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From:
"Valerie W. McClain, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 6 Nov 2000 21:38:01 EST
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This NIH guide is dated April 8, 1994.  Of interest to you might be that they
discuss that the lactoferrin gene has been cloned and large scale production
is imminent (remember date 1994).  This guide says that the plan is to use
this milk (cloned lactoferrin) for use in the manufacturing of infant
formula.  One might wonder who got this grant from the government and who
were the human beings who were part of this experiment (infants?).  Valerie
W. McClain, IBCLC

http://grants.nih.gov/grants/guide/rfa-files/RFA-Hd-94-019.html

Full Text HD-94-019

IN VIVO ACTIVITIES OF LACTOFERRIN

NIH GUIDE, Volume 23, Number 14, April 8, 1994

RFA:  HD-94-019

P.T.


Keywords:


National Institute of Child Health and Human Development

Application Receipt Date:  July 19, 1994

PURPOSE

The Endocrinology, Nutrition and Growth (ENG) Branch of the Center
for Research for Mothers and Children, National Institute of Child
Health and Human Development (NICHD) issues this Request for
Applications (RFA) for support of investigations of in vivo
activities of lactoferrin in human beings and animals.

Lactoferrin is a 78,000-dalton metal-binding single-chain
glycoprotein found in milk and other exocrine secretions.  It is the
major protein component of human colostral whey, with concentrations
as high as 6 mg/ml.  Since the human lactoferrin gene has been
cloned, overexpression and large scale lactoferrin production are now
possible.

A great deal of structural information has been obtained about the
lactoferrin molecule.  It has been possible to relate this structural
information to two striking in vitro properties of lactoferrin, its
ability to bind a wide variety of metal ions with extremely high
affinity, and its ability to bind to a number of different types of
cells.

Lactoferrin also has bacteriostatic properties in vitro, which have
been thought to derive from its powerful sequestration of iron; but a
small bacteriostatic peptide obtained from lactoferrin digestion is
remote from the iron binding site in the intact molecule.

Lactoferrin from mother's milk can be absorbed to some extent by the
nursing infant and excreted in the infant's urine, but no
reproducible published evidence has established any in vivo activity
of lactoferrin.  Nevertheless, there is an international trend toward
the addition of lactoferrin to infant formula.  Spiking of formula is
already being done in Japan, and there is interest in doing so in
Europe and the U.S.  European formula manufacturers have produced a
transgenic bull which carries the gene for human lactoferrin.  This
animal is being used to sire daughters and granddaughters who are
expected to produce human milk containing human lactoferrin.  The
plan is to use this milk to manufacture infant formula.

It is important to derive hypotheses about biological function from
the extensive structural knowledge about the lactoferrin molecule and
test them in vivo.  This is needed in order to plan testing of the
utility and advisability of feeding lactoferrin-containing formula to
infants.  The impending addition of lactoferrin to all infant formula
may make future definitive trials seem unethical or impractical.

HEALTHY PEOPLE 2000

The Public Health Service (PHS) is committed to achieving the health
promotion and disease prevention objectives of "Healthy People 2000,"
a PHS-led national activity for setting priority areas.  This RFA, In
Vivo Activities of Lactoferrin, is related to the priority area of
childhood nutrition.  Potential applicants may obtain a copy of
"Healthy People 2000" (Full Report:  Stock No. 017-001-00474-0) or
"Healthy People 2000" (Summary Report:  Stock No. 017-001-00473-1)
through the Superintendent of Documents, Government Printing Office,
Washington, DC 20402-9325 (telephone 202-783-3238).

ELIGIBILITY REQUIREMENTS

Applications may be submitted by domestic and foreign for-profit and
non-profit organizations, public and private, such as universities,
colleges, hospitals, laboratories, units of State and local
governments, and eligible agencies of the Federal government.
Foreign institutions are not eligible for the First Independent
Research Support and Transition (FIRST) (R29) awards.  Applications
from minority individuals and women are encouraged.

MECHANISM OF SUPPORT

Applications in response to this RFA will be funded through the
research project grant (R01) and FIRST Award (R29) program of the
NIH.  This RFA is for a single competition with the application
receipt deadline of July 19, 1994.  Future unsolicited competing
continuation applications will compete with all
investigator-initiated applications and be reviewed by a Division of
Research Grants (DRG) study section.  However, if the NICHD
determines that there is a sufficient continuing program need, the
NICHD may announce a request for competitive continuation
applications.  The total project period for applications submitted in
response to the present RFA may not exceed five years.  The earliest
anticipated award date is April 1, 1995.

FUNDS AVAILABLE

It is anticipated that three or more grants will be awarded under
this program, contingent upon receipt of a sufficient number of
meritorious applications and the availability of funds.  To fund
these awards the NICHD has set aside $750,000 for direct costs in the
first year.

RESEARCH OBJECTIVES

Background

Lactoferrin has been the focus of attention in numerous
investigations of the nutrition and host defense of term and preterm
infants, but no physiological role for it has been established.
Since the human lactoferrin gene has now been cloned, overexpression
and large scale production are imminent.  Thus, there is increased
urgency for the characterization of lactoferrin function.

Three striking in vitro properties of lactoferrin may be of
importance to its biological function: its ability to bind and
release a wide variety of metal ions, especially ferric iron (Fe),
its ability to bind cations, and its binding to a number of different
types of cells.  In milk, as in other secretions, lactoferrin is
mostly iron-free, with a saturation level of about 8 to 10 percent.
In iron-free form it has pronounced bacteriostatic properties in
vitro, probably dependent on its ability to bind adventitious iron
extremely tightly, so depriving bacteria of iron essential for
growth.  The bacteriostatic properties of human milk are thought to
derive largely from the high concentrations of lactoferrin present.
In addition, sequestration of iron by lactoferrin inhibits
iron-catalyzed free radical damage to cells.  For these reasons, and
because of its widespread occurrence in an frequent association with
species such as lysozyme and immunoglobulins, lactoferrin is regarded
as a component of the body's defense mechanisms.  Lactoferrin is also
a component of neutrophil secretory granules.

