Compositions and methods for treating pancreatic enzyme deficiencies in mammals
A composition containing enzymes, L-arginine, and other components for treating exocrine pancreatic enzyme insufficiencies and gastrointestinal disorders in mammals. The compositions replace pancreatic enzymes while concurrently treating the side effects of small intestinal bacterial overgrowth and gastrointestinal mucosal degeneration that occurs with pancreatic enzyme loss. The composition can be mixed into animal feeds or sprayed onto extruded feeds prior to consumption.
1. An oral ingestible composition for treating exocrine pancreatic insufficiency and a secondary gastrointestinal disorder thereof comprising one or more of small intestinal bacterial overgrowth, gastroenteritis, mucositis, intestinal villi degradation, and intestinal mucosa degradation in a mammal, the composition comprising active ingredients in an inert carrier base, wherein the active ingredients comprise:
a protease, wherein the protease is present in the composition in an amount from 200,000 USP Units/g to 800,000 USP Units/g;
a lipase, wherein the lipase is present in the composition in an amount from 35,000 USP Units/g to 140,000 USP Units/g;
an amylase, wherein the amylase is present in the composition in an amount from 230,000 USP Units/g to 920,000 USP Units/g; and
L-arginine, wherein the L-arginine is present in the composition in an amount effective to treat the secondary gastrointestinal disorder and is present in the composition in an amount from 2.5% w/w to 10% w/w.
2. The composition of claim 1 , wherein:
the protease comprises an enzyme with an International Union of Biochemistry (IUB) classification of 3.4.24.28;
the lipase comprises an enzyme with an International Union of Biochemistry (IUB) classification of 3.1.1.3; and
the amylase comprises an enzyme with an International Union of Biochemistry (IUB) classification of 3.2.1.1.
3. The composition of claim 1 , wherein the active ingredients further comprise vitamin B12.
4. The composition of claim 3 , wherein the vitamin B12 is present in the composition in an amount from 0.01% w/w to 0.05% w/w.
5. The composition of claim 3 , wherein the vitamin B12 is present in the composition in an amount effective to treat vitamin B12 deficiency.
6. The composition of claim 1 , wherein the active ingredients further comprise a non-heme, iron-binding glycoprotein.
7. The composition of claim 6 , wherein the non-heme, iron-binding glycoprotein is selected from the group consisting of ferritin, lactoferrin, transferrin, and ovotransferrin.
8. The composition of claim 6 , wherein the non-heme, iron-binding glycoprotein is at least partially present in apo form.
9. The composition of claim 6 , wherein non-heme, iron-binding glycoprotein is present in the composition in an amount from 2.5% w/w to 10% w/w.
10. The composition of claim 1 , wherein the inert carrier base is present in the composition in an amount from 12.5% w/w to 50% w/w.
11. The composition of claim 1 , wherein the oral ingestible composition is in a powder form.
12. The composition of claim 1 , wherein:
the protease:
is a microbially produced enzyme;
is a microbial enzyme; and
comprises an enzyme with an International Union of Biochemistry (IUB) classification of 3.4.24.28;
the lipase:
is a microbially produced enzyme;
is a microbial enzyme; and
an enzyme with an International Union of Biochemistry (IUB) classification of 3.1.1.3;
the amylase:
is a microbially produced enzyme;
is a microbial enzyme; and
comprises an enzyme with an International Union of Biochemistry (IUB) classification of 3.2.1.1; and
the oral ingestible composition is in a powder form.
13. A method for treating exocrine pancreatic insufficiency and a secondary gastrointestinal disorder thereof comprising one or more of small intestinal bacterial overgrowth, gastroenteritis, mucositis, intestinal villi degradation, and intestinal mucosa degradation in a mammal, the method comprising administering the composition of claim 1 to the mammal.
14. The method of claim 13 , wherein the composition is in a powder form, the composition is added in powder form to or mixed with food prior to the administering to thereby form a composition-supplemented food, and the administering comprises feeding the composition-supplemented food to the mammal.
15. The method of claim 13 , wherein the composition is in a powder form, the composition in powder form is mixed with a liquid to thereby form a composition-supplemented liquid, the composition-supplemented liquid is added to or mixed with food prior to the administering to thereby form a composition-supplemented food, and the administering comprises feeding the composition-supplemented food to the mammal.
16. The method of claim 13 , wherein the composition is administered to the mammal in an amount and for a time effective to elicit at least one of the following effects:
a normalization of fasting blood cobalamin levels;
a normalization of fasting blood folate levels;
a normalization of fasting blood trypsin-like immunoreactivity levels;
a normalization of dysbiosis index; and
an increase in weight.