USE OF PROBIOTIC LACTIC ACID BACTERIA FOR BALANCING THE SKIN'S IMMUNE SYSTEM

Abstract: The present invention pertains to the use of probiotics for the preparation of a carrier for balancing the skin's immune function. In particular, the present invention pertains to the use of probiotic micro-organisms for balancing the skin's immune function under stress conditions, such as a exposure to ultraviolet radiation, specifically for enhancing the skin's immune activity and reducing the tendency to develop allergic reactions under such conditions.

Description: Use of probiotic lactic acid bacteria for balancing the skin's immune system The present invention pertains to the use of probiotics for the preparation of a carrier for balancing the skin's immune function. In particular, the present invention pertains to the use of probiotic micro-organisms for improving the skin's immune function under stress conditions, leading to immune suppression, specifically for normalizing the skin's immune activity and reducing the tendency to develop hyper-reactions under such conditions. The continuous decrease of the atmosphere's ozone layer with the concurrent increase of ultraviolet radiation reaching the planet's surface has attracted a great deal of interest in its potential consequence on human health. Although exposure to ultraviolet radiation is needed for humans to produce vitamin D, growing evidence suggests that extensive exposure to sun-light, in particular to ultraviolet radiation, causes a variety of problems in the skin, including induction of certain skin cancers and induction of accelerated skin ageing (photoageing). It is presently hypothesized that the primary factor of generating skin cancer is a mutational damage in the DNA of the generative cells in the skin caused by ultraviolet radiation while UN- light induced injury to the skin's immune system obviously seems to supply a second factor necessary for the further development thereof, h a healthy system early malignant cells are eliminated by the normal functioning of the skin's immune system. Yet, upon ultraviolet radiation the skin's immune system seems to undergo suppression and cannot perform its usual surveillance function any more. As a consequence very early skin cancer cells are not eliminated, which situation will eventually lead to the malignant cells to escape the immune system and develop to tumours. In addition to these established health concerns, research has also provided evidence suggesting that exposure to ultraviolet radiation may negatively affect a variety of immune responses in living beings both locally, within the UN-irradiated skin, and also systemically, i.e. at sites distant from the irradiated skin. Exposure of mice to UN-B radiation has been found to interfere with the rejection of UN-induced skin cancers and the induction of delayed type and contact hypersensitivity (DTH, CHS) responses initiated at unirradiated sites. These forms of immuno- suppression found upon ultraviolet radiation are considered to be associated with the induction of antigen-specific suppressor T-lymphocytes. The DTH response is particularly important because this T-lymphocyte-mediated immune reaction is responsible for protection against many chronic infectious diseases. Current experimental evidence implicates soluble substances derived from UN-irradiated keratinocytes as probable mediators of UN-induced systemic suppression of DTH- and CHS- responses. Based on an in vivo action spectrum for systemic suppression of CHS in mice, it has been proposed that urocanic acid, a deamination product of histidine, present in the stratum corneum, is one of the photoreceptor for this form of UN-induced immuno-suppression. Apart from suppressing the skin's immune system ultraviolet radiation has been found to also induce inflammatory and irritant effects in the skin, which may eventually result in the development of erythema, edema and/or flaking or scaling (hyperkeratosis) of the skin. These inflammatory and/or irritant reactions are quite separate and dissociable from the first mentioned one, in that in contrast to the suppression of the immune system these reactions are rather related to a stimulation thereof. In the art there have been several attempts to alleviate the detrimental effects of ultraviolet radiation on the skin, such as by using sunscreens or other particular pharmacological agents. In J. Invest. Dermatol., 97 (1991), 624-628 it is reported that topical application of ultraviolet radiation-absorbing compounds (sunscreens) is effective in preventing ultraviolet radiation- induced erythema and edema but cannot prevent UN-light induced immuno-suppression. This finding was confirmed by several other studies, according to which sunscreens seem to prevent inflammation and/or irritation but do not provide complete prophylactic protection against the immuno-suppressive effects of ultraviolet radiation. Furthermore, known pharmacological agents which are commonly employed for the treatment of irritated and inflamed skin, such as corticosteroids, indomethiacin or acetylsalicylic