CHEMICAL ALTERATION OF MAMMAL URINE AND MAMMAL BLOOD

Abstract: New methods for the chemical modification of mammal urine and mammal blood are disclosed for the treatment of diseases.

Description: Chemical alteration of mammal urine and mammal blood Field of the invention This invention relates to methods for the chemical modification of mammal urine and mammal blood. The modified blood or the modified urine have immune modulatory effects when administered to a mammal and can be used for the treatment of immune disorders. Background of the invention Mammal blood is known to consist of a cellular and a non cellular fraction. The non cellular fraction in non hemolytic blood is called plasma, a watery solution of minerals and complex biochemical synthesis products such as proteins (derived mostly from the liver and in form of immuneglobulines from cells of the immune system), carbohydrates, proteoglycans etc. The cellular phase can be separated by centrifugation or spontaneous sedimentation of the blood cell components and yields mostly erythrocytes and thrombocytes and a smaller fraction of leukocytes. Those can be differentiated in granulocytes and lymphocytes. Newer research has turned especially to the subgroups of the lymphocytes through flow cytometry. After specific staining of surface antigens it has been possible to identify different groups of cells among these. Cells with CD4 were called T - Helper cells (inducing and increasing immune activity), CD8 Cells were called T supressor or cytotoxic cells (reducing and controlling immune activity). A further discrimination of T helper cells in Thl and Th2 cells was possible. Thl cells produce preferential proinflammatory cytokins like interleukin 2, interferon gamma and tumor necrosis factor. Thl cells are used for the attack of intracellular target antigens and tumor cells by their cytotoxic activity. The action of Th2 cells is preferential anti-inflammatory, they are producing Interleukin (IL) 4, IL 10 and IL 13. Th2 cells are used for the control of extracellular antigens. By the interaction of the Thl, the Th2 and the antigen presenting cells, the effector action of the immune system is controlled. Interferon gamma enhances the production of proinflammatory substances as tumor necrosis factor, IL 1, IL 6, IL 12, oxygen radicals and NO. IL 4 is counteracting the proinflammatory activity of these substances. Different groups of diseases show typical shifts of the balance in favor of Thl or Th2 cells. A shift in favor of the Thl cells is considered positive for tumor patients (anti tumor activity) but noxious for patients with organ specific autoimmune diseases (like rheumatoid arthritis, uveitis, thyreoiditis). A predominance of Th2 cells will be noxious for allergic disease (Eczema), immune globulin mediated diseases and sclerodermia. This is considered as a possible explanation for the fact, that patients with active allergies and neurodermatitis are less prone for cancer. The pathologic activity and overweight of parts of the immune system in patients with allergic skin or lung disease, rheumatic and other autoimmune disease as well as many types of cancer has led to search for complex immunemodulatory agents that can rebalance the causing unbalance to influence the resulting disease. Mammal urine or alternatively ultrafiltrate of dialysis treatments contain a spectrum of proteins and proteoglycans and other substances that pass physiologically the kidney filter. The substances are complex and differ in size and biologic function. A lot of urine substances probably have a biologic effect, but the subcutaneous administration of sterile urine of the same host mammal has not shown mentionable effects on the cells of the immune system. The same applies to the addition of sterile urine to leukocyte cultures of the same individual, no remarkable immunemodulatory effect was observed. US 4,632,980 (Zee et al.) discloses a method for virus inactivation of blood and blood products comprising treatment with low levels of ozone. After virus inactivation the blood components are further separated and it can be used for the intended purpose. US 4,684,521 (Edelson) discloses a method and system for externally treating blood. It comprises treatment of blood with UV radiation in the presence of a photoactive agent. US 4,748,120 (Wiesehahn) discloses a method for the treatment of biological compositions with psoralen derivatives under irradiation conditions. Kief discloses in EP 0265 548 a process for the production of substances that have been bactericidaly treated and/or exhibit immunemodulatory activity and the use thereof. He refers to GP 3109691 for the application of ozone for oxidation. He describes the application of an ozone-oxygen mixture under pressure on urine or blood. He discloses a process, in which blood is centrifuged and the erythrocyte and plasma fractions are separately and repeatedly treated with an oxidant (ozone/oxygen mixture) with intermediate steps of hemolysis by adding distilled water and repeated oxidation thereafter. The recommended content of Ozone is stated between 40 - 80 ng per ml of Oxygen. For particular cases the addition of a urine filtrate treated before with an oxidant is disclosed. The addition of ascorbic acid, alternative carbonyl group carriers is proposed. As well the addition of halogens is disclosed. A dilution of 1 : 10 of the final treatment before therapeutic application is recommended. Treatment can be applied orally, by inhalation or local application. In EP 0607 593 A2 Kief discloses a process to gain cell cultures with elevated contents of body own cytokines. He uses a variation of the method described in EP 0265 548 to gain patient own cytokine patterns: Full blood is exposed to ozone and cultured. The Leucocytes are separated by different measures and are again cultured. So called lysates (blood fractions of the former full blood, e.g. erythrocytes, lymphocytes etc) or treated urine of the same patient according to EP 0265 548 can be added. Finally a cytolysis of the cultured cells is induced and the final product