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A human blood study was conducted to explore “in vitro” whether EpiCor enhanced the natural process of the immune system to suppress tumor cells. Ten production employees that were exposed daily to EpiCor by inhalation during intermittent periods at work, were matched by age and gender to ten non-production employees not exposed to EpiCor. Blood samples were analyzed for lymphocyte subpopulations, RBC total glutathione, and an auto-immune panel. Saliva samples were used for immunoglobulin A (IgA) determination. 25 % Dead Tumor Cells 20 15 10 5 0 Untreated K562 PBL + K562 EpiCor™ PBL + K562 Significantly higher levels of EpiCor-specific antibodies (P<0.01) Significantly higher levels of total salivary secretory IgA (P<0.01) Significantly lower levels of immune complexes (P<0.01) Immuno-Modulation in Human Immune Cells Immuno modulating effects were assessed by preincubation of human neutrophils with EpiCor prior to triggering of ROS formation by hydrogen peroxide (H2O2). Treatment with EpiCor resulted in statistically significant reduction of ROS formation over a wide dilution range. This finding suggests an overall anti-oxidant effect of EpiCor, with a strong and direct activation of NK cells (Figure 2a and 2b) and B lymphocytes, possibly combined with a selective support of Th2 over Th1 immune responsiveness.* 100 Figure 1. Addition of EpiCor™ increased the killing efficiency in this tumor cell assay. A separate, initial test had shown that EpiCor™ does not directly kill the tumor cell line K562. Compared to the control, the exposed group showed: A decrease in CD8 (suppressor) cell number that resulted in a significantly higher CD4 (helper) to CD8 cell ratio (P<0.01) Higher cytotoxic activity of natural killer (NK) cells (Figure 1), despite a significant decrease in their number (p<0.01) Higher killing efficiency of NK cells (12.4% vs. 15.1%) Higher levels of glutathione in erythro cytes (721 vs. 756 mM) * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Relative Marker Induction (% Activated NK Cells) CD69 80 CD25 60 100 % of Max 80 60 40 EpiCor™ Untreated 20 0 100 101 102 103 CD69 Intensity Figure 2b. EpiCor™ treatment of freshly purified human NK cells results in expression of the activation marker CD69 on almost all CD3- CD56+ NK cells. Why EpiCor? A high metabolite immunogen made from a fermented yeast medium, EpiCor is unique as an immune health ingredient. It delivers three times the antioxidant power of any known fruit as well as B vitamins, natural phenolics and fiber. Studies also show that EpiCor promotes immune health by activating natural killer (NK) cells and human B cells while also increasing levels of secretory IgA, an important component of the immune system.* For More Information To learn more about EpiCor, contact Embria Health Sciences at 877-362-7421 (EMBRIA1) or find us on the web at www.embriahealth.com 40 20 0 Epicor™ 10 uL/mL Untreated Figure 2a. Flow cytometric analysis of CD69 and CD25 expression on lymphocyte subsets cultured in the presence and absence of EpiCor™ overnight. The presence of EpiCor resulted in higher induction of both markers. The induction of CD69 on NK cells was significantly higher than that of CD25 (p<0.03). Scientific Research Summary PO Box 2815, 838 1st Street NW Cedar Rapids, IA 52406-2815 PH 877-362-7421 (Embria1) FAX 319-362-2557 www.embriahealth.com EpiCor™ is exclusively manufactured by Embria Health Sciences™ June 2006 Immunomodulating Effects of EpiCor™ What is EpiCor™? Unusually low sick leave rates over several decades in employees working in a fermentation facility in Cedar Rapids, Iowa, led to a theory that these employees’ exposure to a proprietary stressed strain of Saccharomyces cerevisiae (EpiCor) produced at the facility and absorbed daily by inhalation might have important immune-enhancing EpiCor is an all natural, highmetabolite immunogen that supports the body’s immune system to strengthen resistance and maintain wellness.* Derived from a fermented yeast medium, EpiCor is supported by numerous safety studies for everyday use, and can be utilized as a sole-ingredient dietary supplement or in multi-ingredient formulations. EpiCor has also recently achieved self-affirmed GRAS status by an independent expert panel—increasing delivery options to include functional foods. toxic gross pathological changes. In the subacute study, 160 male and female rats were divided into four even groups. The first group served as controls. The other groups received daily oral doses of 30, 200, or 1,500 mg/kg of body weight of EpiCor by gavage for 90 days, 7 days a week. EpiCor was well tolerated in all groups, even the high dosage group, for a period of time allometrically equivalent to 1.5 years of human consumption on a daily basis. properties. An initial in vitro total oxygen radical absor- A Safe History bance capacity (ORAC-hydro + EpiCor is manufactured from a species of yeast called Saccharomyces cerevisiae (SC) through our proprietary, multi-stage fermentation and drying process, MetaGen4™. SC, commonly known as ”brewer’s yeast” or “baker’s yeast,” has a long history of use in food processing for human consumption in everything from alcoholic beverages to baked goods. ORAC-lipo = Total ORAC) assay revealed that EpiCor possessed the second highest peroxyl radical scavenging activity (610 µmoleTE/g) of any food ever tested. Based on these observations, studies were designed to assess the potential of EpiCor as a dietary supplement. Research to date shows that EpiCor activates natural killer (NK) cells, human B cells and increases the levels of salivary secretory IgA.