result in calculated values that are still based on human milk as the
reference.
In the calculations described in Example 1 to determine the recommended dietary
intake values for lysine, methionine, threonine, tryptophan, valine, isoleucine and
leucine, human milk was not the reference value. Instead, these recommended dietary
intake values are based on the actual measured requirement levels in infants, namely
the breakpoint values. Furthermore, these calculations have permitted a determination
of the recommendations for essential amino acids expressed in units that can be used
when in infant formulas, and are therefore useful to the infant formula manufacturing
industry.
The amino acid composition of milk is postulated to be a critical factor in the
nutrition of neonates, since they are growing rapidly and undergoing a series of
important maturational processes. Shortage or excess of one specific essential amino
acid will limit effective use of the other essential amino acids in these processes of
body growth and maturation. Furthermore, apart from the need to meet the requirement
level of an individual essential amino acid, an optimal balance between those essential
amino acids in the total composition is (anticipated to be) crucial to support optimal
growth and/or development.
Comparing the breakpoints and recommended dietary intake values calculated as
described herein to commercially available formulas (which for a large part are based
on bovine milk or bovine milk components such as bovine casein or bovine whey), it
can be seen that a completely rebalanced profile of essential amino acids has been
determined. It is proposed that use of a composition that is based on this profile in the
formulation of an infant formula will optimise growth and/or development in an infant.
Interestingly, it is noted that some of these ranges deviate from the levels reported
in human breast milk or used in commercially available infant formulas. Thus, through
these experiments it has been surprisingly discovered that the levels of essential amino
acids required for protein synthesis (and therefore for growth and/or development) in
term infants are met at intake levels where the intake levels differs distinctly from that
found in human breast milk and in commercially available formulas for specific
essential amino acids, where the combined profile of two or more of those intake levels
differs distinctly from that found in human breast milk and in commercially available
formulas for specific essential amino acids, and where the ratios between several amino
acids differs distinctly from those found in human breast milk and in commercially
available formulas.
For instance, the individual breakpoints for the essential amino acids that act as
precursors for neurotransmitters in the brain, such as tryptophan and threonine, are
lower than the levels found in human breast milk and/or commercially available
formulas. Furthermore, the ratio between tryptophan and the neutral amino acids
(valine, leucine, isoleucine, phenylalanine, tyrosine, and methionine) may affect the
bioavailability of tryptophan, a precursor for the production of serotonin in the brain,
and was calculated to be from 1:33.4 (0.030) to 1:40.8 (0.025) and is therefore different
to that found in human breast milk and/or commercially available formulas. This is of
particular interest since it has been suggested that exposure to high levels of serotonin
during early development may affect the speed of development of the cortex, thereby
increasing the risk for psychiatric disease in later life (Riccio, 2011).
Example 4: Amino acid sources
Combinations of different sources of amino acids were investigated to determine
whether their amino acid profile would meet the recommended amino acid profile (i.e.,
the recommended dietary intake range for each essential amino as shown in the above
examples, and in particular Table 1).
The sources are listed in Table 2, along with their amino acid profile (g / 100 g
protein), and the references for where these profiles were sourced.
Table 2: Amino acid sources (expressed as g / 100 g protein)
Amino acid Amino acid sources
Pea protein Isolate
Potato Protein Algal Protein
Rice Protein Isolate Soy Protein Isolate Casein Cheese (sweet) Whey
Isolate Spirulina
Cysteine 1.1 0.95 1.75 1.2 0.7 0.4 2.6
Histidine 2.7 2.28 2.37 2.5 1.1 3.1 1.6
Isoleucine 4.7 5.20 4.31 5.1 3.2 5.8 7.2
Leucine 8.7 10.69 8.49 8.35 4.9 10.1 11.8
Lysine 7.7 7.87 3.60 5.6 3.0 8.4 10.7
Methionine 1.2 2.68 3.70 1.35 1.1 2.9 2.4
Phenylalanine 5.6 6.47 5.47 5.45 2.8 5.4 3.8
Threonine 3.9 7.11 3.70 3.9 3.0 4.6 8.6
Tryptophan 1.0 1.47 0.92 1.25 0.9 1.4 1.7
Tyrosine 3.9 6.37 5.35 3.9 2.6 5.8 3.4
Valine 5.2 5.62 6.14 5.1 3.5 7.5 6.8
Reference a b c d e
The references in Table 2 are as follows:
a: Commercially available protein source, Pisane C9
b: Commercially available protein source, Solanic 206P
c: Commercially available protein source, Remypro N80+
d: Commercially available protein source, Supro 772 LN
e: http://en.wikipedia.org/wiki/Spirulina_(dietary_supplement)#Protein_and_
amino -acid_content [accessed on September 3, 2012].
