EP4125929A1 - Nicotinamide mononucleotide derivatives for the treatment of bacterial infections - Google Patents
Nicotinamide mononucleotide derivatives for the treatment of bacterial infectionsInfo
- Publication number
- EP4125929A1 EP4125929A1 EP21713440.2A EP21713440A EP4125929A1 EP 4125929 A1 EP4125929 A1 EP 4125929A1 EP 21713440 A EP21713440 A EP 21713440A EP 4125929 A1 EP4125929 A1 EP 4125929A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- alkyl
- aryl
- compound
- formula
- compounds
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
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- 230000036542 oxidative stress Effects 0.000 description 1
- LDCYZAJDBXYCGN-UHFFFAOYSA-N oxitriptan Natural products C1=C(O)C=C2C(CC(N)C(O)=O)=CNC2=C1 LDCYZAJDBXYCGN-UHFFFAOYSA-N 0.000 description 1
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- 125000001147 pentyl group Chemical group C(CCCC)* 0.000 description 1
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- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 230000004481 post-translational protein modification Effects 0.000 description 1
- 239000011591 potassium Chemical class 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
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- 125000000561 purinyl group Chemical group N1=C(N=C2N=CNC2=C1)* 0.000 description 1
- 125000003072 pyrazolidinyl group Chemical group 0.000 description 1
- 125000003226 pyrazolyl group Chemical group 0.000 description 1
- 125000004076 pyridyl group Chemical group 0.000 description 1
- 229940043131 pyroglutamate Drugs 0.000 description 1
- HNJBEVLQSNELDL-UHFFFAOYSA-N pyrrolidin-2-one Chemical compound O=C1CCCN1 HNJBEVLQSNELDL-UHFFFAOYSA-N 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- 125000002294 quinazolinyl group Chemical group N1=C(N=CC2=CC=CC=C12)* 0.000 description 1
- 125000002943 quinolinyl group Chemical group N1=C(C=CC2=CC=CC=C12)* 0.000 description 1
- 125000001567 quinoxalinyl group Chemical group N1=C(C=NC2=CC=CC=C12)* 0.000 description 1
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- 239000011734 sodium Chemical class 0.000 description 1
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- 125000000037 tert-butyldiphenylsilyl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1[Si]([H])([*]C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 125000003718 tetrahydrofuranyl group Chemical group 0.000 description 1
- 125000004263 tetrahydroisoquinolin-1-yl group Chemical group [H]N1C([H])([H])C([H])([H])C2=C([H])C([H])=C([H])C([H])=C2C1([H])* 0.000 description 1
- 125000001113 thiadiazolyl group Chemical group 0.000 description 1
- 125000004305 thiazinyl group Chemical group S1NC(=CC=C1)* 0.000 description 1
- 125000001984 thiazolidinyl group Chemical group 0.000 description 1
- GKTQKQTXHNUFSP-UHFFFAOYSA-N thieno[3,4-c]pyrrole-4,6-dione Chemical compound S1C=C2C(=O)NC(=O)C2=C1 GKTQKQTXHNUFSP-UHFFFAOYSA-N 0.000 description 1
- 125000004001 thioalkyl group Chemical group 0.000 description 1
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- 125000004306 triazinyl group Chemical group 0.000 description 1
- 125000001425 triazolyl group Chemical group 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 125000004205 trifluoroethyl group Chemical group [H]C([H])(*)C(F)(F)F 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
- 125000000025 triisopropylsilyl group Chemical group C(C)(C)[Si](C(C)C)(C(C)C)* 0.000 description 1
- WVLBCYQITXONBZ-UHFFFAOYSA-N trimethyl phosphate Chemical compound COP(=O)(OC)OC WVLBCYQITXONBZ-UHFFFAOYSA-N 0.000 description 1
- 125000000026 trimethylsilyl group Chemical group [H]C([H])([H])[Si]([*])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- FTVLMFQEYACZNP-UHFFFAOYSA-N trimethylsilyl trifluoromethanesulfonate Chemical compound C[Si](C)(C)OS(=O)(=O)C(F)(F)F FTVLMFQEYACZNP-UHFFFAOYSA-N 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical class OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 125000002221 trityl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1C([*])(C1=C(C(=C(C(=C1[H])[H])[H])[H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 229960000281 trometamol Drugs 0.000 description 1
- 125000002948 undecyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
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- 239000008158 vegetable oil Substances 0.000 description 1
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- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 230000008673 vomiting Effects 0.000 description 1
- 239000003643 water by type Substances 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7084—Compounds having two nucleosides or nucleotides, e.g. nicotinamide-adenine dinucleotide, flavine-adenine dinucleotide
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
- A61P31/06—Antibacterial agents for tuberculosis
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Definitions
- the present invention relates to a compound of formula (I) or a pharmaceutically acceptable salt and / or solvate thereof for use in the treatment of bacterial infections.
- Bacterial infections are responsible for diseases or syndromes such as urinary tract infections, skin and soft tissue infections, sexually transmitted infections, tetanus, typhoid, tuberculosis, cholera, syphilis, salmonella, pneumonia or sepsis. Despite the large number and diversity of antibacterial agents, bacterial infections are one of the leading causes of death worldwide, especially in developing countries.
- NAD + is involved in hundreds of redox reactions in the cell, in particular at the level of the mitochondria and the Kreps cycle.
- NAD + is an essential cosubstrate for a number of non-redox enzymes (e.g. sirtuins (SIRTs), poly-ADP-rybosyl polymerases (PARPs), ADPR cyclases (ADP rybosyl cyclases like CD38 and CD73) , and mono-ADP-rybosyl transferases (MARTs) in mammals and DNA ligases and deacetylase proteins of the CobB / Sir2 family in bacteria).
- SIRTs sirtuins
- PARPs poly-ADP-rybosyl polymerases
- ADPR cyclases ADP rybosyl cyclases like CD38 and CD73
- MARTs mono-ADP-rybosyl transferases
- SIRT2 sirtuin modulates many cellular processes including carcinogenesis, the cell cycle, DNA damage, and the cellular response to infection.
- SIRT2 is relocated from the cytoplasm to the nucleus where post-translational modifications on the enzyme (dephosphorylation) induce its association with chromatin and promote the progression of the infection (2018, Cell Reports, 23, 1124-1137).
- TRPM2 transi ent receptor potential melastatin-2
- necrotic exotoxins into the cytosol of infected macrophages.
- exotoxins can have ADP-rybosyltransferase or b-NAO + glycohydrolase activities. The latter deprive host cells, in the absence of other targets, of their NAD + resources, thus triggering the activation of necroptosis mechanisms (2019, Journal of Biological Chemistry, 294 (9), 3024-3036).
- Nicotinamide mononucleotide is a nucleotide that is best known for its role as an intermediary in the biosynthesis of nicotinamide adenine dinucleotide (NAD +). Mainly known for its involvement in the biosynthesis of NAD +, this particular molecule has been shown to be pharmacologically effective in several preclinical studies.
- the aim of this invention is to provide an alternative to current treatments by providing nicotinamide mononucleotide derivatives for the treatment of bacterial infections.
