This invention relates to a disinfecting epidermal cleaner using peroxidase, peroxide and iodide. The active components are maintained inactive until admixed in a define defined proportion with water. The ph at which the peroxidase is stored is between 7.0 and 9.0 and the ph of the admixture of the active components is between 3.0 and 6.5.
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7. A method for topically treating skin to simultaneously cleaning and disinfecting clean and disinfect pathogens on the epidermis in the treatment of bovine mastitis comprising the steps of:
forming an aqueous, antiseptic solution consisting essentially of: a source of hydrogen peroxide, an iodide compound which forms iodide ions in water, a peroxidase selected from the enzyme Commission Classification No. 1.11.17, buffer means, surface active agents, and water, with the concentration of said buffer means sufficient to maintain the ph of the solution between a ph of 3 and 6.5, and with the concentration of water representing from 50 percent to ten times the combined volume of the peroxidase, iodide, and peroxide components; and contacting the epidermal area to be treated with said aqueous solution.
1. A method for topically treating skin to simultaneously clean and disinfect pathogens on the epidermis comprising the steps of:
(a) combining a peroxidase with an iodide compound which will provide a source of iodide ions in water to form a first component to form a first component; (b) combining a source of peroxide with a surface active agent(s) at least one surface active agent selected from the class group consisting of anionic, cationic, zwitterionic, non-ionic and ampholytic molecules surface active agents to form a second component; (c) adding buffer means to either said first or second components, or to both said first and second components, to control the ph of an aqueous admixture of said first and second components in a range of between a ph of 3.0 and about 6.5; (d) admixing said buffered first and second components with a defined volume of water such that a buffered aqueous admixture is formed within said ph range, with said buffered first and second components diluted between about fifty percent (50%) to one thousand percent (1000%); and (c) admixing said first and second component with water to form an aqueous admixture; (d) adding a buffer to said first or second component prior to step (c), or to the aqueous admixture formed in step c to maintain a ph in said aqueous admixture between a ph of 3.0 and about 6.5; and (e) contacting the surface of the skin to be treated with said aqueous admixture.
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This application s are comprised such that when they are combined with water in the intended fashion, the pH of the final admixture is between 3.0 and 6.5. A source of iodide is contained only in the peroxidase containing component of the invention. Formulating peroxidase in combination with the iodide compound at a pH between 7.0 and 9.0 in glycerol or other suitable carriers like sucrose, or maltose, maximizes the stability of the enzyme and iodide. Insuring a pH between 3.0 and 6.5 in the final antiseptic admixture, maximizes the speed, increases the shelf-life, and minimizes the cost of the final product. The surface active agents of the disinfecting epidermal cleaner of this invention consist of a class of molecules comprised of anionic, cationic, zwitterionic, non-ionic and ampholytic surface active agents. These molecules comprise a principal ingredient of presently used liquid soap and handcream formulations. Said molecules include sodium lauryl sulfate, lithium lauryl sulfate, alkyl benzenesulfonates, alkane sulfonates, alkene sulfonates, Tween TWEEN 20-polyoxyethylene sorbitan monolaurate, Tween TWEEN 100, alkyl sulphates, alkyl ether sulphates, polyoxyethylene condensation products or primary and secondary alcohols, fatty acid amides, block polymers of ethylene oxide and propylene oxide, myristic acid, lauric acid, capric acid, caprylic acid, coconut and palm kernel fatty acids, polyethoxylated glucosides and esters, hydroxy ethyl cellulose, hydroxy propyl quar, N-acyl-sarcosinates, sodium-N-acyl-N-methyl taurates, sodium cocoylisothioate, hydroxypropyl guar gum, amidopropyl betaines, and polyethylene glycol derivitives.
The donor molecule of this invention is iodide. Suitable sources of iodide for this invention include sodium iodide and potassium iodide as well as other salts of iodide. Any source of iodide or iodide compound which yields iodide ions upon dissolution in water, without yielding other deleterious effects to the activity of the system, is suitable for this application. The simple salts of iodide are preferred and have the advantage of being inexpensive. Additionally, they have a long shelf life both in solid and liquid form.