Suitable combinations of amino acid sources are outlined in Tables 3-9, and their
compliance with the recommended amino acid range and the ratio of tryptophan :
neutral amino acids (trp:NAA) of Table 1 is indicated. It will be appreciated by those
skilled in the art that any amino acid insufficiency (e.g., where the amount is <100% of
the recommended amount), as indicated in Tables 3-9 by “Below range”, this may be
remedied by the addition of free amino acid.
Table 3: Amino acid profile (g / 100 g protein) for the combination of pea protein
isolate and rice protein isolate (ratio of 35:65) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.5 Within range
Histidine 1.9-3.0 2.5 Within range
Isoleucine 5.0-7.8 4.4 Below range
Leucine 6.6-10.3 8.6 Within range
Lysine 6.2-9.7 5.0 Below range
Methionine 1.8-2.8 2.8 Within range
Phenylalanine 3.8-5.9 5.5 Within range
Threonine 3.2-5.0 3.8 Within range
Tryptophan 0.7-1.1 0.9 Within range
Tyrosine 2.6-8.4 4.8 Within range
Valine 5.2-8.1 5.8 Within range
It is noted that addition of isoleucine and lysine (e.g., by way of free amino acid)
is needed for the composition to fall within the Table 1 ranges for each amino acid.
Isoleucine is a neutral amino acid. Therefore, addition of isoleucine as free amino acid
will adjust the ratio of tryptophan to neutral amino acids. It is also noted that if the
level of isoleucine is increased to the minimum Table 1 levels (5.0 g / 100 g), then the
ratio of tryptophan : neutral amino acids will be 1:36.1 and therefore within the range
of the Table 1 ratio.
Accordingly, the combination of pea protein isolate and rice protein isolate (in a
ratio of 35:65), with additional isoleucine and lysine added by way of free amino acid,
meets the levels outlined in Table 1.
Table 4: Amino acid profile (g / 100 g protein) for the combination of rice protein
isolate and casein (ratio of 75:25) and compliance with Table 1 levels
Amino acid Table 1 levels (g Combination levels (g / Compliance with Table 1 levels
/ 100 g) 100 g)
Cysteine 1.2-4.0 1.1 Below range
Histidine 1.9-3.0 2.0 Within range
Isoleucine 5.0-7.8 3.7 Below range
Leucine 6.6-10.3 7.1 Within range
Lysine 6.2-9.7 4.3 Below range
Methionine 1.8-2.8 2.8 Within range
Phenylalanine 3.8-5.9 4.4 Within range
Threonine 3.2-5.0 3.1 Below range
Tryptophan 0.7-1.1 0.8 Within range
Tyrosine 2.6-8.4 4.4 Within range
Valine 5.2-8.1 5.2 Within range
It is noted that addition of cysteine, isoleucine, lysine, and threonine (e.g., by way
of free amino acid) is needed for the composition to fall within the Table 1 ranges for
each amino acid. Isoleucine is a neutral amino acid. Therefore, addition of isoleucine
as free amino acid will adjust the ratio of tryptophan to neutral amino acids. It is also
noted that if the level of isoleucine is increased to the minimum Table 1 levels (5.0 g /
100 g), then the ratio of tryptophan : neutral amino acids will be 1:36.1 and therefore
within the range of the Table 1 ratio.
Accordingly, the combination of rice protein isolate and casein (in a ratio of
75:25), with additional cysteine, isoleucine, lysine, and threonine added by way of free
amino acid, meets the levels outlined in Table 1.
