Composition for inducing oral tolerance and / or treating cow's milk allergies with beta-lactoglobulin-derived peptides in combination with bifidobacterium breve

Description

[0001] The invention is in the field of immunology and more particularly relates to compositions for use in inducing oral tolerance and / or for use in treatment and / or prevention (including reducing the risk of occurrence) of cow's milk protein allergy. The invention rests particularly in the field of infants.Background

[0002] One of the most common food allergies, especially in infancy and childhood, is cow's milk allergy (CMA). Dietary proteins are presented to the immune system via the gastrointestinal tract and the normal response would be to elicit a tolerogenic immune response to the ingested nutrients. This response is called oral immune tolerance or oral tolerance. The induction of oral immune tolerance is especially relevant for infants, who after birth are exposed for the first time to dietary proteins and have to adapt to this. lf oral immune tolerance in infants is not established, food allergy will occur.

[0003] EP1364586 describes a food product comprising at least a mean to promote oral tolerance, such mean consisting in the addition of a Lactobacillus strain.

[0004] WO2013 / 083691 describes a nutritional composition for use in the treatment of cow's milk protein allergy in cow's milk protein allergic infants comprising at least one beta-lactoglobulin peptide comprising an amino acid se quence consisting of 12 to 30 amino acids and having an amino acid sequence from the region spanning from amino acids 13 to 48 of the beta-lactoglobulin protein which is identified there as SEQ ID NO 10.

[0005] WO2011 / 151060 describes an enteral composition comprising non-digestible oligosaccharides and at least one partial protein hydrolysate, wherein the partial protein hydrolysate is partial whey protein hydrolysate and wherein the non-digestible oligosaccharide is a mixture of galacto- oligosaccharides, fructo-oligosaccharides and galacturonic acid oligosaccharides

[0006] About 2 to 3 % of infants are allergic to cow's milk protein. For infants suffering from allergy to cow's milk protein, infant formulae are on the market comprising extensively hydrolysed proteins (extensive protein hydrolysate) or even merely free amino acids as nitrogen source. In these formulae no allergenic proteins or peptides are present. Thereby exposure to milk protein is avoided thus preventing a clinically manifested allergic reaction. This is called a secondary prevention of cows' milk allergy. However, as soon as cow's milk proteins are reintroduced into the diet, the infant may again suffer from clinically manifested allergic reactions.

[0007] Hypoallergenic formulae are on the market, comprising a partial protein hydrolysate (partially hydrolysed proteins), which have a decreased allergenicity. These formulations have the advantage that they increase the likelihood of obtaining an immunological tolerogenic response to cow's milk protein or peptides, with the advantage that later on the native protein can be introduced in the diet with a reduced risk of allergic reactions. This is called primary prevention of cow's milk protein allergy and these formulae are typically used for infants at risk of developing allergy.Summary of the invention

[0008] The inventors found that a composition comprising a probiotic B. breve and 2-4 distinct beta-lactoglobulin-derived peptides wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus, was surprisingly effective in inducing oral tolerance and / or for use and in treatment and / or prevention (including reducing the risk of occurrence) of cow's milk protein allergy (CMA) in an infant. Suitably, the composition further comprises a prebiotic.

[0009] In other words, the invention concerns a composition for use in inducing oral tolerance to cow's milk protein and / or treatment, prevention and / or reducing the risk of occurrence of cow's milk protein allergy (CMA) in a subject, said composition comprising a probiotic B. breve and 2-4 distinct beta-lactoglobulin-derived peptides wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus, wherein the subject is an infant.. The composition suitably further comprises a prebiotic.

[0010] The invention also concerns a composition comprising a probiotic B. breve and 2-4 distinct beta-lactoglobulin-derived peptides wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus, wherein the composition is an infant or follow-on formula.

[0011] In one embodiment of the composition for use or composition according to the invention, the composition further comprises a prebiotic. In one embodiment of the composition for use or composition according to the invention, the prebiotic is selected from the group consisting of fructo-oligosaccharide, non-digestible dextrin, galacto-oligosaccharide, xylo-oligosaccharide, arabino-oligosaccharide, arabino-galacto-oligosaccharide, gluco-oligosaccharide, glucomanno-oligosaccharide, galactomanno-oligosaccharide, mannan-oligosaccharide, chito-oligosaccharide, uronic acid oligosaccharide, sialyl-oligosaccharide and fuco-oligosaccharide. In one embodiment of the composition for use or composition according to the invention, the prebiotic comprises a mixture of a short-chain oligosaccharide having an average degree of polymerisation of 2 - 8 and a long-chain oligosaccharide having an average degree of polymerisation of 10 - 60. In one embodiment of the composition for use or composition according to the invention, the prebiotic comprises a galacto-oligosaccharide and / or a fructo-oligosaccharide. In one embodiment of the composition for use or composition according to the invention, the composition comprises 10- 5000 µg beta-lactoglobulin-derived peptides per gram total protein.Detailed description

[0012] In the experiments, mice had been sensitized to intact whey protein and consequently showed an acute allergic skin response after an intradermal challenge with intact whey protein, i.e. they had become whey protein allergic, which was also proven by an increase in whey-specific IgE (data not shown). The inventors surprisingly found that the allergic reaction to whey protein upon further administration of whey protein was significantly suppressed (or reduced) when the composition of the invention was administrated prior to the whey protein challenge. In other words, administration of the composition according to the invention induced oral tolerance.

[0013] In this document and in its claims, the verb "to comprise" and its conjugations is used in its non-limiting sense to mean that items following the word are included, but items not specifically mentioned are not excluded. In addition, reference to an element by the indefinite article "a" or "an" does not exclude the possibility that more than one of the element is present, unless the context clearly requires that there be one and only one of the elements. The indefinite article "a" or "an" thus usually means "at least one".

[0014] In the context of the present invention, reference is made to the following amino acid sequences: SEQ IDSequenceNo. 1No. 2Q K V A G T W Y S L A M A A S D I SNo. 3W Y S L A M A A S D I S L L D A Q SNo. 4A A S D I S L L D A Q S A P L R V YNo. 5L L D A Q S A P L R V Y V E E L K P Composition

[0015] In a first aspect, the invention concerns a composition comprising a probiotic B. breve and 2-4 distinct beta-lactoglobulin-derived peptides wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus, wherein the composition is an infant formula or follow-on formula. The composition according to the invention is for use according to the invention, which involve administration of the composition to an infant. The composition according to the invention may be used as a pharmaceutical product or a nutritional product.