The peroxidase enzyme of this invention is identified by the International Union of Biochemistry and the International Union of Pure and Applied Chemistry by the Enzyme Commission identification No. E.C. 1.11.1.7. Peroxidase can be obtained from a wide variety of sources. The least expensive and most robust peroxidase suitable for this application is horseradish peroxidase. Commercially obtained peroxidase comes lyophilized as a dry powder which must then be admixed in a suitable carrier.
The preferred oxidant of this invention is hydrogen peroxide. Any material which acts as a source of peroxide when admixed in water is suitable for the present invention. This "source of peroxide" for purposes of the present invention means any material which can serve as precursors for hydrogen peroxide include metal peroxides, percarbonates, persulphates, perphosphates, peroxyesters, urea peroxide, peroxyacids, alkylperoxides, acylperoxides and perborates. Alternatively methyl peroxide can be formulated in the product. Mixtures of two or more of these substances can also be used.
The peroxidase containing component of the disinfecting epidermal cleaner of this application preferably includes a carrier such as glycerol although other carriers and combinations of carriers are possible. To maximize the shelf-life of the product it is necessary to include iodide compound in the peroxidase component of this invention and not to admix iodide in the peroxide containing component. Immediately prior to use, a defined volume of the peroxidase/iodide containing component and the peroxide/surfactant containing component are combined with water to form the active disinfecting epidermal cleaner of the instant invention. The formulations will function over a range of ratios of exogenously added water to peroxidase/iodide-peroxide/surfactant containing components. This ratio is based on volume to volume comparisons. The volume of water added divided by the sum of the volumes of the peroxidase/iodide-peroxide/surfactant containing components is between 0 5 and 10.
The peroxidase containing component of this invention consists essentially of water, carrier, the enzyme peroxidase, and a suitable buffering agent. The iodide salt is preferably added to the peroxidase component. The buffering agent tris-(hydroxymethyl)aminomethane at a final concentration between 1 and 10 mM at a pH between 7.0 and 9 0 and a calcium ion concentration between 2 and 25 mM is preferable. Sodium phosphate cannot be used either as the buffering agent or as an additive of the peroxidase containing component since it binds calcium and will, as a result, dramatically reduce the shelf-life of the product. Any compound or mixture of compounds which binds or sequesters calcium cannot be added to the peroxidase containing component.
The preferred carriers for the peroxidase containing component are sucrose, ethylene glycol, glycerol and other polyhydroxylated alkanes in which peroxidase has good stability. Carriers are present at a concentration of 5 to 45% w/v depending upon the selection of carrier(s) since different carriers have distinct properties. The preferred iodide salts for the peroxidase containing component is sodium iodide and potassium iodide. The concentration of iodide in the peroxidase containing component is between 0.00010 and 1300 mg/ml when the peroxidase containing component is diluted 1 to 4 immediately prior to use and preferably between 8 0 and 150 mg/ml when the peroxidase component is diluted 1 to 4 immediately prior to use.
The second component of the disinfecting epidermal cleaner of this patent contains peroxide in a broad concentration between 0.0003 and 3.0% weight to volume in a detergent based carrier component and in a preferred range of 0.1 and 0.003% when the peroxide containing component is diluted 1 to 4 immediately prior to use. Iodide may not be combined in this component as this will reduce the shelf life of the final product as iodide is known to be unstable at an acidic pH. The preferred detergent agents are sodium lauryl sulfate and lithium lauryl sulfate although many other detergents can be used and can be combined for admixture into the peroxide component of the disinfecting epidermal cleaner of this application. The concentration of the detergent depends upon which compound or mixtures of compounds are used and what the intended use is. Typically the concentration of detergents is between 5 and 25% of the peroxide formulation, although some formulations may have very low concentrations of detergent. The pH of the peroxide containing component is carefully controlled so that it is between pH 3.0 and 6.5. The concentration of buffer used in the peroxide containing component is preferably between 0.100 and 1.0 molar in the peroxide containing component. Sodium phosphate is the buffer of choice for the peroxide containing component since its cost is low; however, the concentration of buffering component will vary depending upon which buffer is used.
