2014-11-07 Introduction / Overview Discussion of successful application of the spore‐forming probiotic, Bacillus coagulans in food Safety Efficacy Worldwide regulatory approval Advantages over vegetative cells Applications impossible for vegetative cells Stephen T. Quinn, J.D. International Business and Regulatory Manager, Ganeden Biotech [email protected] ‐ Booth F21 1 2 What does it mean to be “probiotic” (for food)? Traditional “Probiotic” Foods Per FAO/WHO “live micro‐organisms that when Kim chi – Korean fermented vegetables administered in adequate amounts confer a health benefit on the host” When the consumer – consumes the food The “probiotic” must be safe AT or ABOVE efficacious level Health benefits are STRAIN SPECIFIC Bacillus coagulans GBI‐30, 6086 (”GanedenBC30") Sauerkraut – Traditional fermented cabbage Yogurt – Fermented milk Natto – Fermented soy beans Tempeh – Fermented soy beans Kombucha – Fermented tea Kefir – Fermented milk 3 4 1 2014-11-07 How “probiotic” are they: Probiotic traditional food CFU per serving Of the traditional, unfortified foods, only natto has Raw significant CFU count It traditionally has Bacillus subtilis and/or Bacillus coagulans: both spore forming organisms CFU at time of consumption Sauerkraut: < 1000 CFU per serving Kim chi: 2,000 CFU per serving Tempeh: 106,000 CFU per serving Natto: 2,980,000 CFU per serving 5 Probiotic spores 6 Safety Certain strains of Bacillus coagulans fit the WHO Bacillus coagulans strains are one of the most common definition, and are known to be safe Food and Chemical Toxicology 47: 1231‐1238. Endres, J.R., et al., 2009. Bacillus subtilis, Bacillus clausii also used in foods and Food Chem Toxicol. 2011 Feb 18, Endres, J., 2011 food supplements, others for animal feed Spores have been used in food for at least 50 years, but Bacillus coagulans is sometimes referred to as Lactobacillus sporogenes, but that name was changed in 1939. Some companies use the outdated name, typically to mislead consumers 7 have become more popular in the last 15 years 8 2 2014-11-07 Safety Efficacy Spores have been used widely in supplements, but food Again – STRAIN level; it is not appropriate to attribute safety is subject to different scrutiny studies even within a species to multiple strains Several Bacillus coagulans strains have been show to confer immune, digestive, cholesterol and other benefits Efficacy must be demonstrated through: US Dept of Health and Human Services GRAS Notice No 000399 Safety must be shown in toxicity studies including reproductive studies to levels that satisfy food and drug regulators Well designed, human clinical trials With statistically significant findings And published in peer reviewed papers As with all things probiotic, safety is strain specific It is intellectually dishonest to advocate for strain level safety but then accept species level efficacy 9 Efficacy examples – immunity and digestion benefits shown 10 Accepted as a food ingredient Bacillus coagulans significantly improved abdominal pain and bloating in patients Not all spore formers have been accepted as food with IBS. Postgraduate Medicine 121 (2): 119‐124. Hun, L., 2009. ingredients Effects of a proprietary Bacillus coagulans preparation on symptoms of diarrhea‐ Some have contraindications for certain populations; most predominant irritable bowel syndrome. Methods Find Exp Clin Pharmacol. 2009 Dec; 31(10):655‐9 Dolin, B.J. 2010 A patented strain of Bacillus coagulans increased immune response to viral challenge. Postgraduate Medicine 121 (2): 114‐118. Baron, M., 2009. A controlled clinical trial to evaluate the effects of GanedenBC30 on immunological markers Methods Find Exp Clin Pharmacol, 32(2) 129‐132 Kimmel M. et al. 2010 Bacillus coagulans GBI‐30 (GanedenBC30) improves indices of Clostridium difficile‐ induced colitis in mice. Gut Pathogens, 2011, 3:16 Fitzpatrick, L., 2011 11 are seriously lacking in strain‐specific data One strain, GanedenBC30, is approved nearly worldwide: US FDA GRAS EU QPS for foods Non‐objection for AUS/NZ FSANZ Approved in Taiwan, India, Philippines, and Japan, Mexico, Venezuela, and Argentina Non‐objection with an approved claim from Health Canada 12 3 2014-11-07 USP Monograph Advantages over non‐spores The first probiotic to receive a USP monograph published Survival through the gastric environment to