U.S. patent application number 12/058500 was filed with the patent office on 2008-10-02 for compositions and methods for treating infections using analogues of indolicidin.
This patent application is currently assigned to Migenix Inc.. Invention is credited to Douglas Erfle, Janet R. Fraser, Timothy J. Krieger, Robert Taylor, Michael H. P. West.
Application Number | 20080242614 12/058500 |
Document ID | / |
Family ID | 26698836 |
Filed Date | 2008-10-02 |
United States Patent
Application |
20080242614 |
Kind Code |
A1 |
Fraser; Janet R. ; et
al. |
October 2, 2008 |
COMPOSITIONS AND METHODS FOR TREATING INFECTIONS USING ANALOGUES OF
INDOLICIDIN
Abstract
Compositions and methods for treating infections, especially
bacterial infections, are provided. Indolicidin peptide analogues
containing at least two basic amino acids are prepared. The
analogues are administered as modified peptides, preferably
containing photo-oxidized solubilizer.
Inventors: |
Fraser; Janet R.;
(Vancouver, CA) ; West; Michael H. P.; (Vancouver,
CA) ; Krieger; Timothy J.; (Richmond, CA) ;
Taylor; Robert; (Richmond, CA) ; Erfle; Douglas;
(Vancouver, CA) |
Correspondence
Address: |
DARBY & DARBY P.C.
P.O. BOX 770, Church Street Station
New York
NY
10008-0770
US
|
Assignee: |
Migenix Inc.
Vancouver
CA
|
Family ID: |
26698836 |
Appl. No.: |
12/058500 |
Filed: |
March 28, 2008 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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10351985 |
Jan 24, 2003 |
7390787 |
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12058500 |
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09667486 |
Sep 22, 2000 |
6538106 |
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10351985 |
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|
08915314 |
Aug 20, 1997 |
6180604 |
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09667486 |
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60024754 |
Aug 21, 1996 |
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60034949 |
Jan 13, 1997 |
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Current U.S.
Class: |
514/2.7 |
Current CPC
Class: |
A61K 47/60 20170801;
A61P 31/00 20180101; Y02A 50/481 20180101; C07K 14/001 20130101;
A61P 33/00 20180101; Y02A 50/409 20180101; Y02A 50/423 20180101;
A61P 31/10 20180101; Y02A 50/478 20180101; A61P 31/04 20180101;
A61K 38/00 20130101; A61K 41/0028 20130101; Y02A 50/491 20180101;
C07K 7/08 20130101; Y02A 50/467 20180101; A61P 31/12 20180101; Y02A
50/402 20180101; Y02A 50/475 20180101; Y02A 50/30 20180101 |
Class at
Publication: |
514/12 ; 514/15;
514/14; 514/13 |
International
Class: |
A61K 38/08 20060101
A61K038/08; A61K 38/10 20060101 A61K038/10; A61K 38/16 20060101
A61K038/16; A61P 31/00 20060101 A61P031/00 |
Claims
1. A method for preventing a microbial infection, comprising
administering to a patient a therapeutically effective amount of a
composition comprising at least one indolidicin analogue of up to
35 amino acids that comprises one of the following sequences:
TABLE-US-00025 (SEQ ID NO: 33) Ile Leu Lys Lys Trp Pro Trp Pro Trp
Arg Arg Lys; (SEQ ID NO: 34) Ile Leu Lys Lys Tyr Pro Trp Tyr Pro
Trp Arg Arg Lys; (SEQ ID NO: 40) Ile Leu Lys Trp Pro Trp Trp Pro
Trp Arg Arg Lys; (SEQ ID NO: 42) Ile Leu Arg Trp Pro Trp Trp Pro
Trp Arg Arg Lys; (SEQ ID NO: 44) Ile Leu Trp Pro Trp Trp Pro Arg
Arg Lys; (SEQ ID NO: 46) Ile Leu Arg Trp Pro Trp Trp Pro Trp Arg
Arg Lys Ile Met Ile Leu Lys Lys Ala Gly Ser; (SEQ ID NO: 47) Ile
Leu Arg Trp Pro Trp Trp Pro Trp Arg Arg Lys Met Ile Leu Lys Lys Ala
Gly Ser; (SEQ ID NO: 48) Ile Leu Arg Trp Pro Trp Trp Pro Trp Arg
Arg Lys Asp Met Ile Leu Lys Lys Ala Gly Ser; (SEQ ID NO: 52) Leu
Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID NO: 55) Ile
Leu Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Met Ile Leu Lys Lys Ala
Gly Ser; (SEQ ID NO: 56) Ile Leu Lys Lys Trp Pro Trp Trp Pro Trp
Arg Arg Ile Met Ile Leu Lys Lys Ala Gly Ser; (SEQ ID NO: 58) Ile
Leu Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Met; (SEQ ID NO: 59)
Ile Leu Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Ile Met; (SEQ ID
NO: 60) Ile Leu Lys Lys Trp Trp Trp Pro Trp Arg Lys; (SEQ ID NO:
61) Ile Leu Lys Lys Trp Pro Trp Trp Trp Arg Lys; (SEQ ID NO: 65)
Ile Leu Lys Lys Trp Val Trp Trp Val Trp Arg Arg Lys; (SEQ ID NO:
66) Ile Leu Lys Lys Trp Pro Trp Trp Val Trp Arg Arg Lys; (SEQ ID
NO: 67) Ile Leu Lys Lys Trp Val Trp Trp Pro Trp Arg Arg Lys; (SEQ
ID NO: 69) Ile Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 70) Ile Leu Lys Lys Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 71) Ile Leu Lys Lys Trp Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 72) Ile Leu Lys Lys Trp Pro Trp Trp Trp Arg Arg Lys; (SEQ ID
NO: 73) Ile Leu Lys Lys Trp Pro Trp Trp Pro Arg Arg Lys; (SEQ ID
NO: 76) Ala Leu Arg Trp Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 77) Ile Ala Arg Trp Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 78) Ile Leu Ala Trp Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 79) Ile Leu Arg Ala Pro Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 80) Ile Leu Arg Trp Ala Trp Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 81) Ile Leu Arg Trp Pro Ala Trp Pro Trp Arg Arg Lys; (SEQ ID
NO: 82) Ile Leu Arg Trp Pro Trp Ala Pro Trp Arg Arg Lys; (SEQ ID
NO: 31) Lys Arg Arg Trp Pro Trp Trp Pro Trp Lys Lys Leu Ile; (SEQ
ID NO: 43) Lys Arg Arg Trp Pro Trp Trp Pro Trp Arg Leu Ile; (SEQ ID
NO: 54) Ile Leu Lys Lys Trp Pro Trp Trp Pro Trp Arg Arg Lys Met Ile
Leu Lys Lys Ala Gly Ser; (SEQ ID NO: 57) Ile Leu Lys Lys Trp Pro
Trp Trp Pro Trp Arg Arg Lys Met; (SEQ ID NO: 26) Trp Arg Ile Trp
Lys Pro Lys Trp Arg Leu Pro Lys Trp; (SEQ ID NO: 27) Ile Leu Arg
Trp Val Trp Trp Val Trp Arg Arg Lys; (SEQ ID NO: 68) Lys Arg Arg
Trp Val Trp Trp Val Trp Arg Leu Ile; (SEQ ID NO: 83) Ile Leu Arg
Trp Pro Trp Trp Ala Trp Arg Arg Lys; (SEQ ID NO: 84) Ile Leu Arg
Trp Pro Trp Trp Pro Ala Arg Arg Lys; (SEQ ID NO: 85) Ile Leu Arg
Trp Pro Trp Trp Pro Trp Ala Arg Lys; (SEQ ID NO: 86) Ile Leu Arg
Trp Pro Trp Trp Pro Trp Arg Ala Lys; or (SEQ ID NO: 87) Ile Leu Arg
Trp Pro Trp Trp Pro Trp Arg Arg Ala.
2. The method of claim 1, wherein at least one analogue has one or
more amino acids altered to a corresponding D-amino acid.
3. The method of claim 1, wherein the N-terminal and/or C-terminal
amino acid of at least one analogue is a D-amino acid.
4. The method of claim 1, wherein at least one analogue is
acetylated at the N-terminal amino acid.
5. The method of claim 1, wherein at least one analogue is amidated
at the C-terminal amino acid.
6. The method of claim 1, wherein at least one analogue is
esterified at the C-terminal amino acid.
7. The method of claim 1, wherein at least one analogue is modified
by incorporation of homoserine/homoserine lactone at the C-terminal
amino acid.
8. The method of claim 1, wherein the composition is incorporated
in a liposome or a slow-release vehicle.
9. The method of claim 1, wherein the indolicidin analogue has an
amino acid sequence consisting of Ile Leu Arg Trp Pro Trp Trp Pro
Trp Arg Arg Lys (SEQ ID NO: 42).
10. The method of claim 1, wherein the infection is due to a
microorganism selected from the group consisting of a bacterium, a
fungus, and a parasite.
11. The method of claim 10, wherein the microorganism is a
Gram-negative or Gram-positive bacterium.
12. The method of claim 11, wherein the Gram-negative bacterium is
selected from the group consisting of Enterobacter sp., E. coli and
Acinetobacter sp.
13. The method of claim 11, wherein the Gram-positive bacterium is
selected from the group consisting of S. aureus, coagulase negative
staphylococci, S. epidermidis, S. pneumoniae, and Viridans
Streptococci.
14. The method of claim 10, wherein the fungus is a pathogenic
yeast.
15. The method of claim 10, wherein the fungus is a mold that
causes a wound or device-related infection.
16. The method of claim 1, wherein the composition is administered
by intravenous injection, intraperitoneal injection or
implantation, intramuscular injection or implantation, intrathecal
injection, subcutaneous injection or implantation, intradermal
injection, lavage, bladder wash-out, suppositories, pessaries, oral
ingestion, topical application, enteric application, inhalation, or
nasal route.
17. The method of claim 1, wherein the composition is administered
nasally.
18. The method of claim 1, wherein the composition is administered
by local application.
19. The method of claim 1, wherein the method is for preventing a
microbial infection associated with a medical device.
20. The method of claim 19, wherein the medical device is a stent,
tubing, probe, cannula, catheter, synthetic vascular graft, blood
monitoring device, artificial heart valve, or needle.
21. The method of claim 19, wherein the medical device is a
catheter.
22. The method of claim 1, further comprising administering a
therapeutically effective amount of an antibiotic.
23. The method of claim 22, wherein the antibiotic is selected from
the group consisting of minocycline, rifampin, cefazolin,
vancomycin, and teicoplanin.
24. The method of claim 22, wherein the antibiotic is a beta
lactam.
25. The method of claim 22, wherein the indolicidin analogue and
the antibiotic are in the same composition.
26. The method of claim 1, wherein the composition further
comprises a physiologically acceptable buffer.
27. The method of claim 1, wherein the composition is a gel.
28. A method for preventing a catheter-related infection comprising
administering to a patient a therapeutically effective amount of a
composition comprising an indolicidin analogue of up to 35 amino
acids comprising the sequence of Ile Leu Arg Trp Pro Trp Trp Pro
Trp Arg Arg Lys (SEQ ID NO: 42).
29. The method of claim 28, wherein the amino acid sequence
consists of Ile Leu Arg Trp Pro Trp Trp Pro Trp Arg Arg Lys (SEQ ID
NO: 42).
30. The method of claim 28, wherein the composition further
comprises a physiologically acceptable buffer.
31. The method of claim 28, wherein the infection is due to a
Gram-negative or Gram-positive bacterium.
32. The method of claim 31, wherein the Gram-negative bacterium is
selected from the group consisting of Enterobacter sp., E. coli and
Acinetobacter sp.
33. The method of claim 31, wherein the Gram-positive bacterium is
selected from the group consisting of S. aureus, coagulase negative
staphylococci, S. epidermidis, S. pneumoniae, and Viridans
Streptococci.
34. The method of claim 28, wherein the composition is a gel.
Description
CROSS-RELATED APPLICATIONS
[0001] The present application claims priority from U.S.
Continuation application Ser. No. 10/351,985 filed Jan. 24, 2003
which claims priority to U.S. Continuation application Ser. No.
09/667,486 filed Sep. 22, 2000, now U.S. Pat. No. 6,538,106, which
claims priority to U.S. application Ser. No. 08/915,314 filed Aug.
20, 1997, now U.S. Pat. No. 6,180,604, which claims the benefit of
U.S. Provisional Application No. 60/024,754, filed Aug. 21, 1996
and U.S. Provisional Application No. 60/034,949, filed Jan. 13,
1997, all of which are incorporated herein by reference.
TECHNICAL FIELD
[0002] The present invention relates generally to treatment of
microorganism-caused infections, and more specifically, to
compositions comprising indolicidin analogues, polymer-modified
analogues, and their uses in treating infections.
BACKGROUND OF THE INVENTION
[0003] For most healthy individuals, infections are irritating, but
not generally life-threatening. Many infections are successfully
combated by the immune system of the individual. Treatment is an
adjunct and is generally readily available in developed countries.
However, infectious diseases are a serious concern in developing
countries and in immunocompromised individuals.
[0004] In developing countries, the lack of adequate sanitation and
consequent poor hygiene provide an environment that fosters
bacterial, parasitic, fungal and viral infections. Poor hygiene and
nutritional deficiencies may diminish the effectiveness of natural
barriers, such as skin and mucous membranes, to invasion by
infectious agents or the ability of the immune system to clear the
agents. As well, a constant onslaught of pathogens may stress the
immune system defenses of antibody production and phagocytic cells
(e.g., polymorphic neutrophils) to subnormal levels. A breakdown of
host defenses can also occur due to conditions such as circulatory
disturbances, mechanical obstruction, fatigue, smoking, excessive
drinking, genetic defects, AIDS, bone marrow transplant, cancer,
and diabetes. An increasingly prevalent problem in the world is
opportunistic infections in individuals who are HIV positive.
[0005] Although vaccines may be available to protect against some
of these organisms, vaccinations are not always feasible, due to
factors such as inadequate delivery mechanisms and economic
poverty, or effective, due to factors such as delivery too late in
the infection, inability of the patient to mount an immune response
to the vaccine, or evolution of the pathogen. For other pathogenic
agents, no vaccines are available. When protection against
infection is not possible, treatment of infection is generally
pursued. The major weapon in the arsenal of treatments is
antibiotics. While antibiotics have proved effective against many
bacteria and thus saved countless lives, they are not a panacea.
The overuse of antibiotics in certain situations has promoted the
spread of resistant bacterial strains. And of great importance,
antibacterials are useless against viral infections.
[0006] A variety of organisms make cationic (positively charged)
peptides, molecules used as part of a non-specific defense
mechanism against microorganisms. When isolated, these peptides are
toxic to a wide variety of microorganisms, including bacteria,
fungi, and certain enveloped viruses. One cationic peptide found in
neutrophils is indolicidin. While indolicidin acts against many
pathogens, notable exceptions and varying degrees of toxicity
exist.
[0007] Although cationic peptides show efficacy in vitro against a
variety of pathogenic cells including gram-positive bacteria,
gram-negative bacteria, and fungi, these peptides are generally
toxic to mammals when injected, and therapeutic indices are usually
quite small. Approaches to reducing toxicity have included
development of a derivative or delivery system that masks
structural elements involved in the toxic response or that improves
the efficacy at lower doses. Other approaches under evaluation
include liposomes and micellular systems to improve the clinical
effects of peptides, proteins, and hydrophobic drugs, and
cyclodextrins to sequester hydrophobic surfaces during
administration in aqueous media. For example, attachment of
polyethylene glycol (PEG) polymers, most often by modification of
amino groups, improves the medicinal value of some proteins such as
asparaginase and adenosine deaminase, and increases circulatory
half-lives of peptides such as interleukins.
[0008] None of these approaches are shown to improve administration
of cationic peptides. For example, methods for the stepwise
synthesis of polysorbate derivatives that can modify peptides by
acylation reactions have been developed, but acylation alters the
charge of a modified cationic peptide and frequently reduces or
eliminates the antimicrobial activity of the compound. Thus, for
delivery of cationic peptides, as well as other peptides and
proteins, there is a need for a system combining the properties of
increased circulatory half-lives with the ability to form a
micellular structure.
[0009] The present invention discloses analogues of indolicidin,
designed to broaden its range and effectiveness, and further
provide other related advantages. The present invention also
provides methods and compositions for modifying peptides, proteins,
antibiotics and the like to reduce toxicity, as well as providing
other advantages.
SUMMARY OF THE INVENTION
[0010] The present invention generally provides indolicidin
analogues. In related aspects, an indolicidin analogue is provided,
comprising up to 25 amino acids and containing the formula:
RXZXXZXB; BXZXXZXB wherein at least one Z is valine; BBBXZXXZXB;
BXZXXZXBBB.sub.n(AA).sub.nMILBBAGS; BXZXXZXBB(AA).sub.nM;
LBB.sub.nXZ.sub.nXXZ.sub.nXRK; LK.sub.nXZXXZXRRK; BBXZXXZXBBB,
wherein at least two X residues are phenylalanine; BBXZXXZXBBB,
wherein at least two X residues are tyrosine; and wherein Z is
proline or valine; X is a hydrophobic residue; B is a basic amino
acid; AA is any amino acid, and n is 0 or 1. In preferred
embodiments, Z is proline, X is tryptophan and B is arginine or
lysine. In other aspects, indolicidin analogues having specific
sequences are provided. In certain embodiments, the indolicidin
analogues are coupled to form a branched peptide. In other
embodiments, the analogue has one or more amino acids altered to a
corresponding D-amino acid, and in certain preferred embodiments,
the N-terminal and/or the C-terminal amino acid is a D-amino acid.
Other preferred modifications include analogues that are acetylated
at the N-terminal amino acid, amidated at the C-terminal amino
acid, esterified at the C-terminal amino acid, modified by
incorporation of homoserine/homoserine lactone at the C-terminal
amino acid, and conjugated with polyethylene glycol or derivatives
thereof.
[0011] In other aspects, the invention provides an isolated nucleic
acid molecule whose sequence comprises one or more coding sequences
of the indolicidin analogues, expression vectors, and host cells
transfected or transformed with the expression vector.
[0012] Other aspects provide a pharmaceutical composition
comprising at least one indolicidin analogue and a physiologically
acceptable buffer, optionally comprising an antibiotic agent.
Preferred combinations include I L K K F P F F P F R R K and
Ciprofloxacin; I L K K F P F F P F R R K and Mupirocin; I L K K Y P
Y Y P Y R R K and Mupirocin; I L K K W P W W P W R K and Mupirocin;
I L R R W P W W P W R R R and Piperacillin; W R I W K P K W R L P K
W and Ciprofloxacin; W R I W K P K W R L P K W and Mupirocin; W R I
W K P K W R L P K W and Piperacillin; I L R W V W W V W R R K and
Piperacillin; and I L K K W P W W P W K and Mupirocin. In other
embodiments, the pharmaceutical composition further comprises an
antiviral agent, (e.g., acyclovir; amantadine hydrochloride;
didanosine; edoxudine; famciclovir; foscarnet; ganciclovir;
idoxuridine; interferon; lamivudine; nevirapine; penciclovir;
podophyllotoxin; ribavirin; rimantadine; sorivudine; stavudine;
trifluridine; vidarabine; zalcitabine and zidovudine); an
antiparasitic agent (e.g., 8-hydroxyquinoline derivatives; cinchona
alkaloids; nitroimidazole derivatives; piperazine derivatives;
pyrimidine derivatives and quinoline derivatives, albendazole;
atovaquone; chloroquine phosphate; diethylcarbamazine citrate;
eflornithine; halofantrine; iodoquinol; ivermectin; mebendazole;
mefloquine hydrochloride; melarsoprol B; metronidazole;
niclosamide; nifurtimox; paromomycin; pentamidine isethionate;
piperazine; praziquantel; primaquine phosphate; proguanil; pyrantel
pamoate; pyrimethamine; pyrvinium pamoate; quinidine gluconate;
quinine sulfate; sodium stibogluconate; suramin and thiabendazole);
an antifungal agent (e.g., allylamines; imidazoles; pyrimidines and
triazoles, 5-fluorocytosine; amphotericin B; butoconazole;
chlorphenesin; ciclopirox; clioquinol; clotrimazole; econazole;
fluconazole; flucytosine; griseofulvin; itraconazole; ketoconazole;
miconazole; naftifine hydrochloride; nystatin; selenium sulfide;
sulconazole; terbinafine hydrochloride; terconazole; tioconazole;
tolnaftate and undecylenate). In yet other embodiments, the
composition is incorporated in a liposome or a slow-release
vehicle.
[0013] In yet another aspect, the invention provides a method of
treating an infection, comprising administering to a patient a
therapeutically effective amount of a pharmaceutical composition.
The infection may be caused by, for example, a microorganism, such
as a bacterium (e.g., Gram-negative or Gram-positive bacterium or
anaerobe; examples are Acinetobacter spp., Enterobacter spp., E.
coli, H. influenzae, K. pneumoniae, P. aeruginosa, S. marcescens
and S. maltophilia, Bordetella pertussis; Brucella spp.;
Campylobacter spp.; Haemophilus ducreyi; Helicobacter pylori;
Legionella spp.; Moraxella catarrhalis; Neisseria spp.; Salmonella
spp.; Shigella spp. and Yersinia spp.; E. faecalis, S. aureus, E.
faecium, S. pyogenes, S. pneumoniae and coagulase-negative
staphylococci; Bacillus spp.; Corynebacterium spp.; Diphtheroids;
Listeria spp. and Viridans Streptococci.; Clostridium spp.,
Bacteroides spp. and Peptostreptococcus spp.; Borrelia spp.;
Chlamydia spp.; Mycobacterium spp.; Mycoplasma spp.;
Propionibacterium acne; Rickettsia spp.; Treponema spp. and
Ureaplasma spp.) fungus (e.g., yeast and/or mold), parasite (e.g.,
protozoan, nematode, cestode and trematode, such as Babesia spp.;
Balantidium coli; Blastocystis hominis; Cryptosporidium parvum;
Encephalitozoon spp.; Entamoeba spp.; Giardia lamblia; Leishmania
spp.; Plasmodium spp.; Toxoplasma gondii; Trichomonas spp.
