Title of Invention

A COMPOSITION COMPRISING PARTICLES COMPRISING ONE OR MORE OXALATE DEGRADING ENZYMES

Abstract The present invention comprises methods and compositions for the reduction of oxalate in humans. For example, the invention provides methods and compositions for the delivery of one or more oxalate- reducing enzymes embedded in particle compositions. The compositions of the present invention are suitable in methods of treatment or prevention of oxalate-related conditions including, but not limited to, hyperoxaluria, absorptive hyperoxaluria, enteric hyperoxaluria, primary hyperoxaluria, idiopathic calcium oxalate kidney stone disease (urolithiasis), vulvodynia, oxalosis associated with end-stage renal disease, cardiac conductance disorders, inflammatory bowel disease, Crohn's disease, ulcerative colitis, and patients who have undergone gastrointestinal surgery and bariatric surgery (surgery for obesity), and/or who have undergone antibiotic treatment.
Full Text COMPOSITIONS AND METHODS FOR OXALATE REDUCTION
RELATED APPLICATIONS
This application claims the priority of U.S. Provisional Patent Application No.
60/750,896, filed December 16, 2005, which is herein incorporated in its entirety.
FIELD OF THE INVENTION
The present invention relates to a composition comprising one or more oxalate
degrading enzymes for delivering the enzymes in active form to the stomach, where the one or
more oxalate degrading enzymes exert their effect. Thus, the present invention provides means
for reducing oxalate in the stomach. A composition of the invention comprises particles
comprising one or more oxalate degrading enzymes embedded in a first polymeric material,
wherein the embedded enzyme retains at least two times the activity of the one or more non-
embedded free enzymes obtained from the same batch upon incubation in USP simulated gastric
juice at 37°C for at least 60 min under similar conditions.
BACKGROUND OF THE INVENTION
Kidney/urinary tract stone disease (urolithiasis) is a major health problem throughout the
world. Most of the stones associated with urolithiasis are composed of calcium oxalate alone or
calcium oxalate plus calcium phosphate. Other disease states have also been associated with
excess oxalate. These include, vulvodynia, oxalosis associated with end-stage renal disease,
cardiac conductance disorders, Crohns's disease, and other enteric disease states.
Oxalic acid, and/or its salts, oxalate, is found in a wide variety of foods, and is therefore,
a component of many constituents in human and animal diets. Increased oxalate absorption may
occur after foods containing elevated amounts of oxalic acid are eaten. Foods such as spinach
and rhubarb are well known to contain high amounts of oxalate, but a multitude of other foods
and beverages also contain oxalate. Because oxalate is found in such a wide variety of foods,
diets that are low in oxalate and which are also palatable are hard to formulate. In addition,
compliance with a low oxalate diet is often problematic.
The risk for formation of kidney stones revolves around a number of factors that are not
yet completely understood. Kidney or urinary tract stone disease occurs in as many as 12 % of
the population in Western countries and about 70% of these stones are composed of calcium
oxalate or of calcium oxalate plus calcium phosphate. Some individuals (e.g. patients with
intestinal disease such as Crohn's disease, inflammatory bowel disease, or steatorrhea and also
patients that have undergone jejunoileal bypass surgery) absorb more of the oxalate in their diets
than do others. For these individuals, the incidence of oxalate urolithiasis increases markedly.

The increased disease incidence is due to increased levels of oxalate in kidneys and urine, and
this, the most common hyperoxaluric syndrome in humans, is known as enteric hyperoxaluria.
Oxalate is also a problem in patients with end-stage renal disease and there is recent evidence
that elevated urinary oxalate is also involved in vulvar vestibulitis (vulvodynia).
Enteric coated compositions comprising oxalate degrading bacteria have been suggested
for reducing oxalate concentrations. However, enteric coated compositions pass through the
stomach in intact form, i.e. the coating is intact and accordingly, no Oxalate can be degraded in
the stomach. Accordingly, there is still a need for developing compositions that enable
degradation of oxalate already in the stomach in order to degrade especially dietary oxalate.
Moreover, such compositions are suitable for use in the treatment of enteric and absorptive
hyperoxalurias such as hyperoxalurias causing recurrent stone disease. The objective with such
a treatment is for the patients to have normal urinary oxalate levels.
SUMMARY OF THE INVENTION
The present invention comprises compositions and methods for treating and preventing
oxalate-related conditions. Compositions of the present invention comprise enzymes that
reduce oxalate. Methods of the present invention comprise administering the compositions to
treat or prevent oxalate-related conditions, and methods for making and using such
compositions. Compositions of the present invention reduce oxalate under gastric conditions,
such as low pH and in the presence of proteases. Composition of the present invention reduce
oxalate in the stomach of humans and other animals. Compositions reduce non-systemic
oxalate, e.g. oxalate in the gastrointestinal tract, notably in the stomach, and preventing
exogenous oxalate (e.g. from food) from entering the systemic circulation.
A composition according to the present invention comprises particles comprising one or
more enzymes embedded in a first polymeric material, wherein the embedded enzymes retain at
least two times the activity of the one or more non-embedded enzymes from the same batch,
after incubation of both the embedded and the non-embedded (free) enzymes in simulated
gastric fluid (84 mM HCl and 3.2 mg/ml pepsin at pH ranging from 1.0 to 4.0) at 37°C for at
least 60 minutes. Compositions comprise particles that may further be coated with a second
polymeric material. Compositions may also comprise polymeric materials that may be cross-
linked, and optionally, the cross-links may be reduced. In specific embodiments, the first
polymeric material is chitosan, alginate, pectin or hyaluronic acid. In addition to the one or more
enzymes and the first polymeric material, the particle compositions may also contain one or
more additives such as, e.g., pH adjusting agents, buffering agents, solubilizing agents,

stabilizers, preservatives, cofactors for the enzymes or one or more pharmaceutically acceptable
excipients such as, e.g. fillers, diluents, carriers or the like.
Methods of the present invention comprise providing compositions for non-systemic
treatment, for example, providing a composition that enables reducing oxalate in the stomach to
avoid the absorption of oxalate from the gastrointestinal tract. The composition protects the
oxalate-reducing enzymes embedded .therein from the acidic and enzyme-damaging
environment in the stomach, and maintains the enzymatic activity in such a harsh environment.
Methods of treatment and prevention comprise providing the compositions taught herein in
which one or more oxalate degrading enzyme are embedded in a first polymeric material,
optionally coating the obtained particles with a second polymeric material, optionally cross-
linking the first and/or second polymeric material and optionally reducing the cross-linkages.
The compositions of the present invention are suitable in methods of treatment or
prevention of oxalate-related conditions including, but not limited to, hyperoxaluria, absorptive
hyperoxaluria, enteric hyperoxaluria, primary hyperoxaluria, idiopathic calcium oxalate kidney
stone disease (urolithiasis), vulvodynia, oxalosis associated with end-stage renal disease, cardiac
conductance disorders, inflammatory bowel disease, Crohn's disease, ulcerative colitis, and
patients who have undergone gastrointestinal surgery and bariatric surgery (surgery for obesity),
and/or who have undergone antibiotic treatment. A method of treatment or prevention
comprises orally administering to a subject a composition of the present invention, in an
effective amount, to reduce the oxalate in the stomach of the subject, and thus reduce the overall
oxalate burden of the subject in an efficient and effective manner. Such compositions are
pharmaceutically acceptable for oral administration.
Enzymes used in the compositions and methods of the present invention are oxalate
reducing enzymes, and include, but are not limited to, oxalate oxidase, oxalate decarboxylase (in
the present context abbreviated OxDc), oxalyl-CoA decarboxylase, or formyl-CoA transferase,
or combinations thereof. Moreover, other enzymes, cofactors and co-enzymes that are
substituents of oxalate degradation pathways or involved in oxalate metabolic pathways,
particularly oxalate reduction, are also of relevance alone or in combination with one or more of
the oxalate reducing enzymes. In the present invention,, not only the enzymes (proteins) are
encompassed by this definition, but also polynucleotide sequences that encode oxalate-reducing
genes and proteins are contemplated by the present invention. The present invention also
contemplates any binding partners of these enzymes and includes antibodies and antibody
fragments that bind to or interact with the enzymes.

The enzymes may be derived by isolation from organisms, they may be purified, they
may be made synthetically, semi-synthetically or by recombinant means, or they may be used as
a cell lysate. The enzymes used in the compositions may be purified recombinant protein, but
since the enzymes can also be made in certain bacteria that are safe, it is also contemplated to
use those bacteria as whole cells or as lysate.
The oxalate-degrading enzyme is normally present in a composition of the invention in an
amount that is sufficient to degrade substantially all oxalate normally present in a standard meal.
Depending on the food choices, an average Western diet can contain 100 to 300 mg of
oxalate/day. In general, about 0.2g of the particles comprising enzyme (equal to 20 mg of OxDc
in 1 mL of suspension of particles) can remove 180 mg oxalate in simulated gastric conditions
within 30 min.
One aspect the present invention comprises a composition comprising particles
comprising one or more oxalate degrading enzymes embedded in a first polymeric material,
wherein the embedded enzyme retains at least two times the activity of the one or more non-
embedded free enzymes, obtained from the same batch, upon incubation in USP simulated
gastric juice containing 84 mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about
1 to pH about 5, such as, e.g., from pH about 2 to pH about 5, from pH about 2.5 to pH about
4.5, from pH about 2.5 to pH about 3.5 such as pH about 3 at 37°C for at least 60 minutes.
DESCRIPTION OF THE FIGURES
Fig. 1 is a graph showing the stability of OxDc in microparticles I (prepared at pH 3.9)
and in microparticles II (prepared at pH 8) under pH 3 with pepsin.
Fig. 2 is a graph which shows the effects of alginate concentration for forming alginate
microparticles on the stability of OxDc in the chitosan coated OxDc alginate microparticles at
pH 3 with pepsin.
Fig. 3 is a graph showing particle size distribution of particles prepared according to
Example 2 herein. Fig.3. The volume statistics (Arithmetic) 17795s3_07_01.$ls.
Calculations from 0.040 μm to 2000 μm. Volume: 100%; Mean: 48.53 μm; Median: 29.10 μrn;
Mean/Median ratio: 1.668; Mode: 28.70 μm; S.D.: 65.43 μm; C.V. 135%; Skewness: 4.384
Right skewed; Kurtosis 26.90 Leptokurtic; d10 8.814 μm; dso 29.10 μm; d90 109.9 μm.
Fig. 4 is a graph which shows the effects of coating with alginate or carrageenen on the
stability of OxDC in chitosan/TPP nanoparticles at pH 3 with pepsin.

