[EN] COMPOUNDS AND METHODS FOR POTENTIATING COLISTIN ACTIVITY<br/>[FR] COMPOSÉS ET PROCÉDÉS POUR POTENTIALISER L'ACTIVITÉ DE LA COLISTINE
申请人:UNIV NOTRE DAME DU LAC
公开号:WO2021086567A1
公开(公告)日:2021-05-06
Infections caused by multidrug-resistant (MDR) bacteria, particularly Gram-negative bacteria, are an escalating global health threat. Often clinicians are forced to administer the last resort antibiotic colistin, however colistin resistance is becoming increasingly prevalent, giving rise to the potential for a situation in which there are no treatment options for MDR Gram-negative infections. The development of adjuvants that circumvent bacterial resistance mechanisms is a promising orthogonal approach to the development of new antibiotics. We recently disclosed that the known IKK-β inhibitor IMD-0354 potently suppresses colistin resistance in several Gram-negative strains. In this disclosure, we explore the structure activity relationship (SAR) between the IMD-0354 scaffold and colistin resistance suppression, and identify several compounds with more potent activity than the parent against highly colistin resistant strains of Acinetobacter baumannii and Klebsiella pneumoniae.
由多药耐药(MDR)细菌引起的感染,特别是革兰氏阴性细菌,是一种不断加剧的全球健康威胁。通常情况下,临床医生被迫使用最后的抗生素科利星,然而科利星耐荐性越来越普遍,导致可能出现无法治疗MDR革兰氏阴性细菌感染的情况。开发能够规避细菌耐药机制的辅助剂是开发新抗生素的一种有前途的正交方法。我们最近披露,已知的IKK-β抑制剂IMD-0354能够有效抑制几种革兰氏阴性菌株对科利星的耐药性。在这一披露中,我们探讨了IMD-0354骨架与科利星耐药抑制之间的结构活性关系(SAR),并确定了几种比母体更具有强效活性的化合物,对鲍曼不动杆菌和肺炎克雷伯氏菌高度耐科利星的菌株具有更强的活性。