acid were found to be without effect in treating the UN-light induced suppressed condition of the skin's immune system when they are applied after the injury is manifest. As proposed by Bergstresser et al. in Immunology 46 (1989), 219-245, local application of corticosteroids reduce the skin's immune response in general. Although indomethacin has been demonstrated by Reeve et al., in Cancer Letters 95 (1995), 213-219 to inhibit photo-carcinogenesis this effect appears to involve both the initiation period and the promotion period of tumour development and thus is thought to be a function of a generalized anti-carcinogenesis effect rather than an effect on the skin immune system. Thus, there appears to be a pattern whereby agents capable of suppressing inflammation and irritancy may not protect the skin's immune system. On the other hand agents that proved to be effective against ultraviolet radiation induced immuno-suppression did not show any effect in improving inflammatory and irritant effects caused by the skin's exposure to ultraviolet radiation, h US-P-5,302,389 such an agent and a method for the treatment or prevention of UN-induced immuno-suppression through the application of liposome-encapsulated DΝA repair enzymes is proposed. This agent is, however, not effective for treating inflammatory and irritant responses of the skin. Consequently, there is a need in the art for an agent that may reduce the skin's tendency to develop hyper-reactions when being subjected to stress conditions, and which is capable to reduce the effect of ultraviolet radiation on suppressing the skin's immune system. In the past various publications described micro-organisms exerting a beneficial influence on the individual's well being. According to R. Fuller in the Journal of Applied Bacteriology 66 (1989), 365-378, these micro-organisms were designated "probiotics" and were defined as live microbes beneficially affecting the host by improving its intestinal microbial balance. Probiotics are non-pathogenic and non-toxigenic organisms, that survive passage through the stomach and small intestine. Upon continuous ingestion by the host they eventually may colonize the gut to a substantial extent thus competing with other potentially pathogenic bacteria for nutrients and/or attachment sites on the gastro-intestinal wall and reducing their numbers and reducing or preventing infections. Until now a number of different probiotic micro-organisms have been found, which all are reported to exert their effect in the gut via the production of toxins, metabolic by-products, short chain fatty acids and the like. It has also been demonstrated that the microbiota of the gastrointestinal tract may affect the mucosal immunity within the host. According to Schiffrin et al., in Am. J. Clin. Nutr. 66 (1997), 520, the intestinal epithelial cells, blood leukocytes, B- and T-lymphocytes, and also accessory cells of the immune system have all been implicated in the aforementioned immunity to a certain extent. Accordingly, probiotic organisms are considered to interact with the immune system at many levels including cytokine production, mononuclear cell proliferation, macrophage phagocytosis and killing, immunity to bacterial and protozoan pathogens, and the like. Since the biological activity of the probiotics is mainly taking place in/on the gut's mucosa or the adjacent tissue of the individual, the effect of such micro-organisms was considered to reside mainly in this part of the body. In this respect, literature provided ample evidence that ingestion of probiotics by an individual may show some effect in the gastro-intestial tract. WO 00/41707 discloses a Lactobacillus salivarius strain useful in the prophylaxis or treatment of undesirable gastrointestinal inflammatory activity such as inflammatory bowel disease or irritable bowel syndrome. Further, in WO 00/35465 compositions for the oral administration of Lactobacillus and/or other probiotic organisms are disclosed, for establishment and maintenance of a healthy urogenital flora. During the extensive studies leading to the present invention it was now surprisingly found that probiotics do also exert an effect in an individual's body at a location distant from the region in which they colonize it. In particular, it has been found that probiotic micro-organisms do also exert an activity on the immune system in the skin of the individual. Accordingly it has been found that upon mgestion by an individual they may balance a suppression of the skin's immune system inherent to exposure to stress, such as physical, chemical or biological stress, while they may also reduce the individual's tendency to develop inflammatory and/or irritant reactions upon exposure to such a stress condition. Consequently, according to the broadest aspect the present invention provides for the use of probiotics or a culture supernatant thereof for the preparation of a carrier for balancing the skin's immune function. For the purpose of the present invention the term "balancing the skin's immune function" shall be interpreted as normalizing the immune