[0016] The probiotic and the beta-lactoglobulin-derived peptides, and suitably the prebiotic, are present in therapeutically effective amounts.

[0017] In one aspect, the composition according to the invention may be used as a pharmaceutical product comprising one or more pharmaceutically acceptable carrier materials. Such product may contain the daily dosages as defined below in one or more dosage units. The dosage unit may be in a liquid form or in a solid form, wherein in the latter case the daily dosage may be provided by one or more solid dosage units, e.g. in one or more capsules or tablets. The pharmaceutical product, suitably for enteral application, may be a solid or liquid galenical formulation. Examples of solid galenical formulations are tablets, capsules (e.g. hard or soft shell gelatine capsules), pills, sachets, powders, granules and the like which contain the active ingredients together with conventional galenical carriers. Any conventional carrier material can be utilized. The carrier material can be organic or inorganic inert carrier material suitable for oral administration. Suitable carriers include water, gelatine, gum arabic, lactose, starch, magnesium stearate, talc, vegetable oils, and the like. Additionally, additives such as flavouring agents, preservatives, stabilizers, emulsifying agents, buffers and the like may be added in accordance with accepted practices of pharmaceutical compounding. While the individual active ingredients are suitably administered in a single composition, they may also be administered in individual dosage units.

[0018] In one aspect, the composition for use according to the invention may be used as a nutritional product, for example as a nutritional supplement, e.g. as an additive to a normal diet, as a fortifier, to add to a normal diet, as a complete nutrition or as infant nutrition suitable for feeding infants (e.g. infant formula or follow-on formula). The nutritional product suitably comprises fats, proteins, and carbohydrates. It is understood that a nutritional product differs from a pharmaceutical product by the presence of nutrients which provide nutrition to the subject to which the composition is administered, for instance the presence of protein, fat, digestible carbohydrates and dietary fibres. It may further contain ingredients such as minerals, vitamins, organic acids, and flavouring agents. Although the term "nutraceutical product" is often used in literature, it denotes a nutritional product with a pharmaceutical component or pharmaceutical purpose. Hence, the nutritional composition according to the invention may also be used in a nutraceutical product.

[0019] The composition for use according to the invention is typically an enteral composition, i.e. intended for oral administration. It is suitably administered in liquid form. For instance, the composition may comprise water in which the further components are dissolved or suspended. The composition is thus suitably a liquid, or a solid (typically a powder or tablet) which is reconstitutable with a liquid, suitably with water, to obtain a liquid composition. Suitably the liquid composition has a viscosity below 100 mPa.s, more suitably below 60 mPa.s, more suitably below 35 mPa.s, even more suitably below 6 mPa.s as measured in a Brookfield viscometer at 20°C at a shear rate of 100 s -1< .

[0020] The composition typically comprises a lipid fraction, a protein component and a digestible carbohydrate component. The caloric content of the composition, when in liquid form, suitably comprises 60 to 85, more suitably 60 to 70 kcal / 100 ml liquid. The osmolarity of the present composition is suitably between 150 and 420 mOsmol / l, more suitably 260 to 360 mOsmol / l.

[0021] Suitably the lipid component provides 2.9 to 6 g lipid per 100 kcal, suitably the protein component provides 1.8 to 5.5 g per 100 kcal, suitably 1.8 to 2.5 g per 100 kcal and suitably the digestible carbohydrate component provides 9 to 14 g per 100 kcal, of the composition. The amount of total calories is determined by the sum of calories derived from protein, lipids, digestible carbohydrates and non digestible oligosaccharides.Protein

[0022] The composition according to the invention comprises a protein fraction, which at least includes the aforementioned beta-lactoglobulin-derived peptides. Beta-lactoglobulin is one of two major whey proteins in the milk of cows and sheep but is not found in human milks. Often in case of cow's milk protein allergy beta-lactoglobulin is the allergen.

[0023] The beta-lactoglobulin-derived peptides according to the invention are peptides which consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus.

[0024] In the context of the invention, an amino acid sequence "corresponding to" the beta-lactoglobulin protein allows for at most three, more suitably at most two, even more suitably one amino acid substitution in the amino acid sequence may be allowed for, said substitution(s) suitably being conservative amino acid substitution(s). A "conservative amino acid substitution" refers to the interchangeability of residues having similar side chains. For example, a group of amino acids having aliphatic side chains is glycine, alanine, valine, leucine, and isoleucine; a group of amino acids having aliphatic-hydroxyl side chains is serine and threonine; a group of amino acids having amide-containing side chains is asparagine and glutamine; a group of amino acids having aromatic side chains is phenylalanine, tyrosine, and tryptophan; a group of amino acids having basic side chains is lysine, arginine, and histidine; and a group of amino acids having sulphur-containing side chains is cysteine and methionine. Suitable conservative amino acids substitution groups are: valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine-valine, and asparagine-glutamine. Substitutional variants of the amino acid sequence disclosed herein are those in which at least one residue in the disclosed sequences has been removed and a different residue inserted in its place. Suitably, the amino acid change is conservative. Suitable conservative substitutions for each of the naturally occurring amino acids are as follows: Ala to Ser; Arg to Lys; Asn to Gln or His; Asp to Glu; Cys to Ser or Ala; Gln to Asn; Glu to Asp; Gly to Pro; His to Asn or Gln; Ile to Leu or Val; Leu to Ile or Val; Lys to Arg; Gln or Glu; Met to Leu or Ile; Phe to Met, Leu or Tyr; Ser to Thr; Thr to Ser; Trp to Tyr; Tyr to Trp or Phe; and, Val to Ile or Leu. In particular, the Glu (E) to Gln (Q) substitution of amino acid 45 within SEQ ID No. 1 is covered by the present invention. SEQ ID No. 1 represents the B variant of the beta-lactoglobulin protein, while Glu to Gln substitution at amino acid 45 gives the D variant, which are both suitably used in the context of the present invention. In one embodiment, no modifications including conservative amino acid substitutions other than the Glu to Gln substitution of amino acid 45 within the suitable amino acid sequence regions of SEQ ID No. 1 is allowed for. In one embodiment, no modifications including conservative amino acid substitutions in the suitable amino acid sequence regions is allowed for.