- nicotinamide mononucleotide derivatives according to the invention are well tolerated and make it possible to reduce bacterial propagation.
- the present invention relates to a compound of formula (I) or a pharmaceutically acceptable salt and / or solvate thereof, wherein:
- Mi is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- R2, R3, R4 and R5 are independently selected from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1-C12 alkyl, C 1 -heteroalkyl C 12 , C1-C12 haloalkyl and OR; wherein R is selected from H, C 1 -C 12 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (Ci-Ci 2 ) alkyl, C (0) aryl, C (0) (Ci-Ci 2 ) alkyl (C 5 -Ci 2 ) aryl, C (0) NH (C iC i 2 ) alkyl e (C 5 -C i 2) ) aryl, C (0) 0 (Ci-Ci 2 ) alkyl (C 5 -C12) aryl and C (0)
- Ro is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- R7 is chosen from P (0) R9Rio, P (S) R9Rio and
- R9 and Rio are independently selected from one another from OH, ORu, NHR 13 , NR13R14, C1-C8 alkyl, Cu-Cs alkenyl, C2-C8 alkynyl, C 3 -C 10 cycloalkyl, C 5 -C 12 aryl, (C5-Ci 2 ) aryl- (Ci-C8) alkyl, (C 1 -C g) alkyl e- (Cs-C i 2 ) aryl e, (Ci-Cg) heteroalkyl, (C 3 -C 8 ) heterocycloalkyl, (C 5 -C 12) heteroary 1 e and NHCR a Ra'C (0) Ri 2 ; wherein : - Ru is chosen from C 1 -C 10 alkyl, C 3 -C 10 cycloalkyl, C 5 -C 12 aryl, (C 1 -C 10) al ky 1 e- (Cs-C 12
- R12 is selected from C 1 -C 10 alkyl, hydroxy, (Ci-Cio) alkoxy, (C 2 -Cg) al cenyl oxy, (C 2 -Cg) alkynyloxy, halo (C 2 -C io) alkyloxy,
- R 3 and R 4 are independently selected from H, C 1 -C 8 alkyl and (C 1 -C 8) alkyl- (C 5 -Ci 2 ) aryl; and
- Mr is selected from H, azido, cyano, C1-C8 alkyl, thio-C1-C8 alkyl, C1-C8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- R2% Map BU 'and Ms' are independently selected from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1-C12 alkyl, C1-C12 heteroalkyl, haloalkyl in C1-C12 and OR; wherein R is selected from H, C 1 -C 12 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (Ci-Ci 2 ) alkyl, C (0) aryl, C (0) (Ci-Ci 2 ) alkyl (C 5 -Ci 2 ) aryl, C (0) NH (Ci-Ci 2 ) alkyl (C 5 -Ci 2 ) aryl , C (0) O (Ci-Ci 2 ) alkyl (C 5 -Ci 2 ) aryl and C (0) CHRAAN
- Rr is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 6 heteroalkyl and OR; in which R is selected from H and alkyl in
- Rr is selected from H, OR, NHR15 ', NRis'Rie', NH-NHR15 ', SH, CN, Ns and halogen; wherein Ris and Rie ' are independently selected from H, C1-C8 alkyl and C1-C8 alkyl-aryl;
- 11 is an integer selected from 1 to 3;
- n LLL represents the alpha or beta anomer depending on the position of Rr
- R is selected from H and C1-C8 alkyl
- Ris and Rie are independently selected from H, C1-C8 alkyl, C1-C8 alkyl-aryl and -CHRAAC0 2 H in which RAA is a side chain selected from a proteinogenic or non-proteinogenic amino acid
- Y is selected from CH, CH 2 , C (CH 3 ) 2 and CCH 3 ;
- R 1 is selected from H, azido, cyano, C 1 -C 8 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; in which R is selected from H and alkyl in
- R2, R3, R4 and Ms are chosen independently of one another from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1-C12 alkyl, C 1 -C 12 heteroalkyl, C 1 -C 12 haloalkyl and OR; wherein R is selected from H, C 1 -C 12 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (Ci-Ci 2 ) alkyl, C (0) aryl, C (0) (Ci-Ci 2 ) alkyl aryl, C (0) NH (Ci-Ci 2 ) alkyl aryl, C (0) 0 (C î -C i 2 ) alkyl aryl and C (0) CHRAANH 2 ; wherein RAA is a side chain selected from a proteinogenic amino acid;
- Me is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- R7 is selected from P (0) 9 IO and P (S) R9RIO; wherein R 9 and Rio are independently selected from OH, ORu, C 1 -C 8 alkyl, C 1 aryl
- R 11 is chosen from C 1 -C 8 alkyl, C 5 -C 12 aryl and
- R 12 is C1-C8 alkyl
- R AA is a side chain chosen from a proteinogenic amino acid
- Ms is selected from H, OR, NHR13, NR13R14, NH-NHR13, SH, CN, N3 and halogen; wherein R 13 and R 14 are independently selected from H, C1-C8 alkyl and C1-C8 alkyl-aryl;
- Y is selected from CH, CH 2 , C (CH3) 2 and CCH3;
- X represents oxygen.
- R 1 and Me each independently represent hydrogen.
- R2, R3, R4 and Rs each independently represent hydrogen or OH.
- Y represents CH or CTh.
- R7 represents P (0) (0H) 2.
- R7 represents in which R9 is OH or OR11 in which Ru is as defined in formula (I) and
- Rr and Re ’each represent hydrogen
- R2 ’, R’, Rr and Rs ’ are independently selected from hydrogen and OH;
- Rr is NH2;
- Y ’ is selected from CH and CHi;
- n is equal to 2;
- ' / vw ' represents the alpha or beta anomer depending on the position of Rr.
- the compound of the invention is chosen from the compounds of Table 1:
- the bacterial infection is caused by at least one bacterium of the genus selected from aerobic Gram-positive bacteria such as Streptococcus, Staphylococcus, Enter ococus or Bacillus; Gram-negative enterobacteriaceae such as Escherichia coli, Klebsiella pneumonia, Enterobacter aerogems, Enterobacter cloacae, Proteus vulgaris, Ski ge lia flexneri, Serratia morcescens, Citrobacter freundii, Yersinia enter ocolitica or Salmonella enteritidk; Gram-negative bacilli such as
- Pseudomonas aeruginosci Acitenobacter baiimannü, Burkholderia cepacia or Stenotrophomonas maltophilia
- Gram-negative anaerobic bacteria such as Bacteroid.es, Fusobacterium or Eubacterium
- Gram-positive anaerobic bacteria such as Propionibacterium, Peptococcus, Clostridium, Pepiostreptococcus or Veillonella
- mycobacteria such as Mycobacterium leprae or Mycobacterium tuberculosis
- Helicobacter pylori and pathogens involved in sexually transmitted infections such as Neisseria, Haemophilus, Chlamydia or Mycoplasma.
- the bacterial infection is selected from bacterial infections of the skin and soft tissues, sexually transmitted bacterial infections, tetanus, typhoid, tuberculosis, cholera, diphtheria, syphilis, salmonella. , bacterial lung infections or sepsis. In one embodiment, the bacterial infection is sepsis.