The critical aspect of the buffering of the peroxide containing component is that the buffer must be concentrated enough to control the pH of the final admixture within a pH range between a pH 3.0 and 6.5 when admixed with defined portions of the peroxidase/iodide component and peroxide component and portions of water which vary from 50 percent to ten times the combined volumes of the peroxidase/iodide and peroxide components.
The peroxide containing component of the disinfecting epidermal cleaner of this application can contain a variety of nonessential optional ingredients suitable for rendering such compositions more desirable. Such common ingredients are familiar to those skilled in the art and include preservatives, viscosity modifiers, coloring agents, pH controlling agents, suspending agents, sequestering agents, perfumes and opacifiers. However, no sequestering agents or any agent which bind calcium can be included in the peroxidase containing component. Agents commonly used as preservatives which are compatible with the chemistry of this application include include benzyl alcohol, methyl paraben, sorbic acid. Carboxymethyl cellulose, ethylcellulose, polyvinyl alcohol and guar gum derivatives are commonly used as thickeners and can be used with the formulations of this application. Phosphoric acid, sodium phosphate, sodium hydroxide, tris-(hydroxymethyl)aminomethane as pH controlling agents. Magnesium/aluminum silicate as suspending agents and ethylenediaminetetraacetic acid as a sequestering agent.
PAC Example 1Component A, the peroxidase containing component, consisted of 0.4 mg/ml of Sigma Type I peroxidase, 4 mg/ml acetylated BSA, 2 mg/ml sodium iodide, 0.2 mg/ml calcium chloride, 1 mM tris-(hydroxymethyl)aminomethane (pH 7.2), and 20% glycerol. Component B, the peroxide containing component, consisted of 0.0038% hydrogen peroxide, 2.5% sodium lauryl sulfate, 0.125 mg/ml ethylenediaminetetraacetic and 0.125 mg/ml of sorbic acid. Four ml of component B was added to 1 ml of several phosphate buffers each of which was 0.4 molar. The pH of the 0.4 molar phosphate buffers was 4.0, 4.5, 5.5 and 6.5.
Cultures of Listeria selegeri, E. coli, and Salmonella typhimurium were spun down in a clinical centrifuge and washed in normal saline. Equal volumes of component A (1 ml) and component B (1 ml) were added to 1 ml of these bacterial suspensions and mixed. Aliquots were withdrawn every 20 seconds and diluted in 10 mg/ml sodium fluoride. Serial dilutions of each time point were made and the CFU per ml was determined The rate of inactivation in viable organisms per unit time was calculated by taking the logarithm of the ratio of the number of viable organisms at the start of the reaction divided by the number of organisms which were viable at the end of the reaction and dividing this ratio by the time of the reaction.
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| Listeria selegeri |
| 4.0 4.5 5.5 6.5 pH |
| 0.16 0.092 0.076 0.059 Rate of Inactivation |
| E. coli |
| 4.0 4.5 5.5 6.5 pH |
| 0.12 0.11 0.087 0.077 Rate or Inactivation |
| Salmonella typhimurium |
| 4.0 4.5 5.5 6.5 pH |
| 0.15 0.10 0.093 0.077 Rate of Inactivation |
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Each of the organisms were inactivated. The lower pH values yielded a more rapid inactivation. When the concentration of sodium lauryl sulfate was increased 10 fold, all of the organisms were inactivated within 40 seconds.
Component A, the peroxidase containing component, consisted of 1.0 mg/ml of Sigma Type I peroxidase, 30% sucrose, 6 mg/ml sodium iodide, 1.0 mg/ml calcium chloride, 5 mM tris-(hydroxymethyl)aminomethane (pH 7.5), and 4 mg/ml sodium chloride. Component B, the peroxide containing component, consisted of 0.0030% hydrogen peroxide, 1.0% cetyl alcohol, and 1.0% Brij-35 BRIJ-35. Four ml of component B was added to 1 ml of several phosphate buffers each of which was 0.3 molar. The pH of the 0.3M phosphate buffers was 4.0, 4.5, 5.5 and 6.5.