[0025] Suitably, the amino acid sequence contains consecutive amino acids from the region spanning from amino acids 3 to 117, more suitably amino acids 10 to 63, most suitably amino acids 13 to 48, of the beta-lactoglobulin protein.

[0026] Suitably, the peptide has a molecular weight of at most 5 kDa, in particular from 0.1 to 4.9 kDa, suitably from 0.5 to 4.5, more suitably of 2 to 4 kDa, most suitably of about 2.4 kDa. The beta- lactoglobulin-derived peptides consist of 18 amino acids. Suitable beta-lactoglobulin-derived peptides consist of the amino acid sequences represented by SEQ ID No. 2 (amino acids 13 to 30 of SEQ ID No. 1), SEQ ID No. 3 (amino acids 19 to 36 of SEQ ID No. 1), SEQ ID No. 4 (amino acids 25 to 42 of SEQ ID No. 1) and SEQ ID No. 5 (amino acids 31 to 48 of SEQ ID No. 1), wherein amino acid 15 in SEQ ID No. 5 (corresponding to amino acid 45 in SEQ ID No. 1) may be substituted with Gln (Q) (said modified SEQ.5 does not fall under the scope of protection of the claims).

[0027] Typically, 1 - 6 further amino acids may be present, suitably 1 - 5, more suitably 1 - 4, most suitably 1 - 3 further amino acids may be present, which can be any (combination of) amino acid(s).

[0028] The mixture of distinct beta-lactoglobulin-derived peptides comprises 2 - 4, even more suitably 3 or 4, most suitably all 4, beta-lactoglobulin-derived peptide(s) consisting of an amino acid sequence selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5.

[0029] In accordance with the present invention, the beta-lactoglobulin-derived peptides can be chemically synthesised as known in the art, or isolated after expression by a genetically modified host such as an E. Coli strain or Lactobacillus strain. Alternatively the peptides are isolated and purified from a whey protein or beta-lactoglobulin hydrolysate.

[0030] The composition according to the invention may comprise further proteinaceous material, in addition to the beta-lactoglobulin-derived peptides, although the beta-lactoglobulin-derived peptides may also be the only protein source. In the context of the present invention the additional "protein" or "proteinaceous material" encompasses proteins, peptides, free amino acids and partially or extensively hydrolysed proteins.

[0031] Typically, extensive protein hydrolysates have a free amino acid content of above 10 g per 100 g protein. Any additional extensively hydrolysed protein in the present invention suitably relates to protein which has been hydrolysed and has less than 3 wt% of peptides with a size above 5 kDa. Typically, extensively hydrolysed protein has been obtained by protease hydrolysis followed by an ultrafiltration step by filtrating over a membrane with a cut-off of 2 - 5 kDa. Suitably these extensive protein hydrolysates comprise almost no peptides with a size over 1.5 kDa.

[0032] Suitably, the further proteinaceous material - additional to the beta-lactoglobulin-derived peptides - does not evoke an allergic reaction, such as free amino acids, partially hydrolysed protein and / or extensively hydrolysed protein. As a further protein component, i.e. apart from the beta-lactoglobulin-derived peptides, the composition according to the present invention suitably comprises free amino acids, partially hydrolysed whey protein and / or extensively hydrolyzed whey proteins.

[0033] In some embodiments, the composition according to the present invention does not contain intact cow's milk protein. The composition may comprise an additional protein component selected from the group consisting of free amino acids, extensively hydrolysed whey protein and proteins from other sources such as soy, pea, rice, collagen or the like, in intact form, in partially hydrolysed form, and / or in extensively hydrolysed form.

[0034] The present composition suitably contains at least 50 wt% protein component derived from non-human milk, more suitably at least 90 wt%, based on dry weight of total protein.

[0035] The present composition suitably contains 4 to 25 %, more suitably 5 to 20 %, more suitably 7 to 16 %, most suitably 7 to 12 % protein, based on total calories. The present composition, when in liquid form, suitably contains 0.5 to 6.0 g, more suitably 0.8 to 3.0 g, even more suitably 1.0 to 2.5 g of protein per 100 ml. The present composition suitably comprises at least 7.0 wt%, more suitably at least 8.0 wt%, most suitably at least 9 or at least 10 wt% protein based on dry weight of the total composition. Suitably, the present composition comprises at most 40 wt%, more suitably at most 15 wt%, suitably at most 20 wt% of protein based on dry weight of the total composition.

[0036] In a suitable embodiment of the present invention, the present composition comprises at least 10 µg, more suitably at least 30 µg, suitably at least 50 µg, suitably 10 to 5000 µg, more suitably 20 to 2000 µg, more suitable 30 to 500 µg and particularly suitably 50 to 250 µg of the beta-lactoglobulin-derived peptide per gram of total protein.Carbohydrate

[0037] The composition according to the invention may comprise a carbohydrate fraction, which may include a prebiotic. In the context of the present invention, the term "prebiotic" refers to one or more non-digestible oligosaccharides. Advantageously, the non-digestible oligosaccharide is water-soluble (according to the method disclosed in L. Prosky et al, J. Assoc. Anal. Chem 71: 1017-1023, 1988). Non-digestible oligosaccharides are not digested in the intestine by the action of digestive enzymes present in the human upper digestive tract (small intestine and stomach) but instead are fermented by the human intestinal microbiota.

[0038] Suitable non-digestible oligosaccharides are selected from the group consisting of fructo-oligosaccharide, non-digestible dextrin, galacto-oligosaccharide, xylo-oligosaccharide, arabino-oligosaccharide, arabinogalactooligosaccharide, gluco-oligosaccharide, glucomannooligosaccharide, galactomanno-oligosaccharide, mannanoligosaccharide, chito-oligosaccharide, uronic acid oligosaccharide, sialyl-oligosaccharide and fuco-oligosaccharide. Especially suitable non-digestible oligosacchardies are fructo-oligosaccharides and / or galacto-oligosaccharides. The oligosaccharides suitably have a degree of polymerization of 2 - 200. In one embodiment, fructo-oligosaccharides and fructo-polysaccharides (and mixtures thereof) with a DP of 2 - 200 are suitable prebiotics in the context of the invention.