function under a stress condition, that leads to a suppression of the immune system, that is, maintaining an immune function or immune condition at a level normally prevailing in the skin even when being exposed to such stress conditions. A stress condition shall be interpreted to comprise physical stress, e.g. ultraviolet irradiation of the skin, chemical stress, such as exposure to chemical agents, or aller genie material, or biological stress, such as being exposed to or infected by micro-organisms, such as pathogenic bacteria, viruses, fungi etc. Under such conditions the immune system is on one hand suppressed, e.g. when being exposed to irradiation with UN-light, and on the other hand over-stimulated, such as when being exposed to irritants and allergens. Further, in the context of this invention culture supernatant thereof shall designate the supernatant of a culture of a probiotic as such or in concentrated form or the active metabolite(s) isolated therefrom. It has now been found that in case of administering probiotics to an individual, which may colonize the individual's gut, or a culture supernatant thereof, the immuno-suppressive effect of certain stress conditions, such as e.g. ultraviolet radiation, is found to be less pronounced or substantially reduced, while inflammatory and/or irritant reactions do occur only to a d-h-ninish degree or not at all. In the figures, Fig. 1 shows the inflammatory reaction associated with a contact hyper sensitivity reaction in the various mice models examined as determined by ear swelling; Fig. 2 shows the results obtained with an antibody against ICAM-1 in the various animal models indicating Fig. 3 shows the level of TGF-β in the various animal models tested; Fig. 4 shows the epidermal IL-10 level in the various animal models tested. Fig. 5 shows the effects of probiotics on an UN irradiation induced suppression of the immune system shown according to a contact hypersensitivity reaction as determined by ear swelling; Fig. 6 shows the effects of probiotics on an UN irradiation induced suppression of the immune system shown as % CHS inhibition. The present invention provides for the first time that the gut flora composition may also have a beneficial effect on certain protective functions in regions of the bodies distant from the location at which the probiotic micro-organisms colonize the individual, namely the skin. Further, it has been shown that the probiotics may control in the skin divergent processes such as up-regulating the immune system during an immuno-suppressive condition and at the same time down- regulating hyper-reactions, such as inflammatory or allergic reaction, such as eczema or atopic dermatitis. This holds especially true for elderly individuals, who normally have a reduced immunocapacity. According to a preferred embodiment the probiotics to be included into the carrier are selected from the group consisting of Lactic acid bacteria, in particular Lactobacilli and/or Bifidobacteria and are more preferably Lactobacillus johnsonii, Lactobacilus reuteri, Lactobacillus rhamnosus, Lactobacillus paracasei, Lactobacillus casei or Bifidobacterium bifidum, B. breve, B. animalis, B. infantis, B. dolescentis B. pseudocatenulatum. Since due to their distinct oxygen requirement Lactobacilli and Bifidobacteria colonize the gut at different locations a mixture thereof may be used so as to provide a broad coverage. According to a most preferred embodiment the strains used are Lactobacillus johnsonii (Lai) deposited under the Budapest Treaty with the Institute Pasteur and receiving the deposit no. CΝCM 1-1225 or Lactobacillus paracasei (ST 11) deposited with the Institute Pasteur according to the Budapest Treaty and receiving the deposit no. CΝCM 1-2116. The carrier may be any food or pharmaceutical product, or a cosmetic product for oral or topical application, wherein the probiotic microorganism or a culture supernatant thereof may be included. Examples for food or pharmaceutical carriers are milk, yogurt, curd, cheese, fermented milks, milk based fermented products, ice-creams, fermented cereal based products, milk based powders, infant formulae or pet food, or tablets, liquid bacterial suspensions, dried oral supplement, wet oral supplement, dry tube-feeding or wet tube-feeding. For cosmetic products lotions, shampoos, creams, such as moisturising creams, sun-screens, after-sun creams or anti-aging creams, and/or ointments are envisaged, wherein the micro-organism may be included in a live form, semi-active or in deactivated form, e.g. as a lyophilized powder. Also culture supernatants of the micro-organisms may be included in the cosmetic products, optionally in concentrated form. It will be appreciated that when administered to an individual as a micro-organism the probiotic 's balancing activity will be dose dependant. Thus, it is envisaged to include as many as from 10 5 to 10 12 organisms / g product, which organisms may be alive or dead. When using a supernatant of a probiotic' s culture the supernatant may be used as such or may subjected to one or more purification