Fig. 5 is a graph showing the effects of glutaraldehyde concentrations for cross-linking
on the stability of OxDc in the glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP
microparticles at pH 2.4 with pepsin.
Fig. 6 is a graph which illustrates the stability of OxDc in two kinds of cross-linked and reduced
microparticles under pH 2.2 and 1.85.
Fig. 7 is a graph showing the bioavailability of oxalate (soluble part) after administration of
compositions of the invention.
Figure 8 is a graph which illustrates the time course of total soluble oxalate in spinach removed
by microparticles in three different simulated conditions.
Fig. 9 is a graph that shows the effects of cross-linking with glutraldehyde (1-5%) in chitosan
microparticles at pH 2.4 and in the presence of pepsin.
Fig. 10 is a graph illustrating reduction of Schiff's base in the glutaraldehyde cross-linked
alginate coated OxDc chitosan/TTP microparticles at differing pHs and in the presence of
pepsin.
Fig. 11 A and B are graphs showing oxalate removed by reduced glutaraldehyde cross-linked
alginate coated OxDc chitosan/TPP microparticles at pH 3.
Fig. 12A is a graph that shows the bioavailability of oxalate (soluble part) after administration
of compositions of the invention; Fig. 12B is a graph illustrating the percentage of total oxalate
removed.
DETAILED DESCRIPTION
The present invention comprises compositions and methods for treating and preventing
oxalate-related conditions. Compositions of the present invention comprise enzymes that reduce
oxalate. The compositions of the present invention are designed so that the enzymes retain their
activity even if the compositions are subjected to a gastric environment, Methods of the present
invention comprise administering the compositions to treat or prevent oxalate-related
conditions, and methods for making and using such compositions. More specific, the invention
relates to a composition that is designed to enable reduction of oxalate under gastric conditions,
thereby enabling a reduction of oxalate already in the stomach. Such a composition is
specifically designed to reduce non-systemic oxalate, e.g. oxalate in the gastrointestinal tract,
notably in the stomach, and preventing exogenous oxalate (e.g. from food) from entering the
systemic circulation.
As mentioned above, the background of the present invention was the need to be able to
administer oxalate degrading enzymes to the stomach in order to degrade dietary oxalate and

prevent the uptake of oxalate from the stomach and intestinal tract, which prevents oxalate-
related diseases and disorders, such as, e.g., hyperoxaluria, primary hyperoxaluria, idiopathic
calcium oxalate kidney stone disease (urothiliasis), and especially the absorptive and enteric
hyperoxaluria. The administered enzymes are protected from the protein degradation and/or pH
or acidic dependent degradation occurring under gastric conditions of the stomach, i.e. low pH
and in the presence of pepsin.
Thus, the present invention relates to a composition, wherein the enzymes are embedded
in a polymeric material which protects the enzymes from degradation under gastric conditions.
It can be envisaged that this composition may comprise any enzyme, but for the purpose of the
present invention, oxalate degrading enzymes, such as, e.g., oxalate decarboxylase, oxalate
oxidase, or a combination of oxalyl-CoA decarboxylase and formyl CoA transferase, or a
combination of any of these, is contemplated by the present invention.
A composition according to the present invention comprises particles comprising one or
more enzymes embedded in a first polymeric material, wherein the embedded enzymes retain at
least two times the activity of the one or more non-embedded enzymes from the same batch,
after incubation of both the embedded and the non-embedded (free) enzymes in simulated
gastric fluid (84 mM HCl and 3.2 mg/ml pepsin at pH ranging from 1.0 to 4.0) at 37°C for at
least 60 minutes. The particles may further be coated with a second polymeric material. As
used herein, the term "enzymes from the same batch" means enzymes that are isolated or
synthesized under identical conditions, and generally are isolated or synthesized in the same
isolation or synthesis procedure where the resulting enzyme composition is generally referred to
as a batch. For example, a solution of enzymes is divided into two portions in which one
portion of enzymes is embedded in a particle and may undergo further treatment, and the other
portion of enzymes is treated differently, and these enzymes are considered to be from the same
batch.
Normally, two different routes of treatment of oxalate-related disease can be employed,
dependent on whether the aim of the treatment is systemic or non-systemic. Methods of the
present invention provide a composition for non-systemic treatment, i.e. to provide a
composition that enables reducing oxalate in the stomach in order to avoid absorption of oxalate
from the gastrointestinal tract. To the best of the inventors' knowledge such a composition is
novel and is based on a novel principle of, on the one hand protecting the enzyme from the
acidic and enzyme-damaging environment in the stomach, and on the other hand, maintaining
the enzymatic activity even in an acidic environment. This goal may be accomplished by
embedding the one or more oxalate degrading enzyme in a first polymeric material, optionally

coating the obtained particles with a second polymeric material, optionally cross-linking the
second polymeric material and optionally reducing the cross-linked coated particles.
In one embodiment of the invention, a reduction in oxalate absorption is achieved by
providing oxalate-degrading enzymes to the gastrointestinal tract, particularly the stomach.
Compositions of the present invention comprise oxalate reducing enzymes including, but not
limited to, oxalate oxidase, oxalate decarboxylase, oxalyl-CoA decarboxylase, or formyl-CoA
transferase, or combinations thereof. These enzymes use oxalate as a'substrate. Methods of the
present invention comprise providing enzymatic compositions for degradation of dietary oxalate
in the stomach, thus lowering the concentration of available oxalate in the stomach for
absorption. This will also reduce the amount of oxalate going into the intestine for absorption in
this segment of the gastrointestinal tract. In addition to absorptive pathways, oxalate secretory
pathways have been recently identified in the human stomach, The compositions of the present
invention would also be useful in degrading the oxalate secreted into the stomach from the
circulatory system, and thus the methods of the present invention contemplate an overall
reduction of the oxalate load in an individual.
In another embodiment, the present invention provides compositions and methods for
the delivery of an effective amount of an oxalate reducing enzyme to the stomach of a human or
animal, particularly to those who are at increased risk for oxalate-related disease. Enzyme
activity is used to degrade oxalate in the stomach and reduce the amount of oxalate present in
the stomach and intestinal tract, thereby reducing the amount of oxalate available for absorption.
Lower levels of oxalate in the gastrointestinal tract can also lead to increased oxalate excretion
from the blood into the intestines through the oxalate secretory pathways.
The compositions of the present invention are suitable for use in oxalate-related
conditions including, but not limited to, hyperoxaluria, absorptive hyperoxaluria, enteric
hyperoxaluria, primary hyperoxaluria, idiopathic calcium oxalate kidney stone disease
(urolithiasis), vulvodynia, oxalosis associated with end-stage renal disease, cardiac conductance
disorders, inflammatory bowel disease, Crohn's disease, ulcerative colitis, and patients who
have undergone gastrointestinal surgery and bariatric surgery (surgery for obesity), and/or who
have undergone antibiotic treatment.
A feature of a composition of the present invention is the ability of the particle to protect
the oxalate-degrading enzymes from degradation by conditions such as those found in the
gastric environment including, but not limited to, degradation by a protease such as pepsin or
degradation due to the acidic environment.

The term "oxalate degrading enzyme" as used herein is intended to denote any enzyme
that is capable of reducing oxalate. It may reduce oxalate per se and/or it may function in an
oxalate reduction pathway. The present invention contemplates the use of any known oxalate
reducing or degrading enzymes, and such terms "oxalate reducing" and "oxalate degrading" are
used interchangeably herein.
Enzymes used in the compositions and methods of the present invention include, but are
not limited to, oxalate oxidase, oxalate decarboxylase (in the present context abbreviated
OxDc), oxalyl-CoA decarboxylase, or formyl-CoA transferase, or combinations thereof.
Moreover, other enzymes, cofactors and co-enzymes that are substituents of oxalate degradation
pathways or involved in oxalate metabolic pathways, particularly oxalate reduction, are also of
relevance alone or in combination with one or more of the above-mentioned enzymes. In the
present context not only the enzymes are encompassed by this definition, but also
polynucleotide sequences that encode oxalate-reducing genes and proteins are contemplated by
the present invention. The present invention also contemplates any binding partners of these
enzymes and includes antibodies and antibody fragments that bind to or interact with the
enzymes.
The enzymes may be derived by isolation from organisms, they may be purified, they
may be made synthetically, semi-synthetically or by recombinant means, or they may be used as
a cell lysate. Normally, the enzymes will be employed as purified recombinant protein, but since
the enzymes can also be made in certain bacteria that are safe, it is also contemplated to use
those bacteria as whole cells or as lysate. Due to the medical use of a composition of the
invention, it is preferred that the one or more enzymes used are well-defined with respect to
purity and activity. The cell lysate, if used, may be made from any microorganism that has
oxalate-reducing functions, e.g. O. formigenes.
The compositions of the present invention may also comprise one or more additional
factors which may improve the enzyme activity. These additional factors may be, e.g., oxalyl
CoA, MgCl2, and/or thiamine diphosphate (an active form of vitamin B1).
In specific embodiments, one or more enzymes from the three main classes of oxalate-
degrading enzymes are employed.
The three main classes of oxalate-degrading enzymes include the following. The first,
oxalate oxidase, is expressed in higher plants and catalyzes the oxygen dependent oxidation of
oxalate to CO2 with concomitant formation of H2O2. This reaction forms the basis of current
assays for the detection of urinary oxalate levels. A rapid three-step purification procedure has

been developed to obtain oxalate oxidase from barley roots. This enzyme is also present in
beetroot stem and root, amaranthus leaves, sorghum and many other grains.
Oxalate decarboxylase (EC 4.1.1.2), the second class of oxalate metabolizing enzymes,
is mainly present in various fungi. It has been reported and characterized in several fungi such
as, Myrothecium verrucaria, certain strains of Aspergillus niger, white rot fungus, Coriolus
versicolor and Collybia velutipes. This enzyme converts oxalate to formate and carbon dioxide
in an oxygen dependent reaction. Oxalate decarboxylases also have been used in the clinical
assay of oxalate in blood and urine and can be used to lower oxalate levels in foods and the
environment. The first bacterial oxalate decarboxylase recently has been described as the
product of the YvrK gene which is expressed as a cytosolic protein in Bacillus subtilis. The
YvrK protein (the B. subtilis oxalate decarboxylase) has been expressed as a functional
recombinant protein in E. coli, purified to homogeneity and fully characterized.
The third class is the bacterial enzyme, oxalyl-CoA decarboxylase, which is active on
the CoA-activated substrate and converts it into formyl-CoA. A formyl-CoA transferase then
acts to exchange formate and oxalate on CoA. These enzymes have been studied in the oxalate
degrading bacteria, Pseudomonas oxalaticus commonly found in the soil and in Oxalobacter
formigenes, residing in the GI tract of vertebrates and humans.
The enzymes have been fully reviewed in, 'The enzymes of oxalate metabolism:
Unexpected structures and metabolism" Svedruzic D. et al. Arch Biochem Biophys. 2005 Jan
l;433(l):176-92, which is herein incorporated in its entirety. The enzymes, whether native
enzymes, isolated proteins or those made by recombinant techniques, may be modified by
recombinant or chemical means and may contain side groups or other appended molecules. For
example, enzymes may be modified to have linker molecules for attachment to other molecules
or chemical compounds.
In a specific embodiment of the invention, a reduction in oxalate levels is achieved by
use of oxalate-degrading enzymes produced by a recombinant means, such as, e.g., Escherichia
Coli, or other organisms which have been transformed to express oxalate-degrading enzymes.
Examples of recombinant enzymes of relevance in the present context are:
i). Oxalyl coA decarboxylase e.g. having one of the following sequences:
http://www.expasv.org/uniprot/P40149
UniProtKB/TrEMBL entry Accession number P40149
SEQ.ID 1



http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=nucleotide&cmd=search&term=M77128&d
optcmdl=GenBank
GenBank Accession number M77128
SEQ ID 2



ii). Formyl Co-A transferase e.g. having the following sequence:
http://www.expasy.org/uniprot/O06644
UniProtKB/TrEMBL entry Accession number 006644
SEQ ID 3

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=nucleotide&cmd=search&term=U82167&do
ptcmdl=GenBank
GenBank Accession number U82167
SEQ ID 4



iii). Oxalate decarboxylase e.g. having the following sequence
http://www.expasy.org/uniprot/O34714
UniProtKB/TrEMBL entry Accession number O34714
SEQ ID 5

http://www.ebi .ac.uk/cgi -bin/dbfetch?db=emblcds&id=CAA 11727
CoDing Sequence Accession number AJ223978
SEQ ID 6

and/or
iv) Oxalate oxidase e.g. having the following sequence
http.//www.expasy.org/uniprot/O24004
UniProtKB/TrEMBL entry Accession number O24004
SEQ ID 7

■"■■J"

http://www.ncbi.nlm.nih.gov/entrez/query.fcpi?db=nucleotide&cmd=search&term=Y14203&do
ptcmdl=GenBank
GenBank Accession number Y14203
SEQ ID 8

DNA sequences encoding oxalate-degrading enzymes are known to those skilled in the
art and are described in, e.g. WO 98/16632, which is incorporated herein in its entirety.
Additionally, a composition according to the present invention may comprise enzymes
that comprise modifications or mutations, including, but not limited to, chimeras formed using
domains comprising the oxalate degrading active site of an oxalate reducing enzyme, or peptide
fragments, notably those comprising or consisting of the active sites; modifications or
mutations, including, but not limited to, deletions, insertions, replacements, reversions,
mutations for increased activity, substitution of naturally occurring amino acids with non-
natural amino acids, or other modifications known to those skilled in the art. Such modified
enzymes may have more, less or the same activity as native enzymes, or may have
characteristics that are the same or different from native or unmodified enzymes. The present
invention contemplates methods and compositions comprising whole enzymes, fragments,
peptides, binding regions, active sites or other functional regions, segments, sequences and
promoter and control sequences of oxalate reducing enzymes.

