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Hiroshi Okawa Pharmacy researcher of Hokkaido Pharmaceutical University School of Pharmacy Representative Director of Scarecrow Inc., Tokyo, Japan 1

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Page 1: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Hiroshi Okawa Pharmacy researcher of

Hokkaido Pharmaceutical University School of Pharmacy Representative Director of Scarecrow Inc., Tokyo, Japan

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Page 2: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Contents

1. Development Background

2. Clinical Trial Data

3. Putative Mechanisms of Action

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Page 3: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

1. Development Background

3

– Development Background

– Rationale for Selecting Ingredients:

“Lipopolysaccharide (LPS) ” and “pine bark polyphenol”

Page 4: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Development Background

• Modern Pet disease

– Heart disease

– Cancer

– atopic dermatitis and alopecia etc

• The reason of appearance

– Stress

– High calorie of pet food and lack of physical exercises

– Pet clothes

– Aging etc

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Page 5: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Rationale for Selecting Ingredients

Limit of pharmaceuticals

Side effects of medicine

Start caring before occurring a

disease

To focus on the action“Immune function”

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Page 6: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

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Hygiene hypothesis

Most significantly different factor is the exposure

amount of endotoxin (LPS) in life.

Only one child

Urban life

Many brothers and sisters

Country life with animals

Strachan DP. Hay fever, hygiene, and household size. BMJ 1989; 299: 1259-1260.

Page 7: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

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Hygiene hypothesis: a study of canine atopic dermatitis

Frank A. Looringh van Beeck, et al. "Inverse association between endotoxin exposure and canine atopic dermatitis.“ The Veterinary Journal, 2011 Nov; 190(2).

This study suggests that there is a protective effect of high indoor endotoxin exposure on the development

of canine atopic dermatitis.

Page 8: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

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Mollusks

Nemathelminthes

Nemerteans

Protozoans

Poriferans

Coelenterates

Echinoderms

Protochordates

Macrophage

Annelids

Arthropods Reptiles

Acquired immunity

Innate immunity

Although 100% of animals have innate immunity, only 5% of animals have acquired immunity.

Note: counted as animal species

T cell B cell antibody

Agnathonae

Fishes

Amphibians

Aves

Mammals

Page 9: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Extensive phylogenetic work: proposal of phagocyte theory

Macrophages play an important role in the body’s defenses

(for all multicellular animals)

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Dr. Elie Mechnikov: Discoverer of lactobacillus, author of “macrophage”

Dr. Elie Mechnikov

Page 10: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Regulation of ・iron metabolism ・cholesterol ・steroid ・hormone ・pregnancy

Defence against infection

Metabolic control

Wound healing

Removement of ・amyloid ・aging red blood cells ・dead white blood cells

Reproduction of ・skin ・bone ・liver ・peripheral nurve

Microglia

Kuppfer cells

Langerhans cells

Distribution of tissue macrophages and their physiological roles

Brain

Lung

Spleen

Endocrine system

Skin

Reproductive organ

Revolute joint

Peritoneal cavity

Lymph node Liver

Gastrointestinal tract

Bone, Bone marrow

Muscle

Page 11: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Macrophages are activated in stages

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Interferonγ

Bacteria

An example:

phagocytic capacity↑

Preparatory stage for removal of foreign bodies

Priming stage Steady-state macrophage

(Resident stage)

Activated macrophage (Triggering stage)

An example:

active oxygen↑

Inflammatory cytokine↑

Page 12: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Fungi Yeast Lactic acid

Gram-negative bacteria

What is LPS?

• LPS is a substance contained in bacteria, which greatly enhances self-healing power

• LPS is 1,000−10,000 times as effective as β-glucans, which are already known to be effective ingredients in mushrooms

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Page 13: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

• Gram-positive bacteria (bacteria with good images)

– Lactobacillus, bacillus subtilis, etc.

– Yogurt, pickles, natto, probiotics

• Gram-negative bacteria (bacteria with bad images)

– E. coli, Pantoea agglomerans, acetic bacteria, Xanthomonas, Zymomonas, etc.

– Kefir yogurt, nata de coco, vinegar, probiotics

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Utilization of micro-organisms Past (lactobacillus) and future (gram-negative bacteria)

Page 14: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Receptor and intracellular signals of LPS

Nucleus

Interferon (antiviral activity)

Macrophage activation (antibacterial activity)

NFkB IRF

Receptor TLR-2

Signal

LPS

Receptor TLR-4

Dectin

LPS bind in protein

CD14

MD2

β-1,3 glucan Peptidoglycan

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The amount for macrophages activation β-glucan 1,000−10,000:1 LPS

Page 15: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

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What is the active substance?