[0039] One suitable type of oligosaccharide is a short-chain oligosaccharide which has an average degree of polymerisation of less than 10, suitably at most 8, suitably in the range of 2 - 7. The short-chain oligosaccharide suitably comprises galacto-oligosaccharides and / or fructo-oligosaccharides. In one embodiment, the composition comprises galacto-oligosaccharides, in particular β-galacto-oligosaccharides, more in particular trans-galacto-oligosaccharides. The galacto-oligosaccharides suitably have an average degree of polymerisation in the range of 2 - 8, i.e. are short-chain oligosaccharides in the context of the invention.

[0040] Suitably, the composition comprises short-chain fructo-oligosaccharides and / or short-chain galacto-oligosaccharides, suitably at least short-chain fructo-oligosaccharides. (trans)galactooligosaccharide is for example available under the trade name Vivinal ®< GOS (Borculo Domo Ingredients, Zwolle, Netherlands), Bimuno (Clasado), Cup-oligo (Nissin Sugar) and Oligomate55 (Yakult). Fructooligosaccharides may be inulin hydrolysate products having an average DP within the aforementioned (sub-) ranges; such FOS products are for instance commercially available as Raftilose P95 (Orafti) or with Cosucra.

[0041] Another suitable type of oligosaccharide is long-chain fructo-oligosaccharides which has an average degree of polymerisation above 10, typically in the range of 10 - 100, suitably 15 - 50, most suitably above 20. A particular type of long-chain fructo-oligosaccharides is inulin, such as Raftilin HP.

[0042] The present composition may contain one type of non-digestible oligosaccharide or a mixture of two or more types of non-digestible oligosaccharides, suitably it comprises a mixture of two or more non-digestible oligosaccharides, most suitably a mixture of two non-digestible oligosaccharides. In case the prebiotic contains or consists of a mixture of two distinct oligosaccharides, one oligosaccharide may be short-chain as defined above and one oligosaccharide may be long-chain as defined above. Suitably, short-chain oligosaccharides and long-chain oligosaccharides are present in a weight ratio short-chain to long-chain in the range of 1:99 - 99:1, more suitably 1:1 - 99:1, more suitably 4:1 - 97:3, even more suitably 5:1 - 95:5, even more suitably 7:1 - 95:5, even more suitably 8:1 - 10:1, most suitably about 9:1.

[0043] In one embodiment, the prebiotic comprises a mixture of fructo-oligosaccharides and / or galacto-oligosaccharides. Suitable mixtures include mixtures of long-chain fructo-oligosaccharides with short-chain fructo-oligosaccharides or short-chain galacto-oligosaccharides, most suitably long-chain fructo-oligosaccharides with short-chain fructo-oligosaccharides.

[0044] In one embodiment, the prebiotic comprises a mixture of fructo-oligosaccharides, most suitably a mixture of short-chain fructo-oligosaccharides (sc-FOS) and long-chain fructo-oligosaccharides (lc-FOS). These fructo-oligosaccharides suitably account for at least 80 wt%, more suitably at least 90 wt% of the prebiotic. In a most suitable embodiment, the prebotic fraction consists of a mixture of sc- and lc-FOS.

[0045] The prebiotics may be present in the composition at any suitable concentration, suitably. The present composition suitably comprises 0.05 to 20 wt% of said non-digestible oligosaccharides, more suitably 0.5 to 15 wt%, even more suitably 1 to 10 wt%, most suitably 2 to 10 wt%, based on dry weight of the present composition. When in liquid form, the present composition suitably comprises 0.01 to 2.5 wt% non-digestible oligosaccharide, more suitably 0.05 to 1.5 wt%, even more suitably 0.25 to 1.5 wt%, based on 100 ml.

[0046] The composition according to the invention may comprise further carbohydrates, suitably the present composition comprises a digestible carbohydrate. Typically, digestible carbohydrates that are known in the art to be suitable for use in infant nutritional compositions are used. Suitably, the digestible carbohydrate is selected from digestible polysaccharides (e.g. starch, matodextrin), digestible monosaccharides (e.g. glucose, fructose), and digestible disaccharides (e.g. lactose, sucrose). Particularly suitable is lactose and / or maltodextrin. In one embodiment, the composition does not comprise lactose.

[0047] The digestible carbohydrate component suitably comprises at least 60 wt% lactose based on total digestible carbohydrate, more suitably at least 75 wt%, even more suitably at least 90 wt% lactose based on total digestible carbohydrateLipid

[0048] The composition according to the invention suitably comprises a lipid component, suitably a lipid component suitable for infant nutrition as known in the art. The lipid component of the present composition suitably provides 2.9 to 6.0 g, more suitably 4 to 6 g per 100 kcal of the composition. When in liquid form, the composition suitably comprises 2.1 to 6.5 g lipid per 100 ml, more suitably 3.0 to 4.0 g per 100 ml. Based on dry weight the present infant or follow on formula suitably comprises 12.5 to 40 wt% lipid, more suitably 19 to 30 wt%.

[0049] The lipid component typically comprises the essential fatty acids alpha-linolenic acid (ALA), linoleic acid (LA) and suitably long chain polyunsaturated fatty acids (LC-PUFA). The LC-PUFA, LA and / or ALA may be provided as free fatty acids, in triglyceride form, in diglyceride form, in monoglyceride form, in phospholipid form, or as a mixture of one of more of the above. Suitably the present composition contains at least one, suitably at least two lipid sources selected from the group consisting of rape seed oil (such as colza oil, low erucic acid rape seed oil and canola oil), high oleic sunflower oil, high oleic safflower oil, olive oil, marine oils, microbial oils, coconut oil, palm kernel oil and milk fat.Probiotic

[0050] The composition according to the invention comprises a probiotic. In the context of the present invention, the term "probiotic" refers to a strain of probiotic bacteria. Probiotic bacteria are known in the art. Suitably, the probiotic bacteria are not genetically modified.