Cultures of Staphlococcus aureus, Staphlococcus epidermitis, and Salmonella typhimurium and Listeria selegeri were spun down in a clinical centrifuge and washed in normal saline Equal volumes of component A (1 ml) and component B (1 ml) were added to 1 ml of these bacterial suspensions and mixed. Aliquots were withdrawn every 20 seconds and diluted in 10 mg/ml sodium fluoride. Serial dilutions of each time point were made and the CFU per ml was determined. The rate of inactivation of viable organisms per unit time was calculated by taking the logarithm of the ratio of the number of viable organisms at the start of the reaction divided by the number of organisms which were viable at the end of the reaction and dividing this ratio by the time of the reaction. Each of the organisms was inactivated. The lower pH values yielded a more rapid inactivation. When the concentration of Brij-35 and cetyl alcohol was increased tenfold, the rate of inactivation at a pH of 6.0 was increased.
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| Listeria monocylogenes |
| 3.5 4.5 5.5 6.5 pH |
| 0.22 0.077 0.055 0.003 Rate of Inactivation |
| S. aureus |
| 3.5 4.5 5.5 6.5 pH |
| 0.006 0.003 0.002 0.002 Rate of Inactivation |
| Salmonella typhimurium |
| 3.5 4.5 5.5 6.5 pH |
| 0.13 0.06 0.045 0.034 Rate of Inactivation |
| S. epidermidis |
| 3.5 4.5 5.5 6.5 pH |
| 0.125 0.088 0.043 0.030 Rate of Inactivation |
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The effect of pH between 2 0 and 7.0 on the inactivation of Aspergillus fumigatis with a disinfecting epidermal skin cleaner was examined. The peroxidase component (component A) contained 1.0 mg/ml of sodium iodide, 20.0 percent glycerol, 5.0 mg/ml of sodium chloride, 1.1 mg/ml of calcium chloride, 0.5 mg/ml of peroxidase (Sigma Type I) in 10 mM tris-(hydroxymethyl)aminomethane. The peroxide component (component B) contained 0.03 percent hydrogen peroxide, 1.0 mg/ml of ethylenediaminetetraacetic, and 1.8 percent of sodium-lauryl-sulfate in water. Immediately prior to use, component B was mixed with 0.20 mol/L buffers which had been equilibrated at the desired pH values. For a pH value in the disinfecting admixture of 7.0, 6.5, and 6.0, sodium phosphate was used as the buffer for mixture with component B. For a pH value in the disinfecting admixture of 5.0, and 4.0, citric acid - sodium phthalate was used as the buffer for mixture with component B. For a pH value in the disinfecting admixture of 3.0 and 2.0, phthalic acid - sodium phthalate was used as the buffer for mixture with component B.
Aspergillus fumigatis in 0.125 ml (4,000,000 CFU) was added to 0.50 ml of component A. A one part to one part mixture of component B with each buffer was added (0.50 ml) to 2.0 ml of water and mixed. These two mixtures were added and incubated at room temperature for 5 minutes. Samples were removed (0.10 ml) and diluted into 0.30 mol/L sodium phosphate, pH 7.0 which was 0.30 mol/L with respect to sodium fluoride. This suspension and serial dilutions of this mixture (0.10 ml) were spread on Sabouraud dextrose/agar plates and incubated for three days at 42 degrees centigrade. The log reduction over the five minute time period was calculated (FIG. 1) by subtracting the logarithm of the number of viable organisms at the end of the reaction from the logarithim of the number of organisms at the start of the reaction which were viable at the end of the reaction.
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| Aspergillus fumigatis Log Reduction per 10 Minutes |
| ______________________________________ |
| pH 2.0 3.0 4.0 5.0 6.0 6.5 7.0 |
| log Reduction |
| 1.3 2.0 5.4 5.0 3.2 1.2 1.0 |
| ______________________________________ |
Aspergillus fumigatis was inactivated at each pH value. The lower pH values yielded a greater degree of inactivation. The inactivation at pH 2.0 was not as rapid as the inactivation at 3.0 or 4∅ It is likely that the enzyme is inactivated at this pH value. When the concentration of sodium-lauryl-sulfate was increased 10 fold there was a 6 log reduction at a pH of 5∅
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