- Alkyl by itself or as part of another substituent denotes a hydrocarbyl radical of formula C n Hm + i in which n is a number greater than or equal to 1.
- the alkyl groups of this invention contain 1 to 12 carbon atoms, preferably 1 to 10 carbon atoms, preferably 1 to 8 carbon atoms, more preferably 1 to 6 carbon atoms, still more preferably 1 to 2 carbon atoms.
- the alkyl groups can be linear or branched and can be substituted as indicated in the present invention.
- Suitable alkyl groups include methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl and t-butyl, pentyl and its isomers (e.g.
- n-pentyl, iso-pentyl) , hexyl and its isomers (eg n-hexyl, iso-hexyl), heptyl and its isomers (eg n-heptyl, iso-heptyl), octyl and its isomers (eg n-octyl, iso-octyl), nonyl and its isomers (eg n-nonyl, iso-nonyl), decyl and its isomers (eg n-decyl, iso-decyl), undecyl and its isomers, dodecyl and its isomers.
- hexyl and its isomers eg n-hexyl, iso-hexyl
- heptyl and its isomers eg n-heptyl, iso-heptyl
- alkyl groups are: methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl and t-butyl.
- (C x -Cy) alkyls refer to alkyl groups which include from x to y carbon atoms.
- alkenyl by itself or as part of another substituent refers to an unsaturated hydrocarbyl group, which may be linear or branched, comprising one or more carbon-to-carbon double bonds. Suitable alkenyl groups comprise between 2 and 12 carbon atoms, preferably between 2 and 8 carbon atoms, even more preferably between 2 and 6 carbon atoms. Non-limiting examples of alkenyl groups include ethenyl, 2-propenyl, 2-butenyl, 3-butenyl, 2-pentenyl and its isomers, 2-hexenyl and its isomers, 2,4-pentadienyl.
- Alkynyl by itself or as part of another substituent refers to a class of monovalent unsaturated hydrocarbyl groups, wherein the unsaturation arises from the presence of one or more carbon-carbon triple bonds. Alkynyl groups generally and preferably have the same number of carbon atoms as described above for alkenyl groups. Non-limiting examples of alkynyl groups include ethynyl, 2-propynyl, 2-butynyl, 3-butynyl, 2-pentynyl and its isomers, 2-hexynyl and its isomers.
- Alkoxy refers to an alkyl group as defined above, which is attached to another part through an oxygen atom. Examples of alkoxy groups include methoxy, isopropoxy, ethoxy, tert-butoxy, and the like. The alkoxy groups can be optionally substituted with one or more substituents. The alkoxy groups included in the compounds of this invention may be optionally substituted with a solubilizing group.
- Aryl refers to a polyunsaturated aromatic hydrocarbyl group having a single ring (eg, phenyl) or more aromatic rings fused together (eg, naphthyl) or covalently linked, generally containing 5 to 12 atoms, preferably 6 to 10, of which at least one ring is aromatic.
- the aromatic ring can optionally comprise one or two additional rings (cycloalkyl, heterocyclyl or heteroaryl) which are fused therein.
- Aryl is also intended to include partially hydrogenated derivatives of the carbocyclic systems listed herein.
- aryls include phenyl, bi-phenyl, biphenylenyl, 5- or 6-tetralinyl, naphthalen-1- or -2-yl, 4-, 5-, 6 or 7-indenyl, 1 - 2-, 3-, 4- or 5 -acenaphthy 1 enyl, 3-, 4- or 5-acenaphthenyl, 1- or 2-pentalenyl, 4- or 5-indanyl, 5-, 6-, 7- or 8-tetrahydronaphthyl, 1, 2,3, 4-tetrahydronaphthyl, 1,4-dihydronaphthyl, 1-, 2-, 3-, 4- or 5-pyrenyl.
- Alkylaryl denotes an aryl group substituted by an alkyl group.
- a ryl alkyl denotes an alkyl group substituted with an aryl group.
- Aryloxy denotes a group -O-aryl in which aryl is defined according to the present invention.
- Amino acid denotes an alpha-amino carboxylic acid, i.e. a molecule comprising a carboxylic acid functional group and an amine functional group in the alpha position of the carboxylic acid group, for example a proteinogenic amino acid or an amino acid non-proteinogenic such as 2-aminoisobutyric acid.
- Proteinogenic amino acid means an amino acid which is incorporated into proteins during translation of messenger RNA by ribosomes in living organisms, i.e. Alanine (ALA), Arginine (ARG), Asparagine (ASN), Aspartate (ASP), Cysteine (CYS), Glutamate (glutamic acid) (GLU), Glutamine (GLN), Glycine (GLY), Histidine (HIS), Isoleucine (ILE), Leucine
- Lysine Lysine
- Methionine MET
- Phenylalanine PHE
- Proline PRO
- Pyrrolysine PYL
- Selenocysteine SEL
- Serine SE
- Threonine TRR
- TRP Tryptophan
- Tyrosine TRP
- Yaline VAL
- Non-proteinogenic amino acid means an amino acid which is not naturally encoded or which is not found in the genetic code of a living organism.
- Non-limiting examples of non-proteinogenic amino acids include ornithine, citrulline, argininosuccinate, homoserine, homocysteine, cysteine-sulfmic acid, 2-aminomuconic acid, d-aminolevulinic acid, b-alanine, cystathionine, g-aminobutyrate, DOPA, 5-hydroxytryptophan, D-serine, ibotenic acid, a-aminobutyrate, 2-a inoi sobutyrate, D-leucine, D-valine, D-alanine or D-glutamate.
- Cycloalkyl by itself or as part of another substituent refers to a cyclic alkyl, alkenyl or alkynyl group, i.e. a monovalent, saturated or unsaturated hydrocarbyl group having 1 or 2 ring structures. . Cycloalkyl includes monocyclic or bicyclic hydrocarbyl groups. Cycloalkyl groups can comprise 3 or more carbon atoms in the ring and generally, according to this invention, comprise from 3 to 10, preferably from 3 to 8, even more preferably from 3 to 6 carbon atoms.
- Non-limiting examples of cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cyclopropyl being particularly preferred.
- Cycloalkyloxy denotes a -Q-cycloalkyl group in which cycloalkyl is defined according to the present invention.
- Halogen or “halo” means fluoro, chloro, bromo or iodo. Preferred halo groups are fluoro and chloro.
- haloalkyl groups which comprise from x to y carbon atoms.
- Preferred haloalkyl groups are difluorom ethyl and trifluorom ethyl.
- Heteroalkyl denotes an alkyl group as defined above, in which one or more carbon atoms are replaced by a heteroatom chosen from oxygen, nitrogen and sulfur atoms.
- heteroatoms are linked along the alkyl chain only to carbon atoms, i.e. each heteroatom is separated from all other heteroatom by at least one carbon atom.
- the nitrogen and sulfur heteroatoms can optionally be oxidized and the nitrogen heteroatoms can optionally be quaternized.
- a heteroalkyl is linked to another group or to another molecule only through a carbon atom, i.e. the linking atom is not selected from heteroatoms included in the heteroalkyl group.