In one example, an oxalate decarboxylase was modified. In total, 7 genes were created
from the original yvrk gene sequence (the wild-type yvrk). The original gene was from Bacillus
subtilis, the gene sequence was optimized for expression in E. coli using an algorithm from
GenScript Corporation, Piscataway, NJ. The gene was optimized for codon usage, balancing GC
content, removing repetitive elements, and ensuring the absence of internal restriction sites for
cloning. The codon optimized gene resulted in a protein with the identical amino acid sequence
as the wild-type yvrk.
Modifications were then made to the single cysteine codon of both the wild-type yvrk
gene, and the optimized yvrk gene, resulting in 6 additional unique gene sequences. The
cysteine codons were modified to serine, arginine, or alanine codons. The modifications were
performed for the purposes of eliminating disulfide bonding, and modifying the secondary and
tertiary structure of the enzyme.
The gene sequence of the wild-type yvrk gene may be optimized for additional
expression systems such as Pichia or Saccharomyces using the same methods. In addition,
expression in a Bacillus expression system may be improved by optimizing the gene for
optimum codon usage and GC content, and removal of repetitive elements. Codon optimization
may also be used for modification of the secondary structure of the protein at positions other
than the cysteine codon already modified, or in addition to the cysteine modification, for
example, as a method to improve pegylation, microsphere binding or encapsulation, as a method
to improve pH stability at low pHs, or as a method to improve the activity of the protein.
SEQ ID 9
Original.yvrk sequence with the cysteine codon marked in bold.



Yvrk gene sequence optimized for E. coli, with restriction sites at the 5' and 3' ends
(underlined), and the cysteine codon marked in bold.
SEQ ID 10

The oxalate-degrading enzyme is normally present in a composition of the invention in
an amount that is sufficient to degrade substantially all oxalate normally present in a standard
meal. Depending on the food choices, an average Western diet can contain 100 to 300 mg of
oxalate/day. In general, about 0.2g of the particles comprising enzyme (equal to 20 mg of OxDc
in 1 mL of suspension of particles) can remove 180 mg oxalate in simulated gastric conditions
within 30 min.

An effective amount comprises an amount of activity units of oxalate-reducing enzyme
activity that will reduce a portion of the oxalate present, or a level of activity units of oxalate-
reducing enzyme activity that will initiate a reduction in the amount of oxalate or maintain a
lowered amount of oxalate in the individual, compared to the. amount of oxalate present before
administration of the composition. The number of activity units of oxalate-reducing enzyme
activity that can be used in a single dose composition can range from about 0.0001 units to
about 5,000 units, from about 5 units to 100 units, from 0.05 to 50 units, to 0.5 to 500, from
about 0.01 units to about 50 units, from about 0.01 units to about 5 units, from about 1 units to
about 100 units, from about 25 units to about 50 units, from about 30 units to about 100 units,
from about 40 units to about 120 units, from about 60 units to about 15 from about 50 units to
about 100 units, from about 100 units to about 500 units, from about 100 units to about 300
units, from about 100 units to about 400 units, from about 100 units to about 5,000 units, from
about 1,000 units to about 5,000 units, from about 2,500 units to about 5,000 units, from about
0.001 units to about 2,000 units and all ranges encompassed therein. A unit of the enzyme is the
amount of enzyme that will degrade one micromole of oxalate per minute at 37°C.
A composition of the present invention comprises a particle comprising an oxalate-
degrading enzyme embedded in a first polymeric material. In the non-limiting examples herein
are described methods of how to embed the enzyme in the first polymeric material. A person
skilled in the art may find other methods suitable for use in order to prepare a composition
according to the present invention. By incorporation of the enzyme in the first polymeric
material, the enzyme obtains a certain protection against conditions similar to gastric fluid with
respect to pH and pepsin. The resulting embedded enzyme composition appears as particles, i.e.
discrete units in micron- or nano-size. Accordingly, the terms "particles", "microparticles" and
"nanoparticles" are used herein to describe compositions containing one or more kinds of an
oxalate-reducing enzyme embedded in a first polymer or in a first and a second polymer. In
general the term "particles" are used as the broadest term, i.e. without any specific size or shape
attribution, whereas the term "microparticles" is used when the particles obtained have mean
particle sizes in the range of 1 fan to 1000 μm. Likewise, the term "nanoparticles" is used herein
when the particles obtained have mean particle sizes ranging from 1 nm to 1000 nra. As used
herein the singular of the term "an enzyme" refers to multiple copies of the enzyme molecule, as
is commonly understood in reference to protein molecules. As used herein, the term "one or
more enzymes" means that one type of enzyme may be present,, such as formyl-CoA transferase
is intended, or more than one type of enzyme, such as a composition comprising, for example
oxalyl CoA decarboxylase and formyl CoA transferase; oxalate decarboxylase and oxalate

oxidase, or a combination of wild-type enzyme and mutant enzyme, are present in the
composition..
Normally, the particles of a composition of the invention have an average diameter of
from about 50 nm to about 1 mm, such as, e.g., from about 500 nm to about 500 μm, from about
1 μm to about 500 μm, from about 2 μm to about 100 μm, from about 4 μm to about 80 μm,
from about 6 μm to about 60 μm, from about 8 μm to about 40 um, from about 10 μm to about
20 um.
The term "embedded" as used herein is intended to denote that the enzyme is admixed or
contacted with the first polymeric material in such a way that
i) the first polymeric material substantially envelopes the enzyme, i.e. the particle can
be regarded as an enzyme-containing core surrounded by the first polymeric
material; the core may contain other substances than the enzymes such as, e.g., a part
of the polymeric material as well, or
ii) the enzymes is incorporated in the first polymeric material in such a manner that the
major part of the surface of the particles is composed of the first polymeric material,
but a minor part of the enzyme may as well appear on the surface of the particles. In
general, it is contemplated that at least 50% of the outer surface of the particles is
composed of the first polymeric material and at the most about 20% by weight of the
enzyme present in the particles may be present on the outer surface of the particles,
and/or
iii) the enzyme is substantially homogeneously distributed in the first polymeric
material.
Thus, in a composition of the invention the oxalate-degrading enzyme is protected from
the (gastric) environment. Furthermore, the composition of the invention does not substantially
release the enzyme to the (gastric) environment. In other words, the enzyme remains in the
composition after oral administration for a sufficient period of time to enable oxalate in the
stomach to be degraded. In a composition, a first polymeric material may function as a
protective carrier for the enzyme and at the same time may allow the substrate, i.e. oxalate, to
diffuse or otherwise be transported into the composition to enable an in situ degradation of
oxalate. A feature of a composition of the present invention is the composition's ability to retain
the enzymatic activity for a period of time longer than that observed for an enzyme that is not
embedded in a polymeric matrix, especially under acidic conditions. Accordingly, one aspect
the present invention comprises a composition comprising particles comprising one or more
oxalate degrading enzymes embedded in a first polymeric material, wherein the embedded

enzyme retains at least two times the activity of the one or more non-embedded free enzymes,
obtained from the same batch, upon incubation in USP simulated gastric juice containing 84
mM HCI and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to pH about 5, such as,
e.g., from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to
pH about 3.5 such as pH about 3 at 37°C for at least 60 minutes. It is important that the test
conditions for the composition according to the invention and the free enzymes are the same, for
example, with respect to the nature and purity of the enzyme, the initial concentration of the
enzyme, the test volume, the composition of the incubation medium (e.g. simulated gastric juice
or fluid), the temperature etc.
Normally, the embedded enzyme retains at least three times the activity., at least four
times the activity, or at least five times the activity of the one or more non-embedded free
enzymes obtained from the same batch upon incubation in USP simulated gastric juice
containing 84 mM HC1 and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to pH about,
5, from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH
about 3.5 such as pH about 3, at 37°C for at least 30 minutes, at least 45 min, at least 60
minutes, at least 75 minutes, at least 90 minutes, at least 105 minutes or at least 120 minutes.
In a specific embodiment, the one or more embedded oxalate degrading enzymes in a
composition of the invention retain at least two times, at least 10 times, at least 50 times or at
least 100 times, the activity of the one or more non-embedded free enzyme, obtained from the
same batch, upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH
about 1 to pH about 5, from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from
pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 60 minutes.
Simulated gastric juice (gastric fluid) referred to above is described in USP (United
States Pharmacopoeia) and contains pepsin and has a specific ratio of concentrated HCl. (USP
simulated gastric juice contains 2g NaCl, 3.2g pepsin and 7 mL concentrated HCl in 1 L
volume. The pH of this solution usually ranged from 1.2 to 1.5, depending on the concentration
of the HCl used. In some examples herein, the pH was adjusted to above 2. This may be the case
when microparticles without any coating were employed. For the present purpose, the pH
should be in the acid range, i.e. at the most about 7, at the most 6 and the pH range should
normally be from about 1 to about 5, from about 2 to about 5. In the experimental section herein
are more details relating to the above-mentioned test and to determination of the enzymatic
activity.
The residence time in the stomach of a human is on average about 120 min. It is
contemplated that the enzymatic activity of the compositions of the present invention is retained

at a sufficient level, an effective level, for 120 min or more. From the examples herein it is seen
that it is possible to retain at least 50% of the enzymatic activity for a composition according to
the invention after 120 min of exposure to an acidic environment. If the enzyme that is used is
not embedded in a polymer, e.g., a non-embedded enzyme, the activity decline is very rapid, and
no activity is left after 60 min in acidic environment.
Normally, the activity of one or more oxalate degrading enzymes in a composition
according to the invention at the most decreases to about 30%, at the most decreases to 40%
such as at the most decreases to about 50%, at the most decreases to about 60% or at the most
decreases to about 70%, when incubated in an aqueous buffer solution having a pH in the range
of from about 1.0 to about 5, in a range of from about 1.0 to about 4.5, from about 1.5 to about
4.5, from about 2.0 to about 4.0 or from about 2.2 to about 4.0, for about 60 min. for about 90
min, for about 105 minutes or for about 120 minutes, with the initial activity being set to 100%.
In a specific embodiment, the activity of the oxalate degrading enzyme in a composition
of the present invention at the most decreases to 80%, with the initial activity being set to 100%,
when tested at a pH of from about 2.0 to about 4.0 for a time period of 60 min.
In a further specific embodiment, the activity of one or more oxalate degrading enzymes
in a composition of the present invention at the most decreases to about 20% when incubated in
an aqueous buffer solution having a pH in the range of from about 2 to about 4.5 for 2 hours,
and the initial activity being set to 100%. Notably, the activity at the most decreases to 30%, and
the initial activity being set to 100%.
Suitable buffer substances for providing a buffer solution having a specific pH are
known to persons skilled in the art. Examples are glycine buffers (pH 2-3), acetate buffers,
phosphate buffers, borate buffers and the like. The buffer solution may contain additional
ingredients such as e.g. inorganic salt in order to adjust the ionic strength of the buffer solution,
or one or more proteases like e.g. pepsin in order to ensure that the conditions in the buffer
solutions challenge whether the embedded enzyme can withstand such harsh conditions. In the
event that one or more proteases are included, the concentration thereof is normally at the same
level as that used in USP simulated gastric juice.
As mentioned herein before, the oxalate degrading enzymes can be of various types,
classes, identity and nature. In a preferred aspect, a composition of the present invention
comprises one or more oxalate degrading enzymes including oxalate decarboxylase, oxalate
oxidase, or a combination of oxalyl-CoA decarboxylase and formyl CoA transferase, or
combination thereof.