diluted and used for therapy. Brief description of the invention It has now been found that the described methods for the oxidation of blood and urine can be modified in two different directions to yield a reliable substance for the treatment of disorders of the immune system. One direction (second embodiment) is a general simplification of the process without the loss of efficacy in light and moderate immune disorders, the other (third embodiment) is a new way to gain a more efficient therapeutic product by a variated process. In one embodiment the present invention provides a method for chemical modification of mammal urine comprising the steps of collecting urine from a mammal, treating said mammal urine with a slow oxidizing agent (air) or fast oxidizing agents (a gas atmosphere of at least 90% to 100% (v/v) oxygen alternatively containing also Ozone in a container, removing substances with a low molecular weight to yield a modified mammal urine. According to another embodiment of the invention there is provided a method for chemical modification of mammalian blood comprising the steps of: - collecting blood from a mammal into a container having reduced internal pressure in presence of an anticoagulant, such as heparin (Step 0) - maintaining an oxidative atmosphere, if necessary add an oxidizing agent (Step la) - adding a diluent, preferably isotonic sterile saline (step 2a) - mix the so obtained fraction (Step 4) - aging the fraction for a sufficient amount of time by storing the fraction (Step 5) and followed by a dilution step to a physiologically acceptable concentration, (step 9) Preferably the method of the invention comprises the steps of: - collecting blood from a mammal into a container having reduced internal pressure (Step 0) - add an oxidizing agent (Step la) or alternatively induce hemolysis by applying Vacuum (Step lb) - adding a diluent, preferably isotonic sterile saline (step 2a) - optionally freeze and rewarm (step 2b) or enhance aging process (step 2c) - optionally adding immunoactive substances (e.g gamma interferone) (Step 3) - mix thoroughly either by hand or on a roller. (Step 4) - store for several weeks (preferred 2) at +4° Celsius (preferred under the influence of light. ) (Step 5) - create a culture of living blood cells (step 6) - incubate to gain culture products (step 7) - adding a solution to sustain - add preservation agent (step 8) dilute and stabilize final product in drug form (step 9) In still another embodiment the present invention provides a method for chemical modification of mammalian blood comprising the steps of: - collecting blood from a mammal into a container having reduced internal pressure in presence of an anticoagulant, such as heparin (Step 0) - maintaining an oxidative atmosphere, if necessary add an oxidizing agent (Step la) - adding at least one immunoactive substance (Step 3) and/or add mammal urine as obtained according to one any of the claims 1 to 12, (Step 5) - mix the so obtained first fraction (Step 4) - add a culture of living blood cells (step 6) - incubate the so obtained second fraction to gain culture products (step7) - followed by a dilution step to a physiologically acceptable concentration, (step 9) The method of the invention for chemical modification of mammal blood preferably comprises the steps of: collecting blood from a mammal, separating the blood in a plasma phase and a cell phase, treating of the plasma phase, the cell phase or both with an oxidizing agent and a gas atmosphere of about 90% to 100% (v/v) oxygen in a container, combining the plasma phase with the cell phase, adding a cell culture medium, adding immune active substances (e.g. interferones) adding modified mammal urine prepared according to the first embodiment, incubating for 16 to 36 hours at about 37°C, adding a preservation agent to yield modified mammal blood. In a further embodiment the invention provides a method of treating immune disorders comprising the step of administering to a patient in need thereof modified mammal urine prepared according to the method of the invention. In yet another embodiment the invention provides a method of treating immune disorders comprising the step of administering to a patient in need thereof modified mammal blood prepared according to the method of the invention. In still another embodiment the present invention provides the substance being able to modulate the immune system. Detailed description of the invention The first embodiment of the present invention discloses a method for the chemical modification of mammal urine. This method comprises the step of collecting urine from mammal. It is preferred that the collection is performed in a way to enable sterile collection of the urine. This can be done by sterile cathederization of the urinary bladder or collection of midstream urine. To keep the urine sterile a sterile container should be used, e.g. a disposable sterile plastic container. Depending on the presence of non soluble components in the urine the urine can be centrifuged and the sediment may be discarded. Conventional test methods for the screening of bacterial contaminations, are e.g. sticks test on nitrite. The collected mammal urine is now treated with an oxidizing agent at a gas atmosphere of at least about 90% (v/v) oxygen. The term "oxygen" is meant to comprise the element oxygen in atomic and molecular pure forms, especially in the form of O 2 and O 3 . O 2 is the main component of the gas atmosphere. As oxidizing agents H 2 O 2 and O 3 are especially preferred. H 2 O 2 may be added as a diluted solution to the urine. Suitable amounts are in the range of 1 to 3 ml of a one percent solution of H 2 O 2 per 100 ml of urine. The ozone (O 3 ) may be added to the gas atmosphere. If ozone is used as an oxidizing agent it should be present in a concentration of about 50 to 100 μg/ml of the oxygen atmosphere. Apparatus for the generation of ozone are commercially available and are described, e.g. in US 5,052,382 to Waenwright and US 5,053,140 to Horste, both incorporated by reference. It is of high importance to perform