steps prior to inclusion into the product, so as to concentrate or isolate the active ingredient(s)/metabolite(s). Methods and techniques for purifying compounds and detecting the activity thereof in the fractions obtained are well known to the skilled person. Though the present invention applies to all living beings, such as humans and animals, in particular pets, the probiotics are preferably used for elderly individuals, that generally have a reduced immuno-capacity. During the far-reaching experimentation leading to the present invention a germ-free animal model was utilized focusing on microflora associated characteristics (MAC) vs. germfree animal characteristics (GAC), which characteristics are deemed to be of considerable value, particularly in allergic/inflammatory diseases with skin manifestations. The following examples further illustrate the invention without limiting it thereto. Example 1 Balancing hypersensitivity reactions In this experiment the activity of probiotics (dead or alive) on the skin's immune system under a chemical stress situation was evaluated. In this respect, animals were sensitized with a chemical compound (dimtrochlorobenzene) and the effect of such a (chemical) stress situation in axenic animals was compared to the effect in animals, the gut of which contained probiotics only. The level of a hypersensitivity reaction developed against DNCB was evaluated by several parameters (see below). For the experiments male mice C3H (LPS+), germ free and supplied by the Research Center Orleans (CNRS Orleans, France) were assembled in four groups of eight mice each. The groups reflected different statuses of the gut and were designated "C" (group with a Conventional (normal) microflora), "LN" (group with a microflora consisting of LiNing Lactic acid bacteria only), "LD" (group fed with dead probiotics (Lactobacillus Dead) and "A" (germ free (Axenic) mice); all groups were maintained in isolated cages with group C being maintained under normal conditions. The probiotic administered to the mice was the lactic acid bacterium ST 11 (obtainable from the Institute Pasteur under the accession no. CΝCM 1-2116) which was given in a live form in a solution of 10 s cfu/ml (cfu = colony forming unit), or used dead or inactivated by irradiation in a solution of 2.1 g/25 ml in water when forced feeding was applied or in water at 3.3 g/1 (below). To obtain mice having a microflora essentially consisting of live lactic acid bacteria only, the germ free animals (supra) were force-fed twice on day 7 and day 8 with 0.5 ml of a solution containing 10 8 cfu/ml each (group LN). Alternatively, in order to obtain mice having a gut microflora with the probiotic strain, inactivated by irradiation, the germ free animals were force-fed from day 36 to day 38, from day 41 to day 45, from day 48 to day 49 and from day 52 with 0.2 ml of a solution containing 2.1 g/25 ml inactivated microorganisms each day indicated. Starting from day 55 the above solution was replaced by a solution containing 3.3 g/1 inactivated micro-organisms, which solution was provided until the end of experiment in drinking water (group LD). To obtain a conventional (normal) gut-microflora, the germ free animals were transferred three days after arrival into a common animal cage with normal feeding so as to develop a normal microflora. All the animals in groups A, LV and LD were examined on a regular basis for their fecal microbial composition, to ensure the maintenance of their specific gut status. The animals in the different groups were sensibilized by topically applying on each flank 50 μl of 1 % dimtrochlorobenzene (DNCB) on day 45 and 50, respectively. Five days after the last sensitization the animals were challenged on three consecutive days (on day 55, day 56 and day 57) by applying on the right ear 25 μl of 1 % DNCB and on the left ear 25 μl of the carrier (olive oil) for all mice groups. On day 58 the effect of the hypersensitivity reaction brought about by the above treatment with DNCB was examined. In this respect, the thickness of the right and left ears of each of the animals was measured on day 58 and the difference in the thickness between the two ears of the same animal has been calculated. The results are shown in figure 1 and are summarized in table I below: Table 1 From the above it becomes evident that a hypersensitivity reaction as measured according to the ear thickness increases in the order C < LV < LD < A From these results, it can be concluded that a conventional intestinal flora permits a regulation of the inflammation as compared to mice lacking such a microflora. In addition, it may be seen that the implementation of the probiotic micro-organism ST 11 alone causes a reduction of the inflammation caused by DNCB, i.e. a tendency to reduce the edema of the ears of the animal exclusively with a lactic gut flora. This finding is surprising, since the gut normally consists of an assembly of different micro-organisms, that all fulfil different tasks. Moreover, in order to obtain biochemical data on immunological relevant responses on the molecular