Clinical Application of Palm-Tocotrienols: Challenges and - - PowerPoint PPT Presentation

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Clinical Application of Palm-Tocotrienols: Challenges and - - PowerPoint PPT Presentation

Clinical Application of Palm-Tocotrienols: Challenges and Opportunities Dr. Fu Ju Yen Ms. Puvaneswari Meganathan Ms. Doryn Tan Meam Yee Dr. Zaida Zainal fujuyen@mpob.gov.my / fujuyen@gmail.com WHY FUNCTIONAL INGREDIENTS? (Department of


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Clinical Application of Palm-Tocotrienols: Challenges and Opportunities

  • Dr. Fu Ju Yen
  • Ms. Puvaneswari Meganathan
  • Ms. Doryn Tan Meam Yee
  • Dr. Zaida Zainal

fujuyen@mpob.gov.my / fujuyen@gmail.com

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WHY FUNCTIONAL INGREDIENTS?

(Department of Statistics, Malaysia)

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ROLE OF FUNCTIONAL INGREDIENTS

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TYPES OF FUNCTIONAL INGREDIENTS

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TOCOTRIENOLS

Tocotrienol Tocopherol

R1 R2 α CH3 CH3 β CH3 H γ H CH3 δ H H

Vitamin E

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VITAMIN E CONTENT

(Aggarwal et al., Biochem Pharmacol. , 2010)

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TOCOTRIENOL COMPOSITION

Tocopherols α + β Tocotrienols γ + δ Tocotrienols

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Tocotrienol is now intended for use in the following foods:

▪ Margarines and spreads ▪ Designer fats and oils ▪ Salad dressing and Mayonnaise ▪ Potato chips and salty snacks ▪ Bakery products ▪ Cookies & crackers ▪ Ready To Eat (RTE) cereals, cereal bars, granola bars, protein bars and

power bars

▪ Meal replacement and other functional beverage products and mixes ▪ Meatless meat products (soy-based)

GRAS STATUS FROM FDA FOR TOCOTRIENOLS (APRIL 2010)

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TOCOTRIENOLS AND INFLAMMATION

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TOCOTRIENOLS AND INFLAMMATION

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Mangialasche et al. 2010, 2012, 2013

Higher tocotrienol levels in blood had lower risk of developing Alzheimer’s disease. Higher gamma-tocotrienol levels in their blood had lower risk of developing cognitive impairment. 2 years supplementation

  • f T3 suppressed mean

volume change in white matter lesion.

Gopalan et al., Stroke. 2014

ALZHEIMER’S DISEASE WHITE MATTER LESION PERIPHERAL NEUROPATHY

1 year supplementation

  • f T3 reduced

lancinating pain in diabetic patients with peripheral neuropathy.

The Vitamin E in Neuroprotection Study (VENUS) Investigators, JAMA

  • Neurology. 2018

NEUROPROTECTION

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Khanna et al., J. Neurochem. 2010

T3 supplementation reduced

  • cclusion-induced

brain injury.

Park et al., Stroke, 2011

NEURAL CELL DAMAGE INFARC SIZE ARTERIOGENESIS

T3 improved cerebrovascular circulation and fiber connectivity after ischemic stroke

Rink et al., J Cereb Blood Flow Metab. 2011

Nanomolar of tocotrienol prevented glutamate induced damage neural cells.

STROKE

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MECHANISM

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METABOLIC DISEASES

(Zhao et al., Int. J. Obesity. 2014)

OBESITY INSULIN SENSITIVITY

  • Rat study showed lower weight gain

and weight of adipose tissue with T3 supplementation

  • Normalised

fasting glucose and insulin with T3 supplementation

HF: high fat; LF: low fat; T3: tocotrienol; Epi: epididymal; Peri: perirenal; Mes: mesenteric (Mes) fat.

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MECHANISM

HF: high fat; LF: low fat; T3: tocotrienol.

(Zhao et al., Int. J. Obesity. 2014)

  • Reduced gene expression for

macrophage recruitment in adipose tissue.

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MECHANISM

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CANCER PREVENTION

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CANCER PREVENTION

  • Breast
  • Lung
  • Liver
  • Ovarian
  • Colon
  • Cell cycle

arrest

  • Apoptosis
  • VEGF
  • IL24
  • EMT
  • MMP-9
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MECHANISM

(Kanchi et al., Drug Discovery Today, 2017)

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PULMONARY DISEASES

SMOKE-INDUCED COPD

Peh et al., Free Rad Biology and Medicine, 2017

ASTHMA

Zainal et al., IJMS, 2019

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CHALLENGE

  • 1. Bioavailability
  • 2. Epidemiology study
  • 3. Clinical trials
  • 4. Adjuvant / Combination
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(Meganathan et al., 2015. Sci. Reports.) Gamma-tocotrienol from TRF 300 mg (Yap et al., 2001. Journal of Pharm and Pharmacol.)