Trypanosoma spp, Ascaris lumbricoides; Clonorchis sinensis;
Echinococcus spp.; Fasciola hepatica; Fasciolopsis buski;
Heterophyes heterophyes; Hymenolepis spp.; Schistosoma spp.; Taenia
spp. and Trichinella spiralis) or virus (e.g., Alphavirus;
Arenavirus; Bunyavirus; Coronavirus; Enterovirus; Filovirus;
Flavivirus; Hantavirus; HTLV-BLV; Influenzavirus; Lentivirus;
Lyssavirus; Paramyxovirus; Reovirus; Rhinovirus and Rotavirus,
Adenovirus; Cytomegalovirus; Hepadnavirus; Molluscipoxvirus;
Orthopoxvirus; Papillomavirus; Parvovirus; Polyomavirus;
Simplexvirus and Varicellovirus).
[0014] In other aspects, a composition is provided, comprising an
indolicidin analogue and an antibiotic. In addition, a device,
which may be a medical device, is provided that is coated with the
indolicidin analogue and may further comprise an antibiotic
agent.
[0015] In other aspects, antibodies that react specifically with
any one of the analogues described herein are provided. The
antibody is preferably a monoclonal antibody or single chain
antibody.
[0016] In a preferred aspect, the invention provides a composition
comprising a compound modified by derivatization of an amino group
with a conjugate comprising activated polyoxyalkylene glycol and a
fatty acid. In preferred embodiments, the conjugate further
comprises sorbitan linking the polyoxyalkylene glycol and fatty
acid, and more preferably is polysorbate. In preferred embodiments,
the fatty acid is from 12-18 carbons, and the polyoxyalkylene
glycol is polyoxyethylene, such as with a chain length of from 2 to
100. In certain embodiments, the compound is a peptide or protein,
such as a cationic peptide (e.g., indolicidin or an indolicidin
analogue). In preferred embodiments, the polyoxyalkylene glycol is
activated by irradiation with ultraviolet light.
[0017] The invention also provides a method of making a compound
modified with a conjugate of an activated polyoxyalkylene glycol
and a fatty acid, comprising: (a) freezing a mixture of the
conjugate of an activated polyoxyalkylene glycol and fatty acid
with the compound; and (b) lyophilizing the frozen mixture; wherein
the compound has a free amino group. In preferred embodiments, the
compound is a peptide or antibiotic. In other preferred
embodiments, the mixture in step (a) is in an acetate buffer. In a
related aspect, the method comprises mixing the conjugate of an
activated polyoxyalkylene glycol and fatty acid with the compound;
for a time sufficient to form modified compounds, wherein the
mixture is in a carbonate buffer having a pH greater than 8.5 and
the compound has a free amino group. The modified compound may be
isolated by reversed-phase HPLC and/or precipitation from an
organic solvent.
[0018] The invention also provides a pharmaceutical composition
comprising at least one modified compound and a physiologically
acceptable buffer, and in certain embodiments, further comprises an
antibiotic agent, antiviral agent, an antiparasitic agent, and/or
antifungal agent. The composition may be used to treat an
infection, such as those caused by a microorganism (e.g.,
bacterium, fungus, parasite and virus).
[0019] These and other aspects of the present invention will become
evident upon reference to the following detailed description and
attached drawings. In addition, various references are set forth
below which describe in more detail certain procedures or
compositions (e.g., plasmids, etc.), and are therefore incorporated
by reference in their entirety.
BRIEF DESCRIPTION OF THE DRAWINGS
[0020] FIG. 1 is an SDS-PAGE showing the extraction profile of
inclusion bodies (ib) from whole cells containing MBI-11 fusion
protein. The fusion protein band is indicated by the arrow head.
Lane 1, protein standards; lane 2, total lysate of XL1 Blue without
plasmid; lane 3, total lysate of XL1 Blue (pR2h-11, pGP1-2),
cultivated at 30.degree. C.; lane 4, total lysate of XL1 Blue
(pR2h-11, pGP1-2), induced at 42.degree. C.; lane 5, insoluble
fraction of inclusion bodies after Triton X100 wash; lane 6,
organic extract of MBI-11 fusion protein; lane 7, concentrated
material not soluble in organic extraction solvent.
[0021] FIG. 2 is an SDS-PAGE showing the expression profile of the
MBI-11 fusion protein using plasmid pPDR2h-11. Lane 1, protein
standards; lane 2, organic solvent extracted MBI-11; lane 3, total
lysate of XL1 Blue (pPDR2h-11, pGP1-2), cultured at 30.degree. C.;
lane 4, total lysate of XL1 Blue (pPDR2h-11, pGP1-2), induced at
42.degree. C.
[0022] FIG. 3 presents time kill assay results for MBI 11CN, MBI
11F4CN and MBI 11B7CN. The number of colony forming
units.times.10.sup.-4 is plotted versus time.
[0023] FIG. 4 is a graph presenting the extent of solubility of MBI
11CN peptide in various buffers.
[0024] FIG. 5 is a reversed phase HPLC profile of MBI 11CN in
formulation C1 (left graph panel) and formulation D (right graph
panel).
[0025] FIG. 6 presents CD spectra of MBI 11CN and MBI 11B7CN.
[0026] FIG. 7 presents results of ANTS/DPX dye release of egg PC
liposomes at various ratios of lipid to protein.
[0027] FIG. 8 presents graphs showing the activity of MBI 11B7CN
against mid-log cells grown in terrific broth (TB) or Luria-Bretani
broth (LB).
[0028] FIG. 9 shows results of treatment of bacteria with MBI 10CN,
MBI 11CN, or a control peptide alone or in combination with
valinomycin.
[0029] FIG. 10 is a graph showing treatment of bacteria with MBI
11B7CN in the presence of NaCl or Mg.sup.2+.
[0030] FIG. 11 is a graph presenting the in vitro amount of free
MBI 11CN in plasma over time. Data is shown for peptide in
formulation C1 and formulation D.
[0031] FIG. 12 is a graph presenting change in in vivo MBI 11CN
levels in blood at various times after intravenous injection.
[0032] FIG. 13 is a graph presenting change in in vivo MBI 11CN
levels in plasma at various times after intraperitoneal
injection.
[0033] FIG. 14 is a graph showing the number of animals surviving
an MSSA infection after intraperitoneal injection of MBI 10CN,
ampicillin, or vehicle.
[0034] FIG. 15 is a graph showing the number of animals surviving
an MSSA infection after intraperitoneal injection of MBI 11CN,
ampicillin, or vehicle.
[0035] FIG. 16 is a graph showing the results of in vivo testing of
MBI-11A1CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0036] FIG. 17 is a graph showing the results of in vivo testing of
MBI-11E3CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0037] FIG. 18 is a graph showing the results of in vivo testing
of: MBI-11F3CN against S. aureus (Smith). Formulated peptide at
various concentrations is administered by ip injection one hour
after infection with S. aureus (Smith) by ip injection.
[0038] FIG. 19 is a graph showing the results of in vivo testing of
MBI-11G2CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0039] FIG. 20 is a graph showing the results of in vivo testing of
MBI-11CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0040] FIG. 21 is a graph showing the results of in vivo testing of
MBI-11B1CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0041] FIG. 22 is a graph showing the results of in vivo testing of
MBI-11B7CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0042] FIG. 23 is a graph showing the results of in vivo testing of
MBI-11B8CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0043] FIG. 24 is a graph showing the results of in vivo testing of
MBI-11G4CN against S. aureus (Smith). Formulated peptide at various
concentrations is administered by ip injection one hour after
infection with S. aureus (Smith) by ip injection.
[0044] FIGS. 25A and B display a graph showing the number of
animals surviving an S. epidermidis infection after intravenous
injection of MBI 10CN, gentamicin, or vehicle. Panel A, i.v.
injection 15 min post-infection; panel B, i.v. injection 60 min
post-infection.
[0045] FIG. 26 is a graph showing the number of animals surviving
an MRSA infection mice after intravenous injection of MBI 11CN,
gentamicin, or vehicle.
[0046] FIG. 27 presents RP-HPLC traces analyzing samples for
APS-peptide formation after treatment of activated polysorbate with
a reducing agent. APS-MBI-11CN peptides are formed via
lyophilization in 200 mM acetic acid-NaOH, pH 4.6, 1 mg/ml MBI
11CN, and 0.5% activated polysorbate 80. The stock solution of
activated 2.0% polysorbate is treated with (a) no reducing agent,
(b) 150 mM 2-mercaptoethanol, or (c) 150 mM sodium borohydride for
1 hour immediately before use.
[0047] FIG. 28 presents RP-HPLC traces monitoring the formation of
APS-MBI 11CN over time in aqueous solution. The reaction occurs in
200 mM sodium carbonate buffer pH 10.0, 1 mg/ml MBI 11CN, 0.5%
activated polysorbate 80. Aliquots are removed from the reaction
vessel at the indicated time points and immediately analyzed by
RP-HPLC.
DETAILED DESCRIPTION OF THE INVENTION
[0048] Prior to setting forth the invention, it may be helpful to
an understanding thereof to set forth definitions of certain terms
that are used herein.
[0049] The amino acid designations herein are set forth as either
the standard one-or three-letter code. A capital letter indicates
an L-form amino acid; a small letter indicates a D-form amino
acid.
[0050] As used herein, "indolicidin" refers to an antimicrobial
cationic peptide. Indolicidins may be isolated from a variety of
organisms. One indolicidin is isolated from bovine neutrophils and
is a 13 amino acid peptide amidated at the carboxy-terminus in its
native form (Selsted et al., J. Biol. Chem. 267:4292, 1992). An
amino acid sequence of indolicidin is presented in SEQ ID NO:
1.
[0051] As used herein, a "peptide analogue", "analogue", or
"variant" of indolicidin is at least 5 amino acids in length, has
at least one basic amino acid (e.g., arginine and lysine) and has
anti-microbial activity. Unless otherwise indicated, a named amino
acid refers to the L-form. Basic amino acids include arginine,
lysine, and derivatives. Hydrophobic residues include tryptophan,
phenylalanine, isoleucine, leucine, valine, and derivatives.
[0052] Also included within the scope of the present invention are
amino acid derivatives that have been altered by chemical means,
such as methylation (e.g., .alpha. methylvaline), amidation,
especially of the C-terminal amino acid by an alkylamine (e.g.,
ethylamine, ethanolamine, and ethylene diamine) and alteration of
an amino acid side chain, such as acylation of the .epsilon.-amino
group of lysine. Other amino acids that may be incorporated in the
analogue include any of the D-amino acids corresponding to the 20
L-amino acids commonly found in proteins, imino amino acids, rare
amino acids, such as hydroxylysine, or non-protein amino acids,
such as homoserine and ornithine. A peptide analogue may have none
or one or more of these derivatives, and D-amino acids. In
addition, a peptide may also be synthesized as a retro-, inverto-
or retro-inverto-peptide.
A. Indolicidin Analogues
[0053] As noted above, the present invention provides indolicidin
analogues. These analogues may be synthesized by chemical methods,
especially using an automated peptide synthesizer, or produced by
recombinant methods. The choice of an amino acid sequence is guided
by a general formula presented herein.
[0054] 1. Peptide Characteristics
[0055] The present invention provides indolicidin analogues. The
analogues are at least 5 or 7 amino acids in length and preferably
not more than 15, 20, 25, 27, 30, or 35 amino acids. Analogues from
9 to 14 residues are preferred.
[0056] General formulas for peptide analogues in the scope of the
present invention may be set forth as:
RXZXXZXB (1)
BXZXXZXB (2)
BBBXZXXZXB (3)
BXZXXZXBBB.sub.n(AA).sub.nMILBBAGS (4)
BXZXXZXBB(AA).sub.nM (5)
LBB.sub.nXZ.sub.nXXZ.sub.nXRK (6)
LK.sub.nXZXXZXRRK (7)
BBXZXXZXBBB (8)
BBXZXXZXBBB (9)
[0057] wherein standard single letter amino abbreviations are used
and; Z is proline, glycine or a hydrophobic residue, and preferably
Z is proline or valine; X is a hydrophobic residue, such as
tryptophan, phenylalanine, isoleucine, leucine and valine, and
preferably tryptophan; B is a basic amino acid, preferably arginine
or lysine; AA is any amino acid, and n is 0 or 1. In formula (2),
at least one Z is valine; in formula (8), at least two Xs are
phenylalanine; and in formula (9), at least two Xs are tyrosine.
Additional residues may be present at the N-terminus, C-terminus,
or both.
[0058] As described above, modification of any of the residues
including the N- or C-terminus is within the scope of the
invention. A preferred modification of the C-terminus is amidation.
Other modifications of the C-terminus include esterification and
lactone formation. N-terminal modifications include acetylation,
acylation, alkylation, PEGylation, myristylation, and the like.
Additionally, the peptide may be modified to form an APS-peptide as
described below. The peptides may also be labeled, such as with a
radioactive label, a fluorescent label, a mass spectrometry tag,
biotin and the like.
[0059] 2. Peptide Synthesis
[0060] Peptide analogues may be synthesized by standard chemical
methods, including synthesis by automated procedure. In general,
peptide analogues are synthesized based on the standard solid-phase
Fmoc protection strategy with HATU as the coupling agent. The
peptide is cleaved from the solid-phase resin with trifluoroacetic
acid containing appropriate scavengers, which also deprotects side
chain functional groups. Crude peptide is further purified using
preparative reversed-phase chromatography. Other purification
methods, such as partition chromatography, gel filtration, gel
electrophoresis, or ion-exchange chromatography may be used.
[0061] Other synthesis techniques, known in the art, such as the
tBoc protection strategy, or use of different coupling reagents or
the like can be employed to produce equivalent peptides.
[0062] Peptides may be synthesized as a linear molecule or as
branched molecules. Branched peptides typically contain a core
peptide that provides a number of attachment points for additional
peptides. Lysine is most commonly used for the core peptide because
it has one carboxyl functional group and two (alpha and epsilon)
amine functional groups. Other diamino acids can also be used.
Preferably, either two or three levels of geometrically branched
lysines are used; these cores form a tetrameric and octameric core
structure, respectively (Tam, Proc. Natl. Acad. Sci. USA 85:5409,
1988). Schematically, examples of these cores are represented as
shown:
##STR00001##
[0063] The attachment points for the peptides are typically at
their carboxyl functional group to either the alpha or epsilon
amine groups of the lysines. To synthesize these multimeric
peptides, the solid phase resin is derivatized with the core
matrix, and subsequent synthesis and cleavage from the resin
follows standard procedures. The multimeric peptide is typically
then purified by dialysis against 4 M guanidine hydrochloride then
water, using a membrane with a pore size to retain only multimers.
The multimeric peptides may be used within the context of this
invention as for any of the linear peptides and are preferred for
use in generating antibodies to the peptides.
[0064] 3. Recombinant Production of Peptides
[0065] Peptide analogues may alternatively be synthesized by
recombinant production (see e.g., U.S. Pat. No. 5,593,866). A
variety of host systems are suitable for production of the peptide
analogues, including bacteria (e.g., E. coli), yeast (e.g.,
Saccharomyces cerevisiae), insect (e.g., Sf9), and mammalian cells
(e.g, CHO, COS-7). Many expression vectors have been developed and
are available for each of these hosts. Generally, bacteria cells
and vectors that are functional in bacteria are used in this
invention. However, at times, it may be preferable to have vectors
that are functional in other hosts. Vectors and procedures for
cloning and expression in E. coli are discussed herein and, for
example, in Sambrook et al. (Molecular Cloning: A Laboratory
Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor,
N.Y., 1987) and in Ausubel et al. (Current Protocols in Molecular
Biology, Greene Publishing Co., 1995).
[0066] A DNA sequence encoding one or more indolicidin analogues is
introduced into an expression vector appropriate for the host. In
preferred embodiments, the analogue gene is cloned into a vector to
create a fusion protein. The fusion partner is chosen to contain an
anionic region, such that a bacterial host is protected from the
toxic effect of the peptide. This protective region effectively
neutralizes the antimicrobial effects of the peptide and also may
prevent peptide degradation by host proteases. The fusion partner
(carrier protein) of the invention may further function to
transport the fusion peptide to inclusion bodies, the periplasm,
the outer membrane, or the extracellular environment. Carrier
proteins suitable in the context of this invention specifically
include, but are not limited to, glutathione-S-transferase (GST),
protein A from Staphylococcus aureus, two synthetic IgG-binding
domains (ZZ) of protein A, outer membrane protein F,
.beta.-galactosidase (lacZ), and various products of bacteriophage
.lamda. and bacteriophage T7. From the teachings provided herein,
it is apparent that other proteins may be used as carriers.
Furthermore, the entire carrier protein need not be used, as long
as the protective anionic region is present. To facilitate
isolation of the peptide sequence, amino acids susceptible to
chemical cleavage (e.g., CNBr) or enzymatic cleavage (e.g., V8
protease, trypsin) are used to bridge the peptide and fusion
partner. For expression in E. coli, the fusion partner is
preferably a normal intracellular protein that directs expression
toward inclusion body formation. In such a case, following cleavage
to release the final product, there is no requirement for
renaturation of the peptide. In the present invention, the DNA
cassette, comprising fusion partner and peptide gene, may be
inserted into an expression vector, which can be a plasmid, virus
or other vehicle known in the art. Preferably, the expression
vector is a plasmid that contains an inducible or constitutive
promoter to facilitate the efficient transcription of the inserted
DNA sequence in the host. Transformation of the host cell with the
recombinant DNA may be carried out by Ca.sup.++-mediated
techniques, by electroporation, or other methods well known to
those skilled in the art.
[0067] Briefly, a DNA fragment encoding a peptide analogue is
derived from an existing cDNA or genomic clone or synthesized. A
convenient method is amplification of the gene from a
single-stranded template. The template is generally the product of
an automated oligonucleotide synthesis. Amplification primers are
derived from the 5' and 3' ends of the template and typically
incorporate restriction sites chosen with regard to the cloning
site of the vector. If necessary, translational initiation and
termination codons can be engineered into the primer sequences. The
sequence encoding the protein may be codon-optimized for expression
in the particular host. Thus, for example, if the analogue fusion
protein is expressed in bacteria, codons are optimized for
bacterial usage. Codon optimization is accomplished by automated
synthesis of the entire gene or gene region, ligation of multiple
oligonucleotides, mutagenesis of the native sequence, or other
techniques known to those in the art.
[0068] At minimum, the expression vector should contain a promoter
sequence. However, other regulatory sequences may also be included.
Such sequences include an enhancer, ribosome binding site,
transcription termination signal sequence, secretion signal
sequence, origin of replication, selectable marker, and the like.
The regulatory sequences are operationally associated with one
another to allow transcription and subsequent translation. In
preferred aspects, the plasmids used herein for expression include
a promoter designed for expression of the proteins in bacteria.
Suitable promoters, including both constitutive and inducible
promoters, are widely available and are well known in the art.
Commonly used promoters for expression in bacteria include
promoters from T7, T3, T5, and SP6 phages, and the trp, lpp, and
lac operons. Hybrid promoters (see, U.S. Pat. No. 4,551,433), such
as tac and trc, may also be used.
[0069] In preferred embodiments, the vector includes a
transcription terminator sequence. A "transcription terminator
region" is a sequence that provides a signal that terminates
transcription by the polymerase that recognizes the selected
promoter. The transcription terminator may be obtained from the
fusion partner gene or from another gene, as long as it is
functional in the host.
[0070] Within a preferred embodiment, the vector is capable of
replication in bacterial cells. Thus, the vector may contain a
bacterial origin of replication. Preferred bacterial origins of
replication include f1-ori and col E1 ori, especially the ori
derived from pUC plasmids. Low copy number vectors (e.g., pPD100)
may also be used, especially when the product is deleterious to the
host.
[0071] The plasmids also preferably include at least one selectable
marker that is functional in the host. A selectable marker gene
confers a phenotype on the host that allows transformed cells to be
identified and/or selectively grown. Suitable selectable marker
genes for bacterial hosts include the chloroamphenicol resistance
gene (Cm.sup.r), ampicillin resistance gene (Amp.sup.r),
tetracycline resistance gene (Tc.sup.r) kanamycin resistance gene
(Kan.sup.r), and others known in the art. To function in selection,
some markers may require a complementary deficiency in the
host.
[0072] In some aspects, the sequence of nucleotides encoding the
peptide analogue also encodes a secretion signal, such that the
resulting peptide is synthesized as a precursor protein, which is
subsequently processed and secreted. The resulting secreted protein
may be recovered from the periplasmic space or the fermentation
medium. Sequences of secretion signals suitable for use are widely
available and are well known (von Heijne, J. Mol. Biol. 184:99-105,
1985).
[0073] The vector may also contain a gene coding for a repressor
protein, which is capable of repressing the transcription of a
promoter that contains a repressor binding site. Altering the
physiological conditions of the cell can depress the promoter. For
example, a molecule may be added that competitively binds the
repressor, or the temperature of the growth media may be altered.
Repressor proteins include, but are not limited to the E. coli lacI
repressor (responsive to induction by IPTG), the temperature
sensitive .lamda.cI857 repressor, and the like.
[0074] Examples of plasmids for expression in bacteria include the
pET expression vectors pET3a, pET 11a, pET 12a-c, and pET 15b (see
U.S. Pat. No. 4,952,496; available from Novagen, Madison, Wis.).
Low copy number vectors (e.g., pPD100) can be used for efficient
overproduction of peptides deleterious to the E. coli host (Dersch
et al., FEMS Microbiol. Lett. 123: 19, 1994).
[0075] Bacterial hosts for the T7 expression vectors may contain
chromosomal copies of DNA encoding T7 RNA polymerase operably
linked to an inducible promoter (e.g., lacUV promoter; see, U.S.
Pat. No. 4,952,496), such as found in the E. coli strains
HMS174(DE3)pLysS, BL21(DE3)pLysS, HMS174(DE3) and BL21(DE3). T7 RNA
polymerase can also be present on plasmids compatible with the T7
expression vector. The polymerase may be under control of a lambda
promoter and repressor (e.g., pGP1-2; Tabor and Richardson, Proc.
Natl. Acad. Sci. USA 82: 1074, 1985).
[0076] The peptide analogue protein is isolated by standard
techniques, such as affinity, size exclusion, or ionic exchange
chromatography, HPLC and the like. An isolated peptide should
preferably show a major band by Coomassie blue stain of SDS-PAGE
that is at least 90% of the material.