* Safety studies have also been performed showing that EpiCor is safe, non-toxic, non-mutagenic, non-mitogenic, non-cytotoxic, and pesticide free. Toxicology Both acute (14-day) and sub-acute (90-day) toxicology studies have been performed on EpiCor. In the acute study, a single oral dose of 2,000 mg/kg of body weight of EpiCor was administered orally to 20 male and female rats by gavage. Animals were weighed and observed for toxic symptoms and lethality for 14 days. Throughout the course of the study, no toxic clinical symptoms were observed and no deaths occurred after oral administration of EpiCor. On the 15th day, autopsies revealed no Specifically, the following parameters were unaffected by taking EpiCor: body weight, food and water consumption, eye structure and function, sensory reactivity, grip strength, motor activity, hematological or serum chemistry, prothrombin time and urine chemistry. Additionally, no treatment-related toxic clinical symptoms or gross pathological organ lesions were observed, and no mortality occurred. Both studies were GLP (Good Laboratory Practices) compliant and performed in accordance with US Food & Drug Administration and European Union guidelines. * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Contraindications? None have been found to date. An in vitro study was performed to evaluate whether EpiCor is an inducer of cytochrome P450 1A2 and P450 3A4 (CYP) enzymes in immortalized human hepatocytes. Induction of CYP enzymes is one of the major mechanisms of drug to drug interactions. The researchers found that EpiCor did not induce either enzyme’s activity, suggesting that the ingredient does not interfere with the metabolic pathways of common prescription medications. This finding was confirmed in a human pharmokinetic study (see third panel). Mutagenicity Two tests were performed on EpiCor to determine if the ingredient causes gene mutations. The first was a bacterial reverse mutation assay. In this test, a strain of microorganism, which is afflicted with a mutation that affects its ability to grow, is placed in the presence of the test substance. If the substance induces a mutation that reverses the original mutation, the microorganisms can grow. EpiCor was incubated with various strains of Salmonella typhimurium and Escherichia coli bacteria. This was performed in a range of concentrations from 10 to 1,000 mcg per plate, both in the presence and absence of an exogenous metabolic activation system. The bacteria did not grow; therefore no evidence of mutagenic activity was detected. The second test was a mouse lymphoma assay. This test has been shown to detect missing classes of mutations that are not capable of detection in the bacterial reverse mutation assay. Mouse lymphoma cell lines were exposed to varying concentrations of EpiCor, both in the presence and absence of an exogenous metabolic activation system. The study found no evidence for the induction of gene mutation by EpiCor in any of the concentrations tested. Mitogenicity A mitogen is a substance that induces mitosis or cell division. Because mitogens raise safety concerns and may signal immune over-reactivity, a lymphocyte proliferation study was performed to determine whether EpiCor is mitogenic. Healthy human lymphocytes were incubated with a combination of EpiCor and phosphate-buffered saline. Following centrifugation and sterile filtration, some cell cultures were treated with the extract while others served as controls. At the end of the study, there was no difference between treated and untreated cells, indicating that EpiCor is not mitogenic. Pharmacokinetics Finally, the safety of EpiCor was evaluated in real human subjects through an open-label, single dose pharmacokinetic study. Fifteen healthy men and women between the ages of 18 and 40 received a single dose of 500 mg of EpiCor in capsule form for 30 days. Safety was assessed on days 0, 14, 21, 28, 29 and 30 for treatment-emerged adverse events, vital sign measurements, serum chemistry, and hematology and urinalysis tests. EpiCor was well-tolerated in all subjects. No adverse events were reported. There was no evidence of any clinically relevant effects of EpiCor on any safety parameter. What is EpiCor™? Unusually low sick leave rates over several decades in employees working in a fermentation facility in Cedar Rapids, Iowa, led to a theory that these employees’ exposure to a proprietary stressed strain of Saccharomyces cerevisiae (EpiCor) produced at the facility and absorbed daily by inhalation might have important immune-enhancing EpiCor is an all natural, high metabolite immunogen that supports the body’s immune system to strengthen resistance and maintain wellness.