Oral bioavailability in rat α-Tocotrienol: 27.7 ± 9.2% γ-Tocotrienol: 9.1 ± 2.4% δ-Tocotrienol: 8.5 ± 3.5%

Affected by

  • Dose
  • Formulation
  • Population

(Yap et al., 2003) (Fu et al., 2014) Gamma-tocotrienol from TRF 800 mg

CHALLENGE 1: BIOAVAILABILITY

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Solubility: Low

  • Insoluble in water/ aqueous environment
  • Soluble in ethanol but limited solubility in

DMSO Permeability: High

  • A drug can be assumed to have high

permeability across epithelium cell membranes if its log P value is greater than 1.

  • Tocotrienol Log P: 8.2
  • The fraction of an ingested compound that is absorbed and available for physiological functions,

reaches the systemic circulation in an active form.

  • Unfortunately, like most nutraceutical ingredients, tocotrienols suffer from low bioavailability.

CHALLENGE: BIOAVAILABILITY

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FORMULATION OF TOCOTRIENOLS

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FORMULATION OF TOCOTRIENOLS

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Lipid bilayer Hydrophilic polymer Tocotrienols

VESICLE-BASED NANOCARRIERS

  • Vesicular system with lipid bilayer
  • Encapsulate tocotrienols at 40%

efficiency

  • Non-ionic vesicles using GRAS non-

ionic surfactants

  • Available in powder or suspension form
  • Higher stability compared to

nanoemulsion

  • Storage stability tested for 2 months

207 nm PDI < 0.3 (Maniam et al., Front. Pharmacol. 2018; Tan et al., Nanomedicine. 2017)

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(Fu et al., J Controlled Release. 2009)

  • Tumour suppression up to 10

days

  • Prolonged survival of 19 days

Tumour-targeted nano T3 Non-targeted nano T3 Free T3 Untreated

A431 xenograft models

Free T3 Non-targeted nano-T3 Targeted nano-T3 Untreated

MDA-MB-231 breast cancer models

Day 11 Day 20

  • Lower tumour volume in groups

treated with nano-T3

  • Significant improvement at day

20

(Tan et al., Nanomedicine. 2017)

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CHALLENGE 2: EPIDEMIOLOGY STUDY

Francesca Mangialasche and team, Karolinska Institutet, Stockholm, Sweden

Year Subject / Cohort Findings 2010 Kungsholmen Project 232 advance-aged subjects High plasma total vitamin E content reduced the risk of developing Alzheimer’s disease 2012 AddNeuroMed-Project 168 Alzheimer disease 166 mild cognitive impairement 187 cognitively normal people AD and MCI had lower levels of total tocopherols, total tocotrienols, and total vitamin E. Low plasma tocopherols and tocotrienols levels are associated with increased odds of MCI and AD. 2013 AddNeuroMed-Project 81 Alzheimer disease 86 mild cognitive impairement 86 cognitively normal people Plasma tocopherol and tocotrienol levels + MRI are sensitive indicators of Alzheimer’s disease. 2013 Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) study 140 elderly subjects High levels of serum tocopherol and tocotrienol are associated with reduced risk of cognitive impairment. 2019 Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) Database of 2654 elderly subjects On-going

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CHALLENGE 3: CLINICAL TRIALS

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Study Site:

  • MPOB Nutrition Unit
  • UPM Medical Faculty
  • UM Medical Faculty

Anti-inflammatory effect of Tocotrienol supplementation in subjects with moderately elevated inflammation (INTOC)

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CHALLENGE 4: ADJUVANT / COMBINATION THERAPY

Tocotrienols Conventional Medicine

  • Natural
  • Multi-targeted
  • Powerful
  • Established

mechanism

  • Hard to achieve

therapeutic level in tissues

  • High dose

toxicity

  • Resistance
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FUTURE PROSPECTS

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FUTURE PROSPECTS

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(Meganathan and Fu, IJMS, 2016)

TAKE HOME MESSAGE PALM-TOCOTRIENOLS

Poster Puvaneswari Meganathan Health Properties of Tocotrienols: Evidence in Human Studies

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ACKNOWLEDGMENT

  • Dr. Tee E Siong, Chair of Organizing Committee
  • Nutrition Society of Malaysia
  • MPOB
  • Dr. Ahmad Parveez, Deputy Director-General, MPOB
  • Ms. Rosidah Radzian, Director of PDAS, MPOB
  • Dr. Kanga Rani Selvaduray, Head of Nutrition, MPOB
  • Co-researchers
  • Industrial partners
  • Colleagues, research assistants and students
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