The lactoferrin molecules of different tissues and secretions appear
to be identical in structure and function, and the cDNA sequence of
leukocyte lactoferrin matches the amino acid sequence of milk
lactoferrin.  Lactoferrin is a member of the transferrin family of
iron binding proteins, which includes serum transferrin,
ovotransferrin, and the membrane-associated melanotransferrin.
Lactoferrin also bears a striking relationship to a sulfate-binding
protein of Salmonella typhimurium.

Lactoferrin has the capacity to bind reversibly two Fe ions
concomitantly with two carbonate (C03=) or bicarbonate (HC03-)
anions.  Three features of metal binding by lactoferrin are
particularly remarkable:  the synergistic relationship between cation
and anion binding, the extremely tight binding of iron, and the
existence of mechanisms for the release of tightly-bound iron.  Other
metals can be substituted for iron in the two specific sites; those
of similar size and charge (Ga, A1, Cr, Mn, Co) bind with affinities
close to that of Fe, but even much larger cations such as lanthanides
and some actinides (Th, Pu) can be accommodated.

Likewise, although CO3= is the anion of highest affinity, other
anions with a carboxylate group, some quite bulky, can be substituted
for it.  The two lactoferrin structural cavities in which Fe and the
anion are bound seem much larger than necessary for this function.
To some this has suggested that lactoferrin may function to bind
anionic toxins and xenobiotics.  All the Mn in human milk is bound to
lactoferrin, and lactoferrin has been suggested to have a role in Zn
binding and heavy metal absorption.  The physiological importance of
transferrin in A1 binding and its proposed therapeutic use in
detoxification may also apply to lactoferrin.

The ability of lactoferrin to bind to a variety of normal and
leukemic blood cells has led to a suggestion that the lactoferrin
released by neutrophilic leukocytes plays a role in modulating the
immune and inflammatory responses.  Lactoferrin promotes the
aggregation of neutrophils and their adhesion to epithelial cells,
and may be the agent that causes neutrophils to accumulate at
inflammatory sites.  Lactoferrin in its iron- saturated form is a
highly active inhibitor of myelopoiesis, leading to the suggestion
that lactoferrin might be useful in the treatment of leukemia.

Other observations that focus on the ability of lactoferrin to
interact with cells include its activity as an essential growth
factor for lymphocyte cell lines, its partial sequence homology with
a group of lymphoma transforming proteins, its interference in the
receptor-mediated uptake of chylomicron remnants into the liver, and
the observation that some antibacterial activities of lactoferrin
depend on actual contact with bacteria rather than simple
sequestration of iron.

Scope

The purpose of this RFA is to solicit applications for in vivo
studies of effects of lactoferrin in human beings or animals.  The
goal is to learn of the significance of human lactoferrin in human
milk to human infants or nursing women, but it is understood that
some kinds of direct experiments in humans are not advisable without
promising preclinical studies.  Animal model studies are therefore
also of interest provided they involve species-specific lactoferrin
or the use of heterologous lactoferrin that can be shown to mimic
homologous lactoferrin in adherence to receptors or effects on cells
in vitro.  A focus on effects of lactoferrin that apply to milk
rather than other external secretions is preferred.

The scope of this RFA, therefore, includes animal and human studies
of the biological effects of lactoferrin.  It does not include in
vitro bacterial or tissue culture investigations.  It is recognized
that some preliminary experiments in vitro may be required for
certain in vivo projects.  Nevertheless, the priority for funding of
each application will be determined by reviewers on the basis of the
relative merit of the in vivo studies proposed, and the likelihood
that the research will proceed to the whole animal or human level
within the terms of the recommended award.  Funded applications that
fail to demonstrate progress towards this stage may be phased out
before the recommended term of the award is completed.

The decision of the ENG Branch not to solicit applications for in
vitro studies of lactoferrin is not a result of any perception that
such studies are not important.  However, work of this kind is being
conducted widely; progress in the chemistry and cell biology of the
compound has been striking; and productive studies of lactoferrin
structure are being funded by the NICHD and others.  Studies of
direct relevance to infant nutrition are much more difficult to
execute, however, and are likely to be more speculative and uncertain
of success.  Meritorious applications of that type have been rare.
The Branch therefore seeks to encourage investigators to venture
appropriate proposals by setting aside funds for biological studies
in vivo.

STUDY POPULATIONS

INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN
SUBJECTS

It is the policy of the NIH that women and members of minority groups
and their subpopulations must be included in all NIH supported
biomedical and behavioral research projects involving human subjects,
unless a clear and compelling rationale and justification is provided
that inclusion is inappropriate with respect to the health of the
subjects or the purpose of the research.  This new policy results
from the NIH Revitalization Act of 1993 (Section 492B of Public Law
103-43) and supersedes and strengthens the previous policies
(Concerning the Inclusion of Women in Study Populations, and
Concerning the Inclusion of Minorities in Study Populations) which
have been in effect since 1990.  The new policy contains some new
provisions that are substantially different from the 1990 policies.
All investigators proposing research involving human subjects should
read the "NIH Guidelines For Inclusion of Women and Minorities as
Subjects in Clinical Research", which have been published in the
Federal Register of March 9, 1994 (FR 59 11146-11151), and reprinted
in the NIH GUIDE FOR GRANTS AND CONTRACTS of March 18, 1994, Volume
23, Number 11.

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