申请人:VAARA Martti Sakari
公开号:US20090215677A1
公开(公告)日:2009-08-27
The present invention relates to a polymyxin derivative wherein R1, R2 and R3 are optional and R1, R2, R3, R5, R8 and R9 are cationic or neutral amino acid residues selected so that the total number of positive charges at physiological pH is at least two but no more than three; and to a combination product comprising at least two such derivatives. The invention further relates to a method for treating, alleviating or ameliorating an infection in a subject, caused by a Gram-negative bacterium by administering a therapeutically effective amount of a derivative according to the present invention to said subject; to a method for sensitizing Gram-negative bacteria to an antibacterial agent by administering, simultaneously or sequentially in any order a therapeutically effective amount of said antibacterial agent and a derivative according to the present invention to said subject; to methods for developing novel antibiotics; for reducing the nephrotoxicity, for improving the pharmacokinetic properties of natural polymyxins and octapeptins; and for sensitizing clinically important bacteria to a host defense mechanism complement present in serum. Finally, the invention relates to a process for preparing such polymyxin derivatives.
本发明涉及一种聚霉素衍生物,其中R1,R2和R3是可选的,而R1、R2、R3、R5、R8和R9是阳离子或中性氨基酸残基,选定这些残基使得在生理pH下正电荷总数至少为两个但不超过三个;以及包含至少两种这种衍生物的组合物。本发明还涉及一种通过向受体内给予本发明所述的衍生物的治疗有效量来治疗、缓解或改善由革兰氏阴性菌引起的感染的方法;一种通过同时或顺序给予治疗有效量的抗菌药物和本发明所述的衍生物来使革兰氏阴性菌对抗菌药物敏感的方法;一种开发新型抗生素的方法;降低天然聚霉素和八肽霉素的肾毒性,改善其药代动力学特性的方法;以及使临床重要细菌对存在于血清中的宿主防御机制补体敏感的方法。最后,本发明涉及一种制备这种聚霉素衍生物的方法。