Table 5: Amino acid profile (g / 100 g protein) for the combination of rice protein
isolate and potato protein isolate (ratio of 75:25) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.2 Within range
Histidine 1.9-3.0 1.9 Within range
Isoleucine 5.0-7.8 3.6 Below range
Leucine 6.6-10.3 7.2 Within range
Lysine 6.2-9.7 3.7 Below range
Methionine 1.8-2.8 2.8 Within range
Phenylalanine 3.8-5.9 4.6 Within range
Threonine 3.2-5.0 3.6 Within range
Tryptophan 0.7-1.1 0.8 Within range
Tyrosine 2.6-8.4 4.5 Within range
Valine 5.2-8.1 4.8 Below range
It is noted that addition of isoleucine, lysine, and valine (e.g., by way of free
amino acid) is needed for the composition to fall within the Table 1 ranges for each
amino acid. Isoleucine and valine are neutral amino acids. Therefore, addition of
isoleucine and valine as free amino acids will adjust the ratio of tryptophan to neutral
amino acids. It is also noted that if the levels of isoleucine and valine are increased to
the minimum Table 1 levels (5.0 g / 100 g and 5.2 g / 100 g respectively), then the ratio
of tryptophan : neutral amino acids will be 1:36.6 and therefore within the range of the
Table 1 ratio.
Accordingly, the combination of rice protein isolate and potato protein isolate (in
a ratio of 75:25), with additional isoleucine, lysine, and valine added by way of free
amino acid, meets the levels outlined in Table 1.
Table 6: Amino acid profile (g / 100 g protein) for the combination of rice protein
isolate and spirulina (ratio of 82:18) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.3 Within range
Histidine 1.9-3.0 1.8 Below range
Isoleucine 5.0-7.8 3.5 Below range
Leucine 6.6-10.3 6.7 Within range
Lysine 6.2-9.7 3.0 Below range
Methionine 1.8-2.8 2.8 Within range
Phenylalanine 3.8-5.9 4.2 Within range
Threonine 3.2-5.0 3.0 Below range
Tryptophan 0.7-1.1 0.8 Within range
Tyrosine 2.6-8.4 4.1 Within range
Valine 5.2-8.1 4.8 Below range
It is noted that addition of histidine, isoleucine, lysine, threonine, and valine (e.g.,
by way of free amino acid) is needed for the composition to fall within the Table 1
ranges for each amino acid. Isoleucine and valine are neutral amino acids. Therefore,
addition of isoleucine and valine as free amino acids will adjust the ratio of tryptophan
to neutral amino acids. It is also noted that if the levels of isoleucine and valine are
increased to the minimum Table 1 levels (5.0 g / 100 g and 5.2 g / 100 g respectively),
then the ratio of tryptophan : neutral amino acids will be 1:35 and therefore within the
range of the Table 1 ratio.
Accordingly, the combination of rice protein isolate and spirulina (in a ratio of
82:18), with additional histidine, isoleucine, lysine, threonine, and valine added by way
of free amino acid, meets the levels outlined in Table 1.
Table 7: Amino acid profile (g / 100 g protein) for the combination of pea protein
isolate and rice protein isolate (ratio of 37:63) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.4 Within range
Histidine 1.9-3.0 2.4 Within range
Isoleucine 5.0-7.8 4.2 Below range
Leucine 6.6-10.3 8.1 Within range
Lysine 6.2-9.7 4.9 Below range
Methionine 1.8-2.8 2.6 Within range
Phenylalanine 3.8-5.9 5.2 Within range
Threonine 3.2-5.0 3.6 Within range
Tryptophan 0.7-1.1 0.9 Within range
Tyrosine 2.6-8.4 4.6 Within range
Valine 5.2-8.1 5.5 Within range
It is noted that addition of isoleucine and lysine (e.g., by way of free amino acid)
is needed for the composition to fall within the Table 1 ranges for each amino acid.
Isoleucine is a neutral amino acid. Therefore, addition of isoleucine as free amino acid
will adjust the ratio of tryptophan to neutral amino acids. It is also noted that if the
level of isoleucine is increased to the minimum Table 1 levels (5.0 g / 100 g), then the
ratio of tryptophan : neutral amino acids will be 1:34.4 and therefore within the range
of the Table 1 ratio.
Accordingly, the combination of pea protein isolate and rice protein isolate (in a
ratio of 37:63), with additional isoleucine and leucine added by way of free amino acid,
will meet the levels outlined in Table 1.