* Derived from a fermented yeast medium, EpiCor is supported by numerous safety studies for everyday use, and can be utilized as a sole-ingredient dietary supplement or in multi-ingredient formulations. EpiCor has also recently achieved self-affirmed GRAS status by an independent expert panel—increasing delivery options to include functional foods. toxic gross pathological changes. In the subacute study, 160 male and female rats were divided into four even groups. The first group served as controls. The other groups received daily oral doses of 30, 200, or 1,500 mg/kg of body weight of EpiCor by gavage for 90 days, 7 days a week. EpiCor was well tolerated in all groups, even the high dosage group, for a period of time allometrically equivalent to 1.5 years of human consumption on a daily basis. properties. An initial in vitro total oxygen radical absor- A Safe History bance capacity (ORAC-hydro + EpiCor is manufactured from a species of yeast called Saccharomyces cerevisiae (SC) through our proprietary, multi-stage fermentation and drying process, MetaGen4™. SC, commonly known as ”brewer’s yeast” or “baker’s yeast,” has a long history of use in food processing for human consumption in everything from alcoholic beverages to baked goods. ORAC-lipo = Total ORAC) assay revealed that EpiCor possessed the second highest peroxyl radical scavenging activity (610 µmoleTE/g) of any food ever tested. Based on these observations, studies were designed to assess the potential of EpiCor as a dietary supplement. Research to date shows that EpiCor activates natural killer (NK) cells, human B cells and increases the levels of salivary secretory IgA.* Safety studies have also been performed showing that EpiCor is safe, non-toxic, non-mutagenic, non-mitogenic, non-cytotoxic, and pesticide free. Toxicology Both acute (14-day) and sub-acute (90-day) toxicology studies have been performed on EpiCor. In the acute study, a single oral dose of 2,000 mg/kg of body weight of EpiCor was administered orally to 20 male and female rats by gavage. Animals were weighed and observed for toxic symptoms and lethality for 14 days. Throughout the course of the study, no toxic clinical symptoms were observed and no deaths occurred after oral administration of EpiCor. On the 15th day, autopsies revealed no Specifically, the following parameters were unaffected by taking EpiCor: body weight, food and water consumption, eye structure and function, sensory reactivity, grip strength, motor activity, hematological or serum chemistry, prothrombin time and urine chemistry. Additionally, no treatment-related toxic clinical symptoms or gross pathological organ lesions were observed, and no mortality occurred. Both studies were GLP (Good Laboratory Practices) compliant and performed in accordance with US Food & Drug Administration and European Union guidelines. * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Contraindications? None have been found to date. An in vitro study was performed to evaluate whether EpiCor is an inducer of cytochrome P450 1A2 and P450 3A4 (CYP) enzymes in immortalized human hepatocytes. Induction of CYP enzymes is one of the major mechanisms of drug to drug interactions. The researchers found that EpiCor did not induce either enzyme’s activity, suggesting that the ingredient does not interfere with the metabolic pathways of common prescription medications. This finding was confirmed in a human pharmokinetic study (see third panel). Mutagenicity Two tests were performed on EpiCor to determine if the ingredient causes gene mutations. The first was a bacterial reverse mutation assay. In this test, a strain of microorganism, which is afflicted with a mutation that affects its ability to grow, is placed in the presence of the test substance. If the substance induces a mutation that reverses the original mutation, the microorganisms can grow. EpiCor was incubated with various strains of Salmonella typhimurium and Escherichia coli bacteria. This was performed in a range of concentrations from 10 to 1,000 mcg per plate, both in the presence and absence of an exogenous metabolic activation system. The bacteria did not grow; therefore no evidence of mutagenic activity was detected. The second test was a mouse lymphoma assay. This test has been shown to detect missing classes of mutations that are not capable of detection in the bacterial reverse mutation assay. Mouse