- Heteroaryl by itself or as part of another substituent refers to aromatic rings having 5 to 12 carbon atoms or systems containing
- rings typically containing 5 to 6 atoms; at least one of the rings being aromatic; in which one or more carbon atoms in one or more of the rings are replaced by one or more oxygen, nitrogen and / or sulfur atoms; the nitrogen and sulfur heteroatoms which can optionally be oxidized and the nitrogen heteroatoms possibly being quaternized.
- Such rings can be fused to an aryl, cycloalkyl, heteroaryl or heterocyclyl ring.
- heteroaryls include: furanyl, thiophenyl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazolyl, thiadiazolyl, tetrazolylr, oxatriazolyl, thiatriazolyl, pyridrazin, oxatriazolyl, thiatriazolyl, pyridrazin, oxatriazolyl, thiatriazolyl, pyridrazin, pyridazolyl, thiatriazolyl, pyridazin, oxidazolyl, thiatriazolyl, pyridazin, oxatriazolyl, thiatriazolyl, pyridazin, oxidazolyl, thiatriazolyl, pyridazin, oxatriazolyl, thi
- 2-oxopyri di n-1 (2H) -yl e 1, 3-benzodioxolyl, quinolinyl, isoquinolinyl, cinnolinyl, quinazolinyl, quinoxalinyl.
- heterocycloalkyl When at least one carbon atom in a cycloalkyl group is replaced by a heteroatom, the resulting ring is referred to herein as "heterocycloalkyl” or “heterocyclyl”.
- Heteroaryloxy denotes an -O-heteroaryl group in which heteroaryl is defined according to the present invention.
- Heterocyclyl by itself or as part of another substituent refers to non-aromatic, fully saturated or partially unsaturated cyclic groups (e.g., 3- to 7-membered monocycle, bicycle of 7 to 11 members, or comprising a total of 3 to 10 ring atoms) which have at least one heteroatom in at least one ring containing carbon atoms.
- Each ring of the heterocyclyl group comprising a heteroatom may have 1, 2, 3 or 4 heteroatoms selected from nitrogen, oxygen and / or sulfur atoms, the nitrogen and sulfur heteroatoms possibly being optionally be oxidized and the nitrogen heteroatoms possibly being quaternized.
- Each carbon atom of the heterocycle can be substituted with oxo (eg piperidone, pyrrolidinone).
- the heterocyclic group can be attached to any carbon atom or heteroatom of the ring or ring system, when the valence permits.
- the cycles of multi-cyclic heterocycles can be fused, bridged and / or joined by one or more spiro atoms.
- heterocyclic groups include oxetanyl, piperidinyl, azetidinyl, 2-imidazolinyl, pyrazolidinyl, imidazolidinyl, isoxazolinyl, oxazolidinyl, isoxazolidinyl, thiazolidinyl, isothiazolidinyl, piperidinyl, 3H-isothiazolidinyl, piperidinyl, ezolinopinyl, 2-ezolinopinyl, oxolino-indol-indol-indolinyl, 3H-iso-indol-indol-indolinyl, homopiperazinyl, 2-pyrazolinyl, 3-pyrazolinyl, tetrahydro-2H-pyranyl, 2H-pyranyl, 4H-pyranyl, 3, 4-di hy dro-2H-pyranyl e
- Heterocycloalkyloxy denotes an -O-heterocyclyl group in which heterocyclyl is defined according to the present invention.
- substituted means that a hydrogen radical on a compound or group is replaced by any desired group which is substantially stable under reaction conditions in unprotected form or when protected by a protecting group.
- substituents are those found in the compounds and embodiments presented herein, as well as halo, alkyl or aryl groups as defined above, hydroxyl, alkoxy as defined above, nitro , thiol, heterocycloalkyl, heteroaryl, cyano, cycloalkyl as defined above, as well as a solubilizing group, -NRR ', -NR-CO-R, -CONRR, -SO2NRR, where R and R' are each independently selected among hydrogen, alkyl, cycloalkyl, aryl, heterocycloalkyl or heteroaryl groups as defined above.
- bonds of an asymmetric carbon can be represented here using a solid triangle (), a dotted triangle (""), or a zigzag line ( ⁇ ).
- pharmaceutically acceptable excipient it is meant to a vehicle or an inert support used as solvent or diluent in which the pharmaceutically active agent is formulated and / or administered, and which does not produce an undesirable reaction, allergic or the like when administered to an animal, preferably a human. This includes all solvents, dispersing media, coatings, antibacterial and antifungal agents, isotonic agents, absorption retardants and other similar ingredients.
- the preparations must meet standards of sterility, general safety and purity, as required by regulatory authorities, such as for example the FDA or GEMA.
- pharmaceutically acceptable excipient includes all pharmaceutically acceptable excipients as well as all pharmaceutically acceptable carriers, diluents, and / or adjuvants.
- “Pharmaceutically acceptable salts” include the acid and base addition salts of such salts. Suitable acid addition salts are formed from acids which form non-toxic salts. These are for example acetate, adipate, aspartate, benzoate, besylate, bicarbonate / carbonate, bisulfate / sulfate, borate, camsylate, citrate, cyclamate, edi sylate, esylate, formate, fumarate, gluceptate, gluconate, glucuronate, hexafluorophosphate, hibenzate, chl orhy drate / chloride, hydrobromide / bromide, fhy droi odure / i odure, isethionate, lactate, malate, maleate, malonate, mesylate, methyl sulfate, naphthylate, 2-napsylate, nicotinate, nitrate
- Suitable basic salts are formed from bases which form non-toxic salts. Mention may be made, as examples, of the salts of aluminum, arginine, benzathine, calcium, choline, diethylamine, diol amine, glycine, lysine, magnesium, meglluine, olamine, potassium, sodium, tromethamine, 2- (diethylamino) ethanol, d ethanolamine, morpholine, 4- (2-hydroxyethyl) orpholine and zinc. Acid and base hemi-salts can also be formed, for example, hemi-sulphates and chemical calcium salts.
- Preferred pharmaceutically acceptable salts are hydrochloride / chloride, bromide / hydrobromide, bisulfate / sulfate, nitrate, citrate and acetate.
- compositions can be prepared by one or more of these methods:
- the salt may precipitate from solution and be collected by filtration or may be recovered by evaporation of the solvent.
- the degree of ionization of the salt can vary from fully ionized to almost non-ionized.
- “Pharmaceutically acceptable” means approved or likely to be approved by a regulatory body or listed in a recognized pharmacopoeia for use in animals, and more preferably in humans. It may be a substance which is not biologically or otherwise undesirable, i.e. the substance can be administered to an individual without causing adverse biological effects or harmful interactions with one of the components of the composition in which it is contained. "Solvate” is used herein to describe a molecular complex comprising the compound of the invention and one or more pharmaceutically acceptable solvent molecules, for example, ethanol.
- administration means providing the active agent or the active principle, alone or as part of a pharmaceutically acceptable composition, to the patient in whom / in which condition, symptom or disease needs to be treated.
- bacterial infection refers to an infection caused by one or more types of bacteria.
- subject refers to a mammal, preferably a human.