[0077] 4. Generation of Analogues by Amplification-Based
Semi-Random Mutagenesis
[0078] Indolicidin analogues can be generated using an
amplification (e.g., PCR)-based procedure in which primers are
designed to target sequences at the 5' and 3' ends of an encoded
parent peptide, for example indolicidin. Amplification conditions
are chosen to facilitate misincorporation of nucleotides by the
thermostable polymerase during synthesis. Thus, random mutations
are introduced in the original sequence, some of which result in
amino acid alteration(s). Amplification products may be cloned into
a coat protein of a phage vector, such as a phagemid vector,
packaged and amplified in an acceptable host to produce a display
library.
[0079] These libraries can then be assayed for antibiotic activity
of the peptides. Briefly, bacteria infected with the library are
plated, grown, and overlaid with agarose containing a bacterial
strain that the phage are unable to infect. Zones of growth
inhibition in the agarose overlay are observed in the area of phage
expressing an analogue with anti-bacterial activity. These
inhibiting phage are isolated and the cloned peptide sequence
determined by DNA sequence analysis. The peptide can then be
independently synthesized and its antibiotic activity further
investigated.
[0080] 5. Antibodies to Indolicidin Analogues
[0081] Antibodies are typically generated to a specific peptide
analogue using multiple antigenic peptides (MAPs) that contain
approximately eight copies of the peptide linked to a small
non-immunogenic peptidyl core to form an immunogen. (See, in
general, Harlow and Lane, supra.) The MAPs are injected
subcutaneously into rabbits or into mice or other rodents, where
they may have sufficiently long half-lives to facilitate antibody
production. After twelve weeks blood samples are taken, serum is
separated and tested in an ELISA assay against the original
peptide, with a positive result indicating the presence of
antibodies specific to the target peptide. This serum can then be
stored and used in ELISA assays to specifically measure the amount
of the specific analogue. Alternatively, other standard methods of
antibody production may be employed, for example generation of
monoclonal antibodies.
[0082] Within the context of the present invention, antibodies are
understood to include monoclonal antibodies, polyclonal antibodies,
anti-idiotypic antibodies, antibody fragments (e.g., Fab, and
F(ab').sub.2, F.sub.v variable regions, or complementarity
determining regions). Antibodies are generally accepted as specific
against indolicidin analogues if they bind with a K.sub.d of
greater than or equal to 10.sup.-7M, preferably greater than of
equal to 10.sup.-8M. The affinity of a monoclonal antibody or
binding partner can be readily determined by one of ordinary skill
in the art (see Scatchard, Ann. N.Y Acad. Sci. 51:660-672, 1949).
Once suitable antibodies have been obtained, they may be isolated
or purified by many techniques well known to those of ordinary
skill in the art.
[0083] Monoclonal antibodies may also be readily generated from
hybridoma cell lines using conventional techniques (see U.S. Pat.
Nos. RE 32,011, 4,902,614, 4,543,439, and 4,411,993; see also
Antibodies: A Laboratory Manual, Harlow and Lane (eds.), Cold
Spring Harbor Laboratory Press, 1988). Briefly, within one
embodiment, a subject animal such as a rat or mouse is injected
with peptide, generally administered as an emulsion in an adjuvant
such as Freund's complete or incomplete adjuvant in order to
increase the immune response. The animal is generally boosted at
least once prior to harvest of spleen and/or lymph nodes and
immortalization of those cells. Various immortalization techniques,
such as mediated by Epstein-Barr virus or fusion to produce a
hybridoma, may be used. In a preferred embodiment, immortilization
occurs by fusion with a suitable myeloma cell line to create a
hybridoma that secretes monoclonal antibody. Suitable myeloma lines
include, for example, NS-1 (ATCC No. TIB 18), and P3X63-Ag 8.653
(ATCC No. CRL 1580). The preferred fusion partners do not express
endogenous antibody genes. After about seven days, the hybridomas
may be screened for the presence of antibodies that are reactive
against a telomerase protein. A wide variety of assays may be
utilized (see Antibodies: A Laboratory Manual, Harlow and Lane
(eds.), Cold Spring Harbor Laboratory Press, 1988).
[0084] Other techniques may also be utilized to construct
monoclonal antibodies (see Huse et al., Science 246:1275-1281,
1989; Sastry et al., Proc. Natl. Acad. Sci. USA 86:5728-5732, 1989;
Alting-Mees et al., Strategies in Molecular Biology 3:1-9, 1990;
describing recombinant techniques). These techniques include
cloning heavy and light chain immunoglobulin cDNA in suitable
vectors, such as .lamda.ImmunoZap(H) and .lamda.ImmunoZap(L). These
recombinants may be screened individually or co-expressed to form
Fab fragments or antibodies (see Huse et al., supra; Sastry et al.,
supra). Positive plaques may subsequently be converted to a
non-lytic plasmid that allows high level expression of monoclonal
antibody fragments from E. coli.
[0085] Similarly, portions or fragments, such as Fab and Fv
fragments, of antibodies may also be constructed utilizing
conventional enzymatic digestion or recombinant DNA techniques to
yield isolated variable regions of an antibody. Within one
embodiment, the genes which encode the variable region from a
hybridoma producing a monoclonal antibody of interest are amplified
using nucleotide primers for the variable region. In addition,
techniques may be utilized to change a "murine" antibody to a
"human" antibody, without altering the binding specificity of the
antibody.
B. Testing
[0086] Indolicidin analogues of the present invention are assessed
either alone or in combination with an antibiotic agent or another
analogue for their potential as antibiotic therapeutic agents using
a series of assays. Preferably, all peptides are initially assessed
in vitro, the most promising candidates selected for further
assessment in vivo, and using the results of these assays
candidates are selected for pre-clinical studies. The in vitro
assays include measurement of antibiotic activity, toxicity,
solubility, pharmacology, secondary structure, liposome
permeabilization and the like. In vivo assays include assessment of
efficacy in animal models, antigenicity, toxicity, and the like. In
general, in vitro assays are initially performed, followed by in
vivo assays.
[0087] 1. In Vitro Assays
[0088] Indolicidin analogues are assessed for antibiotic activity
by an assay such as an agarose dilution MIC assay or a broth
dilution or time-kill assay. Antibiotic activity is measured as
inhibition of growth or killing of a microorganism (e.g., bacteria,
fungi). Briefly, a candidate analogue in Mueller Hinton broth
supplemented with calcium and magnesium is mixed with molten
agarose. Other formulations of broths and agars may be used as long
as the peptide analogue can freely diffuse through the medium. The
agarose is poured into petri dishes or wells, allowed to solidify,
and a test strain is applied to the agarose plate. The test strain
is chosen, in part, on the intended application of the analogue.
Thus, by way of example, if an analogue with activity against S.
aureus is desired, an S. aureus strain is used. It may be desirable
to assay the analogue on several strains and/or on clinical
isolates of the test species. Plates are incubated overnight and,
on the following day, inspected visually for bacterial growth. The
minimum inhibitory concentration (MIC) of an analogue is the lowest
concentration of peptide that completely inhibits growth of the
organism. Analogues that exhibit good activity against the test
strain, or group of strains, typically having an MIC of less than
or equal to 16 .mu.g/ml are selected for further testing.
[0089] The selected analogues may be further tested for their
toxicity to normal mammalian cells. An exemplary assay is a red
blood cell (RBC) (erythrocyte) hemolysis assay. Briefly, red blood
cells are isolated from whole blood, typically by centrifugation,
and washed free of plasma components. A 1% (v/v) suspension of
erythrocytes in isotonic saline is incubated with different
concentrations of peptide analogue. Generally, the analogue will be
in a suitable formulation buffer. After incubation for
approximately 1 hour at 37.degree. C., the cells are centrifuged,
and the absorbance of the supernatant at 540 nm is determined. A
relative measure of lysis is determined by comparison to absorbance
after complete lysis of erythrocytes using NH.sub.4Cl or equivalent
(establishing a 100% value). An analogue that is not lytic, or is
only moderately lytic, as exemplified in Example 8, is desirable
and is suitable for further screening. Other in vitro toxicity
assays, for example measurement of toxicity towards cultured
mammalian cells, may be used to assess in vitro toxicity.
[0090] Solubility of the peptide analogue in formulation buffer is
an additional parameter that may be examined. Several different
assays may be used, such as appearance in buffer. Briefly, peptide
analogue is suspended in solution, such as broth or formulation
buffer. The appearance is evaluated according to a scale that
ranges from (a) clear, no precipitate, (b) light, diffuse
precipitate, to (c) cloudy, heavy precipitate. Finer gradations may
be used. In general, less precipitate is more desirable. However,
some precipitate may be acceptable.
[0091] Additional in vitro assays may be carried out to assess the
potential of the analogue as a therapeutic. Such assays include
peptide solubility in formulations, pharmacology in blood or
plasma, serum protein binding, analysis of secondary structure, for
example by circular dichroism, liposome permeabilization, and
bacterial inner membrane permeabilization. In general, it is
desirable that analogues are soluble and perform better than
indolicidin.
[0092] 2. In Vivo Assays
[0093] Analogues selected on the basis of the results from the in
vitro assays can be tested in vivo for efficacy, toxicity and the
like.
[0094] The antibiotic activity of selected analogues may be
assessed in vivo for their ability to ameliorate microbial
infections using animal models. Within these assays, an analogue is
useful as a therapeutic if inhibition of microorganismal growth
compared to inhibition with vehicle alone is statistically
significant. This measurement can be made directly from cultures
isolated from body fluids or sites, or indirectly, by assessing
survival rates of infected animals. For assessment of antibacterial
activity several animal models are available, such as acute
infection models including those in which (a) normal mice receive a
lethal dose of microorganisms, (b) neutropenic mice receive a
lethal dose of microorganisms or (c) rabbits receive an inoculum in
the heart, and chronic infection models. The model selected will
depend in part on the intended clinical indication of the
analogue.
[0095] By way of example, in one such normal mouse model, mice are
inoculated ip or iv with a lethal dose of bacteria. Typically, the
dose is such that 90-100% of animals die within 2 days. The choice
of a microrganismal strain for this assay depends, in part, upon
the intended application of the analogue, and in the accompanying
examples, assays are carried out with three different
Staphylococcus strains. Briefly, shortly before or after
inoculation (generally within 60 minutes), analogue in a suitable
formulation buffer is injected. Multiple injections of analogue may
be administered. Animals are observed for up to 8 days
post-infection and the survival of animals is recorded. Successful
treatment either rescues animals from death or delays death to a
statistically significant level, as compared with non-treatment
control animals. Analogues that show better efficacy than
indolicidin itself are preferred.
[0096] In vivo toxicity of an analogue is measured through
administration of a range of doses to animals, typically mice, by a
route defined in part by the intended clinical use. The survival of
the animals is recorded and LD.sub.50, LD.sub.90-100, and maximum
tolerated dose (MTD) can be calculated to enable comparison of
analogues. Analogues less toxic than indolicidin are preferred.
[0097] Additional in vivo assays may be performed to assist in the
selection of analogues for clinical development. For example,
immunogenicity of analogues can be evaluated, typically by
injection of the analogue in formulation buffer into normal
animals, generally mice, rats, or rabbits. At various times after
injection, serum is obtained and tested for the presence of
antibodies that bind to the analogue. Testing after multiple
injections, mimicking treatment protocols, may also be performed.
Antibodies to analogues can be identified by ELISA,
immunoprecipitation assays, Western blots, and other methods. (see,
Harlow and Lane, Antibodies: A Laboratory Manual, Cold Spring
Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1988). Analogues
that elicit no or minimal production of antibodies are preferred.
Additionally, pharmacokinetics of the analogues in animals and
histopathology of animals treated with analogues may be
determined.
[0098] Selection of indolicidin analogues as potential therapeutics
is based on in vitro and in vivo assay results. In general, peptide
analogues that exhibit low toxicity at high dose levels and high
efficacy at low dose levels are preferred candidates.
[0099] 3. Synergy Assays
[0100] For assessment of analogues in combination with an
antibiotic or another analogue, the combination can be subjected to
the above series of assays. Antibiotics include any chemical that
tends to prevent, inhibit or destroy life and as such, antibiotics
include anti-bacterial agents, anti-fungicides, anti-viral agents,
and anti-parasitic agents. Merely by way of example, anti-bacterial
antibiotics are discussed. Methods for mixing and administering the
components vary depending on the intended clinical use of the
combination.
[0101] Briefly, one assay for in vitro anti-bacterial activity, the
agarose dilution assay, is set up with an array of plates that each
contain a combination of peptide analogue and antibiotic in various
concentrations. The plates are inoculated with bacterial isolates,
incubated, and the MICs of the components recorded. These results
are then used to calculate the FIC. Antibiotics used in testing
include, but are not limited to, penicillins, cephalosporins,
carbacephems, cephamycins, carbapenems, monobactams,
aminoglycosides, glycopeptides, quinolones, tetracyclines,
macrolides, and fluoroquinolones (see Table 1 below).
[0102] Examples of antibiotics include, but are not limited to,
Penicillin G (CAS Registry No.: 61-33-6); Methicillin (CAS Registry
No.: 61-32-5); Nafcillin (CAS Registry No.: 147-52-4); Oxacillin
(CAS Registry No.: 66-79-5); Cloxacillin (CAS Registry No.:
61-72-3); Dicloxacillin (CAS Registry No.: 3116-76-5); Ampicillin
(CAS Registry No.: 69-53-4); Amoxicillin (CAS Registry No.:
26787-78-0); Ticarcillin (CAS Registry No.: 34787-01-4);
Carbenicillin (CAS Registry No.: 4697-36-3); Mezlocillin (CAS
Registry No.: 51481-65-3); Azlocillin (CAS Registry No.:
37091-66-0); Piperacillin (CAS Registry No.: 61477-96-1); Imipenem
(CAS Registry No.: 74431-23-5); Aztreonam (CAS Registry No.:
78110-38-0); Cephalothin (CAS Registry No.: 153-61-7); Cefazolin
(CAS Registry No.: 25953-19-9); Cefaclor (CAS Registry No.:
70356-03-5); Cefamandole formate sodium (CAS Registry No.:
42540-40-9); Cefoxitin (CAS Registry No.: 35607-66-0); Cefuroxime
(CAS Registry No.: 55268-75-2); Cefonicid (CAS Registry No.:
61270-58-4); Cefmetazole (CAS Registry No.: 56796-20-4); Cefotetan
(CAS Registry No.: 69712-56-7); Cefprozil (CAS Registry No.:
92665-29-7); Loracarbef (CAS Registry No.: 121961-22-6); Cefetamet
(CAS Registry No.: 65052-63-3); Cefoperazone (CAS Registry No.:
62893-19-0); Cefotaxime (CAS Registry No.: 63527-52-6); Ceftizoxime
(CAS Registry No.: 68401-81-0); Ceftriaxone (CAS Registry No.:
73384-59-5); Ceftazidime (CAS Registry No.: 72558-82-8); Cefepime
(CAS Registry No.: 88040-23-7); Cefixime (CAS Registry No.:
79350-37-1); Cefpodoxime (CAS Registry No.: 80210-62-4); Cefsulodin
(CAS Registry No.: 62587-73-9); Fleroxacin (CAS Registry No.:
79660-72-3); Nalidixic acid (CAS Registry No.: 389-08-2);
Norfloxacin (CAS Registry No.: 70458-96-7); Ciprofloxacin (CAS
Registry No.: 85721-33-1); Ofloxacin (CAS Registry No.:
82419-36-1); Enoxacin (CAS Registry No.: 74011-58-8); Lomefloxacin
(CAS Registry No.: 98079-51-7); Cinoxacin (CAS Registry No.:
28657-80-9); Doxycycline (CAS Registry No.: 564-25-0); Minocycline
(CAS Registry No.: 10118-90-8); Tetracycline (CAS Registry No.:
60-54-8); Amikacin (CAS Registry No.: 37517-28-5); Gentamicin (CAS
Registry No.: 1403-66-3); Kanamycin (CAS Registry No.: 8063-07-8);
Netilmicin (CAS Registry No.: 56391-56-1); Tobramycin (CAS Registry
No.: 32986-56-4); Streptomycin (CAS Registry No.: 57-92-1);
Azithromycin (CAS Registry No.: 83905-01-5); Clarithromycin (CAS
Registry No.: 81103-11-9); Erythromycin (CAS Registry No.:
114-07-8); Erythromycin estolate (CAS Registry No.: 3521-62-8);
Erythromycin ethyl succinate (CAS Registry No.: 41342-53-4);
Erythromycin glucoheptonate (CAS Registry No.: 23067-13-2);
Erythromycin lactobionate (CAS Registry No.: 3847-29-8);
Erythromycin stearate (CAS Registry No.: 643-22-1); Vancomycin (CAS
Registry No.: 1404-90-6); Teicoplanin (CAS Registry No.:
61036-64-4); Chloramphenicol (CAS Registry No.: 56-75-7);
Clindamycin (CAS Registry No.: 18323-44-9); Trimethoprim (CAS
Registry No.: 738-70-5); Sulfamethoxazole (CAS Registry No.:
723-46-6); Nitrofurantoin (CAS Registry No.: 67-20-9); Rifampin
(CAS Registry No.: 13292-46-1); Mupirocin (CAS Registry No.:
12650-69-0); Metronidazole (CAS Registry No.: 443-48-1); Cephalexin
(CAS Registry No.: 15686-71-2); Roxithromycin (CAS Registry No.:
80214-83-1); Co-amoxiclavuanate; combinations of Piperacillin and
Tazobactam; and their various salts, acids, bases, and other
derivatives.
TABLE-US-00001 TABLE 1 Class of Antibiotic Antibiotic Mode of
Action PENICILLINS Blocks the formation of new cell walls in
bacteria Natural Penicillin G, Benzylpenicillin Penicillin V,
Phenoxymethylpenicillin Penicillinase resistant Methicillin,
Nafcillin, Oxacillin Cloxacillin, Dicloxacillin
Acylamino-penicillins Ampicillin, Amoxicillin Carboxy-penicillins
Ticarcillin, Carbenicillin Ureido-penicillins Mezlocillin,
Azlocillin, Piperacillin CARBAPENEMS Imipenem, Meropenem Blocks the
formation of new cell walls in bacteria MONOBACTAMS Aztreonam
Blocks the formation of new cell walls in bacteria CEPHALOSPORINS
Prevents formation of new cell walls in bacteria 1st Generation
Cephalothin, Cefazolin 2nd Generation Cefaclor, Cefamandole
Cefuroxime, Cefonicid, Cefmetazole, Cefotetan, Cefprozil 3rd
Generation Cefetamet, Cefoperazone Cefotaxime, Ceftizoxime
Ceftriaxone, Ceftazidime Cefixime, Cefpodoxime, Cefsulodin 4th
Generation Cefepime CARBACEPHEMS Loracarbef Prevents formation of
new cell walls in bacteria CEPHAMYCINS Cefoxitin Prevents formation
of new cell walls in bacteria QUINOLONES Fleroxacin, Nalidixic Acid
Inhibits bacterial DNA Norfloxacin, Ciprofloxacin synthesis
Ofloxacin, Enoxacin Lomefloxacin, Cinoxacin TETRACYCLINES
Doxycycline, Minocycline, Inhibits bacterial protein Tetracycline
synthesis, binds to 30S ribosome subunit. AMINOGLYCOSIDES Amikacin,
Gentamicin, Kanamycin, Inhibits bacterial protein Netilmicin,
Tobramycin, synthesis, binds to 30S Streptomycin ribosome subunit.
MACROLIDES Azithromycin, Clarithromycin, Inhibits bacterial protein
Erythromycin synthesis, binds to 50S ribosome subunit Derivatives
of Erythromycin estolate, Erythromycin Erythromycin stearate
Erythromycin ethylsuccinate Erythromycin gluceptate Erythromycin
lactobionate GLYCOPEPTIDES Vancomycin, Teicoplanin Inhibits cell
wall synthesis, prevents peptidoglycan elongation. MISCELLANEOUS
Chloramphenicol Inhibits bacterial protein synthesis, binds to 50S
ribosome subunit. Clindamycin Inhibits bacterial protein synthesis,
binds to 50S ribosome subunit. Trimethoprim Inhibits the enzyme
dihydrofolate reductase, which activates folic acid.
Sulfamethoxazole Acts as antimetabolite of PABA & inhibits
synthesis of folic acid Nitrofurantoin Action unknown, but is
concentrated in urine where it can act on urinary tract bacteria
Rifampin Inhibits bacterial RNA polymerase Mupirocin Inhibits
bacterial protein synthesis
[0103] Synergy is calculated according to the formula below. An FIC
of .ltoreq.0.5 is evidence of synergy, although combinations with
higher values may be therapeutically useful.
MIC ( peptide in combination ) MIC ( peptide alone ) + MIC (
antibiotic in combination ) MIC ( antibiotic alone ) = F I C
##EQU00001##
[0104] For example, antibiotics from the groups of penicillins,
cephalosporins, carbacephems, cephamycins, carbapenems,
monobactams, aminoglycosides, glycopeptides, quinolones,
tetracyclines, macrolides, fluoroquinolones, and other
miscellaneous antibiotics may be used in combination with any of
the peptides disclosed herein. For example, MBI 11A1CN or MBI
11D18CN with Ciprofloxacin, MBI 11A1CN, MBI 11A3CN, MBI 11B4CN, MBI
11D18CN or MBI 11G13CN with Mupirocin, MBI 11B9CN, MBI 11D18CN or
MBI 11F4CN with Piperacillin are preferred combinations.
C. Polymer Modification of Peptides and Proteins
[0105] As noted herein, the present invention provides methods and
compositions for modifying a compound with a free amine group, such
as peptides, proteins, certain antibiotics, and the like, with an
activated polysorbate ester and derivatives. When the compounds are
peptides or proteins, the modified or derivatized forms are
referred to herein as "APS-modified peptides" or "APS-modified
proteins". Similarly, modified forms of antibiotics are referred to
as "APS-modified antibiotics." APS-modified compounds (e.g.,
APS-cationic peptides) have improved pharmacological
properties.