the oxidation in a gas atmosphere having a concentration of at least 90% (v/v) of O 2 . The inventors of the present invention have revealed that this combination of weak oxidizing O 2 with a strong oxidizing agent allows a reliable and reproducible modification of mammal urine. It is preferred that the O 2 concentration in the gas atmosphere is as high as possible, preferably at least 95% and more preferably at least 99%. It is most preferred that the concentration of O 2 is as high as commercially available. The only relevant other gas may be ozone in the case that ozone is used as an oxidizing agent. The oxygen should be of medical grade to avoid contaminations of the urine. The oxygen atmosphere in the container is obtained by removing the air atmosphere above the urine in the container or use of an evacuated container and addition of the O 2 atmosphere. The O 2 atmosphere may have a pressure in the range of less than atmospheric pressure up to about 1 bar above atmospheric pressure. It is preferred that the pressure in the container is close to atmospheric pressure because this facilitates handling and avoids complicated mechanisms for tight sealing of the container. It is preferred to provide intimate contact between the oxygen atmosphere and the urine. A suitable method is shaking of the urine with the oxygen atmosphere to allow reaction between the urine, the oxidizing agent and the oxygen atmosphere. The concentration of the oxidizing agent may be varied in a broad range which influences certainly the reaction velocity of the oxidizing agent. Suitable concentrations of the oxidizing agent are in a range of 1 to 5 μmole per ml urine. It is obvious for a person skilled in the art that the oxidizing agent should not incorporate any toxic substances into the urine. To allow intimate mixture of the gas atmosphere with the urine it is preferred that the volume of the gas atmosphere is at least 50% of the volume of the urine. Preferably, it is in the range of 50 to 200% of the volume of the urine and more preferably of about the same volume as the urine. After adding the oxidizing agent one or more proteases may be added. Suitable proteases comprise serine proteases such as papaine, trpysine, chymotrypsine, mixtures thereof and the like. The enzymatic activity should be in the range of 0,1 to 2 microkat per milliliter of urine. One kat is defined as the amount of an enzyme cutting one mole of peptide bonds per second. After the addition of the oxidizing agent and optionally the at least one protease the urine is incubated in the dark in a range of 2 to 18 hours at a temperature of preferably 37°C. Lower temperatures may be used but this may require increasing the amount of oxidizing agent and the amount of proteases or extending the incubation time because the reaction velocity depends on the temperature and the concentration of the reagents. Slightly higher temperatures may also be used but substantially higher temperatures may denature sensitive components of the urine and may decrease the efficiency of the modified urine. After the incubation, substances with a low molecular weight can be removed. The term "substances with a low molecular weight" is used to define substances having a molecular weight below about 6,000 Dalton, more preferably below about 5,000 Dalton. A preferred method for the removal is the use of an ultrafiltration unit. Suitable ultrafiltration membranes are, e.g. Ultrafree-15-Biomac-5K (commercially available from Milipore Inc. The ultrafiltration can be conveniently performed with the aid of a centrifuge which speeds up the process of ultrafiltration. Ultrafiltration furthermore reduces the amount of water in the urine thus increases the concentration of the high molecular weight components. Instead of ultrafiltration other methods can be used. As suitable method is e.g. gel filtration. After the removal of the low molecular weight substances and optionally water, the modified mammal urine is preferably treated again with an oxidizing agent and a gas atmosphere as described above. This repeated treatment increases the share of the components which are modified by the method of the present invention and thus increases the effectiveness of the treatment. The obtained modified mammal urine should be stored below 4°C or may be frozen. As a second embodiment the present invention discloses a method for chemical modification of mammalian blood comprising the steps of collecting blood from a mammal into a container having reduced internal pressure, optionally separating the collected blood in a plasma phase and a cell phase either by resting or centrifuge, either treat the collected blood by adding air, oxygen or ozone (6 -70 microliters of ozone per ml of oxygen to the container (step la) whereby essentially haemolysis is avoided or maintaining the internal pressure in the container or further reducing the internal pressure (step lb) wherein haemolysis is achieved. Preferably blood treated according to steps la or lb is further process by the following steps: (step 2a) per 100 ml of blood about 110ml of sterile isotonic (0.9%) saline is added In another preferred embodiment the blood treated according to case A and B is further treated by the following steps (step 2b) freezing under oxidative atmosphere: the container with the oxidizing atmosphere is frozen at temperatures below -5 ° Celsius and stored at least 1 hour before rewarmed. In a third preferred embodiment blood treated according to the disclosed steps is further treated by the following steps: (step 2c) aging at 0 - 45 °C by exposition to daylight, UV light or darkness. Step 3: (optional to gain a product for severe disorders of the immune system) add gamma interferon (e.g. Gammaferon solution 5ml per 100ml blood) and/or granulocyte cell stimulating factor (e.g. in Germany available product: Neupogen®, g-csf 5ml per 100ml blood) and/or beta interferon (e.g. betaferon 5ml per 100ml blood) step 4 : the container is mixed thoroughly by hand or 2 - 24 hours on a roll mixer at temperatures between 0 - 45 ° Celsius - step 5a: the container