Suitable polymeric materials for use as a first polymeric material in a composition of the
present invention, include, but are not limited to, man-made or natural polymers, including, but
not limited to,
i) a polysaccharide: alginate including alginic acid, alginate e.g. sodium alginate, potassium
alginate, ammonium alginate, calcium alginate, propane-l,2-diol alginate, acacia, carrageenan,
chitosan and its derivatives, chondroitin sulfate, dextran derivatives, heparin, hyaluronic acid,
inulin, a cellulose or a cellulose derivative including methylcellulose, carboxymethylcellulose,
sodium carboxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose,
ethylmethylcellulose, or the like or combinations thereof;ii) a mucopolysaccharide, iii) a gum
including locust bean gum, guar gum, tragacanth, agar, acacia gum, xanthan gum, karaya gum,
tara gum, gellan gum, or the like or combinations thereof; iv) a gelling- or swelling agent
including hydrocolloids and hydrogelling agents such as, agar, carrageenan, gelatin,
polyvinylpyrrolidone, or the like, or combinations thereof; v) others like e.g. protein and
polyamide: collagen, albumin, protamine, spermine, synthetic polymer: poly (acrylic acid), poly
amino acids (polylysine, etc), polyphosphoric acid, tripolyphosphate, poly (L-lactic acid), poly
(vinyl alcohol), poly (DL-lactic acid-co-glycolic acid), or mixtures and combinations thereof.
In specific embodiments the first polymeric material is chitosan, alginate, pectin or
hyaluronic acid. In more specific embodiments, the first polymeric material is chitosan or
alginate.
Other polymeric materials may be biopolymers or synthetic polymers. Examples of
biopolymers include, but are not limited to, proteins, polysaccharides, mucopolysaccharides,
heparin, heparin sulfate, heparinoids, dermatan sulfate, pentosan polysulfate, chondroitin
sulfate, cellulose, agarose, chitin, carrageenin, linoleic acid, and allantoin, cross-linked collagen,
fibronectin, laminin, elastin, cross-linked elastin, collagen, gelatin, hyaluronic acid, chitosan
alginate, dextran, methylcellulose, polylysine, and natural rubber. In the compositions of the
present invention wherein polymeric matrices are formed, these matrices are porous such that
small water soluble molecules can enter and exit the polymeric matrix, including, but not
limited to molecules such as oxalate, formic acid, formate, carbon dioxide, oxygen, or oxalyl-
CoA. A concentration of the first polymeric material in a composition of the invention is
normally in a range from 20% to 70% of the total dry materials.
In addition to the one or more enzymes and the first polymeric material, the particles
may also contain one or more additives such as, e.g., pH adjusting agents, buffering agents,
solubilizing agents, stabilizers, preservatives, cofactors for the enzymes or one or more
pharmaceutically acceptable excipients such as, e.g. fillers, diluents, carriers or the like.

Moreover, it may be advantageous to create a localized acidic pH environment around a
protein when the physiological conditions result in a pH well above the reasonable working
range of the enzyme. For example, in a higher pH location, an oxalate degrading protein with
maximum activity at pH three would benefit from a delivery vehicle capable of reducing the
local pH in the proximity around the enzyme to around three.
One method for reducing the local pH is to incorporate a polymer that can undergo
hydrolytic degradation in physiological conditions to produce acidic products that reduce the
localized pH. For example, alpha polyesters such as PLA, PGA and PLGA biodegrade
hydrolytically in vivo to form organic acids (lactic acid and giycolic acid) which can drive down
the pH locally into to a functionally desirable range for the enzyme. Poly(dl-lactide) (DLPLA)
is an amorphous polymer exhibiting a random distribution of both isomeric forms of lactic acid
that can degrade quickly.
In addition, it may be desirable to include a buffer in the delivery vehicle in the form of a
base, base containing or base generating material that works in conjunction with the in vivo pH,
or the localized pH, or a combination of both to optimize/control the local pH around the
enzyme. These buffers may include salts of organic or inorganic compounds or a number of
other buffers. It is understood that the pKa of the conjugate acids of which the buffering
materials are associated/derived from can be utilized in the appropriate selection of buffering
materials.
The particles may be subjected to a cross-linking procedure. Such a cross-linking
procedure may strengthen the properties of the particles such as to avoid loss of enzymatic
activity by negative impact of pH or pepsin from the surroundings during storage or after oral
administration, or to reduce release of the enzyme from the particles or to reduce or prevent
migration of the enzyme towards the surface of the particles. The cross-linking procedures and
suitable material for use in such a procedure are described herein.
The particles of the invention may be constructed of polymers that are cross-linked by
physical or chemical cross-linking. Physical cross-linking may comprise opposite charged
polymers cross-linked with each other by salt bonds (for example: chitosan, which is positively
charged, cross-links with tripolyphosphate or heparin, which are negatively charged polymers),
charged polymers cross-link with opposite charged ions (for example: alginate with Ca2+,
carboxymethyl-cellulose with Al3+). The term "physical cross-linking" used in the present
context also includes non-covalent bindings and/or interactions.
Chemical cross-linking generally comprises cross linking by cross-linkers with two
reactive functional groups such as by polymer bearing amine groups such as proteins,

polyamide, chitosan and its derivatives, may be cross-linked through glutaraldehyde or genipin.
UV irradiation can be used to induce polymers bearing light sensitive groups to form covalent
cross-links.
Methods for preparation of nano- and micro-particles are known in the art and include
emulsion, coacervation/precipitation, spray-drying techniques and others. The properties of
nanoparticles or microparticles (for examples: micro-environmental buffer capacity, mechanical
strength, particle size, oxalate diffusion rate, interactions with enzymes) largely depend on
selected polymer(s), polymer composition and ratio, cross-linking method and preparation
procedure. More than one type of cross-linking may be utilized in the microparticles of the
invention (e.g. chemical cross-linking as well as physical cross-linking, see the examples
herein).
In a specific embodiment the first polymeric material is cross-linked to itself and/or to
the one or more enzymes embedded in the first polymeric material.
In a composition of the invention, such as a composition wherein the first polymeric
material is cross-linked to itself and/or the enzymes embedded therein, the level of retained
enzymatic activity upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a
range of pH about 1 to pH about 5, from pH about 2 to pH about 5, from pH about 2.5 to pH
about 4.5, from pH about 2.5 to pH about 3.5 for pH about 3, at 37°C for at least 30 minutes, for
at least 60 minutes, for at least for at least 80 minutes, for at least 100 minutes, for at least 120
minutes, for at least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least
200 minutes, for at least 220 minutes, or at for least 240 minutes is inpreased by a factor of at
least 2, at least 5, at least 10, at least 15, at least 20, at least 50 or at least 100 as compared to
compositions of enzymes of the same batch embedded in the polymer but without the polymer
being cross-linked or the enzymes and polymer being cross-linked; or compared to the same
batch of free enzymes.
The particles, optionally the particles wherein at least a part of the first polymeric
material is cross-linked, may also be provided with a coating. Such a coating has generally the
same function as the first polymer, i.e. to avoid a substantial decrease in the enzymatic activity
of the enzyme embedded in the first polymer during storage and/or after oral administration.
Accordingly, in a specific embodiment, the particles aire coated with a second polymeric
material. Suitable coating materials are such materials that allow an aqueous composition
containing oxalate to diffuse into, or otherwise enter, the particle of the invention. As mentioned
above, the substrate (i.e. the oxalate-containing medium) enters into the particle composition of
the invention so that enzymatic degradation of oxalate can occur. Accordingly, coating materials

resulting in either diffusion coating or otherwise permeable coatings (e.g. coatings containing
pore-forming substances that are substantially water-soluble) can be applied.
Examples of suitable coating materials include, but are not limited to, the materials
contemplated as first polymeric materials. A coating material may be chosen that is different
than that used as a first polymeric material, but the first polymeric material and the coating
material may also be the same. Specific examples of coating materials are film-forming agents
such as, e.g. polyvinylpyrrolidone, hydroxypropylmethylcellulose (HPMC),
hydroxyethylcellulose, hydroxypropylcellulose, polydextrose, maltodextrin, or other
polysaccharides including chitosan, alginates and hyaluronic acid. In specific embodiments, the
coating material, if present, is one that can be subjected to cross-linking such as, e.g., chitosan
and alginate.
In a specific embodiment the first and/or second potymeric material is a polysaccharide
such as chitosan, alginate, pectin or hyaluronic acid. The first and second polymeric materials
may be the same or different.
Normally, the polymer percentage of the first and, if present, second polymer material is
from about 10% to about 80%, from about 60% to about 80% of the total dry material of a
particle.
If present, the coating material is normally applied in such an amount the weight gain of
the particles is at the most about 40%. As seen from the examples herein, the concentration of
the coating material in a particle composition is normally at the most 25% w/w such as at the
most about 20% w/w, at the most about 15% w/w or at the most about 10%. A particle having a
coating is referred to herein as a coated composition.
In a composition of the invention, such as in a coated composition of the invention, the
level of retained enzymatic activity upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at
pH>l, e.g. in a range of pH about 1 to pH about 5, from pH about 2 to pH about 5, from pH
about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5, such as pH about 3, at 37°C for at
least 60 minutes, for at least for at least 80 minutes, for at least 100 minutes, for at least 120
minutes, for at least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least
200 minutes, for at least 220 minutes, or at for least 240 minutes is increased by a factor of at
least 2, at least 10, at least 50 or at least 100 as compared to compositions of the same batch of
enzymes embedded in particles lacking a coating, or compared to the same batch of free
enzymes.
As mentioned above and as shown in the Examples herein, the stability of the enzymatic
activity of the oxalate-degrading enzyme in a composition of the invention may be further

improved by employing coated particles wherein the coating has been subjected to cross-
linking. Cross-linking of a polymeric material is well-known in the art and may be performed by
physical cross-linking or by use of a chemical cross-linking agent.
Suitable chemical cross-linking agents for use in this context include, but are not limited
to, dialdehyde, l-ethyl-3[3-dimethylaminopropyl]carbodiimide (EDC), disuccinimidyl suberate
(DSS) or (N-[p-maleimidophenyl]isocyanate (PMPI). In a specific embodiment, the cross-
linking agent is a dialdehyde, notably glutaraldehyde or glyoxal. In an embodiment, the cross-
linking agent is glutaraldehyde. The cross-linking is normally carried out in 1-5%
gluteraldehyde in 50mM phosphate buffer, pH 7.5 at 37°C, shaking for 1-2 hours.
As mentioned above, a feature of a composition of the invention is that the first and, if
present, second polymeric material is permeable for small molecules to allow the substrates for
and products of the reaction catalyzed by the one or more enzymes to diffuse through said
polymeric materials. Moreover, the first and/or second polymeric materials remain substantially
intact upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>1, e.g. in a range of pH about
1 to pH about 5, from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH
about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 60 minutes, for at least 80
minutes, for at least 100 minutes, for at least 120 minutes, for at least 140 minutes, for at least
160 minutes, for at least 180 minutes, for at least 200 minutes, for at least 220 minutes, or for at
least 240 minutes.
In another embodiment the first and/or second polymeric materials are cross-linked to
themselves and/or each other and/or to the one or more enzymes.
In a composition of the invention, such as in a coated or a coated and cross-linked
coating composition of the invention, the level of retained enzymatic activity upon incubation in
84 mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to pH about 5, from
pH about 2 to pH about 5, from pH about 2.5 to pH about 4,5, from pH about 2.5 to pH about
3.5 such as pH about 3, at 37°C for at least 60 minutes, for at least for at least 80 minutes, for at
least 100 minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for
at least 180 minutes, for at least 200 minutes, for at least 220 minutes, or at for least 240
minutes, is increased by a factor of at least 2, at least 10, at least 50 or at least 100 as compared
to compositions of enzymes of the same batch embedded in particles but where the particles
lack a second layer of polymeric material (a coating), or a second layer that is cross-linked, or
compared to the same batch of free enzymes. .
As seen from the Examples herein, a composition of the invention wherein the bonds
between the chemical cross-linking agent and the one or more enzlymes and/or the first