lymphoma cell lines were exposed to varying concentrations of EpiCor, both in the presence and absence of an exogenous metabolic activation system. The study found no evidence for the induction of gene mutation by EpiCor in any of the concentrations tested. Mitogenicity A mitogen is a substance that induces mitosis or cell division. Because mitogens raise safety concerns and may signal immune over-reactivity, a lymphocyte proliferation study was performed to determine whether EpiCor is mitogenic. Healthy human lymphocytes were incubated with a combination of EpiCor and phosphate-buffered saline. Following centrifugation and sterile filtration, some cell cultures were treated with the extract while others served as controls. At the end of the study, there was no difference between treated and untreated cells, indicating that EpiCor is not mitogenic. Pharmacokinetics Finally, the safety of EpiCor was evaluated in real human subjects through an open-label, single dose pharmacokinetic study. Fifteen healthy men and women between the ages of 18 and 40 received a single dose of 500 mg of EpiCor in capsule form for 30 days. Safety was assessed on days 0, 14, 21, 28, 29 and 30 for treatment-emerged adverse events, vital sign measurements, serum chemistry, and hematology and urinalysis tests. EpiCor was well-tolerated in all subjects. No adverse events were reported. There was no evidence of any clinically relevant effects of EpiCor on any safety parameter. A human blood study was conducted to explore “in vitro” whether EpiCor enhanced the natural process of the immune system to suppress tumor cells. Ten production employees that were exposed daily to EpiCor by inhalation during intermittent periods at work, were matched by age and gender to ten non-production employees not exposed to EpiCor. Blood samples were analyzed for lymphocyte subpopulations, RBC total glutathione, and an autoimmune panel. Saliva samples were used for immunoglobulin A (IgA) determination. 25 % Dead Tumor Cells 20 15 10 5 Significantly higher levels of EpiCor-specific antibodies (P<0.01) Significantly higher levels of total salivary secretory IgA (P<0.01) Significantly lower levels of immune complexes (P<0.01) EpiCor’s Effects on Human Immune Cells Immune modulating effects were assessed by preincubation of human neutrophils with EpiCor prior to triggering of ROS formation by hydrogen peroxide (H2O2). Treatment with EpiCor resulted in statistically significant reduction of ROS formation over a wide dilution range. This finding suggests an overall antioxidant effect of EpiCor, with a strong and direct activation of NK cells (Figure 2a and 2b) and B lymphocytes, possibly combined with a selective support of Th2 over Th1 immune responsiveness.* 0 Untreated K562 PBL + K562 EpiCor™ PBL + K562 100 Figure 1. Addition of EpiCor™ increased the killing efficiency in this tumor cell assay. A separate, initial test had shown that EpiCor does not directly kill the tumor cell line K562. Compared to the control, the exposed group showed: A decrease in CD8 (suppressor) cell number that resulted in a significantly higher CD4 (helper) to CD8 cell ratio (P<0.01) Higher cytotoxic activity of natural killer (NK) cells (Figure 1), despite a significant decrease in their number (p<0.01) Higher killing efficiency of NK cells (12.4% vs. 15.1%) Higher levels of glutathione in erythro cytes (721 vs. 756 mM) * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Relative Marker Induction (% Activated NK Cells) CD69 80 100 % of Max 80 60 40 EpiCor™ Untreated 20 0 100 101 102 103 CD69 Intensity Figure 2b. EpiCor™ treatment of freshly purified human NK cells results in expression of the activation marker CD69 on almost all CD3- CD56+ NK cells. Why EpiCor? A high-metabolite immunogen made from a fermented yeast medium, EpiCor is unique as an immune health ingredient. It delivers three times the antioxidant power of any known fruit as well as B vitamins, natural phenolics and fiber. Studies also show that EpiCor promotes immune health by activating natural killer (NK) cells and human B cells while also increasing levels of secretory IgA, an important component of the immune system.* CD25 For More Information 60 To learn more about EpiCor, contact Embria Health Sciences at 877-362-7421 (EMBRIA1) or find us on the web at www.embriahealth.com 40 20 0 Epicor™ 10 uL/mL Untreated Figure 2a. Flow cytometric analysis of CD69 and CD25 expression on lymphocyte subsets cultured in the presence and absence of EpiCor™ overnight. The presence of EpiCor resulted in higher induction of both markers. The induction of CD69 on NK cells was significantly higher than that of CD25 (p<0.03). Scientific Research Summary PO Box 2815, 838 1st Street NW Cedar Rapids, IA 52406-2815 PH 877-362-7421 (Embria1) FAX 319-362-2557 www.embriahealth.com EpiCor™ is exclusively manufactured by Embria Health Sciences™ 6/06 Immune Modulating Effects of EpiCor™