is stored at +4° Celsius in a suitable refrigerator for several days up to weeks. During the whole process the glass container is exposed to daylight or ultraviolet light. step 5 b: (optional) : It may be advantageous to add mammal urine, which was modified according to the process described in the first embodiment, step 6: To enable proliferation, a cell culture medium is added which comprises salts and amino acids as routinely used in cell culture. Suitable media are commercially available. A preferred, but not limiting example of a cell culture medium is described in the examples. A 4.2% (v/v) NaHCO 3 solution can be added to adjust the pH. Furthermore, a suitable amount of one or more protease may optionally be added. Suitable proteases and amounts are explained above. Step 7: This mixture is incubated for about of 16 to 36 hours at about 30°C in the darkness. A conventional role mixer or shaker can be used. Significantly higher or lower temperature conditions would strongly influence the proliferation efficiency of the cells. It is, therefore, considered important to keep the temperature in the range from 35 to 40°C. It is believed that under this conditions the cells start to proliferate or produce a disease specific substance pattern. It is believed that the leukocytes of a person with an immune disorder contain specific information for the production of a specific remedy or for the production of the remedy inducing function if administered to the donor of the leukocytes for this disorder. Step 8: A suitable preservation agent is added. A number of preservation agents for the preservation of blood are known. Suitable solutions are known under the abbreviations ACD (anticoagulant citrate/dextrose solution) and CPD (anticoagulant citrate phosphate dextrose solution). These solutions comprise a citrate puffer system, glucose and optionally a sodium phosphate salt. These preservation agents have a weak acidic pH between 4 and 6. A suitable preservative premix is ACD stabilizator Fon A commercially available from Fresenius, Germany. Step 9: the final product can be diluted preferably in logarithmic steps to avoid overshooting initial reaction of the treated individual. Usually therapy is started with dilutions around 10 -6 or 10-7. As a third embodiment the present invention discloses another preferred method for chemical modification of mammal blood comprising treating the blood with the modified mammal urine prepared according to the first embodiment. This method is preferred, to gain a product for the treatment of moderate and severe immune disorders like severe atopic eczema, in the adjuvant treatment of cancer and severe rheumatic diseases. The method comprises the step of collecting blood from a mammal. This blood is collected in the usual medical way and is transferred into the container comprising heparin to avoid clotting of the blood. 6,000 IU sterile sodium heparin (volume 2 to 5 ml) or the equivalent amount of low molecular heparin are sufficient for about 200 ml blood. Alternatively, a bone marrow aspirate or homogenized tissue containing leukocytes can be used. As described above sterile conditions should be met during collecting and further processing of the blood. Laminar flow conditions are preferably used during further processing. A sample of the collected blood is checked for HIV, hepatitis B and C in the usual way to warrant safety of the laboratory personal. The blood is then separated in a plasma phase and a cell phase. This can be done by centrifugation at approximately 750 g or alternatively by allowing the cell compartment (comprising erythrocytes, thrombocytes and leukocytes) to sediment in the container. After separation of the cell phase and the plasma phase into containers the plasma phase, the cell phase or both are treated with an oxidizing agent and a gas atmosphere of at least 90% (v/v) oxygen. The description of the oxidation step above equally apply to the treatment of the plasma phase and the cell phase. Without wishing to be bound to a theory it is believed that the leukocytes proliferate as a result of the treatment with the oxidizing conditions or increase production of immunogenic products. To enable proliferation, a cell culture medium is added which comprises salts and amino acids as routinely used in cell culture. Suitable media are commercially available. A preferred, but not limiting example of a cell culture medium is described in the examples. A 4.2% (v/v) NaHCO 3 solution can be added to adjust the pH. Furthermore, a suitable amount of one or more protease may optionally be added. Suitable proteases and amounts are explained above. Thereafter, modified mammal urine prepared according to the first embodiment of the invention, preferably from the same mammal is added. This mixture is incubated for about of 16 to 36 hours at about 30°C in the darkness. A conventional role mixer or shaker can be used. Significantly higher or lower temperature conditions would strongly influence the proliferation efficiency of the cells. It is, therefore, considered important to keep the temperature in the range from 35 to 40°C. It is believed that under this conditions the cells start to proliferate or produce a disease specific substance pattern. It is believed that the leukocytes of a person with an immune disorder contain specific information for the production of a specific remedy or for the production of the remedy inducing function if administered to the donor of the leukocytes for this disorder. After the incubation a suitable preservation agent is added. A number of preservation agents for the preservation of blood are known. Suitable solutions are known under the abbreviations ACD (anticoagulant citrate/dextrose solution) and CPD (anticoagulant citrate phosphate dextrose solution). These solutions comprise a citrate puffer system, glucose and optionally a sodium phosphate salt. These preservation agents have a weak acidic pH between 4 and 6. A suitable preservative premix is ACD stabilizator Fon A commercially available from Fresenius, Germany. The modified urine and the