Table 8: Amino acid profile (g / 100 g protein) for the combination of pea protein
isolate and cheese (sweet) whey (ratio of 75:25) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.2 Within range
Histidine 1.9-3.0 1.9 Within range
Isoleucine 5.0-7.8 4.3 Below range
Leucine 6.6-10.3 7.6 Within range
Lysine 6.2-9.7 6.8 Within range
Methionine 1.8-2.8 1.2 Below range
Phenylalanine 3.8-5.9 4.1 Within range
Threonine 3.2-5.0 4.1 Within range
Tryptophan 0.7-1.1 0.9 Within range
Tyrosine 2.6-8.4 3.0 Within range
Valine 5.2-8.1 4.5 Below range
It is noted that addition of isoleucine, methionine, and valine (e.g., by way of free
amino acid) is needed for the composition to fall within the Table 1 ranges for each
amino acid. Isoleucine, methionine, and valine are all neutral amino acids. Therefore,
addition of isoleucine, methionine, and valine as free amino acids will adjust the ratio
of tryptophan to neutral amino acids. It is also noted that if the levels of isoleucine,
methionine and valine are increased to the minimum Table 1 levels (5.0 g / 100 g, 1.8 g
/ 100 g, and 5.2 g / 100 g respectively), then the ratio of tryptophan : neutral amino
acids will be 1:29.7, which is below the range of the Table 1 ratio. Nevertheless,
addition of further neutral amino acids (further isoleucine, methionine and/or valine,
and/or any one of leucine, phenylalanine, or tyrosine) is possible to bring the ratio
within the Table 1 range. For instance, if the levels of isoleucine, methionine, and
valine are increased to 7.8 g / 100 g, 2.8 g / 100 g, and 8.1 g / 100 g respectively, then
the ratio of tryptophan : neutral amino acids will be 1:37.1, which is within the range of
the Table 1 ratio.
Accordingly, the combination of pea protein isolate and cheese (sweet) whey (in
a ratio of 75:25), with additional isoleucine, methionine, and valine, and possibly also
with additional leucine, phenylalanine, or tyrosine, added by way of free amino acid,
will meet the levels outlined in Table 1.
Table 9: Amino acid profile (g / 100 g protein) for the combination of soy protein
isolate and rice protein isolate (ratio of 56:44) and compliance with Table 1 levels
Amino acid Table 1 Combination levels Compliance with Table 1 levels
levels (g / 100 (g / 100 g)
Cysteine 1.2-4.0 1.3 Within range
Histidine 1.9-3.0 2.2 Within range
Isoleucine 5.0-7.8 4.3 Below range
Leucine 6.6-10.3 7.6 Within range
Lysine 6.2-9.7 4.2 Below range
Methionine 1.8-2.8 2.2 Within range
Phenylalanine 3.8-5.9 4.9 Within range
Threonine 3.2-5.0 3.4 Within range
Tryptophan 0.7-1.1 1.0 Within range
Tyrosine 2.6-8.4 4.1 Within range
Valine 5.2-8.1 5.0 Below range
It is noted that addition of isoleucine, lysine, and valine (e.g., by way of free
amino acid) is needed for the composition to fall within the Table 1 ranges for each
amino acid. Isoleucine and valine are neutral amino acids. Therefore, addition of
isoleucine and valine as free amino acids will adjust the ratio of tryptophan to neutral
amino acids. It is also noted that if the levels of isoleucine and valine are increased to
the minimum Table 1 levels (5.0 g / 100 g and 5.2 g / 100 g respectively), then the ratio
of tryptophan : neutral amino acids will be 1:29, which is below the range of the Table
1 ratio. Nevertheless, addition of further neutral amino acids (further isoleucine and/or
valine, and/or any one of leucine, methionine, phenylalanine, or tyrosine) is possible to
bring the ratio within the Table 1 range. For instance, if the levels of isoleucine and
valine are increased to 7.8 g / 100 g and 8.1 g / 100 g respectively, and the level of
leucine is increased to 10 g / 100 g, then the ratio of tryptophan : neutral amino acids
will be 1:37.1, which is within the range of the Table 1 ratio.
Accordingly, the combination of soy protein isolate and rice protein isolate (in a
ratio of 56:44), with additional isoleucine, lysine, and valine, and possibly also with the
addition of any one of leucine, methionine, phenylalanine, or tyrosine, added by way of
free amino acid, will meet the levels outlined in Table 1.
Thus, it is demonstrated that there are many various options for achieving the
desired amino acid profile.
Example 5: Additional amino acid sources
A further in-depth exercise was conducted to determine further sources of amino
acids, which are suitable for inclusion in combinations of amino acid sources that can
be used to meet the recommended amino acid profile (i.e., the recommended dietary
intake range for each essential amino as shown in the above examples, and in particular
Table 1).