[0106] In addition to peptides and proteins, antibiotics,
antifungals, anti-rythmic drugs, and any other compound with a free
primary or other amine are suitable for modification. For example,
cephalosporins, aminopenicillins, ethambutol, pyrazinamide,
sulfonamines, quinolones (e.g., ciprofloxacin, clinafloxacin)
aminoglycosides and spectinomycins, including, but not limited to,
streptomycin, neomycin, kanamycin, gentamicin, have free amines for
modification. Anti-fungals such as amphotericin B, nystatin,
5-fluorocytosine, and the like have amines available for
derivativization. Anti-virals, such as tricyclic amines (e.g.,
amantadine); and anti-parasitic agents (e.g., dapsone), may all be
derivatized. For exemplary purposes only, the discussion herein is
directed to modified peptides and proteins.
[0107] 1. Characteristics of Reagent
[0108] As discussed herein, a suitable reagent for formation of
APS-modified compounds (e.g., peptides and proteins) comprises a
hydrophobic region and a hydrophilic region, and optionally a
linker. The hydrophobic region is a lipophilic compound with a
suitable functional group for conjugation to the hydrophilic region
or linker. The hydrophilic region is a polyalkylene glycol. As used
herein, "polyalkylene glycol" refers to 2 or 3 carbon polymers of
glycols. Two carbon polyalkylenes include polyethylene glycol (PEG)
of various molecular weights, and its derivatives, such as
polysorbate. Three carbon polyalkylenes include polypropylene
glycol and its derivatives.
[0109] The hydrophobic region is generally a fatty acid, but may be
a fatty alcohol, fatty thiol, and the like, which are also
lipophilic compounds. The fatty acid may be saturated or
unsaturated. The chain length does not appear to be important,
although typically commercially available fatty acids are used and
have chain lengths of C.sub.12-18. The length may be limited
however by solubility or solidity of the compound, that is longer
lengths of fatty acids are solid at room temperature. Fatty acids
of 12 carbons (lauryl), 14 carbons, 16 carbons (palmitate), and 18
carbons (monostearate or oleate) are preferred chain lengths.
[0110] The hydrophilic region is a polyalkylene glycol, either
polyethylene or polypropylene glycol monoether. The ether function
is formed by the linkage between the polyoxyethylene chain,
preferably having a chain length of from 2 to 100 monomeric units,
and the sorbitan group. Polymethylene glycol is unsuitable for
administration in animals due to formation of formaldehydes, and
glycols with a chain length of .gtoreq.4 may be insoluble. Mixed
polyoxyethylene-polyoxypropylene chains are also suitable.
[0111] A linker for bridging the hydrophilic and hydrophobic
regions is not required, but if used, should be a bifunctional
nucleophile able to react with both polyalkylene glycol and the
hydrophobic region. The linker provides electrons for a
nucleophilic reaction with the polyalkylene glycol, typically
formed by reaction with ethylene oxide or propylene oxide. Suitable
linkers include sorbitan, sugar alcohols, ethanolamine,
ethanolthiol, 2-mercaptoethanol, 1,6 diaminohexane, an amino acid
(e.g., glutamine, lysine), other reduced sugars, and the like. For
example, sorbitan forms an ester linkage with the fatty acid in a
polysorbate.
[0112] Suitable compounds include polyoxyethylenesorbitans, such as
the monolaurate, monooleate, monopalmitate, monostearate,
trioleate, and tristearate esters. These and other suitable
compounds may be synthesized by standard chemical methods or
obtained commercially (e.g., Sigma Chemical Co., MO; Aldrich
Chemical Co., WI; J.B. Baker, NJ).
[0113] 2. Activation of Reagent
[0114] The reagent, generally a polysorbate, is activated by
exposure to UV light with free exchange of air. Activation is
achieved using a lamp that irradiates at 254 nm or 302 nm.
Preferably, the output is centered at 254 nm. Longer wave lengths
may require longer activation time. While some evidence exists that
fluorescent room light can activate the polysorbates, experiments
have shown that use of UV light at 254 nm yields maximal activation
before room light yields a detectable level of activation.
[0115] Air plays an important role in the activation of the
polysorbates. Access to air doubles the rate of activation relative
to activations performed in sealed containers. It is not yet known
which gas is responsible; an oxygen derivative is likely, although
peroxides are not involved. UV exposure of compounds with ether
linkages is known to generate peroxides, which can be detected and
quantified using peroxide test strips. In a reaction, hydrogen
peroxide at 1 to 10 fold higher level than found in UV-activated
material was added to a polysorbate solution in the absence of
light. No activation was obtained.
[0116] The reagent is placed in a suitable vessel for irradiation.
A consideration for the vessel is the ability to achieve uniform
irradiation. Thus, if the pathlength is long, the reagent may be
mixed or agitated. The activation requires air; peroxides are not
involved in the activation. The reagent can be activated in any
aqueous solution and buffering is not required.
[0117] An exemplary activation takes place in a cuvette with a 1 cm
liquid thickness. The reagent is irradiated at a distance of less
than 9 cm at 1500 .mu.W/cm.sup.2 (initial source output) for
approximately 24 hours. Under these conditions, the activated
reagent converts a minimum of 85% of the peptide to
APS-peptide.
[0118] 3. Modification of Peptides or Proteins with Activated
Reagent
[0119] The peptides or proteins are reacted with the APS reagent in
either a liquid or solid phase and become modified by the
attachment of the APS derivative. The methods described herein for
attachment offer the advantage of maintaining the charge on the
peptide or protein. When the charge of the peptide is critical to
its function, such as the antibiotic activity of cationic peptides
described herein, these attachment methods offer additional
advantages. Methods that attach groups via acylation result in the
loss of positive charge via conversion of amino to amido groups. In
addition, no bulky or potentially antigenic linker, such as a
triazine group, is known to be introduced by the methods described
herein.
[0120] As noted above, APS-peptide formation occurs in solid phase
or in aqueous solution. Briefly, in the solid phase method, the
peptide is suspended in a suitable buffer, such as an acetate
buffer. Other suitable buffers that support APS-peptide formation
may also be used. The acetate buffer may be sodium, rubidium,
lithium, and the like. Other acetate solutions, such as HAc or
HAc-NaOH, are also suitable. A preferred pH range for the buffer is
from 2 to 8.3, although a wider range may be used. When the
starting pH of the acetic acid-NaOH buffer is varied, subsequent
lyophilization from 200 mM acetic acid buffer yields only the Type
I modified peptide (see Example 14). The presence of an alkaline
buffer component results in the formation of Type II modified
peptides. A typical peptide concentration is 1 mg/ml, which results
in 85-95% modified peptide, however other concentrations are
suitable. The major consideration for determining concentration
appears to be economic. The activated polymer (APS) is added in
molar excess to the peptide, such that a 1:1 molar ratio of
APS-modified peptide is generated. Generally, a starting ratio of
approximately 2.5:1 (APS:peptide) to 5:1 (APS: peptide) yields a
1:1 APS-modified peptide.
[0121] The reaction mix is then frozen (e.g., -80.degree. C.) and
lyophilized. Sodium acetate disproportionates into acetic acid and
NaOH during lyophilization; removal of the volatile acetic acid by
the vacuum leaves NaOH dispersed throughout the result solid
matrix. This loss of acetic acid is confirmed by a pH increase
detected upon dissolution of the lyophilizate. No APS-modified
peptide is formed in acetate buffer if the samples are only frozen
then thawed.
[0122] The modification reaction can also take place in aqueous
solution. However, APS modifications do not occur at ambient
temperature in any acetate buffer system tested regardless of pH.
APS modifications also are not formed in phosphate buffers as high
as pH 11.5. APS modification does occur in a sodium carbonate
buffer at a pH greater than about 8.5. Other buffers may also be
used if they support derivitization. A pH range of 9-11 is also
suitable, and pH 10 is most commonly used. The reaction occurs in
two phases: Type I peptides form first, followed by formation of
Type II peptides.
[0123] In the present invention, linkage occurs at an amino group.
For a peptide, linkage can occur at the .alpha.-NH.sub.2 of the
N-terminal amino acid or .epsilon.-NH.sub.2 group of lysine. Other
primary and secondary amines may also be modified. Complete
blocking of all amino groups by acylation (MBI 11CN-Y1) inhibits
APS-peptide formation. Thus, modification of arginine or tryptophan
residues does not occur. If the only amino group available is the
.alpha.-amino group (e.g., MBI 11B9CN and MBI 11G14CN), the Type I
form is observed. The inclusion of a single lysine (e.g., MBI
11B1CN, MBI 11B7CN, MBI 11B8CN), providing an .epsilon.-amino
group, results in Type II forms as well. The amount of Type II
formed increases for peptides with more lysine residues.
[0124] 4. Purification and Physical Properties of APS-Modified
Peptides
[0125] The APS-modified peptides may be purified. In circumstances
in which the free peptide is toxic, purification may be necessary
to remove unmodified peptide and/or unreacted polysorbate. Any of a
variety of purification methods may be used. Such methods include
reversed phase HPLC, precipitation by organic solvent to remove
polysorbate, size exclusion chromatography, ion exchange
chromatography, filtration and the like. RP-HPLC is preferred.
Procedures for these separation methods are well known.
[0126] APS-peptide (or protein) formation results in the generation
of peptide-containing products that are more hydrophobic that the
parent peptide. This property can be exploited to effect separation
of the conjugate from free peptide by RP-HPLC. The conjugates are
resolved into two populations based on their hydrophobicity as
determined by RP-HPLC; the Type I population elutes slightly
earlier than the Type II population.
[0127] The MBI 11 series of peptides have molecular weights between
1600 and 2500. When run on a Superose 12 column, a size exclusion
column, these peptides elute no earlier than the bed volume
indicating a molecular mass below 20 kDa. In contrast, the
APS-modified peptides elute at 50 kDa, thus demonstrating a large
increase in apparent molecular mass.
[0128] An increase in apparent molecular mass could enhance the
pharmacokinetics of the cationic peptides because increased
molecular mass reduces the rate at which peptides and proteins are
removed from blood. Micelle formation may offer additional benefits
by delivering "packets" of peptide molecules to microorganisms
rather than relying on the multiple binding of single peptide
molecules. In addition, the APS-modified peptides are soluble in
methylene chloride or chloroform, whereas the parent peptide is
essentially insoluble. This increased organic solubility may
significantly enhance the ability to penetrate tissue barriers.
[0129] In addition, by circular dichroism (CD) studies,
APS-modified peptides are observed to have an altered 3-dimensional
conformation. As shown in the Examples, MBI 11CN and MBI 11B7CN
have unordered structures in phosphate buffer or 40% aqueous
trifluoroethanol (TFE) and form a .beta.-turn conformation only
upon insertion into liposomes. In contrast, CD spectra for
APS-modified MBI 11CN and APS-modified MBI 11B7CN indicate
.beta.-turn structure in phosphate buffer.
D. Formulations and Administration
[0130] As noted above, the present invention provides methods for
treating and preventing infections by administering to a patient a
therapeutically effective amount of a peptide analogue of
indolicidin as described herein. Patients suitable for such
treatment may be identified by well-established hallmarks of an
infection, such as fever, pus, culture of organisms, and the like.
Infections that may be treated with peptide analogues include those
caused by or due to microorganisms. Examples of microorganisms
include bacteria (e.g., Gram-positive, Gram-negative), fungi,
(e.g., yeast and molds), parasites (e.g., protozoans, nematodes,
cestodes and trematodes), viruses, and prions. Specific organisms
in these classes are well known (see for example, Davis et al.,
Microbiology, 3.sup.rd edition, Harper & Row, 1980). Infections
include, but are not limited to, toxic shock syndrome, diphtheria,
cholera, typhus, meningitis, whooping cough, botulism, tetanus,
pyogenic infections, dysentery, gastroenteritis, anthrax, Lyme
disease, syphilis, rubella, septicemia and plague.
[0131] Effective treatment of infection may be examined in several
different ways. The patient may exhibit reduced fever, reduced
number of organisms, lower level of inflammatory molecules (e.g.,
IFN-.gamma., IL-12, IL-1, TNF), and the like.
[0132] Peptide analogues of the present invention are preferably
administered as a pharmaceutical composition. Briefly,
pharmaceutical compositions of the present invention may comprise
one or more of the peptide analogues described herein, in
combination with one or more physiologically acceptable carriers,
diluents, or excipients. As noted herein, the formulation buffer
used may affect the efficacy or activity of the peptide analogue. A
suitable formulation buffer contains buffer and solubilizer. The
formulation buffer may comprise buffers such as sodium acetate,
sodium citrate, neutral buffered saline, phosphate-buffered saline,
and the like or salts, such as NaCl. Sodium acetate is preferred.
In general, an acetate buffer from 5 to 500 mM is used, and
preferably from 100 to 200 mM. The pH of the final formulation may
range from 3 to 10, and is preferably approximately neutral (about
pH 7-8). Solubilizers, such as polyoxyethylenesorbitans (e.g.,
Tween 80, Tween 20) and polyoxyethylene ethers (e.g., Brij 56) may
also be added if the compound is not already APS-modified.
[0133] Although the formulation buffer is exemplified herein with
peptide analogues of the present invention, this buffer is
generally useful and desirable for delivery of other peptides.
Peptides that may be delivered in this formulation buffer include
indolicidin, other indolicidin analogues (see, PCT WO 95/22338),
bacteriocins, gramicidin, bactenecin, drosocin, polyphemusins,
defensins, cecropins, melittins, cecropin/melittin hybrids,
magainins, sapecins, apidaecins, protegrins, tachyplesins,
thionins; IL-1 through 15; corticotropin-releasing hormone; human
growth hormone; insulin; erythropoietin; thrombopoietin; myelin
basic protein peptides; various colony stimulating factors such as
M-CSF, GM-CSF, kit ligand; and peptides and analogues of these and
similar proteins.
[0134] Additional compounds may be included in the compositions.
These include, for example, carbohydrates such as glucose, mannose,
sucrose or dextrose, mannitol, other proteins, polypeptides or
amino acids, chelating agents such as EDTA or glutathione,
adjuvants and preservatives. As noted herein, pharmaceutical
compositions of the present invention may also contain one or more
additional active ingredients, such as an antibiotic (see
discussion herein on synergy) or cytokine.
[0135] The compositions may be administered in a delivery vehicle.
For example, the composition can be encapsulated in a liposome
(see, e.g., WO 96/10585; WO 95/35094), complexed with lipids,
encapsulated in slow-release or sustained release vehicles, such as
poly-galactide, and the like. Within other embodiments,
compositions may be prepared as a lyophilizate, utilizing
appropriate excipients to provide stability.
[0136] Pharmaceutical compositions of the present invention may be
administered in various manners. For example, peptide analogues may
be administered by intravenous injection, intraperitoneal injection
or implantation, subcutaneous injection or implantation,
intradermal injection, lavage, inhalation, implantation,
intramuscular injection or implantation, intrathecal injection,
bladder wash-out, suppositories, pessaries, topical (e.g., creams,
ointments, skin patches, eye drops, ear drops, shampoos)
application, enteric, oral, or nasal route. The analogue may be
applied locally as an injection, drops, spray, tablets, cream,
ointment, gel, and the like. Analogue may be administered as a
bolus or as multiple doses over a period of time.
[0137] The level of peptide in serum and other tissues after
administration can be monitored by various well-established
techniques such as bacterial, chromatographic or antibody based,
such as ELISA, assays.
[0138] Pharmaceutical compositions of the present invention are
administered in a manner appropriate to the infection or disease to
be treated. The amount and frequency of administration will be
determined by factors such as the condition of the patient, the
cause of the infection, and the severity of the infection.
Appropriate dosages may be determined by clinical trials, but will
generally range from about 0.1 to 50 mg/kg.
[0139] In addition, the analogues of the present invention may be
used in the manner of common disinfectants or in any situation in
which microorganisms are undesirable. For example, these peptides
may be used as surface disinfectants, coatings, including covalent
bonding, for medical devices, coatings for clothing, such as to
inhibit growth of bacteria or repel mosquitoes, in filters for air
purification, such as on an airplane, in water purification,
constituents of shampoos and soaps, food preservatives, cosmetic
preservatives, media preservatives, herbicide or insecticides,
constituents of building materials, such as in silicone sealant,
and in animal product processing, such as curing of animal hides.
As used herein, "medical device" refers to any device for use in a
patient, such as an implant or prosthesis. Such devices include,
stents, tubing, probes, cannulas, catheters, synthetic vascular
grafts, blood monitoring devices, artificial heart valves, needles,
and the like.
[0140] For these purposes, typically the peptides alone or in
conjunction with an antibiotic are included in compositions
commonly employed or in a suitable applicator, such as for applying
to clothing. They may be incorporated or impregnated into the
material during manufacture, such as for an air filter, or
otherwise applied to devices. The peptides and antibiotics need
only be suspended in a solution appropriate for the device or
article. Polymers are one type of carrier that can be used.
[0141] The analogues, especially the labeled analogues, may be used
in image analysis and diagnostic assays or for targeting sites in
eukaryotic multicellular and single cell cellular organisms and in
prokaryotes. As a targeting system, the analogues may be coupled
with other peptides, proteins, nucleic acids, antibodies and the
like.
[0142] The following examples are offered by way of illustration,
and not by way of limitation.
EXAMPLES
Example 1
Synthesis Purification and Characterization of Peptide
Analogues
[0143] Peptide synthesis is based on the standard solid-phase Fmoc
protection strategy. The instrument employed is a 9050 Plus
PepSynthesiser (PerSeptive BioSystems Inc.). Polyethylene glycol
polystyrene (PEG-PS) graft resins are employed as the solid phase,
derivatized with an Fmoc-protected amino acid linker for C-terminal
amide synthesis. HATU
(O-(7-azabenzotriazole-1-yl)-1,1,3,3-tetramethyluronium
hexafluorophosphate) is used as the coupling reagent. During
synthesis, coupling steps are continuously monitored to ensure that
each amino acid is incorporated in high yield. The peptide is
cleaved from the solid-phase resin using trifluoroacetic acid and
appropriate scavengers and the crude peptide is purified using
preparative reversed-phase chromatography.
[0144] All peptides are analyzed by mass spectrometry to ensure
that the product has the expected molecular mass. The product
should have a single peak accounting for >95% of the total peak
area when subjected to analytical reversed-phase high performance
liquid chromatography (RP-HPLC). In addition, the peptide should
show a single band accounting for >90% of the total band
intensity when subjected to acid-urea gel electrophoresis.
[0145] Peptide content, the amount of the product that is peptide
rather than retained water, salt or solvent, is measured by
quantitative amino acid analysis, free amine derivatization or
spectrophotometric quantitation. Amino acid analysis also provides
information on the ratio of amino acids present in the peptide,
which assists in confirming the authenticity of the peptide.
[0146] Peptide analogues and their names are listed in Table 2. In
this table, and elsewhere, the amino acids are denoted by the
one-letter amino acid code and lower case letters represent the
D-form of the amino acid.
TABLE-US-00002 TABLE 2 10 I L P W K W P W W P W R R 10CN I L P W K
W P W W P W R R 11 I L K K W P W W P W R R K 11CN I L K K W P W W P
W R R K 11CNR K R R W P W W P W K K L I 11A1CN I L K K F P F F P F
R R K 11A2CN I L K K I P I I P I R R K 11A3CN I L K K Y P Y Y P Y R
R K 11A4CN I L K K W P W P W R R K 11A5CN I L K K Y P W Y P W R R K
11A6CN I L K K F P W F P W R R K 11A7CN I L K K F P F W P W R R K
11A8CN I L R Y V Y Y V Y R R K 11B1CN I L R R W P W W P W R R K
11B2CN I L R R W P W W P W R K 11B3CN I L K W P W W P W R R K
11B4CN I L K K W P W W P W R K 11B5CN I L K W P W W P W R K 11B7CN
I L R W P W W P W R R K 11B7CNR K R R W P W W P W R L I 11B8CN I L
W P W W P W R R K 11B9CN I L R R W P W W P W R R R 11B10CN I L K K
W P W W P W K K K 11B16CN I L R W P W W P W R R K I M I L K K A G S
11B17CN I L R W P W W P W R R K M I L K K A G S 11B18CN I L R W P W
W P W R R K D M I L K K A G S 11C3CN I L K K W A W W P W R R K
11C4CN I L K K W P W W A W R R K 11C5CN W W K K W P W W P W R R K
11D1CN L K K W P W W P W R R K 11D3CN P W W P W R R K 11D4CN I L K
K W P W W P W R R K M I L K K A G S 11D5CN I L K K W P W W P W R R
M I L K K A G S 11D6CN I L K K W P W W P W R R I M I L K K A G S
11D11H I L K K W P W W P W R R K M 11D12H I L K K W P W W P W R R M
11D13H I L K K W P W W P W R R I M 11D14CN I L K K W W W P W R K
11D15CN I L K K W P W W W R K 11D18CN W R I W K P K W R L P K W
11E1CN i K K W P W W P W R R K 11E2CN I L K K W P W W P W R R k
11E3CN I L K K W P W W P W R R k 11F1CN I L K K W V W W V W R R K
11F2CN I L K K W P W W V W R R K 11F3CN I L K K W V W W P W R R K
11F4CN I L R W V W W V W R R K 11F4CNR K R R W V W W V W R L I
11G2CN I K K W P W W P W R R K 11G3CN I L K K P W W P W R R K
11G4CN I L K K W W W P W R R K 11G5CN I L K K W P W W W R R K
11G6CN I L K K W P W W P R R K 11G7CN I L K K W P W W P W R R
11G13CN I L K K W P W W P W K 11G14CN I L K K W P W W P W R 11H1CN
A L R W P W W P W R R K 11H2CN I A R W P W W P W R R K 11H3CN I L A
W P W W P W R R K 11H4CN I L R A P W W P W R R K 11H5CN I L R W A W
W P W R R K 11H6CN I L R W P A W P W R R K 11H7CN I L R W P W A P W
R R K 11H8CN I L R W P W W A W R R K 11H9CN I L R W P W W P A R R K
11H10CN I L R W P W W P W A R K 11H11CN I L R W P W W P W R A K
11H12CN I L R W P W W P W R R A CN suffix = amidated C-terminus H
suffix = homoserine at C-terminus R suffix = retro-synthesized
peptide
Example 2
Synthesis of Modified Peptides
[0147] Indolicidin analogues are modified to alter the physical
properties of the original peptide. Such modifications include:
acetylation at the N-terminus, Fmoc-derivatized N-terminus,
polymethylation, peracetylation, and branched derivatives.