proliferate in in the Food Chemical Codex is Bacillus coagulans GBI‐30, 6086 the gut An organism can’t confer benefit if it’s not alive Shelf‐stability: up to three years As of September 2014, Bacillus coagulans GBI‐30,6086 is Stability through food production processes that would in the Codex. The entry standardizes the identification, handling, reproduction, and enumeration of the organism be completely inaccessible to vegetative cells REMAINS VIABLE to reach its host and confer the intended benefit 13 Commercial Advantages over non‐spores 14 Survival in the gut • Advantages of a B. coagulans spore: Bacillus coagulans has been shown to survive well in low‐pH • Reduces handling costs environments and gastric models because of the spore • Reduces storage costs Survives the low pH of the stomach and high pH of bile salts and • Reduces need for large overages goes on to germinate in the gut when exposed to proper Temperature Water activity Available substrate • Easier to use 15 16 4 2014-11-07 Acid Tolerance Survival in food processes Viability during gastric transit compared using validated in vitro models have shown spores to be significantly superior survival when exposed to stomach acids and bile salts. With spore forming organisms, losses are typically discussed in terms of % loss rather than log loss as is typical with traditional lactic acid cultures Percentage Loss vs. Log Loss – The Numbers Speak for Themselves To be “probiotic” per WHO, the bacteria must be alive when consumed Non‐spore probiotics must be stored in temperature‐ controlled environments For non‐spore probiotics this limits most strains to refrigerated fermented foods or refrigerated fortified foods 1 log loss: 100,000,000 CFU (10% survival) 10% loss: 900,000,000 CFU (90% survival) 2 log loss: 10,000,000 CFU (1% survival) 20% loss: 800,000,000 CFU (80% survival) 3 log loss: 1,000,000 CFU (.1% survival) 30% loss: 700,000,000 CFU (70% survival) Baseline = 1 Billion CFU 17 18 2 Survival in food processes Successful applications Bacillus coagulans probiotics can be: Far beyond fermented food and dairy products Powders – protein and superfoods Baked Goods Hot Beverages HTST Beverage HPP Beverage Confections Hot‐filled products Sports products Shelf Stable: Sports nutrition, superfood powder, protein Heat Stable: Cereal, Hot‐fill liquids, chocolate confections Pressure Resistant: HPP juice Extruded: Animal feed Baked: Pizza crust, cookies, crackers, muffins Boiled: Pasta, coffee, tea 19 20 5 Slide 19 2 This slide and the next one need work. Use the slides from the IPA presentation and SHOW examples. Mike Bush, 10/5/2014 2014-11-07 Application Example: Sports Nutrition and powder blends Application example: Hot Beverages Results in simple, shelf‐stable delivery method Dry Mixing has little or no effect on the spore’s survival Bacillus coagulans spores will not be harmed by standard Even after preparation with boiling water, around 80% of mixing or blending equipment End‐of‐shelf life survival approaches 100% of inclusion the spore survives 21 22 Application example: Refrigerated Beverages Application example: Bars and confections Some strains of Bacillus coagulans can survive HTST, HPP, Bacillus coagulans spores can be put into shelf‐stable or regular hot fill treatments for juice or sparkling beverages Depending on specific process, spores can survive in excess of 90% protein or meal replacement bar products Slab bars, hot mix granola, melted chocolate are all viable applications for spores that would kill vegetative cells Survival usually more than 80% 23 24 6 2014-11-07 Application example: Baked Goods Conclusions Include spores with dry ingredients to ensure even Well studied and characterized strains of Bacillus coagulans mixture Add wet ingredients, dispense, and bake (no proofing) Spores survive at least 60% in most applications and other SELECT spore‐forming probiotic are a superior ingredients for most food applications Safety and efficacy must be studied AT THE STRAIN LEVEL Gaining worldwide acceptance by food and drug experts and authorities The spore allows the cell to remain viable during gastric transit to proliferate in the gut The spore allows the cell to survive food manufacturing processes and actually be alive at the time of consumption 25 26 7
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