This exercise was done by collecting data on proteins from the UniProt database,
which contains more than 500,000 entries and determining the amino acid profile of
each protein.
These amino acid sources were then analysed for suitability (in combination with
other amino acid sources) to meet the recommended amino acid profile, but were also
scored / prioritised based on a number of other factors including their source, origin and
availability, and any undesirable properties (e.g., any proteins with allergenic properties
like gluten).
The following key findings were made:
(1) It appears that it is not possible to identify an intact protein source that on its
own matches the recommended amino acid profile.
(2) It does not appear possible to meet the recommended amino acid profile
using two amino acid sources, where the first source is cow’s milk protein
and the second is included to ensure the combination matches the
recommended amino acid profile.
(3) It appears possible to reach the recommended amino acid profile using a
combination of three or more amino acid sources.
To elaborate on point (3), it is noted that suitable sources that may be used in
combinations appear to include whey (including acid whey, sweet whey, alpha-
lactalbumin enriched whey and whey hydrolysate), casein (including beta-casein and
casein hydrolysate), skim milk, lactoferrin, colostrum, goat’s milk protein, fish
(including cod fish hydrolysate and Neptune krill), chicken protein (including chicken
protein hydrolysate), pork protein (including pork protein hydrolysate), soy protein
(including soy protein isolate and soy hydrolysate), pea protein (including pea protein
isolate and pea protein hydrolysate), wheat protein (including wheat protein
hydrolysate), rice protein (including rice protein hydrolysate), rice bran, potato protein
(including potato protein isolate), lupin (including lupin protein from mature seeds, and
sweet lupin concentrate), cotton (including cotton seed hydrolysate), canola, sesame,
corn, oats, beans (including kidney bean), ferredoxin (derived from various plant
sources), green plant sources (including RuBisCO).
Some possible combinations of amino acid sources include combinations of:
a) whey protein (enriched in alpha-lactalbumin), pea protein, and white rice protein
(in relative amounts of 60:15:25 respectively with free amino acids also added to
ensure compliance with the Table 1 results);
b) whey protein (enriched in alpha-lactalbumin), pea protein, and skim milk (in
relative amounts of 25:8:67 respectively with free amino acids also added to
ensure compliance with the Table 1 results);
c) whey protein (enriched in alpha-lactalbumin), pea protein, and goat’s milk
protein (in relative amounts of 21:14:65 respectively with free amino acids also
added to ensure compliance with the Table 1 results);
d) sweet whey, acid whey , and oat protein (in relative amounts of 54:21:25
respectively with free amino acids also added to ensure compliance with the
Table 1 results);
e) sweet whey , beta-casein (bovine) , and pea protein (in relative amounts of
39:46:15 respectively with free amino acids also added to ensure compliance with
the Table 1 results); and
f) whey protein (enriched in alpha-lactalbumin) , pea protein , and potato protein (in
relative amounts of 55:32:13 respectively with free amino acids also added to
ensure compliance with the Table 1 results).
Example 6: Growth studies
A piglet model to evaluate growth poses a beneficial way of detecting effects of
altered amino acid compositions on growth, since the growth of pigs is faster than that
of infants. Therefore the model provides an excellent model to study effects of protein
quantity and quality on growth.
The objective of the piglet study was to determine whether an optimised amino
acid composition, low protein formula diet is associated with growth rates in piglets
similar to that observed in piglets fed a normal protein diet with a non-adjusted amino
acid composition.
Seventy-nine piglets (age: 7 days) were separated from their mothers and housed
individually in cages for 17 days and reared with an automated, controlled milk supply
system. Piglets were randomly assigned to one of three groups, fed the following diets:
1) Control infant formula with normal levels of protein and a non-adjusted amino
acid composition for infants (n=26);
2) Control formula with 20% less total protein without amino acid adjustment
(n= 27);
3) A formula with an optimised amino acid composition based on the results
described in the earlier examples, and with 20% lower total protein compared
to the protein level of diet 1 (n=26).
The composition of each diet is shown in Table 10. All diets were iso-caloric,
providing approximately 3835 kJ / L. During the study period the milk intake was
adjusted every second day according to the bodyweight of the piglets. The amount of
milk given to each piglet was based on a protein intake of 8 g/kg/day in the standard
formula group which contained 44 g protein/L. The tryptophan : large neutral amino
acids ratio was 1:16.5 (0.061), 1:16.1(0.062) and 1:33.5 (0.030) for diets 1, 2 and 3,
respectively.