modified blood of the present invention in general may be used for treating immune disorders. Allergic diseases, rheumatic diseases, autoimmune diseases and immune deficient diseases can be successfully treated or at least be improved by this treatments. Allergic diseases include e.g. Hay fever (rhinoconjunctivitis allergica, allergic asthma, neurodermitis (Eczema) etc. Rheumatic diseases include e.g. chronic polyarthritis, systemic lupus erythermatodes etc. Other autoimmune diseases include immune vasculites, immune nephritis etc. Immune deficiencies include e.g. acquired immune deficiencies, chronic virus infections. Before administration the person skilled in the art would be aware that it is necessary to check the modified urine or the modified blood for sterility and absence of endotoxins. Suitable tests comprise conventional medical urine in cultures, e.g. uricult or conventional medical blood culture. Absence of endotoxins can be checked with Limulus Amebocyte Lysate Test (BioWhittakker Inc., Walkersville, USA). The substances prepared according to the method of the invention can be administered orally, transdermally, by inhalation or parentally. It is preferred that the modified blood or the modified urine are prepared from the urine or the blood of the patient to be treated with the modified urine or the modified blood. In a further embodiment the present invention provides substances which have an immune modulatory effect. Treating of urine from patients with, e.g. severe allergic diseases show the disappearance of two peaks and the appearance of two new peaks. This effect is not seen in healthy individuals. It is believed that these new isolated substances can be isolated and may be successfully used as immune modulatory substances. PREFERRED METHODS: - The preferred most simple procedure known to be efficient in the treatment of light and moderate disorders of the immune system is the following : Blood is collected and treated according to steps la, 2a, 4, 5a, 8, 9. - The preferred methods for the treatment of moderate to severe disorders of the immune system is the following: Steps la, 3,4, 5b, 6, 7, 8, 9 or alternatively in the variation described in the third embodiment. The alternate preferred procedure for the production for a remedy for especially psoriasis is the following: Collection of blood with anticoagulant in sterile evacuated bottle with a Volume of 200 - 500 ml. In the lab: Adjustment of blood amount in the bottle to 100ml. Resting of the blood at room temperature for 1-2 hours to allow sedimentation of the red blood cells, possibly the sedimentation can be induced by a short centrifugation. Then the atmosphere in the bottle is filled with medical oxygen containing 6-13 microgram Ozone per ml Oxygen. Then the bottle is incubated at 37° Celsius resting in an incubator. Then, per 100 ml blood 20 ml of the forgoing solution plus 15 ml sterile 4.2% NaHCO 3 solution plus Then 5 ml modified urine as above described is added and the bottle is incubated on a roller device for 3-4 days at 37° Celsius. Daily the pO 2 in the atmosphere of the bottle is controlled and daily medical oxygen containing 6 - 13 micrograms of ozone per ml oxygen are added. After the incubation process, per 100ml bottle contending 20 ml 6% or 10%hydroxy-aethylic- starch and 20 ml of a blood product stabilizer (e.g. FON A from Fresenius) are added. The further process is according to the above stated procedures of dilution. For the treatment of Psoriasis the treatment is started with a dilution of 10 exp -4, for the treatment of eczema or other diseases at a dilution of 10 exp -7. Experimental details Modification of mammal urine 200ml urine of one mammal host are sampled in a sterile plastic container in the usual medical way to obtain sterile urine. A usual stix test on nitrite is used to screen for severe bacterial contaminations. 4 portions of 50 ml are centrifuged at 20° Celsius to 2000 times gravity. The clear solution above the sediment is drawn into a sterile syringe and transferred through a sterile bacteria filter (0,2 micrometer, e.g. from Millipore) into a sterile, evacuated glass bottle of 500 ml volume. The remaining sediment is checked microscopically for bacteria. A gas atmosphere of 100 percent oxygen with an O 3 content of 75 microgram per ml O 2 is produced in a suitable apparatus and administered under constant manual shaking into the evacuated bottle through the urine until the vacuum is equalized. Alternatively instead of a mixed Ozone/Oxygen atmosphere pure oxygen can be administered after adding 2 ml of a 1% solution of H 2 O 2 Subsequently, 1 ml mixed sterile enzyme solution (comprising 3 mg Papaine - equivalent 8 F.I.P.E, 1.5 mg Trypsin - equivalent 1.1 microkat, 2 mg Chymotrypsine - equivalent 10 microkat, total proteolytic activity of 64 F.I.P.E. according to Papaine method) per 20 ml urine is added into the bottle. The mixture with the oxygen ozone or pure oxygen atmosphere is incubated upright and dark at 37° Celsius for 2 - 18 hours. After incubation, aliquots of 10 ml of the treated urine are centrifuged in a concentrator filter that will preserve all particles greater 5000 Dalton. (e.g. ultrafree - 15 - biomax - 5k) at 20° Celsius at 3000 times gravity (solution "A"). This process reduces the amount of liquid by about 50%. Solution "A" is filtered through a sterile filter (millipore, 0.2 micrometer) into another clean sterile evacuated bottle. Again a gas atmosphere of 100 percent oxygen with an O 3 content of 75 microgram per ml O 2 is produced in a suitable apparatus (Alternatively instead of a mixed Ozone/Oxygen atmosphere pure oxygen can be administered after adding 2 ml of a 1% solution of H 2 O 2 under constant shaking through the urine and administered under constant manual shaking into the evacuated bottle through the urine until the vacuum is equalized. 