- a subject is a mammal, preferably a human, suffering from a bacterial infection.
- the subject is a “patient”, ie a mammal, preferably a human, who is waiting to receive, or who is receiving medical care or who has / is / will be the subject of a medical procedure, or which is monitored for the development of a bacterial infection.
- human refers to a subject of both sexes and at any stage of development (ie newborn, infant, juvenile, adolescent, adult).
- terapéuticaally effective amount refers to the amount of active agent or active ingredient which is intended, without causing significant negative or undesirable side effects. for the subject in need of treatment, prevention, reduction, alleviation or slowing (alleviation) of one or more of the symptoms or manifestations of a bacterial infection and / or one or more complications associated with bacterial infections.
- treat denote a therapeutic treatment, a prophylactic (or preventive) treatment, or both a therapeutic treatment and a prophylactic (or preventive) treatment, in which the aim is to prevent, reduce, relieve and / or slow down (alleviate) one or more of the symptoms or manifestations of a bacterial infection, and / or preventing, reducing, relieving and / or slowing down (alleviating) one or more complications associated with bacterial infections, in a subject in need thereof.
- Symptoms and manifestations of bacterial infections include, but are not limited to, varying degrees of fever, pain and other symptoms that depend on the organ involved: for example, throat pain, coughing, difficulty breathing, abdominal pain, diarrhea or vomiting.
- a manifestation of a bacterial infection is the presence of bacteria in one or more biological fluids (such as urine, blood, sputum) and or in one or more organs of the subject.
- Complications associated with bacterial infections usually involve worsening of the disease or the development of new signs, symptoms or pathological changes which can spread throughout the body and affect other organs than those initially affected and can lead to the development of new ones. diseases resulting from an already existing disease. The complication can also occur as a result of various treatments.
- “complications associated with bacterial infections” refer, without limitation, to sepsis or bacteremia associated with sepsis, local or generalized inflammation, septic shock, encephalitis, meningitis, meningoencephalon.
- “treat” or “treatment” refers to therapeutic treatment. In another embodiment, “treat” or “treatment” refers to a prophylactic or preventive treatment. In yet another embodiment, “treating” or “treatment” refers to both prophylactic (or preventive) treatment and therapeutic treatment.
- the aim of the treatment according to the present invention is to cause at least one of the following: (a) improvement in the clinical condition of the patient, including reduction or resolution of fever and pain associated with affected organs;
- the present invention therefore relates to the use of nicotinamide mononucleotide derivatives for the treatment of bacterial infections.
- the present invention relates to a compound of formula (I) or a pharmaceutically acceptable salt and / or solvate thereof, wherein:
- R 1 is selected from H, azido, cyano, C 1 -C 8 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- R2, R 3, R4 and Rs are independently selected from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1-C12 alkyl, C1-C12 heteroalkyl, haloalkyl in C1-C12 and OR; wherein R is selected from H, C 1 -C 12 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (C î - C i 2 ) alkyl, C (0) aryl, C (0) (Ci-Ci 2 ) alkyl (C 5 -Ci 2 ) aryl,
- Me is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl;
- Rj is chosen from H, P (0) R9RIO, P (S) R9RIO and ⁇ fe and Rio are independently selected from OH, ORu, NHR B , NR13R14, C1-C8 alkyl, C2-C8 alkenyl, Cu-Cg alkynyl, C 3 -C 10 cycloalkyl, aryl in C 5 -C 12 , (C 5 -C 12 ) ary le- (C i-Cg) alkyl e,
- R11 is chosen from C 1 -C 10 alkyl, C 3 -C 10 cycloalkyl, C5-C12 aryl, (Ci-Cio) alkyl- (C5-Ci 2 ) aryl, substituted C5-C12 aryl, heteroalkyl C1-C10, C1-C10 haloalkyl, - (CH 2 ) m C (0) (C1-C15) alkyl, - (CH 2 ) m 0C (0) (C1-C15) alkyl, - (CH 2 ) m 0C (0) 0 (Ci-C15) alkyl,
- Ri 2 is selected from C 1 -C 10 alkyl, hydroxy, (Ci-Cio) alkoxy,
- Rr is selected from H, azido, cyano, C1-C8 alkyl, thio-C1-C8 alkyl, C1-C8 heteroalkyl and OR; wherein R is selected from H and C1-C8 alkyl; R2 ', R3', Rr and Rs' are independently selected from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1-C12 alkyl, C1-C12 heteroalkyl , C1-C12 haloalkyl and OR; in which R is selected from H, C1 -Ci 2 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (Ci-Ci 2) ) alkyl, C (0) aryl, C (0) (Ci-Ci2) alkyl (C 5 -Ci2) aryl, C
- RAA is a side chain selected from a proteinogenic amino acid
- R6 ' is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; wherein R is selected from H and C 1 -C 8 alkyl; Rr is selected from H, OR, NHR15 ', NRIS'RI ⁇ ' , NH-NHRis', SH, CN, N3 and halogen; wherein Ris and Rire are independently selected from H, C1-C8 alkyl and C1-C8 alkyl-aryl;
- 11 is an integer selected from 1 to 3;
- - represents a single or a double bond along Y '; and represents the alpha or beta anomer depending on the position of Rr;
- Ms is selected from H, OR, NHR15, NR15R16, NH-NHR15, SH, CN, N3 and halogen; in which R is selected from H and C 1 -C 8 alkyl, and Ris and Rie are independently selected from H, C 1 -C 8 alkyl, C 1 -C 6 alkyl-aryl and -CHR AA CO 2 H in which R AA is a side chain selected from a proteinogenic or non-proteinogenic amino acid; Y is selected from CH, CH 2 , C (CH 3 ) 2 and CCH 3 ;
- w represents the alpha or beta anomer depending on the position of Ri; for its use in the treatment of bacterial infections.
- Mi is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 6 heteroalkyl and OR; in which R is selected from H and alkyl in
- R2, Ms, RU and Ms are independently selected G from one another from H, halogen, azido, cyano, hydroxyl, C1-C12 alkyl, thio-C1 -Ci 2 alkyl, C1 -Ci 2 heteroalkyl, haloalkyl in C1-C12 and OR; wherein R is selected from H, C1-C12 alkyl, C (0) (Ci-Ci 2 ) alkyl, C (0) NH (Ci-Ci 2 ) alkyl, C (0) 0 (Ci-Ci 2 ) alkyl,
- RAA is a side chain selected from a proteinogenic amino acid
- Me is selected from H, azido, cyano, C 1 -C 6 alkyl, thio-C 1 -C 6 alkyl, C 1 -C 8 heteroalkyl and OR; in which R is selected from H and alkyl in
- R7 is selected from H, P (0) R9RIO and P (S) R9RIO; wherein R9 and Rio are independently selected from one another from OH, ORu, C1-C8 alkyl, C5-C12 aryl and NHCHRAAC (0) RI2; in which :
- - Ru is chosen from C 1 -C 8 alkyl, C 5 -C 12 aryl and P (0) (0H) 0P (0) (0H) 2 ;
- R 12 is C1-C8 alkyl
- R AA is a side chain chosen from a proteinogenic amino acid
- Ms is selected from H, OR, NHR 13 , NR B R M , NH-NHR B , SH, CN, N 3 and halogen; wherein R 13 and R 14 are independently selected from H, C1-C8 alkyl and C1-C8 alkyl-aryl;
- Y is selected from CH, CH2, C (CH3) 2 and CCH3;
- the compound of formula (I) is not the
- N-ribosylnicotinamide of the formula:
- N-ribosylnicotinamide CAS 1341-23-7
- the compound of formula (I) is not a salt and / or solvate of
- X is chosen from O, CHh and S. In a preferred embodiment, X is oxygen.