[0148] .alpha.-N-terminal acetylation. Prior to cleaving the
peptide from the resin and deptrotecting it, the fully protected
peptide is treated with N-acetylimidazole in DMF for 1 hour at room
temperature, which results in selective reaction at the
.alpha.-N-terminus. The peptide is then deprotected/cleaved and
purified as for an unmodified peptide.
[0149] Fmoc-derivatized .alpha.-N-terminus. If the final Fmoc
deprotection step is not carried, the .alpha.-N-terminus Fmoc group
remains on the peptide. The peptide is then side-chain
deprotected/cleaved and purified as for an unmodified peptide.
[0150] Polymethylation. The purified peptide in a methanol solution
is treated with excess sodium bicarbonate, followed by excess
methyl iodide. The reaction mixture is stirred overnight at room
temperature, extracted with organic solvent, neutralized and
purified as for an unmodified peptide. Using this procedure, a
peptide is not fully methylated; methylation of MBI 11CN yielded an
average of 6 methyl groups. Thus, the modified peptide is a mixture
of methylated products.
[0151] Peracetylation. A purified peptide in DMF solution is
treated with N-acetylimidazole for 1 hour at room temperature. The
crude product is concentrated, dissolved in water, lyophilized,
re-dissolved in water and purified as for an unmodified peptide.
Complete acetylation of primary amine groups is observed.
[0152] Four/eight branch derivatives. The branched peptides are
synthesized on a four or eight branched core bound to the resin.
Synthesis and deprotection/cleavage proceed as for an unmodified
peptide. These peptides are purified by dialysis against 4 M
guanidine hydrochloride then water, and analyzed by mass
spectrometry.
[0153] Peptides modified using the above procedures are listed in
Table 3.
TABLE-US-00003 TABLE 3 Peptide Peptide modified name Sequence
Modification 10 10A I L P W K W P W W P W R R Acetylated
.alpha.-N-terminus 11 11A I L K K W P W W P W R R K Acetylated
.alpha.-N-terminus 11CN 11CAN I L K K W P W W P W R R K Acetylated
.alpha.-N-terminus 11CN 11CNW1 I L K K W P W W P W R R K
Fmoc-derivatized N-terminus 11CN 11CNX1 I L K K W P W W P W R R K
Polymethylated derivative 11CN 11CNY1 I L K K W P W W P W R R K
Peracetylated derivative 11 11M4 I L K K W P W W P W R R K Four
branch derivative 11 11M8 I L K K W P W W P W R R K Eight branch
derivative 11B1CN 11B1CNW1 I L R R W P W W P W R R K
Fmoc-derivatized N-terminus 11B4CN 11B4ACN I L K K W P W W P W R K
Acetylated N-terminus 11B9CN 11B9ACN I L R R W P W W P W R R R
Acetylated N-terminus 11D9 11D9M8 W W P W R R K Eight branch
derivative 11D10 11D10M8 I L K K W P W Eight branch derivative
11G6CN 11G6ACN I L K K W P W W P R R K Acetylated
.alpha.-N-terminus 11G7CN 11G7ACN I L K K W P W W P W R R
Acetylated .alpha.-N-terminus
Example 3
Recombinant Production of Peptide Analogues
[0154] Peptide analogues are alternatively produced by recombinant
DNA technique in bacterial host cells. The peptide is produced as a
fusion protein, chosen to assist in transporting the fusion peptide
to inclusion bodies, periplasm, outer membrane or extracellular
environment.
Construction of Plasmids Encoding MBI-11 Peptide Fusion Protein
[0155] Amplification by polymerase chain reaction is used to
synthesize double-stranded DNA encoding the MBI peptide genes from
single-stranded templates. For MBI-11, 100 .mu.l of reaction mix is
prepared containing 50 to 100 ng of template, 25 pmole of each
primer, 1.5 mM MgCl.sub.2, 200 .mu.M of each dNTP, 2U of Taq
polymerase in the supplier's buffer. The reactions proceeded with
25 cycles of 94.degree. C. for 30 sec., 55.degree. C. for 30 sec.,
74.degree. C. for 30 sec., followed by 74.degree. C. for 1 min.
Amplified product is digested with BamHI and HindIII and cloned
into a plasmid expression vector encoding the fusion partner and a
suitable selection marker.
Production of MBI-11 Peptide Fusion in E. coli
[0156] The plasmid pR2h-11, employing a T7 promoter, high copy
origin of replication, Ap.sup.r marker and containing the gene of
the fusion protein, is co-electroporated with pGP1-2 into E. coli
strain XL1-Blue. Plasmid pGP1-2 contains a T7 RNA polymerase gene
under control of a lambda promoter and cI857 repressor gene. Fusion
protein expression is induced by a temperature shift from
30.degree. C. to 42.degree. C. Inclusion bodies are washed with
solution containing solubilizer and extracted with organic
extraction solvent. Profiles of the samples are analyzed by
SDS-PAGE. FIG. 1 shows the SDS-PAGE analysis and an extraction
profile of inclusion body from whole cell. The major contaminant in
the organic solvent extracted material is .beta.-lactamase (FIG.
1). The expression level in these cells is presented in Table
4.
TABLE-US-00004 TABLE 4 % protein Fusion Mol. mass in whole % in
inclusion % which is protein (kDa) cell lysate body extract MBI-11
peptide MBI-11 20.1 15 42 7.2
[0157] In addition, a low-copy-number vector, pPD100, which
contains a chloramphenicol resistance gene, is used to express
MBI-11 in order to eliminate the need for using ampicillin, thereby
reducing the appearance of .beta.-lactamase in extracted material.
This plasmid allows selective gene expression and high-level
protein overproduction in E. coli using the bacteriophage T7 RNA
polymerase/T7 promoter system (Dersch et al., FEMS Microbiol. Lett.
123: 19-26, 1994). pPD 100 contains a chloramphenicol resistance
gene (CAT) as a selective marker, a multiple cloning site, and an
ori sequence derived from the low-copy-number vector pSC101. There
are only about 4 to 6 copies of these plasmids per host cell. The
resulting construct containing MBI-11 is called pPDR2h-11. FIG. 2
presents a gel electrophoresis analysis of the MBI-11 fusion
protein expressed in this vector. Expression level of MBI-11 fusion
protein is comparable with that obtained from plasmid pR2h-11. The
CAT gene product is not apparent, presumably due to the
low-copy-number nature of this plasmid, CAT protein is not
expressed at high levels in pPDR2h-11.
Example 4
In Vitro Assays to Measure Peptide Analogue Activity
Agarose Dilution Assay
[0158] The agarose dilution assay measures antimicrobial activity
of peptides and peptide analogues, which is expressed as the
minimum inhibitory concentration (MIC) of the peptides.
[0159] In order to mimic in vivo conditions, calcium and magnesium
supplemented Mueller Hinton broth is used in combination with a low
EEO agarose as the bacterial growth medium. The more commonly used
agar is replaced with agarose as the charged groups in agar prevent
peptide diffusion through the media. The media is autoclaved and
then cooled to 50-55.degree. C. in a water bath before aseptic
addition of antimicrobial solutions. The same volume of different
concentrations of peptide solution are added to the cooled molten
agarose that is then poured to a depth of 3-4 mm.
[0160] The bacterial inoculum is adjusted to a 0.5 McFarland
turbidity standard (PML Microbiological) and then diluted 1:10
before application on to the agarose plate. The final inoculum
applied to the agarose is approximately 10.sup.4 CFU in a 5-8 mm
diameter spot. The agarose plates are incubated at 35-37.degree. C.
for 16 to 20 hours.
[0161] The MIC is recorded as the lowest concentration of peptide
that completely inhibits growth of the organism as determined by
visual inspection. Representative MICs for various indolicidin
analogues are shown in the Table 5 below.
TABLE-US-00005 TABLE 5 Organism Organism # MIC (.mu.g/ml) 1. MBI 10
A. calcoaceticus AC001 128 E. coli ECO002 128 E. faecalis EFS004 8
K. pneumoniae KP001 128 P. aeruginosa PA003 >128 S. aureus SA007
2 S. maltophilia SMA001 128 S. marcescens SMS003 >128 2. MBI 10A
E. faecalis EFS004 16 E. faecium EFM003 8 S. aureus SA010 8 3. MBI
10CN A. calcoaceticus AC001 64 E. cloacae ECL007 >128 E. coli
ECO001 32 E. coli SBECO2 16 E. faecalis EFS004 8 E. faecium EFM003
2 K. pneumoniae KP002 64 P. aeruginosa PA002 >128 S. aureus
SA003 2 S. epidermidis SE010 4 S. maltophilia SMA002 64 S.
marcescens SMS004 >128 4. MBI 11 A. calcoaceticus AC002 8 E.
cloacae ECL007 >128 E. coli ECO002 64 E. faecium EFM003 4 E.
faecalis EFS002 64 K. pneumoniae KP001 128 P. aeruginosa PA004
>128 S. aureus SA004 4 S. maltophilia SMA002 128 S. marcescens
SMS004 >128 5. MBI 11A A. calcoaceticus AC001 >64 E. cloacae
ECL007 >64 E. coli ECO005 >64 E. faecalis EFS004 32 K.
pneumoniae KP001 64 P. aeruginosa PA024 >64 S. aureus SA002 4 S.
maltophilia SMA002 >64 S. marcescens SMS003 >64 6. MBI 11ACN
A. calcoaceticus AC002 2 E. cloacae ECL007 >128 E. coli ECO005
16 E. faecalis EFS004 8 E. faecalis EFS008 64 K. pneumoniae KP001
16 P. aeruginosa PA004 >128 S. aureus SA014 8 S. epidermidis
SE010 4 S. maltophilia SMA002 64 S. marcescens SMS003 >128 7.
MBI 11CN A. calcoaceticus AC001 128 E. cloacae ECL007 >64 E.
coli ECO002 8 E. faecium EFM001 8 E. faecalis EFS001 32 H.
influenzae HIN001 >128 K. pneumoniae KP002 128 P. aeruginosa
PA003 >128 P. mirabilis PM002 >128 S. aureus SA003 2 S.
marcescens SBSM1 >128 S. pneumoniae SBSPN2 >128 S.
epidermidis SE001 2 S. maltophilia SMA001 64 S. marcescens SMS003
>128 S. pyogenes SPY003 8 8. MBI 11CNR A. calcoaceticus AC002 4
E. cloacae ECL007 >128 E. coli ECO005 8 E. faecalis EFS001 4 K.
pneumoniae KP001 4 P. aeruginosa PA004 32 S. aureus SA093 4 S.
epidermidis SE010 4 S. maltophilia SMA002 32 S. marcescens SMS003
128 9. MBI 11CNW1 A. calcoaceticus AC002 8 E. cloacae ECL007 64 E.
coli ECO005 32 E. faecalis EFS001 8 K. pneumoniae KP001 32 P.
aeruginosa PA004 64 S. aureus SA010 4 S. maltophilia SMA002 32 S.
marcescens SMS003 >128 10. MBI 11CNX1 A. calcoaceticus AC001
>64 E. cloacae ECL007 >64 E. coli ECO005 64 E. faecalis
EFS004 16 K. pneumoniae KP001 >64 P. aeruginosa PA024 >64 S.
aureus SA006 2 S. maltophilia SMA002 >64 S. marcescens SMS003
>64 11. MBI 11CNY1 A. calcoaceticus AC001 >64 E. cloacae
ECL007 >64 E. coli ECO005 >64 E. faecalis EFS004 >64 K.
pneumoniae KP001 >64 P. aeruginosa PA004 >64 S. aureus SA006
16 S. epidermidis SE010 128 S. maltophilia SMA002 >64 S.
marcescens SMS003 >64 12. MBI 11M4 E. faecium EFM001 32 E.
faecalis EFS001 32 S. aureus SA008 8 13. MBI 11M8 E. faecalis
EFS002 32 E. faecium EFM002 32 S. aureus SA008 32 14. MBI 11A1CN A.
calcoaceticus AC002 16 E. cloacae ECL007 >128 E. coli ECO002 32
E. faecium EFM002 1 E. faecalis EFS002 32 H. influenzae HIN002
>128 K. pneumoniae KP002 >128 P. aeruginosa PA004 >128 S.
aureus SA005 8 P. vulgaris SBPV1 >128 S. marcescens SBSM2
>128 S. pneumoniae SBSPN2 >128 S. epidermidis SE002 16 S.
maltophilia SMA002 >128 15. MBI 11A2CN A. calcoaceticus AC001
>128 E. cloacae ECL007 >128 E. coli ECO003 >128 E. faecium
EFM003 16 E. faecalis EFS002 >128 K. pneumoniae KP002 >128 P.
aeruginosa PA004 >128 S. aureus SA004 8 S. maltophilia SMA001
>128 S. marcescens SMS003 >128 16. MBI 11A3CN A.
calcoaceticus AC001 >128 E. cloacae ECL007 >128 E. coli
ECO002 >128 E. faecium EFM003 64 E. faecalis EFS002 >128 H.
influenzae HIN002 >128 K. pneumoniae KP001 >128 P. aeruginosa
PA002 >128 S. aureus SA004 32 P. vulgaris SBPV1 >128 S.
marcescens SBSM2 >128 S. pneumoniae SBSPN3 >128 S.
epidermidis SE002 128 S. maltophilia SMA001 >128 17. MBI 11A4CN
A. calcoaceticus AC002 8 E. cloacae ECL007 >128 E. coli ECO003
32 E. faecalis EFS002 64 E. faecium EFM001 32 K. pneumoniae KP001
>128 P. aeruginosa PA004 >128 S. aureus SA005 2 S.
epidermidis SE002 8 S. maltophilia SMA002 >128 S. marcescens
SMS004 >128 18. MBI 11A5CN A. calcoaceticus AC001 >128 E.
cloacae ECL007 >128 E. coli ECO003 128 E. faecium EFM003 4 E.
faecalis EFS002 32 K. pneumoniae KP001 >128 P. aeruginosa PA003
>128 S. aureus SA002 16 S. maltophilia SMA002 >128 S.
marcescens SMS003 >128 19. MBI 11A6CN E. faecium EFM003 2 E.
faecalis EFS004 64 S. aureus SA016 2 20. MBI 11A7CN E. faecium
EFM003 2 E. faecalis EFS002 16 S. aureus SA009 2 21. MBI 11A8CN A.
calcoaceticus AC002 8 E. cloacae ECL007 >128 E. coli ECO005 32
E. faecalis EFS001 4 K. pneumoniae KP001 128 P. aeruginosa PA004
>128 S. aureus SA093 1 S. epidermidis SE010 16 S. maltophilia
SMA002 32 S. marcescens SMS003 >128 22. MBI 11B1CN A.
calcoaceticus AC001 32 E. cloacae ECL007 >128 E. coli ECO003 8
E. faecium EFM002 2 E. faecalis EFS004 8 K. pneumoniae KP002 64 P.
aeruginosa PA005 >128 S. aureus SA005 2 S. epidermidis SE001 2
S. maltophilia SMA001 64 S. marcescens SMS004 >128 23. MBI
11B1CNW1 A. calcoaceticus AC002 16 E. cloacae ECL007 64 E. coli
ECO005 32 E. faecalis EFS004 8 K. pneumoniae KP001 32 P. aeruginosa
PA004 64 S. aureus SA014 16 S. epidermidis SE010 8 S. maltophilia
SMA002 32 S. marcescens SMS003 >128 24. MBI 11B2CN A.
calcoaceticus AC001 64 E. cloacae ECL007 >128 E. coli ECO003 16
E. faecium EFM001 8 E. faecalis EFS004 8 K. pneumoniae KP002 64 P.
aeruginosa PA003 >128 S. aureus SA005 2 S. maltophilia SMA002 64
S. marcescens SMS004 >128 25. MBI 11B3CN A. calcoaceticus AC001
64
E. cloacae ECL007 >128 E. coli ECO002 16 E. faecium EFM001 8 E.
faecalis EFS001 16 K. pneumoniae KP002 64 P. aeruginosa PA003
>128 S. aureus SA010 4 S. maltophilia SMA002 32 S. marcescens
SMS004 >128 26. MBI 11B4CN A. calcoaceticus AC001 >128 E.
cloacae ECL007 >128 E. coli ECO003 16 E. faecalis EFS002 16 H.
influenzae HIN002 >128 K. pneumoniae KP002 128 P. aeruginosa
PA006 >128 S. aureus SA004 2 S. marcescens SBSM2 >128 S.
pneumoniae SBSPN3 128 S. epidermidis SE010 4 S. maltophilia SMA002
64 S. marcescens SMS004 >128 27. MBI 11B4ACN A. calcoaceticus
AC002 4 E. cloacae ECL007 >128 E. coli ECO005 32 E. faecalis
EFS008 64 K. pneumoniae KP001 32 P. aeruginosa PA004 >128 S.
aureus SA008 1 S. epidermidis SE010 8 S. maltophilia SMA002 64 S.
marcescens SMS003 >128 28. MBI 11B5CN E. faecium EFM002 1 E.
faecalis EFS002 16 S. aureus SA005 2 29. MBI 11B7 A. calcoaceticus
AC002 4 E. cloacae ECL007 >128 E. coli ECO005 16 E. faecalis
EFS008 8 K. pneumoniae KP001 16 P. aeruginosa PA004 >128 S.
aureus SA093 1 S. epidermidis SE010 4 S. maltophilia SMA002 64 S.
marcescens SMS003 >128 30. MBI 11B7CN A. calcoaceticus AC003 32
E. cloacae ECL009 32 E. coli ECO002 8 E. faecium EFM001 4 E.
faecalis EFS004 4 H. influenzae HIN002 >128 K. pneumoniae KP001
32 P. aeruginosa PA004 128 P. mirabilis PM002 >128 S. aureus
SA009 2 S. marcescens SBSM1 >128 S. pneumoniae SBSPN3 >128 S.
epidermidis SE003 2 S. maltophilia SMA004 128 S. pyogenes SPY006 16
31. MBI 11B7CNR A. calcoaceticus AC002 4 E. cloacae ECL007 64 E.
coli ECO005 8 E. faecalis EFS001 4 K. pneumoniae KP001 8 P.
aeruginosa PA004 64 S. aureus SA093 2 S. epidermidis SE010 4 S.
maltophilia SMA002 32 S. marcescens SMS003 >128 32. MBI 11B8CN
A. calcoaceticus AC001 >128 E. cloacae ECL007 >128 E. coli
ECO002 16 E. faecium EFM001 16 E. faecalis EFS002 32 K. pneumoniae
KP001 >128 P. aeruginosa PA005 >128 S. aureus SA009 4 S.
epidermidis SE002 4 S. maltophilia SMA002 128 S. marcescens SMS003
>128 33. MBI 11B9CN A. calcoaceticus AC002 4 E. cloacae ECL007
>128 E. coli ECO005 8 E. faecium EFM002 4 E. faecalis EFS002 8
H. influenzae HIN002 >128 K. pneumoniae KP001 32 P. aeruginosa
PA004 128 P. mirabilis PM002 >128 S. aureus SA010 4 S.
pneumoniae SBSPN2 >128 S. epidermidis SE010 2 S. maltophilia
SMA002 32 S. marcescens SMS003 >128 S. pneumoniae SPN044 >128
S. pyogenes SPY005 16 34. MBI 11B9ACN A. calcoaceticus AC001 32 E.
cloacae ECL007 >128 E. coli ECO003 8 E. faecium EFM001 4 E.
faecalis EFS004 8 K. pneumoniae KP002 32 P. aeruginosa PA005
>128 S. aureus SA019 2 S. epidermidis SE002 2 S. maltophilia
SMA001 16 S. marcescens SMS004 >128 35. MBI 11B10CN E. faecium
EFM003 4 E. faecalis EFS002 64 S. aureus SA008 2 36. MBI 11B16CN A.
calcoaceticus AC002 4 E. cloacae ECL007 >128 E. coli ECO005 16
E. faecalis EFS001 2 K. pneumoniae KP001 16 P. aeruginosa PA004
>128 S. aureus SA093 2 S. epidermidis SE010 4 S. maltophilia
SMA002 32 S. marscescens SMS003 >128 37. MBI 11B17CN A.
calcoaceticus AC002 2 E. cloacae ECL007 >128 E. coli ECO005 8 E.
faecalis EFS008 4 K. pneumoniae KP001 16 P. aeruginosa PA004
>128 S. aureus SA093 2 S. epidermidis SE010 4 S. maltophilia
SMA002 32 S. marcescens SMS003 >128 38. MBI 11B18CN A.
calcoaceticus AC002 2 E. cloacae ECL007 >128 E. coli ECO005 32
E. faecalis EFS008 4 K. pneumoniae KP001 32 P. aeruginosa PA004
>128 S. aureus SA093 2 S. epidermidis SE010 4 S. maltophilia
SMA002 64 S. marcescens SMS003 >128 39. MBI 11C3CN A.
calcoaceticus AC002 4 E. cloacae ECL007 >128 E. coli ECO002 16
E. faecium EFM002 1 E. faecalis EFS002 32 K. pneumoniae KP001 128
P. aeruginosa PA005 >128 S. aureus SA005 2 S. epidermidis SE002
2 S. maltophilia SMA002 64 S. marcescens SMS004 >128 40. MBI
11C4CN A. calcoaceticus AC002 4 E. cloacae ECL007 >128 E. coli
ECO005 32 E. faecium EFM003 2 E. faecalis EFS002 32 K. pneumoniae
KP001 >128 P. aeruginosa PA005 >128 S. aureus SA009 4 S.
epidermidis SE002 4 S. maltophilia SMA002 64 S. marcescens SMS004
>128 41. MBI 11C5CN A. calcoaceticus AC001 32 E. cloacae ECL007
>128 E. coli ECO001 8 E. faecium EFM003 2 E. faecalis EFS002 16
K. pneumoniae KP002 16 P. aeruginosa PA003 64 S. aureus SA009 2 S.
epidermidis SE002 2 S. maltophilia SMA002 16 S. marcescens SMS004
>128 42. MBI 11D1CN A. calcoaceticus AC001 >128 E. cloacae
ECL007 >128 E. coli ECO002 16 E. faecium EFM001 16 E. faecalis
EFS002 32 K. pneumoniae KP002 64 P. aeruginosa PA003 >128 S.
aureus SA004 2 S. epidermidis SE010 8 S. maltophilia SMA001 64 S.
marcescens SMS003 >128 43. MBI 11D3CN A. calcoaceticus AC001
>128 E. cloacae ECL007 >128 E. coli ECO002 64 E. faecium
EFM003 8 E. faecalis EFS002 32 K. pneumoniae KP002 >128 P.
