US2008242614A1PendingUtilityA1

Compositions and methods for treating infections using analogues of indolicidin

64
Assignee: MIGENIX INCPriority: Aug 21, 1996Filed: Mar 28, 2008Published: Oct 2, 2008
Est. expiryAug 21, 2016(expired)· nominal 20-yr term from priority
C07K 7/08A61K 41/0028A61P 31/10A61K 38/00A61P 31/04A61P 31/12A61P 31/00C07K 14/001A61K 47/60A61P 33/00Y02A50/30
64
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Claims

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.

Claims

exact text as granted — not AI-modified
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: 
       
         
           
                 
                 
               
                   (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.

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