2 ml of the solution undergo a conventional medical urine culture (e.g. uricult) to prove sterility. Another sample undergoes limulus amebocyte lysate Test (Bio Whittakker Inc, Walkersville, USA) to warrant absence of endotoxines. After passing these tests, the solution can either be used for further isolation of the contained biological active substances or be used as a complex agent, to modulate the immune activity of a patient. Identification of process products HPLC analysis of human urine samples before and after the above described procedures show a vanishing of two peaks with a retention time of 25.0 and 33.5 minutes in the modified urine. Two Onew peaks show up at 19.8 and 20.6 minutes post start. Both are double peaks and reproducible. A reducing treatment with dithiotreitol, to reveal disulfide bonds was not able to alter the substances that created those peaks. Control urine HPLC of healthy adults of both sexes showed the peak at 33.5 minutes but no peaks at 19.8, 20.6 and 25.0 minutes. This provides a possibility to define the successful modification of the urine. Alternatively, the following protocol ca be followed: Procedure to obtain immunoactive urine products: This method comprises the step of collecting urine from a warm-blooded species. It is preferred that the collection is performed in a way to enable sterile collection of the urine. This can be done by sterile cathederization of the urinary bladder or collection of midstream urine. To keep the urine sterile a sterile container should be used, e.g. a disposable sterile plastic container. Depending on the presence of non soluble components in the urine the urine can be centrifuged and the sediment may be discarded. Conventional test methods for the screening of bacterial contaminations, are e.g. sticks test on nitrite. The collected urine is then either exposed or not exposed to an oxidizing agent, e.g. a gas atmosphere of at least about 90% (v/v) oxygen. The term "oxygen" is meant to comprise the element oxygen in atomic and molecular pure forms, especially in the form of O 2 and O 3 . O 2 is the main component of the gas atmosphere. As oxidizing agents H 2 O 2 and O 3 are especially preferred. H 2 O 2 may be added as a diluted solution to the urine. Suitable amounts are in the range of 1 to 3 ml of a one percent solution of H 2 O 2 per 100 ml of urine. The ozone (O 3 ) may be added to the gas atmosphere. If ozone is used as an oxidizing agent it should be present in a concentration of about 70 to 80 μg/ml of the oxygen atmosphere. One or several proteases may or may not be added. The resulting product may or may not be incubated for 1 - 36 hours at temperatures between 0 and 41 celsius Clinical results The repetitive oral or subcutaneous administration in increasing dosage of sterile 1 : 10000 to 1: 10 dilutions in physiologic saline of the product have shown drastic remissions in children and adults with atopic eczema (neurodermatitis). Several cases have been documented, more than 12.000 patients have been treated by different variations of the described methods. Example of the Modification of mammal blood (detailed) Step 1 : A sterile, prior evacuated glass bottle of 250 ml total volume (usual type suitable for infusion of medical solutions) is filled with 6000 IU sterile sodium heparin (volume 2-5 ml) or the equivalent amount of low molecular heparin to avoid later blood clotting. 200 ml blood of one mammal host are sampled into the bottle in the usual medical way to obtain sterile blood. All further steps must be carried out under sterile conditions and laminar flow to avoid contamination. Step 2: 7 - 9 ml blood are used to be checked for antibodies against HIV, hepatitis B and C in the usual medical state of the art way. (To warrant safety for the laboratory personal). The remaining blood volume is reduced to 120 ml by removing blood. Step 3: By centrifugation of the bottle for 20 minutes 750 times gravity at 20° Celsius a separation of plasma (above) and cell compartment (erythrocytes, thrombocytes, leukocytes -below) is obtained. Step 4: The plasma above the visual distinct cell compartment is removed by suction from the original bottle (called here "cell bottle") into another sterile evacuated glass bottle of about 250ml volume. (called here: "plasma bottle") In Step 5, the remaining vacuum in the plasma bottle is equilibrated by administering a gas atmosphere of 100 percent oxygen with an O 3 content of 40 - 60 microgram per ml O 2 (produced in a suitable apparatus as above mentioned) which is administered under constant manual shaking into the evacuated bottle through the plasma until the vacuum of the bottle is equalized. Alternatively instead of a mixed Ozone/Oxygen atmosphere pure oxygen can be administered after adding 1 ml of a 1% solution of H 2 O 2 under constant shaking through the liquid. Step 6: The plasma (plasma bottle) is combined with the residual blood cell sediment (cell bottle) and mixed by soft shaking. Step 7: Per 100 ml content of the glass bottle the stated amounts of the following solutions are added and mixed: 30 ml of a premixed cell culture medium is added comprising: 350 ml contain calcium chloride*2- H 2 O 0.368 g sodium chloride 8.182 g potassium chloride 0.373 g magnesium chloride *6-H 2 O 0.305 g glucose i g alanine 0.48 g arginine 0.339 g aspartinic acid 0.102 g glutaminic acid 0.168 g N 2 -glycyl-L-tyrosine 0.1035 g histindine 0.204 g isoleucine 0.168 g leucine 0.237 g lysin acetate 0.381 g methionine 0.168 g phenylalanin 0.1755 g proline 0.204 g serine 0.135 g threonine 0.168 g tryptophane 0.057 g valine 0.219 g phytomenadion 0.020 g retinolpalmitate 0.00033 g thiamin hydrochlorid 0.002 g riboflavin-5-phosphate 0.002 g nicotinamid 0.008 g dexpanthenol 0.005 g pyridoxin hydrochlorid 0.003 g ascorbic acid 0.02 g DL-alpha-tocopherolacetate 0.001 g sterile water 350 ml plus 15 ml sterile 4.2% NaHCO 3 solution plus 2 ml mixed sterile enzyme solution (see above). Alternatively, the cell phase can be treated: Alternative step 5: the remaining vacuum in the cell bottle is equilibrated by administering a gas atmosphere of 100 percent oxygen with an O 3 content of 6 - 12 microgram per ml O 2 (produced in a suitable apparatus) which is administered under constant manual shaking into the evacuated bottle through the cell enriched liquid