Lipopolysaccharide (LPS)

Water extract of wheat flour contains Macrophage activating substance

Wheat seeds from Canada, USA, Australia, Japan were analyzed concomitant bacteria.

Pantoea agglomerans A Gram-negative bacteria

Screening macrophage activating substances from foods by oral or percutaneous route

Gluten, starch

Nishizawa et al. Chem. Phar. Bull. 1992

Page 16: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

0

50

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5/31 7/2

7/20

6/18

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9/21

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5/30

6/14

6/27

7/27

6/17 7/1

7/22

8/19

6/13

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7/18

8/12

6/17 7/1

6/25

7/12 8/8

8/2

KA LT CH FB NS ME GS NK

Rel

ativ

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tio

%

IL-4 (Th2 type)

0

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5/31 7/2

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KA LT CH FB NS ME GS NK

Rela

tive r

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o %

IL-12 (Th1 type) Less than 80%

More than120%

IL-4 and IL-12: No corelation with responses IL-10: increasing mRNA in responsed dogs

Relative mRNA expression

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5/31 7/2

7/20

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KA LT CH FB NS ME GS NK

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IL-10 (Th3, Treg)

○ ○ ○ × ○ ○ ○ ○ Response

Page 17: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

• Extracted from French maritime pines with an average age of 20-25 years from Bordeaux, France.

• Compared with other types of pine, French maritime pine bark is very thick and contains more than 40 kinds of antioxidants polyphenols.

Pine bark extract

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Page 18: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Pine Bark Polyphenol Features

1. Excellent antioxidant action

2. Improves circulation

3. Stabilizes blood sugar

4. Powerful Anti-inflammatory action

5. Enhances the skin

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Page 19: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

2. Clinical Trial Data

Hair-growth promotion effect on bald spots:

Thirteen animals treated with combination of

LPS and pine polyphenol

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Page 20: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Details of trials

• Methods and materials – Evaluation of hair-growth effect on alopecia in dogs, cats, rabbits, and

hamsters

• Test materials – “LPS tablet” and “Pine polyphenol tablet”

• Test methods and duration – Administration of foods and drugs was not regulated.

Combination with other supplements was ruled out. Animals were assigned to receive either an LPS tablet alone, or to receive both LPS and pine polyphenol tablets.

– Test duration was 30 days (in principle).

• Test results

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Hair growth Number of animals Rate of hair

growth response

LPS alone (n=24) None 14 58.3%

Observed 10 41.7%

LPS + Pine polyphenol (n=13) None 0 0%

Observed 13 100%

Page 21: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

List of 13 animals treated with combination of LPS and pine polyphenol

Breed Sex Age

(years)

Body weight (kg)

Conco-mitant drugs

Dosage

Result LPS

Pine pp

1 M. dachshund ♀ 2 3.5 None 2 4 Allergic dermatitis Hair regrew after 12 weeks.

2 M. dachshund ♀ 10 4.2 Used 2 4 Atopic dermatitis Hair regrew after 6 weeks.

3 Border collie ♀ 7 20 Used 4 4 Dry dermatitis (systemic) A steroid drug was used once.

4 T. Poodle ♀ 3 2.5 None 2 2 Allergic dermatitis Deep-colored hair regrew after 7 weeks.

5 T. Poodle ♀ 3 3.1 None 2 2 Stress-induced lick dermatitis Hair regrew fully after 3 weeks.

6 T. Poodle ♂ 11 3.1 None 2 2 Dermatitis due to subcutaneous infection Hair regrew after 4 weeks.

7 T. Poodle ♂ 1 3.9 None 2 2 Stress-induced hair loss Hair regrew after 3 weeks.

8 Cairn terrier ♂ 12 8.2 None 3 3 Unexplained hair loss Itching and hair loss were relieved after 4 weeks.

9 Chihuahua ♀ 5 3.2 Used 2 2 Allergic dermatitis (Convenia was used for pyoderma)

10 Mix-breed cat ♀ 7

(estimated) 2.8 None 1 1 Unexplained hair loss Hair regrew after 4 weeks.

11 Mix-breed cat ♀ 12 2.7 None 2 2 Unexplained hair loss Hair regrew after 4 weeks.

12 Hamster ♀ 1 Not

weighed None <1 <1 Unexplained hair loss Hair regrew after 4 weeks.