polymeric material and/or the second polymeric material have been reduced by a reducing
agent, may lead to further improvements with respect to retaining the enzymatic activity of the
composition. Such a reducing agent may be one well-known in the art such as e.g., a reducing
agent such as NaBH4 or NaCNBH3.
In a composition of the invention, notably in a coated, with cross-linked coating, and
reduced cross-links composition of the invention, wherein the first and/or second polymeric
material may be cross-linked, and such a cross-linked material may or may not be reduced, the
level of retained enzymatic activity upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at
pH>l, e.g. in a range of pH about 1 to pH about 5, from pH about 2 to pH about 5, from pH
about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5, such as pH about 3, at 37°C for at
least 60 minutes, for at least for at least 80 minutes, for at least 100. minutes, for at least 120
minutes, for at least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least
200 minutes, for at least 220 minutes, or for at least 240 minutes is increased by a factor of at
least 2, at least 10, at least 50 or at least 100 as compared to compositions of the same batch of
enzymes in a particle that has not been subjected to a reducing agent; or compared to the same
batch of free enzymes.
In a specific embodiment of the invention, the one or more embedded enzymes retain at
least two times, at least 10 times, at least 50 times or at least 100 times, the activity of the one or
more non-embedded free enzymes obtained from the same batch of enzymes upon incubation in
84 mM HCI and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to pH about 5, from
pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH about
3.5, such as pH about 3, at 37°C for at least 60 minutes, for at least 80 minutes, for at least 100
minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at least
180 minutes, for at least 200 minutes, for at least 220 minutes, or for at least 240 minutes.
In another specific embodiment of the invention, the one or more embedded enzymes
retain at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 95% of the
initial activity of the embedded enzymes upon incubation in 84 mM HCl and 3.2 mg/ml pepsin
at pH>l, e.g. in a range of pH about 1 to pH about 5, from pH about 2 to pH about 5, from pH
about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5, such as pH about 3, at 37°C for at
least 60 minutes, for at least 80 minutes, for at least 100 minutes, for at least 120 minutes, for at
least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least 200 minutes, for
at least 220 minutes, or for at least 240 minutes.

In a further specific embodiment of the invention, the one or more enzymes retain from
about 95% to about 100% of the initial activity of the embedded enzymes upon incubation in 84
mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to pH about 5, from pH
about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5,
such as pH about 3, at 37°C for at least 60 minutes, for at least 80 minutes, for at least 100
minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at least
180 minutes, for at least 200 minutes, for at least 220 minutes, or for at least 240 minutes.
The enzyme embedded in a particle of the invention is capable of reducing oxalate
content of food. As demonstrated in the Examples herein, a composition of the invention
comprising 20 mg of one or more oxalate-degrading enzymes degrades at least 40%, such as,
e.g., at least 50%, at least 60%, at least 70%, at least 80%, at least 95% or at least 99% of the
oxalate present in 200 g spinach within 1 hour at pH=2.5.
Compositions of the invention may be prepared by employment of various polymeric
materials. The following notation is used in the examples herein:
OxDc XX nanoparticles, such as chitosan nanoparticles, denote nanoparticles wherein
chitosan is employed as the first polymeric material in which OxDc is embedded.
YY coated OxDc XX microparticles, such as alginate coated OxDc chitosan
nanoparticles, denote nanoparticles wherein chitosan is employed as the first polymeric material
in which OxDc is embedded and the nanoparticles are coated with alginate.
ZZ cross-linked YY coated OxDc XX microparticles, such as glutaraldehyde cross-
linked alginate coated OxDc chitosan microparticles, denote microparticles wherein chitosan is
employed as the first polymeric material in which OxDc is embedded, and the nanoparticles are
coated with alginate to form microparticles, and the microparticles are subsequently cross-
linked with glutaraldehyde.
Reduced ZZ cross-linked YY coated OxDc XX microparticles, such as reduced
glutaraldehyde cross-linked alginate coated OxDc chitosan microparticles, denote microparticles
wherein chitosan is employed as the first polymeric material in which OxDc is embedded and
the nanoparticles that are formed are coated with alginate, which forms microparticles, and the
microparticles are subsequently cross-linked with glutaraldehyde and subjected to reduction.
Accordingly,

OxDc chitosan/TPP nanoparticles are nanoparticles made from chitosan which contain
TPP and have OxDC embedded therein.
Alginate coated OxDc chitosan/TPP microparticles are microparticles based on the
nanoparticles formed from chitosan and TPP and embedded OxDc, the nanoparticles are coated
with alginate to form microparticles.
Glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles
corresponds to the microparticles mentioned above, but the microparticles have been subjected
to glutaraldehyde treatment to establish cross-linking.
Reduced glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles
corresponds to the microparticles mentioned above further being subjected to a reduction
process.
A composition of the invention is suitable for use for oral administration to a subject. A
composition is provided as oral pharmaceutical formulations, which may be delivered to the oral
cavity, the mouth, a buccal patch, to the stomach, attached to the stomach mucosa, in a slow
release liquid, in a quick release tablet in the mouth or stomach, coating the esophagus, in a
liquid or solid form accompanying food, prior to ingesting food, or immediately after ingesting
food.
The composition administered is normally in solid form e.g. in the form of particles or in
a solid dosage form e.g. in the form of sachets, capsules or tablets (e.g. the particles are further
processed into a suitable dosage form by methods well-known by a person skilled in the art). To
this end, suitable pharmaceutically acceptable excipients may be added such as, e.g., fillers,
binders, disintegrants, colors, flavors, pH-adjusting agents, stabilizers etc. Moreover, one or
more further therapeutically and/or prophylactically substances may be added and/or other
enzymes, cofactors, substrates, coenzymes, minerals and other agents that are helpful in the
reduction of oxalate.
Examples of suitable pharmaceutically acceptable excipients include: dextrins,
maltodextrins, dextrose, fructose, glucose, lactose, cellulose derivatives including
carboxymethylcellulose calcium, carboxymethylcellulose sodium, hydroxypropylcellulose,
hydroxypropylmethylcellulose (HPMC), microcrystalline cellulose (e.g., various grades of
Avicel®), starches or modified starches (e.g. potato starch, maize starch, rice starch, pre-
gelatinised starch), polyvinyl acetate, polyvinylpyrrolidone, agar, sodium alginate, sodium
croscarmellose, calcium hydrogen phosphate, calcium phosphate (e.g. basic calcium phosphate,
calcium hydrogen phosphate), calcium sulphate, carboxyalkylcellulose, dextrates, dibasic
calcium phosphate, gelatine, gummi arabicum, hydroxypropyl cellulose,

hydroxypropylmethylcellulose, methylcellulose, polyethylene glycol, polyethylene oxide, and as
lubricants: talc, magnesium stearate, calcium stearate, stearic acid, hydrogenated vegetable oils
and the like.
Methods of the present invention comprise treating or preventing oxalate-
related conditions in humans and animals by administering an effective amount of oxalate-
reducing compositions comprising one or more oxalate-reducing microorganisms, one or
more oxalate reducing enzymes or combination and mixtures thereof in the particle
compositions taught herein. Methods comprise providing compositions comprising the
enzyme-embedded particles taught herein to a subject, human or animal, and reducing
oxalate present in the subject, treating or preventing oxalate related conditions, and/or
reducing a portion of the oxalate ingested. Methods for reducing oxalate in a human or
animal comprise administering an effective amount of a composition comprising one or
more oxalate-reducing enzymes or fragments having oxalate reducing activity in the
embedded enzyme particle compositions of the present invention to a subject, human or
animal, and reducing oxalate present. The reduction may take place in any tissue or body
fluid environment of the subject. Body fluids include secretions of the body such as nasal or
gastric secretions, saliva, blood, serum, urine, chyme or digestive matter, tissue fluid, and
other fluid or semi-solid materials made by humans or animals. For example, embedded
enzyme particle compositions can be administered orally to a human or animal and the
oxalate-reducing enzyme activity reduces the oxalate present in the stomach of the human or
animal. Embedded enzyme particle compositions of the present invention may be mixed in
liquids, food or other dietary materials and provided to a human of animal so that the
oxalate-reducing enzyme activity of the particles is effective in the stomach environment.
Embedded enzyme particle compositions of the present invention may also be mixed with
foodstuffs or other materials in which oxalate is found and the oxalate-reducing enzyme
activity of the particles reduces the oxalate present in the foodstuff or other materials.
The methods for treating and preventing oxalate-related conditions comprise
administering a composition comprising particles comprising an effective amount of
oxalate-reducing enzymes. An effective amount comprises an amount of activity units of
oxalate-reducing enzyme activity that will reduce a portion of the oxalate present, or a level
of activity units of oxalate-reducing enzyme activity that will initiate a reduction in the
amount of oxalate or maintain a lowered amount of oxalate in the individual compared to the
amount of oxalate present before administration of the composition. The number of activity
units of oxalate-reducing enzyme activity that can be used in a single dose composition can
range from about 0.0001 units to about 5,000 units, from about 5 units to 100 units, from
0.05 to 50 units, to 0.5 to 500, from about 0.01 units to about 50 units, from about 0.01 units
to about 5 units, from about 1 units to about 100 units, from about 25 units to about 50 units,

from about 30 units to about 100 units, from about 40 units to about 120 units, from about
60 units to about IS from about 50 units to about 100 units, from about 100 units to about
500 units, from about 100 units to about 300 units, from about 100 units to about 400 units,
from about 100 units to about 5,000 units, from about 1,000 units to about 5,000 units, from
about 2,500 units to about 5,000 units, from about 0.001 units to about 2,000 units and all
ranges encompassed therein. The compositions may further include other enzymes,
cofactors, substrates, coenzymes, minerals and other agents that are helpful in the reduction
of oxalate. An unit of the enzyme is the amount of enzyme that will degrade one micromole
of oxalate per minute at 37°C.
In a treatment method, an effective amount of a particle composition as
taught herein is administered orally to be ingested by a subject at least once a day, at least
twice a day, at least three times a day, at least four times a day or more if necessary, and
such administration can be for one day, two days, three days, four days* five days, or a week,
two weeks, three weeks, or a month, two months, three months, four months, five months,
six months, more than six months, one year, two years, or for years or continuously through
the life of the patient. Such treatment may be continued to maintain the desired oxalate
levels in a subject.
It must be noted that, as used in this specification and the appended claims, the singular
forms "a", "an",, and "the" include plural referents unless the context clearly dictates otherwise.
All patents, patent applications and references included herein are specifically
incorporated by reference in their entireties.
It should be understood, of course, that the foregoing relates only to exemplary
embodiments of the present invention and that numerous modifications or alterations may be
made therein without departing from the spirit and the scope of the invention as set forth in this
disclosure.
Although the exemplary embodiments of the present invention are provided herein, the
present invention is not limited to these embodiments. There are numerous modifications or
alterations that may suggest themselves to those skilled in the art.
The present invention is further illustrated by way of the examples contained herein,
which are provided for clarity of understanding. The exemplary embodiments should not to be
construed in any way as imposing limitations upon the scope thereof. On the contrary, it is to be
clearly understood that resort may be had to various other embodiments, modifications, and
equivalents thereof which, after reading the description herein, may suggest themselves to those
skilled in the art without departing from the spirit of the present invention and/or the scope of
the appended claims.