[0051] The probiotic comprises a strain of B. breve. The B. breve suitably has at least 95 % identity of the 16 S rRNA sequence when compared to the type strain of B. breve ATCC 15700, more suitably at least 97% identity (Stackebrandt & Goebel, 1994, Int. J. Syst. Bacteriol. 44:846-849). Suitable B. breve strains may be isolated from the faeces of healthy human milk-fed infants. Typically, these are commercially available from producers of lactic acid bacteria, but they can also be directly isolated from faeces, identified, characterised and produced. According to one embodiment, the present composition contains a B. breve selected from the group consisting of B. breve Bb-03 (Rhodia / Danisco), B. breve M-16V (Morinaga), B. breve R0070 (Institute Rosell, Lallemand), B. breve BR03 (Probiotical), B. breve BR92) (Cell Biotech), DSM 20091, LMG 11613, YIT4065, FERM BP-6223 and CNCM I-2219. Most suitably, the B. breve is selected from the group consisting of B. breve M-16V and B. breve CNCM I-2219, most suitably B. breve M-16V. B. breve I-2219 was published in WO 2004 / 093899 and was deposited at the Collection Nationale de Cultures de Microorganisms, Institute Pasteur, Paris, France on 31 May 1999 by Compagnie Gervais Danone. B. breve M-16V was deposited as BCCM / LMG23729 and is commercially available from Morinaga Milk Industry Co., Ltd.

[0052] The combination of a prebiotic and a probiotic is also referred to as a "synbiotic".

[0053] The probiotic may be present in the composition at any suitable concentration, suitably in a therapeutically effective amount or "amount effective for treating" in the context of the invention. Suitably, the probiotic is included in the present composition in an amount of 10 2< - 10 13< cfu per g dry weight of the composition, suitably 10 5< - 10 12< cfu / g, most suitably 10 7< - 10 10< cfu / g.Application

[0054] The composition according to the invention is for inducing oral tolerance to cow's milk protein and / or treating, preventing and / or reducing the risk occurrence of cow's milk protein allergy in an infant. The allergy may be suitably allergy to whey protein. (Prophylactic) treatment of allergy preferably involves reducing the (acute) symptoms associated with ingesting an allergen, in particular wherein the allergen is cow's milk protein. Suitably, the (acute) symptoms are reduced when the allergen is ingested again. The allergen is cow's milk protein. In the context of the present invention the term "treatment" is understood to mean a therapeutic treatment of infants, in terms of partially or completely curing the allergy and / or to alleviate or ameliorate symptoms of the allergy. Suitably, the treatment is an oral immuno-therapy. In the context of the invention, "prevention" may also be referred to as "reducing the risk or occurrence of", and is understood to mean a prophylactic treatment of an infant.

[0055] The composition for use according to the invention can be used as a nutritional composition, nutritional therapy, nutritional support, as a medical food, as a food for special medical purposes or as a nutritional supplement. The present composition for use is suitably an enteral composition. The composition for use is administered to, or intended to be administered to infants typically with an age of 0 - 36 month, more suitably 0 - 12 months of age, most suitably 0 - 6 months of age. Thus, in some embodiments, the present composition is an infant formula or follow-on formula, most suitably it is an infant formula.

[0056] In a particular embodiment, the composition is for administration to infants at risk of developing cow's milk protein allergy or suffering from cow's milk protein allergy. Infants that are known to be at risk of developing allergy include infants born from at least one parent suffers from, or has suffered from, atopic disorders (e.g. eczema) and / or allergy, most in particular from CMA.

[0057] The present composition is suitably administered in a daily dose of 0.01 mg - 1 g beta-lactoglobulin-derived peptides, more suitably 0.1 - 100 mg, even more suitably 0.5 - 5 mg, most suitably 1 - 2.5 mg.

[0058] The infant nutrition is suitably an infant formula or follow-on formula as known in the art. Most suitably, the infant nutrition is specifically targeted for allergic infants and / or infants at risk of developing allergy, wherein the allergy is CMA. Such allergic formulae are known in the art.Figures

[0059] Figure 1 shows the skin response (ear swelling) results of example 1. The tested groups are: 1 = negative control; 2 = positive control; 3 = peptide-diet group; 4 = synbiotics-diet group; 5 = peptide+synbiotics-diet group. Figure 2 shows the anaphylactic shock scores of example 1. The tested groups are: 1 = negative control; 2 = positive control; 3 = peptide-diet group; 4 = synbiotics-diet group; 5 = peptide+synbiotics-diet group. Figure 3 shows the T cell subset analysis results of example 3. Lymphocytes isolated from the small intestine lamina propria (SI-LP) were analysed by flow cytometry for T h 1 and T h 2 phenotypes. The tested groups are: 1 = negative control; 2 = positive control; 3 = peptide-diet group; 4 = synbiotics-diet group; 5 = peptide+synbiotics-diet group. Test groups fed a synbiotics diet are shown with a solid grey bar. For each tested group the percentage of CD4 +< cells with an activated T h 1 phenotype (Graph A) or with an activated T h 2 phenotype (Graph B) are shown, as well as the T h 1 / T h 2 ratios within an individual CD4 +< population (Graph C). Data are presented as the mean ± SEM of n=4 in the negative control group and n=6-8 in all other groups. * p<0.05, ** p<0.01 as analysed with ANOVA followed by Bonferroni post hoc test for selected groups. Figure 4 shows the ex vivo splenocyte cytokine production results of example 3. The tested groups are: 1 = negative control; 2 = positive control; 3 = peptide-diet group; 4 = synbiotics-diet group; 5 = peptide+synbiotics-diet group. Test groups fed a synbiotics diet are shown with a solid grey bar. The tested cytokines are: IL-13 (Graph A), IL-10 (Graph B), IL-5 (Graph C), IL-17A (Graph D)and IFN-γ (Graph E). Data are presented as the mean ± SEM of n=4 in the PBS / CT group and n=6-8 in all other groups. * p<0.05, ** p<0.01 as analysed with Kruskal-Wallis non-parametric test, followed by Dunn's post hoc test for selected groups. Figure 5 shows the skin response (ear swelling) results of example 4. The tested groups are: 1 = negative control; 2 = positive control; 3 = peptide-diet group (solid grey bar); 4 = probiotics-diet group (diagnonally striped bar); 5 = peptide+probiotics-diet group (diagnonally striped bar and a grey background). Data are presented as the mean ± SEM of n=6-8 in all other groups. **** p<0.0001, ** p<0.01 as analysed with ANOVA followed by Dunnette's post hoc test for selected groups. ExamplesExample 1Material and methods