aeruginosa PA024 >128 S. aureus SA009 8 S. maltophilia SMA001 64
S. marcescens SMS004 >128 44. MBI 11D4CN A. calcoaceticus AC001
>64 E. cloacae ECL007 >64 E. coli ECO003 64 E. faecium EFM002
1 E. faecalis EFS002 16 K. pneumoniae KP002 >64 P. aeruginosa
PA004 >64 S. aureus SA009 4 S. maltophilia SMA001 >64 S.
marcescens SMS004 >64 45. MBI 11D5CN A. calcoaceticus AC001
>64 E. cloacae ECL007 >64 E. coli ECO003 64 E. faecium EFM003
1 E. faecalis EFS002 16 K. pneumoniae KP001 >64 P. aeruginosa
PA003 >64 S. aureus SA005 8 S. maltophilia SMA001 64 S.
marcescens SMS004 >64 46. MBI 11D6CN A. calcoaceticus AC002 4 E.
cloacae ECL007 >32 E. coli ECO002 32 E. faecium EFM003 1 E.
faecalis EFS002 4 K. pneumoniae KP002 >64 P. aeruginosa PA024
>64 S. aureus SA009 8 S. epidermidis SE010 4 S. maltophilia
SMA001 >64 S. marcescens SMS004 >64 47. MBI 11D9M8 E. faecium
EFM002 32 S. aureus SA007 32 E. faecalis EFS002 128
S. aureus SA016 128 48. MBI 11D10M8 E. faecium EFM003 32 E.
faecalis EFS002 32 S. aureus SA008 32 49. MBI 11D11H A.
calcoaceticus AC001 >64 E. cloacae ECL007 >64 E. coli ECO002
32 K. pneumoniae KP001 >64 P. aeruginosa PA001 >64 S. aureus
SA008 4 S. maltophilia SMA002 >64 S. marcescens SMS004 >64
50. MBI 11D12H A. calcoaceticus AC001 >64 E. cloacae ECL007
>64 E. coli ECO003 64 E. faecalis EFS004 16 K. pneumoniae KP002
>64 P. aeruginosa PA004 >64 S. aureus SA014 16 S. maltophilia
SMA002 >64 S. marcescens SMS004 >64 51. MBI 11D13H A.
calcoaceticus AC001 64 E. cloacae ECL007 >64 E. coli ECO002 32
E. faecalis EFS004 16 K. pneumoniae KP002 >64 P. aeruginosa
PA004 >64 S. aureus SA025 4 S. maltophilia SMA002 >64 S.
marcescens SMS004 >64 52. MBI 11D14CN E. faecium EFM003 1 E.
faecalis EFS002 32 S. aureus SA009 4 53. MBI 11D15CN E. faecium
EFM003 4 E. faecalis EFS002 32 S. aureus SA009 8 54. MBI 11D18CN A.
calcoaceticus AC003 32 E. cloacae ECL009 64 E. coli ECO002 4 E.
faecium EFM003 2 E. faecalis EFS002 32 H. influenzae HIN002 >128
K. pneumoniae KP002 64 P. aeruginosa PA006 >128 P. mirabilis
PM003 >128 S. aureus SA010 4 P. vulgaris SBPV1 32 S. marcescens
SBSM2 >128 S. pneumoniae SBSPN3 64 S. epidermidis SE010 2 S.
maltophilia SMA003 16 S. pyogenes SPY003 32 55. MBI 11E1CN A.
calcoaceticus AC001 32 E. cloacae ECL007 >128 E. coli ECO003 8
E. faecium EFM001 8 E. faecalis EFS002 8 K. pneumoniae KP002 32 P.
aeruginosa PA003 128 S. aureus SA006 1 S. maltophilia SMA001 64 S.
marcescens SMS003 >128 56. MBI 11E2CN A. calcoaceticus AC002 4
E. cloacae ECL007 >128 E. coli ECO002 8 E. faecium EFM001 16 E.
faecalis EFS002 32 K. pneumoniae KP002 64 P. aeruginosa PA001
>128 S. aureus SA016 2 S. epidermidis SE010 4 S. maltophilia
SMA001 64 S. marcescens SMS004 >128 57. MBI 11E3CN A.
calcoaceticus AC001 16 E. cloacae ECL007 >128 E. coli ECO001 4
E. faecium EFM003 2 E. faecalis EFS004 8 H. influenzae HIN002
>128 K. pneumoniae KP002 32 P. aeruginosa PA041 64 P. mirabilis
PM001 >128 S. aureus SA010 2 S. pneumoniae SBSPN2 >128 S.
epidermidis SE002 1 S. maltophilia SMA001 32 S. marcescens SMS004
>128 S. pneumoniae SPN044 >128 S. pyogenes SPY002 16 58. MBI
11F1CN E. cloacae ECL007 >128 E. coli ECO003 8 E. faecium EFM003
2 E. faecalis EFS004 16 K. pneumoniae KP002 32 P. aeruginosa PA004
64 S. aureus SA009 2 S. marcescens SBSM1 >128 S. marcescens
SMS003 >128 59. MBI 11F2CN A. calcoaceticus AC002 4 E. coli
ECO002 8 E. faecium EFM002 4 E. faecalis EFS002 32 K. pneumoniae
KP002 128 P. aeruginosa PA005 >128 S. aureus SA012 4 S.
epidermidis SE002 4 S. maltophilia SMA002 64 S. marcescens SMS004
>128 60. MBI 11F3CN A. calcoaceticus AC002 4 E. cloacae ECL007
>128 E. coli ECO002 8 E. faecium EFM003 4 E. faecalis EFS002 8
H. influenzae HIN002 >128 K. pneumoniae KP002 64 P. aeruginosa
PA041 128 S. aureus SA005 2 S. pneumoniae SBSPN3 >128 S.
epidermidis SE003 2 S. maltophilia SMA002 64 S. marcescens SMS004
>128 S. pneumoniae SPN044 >128 S. pyogenes SPY006 8 61. MBI
11F4CN A. calcoaceticus AC003 16 E. cloacae ECL006 16 E. coli
ECO001 8 E. faecalis EFS004 8 H. influenzae HIN003 >128 K.
pneumoniae KP001 8 P. aeruginosa PA020 32 S. aureus SA007 1 S.
marcescens SBSM1 >128 S. pneumoniae SBSPN3 >128 S.
epidermidis SE010 2 S. maltophilia SMA006 16 S. pyogenes SPY005 32
62. MBI 11F4CNR A. calcoaceticus AC002 16 E. cloacae ECL007 32 E.
coli ECO005 32 E. faecalis EFS008 32 K. pneumoniae KP001 32 P.
aeruginosa PA004 64 S. aureus SA093 8 S. epidermidis SE010 8 S.
maltophilia SMA002 32 S. marcescens SMS003 >128 63. MBI 11G2CN
E. cloacae ECL007 >128 E. coli ECO003 16 E. faecium EFM002 4 E.
faecalis EFS004 16 K. pneumoniae KP002 128 P. aeruginosa PA004
>128 S. aureus SA009 2 S. maltophilia SMA001 >128 S.
marcescens SMS004 >128 64. MBI 11G3CN E. cloacae ECL007 >128
E. coli ECO003 64 E. faecium EFM002 32 E. faecalis EFS002 64 K.
pneumoniae KP001 >128 P. aeruginosa PA003 >128 S. aureus
SA009 8 S. maltophilia SMA001 >128 S. marcescens SMS004 >128
65. MBI 11G4CN A. calcoaceticus AC002 4 E. cloacae ECL007 >128
E. coli ECO005 32 E. faecium EFM003 1 E. faecalis EFS002 32 K.
pneumoniae KP001 >128 P. aeruginosa PA004 >128 S. aureus
SA004 1 S. epidermidis SE010 2 S. maltophilia SMA002 64 S.
marcescens SMS003 >128 66. MBI 11G5CN A. calcoaceticus AC002 4
E. cloacae ECL007 >128 E. coli ECO003 16 E. faecium EFM002 8 E.
faecalis EFS002 16 K. pneumoniae KP001 >128 P. aeruginosa PA003
>128 S. aureus SA012 4 S. epidermidis SE002 2 S. maltophilia
SMA002 64 S. marcescens SMS004 >128 67. MBI 11G6CN A.
calcoaceticus AC001 >128 E. cloacae ECL007 >128 E. coli
ECO002 32 E. faecium EFM003 4 E. faecalis EFS002 128 K. pneumoniae
KP001 >128 P. aeruginosa PA004 >128 S. aureus SA006 2 S.
epidermidis SE002 8 S. maltophilia SMA001 >128 S. marcescens
SMS003 >128 68. MBI 11G6ACN A. calcoaceticus AC002 4 E. cloacae
ECL007 >128 E. coli ECO005 64 E. faecalis EFS008 >128 K.
pneumoniae KP001 >128 P. aeruginosa PA004 >128 S. aureus
SA014 64 S. epidermidis SE010 32 S. maltophilia SMA002 >128 S.
marcescens SMS003 >128 69. MBI 11G7CN A. calcoaceticus AC001 128
E. cloacae ECL006 64 E. coli ECO005 8 E. faecium EFM001 8 E.
faecalis EFS002 32 H. influenzae HIN002 >128 K. pneumoniae KP001
16 P. aeruginosa PA006 >128 S. aureus SA012 2 H. influenzae
SBHIN2 >128 S. marcescens SBSM1 >128 S. pneumoniae SBSPN2
>128 S. epidermidis SE002 2 S. maltophilia SMA001 32 S.
marcescens SMS003 >128 S. pneumoniae SPN044 >128 S. pyogenes
SPY006 16 70. MBI 11G7ACN A. calcoaceticus AC002 4 E. cloacae
ECL007 >32 E. coli ECO002 16 E. faecium EFM001 8
E. faecalis EFS008 32 K. pneumoniae KP002 >32 P. aeruginosa
PA006 >32 S. aureus SA010 1 S. epidermidis SE002 4 S.
maltophilia SMA001 32 S. marcescens SMS004 >32 71. MBI 11G13CN
E. coli ECO002 32 E. faecium EFM002 16 E. faecalis EFS002 64 H.
influenzae HIN002 >128 P. aeruginosa PA004 >128 S. aureus
SA004 4 E. coli SBECO3 32 S. marcescens SBSM1 >128 S. pneumoniae
SBSPN3 128 72. MBI 11G14CN A. calcoaceticus AC002 8 E. cloacae
ECL007 >128 E. coli ECO003 32 E. faecium EFM001 16 E. faecalis
EFS002 32 K. pneumoniae KP002 128 P. aeruginosa PA006 >128 S.
aureus SA013 0.5 S. epidermidis SE002 8 S. maltophilia SMA002 128
S. marcescens SMS004 >128 73. MBI 11G16CN A. calcoaceticus AC002
8 E. cloacae ECL007 >128 E. coli ECO005 16 E. faecalis EFS008 16
K. pneumoniae KP001 16 P. aeruginosa PA004 128 S. aureus SA093 2 S.
epidermidis SE010 4 S. maltophilia SMA002 64 S. marcescens SMS003
>128
Broth Dilution Assay
[0162] This assay also uses calcium and magnesium supplemented
Mueller Hinton broth as the growth medium. Typically 100 .mu.l of
broth is dispensed into each well of a 96-well microtitre plate and
100 .mu.l volumes of two-fold serial dilutions of the peptide
analogue are made across the plate. One row of wells receives no
peptide and is used as a growth control. Each well is inoculated
with approximately 5.times.10.sup.5 CFU of bacteria and the plate
is incubated at 35-37.degree. C. for 16-20 hours. The MIC is again
recorded at the lowest concentration of peptide that completely
inhibits growth of the organism as determined by visual
inspection.
[0163] For example, MIC values were established for a series of
peptide analogues against S. aureus strains. Results are shown in
Table 6 below.
TABLE-US-00006 TABLE 6 MIC (.mu.g/ml) MBI MBI MBI MBI MBI MBI MBI
Organism Organism # 10CN 11CN 11A1CN 11A2CN 11B1CN 11B2CN 11B7CN
Gram-negative: A. calcoaceticus AC001 64 256 >256 >256 64 128
64 E. cloacae ECL007 256 >256 >256 >256 >256 >256
>256 E. coli ECO005 64 128 >256 >256 64 64 64 K.
pneumoniae KP001 64 >256 >256 >256 >256 >256 256 P.
aeruginosa PA004 >256 256 >256 >256 64 256 256 S.
maltophilia SMA002 64 64 >256 >256 32 32 32 S. marcescens
SMS003 >256 >256 >256 >256 >256 >256 >256
Gram-positive: E. faecalis EFS004 64 128 >256 >256 64 64 64
S. aureus SA002 16 64 >256 >256 32 32 16 S. epidermidis SE005
8 8 16 256 4 4 4 Time Kill Assay
[0164] Time kill curves are used to determine the antimicrobial
activity of cationic peptides over a time interval. Briefly, in
this assay, a suspension of microorganisms equivalent to a 0.5
McFarland Standard is prepared in 0.9% saline. This suspension is
then diluted such that when added to a total volume of 9 ml of
cation-adjusted Mueller Hinton broth, the inoculum size is
1.times.10.sup.6 CFU/ml. An aliquot of 0.1 ml is removed from each
tube at pre-determined intervals up to 24 hours, diluted in 0.9%
saline and plated in triplicate to determine viable colony counts.
The number of bacteria remaining in each sample is plotted over
time to determine the rate of cationic peptide killing. Generally a
three or more log.sub.10 reduction in bacterial counts in the
antimicrobial suspension compared to the growth controls indicate
an adequate bactericidal response.
[0165] As shown in FIG. 3, all peptides demonstrated a three or
more log.sub.10 reduction in bacterial counts in the antimicrobial
suspension compared to the growth controls indicating that these
peptides have met the criteria for a bactericidal response.
Synergy Assay
[0166] Treatment with a combination of peptide analogues and
conventional antibiotics can have a synergistic effect. Synergy is
assayed using the agarose dilution technique, where an array of
plates, each containing a combination of peptide and antibiotic in
a unique concentration mix, is inoculated with the bacterial
isolates. Synergy is investigated for peptide analogues in
combination with a number of conventional antibiotics including,
but not limited to, penicillins, cephalosporins, carbapenems,
monobactams, aminoglycosides, macrolides, fluoroquinolones.
[0167] Synergy is expressed as a Fractional Inhibitory
Concentration (FIC), which is calculated according to the equation
below. An FIC of less than or equal to 0.5 is evidence of synergy,
although combinations with higher values may be therapeutically
useful.
F I C = MIC ( peptide in combination ) MIC ( peptide alone ) + MIC
( antibiotic in combination ) MIC ( antibiotic alone )
##EQU00002##
[0168] Table 7 shows exemplary synergy data for combinations of
indolicidin analogues and Mupirocin.
TABLE-US-00007 TABLE 7 Mupirocin Mupirocin Peptide Peptide MIC
Comb. MIC MIC Comb. MIC Peptide Organism (.mu.g/ml) (.mu.g/ml)
(.mu.g/ml) (.mu.g/ml) FIC MBI 11A1CN E. coli ECO1 >100 10 32 4
0.14 MBI 11A1CN E. faecalis EFS8 100 100 >128 >128 2 MBI
11A1CN P. aeruginosa PA3 >100 >100 >128 >128 2 MBI
11A1CN S. aureus SBSA3 100 100 >128 >128 2 MBI 11A1CN S.
aureus SBSA5 30 10 128 32 0.58 MBI 11A1CN S. marcescens SBSM1
>100 >100 >128 >128 2 MBI 11A3CN E. coli SBECO1 100 30
64 8 0.43 MBI 11A3CN E. faecalis EFS8 100 100 >128 >128 2 MBI
11A3CN P. aeruginosa PA3 >100 >100 >128 >128 2 MBI
11A3CN S. aureus SBSA2 >100 >100 128 128 2 MBI 11A3CN S.
marcescens SBSM2 >100 >100 >128 >128 2 MBI 11B4CN E.
coli ECO1 >100 10 16 4 0.26 MBI 11B4CN E. faecalis EFS8 100 100
64 64 2 MBI 11B4CN S. aureus SBSA3 100 10 32 16 0.60 MBI 11B4CN S.
aureus SBSA4 >100 >100 8 8 2 MBI 11B4CN S. marcescens SBSM1
>100 >100 >128 >128 2 MBI 11D18CN E. coli SBECO2
>100 10 16 1 0.07 MBI 11D18CN E. faecalis EFS8 100 100 16 16 2
MBI 11D18CN P. aeruginosa PA2 >100 30 128 64 0.53 MBI 11D18CN P.
aeruginosa PA24 >100 >100 >128 >128 2 MBI 11D18CN P.
vulgaris SBPV1 3 3 32 4 1.13 MBI 11D18CN S. aureus SBSA4 >100
0.1 16 2 0.13 MBI 11D18CN S. marcescens SBSM1 >100 30 >128 64
0.28 MBI 11G13CN E. coli ECO5 100 30 64 8 0.43 MBI 11G13CN P.
vulgaris SBPV1 3 3 >128 >128 2 MBI 11G13CN P. vulgaris SBPV1
3 3 >128 64 1.25 MBI 11G13CN S. aureus SBSA3 100 100 64 64 2 MBI
11G13CN S. marcescens SBSM1 >100 >100 >128 >128 2
[0169] The MIC values of Mupirocin against strains of E. coli, S.
aureus, P. aeruginosa are reduced by at least three fold in
combination with indolicidin analogues at concentrations that are
.ltoreq.1/2 MIC value of the peptide alone.
[0170] Table 9 shows exemplary synergy data for combinations of
indolicidin analogues and Ciprofloxacin.
TABLE-US-00008 TABLE 9 Ciprofloxacin Peptide Ciprofloxacin Comb.
Peptide Comb MIC MIC MIC MIC Peptide Organism (.mu.g/ml) (.mu.g/ml)
(.mu.g/ml) (.mu.g/ml) FIC MBI 11D18CN S. aureus SA14 16 8 8 4 1.00
MBI 11D18CN P. aeruginosa PA24 16 4 >128 16 0.31 MBI 11D18CN S.
aureus SA10 32 32 2 2 2.00
[0171] The MIC values of Ciprofloxacin against strains of S. aureus
and P. aeruginosa are reduced by at least two fold in combination
with indolicidin analogues at concentrations that are .ltoreq.1/2
MIC value of the peptide alone.
Example 5
Biochemical Characterization of Peptide Analogues
Solubility in Formulation Buffer
[0172] The primary factor affecting solubility of a peptide is its
amino acid sequence. Polycationic peptides are preferably freely
soluble in aqueous solutions, especially under low pH conditions.
However, in certain formulations, polycationic peptides may form an
aggregate that is removed in a filtration step. As peptide
solutions for in vivo assays are filtered prior to administration,
the accuracy and reproducibility of dosing levels following
filtration are examined.
[0173] Peptides dissolved in formulations are filtered through a
hydrophilic 0.2 .mu.m filter membrane and then analyzed for total
peptide content using reversed-phase HPLC. A 100% soluble standard
for each concentration is prepared by dissolving the peptide in
MilliQ water. Total peak area for each condition is measured and
compared with the peak area of the standard in order to provide a
relative recovery value for each concentration/formulation
combination.
[0174] MBI 11CN was prepared in four different buffer systems (A,
B, C, and C1) (Table 10, below) at 50, 100, 200 and 400 .mu.g/ml
peptide concentrations. With formulations A or B, both commonly
used for solvation of peptides and proteins, peptide was lost
through filtration in a concentration dependent manner (FIG. 4).
Recovery only reached a maximum of 70% at a concentration of 400
.mu.g/ml. In contrast, peptides dissolved in formulations C and C1
were fully recovered. Buffers containing polyanionic ions appear to
encourage aggregation, and it is likely that the aggregate takes
the form of a matrix which is trapped by the filter. Monoanionic
counterions are more suitable for the maintenance of peptides in a
non-aggregated, soluble form, while the addition of other
solubilizing agents may further improve the formulation.
TABLE-US-00009 TABLE 10 Code Formulation Buffer A PBS 200 mM, pH
7.1 B Sodium Citrate 100 mM, pH 5.2 C Sodium Acetate 200 mM, pH 4.6
C1 Sodium Acetate 200 mM/0.5% Polysorbate 80, pH 4.6 D Sodium
Acetate 100 mM/0.5% Activated Polysorbate 80, pH 7.5:
Lyophilized/Reconstituted
Solubility in Broth
[0175] The solubility of peptide analogues is assessed in calcium
and magnesium supplemented Mueller Hinton broth by visual
inspection. The procedure employed is that used for the broth
dilution assay except that bacteria are not added to the wells. The
appearance of the solution in each well is evaluated according to
the scale: (a) clear, no precipitate, (b) light diffuse precipitate
and (c) cloudy, heavy precipitate. Results show that, for example,
MBI 10CN is less soluble than MBI 11CN under these conditions and
that MBI 11BCN analogues are less soluble than MBI 11ACN
analogues.
Reversed Phase HPLC Analysis of Peptide Analogue Formulations
[0176] Reversed-phase HPLC, which provides an analytical method for
peptide quantification, is used to examine peptides in two
different formulations. A 400 .mu.g/mL solution of MBI 11CN
prepared in formulations C1 and D is analyzed by using a stepwise
gradient to resolve free peptide from other species. Standard
chromatographic conditions are used as follows:
[0177] Solvent A: 0.1% trifluoroacetic acid (TFA) in water
[0178] Solvent B: 0.1% TFA/95% acetonitrile in water
[0179] Media: POROS R2-20 (polystyrene divinylbenzene)
[0180] As shown in FIG. 5, MBI 11CN could be separated in two
forms, as free peptide in formulation C1, and as a principally
formulation-complex peptide in formulation D. This complex survives
the separation protocol in gradients containing acetonitrile, which
might be expected to disrupt the stability of the complex. A peak
corresponding to a small amount (<10%) of free peptide is also
observed in formulation D. If the shape of the elution gradient is
changed, the associated peptide elutes as a broad low peak,
indicating that complexes of peptide in the formulation are
heterogeneous.