until the vacuum of the bottle is equalized. Alternatively instead of a mixed Ozone/Oxygen atmosphere pure oxygen can be administered after adding 1 ml of a 0.1% solution of H 2 O 2 under constant shaking through the liquid. Alternative step 6a: 2 ml mixed sterile enzyme solution(see above) are added to the plasma bottle. Alternative step 6b: The so altered plasma is incubated for 1 - 2 hours at 37° Celsius under constant shaking and then combined with the cell bottle and mixed by soft shaking. ("common" bottle) Alternative step 7: Per 100 ml content of the "common" bottle 20 ml of the premixed cell culture medium (see above) is added. Step 8: Within the next 4 hours of incubation on a constant roller device 5 ml of the modified urine of the example are added per 100 ml bottle content. Step 9: The now complete cell culture is incubated for 16 - 36 hours on a rollmixer or shaker at 37° Celsius in the dark. Step 10: Per 100 ml content in the incubating bottle 15 ml of ACD Stabilsator Fon A glucose (comprising *lH 2 O 23.9 g, citric acid*lH 2 O 7,9 g, sodium citrate*2H 2 O 21,8 g, fill up with water to a volume of 1 liter) is added. 2 ml of the solution undergo a conventional medical blood culture to prove sterility. Another sample undergoes limulus amebocyte lysate Test (Bio Whittakker Inc, Walkersville, USA) to warrant absence of endotoxines. The solution must be stored at maximum 4° Celsius or be shock frozen to preserve efficacy. It can be used, to isolate and study the altered biologic substances or on an empiric base be administered orally, transdermally, by inhalation or parenterally to achieve an immunemodulatory effect in disorders of the immune system. Clinical results The repetitive oral or subcutaneous administration in increasing dosage of sterile 1 : 10000 to 1 : 10 dilutions in physiologic saline of the product have shown drastic and long term remissions in children and adults with atopic eczema (neurodermatitis) and other diseases related to similar immune disorders. More than 801 cases have been long term documented, showing statistically significant improval. The end products of the described processes possess strong immunomodulatory effects. Experience with the described methods has shown the mentioned variations for different disease entities (e.g. Psoriasis). For Atopic Dermatitis and other allergic diseases in less severe cases, the following procedure is due to its simplicity and effectivity preferable: 40-60 ml blood of the individual patient is collected in a sterile containe. A prior evacuation of the container eases the coming procedures. 50 ml of a standard isotonic medical ringer- lactate solution is added and sofly mixed by shaking. The vacuum in the bottle is relieved either by sterile room air or oxygen gas with a content of 2 to 30 micrograms of ozone per ml of added oxygen. All three solutions will reach the desired step, an oxidation of blood substances, just in different speeds. An advantage of fast versus slow oxidation has yet not been shown. In contrary to prior art, no protease is added and the methods and concentrations of the oxidants are severly different in their sequence, application and detailed description. The blood is shaken by sot movement to allow contact with the included gas atmosphere in the container. The container gets incubated between 20-30 hours on a shaker or roll mixer at temperatures between 34 -38 Celsius or within the range of the normal body temperature of the animal, that the blood comes from. Alternatively instead of incubating the blood it can be stored at 4 - 8 Celsius under the access of daylight in a freezer for several days. A study is underway to show possible differences between the two methods. Clinical experiences have been similar, indicating that the main principle might be a pattern of substances derived from the oxidation/the aging of blood. The further process is identical for the methods as above repeatedly mentioned. The obtained products may be either used as above cited, or can be administered to either the same individual, the same species or another species orally, transdermally or parenterally. They can be either administered undiluted or in dilutions up to 10 "23 by diluting them e.g with sterile saline solution, sterile water or other solutions suitable for dilution of parenteral or oral drugs. As a preservative e.g. benzyl-alcohol (e.g. 0.1%) may be added. They should preferably be stored below 4°C or may be frozen.

Claims: C l a i m s 1. A method for chemical modification of mammal urine comprising the steps of collecting urine from a mammal, treating said mammal urine with an oxidizing agent / a gas atmosphere of about 90% to 100% (v/v) oxygen in a container, removing substances with a low molecular weight to yield a modified mammal urine. 2. The method according to claim 1, wherein the mammal is a human being. 3. The method according to claims 1 and/or 2, wherein the oxidizing agent is selected from the group consisting of H 2 O 2 , O 3 and combinations thereof. 4. The method according to any of claims 1 to 3, wherein the oxidizing agent is present at a concentration of 1 to 5 micromole per milliliter urine. 5. The method according to any of claims 1 to 4, wherein the volume of the gas atmosphere is at least 50% of the volume of the urine. 6. The method according to any of claims 1 to 5, wherein the gas atmosphere has a pressure of 0 to 1 bar above atmospheric pressure. 7. The method according to any of claims 1 to 6, wherein the gas atmosphere has at least 95% (v/v) oxygen. 8. The method according to any of claims 1 to 7, wherein the gas atmosphere has at least 99% (v/v) oxygen. 9. The method according to any of claims 1 to 8, wherein ultrafiltration is used for removing substances with a molecular weight below 5,000 Dalton. 10. The method according to any of claims 1 to 9, wherein, after removing the substances with a molecular weight below 5,000 Dalton, the modified mammal urine is treated with an oxidizing agent and a gas atmosphere of about 90% to 100% (v/v) oxygen in a container. 