13 Rabbit ♀ 5 2.5 None 1 1 Self-inflicted hair loss Hair regrew after 9 weeks. 21

Page 22: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (ii) Hair loss due to atopic dermatitis

Miniature dachshund/female/10 years old/4.2 ㎏

• Daily doses 2 LPS tablets / 4 pine polyphenol tablets

• Administration period Nov. 2013 − present

• Concomitant drugs An immunosuppressive drug

22 Severe facial hair loss Hair grew back tidily

Mar. 8, 2014

After 15 weeks

Beginning Nov. 6, 2013

Page 23: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (vi) Hair loss due to dermatitis caused by infection of subcutaneous tissues

Toy poodle/male/11 years old/3.1 ㎏

• Daily doses 2 LPS tablets / 2 pine polyphenol tablets

• Administration period Jul. 2014 − present

• Concomitant drugs Not used

23 A 4cm diameter bald spot on the left loin Hair almost regrew

Beginning Jul. 18, 2014 Sep. 8, 2014

After 7 weeks

Page 24: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (viii) Unexplained hair loss

Cairn terrier/male/12 years old/8.2 ㎏

• Daily doses 3 LPS tablets / 3 pine polyphenol tablets

• Administration period Apr. 10, 2014 − present

• Concomitant drugs Not used

24 Hair loss in the areas from root of

the tail to the perianal area Itching and hair loss

were relieved

Beginning Apr. 25, 2014 May 21, 2014

After 4 weeks

Page 25: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (xi) Unexplained hair loss

Mix-breed cat/female/12 years old/2.7 ㎏

• Daily doses 2 LPS tablets / 2 pine polyphenol tablets

• Administration period Sep. 30 − Oct. 30, 2014

• Concomitant drugs Not used

25 Hair loss in the areas outside of both ears and above the eyes

Hair growth was observed

Beginning Sep. 30, 2014 Oct. 30, 2014

After 4 weeks

Page 26: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (xii) Unexplained hair loss

Djungarian hamster/female/1 year & 4 months old

• Daily doses 5 LPS and 5 pine polyphenol tablets were mixed and powdered. An earpick of the mixed powder was administered 3 times daily.

• Administration period Nov. 26−Dec. 30, 2013

• Concomitant drugs Not used

26 Unexplained hair loss in the abdominal area

Hair regrew in the abdominal area

Beginning Nov.26, 2013 Dec.30, 2013

After 4 weeks

Page 27: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Case (xiii) Self-inflicted hair loss

Rabbit (Holland Lop)/female/5 years old/2.5 ㎏

• Daily doses 1 LPS tablet / 1 pine polyphenol tablet

• Administration period The end of May 2014 − present

• Concomitant drugs Not used

27 Hair loss on the jowl

Beginning May 1,2014 Aug. 4, 2014

Hair regrew in the bald area

After 9 weeks

Page 28: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Atopy, allergy 31%

Unexplained disorders

31%

Stress, self-infliction 23%

Dry dermatitis 7%

Subcutaneous infection

8%

Not used (LPS + pine

polyphenol alone) 77%

Used 23%

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Conclusion and discussion

Newly grown hair was typically deep colored and firm, and hair regrew in the bald areas regardless of the

presence of inflammation.

Disorders of the 13 animals Use of concomitant drugs

Page 29: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

3. Putative Mechanisms

of Action

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Page 30: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

LPS 1. Macrophages are turned into

priming stage and inhibit induction of catagen-inducing cytokine.

2. Combination of mechanisms generates effect.

Pine polyphenol 1. Antioxidant effect

2. Blood circulation promoting effect

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Putative mechanisms of action

Hair pouch

Page 31: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Acknowledgements

• Technical Expertise:

Yoshiharu Yamamoto D.V.M of YAMA Animal Hospital

Akihisa Kato D.V.M of D&C Veterinary Clinic

• Special Thanks to:

Prof. Gen-Ichiro Soma

Prof. Hiroyuki Inagawa

Prof. Chie Kohchi

• Funding:

Scarecrow Inc.

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Page 32: Hiroshi Okawa - pets-healthy.com · Metabolic control Wound healing Removement of ・amyloid ・aging red blood cells ・dead white blood cells Reproduction of ・skin ・bone ・liver

Thank you for listening.

Animals

also

smile.

Hiroshi Okawa

Representative Director of Scarecrow Inc., Tokyo, Japan

[email protected]