level to the stress situation cryo-sections of the right ear were prepared and examined for the level of ICAM-1 and TGF-β. ICAM-1 is a pro-inflammatory marker while TGF-β is an anti-inflammatory marker. Consequently, it is expected that the stress condition induced will result in the ICAM-1 level being high and the TGF-β level being low. For the experiments the rat anti-mouse ICAM-1 antibody (clone KAT-1) at 1/25 (Caltag Laboratories, CA, USA) was used, then rabbit ant-rat FITC at 1/700 (Dako, Ca, USA). For the determination of TGF-β rabbit anti-human/mouse TGF-β (V) at 1/20 (Santa Cruz Biotechnology, Ca, USA), was utilized, then swine anti-rabbit-FITC at 1/1000 (Dako, Ca, USA). As may be seen from figure 2, in axenic animals a high level of the inflammatory cytokine ICAM-1 could be detected, while in animals treated with the living probiotic a decreased level of ICAM-1 could be observed, comparable to that found in animals having a conventional, i.e. normal microflora. Also animals treated with inactivated probiotic showed a decreased level of ICAM-1. According to this finding the following order may be set up C = LN > LD > A Again, based on the finding relating to this inflammatory marker animals having a gut microflora consisting of the lactic acid bacterium alone showed the same low level of ICAM-1 as did mice having a conventional microflora. In contrast thereto, figure 3 shows that the level of the anti-inflammatory marker TGF-β was decreased in axenic animals as compared to animals having a conventional microflora. Yet, animals having a microflora with the living clearly showed an increased level of TGF-β as compared to axenic animals. The order to be set up for this marker is C > LN > LD > A In addition, skin samples were taken from the back of the mice and subjected to an extraction procedure according to the method described in Peguet et al. , Br. J. Dermatol. 133 (1995), 661, which document is incorporated herein by way of reference. After taking skin samples, they were transferred on ice into an extraction buffer 10 mM Tris HC1, pH 7.4; 2 mM MgCl; 150 mM ΝaCl; 1 % Triton X100; 2 mM PMSF) and subjected to an ultrasonication treatment. Also serum samples were taken from the animals. The serum samples and skin extracts were examined for their IL-10 level. For performing the experiments the ultrasensitive ELISA test Cytoscreen® from Biosource International, CA, USA was used. The amount of IL-10 was calculated according to a standard curve (0.625 to 80 pg/ml) For the extracts the results are reported according to the amount of proteins (Lowry method) contained in the extracts based on the total amount of cellular material. The results are expressed in pg IL-10 and shown in figure 4 and table II below. Table II As may be clearly seen, the amount of IL-10 is the highest in mice having a conventional microflora with the group treated wit live probiotic being superior to axenic mice. The following order may be set up: C > LN > LD > A Based on the finding in this experiment it may clearly be seen that the different parameters tested (TGF-β, ICAM-1, IL-10) confirm the results found with the difference in ear thickness, i.e. a regulation of inflammatory reactions by implanting a lactobacillus microflora. Example 2 In this experiment the UN-light induced suppression of the immune system in the skin, as perceptible by an diminished development of a hypersensitivity reaction, was used to investigate the potential of probiotics to essentially restore the immune system's capability to respond to stress situations, such as being exposed to an allergenic substance, in a normal way. Three test groups of animals were set up. The first group of animals was treated with a compound known to elicit hypersensitive reactions, dinitrofluorobenzene (DΝFB), and the reaction of the skin's immune system thereto was determined. The second group was subjected to UN irradiation prior to being exposed to the compound above and the effect of said exposure on the immune reaction under these conditions was assessed. The third group received probiotics in living or inactivated form, or a culture supernatant thereof, and was exposed to UN-light, h this group the effect of the probiotics on the restoration of the immune response was evaluated. For performing the experiment female Skhl/hr mice (obtained from Charles River Laboratories (France)) aged between 8 and 10 weeks were used. As probiotics administered to the different groups the products listed in table IH were utilized: Table m The probiotic samples were provided in frozen aliquots of 1.5 ml containing 10 9 cfu/ml. As a control the culture medium (product 1) was utilized. 