[0060] Peptides: 18-amino acid (AA)-long peptides from beta-lactoglobulin were synthetically produced by JPT Peptide Technologies (Berlin, Germany). The synthetic peptides contained a 12-AA-long overlap and their sequence was spanning the B variant of beta-lactoglobulin. The four peptides were previously screened in an assay with human T cell lines by Meulenbroek et al. (Pediatr. Allergy Immunol. 2013:7:656-664) and were selected based on their T cell reactivity for further testing in animal models. Prior to the animal experiment peptides were dissolved in PBS and a mixture of all four peptides was prepared in which each peptide was at a concentration of 0.08 mg / ml ("PepMix"). Peptide sequences are given in Table 1. Table 1: Peptide sequencesPeptideSequence1 (18AA)SEQ ID No. 2QKVAGTWYSLAMAASDIS2 (18AA)SEQ ID No. 3WYSLAMAASDISLLDAQS3 (18AA)SEQ ID No. 4AASDISLLDAQSAPLRVY4 (18AA)SEQ ID No. 5LLDAQSAPLRVYVEELKP

[0061] Diets: Semipurified cow's milk protein-free standard mouse chow was composed based on AIN-93G recipe (control diet) and supplemented with synbiotics (synbiotic diet) (Research Diet Services, Wijk bij Duurstede, The Netherlands). The synbiotic supplementation consisted of 1 wt% of non-digestible short-chain (sc-) and long-chain (lc-) fructo-oligosaccharides (FOS) (Raftilose P95 (Orafti) and Raftiline HP, respectively) in a ratio scFOS / lcFOS = 9:1 and 2 wt% 2 x 10 9< CFU / g Bifidobacterium breve M-16V (Morinaga Milk Industry Co., Ltd, Tokyo, Japan). The synbiotic components were mixed through the diet and the mixture was pressed into pellets. Diets were stored at -4 °C prior to use.

[0062] Animals: Three-week-old pathogen-free female C3H / HeOuJ mice were purchased from Charles River Laboratories (Sulzfeld, Germany) and were maintained on a cow's milk protein-free standard mouse chow (AIN-93G soy, Research Diet Services). Mice were housed in the animal facility at Utrecht University. Animal care and use was in accordance with the guidelines of the Dutch Committee of Animal Experiments.

[0063] Study protocol: In order to investigate the tolerogenic properties of the synthetic peptides in combination with the synbiotic diet, a murine model for cow's milk allergy was used as described by Van Esch et al. (Pediatr Allergy Immunol 2011;22:820-826). Mice were orally exposed (using a blunt needle) to 0.5 ml of the PepMix or phosphate buffered saline (PBS, Lonza, Walkerville, MD, USA) prior to sensitization (daily; from day -7 to day -2). In the same week (from day -9 to day 0) mice were fed the control diet or the synbiotic diet ad libitum. Subsequently, on day 0, 7, 14, 21 and 28, mice were sensitized orally with 20 mg whey protein (DMV International, Veghel, The Netherlands) homogenized in 0.5 ml PBS and mixed with 10 µg cholera toxin (CT; List Biological Laboratories, Inc. California, USA) as an adjuvant. The non-sensitized mice received 10 µg cholera toxin in 0.5 ml PBS only. Table 2 summarizes the five groups tested.

[0064] Five days after the last sensitization, mice underwent an intradermal whey challenge (injection in the ear pinnae with 10 µg whey protein in 20 µl PBS) and the acute allergic skin response was recorded. The ear thickness was measured in duplicate before and 1 h after the intradermal challenge using a digital micrometer (Mitutoyo, Veenendaal, The Netherlands). The allergen-specific ear swelling is the difference between the average ear thickness at 1 h and the average basal ear thickness (Δ = ear thickness at 1 h - basal ear thickness) and is expressed in micrometer. The ear swelling due to the local injection is reflected in the "Δ ear swelling" of the non-sensitized mice (Group 1). Next to the ear swelling, clinical symptoms, such as anaphylactic shock, were monitored and scored according to a table as previously described Van Esch et al. (Pediatr Allergy Immunol 2011;22:820-826). Table 2. Interventions in the different groupsGroupPre-treatmentSensitizationChallenge1negative controlPBS + control dietPBS + CTwhey2positive controlPBS + control dietwhey + CTwhey3peptidePepMix + control dietwhey + CTwhey4synbioticsPBS + synbiotic dietwhey + CTwhey5peptide + synbioticsPepMix + synbiotic dietwhey + CTwhey

[0065] Statistical analysis: All statistical analyses were conducted using GraphPad Prism 6.0c software. Data was analysed with one-way ANOVA and post hoc Bonferroni's multiple comparison test. The anaphylactic shock scores were analysed using Kruskal-Wallis test because of the non-parametric nature of the data. All data is presented as mean ± SEM of 5-8 animals per group. P < 0.05 was considered of statistical significance.Results

[0066] Skin response results are summarized in Figure 1 and the results on anaphylactic shock scores in Figure 2. Sensitized, but untreated animals (Group 2) developed a significantly higher allergic response compared to the non-sensitised ones (Group 1). The allergic response was significantly reduced after pre-exposing the animals to a mixture of tolerogenic peptides combined with a diet containing synbiotics (Group 5). The treatments with the peptide mixture (Group 3) and with synbiotic diet (Group 4) were insufficient to reduce the allergic response when applied alone and only the combined exposure showed to be effective (Group 5). Furthermore, sensitized animals developed significant anaphylactic shock symptoms 20 - 40 min after the intradermal injection with the allergen. However, only the combined peptides-synbiotics (Group 5) exposure prevented from developing significantly higher anaphylactic shock symptoms when compared to the non-sensitized controls (Group 1). Anaphylactic shock scores were significantly increased in Groups 2, 3 and 4, compared to Group 1.