Example 6
Structural Analysis of Indolicidin Variants using Circular
Dichroism Spectroscopy
[0181] Circular dichroism (CD) is a spectroscopic technique that
measures secondary structures of peptides and proteins in solution,
see for example, R. W. Woody, (Methods in Enzymology, 246: 34,
1995). The CD spectra of .alpha.-helical peptides is most readily
interpretable due to the characteristic double minima at 208 and
222 nm. For peptides with other secondary structures however,
interpretation of CD spectra is more complicated and less reliable.
The CD data for peptides is used to relate solution structure to in
vitro activity.
[0182] CD measurements of indolicidin analogues are performed in
three different aqueous environments, (1) 10 mM sodium phosphate
buffer, pH 7.2, (2) phosphate buffer and 40% (v/v) trifluoroethanol
(TFE) and (3) phosphate buffer and large (100 nm diameter)
unilamellar phospholipid vesicles (liposomes) (Table 11). The
organic solvent TFE and the liposomes provide a hydrophobic
environment intended to mimic the bacterial membrane where the
peptides are presumed to adopt an active conformation.
[0183] The results indicate that the peptides are primarily
unordered in phosphate buffer (a negative minima at around 200 nm)
with the exception of MBI 11F4CN, which displays an additional
minima at 220 nm (see below). The presence of TFE induces
.beta.-turn structure in MBI 11 and MBI 11G4CN, and increases
.alpha.-helicity in MBI 11F4CN, although most of the peptides
remain unordered. In the presence of liposomes, peptides MBI 11CN
and MBI 11B7CN, which are unordered in TFE, display .beta.-turn
structure (a negative minima at around 230 nm) (FIG. 6). Hence,
liposomes appear to induce more ordered secondary structure than
TFE.
[0184] A .beta.-turn is the predominant secondary structure that
appears in a hydrophobic environment, suggesting that it is the
primary conformation in the active, membrane-associated form. In
contrast, MBI 11F4CN displays increased .alpha.-helical
conformation in the presence of TFE. Peptide MBI 11F4CN is also the
most insoluble and hemolytic of the peptides tested, suggesting
that .alpha.-helical secondary structure may introduce unwanted
properties in these analogues.
[0185] Additionally CD spectra are recorded for APS-modified
peptides (Table 11). The results show that these compounds have
significant .beta.-turn secondary structure in phosphate buffer,
which is only slightly altered in TFE.
[0186] Again, the CD results suggest that a .beta.-turn structure
(i.e. membrane-associated) is the preferred active conformation
among the indolicidin analogues tested.
TABLE-US-00010 TABLE 11 Phosphate buffer Conformation TFE
Conformation Peptide min .lamda. max .lamda. in buffer min .lamda.
max .lamda. in TFE MBI 10CN 201 -- Unordered 203 ~219 Unordered MBI
11 199 -- Unordered 202, 227 220 .beta.-turn MBI 11ACN 199 --
Unordered 203 219 Unordered MBI 11CN 200 -- Unordered 200 --
Unordered MBI 11CNY1 200 -- Unordered 200 -- Unordered MBI 11B1CNW1
201 -- Unordered 201 -- Unordered MBI 11B4ACN 200 -- Unordered 200
-- Unordered MBI 11B7CN 200 -- Unordered 204, ~219 Unordered MBI
11B9ACN 200 -- Unordered 200 -- Unordered MBI 11B9CN 200 --
Unordered 200 -- Unordered MBI 11D1CN 200 -- Unordered 204 --
Unordered MBI 11E1CN 201 -- Unordered 201 -- Unordered MBI 11E2CN
200 -- Unordered 201 -- Unordered MBI 11E3CN 202 226 ppII helix 200
-- Unordered MBI 11F3CN 199 228 ppII helix 202 -- Unordered MBI
11F4CN 202, 220 -- Unordered 206, 222 -- slight .alpha.-helix MBI
11G4CN 199, 221 -- Unordered 201, 226 215 .beta.-turn MBI 11G6ACN
200 -- Unordered 199 -- Unordered MBI 11G7ACN 200 -- Unordered 202
221 Unordered
TABLE-US-00011 TABLE 12 Phosphate buffer Con- TFE Con- APS-modified
max formation min max formation Peptide min .lamda. .lamda. in
buffer .lamda. .lamda. in TFE MBI 11CN 202, 229 220 .beta.-turn 203
223 .beta.-turn MBI 11BCN 200, 229 -- .beta.-turn 202 222
.beta.-turn MBI 11B7CN 202, 230 223 .beta.-turn 199 230 .beta.-turn
MBI 11E3CN 202, 229 220 .beta.-turn 199 -- .beta.-turn MBI 11F3CN
205 -- ppII helix 203 230 ppII helix
Example 7
Membrane Permeabilization Assays
Liposome Dye Release
[0187] A method for measuring the ability of peptides to
permeabilize phospholipid bilayers is described (Parente et al.,
Biochemistry, 29, 8720, 1990) Briefly, liposomes of a defined
phospholipid composition are prepared in the presence of a
fluorescent dye molecule. In this example, a dye pair consisting of
the fluorescent molecule 8-aminonapthalene-1,3,6-trisulfonic acid
(ANTS) and its quencher molecule p-xylene-bis-pyridinium bromide
(DPX) are used. The mixture of free dye molecules, dye free
liposomes, and liposomes containing encapsulated ANTS-DPX are
separated by size exclusion chromatography. In the assay, the test
peptide is incubated with the ANTS-DPX containing liposomes and the
fluorescence due to ANTS release to the outside of the liposome is
measured over time.
[0188] Using this assay, peptide activity, measured by dye release,
is shown to be extremely sensitive to the composition of the
liposomes at many liposome to peptide ratios (L/P) (FIG. 7).
Specifically, addition of cholesterol to liposomes composed of egg
phosphotidylcholine (PC) virtually abolishes membrane
permeabilizing activity of MBI 11CN, even at very high lipid to
peptide molar ratios (compare with egg PC liposomes containing no
cholesterol). This in vitro selectivity may mimic that observed in
vitro for bacterial cells in the presence of mammalian cells.
[0189] In addition, there is a size limitation to the membrane
disruption induced by MBI 11CN. ANTS/DPX can be replaced with
fluorescein isothiocyanate-labeled dextran (FD-4), molecular weight
4,400, in the egg PC liposomes. No increase in FD-4 fluorescence is
detected upon incubation with MBI 11CN. These results indicate that
MBI 11CN-mediated membrane disruption allows the release of the
relatively smaller ANTS/DPX molecules (.about.400 Da), but not the
bulkier FD-4 molecules.
E. coli ML-35 Inner Membrane Assay
[0190] An alternative method for measuring peptide-membrane
interaction uses the E. coli strain ML-35 (Lehrer et al., J. Clin.
Invest., 84: 553, 1989), which contains a chromosomal copy of the
lacZ gene encoding .beta.-galactosidase and is permease deficient.
This strain is used to measure the effect of peptide on the inner
membrane through release of .beta.-galactosidase into the
periplasm. Release of .beta.-galactosidase is measured by
spectrophotometrically monitoring the hydrolysis of its substrate
o-nitrophenol .beta.-D-galactopyranoside (ONPG). The maximum rate
of hydrolysis (V.sub.max) is determined for aliquots of cells taken
at various growth points.
[0191] A preliminary experiment to determine the concentration of
peptide required for maximal activity against mid-log cells,
diluted to 4.times.10.sup.7 CFU/ml, yields a value of 50 .mu.g/ml,
which is used in all subsequent experiments. Cells are grown in two
different growth media, Terrific broth (TB) and Luria broth (LB)
and equivalent amounts of cells are assayed during their growth
cycles. The resulting activity profile of MBI 11B7CN is shown in
FIG. 8. For cells grown in the enriched TB media, maximum activity
occurs at early mid-log (140 min), whereas for cells grown in LB
media, the maximum occurs at late mid-log (230 min). Additionally,
only in LB, a dip in activity is observed at 140 min. This drop in
activity may be related to a transition in metabolism, such as a
requirement for utilization of a new energy source due to depletion
of the original source, which does not occur in the more enriched
TB media. A consequence of a metabolism switch would be changes in
the membrane potential.
[0192] To test whether membrane potential has an effect on peptide
activity, the effect of disrupting the electrochemical gradient
using the potassium ionophore valinomycin is examined. Cells
pre-incubated with valinomycin are treated with peptide and for MBI
10CN and MBI 11CN ONPG hydrolysis diminished by approximately 50%
compared to no pre-incubation with valinomycin (FIG. 9). Another
cationic peptide that is not sensitive to valinomycin is used as a
positive control.
[0193] Further delineation of the factors influencing membrane
permeabilizing activity are tested. In an exemplary test, MBI
11B7CN is pre-incubated with isotonic HEPES/sucrose buffer
containing either 150 mM sodium chloride (NaCl) or 5 mM magnesium
ions (Mg.sup.2+) and assayed as described earlier. In FIG. 10, a
significant inhibition is observed with either solution, suggesting
involvement of electrostatic interactions in the permeabilizing
action of peptides.
Example 8
Erythrocyte Lysis by Indolicidin Analogues
[0194] A red blood cell (RBC) lysis assay is used to group peptides
according to their ability to lyse RBC under standardized
conditions compared with MBI 11CN and Gramicidin-S. Peptide samples
and washed sheep RBC are prepared in isotonic saline with the final
pH adjusted to between 6 and 7. Peptide samples and RBC suspension
are mixed together to yield solutions that are 1% (v/v) RBC and 5,
50 or 500 .mu.g/ml peptide. Assay mixtures are incubated for 1 hour
at 37.degree. C. with constant shaking, centrifuged, and the
supernatant is measured for absorbance at 540 nm, which detects
released hemoglobin. The percentage of released hemoglobin is
determined by comparison with a set of known standards lysed in
water. Each set of assays also includes MBI 11CN (500 .mu.g/ml) and
Gramicidin-S (5 .mu.g/ml) as "low lysis" and "high lysis" controls,
respectively.
[0195] MBI-11B7CN-HCl, MBI-11F3CN-HCl and MBI-11F4CN-HCl are tested
using this procedure and the results are presented in Table 13
below.
TABLE-US-00012 TABLE 13 % lysis at % lysis at % lysis at Peptide 5
.mu.g/ml 50 .mu.g/ml 500 .mu.g/ml MBI 11B7CN-HCl 4 13 46 MBI
11F3CN-HCl 1 6 17 MBI 11F4CN-HCl 4 32 38 MBI 11CN-TFA N/D N/D 9
Gramicidin-S 30 N/D N/D N/D = not done
[0196] Peptides that at 5 .mu.g/ml lyse RBC to an equal or greater
extent than Gramicidin-S, the "high lysis" control, are considered
to be highly lytic. Peptides that at 500 .mu.g/ml lyse RBC to an
equal to or lesser extent than MBI 11CN, the "low lysis" control,
are considered to be non-lytic. The three analogues tested are all
"moderately lytic" as they cause more lysis than MBI 11CN and less
than Gramicidin-S. In addition one of the analogues,
MBI-11F3CN-HCl, is significantly less lytic than the other two
variants at all three concentrations tested.
Example 9
Production of Antibodies to Peptide Analogues
[0197] Multiple antigenic peptides (MAPs), which contain four or
eight copies of the target peptide linked to a small
non-immunogenic peptidyl core, are prepared as immunogens.
Alternatively, the target peptide is conjugated to bovine serum
albumin (BSA) or ovalbumin. For example, MBI 11CN and its seven
amino acid N-terminal and C-terminal fragments are used as target
peptide sequences. The immunogens are injected subcutaneously into
rabbits using standard protocols (see, Harlow and Lane, Antibodies:
A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold
Spring Harbor, N.Y., 1988). After repeated boosters (usually
monthly), serum from a blood sample is tested in an ELISA against
the target peptide. A positive result indicates the presence of
antibodies and further tests determine the specificity of the
antibody binding to the target peptide. Purified antibodies can
then be isolated from this serum and used in ELISAs to selectively
identify and measure the amount of the target peptide in research
and clinical samples.
Example 10
Pharmacology of Peptide Analogues in Plasma and Blood
[0198] The in vitro lifetime of free peptide analogues in plasma
and in blood is determined by measuring the amount of peptide
present after set incubation times. Blood is collected from sheep,
treated with an anticoagulant (not heparin) and, for plasma
preparation, centrifuged to remove cells. Formulated peptide is
added to either the plasma fraction or to whole blood and
incubated. Following incubation, peptide is identified and
quantified directly by reversed phase HPLC. Extraction is not
required as the free peptide peak does not overlie any peaks from
blood or plasma.
[0199] A 1 mg/mL solution of MBI 11CN in formulations C1 and D is
added to freshly prepared sheep plasma at a final peptide
concentration of 100 .mu.g/mL and incubated at 37.degree. C. At
various times, aliquots of plasma are removed and analyzed for free
peptide by reversed phase HPLC. From each chromatogram, the area of
the peak corresponding to free peptide is integrated and plotted
against time of incubation. As shown in FIG. 11, peptide levels
diminish over time. Moreover, when administered in formulation D,
up to 50% of the peptide is immediately released from
formulation-peptide complex on addition to the blood. The decay
curve for free peptide yields an apparent half-life in blood of 90
minutes for both formulation C1 and D. These results indicate that
in sheep's blood MBI 11CN is relatively resistant to plasma
peptidases and proteases. New peaks that appeared during incubation
may be breakdown products of the peptide.
[0200] Peptide levels in plasma in vivo are measured after iv or ip
administration of 80-100% of the maximum tolerated dose of peptide
analogue in either formulation C1 or D. MBI 11CN in formulation C1
is injected intravenously into the tail vein of CD1 ICRBR strain
mice. At various times post-injection, mice are anesthetized and
blood is drawn by cardiac puncture. Blood from individual mice is
centrifuged to separate plasma from cells. Plasma is then analyzed
by reversed phase HPLC column. The resulting elution profiles are
analyzed for free peptide content by UV absorbance at 280 nm, and
these data are converted to concentrations in blood based upon a
calibrated standard. Each data point represents the average blood
level from two mice. In this assay, the detection limit is
approximately 1 .mu.g/ml, less than 3% of the dose administered
[0201] The earliest time point at which peptide can be measured is
three minutes following injection, thus, the maximum observed
concentration (in .mu.g/ml) is extrapolated back to time zero (FIG.
12). The projected initial concentration corresponds well to the
expected concentration of between 35 and 45 .mu.g/ml. Decay is
rapid, however, and when the curve is fitted to the equation for
exponential decay, free circulating peptide is calculated to have a
half life of 2.1 minutes. Free circulating peptide was not
detectable in the blood of mice that were injected with MBI 11CN in
formulation D, suggesting that peptide is not released as quickly
from the complex as in vitro.
[0202] In addition, MBI 11CN is also administered to CD1 ICRBR
strain mice by a single ip injection at an efficacious dose level
of 40 mg/kg. Peptide is administered in both formulations C1 and D
to determine if peptide complexation has any effect on blood
levels. At various times post injection, mice are anesthetized and
blood is drawn by cardiac puncture. Blood is collected and analyzed
as for the iv injection.
[0203] MBI 11CN administered by this route demonstrated a quite
different pharmacologic profile (FIG. 13). In formulation C1,
peptide entered the blood stream quickly, with a peak concentration
of nearly 5 .mu.g/ml after 15 minutes, which declined to
non-detectable levels after 60 minutes. In contrast, peptide in
formulation D is present at a level above 2 .mu.g/ml for
approximately two hours. Therefore, formulation affects entry into,
and maintenance of levels of peptide in the blood.
Example 11
Toxicity of Peptide Analogues in vivo
[0204] The acute, single dose toxicity of various indolicidin
analogues is tested in Swiss CD1 mice using various routes of
administration. In order to determine the inherent toxicities of
the peptide analogues in the absence of any formulation/delivery
vehicle effects, the peptides are all administered in isotonic
saline with the final pH between 6 and 7.
[0205] Intraperitoneal route. Groups of 6 mice are injected with
peptide doses of between 80 and 5 mg/kg in 500 .mu.l dose volumes.
After peptide administration, the mice are observed for a period of
5 days, at which time the dose causing 50% mortality (LD.sub.50),
the dose causing 90-100% mortality (LD.sub.90-100) and maximum
tolerated dose (MTD) levels are determined. The LD.sub.50 values
are calculated using the method of Reed and Muench (J. of Amer.
Hyg. 27: 493-497, 1938). The results presented in Table 14 show
that the LD.sub.50 values for MBI 11CN and analogues range from 21
to 52 mg/kg.
TABLE-US-00013 TABLE 14 Peptide LD.sub.50 LD.sub.90-100 MTD MBI
11CN 34 mg/kg 40 mg/kg 20 mg/kg MBI 11B7CN 52 mg/kg >80 mg/kg 30
mg/kg MBI 113CN 21 mg/kg 40 mg/kg <20 mg/kg MBI 11F3CN 52 mg/kg
80 mg/kg 20 mg/kg
[0206] Intravenous route. Groups of 6 mice are injected with
peptide doses of 20, 16, 12, 8, 4 and 0 mg/kg in 100 .mu.l volumes
(4 ml/kg). After administration, the mice are observed for a period
of 5 days, at which time the LD.sub.50, LD.sub.90-100 and MTD
levels are determined. The results from the IV toxicity testing of
MBI 11CN and three analogues are shown in Table 15. The LD.sub.50,
LD.sub.90-100 and MTD values range from 5.8 to 15 mg/kg, 8 to 20
mg/kg and <4 to 12 mg/kg respectively.
TABLE-US-00014 TABLE 15 Peptide LD.sub.50 LD.sub.90-100 MTD MBI
11CN HCl 5.8 mg/kg 8.0 mg/kg <4 mg/kg MBI 11B7CN HCl 7.5 mg/kg
16 mg/kg 4 mg/kg MBI 11F3CN HCl 10 mg/kg 12 mg/kg 8 mg/kg MBI
11F4CN HCl 15 mg/kg 20 mg/kg 12 mg/kg
[0207] Subcutaneous route. The toxicity of MBI 11CN is also
determined after subcutaneous (SC) administration. For SC toxicity
testing, groups of 6 mice are injected with peptide doses of 128,
96, 64, 32 and 0 mg/kg in 300 .mu.L dose volumes (12 mL/kg). After
administration, the mice are observed for a period of 5 days. None
of the animals died at any of the dose levels within the 5 day
observation period. Therefore, the LD.sub.50, LD.sub.90-100 and MTD
are all taken to be greater than 128 mg/kg. Mice receiving higher
dose levels showed symptoms similar to those seen after IV
injection suggesting that peptide entered the systemic circulation.
These symptoms are reversible, disappearing in all mice by the
second day of observations.
[0208] The single dose toxicity of MBI 10CN and MBI 11CN in
different formulations is also examined in outbred ICR mice (Table
16). Intraperitoneal injection (groups of 2 mice) of MBI 10CN in
formulation D show no toxicity up to 29 mg/kg and under the same
conditions MBI 11CN show no toxicity up to 40 mg/kg.
[0209] Intravenous injection (groups of 10 mice) of MBI 10CN in
formulation D show a maximum tolerated dose (MTD) of 5.6 mg/kg
(Table 16). Injection of 11 mg/kg gave 40% toxicity and 22 mg/kg
result in 100% toxicity. Intravenous injection of MBI 11CN in
formulation C (lyophilized) show a MTD of 3.0 mg/kg. Injection at
6.1 mg/kg result in 10% toxicity and at 12 mg/kg 100% toxicity.
TABLE-US-00015 TABLE 16 MTD Peptide Route # Animals Formulation
(mg/kg) MBI 10CN ip 2 formulation D >29 MBI 11CN ip 2
formulation D >40 MBI 10CN iv 10 formulation D 5.6 MBI 11CN iv
10 formulation C 3.0 (lyophilized)
[0210] These results are obtained using peptide/buffer solutions
that are lyophilized after preparation and reconstituted with
water. If the peptide solution is not lyophilized before injection,
but used immediately after preparation, an increase in toxicity is
seen, and the maximum tolerated dose can decrease by up to
four-fold. For example, an intravenous injection of MBI 11CN as a
non-lyophilized solution, formulation C1, at 1.5 mg/kg results in
20% toxicity and at 3.0 mg/kg gave 100% toxicity. HPLC analyses of
the non-lyophilized and lyophilized formulations indicate that the
MBI 11CN forms a complex with polysorbate, and this complexation of
the peptide reduces its toxicity in mice.
[0211] In addition, mice are multiply injected by an intravenous
route with MBI 11CN (Table 17). In one representative experiment,
peptide administered in 10 injections of 0.84 mg/kg at 5 minute
intervals is not lethal. However, two injections of peptide at 4.1
mg/kg administered with a 10 minute interval results in 60%
mortality.
TABLE-US-00016 TABLE 17 Dose # Time Peptide Route Formulation
Level* Injections Interval Result MBI iv formulation 0.84 10 5 min
no 11CN D mortality MBI iv formulation 4.1 2 10 min 66% 11CN D
mortality *(mg/kg)
[0212] To assess the impact of dosing mice with peptide analogue, a
series of histopathology investigations can be carried out. Groups
of mice are administered analogue at dose levels that are either
at, or below the MTD, or above the MTD, a lethal dose. Multiple
injections may be used to mimic possible treatment regimes. Groups
of control mice are not injected or injected with buffer only.
[0213] Following injection, mice are sacrificed at specified times
and their organs immediately placed in a 10% balanced formalin
solution. Mice that die as a result of the toxic effects of the
analogue also have their organs preserved immediately. Tissue
samples are taken and prepared as stained micro-sections on slides
which are then examined microscopically. Damage to tissues is
assessed and this information can be used to develop improved
analogues, improved methods of administration or improved dosing
regimes.
Example 12
In Vivo Efficacy of Peptide Analogues
[0214] Analogues are tested for their ability to rescue mice from
lethal bacterial infections. The animal model used is an
intraperitoneal (ip) inoculation of mice with 10.sup.6-10.sup.8
Gram-positive organisms with subsequent administration of peptide.
The three pathogens investigated, methicillin-sensitive S. aureus
(MSSA), methicillin-resistant S. aureus (MRSA), or S. epidermidis
are injected ip into mice. For untreated mice, death occurs within
12-18 hours with MSSA and S. epidermis and within 6-10 hours with
MRSA.
[0215] Peptide is administered by two routes, intraperitoneally, at
one hour post-infection, or intravenously, with single or multiple
doses given at various times pre- and post-infection.