32 groups of 10 mice each were assembled. Animals were fed with the respective products starting 10 days before day 0, the day of exposing the animals to UN-light, and continuing such feeding until day 12, on which the challenge with DNFB took place. Consequently, the products were fed to the animals for 23 days in total. The products 1 to 7 (supra) were force-fed to groups 5 to 32 at a dosage of 100 μl/animal corresponding to about 10 8 cfu/animal/day. Table IV lists the products and the groups receiving them. Table IN On day 0 the mice were lightly anestesized with isofluorane/oxygen and subsequently irradiated by means of a sun-simulator containing a Xenon 1000 W (Oriel) lamp including a dichroic mirror (Oriel, Statford, USA) equipped with a WG 320/lmm thick filter and a UG11 filter/lmm thick (Schott). This filtered source provided a simulated solar US spectrum (290 - 400 nm) that almost eliminated all visible and infrared radiation. The amount of radiation as determined by means of radiometer ARCC 1600 (Osram) was 1.95 mW/cm 2 at UNB and 9.35 mW/cm 2 at UNA. The spectrum applied conforms to the norm of according to SPF COLIPA. Mice of the groups 3, 4, 7, 8, 9, 11, 12, 15, 16, 19, 20, 23, 24, 27, 28, 31, 32 were irradiated, with the ears being protected (day 0). They received a singular dose of 2.5 MED. On day 5 and day 6 a hypersensitivity reaction was induced by topically applying on the abdomen 50 l acetone (groups 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25, 27, 29, 31) and DΝFB (0.3% in acetone; groups 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32), respectively . On day 12, 5μl of a 0.2 % DΝFB solution in acetone was applied on the right ear of all mice. The animals were weighed at the beginning (day 0) and at the end of the tests (day 13). The evaluation of the inflammatory reaction was performed 24 hours after exposure to UN- light, i.e. on day 1. Two parameters were assessed, namely the intensity of the erythema on the back by means of clinically determining the erythema and the edema, with calculating the means of each group and the increase of the thickness of the skin at the back, with calculating the means of the non-irradiated and the irradiated animals. The determination of the skin thickness at the right and the left ear was performed on day 13. The difference of the skin thickness of the ears of the same animal and the medium value of each group was calculated. The results shown in the table N below are graphically depicted in the figures 5 and 6. Table N Hypersensibility reaction as determined by the ear thickness cted, exposure to UN-light systemically suppressed a hypersensitivity reaction to DΝFB in mice receiving no treatment at all and in control mice, receiving the culture medium alone. Those mice receiving live probiotic micro-organisms or culture supernatants thereof (conditioned media) clearly showed a recovery of the immune system and exhibited a hypersensitivity reaction against DNFB. From these findings it becomes obvious that probiotics and to some extent also their metabolites, present in the culture supernatant, are clearly capable to modulate the immune system in an UN-light induced suppressed condition such that the immune response is essentially restored.

Claims: Claims 1. Use of probiotic lactic acid bacteria or a culture supernatant thereof for preparing a carrier for balancing the skin's immune function. 2. The use according to claim 1, wherein the carrier is an ingestable carrier or a carrier suitable for topical application. 3. The use according to claim 1 or 2, wherein the lactic acid bacterium is selected from the group consisting of Lactic acid bacteria, preferably Lactobacilli and/or Bifidobacteria. 4. The use according to any of the preceding claims, wherein the lactic acid bacterium is CNCM 1-1225 or CNCM 1-2116. 5. The use according to any of the preceding claims, wherein inflammatory and/or irritant effects caused by stress conditions are suppressed. 6. The use according to claim 5, wherein the stress condition is a physical, a chemical or a biological stress condition. 7. The use according to any of the preceding claims, wherein the physical stress condition is associated with an ultraviolet irradiation. 8. The use according to any of the preceding claims, wherein the carrier is selected from the group consisting of milk, yogurt, curd, cheese, fermented milks, milk based fermented products, ice-creams, fermented cereal based products, milk based powders, infant formulae, tablets, liquid bacterial suspensions, dried oral supplement, wet oral supplement, dry tube feeding or wet tube feeding, pet food or lotions, shampoos, creams, and/or ointments. 9. The use according to any of the preceding claims, wherein the probiotic organism is present in the carrier in an amount of from about 10 5 to 10 12 cfu/ g carrier. 10. The use according to any of the preceding claims, wherein the individual, the skin immune function of which is balanced, is a human being or pets, in particular elderly human beings and elderly pets.

Inventors: BAUR MARKUS, BRETON LIONEL, COUZY FRANCOIS, GUENICHE AUDREY, BAUR, MARKUS, BRETON, LIONEL, COUZY, FRANCOIS, GUENICHE, AUDREY
Applicants: BAUR MARKUS, BRETON LIONEL, COUZY FRANCOIS, GUENICHE AUDREY, NESTLE SA, BAUR, MARKUS, BRETON, LIONEL, COUZY, FRANCOIS, GUENICHE, AUDREY, SOCIETE DES PRODUITS NESTLE S.A.
Application year: 2001
Main classification: A61K35
IPC codes: A23K1, A23L1, A61K8, A61K9, A61K35, A61K45, A61K47, A61P1, A61P29, A61P37, A61P39, A61Q5, A61Q17, A61Q19