[0067] The above experiment was repeated with the exception that the 1% wt% sc-FOS / lc-FOS was substituted with 1 wt% of sc-galacto-oligosaccharides (GOS) and lc-FOS (Vivinal ®< GOS and Raftiline HP, respectively) in a ratio scGOS / lcFOS = 9:1 for the synbiotic that was fed to the animals. The results from this experiment suggest that pre-exposure of animals with a combination of this synbiotic and the tolerogenic peptide mixture also reduces the allergic response to intradermal whey challenged, as compared to a control.Example 2

[0068] An infant formula for infants at risk of cow's milk protein allergy or for infants allergic to cow's milk protein: Energy density: 0.6 - 0.77 kcal / ml. Protein is present in the form of free amino acids and the beta-lactoglobulin-derived peptides of the present invention. Per g protein about 100 µg peptide mix as tested in example 1 is present. Further characteristics are given in Table 3. Table 3: Nutritional informationper 100 ml*Energy (kJ)293Energy (kcal)70protein (g)1.9 (11 en%)carbohydrate (g)7.9 (45 en%)lipids (g)3.4 (44 en%)- LA (g)0.6- ALA (mg)60- AA (mg)12- DHA (mg)7Pepmix of example 1 (µg)190B. breve2 × 10 7< cfu* or per 14.7 g powder to be reconstituted in water to a total of 100 ml

[0069] The composition further comprises minerals, vitamins as prescribed for infant formulae, and has an osmolarity of 324 mOsm / L.Example 3Materials and methods

[0070] Peptides, diets, animals and treatment protocol: Same as in example 1.

[0071] Cell isolation from tissues: Lymphocytes were isolated from spleen, mesenteric lymph nodes (MLN) and small intestine lamina propria. Spleens and MLN were crushed through 70 µm cell strainers. Splenocyte suspension was incubated for 5 min. on ice with lysis buffer to remove red blood cells. Both splenocytes and MLN cells were taken up in RPMI 1640 supplemented with 10% FCS and penicillin (100 U / mL) / streptomycin (100 µg / mL). For the isolation of lamina propria cells, the whole small intestine was removed, cleared of Peyer's patches (PP), washed in cold PBS, opened longitudinally, and minced in 0.5 cm fragments. Samples were then washed in Hank's Balanced Salt Solution (HBSS; Invitrogen, Life Technologies, Carlsbad, CA, USA) supplemented with 15 µM HEPES (Gibco, Life Technologies, Carlsbad, CA, USA), pH = 7.2 followed by 4 x 15 min incubations with HBSS supplemented with 15 µM HEPES, 5 µM Na 2 -EDTA, 10% FCS and penicillin (100 U / mL) / streptomycin (100 µg / mL), pH=7.2. The fragments were then washed in RPMI 1640 supplemented with 5% FCS and penicillin (100 U / mL) / streptomycin (100 µg / mL) and incubated 2 x 45 min with an enzyme solution containing RPMI 1640, 5% FCS, penicillin (100 U / mL) / streptomycin (100 µg / mL) and 0.25 mg / mL Collgenase type VIII (Sigma-Aldrich). In order to collect the small intestine lamina propria cells, fragments were vortexed for 10 s after each incubation and poured over a 70 µm cell strainer. Cell were washed once and used for flow cytometry.

[0072] Flow cytometry analysis of T cell subsets: Phenotypic characterisation of T cell subsets was performed by means of flow cytometry. Cells were resuspended in PBS / 1%BSA and were incubated for 15 min with anti-mouse CD16 / CD32 (Mouse BD Fc Block; BD Pharmingen, San Jose, CA, USA). For determining the T h 1 / T h 2 subsets, cells were extracellularly stained with CD4-PerCp-Cy5.5, CD69-APC, CXCR3-PE (eBiosciences, San Diego, CA, USA) and T1ST2-FITC (MD Biosciences, St. Paul, MN, USA). After staining extracellular markers, cells were stained with a fixable viability dye AlexaFluor780 (eBioscience). Results were collected with BD FACSCanto II flow cytometer (Becton Dickinson, Franklin Lakes, NJ, USA) and were analysed with FlowLogic software (Inivai Technologies, Mentone, VIC, Australia).

[0073] Ex vivo re-stimulation assay and cytokine levels: After sacrifice, spleens were removed and a single cell suspension was obtained. Then splenocytes (6x10 5< cells) were cultured either with medium or with 500 µg / mL whey protein at 37°C, 5% CO 2 . After 5 days of incubation, supernatants were collected and stored at -20°C until further analysis. Cytokine quantification of IL-5, IL-13, IL-10, IL-17A and IFN-y was performed by means of a Cytometric Bead Array (CBA) Flex Set assay (BD Biosciences) following manufacturer's instructions. Beads were analysed with BD FACSCanto II flow cytometer and results were obtained in FCAP v.3.0 software (Becton Dickinson).

[0074] Statistical analysis: All statistical analyses used GraphPad Prism 6.0c software for Macintosh (GraphPad Software, San Diego, CA, USA). All data was analysed for normality and equality of variance. One-way ANOVA, followed by a Bonferroni's multiple comparison post hoc test for selected groups (7 pre-selected comparisons) was used when possible. When data was not normally distributed, as in the case of cytokines levels, it was first LOG-transformed and tested again. If LOG transformation did not improve normality, then the non-parametric Kruskal-Wallis test was used, followed by a Dunn's post hoc for selected groups and 7 pre-selected comparisons. All data is presented as mean ± SEM of 4-8 animals per group. P<0.05 was considered of statistical significance.Results

[0075] In order to investigate the local effects in the intestine, lamina propria lymphocytes from the small intestine (SI-LP) were isolated and analysed by flow cytometry for the different T cell subsets. In line with the paradigm that allergy influences the balance between T h 1 and T h 2 lymphocytes skewing it toward the T h 2 environment (Cox, HE, J Pediatr Gastroenterol Nutr 2008;47 Suppl 2, S45-48), it was observed that allergic mice showed significantly lower numbers of activated T h 1 cells, while activated T h 2 cells appeared to increase in number (Figure 3). As a result, the ratio of activated T h 1 / T h 2 cells was shifted in favour of T h 2 in the allergic control mice (Group 2), while prior feeding with peptides and synbiotics (Group 5) prevented this shift. Feeding mice only the synbiotics-supplemented diet (Group 4) tended to preserve the T h 1 / T h 2 balance but less pronounced compared to the combination with peptides, suggesting that the synbiotics ensure a favourable milieu during the presentation of the peptides by antigen presenting cells.