Table 10: Macronutrient and essential amino acid composition of the piglet diets
Amount per litre Diet 1 Diet 2 Diet 3
Carbohydrate (g) 70 74 74
Protein (g) 44 35 35
Fat (g) 50 52 52
Dry matter (g) 169 166 166
Energy (kJ) 3838 3832 3832
Essential amino acids (g)
Cysteine 1.4 1.1 1.0
Histidine 2.1 1.7 0.9
Isoleucine 3.2 2.6 2.6
Leucine 5.5 4.4 3.4
Lysine 3.7 3.0 3.2
Methionine 0.9 0.7 0.9
Phenylalanine 2.5 2.0 1.9
Threonine 2.7 2.2 1.6
Tryptophan 1.1 0.9 0.4
Tyrosine 2.5 2.0 1.9
Valine 3.5 2.8 2.7
Tryptophan : Neutral amino acids 0.061 0.062 0.030
The weight gain results are presented in Figure 9, where it can be seen that the
growth rate for the piglets fed diets 1 and 3 were comparable to each other, while the
growth rate for the piglets fed diet 2 was less. Two key findings are made: first, the
weight gain of the piglets on the optimised essential amino acid diet (diet 3) was
comparable to the piglets on the control infant formula of diet 1, and in this regard it is
noted that the protein levels of the two diets were significantly different; and second,
the weight gain of the piglets on the optimised essential amino acid diet (diet 3) was
greater compared to the piglets on the control infant formula of diet 2, and it is noted
that the protein levels of the two diets were the same.
It should also be noted that the ratio of essential amino acids to non-essential
amino acids in diet 3 was approximately 50:50 which is similar to that in diets 1 and 2,
and also in line with the typical ratio of essential amino acids in human breast milk and
commercially available formulas. Therefore, it is emphasised that diet 3 did not simply
involve a lowering of the total essential amino acid levels relative to the non-essential
amino acid levels in order to reduce the total level of protein.
These results therefore suggest that the new optimised essential amino acid
composition allows for greater weight gain compared with a composition containing
the same amount of total protein and a non-adjusted essential amino acid composition.
The results also suggest that the new optimised essential amino acid composition
allows for similar weight gain compared with a composition containing a higher
amount of total protein and a non-adjusted essential amino acid composition.
Furthermore, these findings cannot be explained by a relative increase or the essential
amino acids (because the ratio of essential amino acids to non-essential amino acids in
all three diets was approximately 50:50) but by a change in the ratio of all essential
amino acids.
Furthermore, the organ development in the piglets of this study was investigated.
No adverse developmental effects were detected in the piglets on the optimised
essential amino acid diet (diet 3) relative to the control infant formula (diet 1). This
suggests that 20% reduction of the protein load with an optimised amino acid
composition does not induce any acute growth deficits or disproportional growth
effects in the piglets.
As such, using the new optimised amino acid composition may allow for
effective lowering of protein levels in infant formula.
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In this document and in its claims, the verb “to comprise” and its conjugations is
used in its non-limiting sense to mean that items following the word are included, but
items not specifically mentioned are not excluded. In addition, reference to an element
by the indefinite article “a” or “an” does not exclude the possibility that more than one
of the element is present, unless the context clearly requires that there be one and only
one of the elements. The indefinite article “a” or “an” thus usually means “at least one”.
Each of the applications and patents mentioned in this document, and each
document cited or referenced in each of the above applications and patents, including
during the prosecution of each of the applications and patents (“application cited
documents”) and any manufacturer’s instructions or catalogues for any products cited
or mentioned in each of the applications and patents and in any of the application cited
documents, are hereby incorporated herein by reference. Furthermore, all documents
cited in this text, and all documents cited or referenced in documents cited in this text,
and any manufacturer’s instructions or catalogues for any products cited or mentioned
in this text, are hereby incorporated herein by reference.
Various modifications and variations of the described methods and system of the
invention will be apparent to those skilled in the art without departing from the scope
and spirit of the invention. Although the invention has been described in connection with
specific preferred embodiments, it should be understood that the invention as claimed
should not be unduly limited to such specific embodiments. Indeed, various
modifications of the described modes for carrying out the invention which are obvious
to those skilled in molecular biology or related fields are intended to be within the scope
of the claims.