EXAMPLES
Methods
Assay for enzymatic activity
Samples are appropriately diluted with Tris buffer (typically 5 or 10 times) to 0.5 - 1
mg/ml, of which 10 uL are aliquoted into 1.5 mL eppendorf tubes. To each tube, 390μL warm
substrate buffer (usually 20 mM oxalate in 20 mM citrate buffer, pH 4) is added and
immediately placed on a thermomixer for exactly 10 minutes, at which time 100μL 0.5M H2SO4
is added. Total formate produced is measured directly by HPLC. Using an ion exchange column
(Aminex HPX-87H, BioRad) and an isocratic gradient of 20mM H2SO4, formate is detected by
UV at 210nm with peaks typically eluting at 14.3 minutes.
Stability test
Incubation in buffer at a pH of from about 2 to about 3
After incubation of OxDc free enzyme or the composition in question containing the
OxDc enzyme embedded in a polymeric material in 100 mM glycine buffer at a pH range from
2 to 3 for a certain period, the remaining OxDc activity was analyzed.
Incubation in simulated gastric fluid
A particle composition containing from about 2 mg OxDc to about 20 mg OxDc was
placed in a vessel containing 100 mL of simulated gastric fluid prepared according to USP, i.e.
by dissolving 2 g NaCl, 3.2 g pepsin, and 7 mL concentrated HCl in a final volume of 1L. At
suitable time intervals, a sample was drawn and assayed for OxDc activity as described above.
Incubation in buffer
The same procedure as described above (for simulated gastric fluid). However, various
buffer solutions were employed dependent on the pH value of interest. Suitable buffers include
glycine buffers (pH 2-3), acetate buffers (pH 3-6), phosphate buffers (pH 5-8), borate buffers
(pH 8-9) and the like. A protease may be added such as, e.g., pepsin in a concentration normally
corresponding to the concentration found in the USP simulated gastric fluid.
EXAMPLE 1
PREPARATION OF OXDC ALGINATE MICROPARTICLES AND INFLUENCE OF VARIOUS PROCESS
PARAMETERS ON THE STABILITY
This example illustrates the preparation and stability of OxDc alginate microparticles and,
furthermore, illustrates the influence of various process parameters on the stability of OxDc
embedded in the microparticles.
Preparation of OxDc alginate microparticles
Microparticles I - Emulsification 1:

11 ml of the mixture of alginate (1.8%, w/v) and OxDc (10:1, v/v; OxDc, 20 mg/ml, in
10 mM TrisHCl, pH 3.9) in 50 mM citrate buffer, pH 3.9, were mixed with 20 ml mineral oil
containing 0.5% triton x-100 by magnetic stirring at 600 rpm for 10 min to reach stable
emulsion state, then 4 ml CaCl2 mineral oil emulsion (2 ml 0.2 M CaCl2 + 2 ml mineral oil) was
added and continued to stir for 30 min. 8 ml chitosan mineral oil emulsion (4 ml 0.8% chitosan
and 4 ml mineral oil) was then added and stirred for another 30 min. Microparticles were
collected by centrifugation. In the following these microparticles are denoted Microparticles I.
Microparticles II - Emulsification 2:
All the same as "Emulsification 1" except that the mixture of alginate and OxDc was in
10 mM TrisHCl buffer, pH 8. In the following these microparticles are denoted Microparticles
II.
Chitosan coated OxDc alginate microparticles - alginate gelation at different concentrations
(emulsification) and further coating of the microparticles with chitosan:
8 ml of alginate (1.2% or 3%; w/v) was mixed with 0.5 ml OxDc (16 mg/ml) in 50 mM TrisHCl
buffer, pH 9, then mixed with 15 ml mineral oil containing 0.8% triton x-100 by magnetic
stirring at 600 rpm for 10 min to reach stable emulsion state, then 8 ml CaCl2 mineral oil
emulsion (4 ml 1 M CaCl2 + 4 ml mineral oil) was added and continued to stir for 30 min, then
added 50 ml 1 M CaCl2 under stirring. Microparticles were collected by centrifugation and
washed with water twice. All microparticles (about 4 ml) were merged in the mixture of 36 ml
0.4% chitosan, pH 5.45 and 4 ml of 4 M CaCl2 and shaken at 200 rpm for 1 h. In the following
these microparticles are denoted as Chitosan coated OxDc alginate microparticles.
All microparticles obtained in this example had a particle size distribution estimated to
be in a range of about 1-100 urn.
The microparticles obtained were assayed for enzymatic activity as described above.
The total enzyme activity is the enzyme activity of the enzymes prior to embedding the enzymes
in the polymeric matrix, and this amount is set to 100%. The following results were obtained:
About 40% and 48% of the total enzyme activity was found in the microparticles
prepared at pH 3.9 (Microparticles I) and at pH 8 (Microparticles II), respectively. The stability
of the two kinds of microparticles was tested at pH 3 with 3.2 mg/ml of pepsin. About 42%
and 60% of the total enzyme activity was found in the chitosan coated OxDc alginate
microparticles prepared by 1.2% and 3% of alginate, respectively. The stability of the two kinds
of chitosan coated OxDc alginate microparticles was tested at pH 3 with 3.2 mg/ml of pepsin
(Fig. 2).

Fig. 1 is a graph of the stability of OxDc in the microparticles I (prepared at pH 3.9) and
in the microparticles II (prepared at pH 8) under pH 3 with pepsin. Squares are microparticles I,
triangles are microparticles II. Fig. 2 is a graph showing the effects of alginate concentration for
forming alginate microparticles on the stability of OxDc in the chitosan coated OxDc alginate
microparticles at pH 3 with pepsin. Squares are microparticles formed with 3% alginate, solid
circles are microparticles formed with 1.2% alginate.
Accordingly, the pH present during the preparation of the microparticles seems to
influence the stability of OxDc during incubation, i.e. an increase in pH favors better stability
and an increase in alginate concentration also seems to have a positive impact on the stability.
Example 2
Preparation of OxDc nanoparticles and coating thereof
This example illustrates the preparation of OxDc-containing nanoparticles and various coatings
thereof.
OxDc chitosan/tripolyphosphate nanoparticles:
40 ml 0.15% (w/v) of tripolyphosphate (TPP) containing 0.5 mg/ml OxDC, pH 8.1
(adjusted by HCl before adding OxDC) was dropped into 120 ml 0.18% (w/v) chitosan in
0.13% (w/v) acetic acid, pH 3.92. Nanoparticles were collected by centrifugation and washed
with water twice. This process produced about 4 ml of nanoparticles suspension.
OxDc chitosan/TPP nanoparticles coated with alginate:
0.8 ml of the nanoparticle suspension.was diluted in 10 ml water under stirring, and then
5 ml of 1.2% alginate solution (in 25 mM TrisHCl buffer, pH 8.6) was added by dropping. The
mixture was kept under stirring for 5 min. The size of the coated nanoparticles increased to 2-
400 μm, with the majority around 30 μm (see Fig.3), because of aggregation of nanoparticles
and crosslinking by alginate. The microparticles were collected by centrifugation at 3000g for 3
min. The microparticles were washed with water twice and resuspended. In Fig. 3 the volume
statistics (Arithmetic) 17795s3_07_01.$ls. Calculations from 0.040 μm to 2000 μm. Volume:
100%; Mean: 48.53 μm; Median: 29.10 μm, Mean/Median ratio: 1.668; Mode: 28.70 μm; S.D.:
65.43 μm, C.V. 135%; Skewness: 4.384 Right skewed; Kurtosis 26.90 Leptokurtic; d10 8.814
μm; d50 29.10 μm; d90 109.9 μm.
OxDc chitosan/TPP nanoparticles coated with carrageenen:
0.8 ml of the nanoparticle suspension was diluted in 10 ml water under stirring, then 5
ml of 0.5% carrageenen solution (natural pH 8.9) was added by dropping. The mixture was kept
under stirring for 5 min. The coated nanoparticles should form microparticles and have a similar

distribution as those coated with alginate (see above). The microparticles were collected by
centrifugation and washed twice with water, and resuspended.
OxDc chitosan/TPP microparticles coated with either alginate or carrageenen were cross-
linked with glutaraldehyde at different concentrations of glutaraldehyde:
0.2 ml of the microparticle suspension was diluted in 0.8 ml water under stirring, and
then 2 ml of 0.15-7.5% glutaraldehyde solution (in 50 mM KPB, pH 7.5) was added and mixed.
The mixture was kept under stirring for 15-40 min and the microparticles were collected by
centrifugation and washed twice with water.
Reduction of glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles
Two different kinds of glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP
microparticles were prepared: one was cross-linked without addition of CaCl2 and the other with
addition of 1.2 M CaCl2 10 min after cross-linking .reaction (1% of glutaraldehyde) started.
After the cross-linking reaction ran for 1h, microparticles were collected by centrifugation and
washed with water twice. The two kinds of microparticles were further suspended in 100 mM
of KPB, pH 7.5. A certain amount of NaBEU powder was added to the suspension solutions to
make final concentration of 20 mM NaBHU and kept in the dark and shaking for 14 h.
The following results were obtained:
OxDc chitosan/TPP nanoparticles:
Nanoparticles were too small to be visually observed under the optical microscope.
OxDc was almost 100% trapped by the nanoparticles under the current conditions. Under these
conditions, OxDC was dissolved with TPP at high pH (8.6) and then dropped into a low pH
(3.92) chitosan solution. The great preference of the enzyme dissolved in high pH over low pH .
is a factor in maintaining the enzyme inside the nanoparticles at the nanoparticle formation
period. The stability of OxDc at pH 3.0 in the OxDc chitosan/TPP nanoparticles was between
that of microparticle I and microparticle II from Example 1 and Fig. 1.
Alginate coated OxDC chitosan/TPP microparticles:
The stability of OxDc at pH 3.0 was further improved when an alginate coating was
applied, compared to uncoated nanoparticles See Fig. 4, where squares are nanoparticles with no
coating, closed circles are microparticles with alginate coating, and triangles are microparticles
with carrageenen coating.
Carrageenen coated OxDc chitosan/TPP microparticles:
The stability of OxDC at pH 3.0 was further improved when a carrageenen coating was
applied (compared to uncoated nanoparticles) Fig. 4

Alginate coated OxDc chitosan/TPP microparticles wherein the whole particle is cross-linked
with glutaraldehyde at different concentrations of glutaraldehyde:
(Though not wishing to be bound by any theory, it is believed that the glutaralaldehyde cross-
linking occurs mostly within the chitosan molecule, linking chitosan molecules to itself and
each other, and among chitosan molecules and enzyme molecules.)
Alginate coated microparticles plus cross-linking showed higher stability at low pH than
the nanoparticles without alginate coating. High level of cross-linking improved the OxDc
stability inside the alginate coated microparticles at low pH (Fig. 5). The most stable
microparticles can be submerged in a solution at pH 2.6 with pepsin for 4 h without losing
activity. The activity was about 30% after 3.5 h incubation at pH 2.4 with pepsin. See Fig. 5
which shows the effects of glutaraldehyde concentration for cross-linking on the stability of
OxDc in the glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles at
pH 2.4 with pepsin. The squares are 1% glutaraldehyde with no alginate coating, solid circles
are 0.5% glutaraldehyde, triangles pointing up are 1% glutaraldehyde.and triangles pointing
down are 2% glutaraldehyde, and diamonds are 5% glutaraldehyde.
Reduction of glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles:
The stability of the glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP
microparticles under low pH after the reduction of Schiff's double bounds was significantly
improved. The glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP microparticles
with CaCl2 addition during cross-linking lost 80% of OxDc activity after 120 minutes whereas
the microparticles without CaCl2 addition under pH around 2.0 lost 80% activity in a very short
time. For details, see Fig. 6 which is a graph that shows the stability of OxDc in two kinds of
cross-linked and reduced microparticles under pH 2.2 and 1.85, where the squares are pH 2.2,
with no Ca+2, solid circles are pH 2.2 with the addition of Ca+2, triangles pointing up are pH
1.85 with no Ca+2, and triangles pointing down are pH. 1.85 with Ca+2.
From the above series of experiments, the formulation of reduced glutaraldehyde cross-
linked alginate coated OxDc chitosan/TPP microparticles was selected for further development.
EXAMPLE3
EXPERIMENTS FOR IN VITRO TESTING OF REMOVING OXALATE FROM FOOD UNDER SIMULATED
STOMACH CONDITION
In vitro testing of reduced glutaraldehyde cross-linked alginate coated OxDc
chitosan/TPP microparticles