[0076] To investigate whether the preventive treatments affect the functionality of cells in the systemic compartment, spleens from the treated groups were collected 18 h after the oral challenge and splenic lymphocytes were stimulated ex vivo with allergen for 5 days in order to determine their capacity to produce cytokines. The results presented in Figure 4 show that the functionality of splenocytes was affected by pre-exposure to the combination of peptides and synbiotics-enriched diet (Group 5). Functionality was assessed by assaying allergy-related T h 2 cytokines (IL-13, IL-5, IL-10) as well as T h 1-(IFN-y) and Th17-assosiated ones (IL-17A). Notably, cells from allergic controls (Group 2) markedly produced all these cytokines; not only the T h 2-associated cytokines. However, cells from animals treated with a combination of peptide mixture and synbiotics (Group 5) tended to induce less IL-17A, IL-10 and IL-13, as compared to the peptide mixture alone (Group 3).

[0077] These results indicate that combined exposure to peptide mixture and synbiotics reduces allergen-induced cytokine production and prevents unfavourable shift in the T h 1 / T h 2 balance in the intestinal lamina propria.Example 4Materials and methods

[0078] Peptides: Same as example 1 except that prior to the animal experiment peptides were dissolved in PBS and a mixture of all four peptides was prepared in which each peptide was at a concentration of 0. 8 mg / mL ("PepMix")

[0079] Animals: Same as in example 1.

[0080] Statistical analysis:. Statistical analyses were conducted using GraphPad Prism 6.0c software for Macintosh (GraphPad Software, San Diego, CA, USA). Data was analysed with one-way ANOVA and post hoc Dunnett's multiple comparison test. Data is presented as mean ± SEM of 6-8 animals per group. P < 0.05 was considered of statistical significance.

[0081] Diets: Semipurified cow's milk protein-free standard mouse chow was composed based on AIN-93G recipe (control diet) and supplemented with 2 wt% 2 x 10 9< CFU / g Bifidobacterium breve M-16V (Morinaga Milk Industry Co., Ltd, Tokyo, Japan) (probiotic diet). The probiotic component was mixed through the diet and the mixture was pressed into pellets. Diets were stored at -4 °C prior to use.

[0082] Study protocol: Mice were orally exposed (using a blunt needle) to 0.5 mL of the PepMix or phosphate buffered saline (PBS, Lonza, Walkerville, MD, USA) prior to sensitization (daily; from day -7 to day -2). In the same week (from day -9 to day 0) mice were fed the control diet or the probiotic diet ad libitum. Subsequently, on day 0, 7, 14, 21 and 28, mice were sensitized orally with 20 mg whey protein (DMV International, Veghel, The Netherlands) homogenized in 0.5 mL PBS and mixed with 10 µg cholera toxin (CT; List Biological Laboratories, Inc. California, USA) as an adjuvant. The non-sensitized mice received 10 µg cholera toxin in 0.5 mL PBS only. Table 3 summarizes the five groups tested.

[0083] Five days after the last sensitization, mice underwent an intradermal whey challenge (injection in the ear pinnae with 10 µg whey protein in 20 µl PBS) and the acute allergic skin response was recorded, as described in example 1. Table 3. Interventions in the different groupsGroupPre-treatmentSensitizationChallenge1negative controlPBS + control dietPBS + CTwhey2positive controlPBS + control dietwhey + CTwhey3peptidePepMix + control dietwhey + CTwhey4probioticsPBS + probiotic dietwhey + CTwhey5peptide + probioticsPepMix + probiotic dietwhey + CTwhey Results

[0084] Skin response results are summarized in Figure 5. Sensitized, but untreated animals (Group 2) developed a significantly higher allergic response compared to the non-sensitised ones (Group 1). The treatment with probiotic alone (Group 4) did not significantly reduce the allergic response. However, the allergic response was significantly reduced after pre-exposing the animals to a mixture of tolerogenic peptides alone (Group 3) and this reduction was more pronounced when the tolerogenic peptides were combined with a diet containing probiotics (Group 5).

Claims

1. A composition for use in inducing oral tolerance to cow's milk protein, and / or treatment, prevention or reducing the risk of cow's milk protein allergy in a subject, comprising Bifidobacterium breve and 2-4 distinct beta-lactoglobulin-derived peptides wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus, wherein the subject is an infant.

2. The composition for use according to claim 1, wherein the composition further comprises a prebiotic, wherein the prebiotic is preferably selected from the group consisting of fructo-oligosaccharide, non-digestible dextrin, galacto-oligosaccharide, xylo-oligosaccharide, arabino-oligosaccharide, arabino-galacto-oligosaccharide, gluco-oligosaccharide, glucomanno-oligosaccharide, galactomanno-oligosaccharide, mannan-oligosaccharide, chito-oligosaccharide, uronic acid oligosaccharide, sialyl-oligosaccharide and fuco-oligosaccharide.

3. The composition for use according to claim 2, wherein the prebiotic comprises a mixture of a short-chain oligosaccharide having an average degree of polymerisation of 2 - 8 and a long-chain oligosaccharide having an average degree of polymerisation of 10 - 60.

4. The composition for use according to claim 2 or 3, wherein the prebiotic comprises a galacto-oligosaccharide and / or a fructo-oligosaccharide.

5. The composition for use according to any of the preceding claims, wherein the composition comprises 10- 5000 µg beta-lactoglobulin-derived peptides per gram total protein.

6. An infant formula or follow-on formula comprising Bifidobacterium breve and 2-4 distinct beta-lactoglobulin-derived peptides, wherein the beta-lactoglobulin-derived peptides consist of amino acid sequences selected from the group consisting of SEQ ID No. 2, SEQ ID No. 3, SEQ ID No. 4 and SEQ ID No. 5, optionally coupled to 1 - 6 further amino acids at its C- and / or N-terminus.

7. The infant formula or follow-on formula according to claim 6, further comprising a prebiotic, wherein the prebiotic preferably comprises a galacto-oligosaccharide and / or a fructo-oligosaccharide.