Claims (12)
1. A proteinaceous composition comprising: a) 3.2-5.0 g threonine per 100 g protein; b) 0.7-1.1 g tryptophan per 100 g protein; c) a ratio of tryptophan to the sum of all neutral amino acids isoleucine, leucine, valine, phenylalanine, tyrosine, and methionine of from 0.030 to 0.025; and d) 5.0-7.8 g isoleucine per 100 g protein, 6.6-10.3 g leucine per 100 g protein, 6.2-9.7 g lysine per 100 g protein, 1.8-2.8 g methionine per 100 g protein, and/or 5.2-8.1 g valine per 100 g protein.
2. The proteinaceous composition of claim 1, further comprising 1.9 – 3.0 g histidine, 3.8 – 5.9 g phenylalanine, 1.2 – 4.0 g cysteine and 2.6 – 8.4 g tyrosine, per 100 g protein.
3. An infant formula comprising the proteinaceous composition according to claim 1 or 2, wherein the infant formula comprises the proteinaceous composition at a level of: a) 1.4 to 1.8 g per 100 kcal of formula; or b) 0.9 to 1.2 g per 100 ml of formula.
4. The formula of claim 3, which: a) comprises 45-52 mg threonine per 100 mL formula; b) comprises 10-12 mg tryptophan per 100 mL formula; c) provides, or is formulated to provide threonine in an amount of 68-78 mg / kg body weight / day; and/or d) provides, or is formulated to provide tryptophan in an amount of 15-17 mg / kg body weight / day.
5. The formula of claim 4, comprising a) and b).
6. The formula of claim 4, comprising c) and d).
7. Use of a composition in the manufacture of an infant formula for promoting, assisting or achieving balanced growth or development in an infant and/or for preventing or reducing the risk of unbalanced growth or development in an infant, wherein the formula is as defined in any one of claims 3 to 6; and wherein the formula optionally: a) comprises 70-81 mg isoleucine per 100 mL formula, 93-107 mg leucine per 100 mL formula, 87-100 mg lysine per 100 mL formula, 25-29 mg methionine per 100 mL formula, 45-52 mg threonine per 100 mL formula, 10-12 mg tryptophan per 100 mL formula, and/or 73-84 mg valine per 100 mL formula; and/or b) provides or is formulated to provide 105-121 mg isoleucine / kg body weight / day, 140-161 mg leucine / kg body weight / day, 130-150 mg lysine / kg body weight / day, 38-44 mg methionine / kg body weight / day, 68-78 mg threonine / kg body weight / day, 15-17 mg tryptophan / kg body weight / day, and/or 110-127 mg valine / kg body weight / day.
8. Use of a composition in the manufacture of an infant formula for preventing or reducing the risk of obesity later in life in an infant, wherein the formula is as defined in any one of claims 3 to 6; and whererin the formula optionally: a) comprises 70-81 mg isoleucine per 100 mL formula, 93-107 mg leucine per 100 mL formula, 87-100 mg lysine per 100 mL formula, 25-29 mg methionine per 100 mL formula, 45-52 mg threonine per 100 mL formula, 10-12 mg tryptophan per 100 mL formula, and/or 73-84 mg valine per 100 mL formula; and/or b) provides or is formulated to provide 105-121 mg isoleucine / kg body weight / day, 140-161 mg leucine / kg body weight / day, 130-150 mg lysine / kg body weight / day, 38-44 mg methionine / kg body weight / day, 68-78 mg threonine / kg body weight / day, 15-17 mg tryptophan / kg body weight / day, and/or 110-127 mg valine / kg body weight / day.
9. A composition according to claim 1 or 2, substantially as herein described or exemplified.
10. A formula according to any one of claims 4-6, substantially as herein described or exemplified.
11. A use according to claim 7, substantially as herein described or exemplified.
12. A use according to claim 8, substantially as herein described or exemplified.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| PCT/NL2012/050832 WO2014081284A1 (en) | 2012-11-23 | 2012-11-23 | Formulas comprising optimised amino acid profiles |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| NZ708274A NZ708274A (en) | 2018-11-30 |
| NZ708274B2 true NZ708274B2 (en) | 2019-03-01 |
Family
ID=
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