10, 20 and 40 g of spinach was mixed with 12 ml of simulated stomach juice (gastric
fluid) (84 mM HCl with 3.2 mg/ml pepsin), respectively. Then water was added to make the
final volumes of 40, 80 and 160 ml, respectively. After homogenizing the spinach, simulated
gastric fluid and water,, reduced glutaraldehyde cross-linked alginate coated OxDc
chitosan/TPP microparticles were added to degrade the oxalate released from the spinach. The
(dosage) ratio of spinach/microparticle is 200 (200 g of spinach mixed with 1 g of
microparticles) for all three conditions. Spinach was selected for this experiment, because it
contains high amount of oxalate (about 200 mM of oxalate in the frozen spinach leaf).
Results and discussion:
The amount of soluble oxalate is significantly influenced by pH. The pH values were
2.5, 3.5 and 4.2, for 10, 20 and 40 g of spinach conditions, respectively. The initial soluble
oxalate concentrations were 30.0, 22.8 and 14.7 mM, for 10, 20 and 40 g of spinach conditions,
respectively (Figure 7). If all oxalate is soluble, its concentration should be around 48 mM.
Thus, there was insoluble oxalate present under all three conditions. Figure 7 indicates that the
initial soluble oxalate was almost completely removed in a few minutes. The remaining soluble
oxalate did not drop to 0, but remained at low level for a period, because insoluble oxalate
started to dissolve when more soluble oxalate was removed. Figure 7 shows the bioavailability
of oxalate (soluble portion) was quickly reduced under all three conditions. The squares are 10
g of spinach with 0.05 g of washed microparticles, diamonds are 20 g of spinach with 0.1 g of
washed microparticles, triangles pointing up are 40 g of spinach with 0.2 g of microparticles.
The OxDc microparticles kept removing more and more soluble oxalate (Fig. 8). After 1
h, almost all oxalate in spinach in the first condition (squares) and about 90% in the second
condition (diamonds) was removed. For the third condition (triangles), only 50% oxalate was
removed, but the soluble part was close to 0. Therefore, under all the three conditions,
absorption of oxalate can also be effectively limited in GI tract, because the soluble oxalate
concentration was very low and large part of oxalate was reduced. Figure 8 is a graph of a
timecourse of total soluble oxalate in spinach removed by microparticles in three different
simulated conditions. The total oxalate concentrations in each of the spinach samples was about
50 mM. The squares are 10 g of spinach with 0.05 g of microparticles, diamonds are 20 g of
spinach with 0.1 g of microparticles, triangles pointing up are 40 g of spinach with 0.2 g of
microparticles.
If using these results to simulate treatment in vivo, assume that a person whose stomach
contains 120 ml of gastric fluid is to begin ingesting a total of 400g of spinach. After ingestion
of 100 g spinach, 4 g of microparticles are taken. Almost all soluble oxalate will be removed

within 2 min. Although ingestion of the spinach continues until 400 g is eaten, soluble oxalate is
maintained below 3 mM during eating and quickly reduces to 0 after eating.
EXAMPLE 4
FORMULATED OXDC ACCORDING TO THE INVENTION
I. PREPARATION OF FORMULATED OXDC (MICROPARTICLES) AND TESTING ITS STABILITY AT LOW
PH
Reduced glutaraldehyde cross-linked alginate coated OxDc chitosan/TPP micropaiticles are
produced as follows:
1. OxDc chitosan/TPP nanoparticles formed by dropping tripolyphosphate (TPP)
solution into a mixture of chitosan and OxDc.
2. Coating the above nanoparticles with alginate by addition of alginate solution to
above suspension. The nanoparticles formed microparticles because of the
aggregation of nanoparticles and physical crosslinking by alginate occurred during
this process.
3. Cross-linking of above microparticles by glutaraldehyde
4. Reduction of Schiff's base by NaBH4
The preparation was made in accordance with the description in Example 2.
Testing the stability of free or formulated OxDc at low pH:
After incubation of OxDc as free enzyme or in this microparticle in 100 mM glycine
buffer at a pH range from 2 to 3 for a certain period, the remained OxDc activity was analyzed.
Fig. 9 is a graph showing the cross-linking with glutraldehyde (0.5-5%) improved the stability
of OxDc in alginate coated chitosan/TPP microparticles at pH 2.4 and in the presence of pepsin.
The squares are 0% glutaraldehyde, solid circles are 0.5% glutaraldehyde, triangles pointing up
are 1% glutaraldehyde and diamonds are 5% glutaraldehyde.
As shown in Fig. 9, the activity of the alginate coated OxDc chitosan /TPP
microparticles without cross-linking (control) represented by the square points is completely
destroyed in less than 15 minutes at pH of 2.4. In contrast cross-linking with 0.5-5% of
glutraldehyde stabilizes the enzyme activity of the alginate coated OxDc chitosan/TPP
microparticles for up to 2 hours. Native (unformulated, free, non-embedded) OxDc is known to
be irreversibly inactivated at pH coated OxDc chitosan /TPP microparticles was further improved after reduction of the Schiff's
base in these microparticles (Fig-10).

Fig. 10 is a graph showing th reduction by Schiff s base improved the stability of OxDc in the
glutaraldehyde cross-linked alginate coated OxDc chitosan/TTP microparticles at pH 2.2 and in
the presence of pepsin (square points). The microparticles are inactivated rapidly at pH (triangle points').
Reduced glutaraldehyde cross-linked alginate coated OxDc chitosan/TTP microparticles
retain stability at pH as low as 2.2. This is a significant improvement since the unformulated
enzyme (free, non-embedded) is irreversibly inactivated at pH II. Studies on the degradation of oxalate by OxDc microparticles
A. Degradation of oxalate (as sodium oxalate) in low concentration range:
OxDc microparticles (prepared as described under I, Example 4 above) containing 2 or
20 mg of OxDc were mixed with 100 ml oxalate solution with concentration from 0.05 to 2 mM
at pH 3 at 37 °C. The generated formate was measured during; a period of time.
As shown in Fig 11 A and B, the reduced glutaraldehyde cross-linked alginate coated
OxDc chitosan/TTP microparticles can degrade oxalate at least in the concentrations ranging
from 0.05 mM to 2.0 mM.
0.05 mM to 2 mM oxalate concentration in the human stomach corresponds to a dietary
intake of 5 mg to 180 mg of oxalate and an assumed stomach volume of 1L. The average daily
intake of oxalate in the Western diet is reported to be 100-500 mg/day in all the meals. The
intake can be much higher if some high oxalate foods like spinach are eaten. Degradation of
oxalate in the range of 15 to 30 mM from spinach has also been investigated and is described
below.
Fig. 11 A and B are graphs showing oxalate removed by reduced glutaraldehyde cross-
linked alginate coated OxDc chitosan/TPP microparticles at pH 3. A, microparticles
corresponding to 20 mg OxDc in 100 ml oxalate solution; B, microparticles corresponding to 2
mg OxDc in 100 ml oxalate solution. The squares are 0.05 mM oxalate concentration, solid
circles are 0.2 mM oxalate concentration, triangles pointing up are 1.0 mM oxalate
concentration, and triangles pointing down are 2.0 mM oxalate concentration.
20 mg of OxDc (estimated amount of enzyme protein in 1.0 ml of the microparticle
formulation) almost completely degraded 0.05 mM to 2 mM oxalate in 2 minutes.
Degradation of spinach oxalate in simulated gastric conditions:
Mixing spinach with simulated gastric fluid: 10, 20 and 40 g of spinach was mixed with
12 ml of simulated stomach juice (84 mM HCl with 3.2 mg/ml pepsin) then water was added to
make the final volumes of 40, 80 and 160 ml, respectively.

removing oxalate oy OxDC: After homogenization or the spinach, gastric fluid and
water suspensions, OxDc microparticles were added to degrade oxalate released from spinach.
The (dosage) ratio of spinach/OxDc is approximately 2000 (2000 g of spinach mixed with
microparticles having the activity of 1 g of OxDc) for all three conditions.
Calculated total oxalate in all of the above preparations was 50 mM (spinach is reported
to contain 18 g of total oxalate /kg). Due to different levels of buffering of the gastric fluid by
the presence of spinach, the final pH of three spinach suspensions was 2.5, 3.5 and 4.2,
respectively. The pH of the medium is known to affect the availability of soluble oxalate and
therefore the concentration of bioavailable oxalate in three preparations tested were 30 mM
(square points), 22 mM (diamond points) and 15 mM (triangle points), respectively. (Fig.l2)

Figure 12A is a graph showing the bioavailability of oxalate (soluble part) which was quickly
reduced under all three conditions; 12 B is a graph showing the percentage of total oxalate
removed. The squares are 10 g of spinach with an amount of microparticles equal to 5 mg of
OxDc (by enzymatic activity ); diamonds are 20 g of spinach with an amount of microparticles
equal to 10mg of _ OxDc, triangles pointing up are 40 g of spinach with an amount of
microparticles equal to 20 mg of OxDc.
The microparticles with OxDc were capable of degrading a wide range of oxalate
concentration from 0.05mM to 30mM in simulated gastric conditions in pH ranging from 2.5 to
4.2 (see Fig. 12 A and B) or in a buffer at pH 3 (Fig. 11 A and B). From this set of experiments
it can be estimated that 20 mg of microparticles with OxDc (in 1.0 ml suspension) can degrade
180 mg of oxalate within 30 minutes.

CLAIMS
What is claimed is:
1. A composition comprising particles comprising one or more oxalate degrading enzymes
embedded in a first polymeric material, wherein the embedded enzyme retains at least two times
the activity of the one or more non-embedded free enzymes obtained from the same batch upon
incubation in USP simulated stomach juice containing 84 mM HCl and 3.2 mg/ml pepsin at a
pH >2, such as, e.g., in a range of from pH about 2.5 to pH about 3.5 such as about pH 3, at
37°C for at least 60 minutes.
2. A composition according to claim 1, wherein the activity of one of more oxalate degrading
enzymes at the most decreases to about 30% when incubated in an aqueous buffer solution
having a pH in the range of from about 1.0 to about 4.5 for 60 min such as, e.g., from pH about
2.0 to pH about 3.0, and the initial activity being set to 100%.
3. A composition according to claim 2, wherein the activity at the most decreases to 40% such
as at the most to about 50%, at the most to about 60% or at the most to about 70%, and the
initial activity being set to 100%.
4. A composition according to claim 2 or 3, wherein the activity at the most decreases to 80%,
and the initial activity being set to 100%.
5. A composition according to any of the preceding claims, wherein the activity of one or more
oxalate degrading enzymes at the most decreases to about 20% when incubated in an aqueous
buffer solution having a pH in the range of from about 1 to about 4.5, such as, e.g., from about
2.0 to about 3.0, for 2 hours, and the initial activity being set to 100%.
6. A composition according to claim 5, wherein the activity at the most decreases to 30%, and
the initial activity being set to 100%.
7. A composition according to any of claims 2-6, wherein the buffer further contains a protease
such as, e.g., a pepsin.

8. A composition according to claim 7, wherein the concentration of pepsin is in a range of from
about 0.5 mg/ml to about 10 mg/ml such as, e.g., from about 1 mg/ml to about 7.5 mg/ml, from
about 2.5 mg/ml to about 4 mg/ml such as about 3.2 mg/ml.
9. A composition according to any of the preceding claims, wherein the one or more oxalate
degrading enzymes are isolated/purified enzymes..
10. A composition according to any of the preceding claims, wherein the one or more oxalate
degrading enzymes are selected from the group consisting of oxalate decarboxylase, oxalyl-CoA
decarboxylase, or a combination of oxalate oxidase and formyl CoA transferase.
11. A composition according to any of the preceding claims, wherein the one or more oxalate
degrading enzymes is oxalate decarboxylase.
12. A composition according to any of the preceding claims, wherein the one or more embedded
oxalate degrading enzymes retain at least two times, such as, e.g., at least 10 times, at least 50
times or at least 100 times, the activity of the one or more non-embedded free enzyme obtained
from the same batch upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>2, e.g. in a
range of pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 60 minutes.