- Ri and Me each independently represent a hydrogen or OH. In one embodiment, R1 and Rr, each represent hydrogen.
- R 1 is chosen from hydrogen or OH.
- Ri is OH.
- RI is hydrogen.
- R2, R 3 , R4 and Rs are chosen independently of one another from hydrogen, halogen, hydroxyl, C1 -Ci 2 alkyl and OR; in which R is as defined above.
- R2, R 3 , R1 and Ms are chosen independently of one another from hydrogen, hydroxyl and OR; in which R is as defined above.
- R2, R3, R4 and Rs are selected independently of one another from hydrogen or OH.
- R2 and R 3 are identical. In one embodiment, R2 and R 3 are the same and represent an OH. In one embodiment, R2 and Ma are the same and represent hydrogen.
- R2 and R3 are different.
- R2 is hydrogen and R3 is OH.
- R2 is OH and R3 is hydrogen.
- R4 and Rs are identical. In one embodiment, R4 and Rs are the same and represent an OH. In one embodiment, R4 and Rs are the same and represent hydrogen.
- R4 and Rs are different.
- R4 is OH and Rs is hydrogen.
- 4 is hydrogen and Rs is OH.
- R3 and R4 are different.
- R3 is OH and R4 is hydrogen.
- R 3 is hydrogen and R.4 is OH.
- R3 and R4 are identical.
- R3 and R4 are the same and represent an OH. In an even more preferred embodiment, R3 and R4 are identical and represent hydrogen.
- R2 and Ms are different.
- R2 is hydrogen and Ms is OH.
- R2 is OH and Ms is hydrogen.
- R2 and Rs are identical.
- R2 and Ms are identical and represent hydrogen.
- R2 and Ms are the same and represent an OH.
- Me is chosen from hydrogen or OH.
- Me is OH.
- Me is hydrogen.
- R7 is selected from P (OJR.9R IO and , in which R, Rio, Rr-Rey Rsy X ', Y', 11, - and are as described above. According to one embodiment, R7 is chosen from P (0) R. 9 R IO and P (S) R 9 R IO ; where R 9 and Rio are as defined above. In a preferred embodiment, R7 is P (0) R 9 R IO ; where R9 and Rio are as defined above. In an even more preferred embodiment, R7 is P (0) (0H) 2 .
- R7 is ; in which R9, Rr, R2 ', R y Ri ' , Rsy Rey Rs', X ', Y', n,. and are as defined above.
- R7 is who :
- R9 is as defined above, preferably R9 is OH or ORn in which Ru is as defined above, more preferably R9 is OH;
- X ’ is selected from O, CHi and S; preferably X 'is oxygen;
- Ri ' is selected from H and OH, preferably Rr is H;
- R2 ' , Rr, Rr and Rv are independently selected from H, halogen, hydroxyl, C 1 -C 12 alkyl and OR; wherein R is as defined above; preferably R2 ' , Rr, Rr ' and Rr are chosen independently of one another from H and OH;
- R ⁇ 'is selected from H or OH; preferably Me 'is H;
- Rr is selected from H, OR, NHR15 ' or NRis Rirr, wherein RLV and Rie' are as described above; preferably Rr is NH 2 ;
- n is an integer selected from 1 to 3; preferably 11 is equal to 2;
- - - - represents a single or a double bond along Y '; and ' L / un represents the alpha or beta anomer depending on the position of Rr;
- n is equal to 1. According to one embodiment, 11 is equal to 2. According to one embodiment, 11 is equal to 3. In one embodiment, R7 is not hydrogen.
- Ms is selected from H, OR, NHR 15 and NR 15 R 16 ; wherein 1 5 and R l e are as defined above.
- Rs is NHR 15 ; wherein R 15 is as defined above.
- Rs is NH2.
- Y is CH.
- Y is CH 2 .
- the compounds of formula (I) are compounds of formula (H): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R1, R2, Ms, R4, Rs, Re, Ms, X, Y, ⁇ and ⁇ are as defined above for compounds of formula ( I).
- the compounds of formula (I) are compounds of formula (1-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R1, R2, as defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which X represents oxygen.
- the invention also relates to a compound of formula (II): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R1, R2, Ma, R4, Rs, Me, R7, Ms, Y, - and are as defined above for compounds of formula (I ).
- the compounds of formula (II) are compounds of formula (II-1): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R1, R2, R3, Rr, Ms, Me, Rs, Y, - and ⁇ are as defined above for compounds of formula (I) .
- the compounds of formula (II) are compounds of formula (II-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R 1, R 2, defined above for the compounds of formula (I).
- the compounds of formula I are those in which R 1 is hydrogen.
- the invention also relates to a compound of formula (III): or an aceutically acceptable salt and / or solvate thereof, wherein R2, R3, R4, Ms, Re, R7, Ms, Y, - and ⁇ are as defined above for compounds of formula (I).
- the compounds of formula (III) are compounds of formula (III-1): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R2, R3, R4, Ms, Me, Rs, Y, ⁇ and wv are as defined above for compounds of formula (I).
- the compounds of formula (III) are compounds of formula (III-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R2, R3, R4, Rs, Me, Rs, Y, R2 ', Ms', R4 ', MS', Re ', Ms', Y ', ⁇ and are as defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which R2 is OH and Rs is hydrogen.
- the compounds of formula (I) are those in which R4 is hydrogen and Ms is OH. In a preferred embodiment, the compounds of formula (I) are those in which R and R4 are identical and represent hydrogen. In a preferred embodiment, among the compounds of formula (I), the invention also relates to a compound of formula (IV): or an ar aceutically acceptable salt and / or solvate thereof, wherein R2, Ms, R.6, R7, Ms, Y, - and -LW are as defined above for compounds of formula
- the compounds of formula (IV) are compounds of formula (IV-1): or a pharmaceutically acceptable salt and / or solvate thereof, in which R2, Ms, Rr > , Rs, Y, ⁇ and LAL ⁇ are as defined above for the compounds of formula (I).
- the compounds of formula (IV) are compounds of formula (IV-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R2, Ms, Me, Ms, Y, R2 ', RS', R6 ', MS', Y ', ⁇ and - "w are such that defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which R2 and Rs are identical and represent an OH.
- the invention also relates to a compound of formula (V): or a pharmaceutically acceptable salt and / or solvate thereof, wherein Me, R7, Rs, Y, - and ⁇ are as defined above for compounds of formula (I).