[0216] MSSA infection. In a typical protocol, groups of 10 mice are
infected intraperitoneally with a LD.sub.90-100 dose
(5.2.times.10.sup.6 CFU/mouse) of MSSA (Smith, ATCC #19640)
injected in brain-heart infusion containing 5% mucin. This strain
of S. aureus is not resistant to any common antibiotics. At 60
minutes post-infection, MBI 10CN or MBI 11CN, in formulation D, is
injected intraperitoneally at the stated dose levels. An injection
of formulation alone serves as a negative control and
administration of ampicillin serves as a positive control. The
survival of the mice is monitored at 1, 2, 3 and 4 hrs
post-infection and twice daily thereafter for a total of 8
days.
[0217] As shown in FIG. 14, MBI 10CN is maximally active against
MSSA (70-80% survival) at doses of 14.5 to 38.0 mg/kg, although
100% survival is not achieved. Below 14.5 mg/kg, there is clear
dose-dependent survival. At these lower dose levels, there appears
to be an animal-dependent threshold, as the mice either die by day
2 or survive for the full eight day period. As seen in FIG. 15, MBI
11CN, on the other hand, rescued 100% of the mice from MSSA
infection at a dose level of 35.7 mg/kg, and was therefore as
effective as ampicillin. There was little or no activity at any of
the lower dose levels, which indicates that a minimum bloodstream
peptide level must be achieved during the time that bacteria are a
danger to the host.
[0218] As shown above, blood levels of MBI 11CN can be sustained at
a level of greater than 2 .mu.g/ml for a two hour period inferring
that this is higher than the minimum level.
[0219] Additionally, eight variants based on the sequence of MBI
11CN are tested against MSSA using the experimental system
described above. Peptides prepared in formulation D are
administered at dose levels ranging from 12 to 24 mg/kg and the
survival of the infected mice is monitored for eight days (FIGS.
16-24). The percentage survival at the end of the observation
period for each variant is summarized in Table 18. As shown in the
table, several of the variants showed efficacy greater than or
equal to MBI 11CN under these conditions.
TABLE-US-00017 TABLE 18 % Survival 24 mg/kg 18 mg/kg 12 mg/kg 100
90 11B1CN, 11F3CN 80 70 11E3CN 60 11B7CN 50 11CN 40 11G2CN 30
11B1CN 20 11G4CN 10 11CN, 11B7CN, 11G2CN 11B8CN, 11F3CN 0 11A1CN
11A1CN, 11G2CN, 11CN, 11A1CN, 11G4CN 11B1CN, 11B7CN, 11B8CN,
11F3CN, 11G4CN
[0220] S. epidermidis infection. Peptide analogues generally have
lower MIC values against S. epidermidis in vitro, therefore, lower
blood peptide levels might be more effective against infection.
[0221] In a typical protocol, groups of 10 mice are injected
intraperitoneally with an LD.sub.90-100 dose (2.0.times.10.sup.8
CFU/mouse) of S. epidermidis (ATCC #12228) in brain-heart infusion
broth containing 5% mucin. This strain of S. epidermidis is 90%
lethal after 5 days. At 15 mins and 60 mins post-infection, various
doses of MBI 11CN in formulation D are injected intravenously via
the tail vein. An injection of formulation only serves as the
negative control and injection of gentamicin serves as the positive
control; both are injected at 60 minutes post-infection. The
survival of the mice is monitored at 1, 2, 3, 4, 6 and 8 hrs
post-infection and twice daily thereafter for a total of 8
days.
[0222] As shown in FIGS. 25A and 25B, MBI 11CN prolongs the
survival of the mice. Efficacy is observed at all three dose levels
with treatment 15 minutes post-infection, however, there is less
activity at 30 minutes post-infection and no significant effect at
60 minutes post-infection. Time of administration appears to be
important in this model system, with a single injection of 6.1
mg/kg 15 minutes post-infection giving the best survival rate.
[0223] MRSA infection. MRSA infection, while lethal in a short
period of time, requires a much higher bacterial load than MSSA. In
a typical protocol, groups of 10 mice are injected
intraperitoneally with a LD.sub.90-100 dose (4.2.times.10.sup.7
CFU/mouse) of MRSA (ATCC #33591) in brain-heart infusion containing
5% mucin. The treatment protocols are as follows, with the
treatment times relative to the time of infection:
TABLE-US-00018 0 mg/kg Formulation D alone (negative control),
injected at 0 mins 5 mg/kg Three 5.5 mg/kg injections at -5, +55,
and +115 mins 1 mg/kg Five 1.1 mg/kg injections at -5, +55, +115,
+175 (2 hr) and +235 mins 1 mg/kg Five 1.1 mg/kg injections at -10,
-5, 0, +5, and +10 mins (20 min) Vancomycin (positive control)
injected at 0 mins
[0224] MBI 11CN is injected intravenously in the tail vein in
formulation D. Survival of mice is recorded at 1, 2, 3, 4, 6, 8,
10, 12, 20, 24 and 30 hrs post-infection and twice daily thereafter
for a total of 8 days. There was no change in the number of
surviving mice after 24 hrs (FIG. 26).
[0225] The 1 mg/kg (20 min) treatment protocol, with injections 5
minutes apart centered on the infection time, delayed the death of
the mice to a significant extent with one survivor remaining at the
end of the study. The results presented in Table 19 suggest that a
sufficiently high level of MBI 11CN maintained over a longer time
period would increase the number of mice surviving. The 5 mg/kg and
1 mg/kg (2 hr) results, where there is no improvement in
survivability over the negative control, indicates that injections
1 hour apart, even at a higher level, are not effective against
MRSA.
TABLE-US-00019 TABLE 19 Time of Observation Percentage of Animals
Surviving (Hours post-infection) No Treatment Treatment 6 50% 70% 8
0 40% 10 0 30% 12 0 20%
Example 13
Activation of Polysorbate 80 by Ultraviolet Light
[0226] A solution of 2% (w/w) polysorbate 80 is prepared in water
and placed in a suitable reaction vessel, such as a quartz cell.
Other containers that are UV translucent or even opaque can be used
if provision is made for a clear light path or an extended reaction
time. In addition, the vessel should allow the exchange of air but
minimize evaporation.
[0227] The solution is irradiated with ultraviolet light using a
lamp emitting at 254 nm. Irradiation can also be performed using a
lamp emitting at 302 nm. The activation is complete in 1-14 days
depending upon the container, the depth of the solution, and air
exchange rate. The reaction is monitored by a reversed-phased HPLC
assay, which measures the formation of APS-modified MBI 11CN when
the light-activated polysorbate is reacted with MBI 11CN.
[0228] Some properties of activated polysorbate are determined.
Because peroxides are a known by-product of exposing ethers to UV
light, peroxide formation is examined through the effect of
reducing agents on the activated polysorbate. As seen in FIG. 27A,
activated polysorbate readily reacts with MBI 11CN. Pre-treatment
with 2-mercaptoethanol (FIG. 27B), a mild reducing agent,
eliminates detectable peroxides, but does not cause a loss of
conjugate forming ability. Treatment with sodium borohydride (FIG.
27C), eliminates peroxides and eventually eliminates the ability of
activated polysorbate to modify peptides. Hydrolysis of the
borohydride in water raises the pH and produces borate as a
hydrolysis product. However, neither a pH change nor borate are
responsible.
[0229] These data indicate that peroxides are not involved in the
modification of peptides by activated polysorbate. Sodium
borohydride should not affect epoxides or esters in aqueous media,
suggesting that the reactive group is an aldehyde or ketone. The
presence of aldehydes in the activated polysorbate is confirmed by
using a formaldehyde test, which is specific for aldehydes
including aldehydes other than formaldehyde.
[0230] Furthermore, activated polysorbate is treated with
2,4-dinitrophenylhydrazine (DNPH) in an attempt to capture the
reactive species. Three DNPH-tagged components are purified and
analyzed by mass spectroscopy. These components are
polysorbate-derived with molecular weights between 1000 and 1400.
This indicates that low molecular weight aldehydes, such as
formaldehyde or acetaldehyde, are involved.
Example 14
Formation of APS-Modified Peptides
[0231] APS-modified peptides are prepared either in solid phase or
liquid phase. For solid phase preparation, 0.25 ml of 4 mg/ml of
MBI 11CN is added to 0.5 ml of 0.4 M Acetic acid-NaOH pH 4.6
followed by addition of 0.25 ml of UV-activated polysorbate. The
reaction mix is frozen by placing it in a -80.degree. C. freezer.
After freezing, the reaction mix is lyophilized overnight.
[0232] For preparing the conjugates in an aqueous phase, a sample
of UV activated polysorbate 80 is first adjusted to a pH of 7.5 by
the addition of 0.1M NaOH. This pH adjusted solution (0.5 ml) is
added to 1.0 ml of 100 mM sodium carbonate, pH 10.0, followed
immediately by the addition of 0.5 ml of 4 mg/ml of MBI 11CN. The
reaction mixture is incubated at ambient temperature for 22 hours.
The progress of the reaction is monitored by analysis at various
time points using RP-HPLC (FIG. 28). In FIG. 28, peak 2 is
unreacted peptide, peak 3 is APS-modified peptide. Type 1 is the
left-most of peak 3 and Type 2 is the right-most of peak 3.
[0233] Table 20 summarizes data from several experiments. Unless
otherwise noted in table 20, the APS-modified peptides are prepared
via the lyophilization method in 200 mM acetic acid-NaOH buffer, pH
4.6.
TABLE-US-00020 TABLE 20 COMPLEX SEQUENCE NAME TYPE 1 TYPE 2
ILKKWPWWPWRRKamide 11CN Solid phase, pH 2.0 Yes Low Solid phase, pH
4.6 Yes Yes Solid phase, pH 5.0 Yes Yes Solid phase, pH 6.0 Yes Yes
Solid phase, pH 8.3 Yes Yes Solution, pH 2.0 Trace Trace Solution,
pH 10.0 Yes Yes-Slow (Ac).sub.4-ILKKWPWWPWRRKamide 11CN-Y1 No No
ILRRWPWWPWRRKamide 11B1CN Yes Lowered ILRWPWWPWRRKamide 11B7CN Yes
Lowered ILWPWWPWRRKamide 11B8CN Yes Lowered ILRRWPWWPWRRRamide
11B9CN Yes Trace ILKKWPWWPWKKKamide 11B10CN Yes Yes
iLKKWPWWPWRRkamide 11E3CN Yes Yes ILKKWVWWPWRRKamide 11F3CN Yes Yes
ILKKWPWWPWKamide 11G13CN Yes Yes ILKKWPWWPWRamide 11G14CN Yes
Trace
[0234] The modification of amino groups is further analyzed by
determining the number of primary amino groups lost during
attachment. The unmodified and modified peptides are treated with
2,4,6-trinitrobenzenesulfonic acid (TNBS) (R. L. Lundblad in
Techniques in Protein Modification and Analysis pp. 151-154, 1995)
(Table 21).
[0235] Briefly, a stock solution of MBI 11CN at 4 mg/ml and an
equimolar solution of APS-modified MBI 11CN are prepared. A 0.225
ml aliquot of MBI 11CN or APS-modified MBI 11CN is mixed with 0.225
ml of 200 mM sodium phosphate buffer, pH 8.8. A 0.450 ml aliquot of
1% TNBS is added to each sample, and the reaction is incubated at
37.degree. C. for 30 minutes. The absorbance at 367 nm is measured,
and the number of modified primary amino groups per molecule is
calculated using an extinction coefficient of 10,500 M.sup.-1
cm.sup.-1 for the trinitrophenyl (TNP) derivatives.
[0236] The primary amino group content of the parent peptide is
then compared to the corresponding APS-modified peptide. As shown
below, the loss of a single primary amino group occurs during
formation of modified peptide. Peptides possessing a 3,4 lysine
pair consistently give results that are 1 residue lower than
expected, which may reflect steric hindrance after titration of one
member of the doublet.
TABLE-US-00021 TABLE 21 TNP/APS- TNP/ modified PEPTIDE SEQUENCE
PEPTIDE peptide CHANGE ILKKWPWWPWRRKamide 2.71 1.64 1.07
ILRRWPWWPWRRKamide 1.82 0.72 1.10 I1KKWPWWPWRRkamide 2.69 1.61 1.08
ILKKWVWWPWRRKamide 2.62 1.56 1.06
Stability of APS-Modified Peptide Analogues
[0237] APS-modified peptides demonstrate a high degree of stability
under conditions that promote the dissociation of ionic or
hydrophobic complexes. APS-modified peptide in formulation D is
prepared as 800 .mu.g/ml solutions in water, 0.9% saline, 8M urea,
8M guanidine-HCl, 67% 1-propanol, 1M HCl and 1M NaOH and incubated
for 1 hour at room temperature. Samples are analyzed for the
presence of free peptide using reversed phase HPLC and the
following chromatographic conditions: [0238] Solvent A: 0.1%
trifluoroacetic acid (TFA) in water [0239] Solvent B: 0.1% TFA/95%
acetonitrile in water [0240] Media: POROS R2-20 (polystyrene
divinylbenzene) [0241] Elution: 0% B for 5 column volumes [0242]
0-25% B in 3 column volumes [0243] 25% B for 10 column volumes
[0244] 25-95% B in 3 column volumes [0245] 95% B for 10 column
volumes
[0246] Under these conditions, free peptide elutes exclusively
during the 25% B step and formulation-peptide complex during the
95% B step. None of the dissociating conditions mentioned above,
with the exception of 1M NaOH in which some degradation is
observed, are successful in liberating free peptide from
APS-modified peptide. Additional studies are carried out with
incubation at 55.degree. C. or 85.degree. C. for one hour.
APS-modified peptide is equally stable at 55.degree. C. and is only
slightly less stable at 85.degree. C. Some acid hydrolysis,
indicated by the presence of novel peaks in the HPLC chromatogram,
is observed with the 1M HCl sample incubated at 85.degree. C. for
one hour.
Example 15
Purification of APS-Modified MBI 11CN
[0247] A large scale preparation of APS-modified MBI 11CN is
purified. Approximately 400 mg of MBI 11CN is APS-modified and
dissolved in 20 ml of water. Unreacted MBI 11CN is removed by
RP-HPLC. The solvent is then evaporated from the APS-modified MBI
11CN pool, and the residue is dissolved in 10 ml methylene
chloride. The modified peptide is then precipitated with 10 ml
diethyl ether. After 5 min at ambient temperature, the precipitate
is collected by centrifugation at 5000.times.g for 10 minutes. The
pellet is washed with 5 ml of diethyl ether and again collected by
centrifugation at 5000.times.g for 10 minutes. The supernatants are
pooled for analysis of unreacted polysorbate by-products. The
precipitate is dissolved in 6 ml of water and then flushed with
nitrogen by bubbling for 30 minutes to remove residual ether. The
total yield from the starting MBI 11CN was 43%.
Example 16
Biological Assays using APS-Modified Peptide
[0248] All biological assays that compare APS-modified peptides
with unmodified peptides are performed on an equimolar ratio. The
concentration of APS-modified peptides can be determined by
spectrophotometric measurement, which is used to normalize
concentrations for biological assays. For example, a 1 mg/ml
APS-modified MBI 11CN solution contains the same amount of peptide
as a 1 mg/ml MBI 11CN solution, thus allowing direct comparison of
toxicity and efficacy data.
[0249] APS-modified peptides are at least as potent as the parent
peptides in in vitro assays performed as described herein. MIC
values against gram positive bacteria are presented for several
APS-modified peptides and compared with the values obtained using
the parent peptides (Table 22). The results indicate that the
modified peptides are at least as potent in vitro as the parent
peptides and may be more potent than the parent peptides against E.
faecalis strains.
TABLE-US-00022 TABLE 22 Corrected MIC (.mu.g/ml) Organism Organism
# Peptide APS-peptide Peptide A. calcoaceticus AC002 MBI 11B1CN 4 2
A. calcoaceticus AC002 MBI 11B7CN 8 4 A. calcoaceticus AC002 MBI
11CN >64 4 A. calcoaceticus AC002 MBI 11E3CN 8 2 A.
calcoaceticus AC002 MBI 11F3CN 8 2 E. cloacae ECL007 MBI 11B1CN 128
>128 E. cloacae ECL007 MBI 11B7CN 128 128 E. cloacae ECL007 MBI
11CN 64 >128 E. cloacae ECL007 MBI 11E3CN 128 >128 E. cloacae
ECL007 MBI 11F3CN 128 >128 E. coli ECO005 MBI 11B1CN 16 8 E.
coli ECO005 MBI 11B7CN 64 8 E. coli ECO005 MBI 11CN 64 16 E. coli
ECO005 MBI 11E3CN 64 8 E. coli ECO005 MBI 11F3CN 128 16 E. faecalis
EFS001 MBI 11B1CN 4 32 E. faecalis EFS001 MBI 11B7CN 8 8 E.
faecalis EFS001 MBI 11CN 8 32 E. faecalis EFS001 MBI 11E3CN 4 8 E.
faecalis EFS001 MBI 11F3CN 8 32 E. faecalis EFS004 MBI 11B1CN 4 8
E. faecalis EFS004 MBI 11B7CN 8 8 E. faecalis EFS004 MBI 11CN 4 8
E. faecalis EFS004 MBI 11E3CN 4 2 E. faecalis EFS004 MBI 11F3CN 4
16 E. faecalis EFS008 MBI 11B1CN 8 32 E. faecalis EFS008 MBI 11B7CN
8 32 E. faecalis EFS008 MBI 11CN 64 64 E. faecalis EFS008 MBI
11E3CN 8 16 E. faecalis EFS008 MBI 11F3CN 4 128 K. pneumoniae KP001
MBI 11B1CN 32 128 K. pneumoniae KP001 MBI 11B7CN 64 16 K.
pneumoniae KP001 MBI 11CN 64 128 K. pneumoniae KP001 MBI 11E3CN 64
8 K. pneumoniae KP001 MBI 11F3CN 128 64 P. aeruginosa PA004 MBI
11B1CN 128 128 P. aeruginosa PA004 MBI 11B7CN 128 128 P. aeruginosa
PA004 MBI 11CN 64 >128 P. aeruginosa PA004 MBI 11E3CN 128 128 P.
aeruginosa PA004 MBI 11F3CN 128 128 S. aureus SA010 MBI 11B1CN 4 1
S. aureus SA010 MBI 11B7CN 4 1 S. aureus SA010 MBI 11CN 4 2 S.
aureus SA010 MBI 11E3CN 2 1 S. aureus SA010 MBI 11F3CN 4 2 S.
aureus SA011 MBI 11B1CN 16 4 S. aureus SA011 MBI 11B7CN 16 4 S.
aureus SA011 MBI 11CN 16 8 S. aureus SA011 MBI 11E3CN 16 4 S.
aureus SA011 MBI 11F3CN 16 8 S. aureus SA014 MBI 11B1CN 4 8 S.
aureus SA014 MBI 11B7CN 8 4 S. aureus SA014 MBI 11CN 8 16 S. aureus
SA014 MBI 11E3CN 4 4 S. aureus SA014 MBI 11F3CN 8 8 S. aureus SA018
MBI 11B1CN 32 16 S. aureus SA018 MBI 11B7CN 32 16 S. aureus SA018
MBI 11CN 64 64 S. aureus SA018 MBI 11E3CN 32 16 S. aureus SA018 MBI
11F3CN 64 16 S. aureus SA025 MBI 11B1CN 4 1 S. aureus SA025 MBI
11B7CN 2 1 S. aureus SA025 MBI 11CN 2 4 S. aureus SA025 MBI 11E3CN
2 1 S. aureus SA025 MBI 11F3CN 4 2 S. aureus SA093 MBI 11B1CN 2 1
S. aureus SA093 MBI 11B7CN 2 1 S. aureus SA093 MBI 11CN 2 2 S.
aureus SA093 MBI 11E3CN 2 1 S. aureus SA093 MBI 11F3CN 2 1 S.
maltophilia SMA002 MBI 11B1CN 64 128 S. maltophilia SMA002 MBI
11B7CN 128 32 S. maltophilia SMA002 MBI 11CN >64 128 S.
maltophilia SMA002 MBI 11E3CN 128 64 S. maltophilia SMA002 MBI
11F3CN 128 64 S. marcescens SMS003 MBI 11B1CN 128 >128 S.
marcescens SMS003 MBI 11B7CN 128 >128 S. marcescens SMS003 MBI
11CN 64 >128 S. marcescens SMS003 MBI 11E3CN 128 >128 S.
marcescens SMS003 MBI 11F3CN 128 >128
[0250] Toxicities of APS-modified MBI 11CN and unmodified MBI 11CN
are examined in Swiss CD-1 mice. Groups of 6 mice are injected iv
with single doses of 0.1 ml peptide in 0.9% saline. The dose levels
used are 0, 3, 5, 8, 10, and 13 mg/kg. Mice are monitored at 1, 3,
and 6 hrs post-injection for the first day, then twice daily for 4
days. The survival data for MBI 11CN mice are presented in Table
23. For APS-modified MBI 11CN, 100% of the mice survived at all
doses, including the maximal dose of 13 mg/kg.
TABLE-US-00023 TABLE 23 Peptide Cumulative administered No. Dead/
Cumulative No. No. % (mg/kg) Total Dead Surviving Dead/Total Dead
13 6/6 18 0 18/18 100 10 6/6 12 0 12/12 100 8 6/6 6 0 6/6 100 5 0/6
0 6 0/6 0 3 0/6 0 12 0/12 0 0 0/6 0 18 0/18 0
[0251] As summarized below, the LD.sub.50 for MBI 11CN is 7 mg/kg
(Table 24), with all subjects dying at a dose of 8 mg/ml. The
highest dose of MBI 11CN giving 100% survival was 5 mg/kg. The data
show that APS-modified peptides are significantly less toxic than
the parent peptides.
TABLE-US-00024 TABLE 24 Test Peptide LD.sub.50 LD.sub.90-100 MTD
MBI-11CN-TFA 7 mg/kg 8 mg/kg 5 mg/kg APS-MBI-11CN >13 mg/kg*
>13 mg/kg* >13 mg/kg* *could not be calculated with available
data.
[0252] It will be appreciated that, although specific embodiments
of the invention have been described herein for purposes of
illustration, various modifications may be made without departing
from the spirit and scope of the invention. Accordingly, the
invention is not limited except as by the appended claims.
Sequence CWU 1
1
* * * * *