13. A Composition according to any of the preceding claims, wherein the first polymeric
material is cross-linked to itself and/or to the one or more enzymes.
14. A composition according to claim 13, for which the level of retained enzymatic activity
upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>2, e.g. in a range of pH about 2 to
pH about 5, from pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 30
minutes such as, e.g., for at least 60 minutes, such for at least for at least 80 minutes, for at least
100 minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at
i
least 180 minutes, for at least 200 minutes, for at least 220 minutes, or at for least 240 minutes is
increased by a factor of at least 2, such as, e.g., at least 5, at least 10, at least 15, at least 20, at
least 50 or at least 100 as compared to compositions of the same batch but lacking cross-
linkages.

15. A composition according to any of the preceding claims, wherein the particles are coated
with a second polymeric material.
. 16. A composition according to claim 15, for which the level of retained enzymatic activity
upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>2, e.g. in a range of pH about 2 to
pH about 5, such as, e.g., from pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at
least 60 minutes, such as, e.g., for at least for at least 80 minutes, for at least 100 minutes, for at
least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at least 180 minutes, for
at least 200 minutes, for at least 220 minutes, or at for least 240 minutes is increased by a factor
of at least 2, such as, e.g., at least 10, at least 50 or at least 100 as compared to compositions of
the same batch but lacking a coating with a second polymeric material.
17. A composition according to any of the claims 15 or 16, wherein the first and/or second
polymeric materials are cross-linked to themselves and/or each other and/or to the one or more
enzymes.
18. A composition according to claim 17, for which the level of retained enzymatic activity
upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>1, e.g. in a range of pH about 1 to
pH about 5, such as, e.g., from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5,
from pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 60 minutes, such as,
e.g., for at least for at least 80 minutes, for at least 100 minutes, for at least 120 minutes, for at
least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least 200 minutes, for
at least 220 minutes, or at for least 240 minutes is increased by a factor of at least 2, such as,
e.g., at least 10, at least 50 or at least 100 as compared to compositions of the same batch but
lacking both cross-linkages and a second layer of polymeric material.
19. A composition according to any of claims 13-18, wherein the cross-linking is performed by
physical cross-linking.
20. A composition according to any of claims 13-18, wherein the cross-linking is performed by
use of a chemically cross-linking agent.

21. A composition according to claim 20, wherein the chemically cross-linking agent is selected
from the group consisting of dialdehyde, l-ethyl-3[3-dimethylaminopropyl]carbodiimide
(EDC), disuccinimidyl suberate (DSS) and (N-[p-maleimidophenyllisdcyanate (PMPI).
22. A composition according to claim 21, wherein the dialdehyde is selected from the group
consisting of glutaraldehyde and glyoxal.
23. A composition according to any of claims 21 or 22, wherein the dialdehyde is
glutaraldehyde.
24. A composition according to any of claims 20-23, wherein the bonds between the chemically
cross-linking agent and the one or more enzymes and/or the first polymeric material and/or the
second polymeric material has been reduced by a reducing agent.
25. A composition according to claim 24, wherein the reducing agent is selected from the group
consisting of NaBH4 and NaCNBH3.
26. A composition according to claim 25, for which the level of retained enzymatic activity
upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>1, e.g. in a range of pH about 1 to
pH about 5, such as, e.g., from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5,
from pH about 2.5 to pH about 3.5 such as pH about 3. at 37°C for at least 60 minutes, such as,
e.g., for at least for at least 80 minutes, for at least 100 minutes, for at least 120 minutes, for at
least 140 minutes, for at least 160 minutes, for at least 180 minutes, for at least 200 minutes, for
at least 220 minutes, or for at least 240 minutes is increased by a factor of at least 2, such as,
e.g., at least 10, at least 50 or at least 100 as compared to compositions of the same batch that
have not been subjected to a reducing agent.
27. A composition according to any of the preceding claims, wherein the one or more embedded
enzymes retain at least two times such as, e.g., at least 10 times, at least 50 times or at least 100
times, the activity of the one or more non-embedded free enzymes obtained from the same batch
upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at pH>l, e.g. in a range of pH about 1 to
pH about 5, such as, e.g., from pH about 2 to pH about 5, from pH about 2.5 to pH about 4.5,
from pH about 2.5 to pH about 3.5 such as pH about 3, at 37°C for at least 60 minutes, such as,
e.g., for at least 80 minutes, for at least 100 minutes, for at least 120 minutes, for at least 140

minutes, for at least 160 minutes, for at least 180 minutes, for at least 200 minutes, for at least
220 minutes, or for at least 240 minutes.
28. A composition according to any of the preceding claims, wherein the one or more embedded
enzymes retain at least 50%, such as, e.g. at least 60%, at least 70%, at least 80%, at least 90%,
at least 95% of their initial activity upon incubation in 84 mM HCl and 3.2 mg/ml pepsin at
pH>1, e.g. in a range of pH about 1 to pH about 5, such as, e.g., from pH about 2 to pH about 5,
from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5 such as pH about 3, at
37°C for at least 60 minutes, such as, e.g., for at least 80 minutes, for at least 100 minutes, for at
least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at least 180 minutes, for
at least 200 minutes, for at least 220 minutes, or for at least 240 minutes,
29. A composition according to any of the preceding claims, wherein the one or more enzymes
retain from about 95% to about 100% of their initial activity upon incubation in 84 mM HCl and
3.2 mg/ml pepsin at pH>1, e.g. in a range of pH about 1 to pH about 5, such as, e.g., from pH
about 2 to pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5
such as pH about 3, at 37°C for at least 60 minutes, such as, e.g., for at least 80 minutes, for at
least 100 minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for
at least 180 minutes, for at least 200 minutes, for at least 220 minutes, or for at least 240
minutes.
30. A composition according to any of the preceding claims, wherein the first and, if present,
second polymeric material are permeable for small molecules to allow the substrates for and
products of the reaction catalyzed by the one or more enzymes to diffuse through said polymeric
materials.

31. A composition according to any of the preceding claims, wherein the particles have a
diameter of from about 50 nm to about 1 mm, such as, e.g., from about 500 nm to about 500
um, from about 1 μm to about 500 μm, from about 2 μm to about 100 μm, from about 4 μm to
about 80 μm, from about 6 μm to about 60 μm, from about 8 μm to about 40 μm, from about 10
um to about 20 μm.
32. A composition according to any of the preceding claims, wherein the first and/or second
polymeric materials remain substantially intact upon incubation in 84 mM HCl and 3.2 mg/ml

pepsin at pH>1, e.g. in a range of pH about 1 to pH about 5, such as, e.g., from pH about 2 to
pH about 5, from pH about 2.5 to pH about 4.5, from pH about 2.5 to pH about 3.5 such as pH
about 3, at 37°C for at least 60 minutes, such as, e.g., for at least 80 minutes, for at least 100
minutes, for at least 120 minutes, for at least 140 minutes, for at least 160 minutes, for at least
180 minutes, for at least 200 minutes, for at least 220 minutes, or for at least 240 minutes.
33. A composition according to any of the preceding claims, wherein the first and/or second
polymeric material is polysaccharide.
34. A composition according to claim 33, wherein the polysaccharide is selected from the group
consisting of chitosan, alginate, pectin and hyaluronic acid.
35. A composition according to any of claims 15-34, wherein the first and second polymeric
materials are the same or different.
36. A composition according to any of the preceding claims, wherein the polymer percentage of
the first and, if present, second polymer material is from about 1% to about 10%, such as, e.g.,
from about 2% to about 3%.
37. A composition according to any of the preceding claims, wherein at least 40%, such as, e.g.,
at least 50%, at least 60%, at least 70%, at least 80%, at least 95% or at least 99% of the oxalate
present in 200 g spinach is degraded within 1 hour at pH=2.5 by a composition comprising 20
mg of the one or more oxalate degrading enzymes.

The present invention comprises methods and
compositions for the reduction of oxalate in humans.
For example, the invention provides methods and
compositions for the delivery of one or more oxalate-
reducing enzymes embedded in particle compositions. The
compositions of the present invention are suitable in
methods of treatment or prevention of oxalate-related
conditions including, but not limited to,
hyperoxaluria, absorptive hyperoxaluria, enteric
hyperoxaluria, primary hyperoxaluria, idiopathic
calcium oxalate kidney stone disease (urolithiasis),
vulvodynia, oxalosis associated with end-stage renal
disease, cardiac conductance disorders, inflammatory
bowel disease, Crohn's disease, ulcerative colitis, and
patients who have undergone gastrointestinal surgery
and bariatric surgery (surgery for obesity), and/or who
have undergone antibiotic treatment.

Documents:

02502-kolnp-2008-abstract.pdf

02502-kolnp-2008-claims.pdf

02502-kolnp-2008-correspondence others.pdf

02502-kolnp-2008-description complete.pdf

02502-kolnp-2008-drawings.pdf

02502-kolnp-2008-form 1.pdf

02502-kolnp-2008-form 2.pdf

02502-kolnp-2008-form 3.pdf

02502-kolnp-2008-form 5.pdf

02502-kolnp-2008-international publication.pdf

02502-kolnp-2008-pct request form.pdf

2502-KOLNP-2008-(05-09-2014)-ANNEXURE TO FORM 3.pdf

2502-KOLNP-2008-(05-09-2014)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(16-07-2014)-CLAIMS.pdf

2502-KOLNP-2008-(16-07-2014)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(16-07-2014)-DESCRIPTION.pdf

2502-KOLNP-2008-(16-07-2014)-OTHERS-1.pdf

2502-KOLNP-2008-(16-07-2014)-OTHERS.pdf

2502-KOLNP-2008-(17-04-2014)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(17-05-2013)-ANNEXURE TO FORM 3.pdf

2502-KOLNP-2008-(17-05-2013)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(17-05-2013)-OTHERS.pdf

2502-KOLNP-2008-(27-06-2013)-CLAIMS.pdf

2502-KOLNP-2008-(27-06-2013)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(27-06-2013)-OTHERS.pdf

2502-KOLNP-2008-(27-11-2013)-CORRESPONDENCE.pdf

2502-KOLNP-2008-(27-11-2013)-FORM-3.pdf

2502-KOLNP-2008-(27-11-2013)-PETITION UNDER SECTION 8(1).pdf

2502-KOLNP-2008-ASSIGNMENT.pdf

2502-KOLNP-2008-CORRESPONDENCE 1.2.pdf

2502-KOLNP-2008-CORRESPONDENCE 1.3.pdf

2502-KOLNP-2008-CORRESPONDENCE OTHERS 1.1.pdf

2502-KOLNP-2008-CORRESPONDENCE-1.4.pdf

2502-KOLNP-2008-FORM 18.pdf

2502-KOLNP-2008-FORM 26.pdf

2502-KOLNP-2008-INTERNATIONAL SEARCH REPORT.pdf

2502-KOLNP-2008-OTHERS 1.1.pdf

2502-KOLNP-2008-OTHERS.pdf

2502-KOLNP-2008-PCT REQUEST FORM 1.1.pdf

abstract-02502-kolnp-2008.jpg


Patent Number 263959
Indian Patent Application Number 2502/KOLNP/2008
PG Journal Number 49/2014
Publication Date 05-Dec-2014
Grant Date 27-Nov-2014
Date of Filing 20-Jun-2008
Name of Patentee OXTHERA, INC.
Applicant Address 13709 PROGRESS BOULEVARD, BOX 17 ALACHUA, FLORIDA 32615
Inventors:
# Inventor's Name Inventor's Address
1 LI, QINGSHAN 2338 N.W. 38TH AVENUE, APARTMENT 303, GAINESVILLE, FLORIDA 32605
2 SIDHU, HARMEET 5611 N.W. 42ND ROAD, GAINESVILLE, FLORIDA 32606
PCT International Classification Number A61K 38/54,A61K 9/14
PCT International Application Number PCT/US2006/047967
PCT International Filing date 2006-12-15
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/750,896 2005-12-16 U.S.A.