11. The method according to any of claims 1 to 10, wherein the modified mammal urine is diluted in logarithmic steps with water or sterile 0.9% saline. 12. The method according to any of claims 1 to 11 wherein the substances with a low molecular weight are substances having a molecular weight below about 5,000 Dalton. 13. A method for chemical modification of mammalian blood comprising the steps of: - collecting blood from a mammal into a container having reduced internal pressure in presence of an anticoagulant, such as heparin (Step 0) - maintaining an oxidative atmosphere, if necessary add an oxidizing agent (Step la) - adding a diluent, preferably isotonic sterile saline (step 2a) - mix the so obtained fraction (Step 4) - aging the fraction for a sufficient amount of time by storing the fraction (Step 5) and - followed by a dilution step to a physiologically acceptable concentration, (step 9) 14. The method according to claim 13 wherein the aging is performed for at least 2 h up to several weeks, preferably two weeks (Step 5) 15. The method according to claim 13 and/or 14 wherein the aging occurs at about +4 °C. 16. The method according to any of claims 13 to 15 wherein the aging occurs under exposition of light. 17. The method according to any of claims 13 to 17 wherein a preservation agent has been added, (step 8) 18. The method according to any of claims 13 to 17 wherein a stabilizer has been added, (step 9). 19. A method for chemical modification of mammalian blood comprising the steps of: - collecting blood from a mammal into a container having reduced internal pressure in presence of an anticoagulant, such as heparin (Step 0) - maintaining an oxidative atmosphere, if necessary add an oxidizing agent (Step la) - adding at least one immunoactive substance (Step 3) and/or add mammal urine as obtained according to one any of the claims 1 to 12, (Step 5) - mix the so obtained first fraction (Step 4) - add a culture of living blood cells (step 6) - incubate the so obtained second fraction to gain culture products (step7) - followed by a dilution step to a physiologically acceptable concentration, (step 9) 20. The method of claim 19 wherein haemolysis is achieved by further reduction of internal pressure. 21. The method of claims 19 and/or 20 wherein the immunoactive substance is γ-interferone, β-interferone or GCSF. 22. The method according to any of claims 19 to 21 wherein a preservation agent has been added, (step 8) 23. The method according to any of claims 19 to 22 wherein a stabilizer has been added, (step 9). 24. The method according to any of claims 13 to 23 wherein prior to the treatment of the blood collected from a mammal according the blood is separated in a plasma phase and a cell phase, the plasma phase is treated with an oxidizing agent and thereafter combining the so treated plasma phase and cell phase to a combined fraction, which is further processed according to the remaining steps of claims 13 or 20. 25. The method according to claim 24 wherein a cell culture medium is added and the mixture is incubated for a sufficient amount of time in presence od the cell culture medium and optionally in presence of urine treated according to one of the claims 1 to 12. 26. The method according to claim 13 to 25, wherein the mammal is a human being. 27. The method according to claims 13 to 26, wherein the oxidizing agent is selected from the group consisting of air, O 2 H 2 O 2 , O 3 and combinations thereof. 28. The method according to claims 13 to 27, wherein the oxidizing agent is present at a concentration of 1 to 5 micromole per milliliter blood. 29. The method according to claims 13 to 28, wherein the volume of the gas atmosphere is at least 75 % of the volume of the blood. 30. The method according to claims 13 to 29, wherein the gas atmosphere has a pressure of o to 1 bar above atmospheric pressure. 31. The method according to claims 13 to 30, wherein the gas atmosphere has at least 95 % (v/v) oxygen. 32. The method according to claims 13 to 31, wherein the gas atmosphere has at least 99 % (v/v) oxygen. 33. A method of treating immune disorders comprising the step of administering to a patient in need thereof modified mammal urine prepared according to the method of any of claims 1 to 12. 34. The method according to claim 33, wherein the modified mammal urine is prepared from urine of the patient. 35. The method according to any of claim 33 or 34, wherein the disorder of the immune system is selected from the group consisting of allergic diseases, rheumatic diseases, autoimmune diseases and immune deficiencies. 36. A method of treating immune disorders comprising the step of administering to a patient in need thereof modified mammal blood prepared according to the method of any of claims 13 to 32. 37. The method according to claim 36, wherein the modified mammal blood is prepared from blood of the patient. 38. The method according to any of claims 36 or 37, wherein the disorder of the immune system is selected from the group consisting of allergic diseases, rheumatic diseases, autoimmune diseases and immune defiencies. 39. Modified mammal urine obtainable according to any of claims 1 to 12. 40. Modified mammal blood obtainable according to any of claims 13 to 32. 41. A method for the proliferation of leukocytes or producing a disease specific substances pattern comprising the steps of collecting blood from a mammal, separating the blood in a plasma phase and a cell phase, treating of the plasma phase, the cell phase or both with an oxidizing agent and a gas atmosphere of about 90 % to 100 % (v/v) oxygen in a container combining the plasma phase with the cell phase, adding a cell culture medium and at least one protease, adding modified mammal urine prepared according to the method of claim 1, incubating for 16 to 36 hours at about 37°C, adding a preservation agent to yield modified mammal blood.

Inventors: BREIVOGEL BORIS, KIEF HORST, BREIVOGEL, BORIS, KIEF, HORST
Applicants: BREIVOGEL BORIS, KIEF HORST, BREIVOGEL, BORIS, KIEF, HORST
Application year: 2001
Main classification: A61K35
IPC codes: A61K35, A61K38, A61K45, A61P29, A61P37