- the compounds of formula (V) are compounds of formula (Vl): or a pharmaceutically acceptable salt and / or solvate thereof, in which Me, Ms, Y, - and vn ⁇ are as defined above for the compounds of formula (I).
- the compounds of formula (Y) are compounds of formula (V-2): or a pharmaceutically acceptable salt and / or solvate thereof, in which Me, Rs, Y, Me ', Ms', Y', ⁇ and are as defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which Me is hydrogen.
- the invention also relates to a compound of formula (VI): or a pharmaceutically acceptable salt and / or solvate thereof, wherein RJ, Ms, Y, - and W " are as defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which Rs is NHi.
- the compounds of formula (VI) are compounds of formula (VI-1): or a pharmaceutically acceptable salt and / or solvate thereof, in which Rs, Y, ⁇ and are as defined above for the compounds of formula (I).
- the compounds of formula (VI) are compounds of formula (VI-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein Rs, Y, Rs ', Y', - and ⁇ LL ⁇ are as defined above for compounds of formula (I).
- the invention also relates to a compound of formula (VII): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R7, Y, - and -LLL are as defined above for compounds of formula (I).
- R7, Y, - and -LLL are as defined above for compounds of formula (I).
- Y is CHfi.
- the compounds of formula (VII) are compounds of formula (VII-1): or a pharmaceutically acceptable salt and / or solvate thereof, wherein Y, - and JVW are as defined above for compounds of formula (I).
- the compounds of formula (VII) are compounds of formula (VII-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein Y, Y ', ⁇ and " LLL ⁇ are as defined above for compounds of formula (I).
- the compounds of formula (I) are those in which Y is CH.
- the invention also relates to a compound of formula (VIII): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R7 andLLL are as defined above for compounds of formula (I). With the condition that R 7 is not hydrogen.
- the compounds of formula (VIII) are compounds of formula (VIII-1): or a pharmaceutically acceptable salt and / or solvate thereof, wherein is as defined above for the compounds of formula (I).
- the compounds of formula (VIII) are compounds of formula (VIII-2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein is as defined above for the compounds of formula (I).
- the compounds of formula (I) are those in which Y is an ⁇ b.
- the invention also relates to a compound of formula (IX): or a pharmaceutically acceptable salt and / or solvate thereof, wherein R7 and "w are as defined above for compounds of formula (I).
- the compounds of formula (IX) are compounds of formula (IX-1): or a pharmaceutically acceptable salt and / or solvate thereof, wherein LAAT is as defined above for compounds of formula (I).
- the compounds of formula (IX) are compounds of formula (IX -2): or a pharmaceutically acceptable salt and / or solvate thereof, wherein is as defined above for the compounds of formula (I).
- the compounds of the invention are selected from the compounds of Table 2 below or a pharmaceutically acceptable salt and / or solvate thereof: [Table 2]
- some atoms may be in ionized form, in particular some OH may be in O form, and vice versa.
- the compounds of the invention are the compounds of formula I- ⁇ to I-D of Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof.
- the compounds of the invention is the compound of formula IA or IB from Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof.
- the compounds of the invention is the compound of formula IA or IC from Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof.
- the compound of the invention is the compound of formula IA or a pharmaceutically acceptable salt and / or solvate thereof.
- the compounds of the invention are the compounds of formula I-G to I-L of Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof. In a preferred embodiment, the compounds of the invention are the compounds of formula I-G, I-H and I-I of Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof.
- the compounds of the invention are the compounds of formula I-A, 1-B, I-G, I-H and I-I from Table 2 above or a pharmaceutically acceptable salt and / or solvate thereof.
- the present invention relates to a pharmaceutical composition comprising at least one compound of the invention and at least one pharmaceutically acceptable excipient. According to another embodiment, the present invention relates to a medicament comprising at least one compound of the invention.
- the pharmaceutical composition of the invention or the medicament of the invention comprises, in addition to at least one compound of the invention as active ingredients, therapeutic agents and / or additional active ingredients .
- active ingredients include antibiotics, antibacterial agents, anti-inflammatory agents.
- the invention relates to a method for preparing the compounds of formula (I) as described above.
- the compounds of formula (I) disclosed herein can be prepared as described below from the AE substrates. It will be understood by one skilled in the art that these reaction schemes are in no way limiting and that variations can be made without departing from the spirit and scope of the present invention.
- the invention relates to a method for preparing the compounds of formula (I) as described above.
- the method involves in a first step the mono-phosphorylation of a compound of formula (A), in the presence of phosphoryl chloride and of a trialkyl phosphate, to lead to the phosphorodichloridate of formula (B), in which X, R1, R2, R3, R *, Ms, Me, Ms, Y, - and "w are as defined above for the compounds of formula (I).
- the phosphorodichloridate of formula (B) is hydrolyzed to yield the phosphate of formula (C), in which X, R1, R2, R3, R4, Ms, Me, Ms, Y, - and W are as defined above for the compounds of formula (I).
- the dimeric compounds in which R7 is can be obtained by reacting an intermediate of formula (C) as described above with a phosphorodichloridate intermediate of formula (B '), obtained under the same conditions as the intermediates of formula (B): in which ME, R2 ', RE, RE, Rs', Ms ', Rs', X ', Y', ⁇ and "w are as defined above.
- the compound of formula (A) is synthesized using various methods known to those skilled in the art.
- the compound of formula (A) is synthesized by reaction of the pentose of formula (D) with a nitrogen derivative of formula (E), in which R, R2, Ms, Rt, Rs, Ms, R7, Y are as described above for the compounds of formula (I), resulting in the compound of formula (Al) which is then selectively deprotected to give the compound of formula (A), in which X, R1, R2, Ms, R4, Ms, Re, MS, Y, - and ⁇ are as defined above for the compounds of formula (I).
- R is an appropriate protective group known to those skilled in the art.
- the protecting group is chosen from triarylmethyls and / or silyls.
- tri aryl methyl include trityl, monomethoxy trity 1 e, 4,4'-dimethoxytrityl and 4,4 ', 4 "-trimethoxytrityl.
- silyl groups include trimethylsilyl, tert-butyl groups. dimethyl silyl e, triisopropyl silyl, tert-butyldiphenylsilyl, tri -i so-propy 1 si ly loxy methy 1 e and
- any hydroxyl group attached to the pentose is protected by an appropriate protective group known to those skilled in the art.
- protecting groups can also be removed by methods well known to those skilled in the art, for example, with an acid (eg, an inorganic or organic acid), a base or a source of fluoride.
- an acid eg, an inorganic or organic acid
- a base e.g., a base or a source of fluoride.
- the nitrogenous derivative of formula (E) is coupled to the pentose of formula (D) by a reaction in the presence of a Lewis acid leading to the compound of formula (Al).
- Lewis acids include TMSOTt; BF . OEt 2 , TiCL and FeCh.
- the method of the present invention further comprises a step of reducing the compound of formula (A) by various methods well known to those skilled in the art leading to the compound of formula (A ') in which X is CEE and Ri, R2, RJ, R4, R5, Ré, Rs, Y, - and are as defined above for the compounds of formula (I).
- the present invention relates to a method of preparing compounds of formulas I-A to I-D.
- the nicotinamide of formula E is coupled to the ribose tetraacetate of formula D by a coupling reaction in the presence of a Lewis acid, resulting in the compound of formula Al:
- a step of reducing the compound of formula A-2 is carried out, resulting in the compound of formula I-E.
- the compound of formula I-E is then monophosphorylated as described in the fourth step and hydrolyzed to yield the compound of formula I-C.
- the present invention therefore relates to the compounds of the invention for their use in the treatment of bacterial infections.
- the compounds of the invention allow the treatment of bacterial infections by a mechanism of polarization of the host macrophages resulting from the mobilization of intracellular calcium stores. via ADP-ribose cyclase.
- the compounds of the invention allow the repletion of internal NAD + reserves following the action of exotoxins with b-NA ⁇ + glycohydrolase activities.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. bacterial infections.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. prophylactic for bacterial infections.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. infection caused by at least one gram negative or gram positive bacteria.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. infection caused by at least one gram negative or gram positive bacteria.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. infection caused by at least one gram negative or gram positive bacteria.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment. infection caused by at least one gram negative or gram positive bacteria.
- the present invention relates to
- Clostridium difficile Clostridium perfringens, Clostridium ramosum
- mycobacteria such as Mycobacterium leprae, the Mycobacterium tuberculosis complex such as Mycobacterium tuberculosis and non-tuberculous mycobacteria such as Mycobacterium chelonae, Mycobacterium avium, Mycobacterium abscessus, Mycobacterium fortuitum, Mycobacteriaeobacterium myobacterium fortuitum, Myense, Mycobacterium noncacteriumobacterium simobacterium, Myense, Mycobacterium bacteriumobacterium fortuitum, Myensecacteria, Myobacterium, Myobacterium simobacterium scrofulaceum, Mycobacterium phlei, Mycobacterium xenopi, Mycobacterium marinum, or Mycobacterium ulcerans;
- mycobacteria such as Mycobacterium leprae, the Mycobacterium tuberculosis complex such as Mycobacterium tuberculosis and non-tuber
- Helicobacter pylori and pathogens involved in sexually transmitted infections such as Neisseria gonorrhaeae, Haemophulis ducreyi, Chlamydia trachomatis or My coplasma genilallium.
- Certain bacteria such as Salmonella, Legionella and Mycobacterium, in particular Mycobacteria tuberculosis, possess the ability to stay alive in macrophages.
- the compounds of the invention are capable of entering macrophages and having bactericidal activity therein.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment of infections. to, without limitation,
- the present invention relates to compounds of formula (I) - (IX) or a relatively acceptable salt and / or solvate thereof, as described above, for their use in the treatment of a bacterial infection, chosen from urinary bacterial infections, bacterial infections of the skin and soft tissues, sexually transmitted bacterial infections, tetanus, typhoid, tuberculosis, cholera, diphtheria, syphilis, salmonella, meningitis, angina, sinusitis, bronchitis, bacterial lung infections or sepsis.
- a bacterial infection chosen from urinary bacterial infections, bacterial infections of the skin and soft tissues, sexually transmitted bacterial infections, tetanus, typhoid, tuberculosis, cholera, diphtheria, syphilis, salmonella, meningitis, angina, sinusitis, bronchitis, bacterial lung infections or sepsis.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment of sepsis.
- the present invention relates to compounds of formula (I) - (IX) or a pharmaceutically acceptable salt and / or solvate thereof, as described above, for their use in the treatment of infections.
- pulmonary bacteria such as pneumonia, for example pneumonia caused by bacteria
- the present invention relates to a pharmaceutical composition
- a pharmaceutical composition comprising at least one compound of the invention, and at least one pharmaceutically acceptable excipient for its use in the treatment of bacterial infections.
- the present invention relates to a medicament comprising at least one compound of the invention for its use in the treatment of bacterial infections.
- the pharmaceutical composition of the invention or the medicament of the invention comprises, in addition to at least one compound of the invention, as active principles, therapeutic agents and / or active principles additional.
- active principles include antibiotics, antibacterial agents, anti-inflammatory agents.
- the present invention relates to the use of the compounds of the invention as described above for the treatment of bacterial infections. In one embodiment, the present invention relates to the use of compounds of the invention as described above for the prophylactic treatment of bacterial infections.
- the present invention relates to the use of a pharmaceutical composition
- a pharmaceutical composition comprising at least one compound of the invention and at least one pharmaceutically acceptable excipient for the treatment of bacterial infections.
- the present invention relates to the use of a medicament comprising at least one compound of the invention for the treatment of bacterial infections.
- the present invention relates to the use of the compounds of the invention as described above for the manufacture of a medicament for the treatment of bacterial infections.
- the present invention also relates to a method of treating bacterial infections in a subject in need thereof, said method comprising administering to said subject a therapeutically effective amount of at least one compound or composition of the invention such as as described above.
- the subject in need of therapeutic or preventive treatment is diagnosed by a healthcare professional.
- bacterial infections are diagnosed by any examination carried out routinely in the medical environment, in particular by a direct diagnosis, that is to say isolation of the bacteria in culture media, or an indirect diagnosis, by the setting evidence of infection-specific antibodies.
- the subject is a warm blooded animal, more preferably a human.
- the compounds of the invention can be administered as part of a combination therapy in which one or more compounds of the invention or a composition or a medicament which contains a compound of the present invention, as as active ingredients, are coadministered in combination with therapeutic agents and / or additional active ingredients.
- therapeutic agents and / or additional active ingredients include antibiotics, antibacterial agents, anti-inflammatory agents.
- the compound of the invention and other therapeutic active agents can be administered in terms of dosage forms, either separately or in conjunction with each other, and in terms of time. administration, either in series or simultaneously.
- the compounds of the invention are not administered as part of a combination therapy with a therapeutic agent and / or an additional active principle, in particular, the compounds of the invention are not administered. as part of combination therapy with an antibacterial agent.
- the compounds of the invention can be formulated in the form of a pharmaceutical preparation comprising at least one compound of the invention and at least one pharmaceutically acceptable excipient and optionally one or more other pharmaceutically active compounds.
- such a formulation may be in a form suitable for oral administration, for parenteral administration (for example by intravenous, intramuscular or subcutaneous injection or by intravenous infusion), topical administration (including ocular), administration by inhalation, by a skin patch, by an implant, by a suppository, etc.
- parenteral administration for example by intravenous, intramuscular or subcutaneous injection or by intravenous infusion
- topical administration including ocular
- administration by inhalation by a skin patch, by an implant, by a suppository, etc.
- suitable forms of administration which may be solid, semi-solid or liquid, depending on the mode of administration, as well as the methods and carriers, diluents and excipients to be used in their preparation, will be clear to humans. of career ; reference is made to the latest edition of Re ington's Pharmaceutical Sciences.
- examples of such preparations include tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, ointments, creams, lotions, soft and hard gelatin capsules, sterile injectable solutions and sterile packaged powders (which are usually reconstituted before use) for bolus administration and / or for continuous administration, which may be formulated with carriers, excipients and diluents which are per se suitable for such formulations, such as lactose, dextrose, sucrose, sorbitol, mannitol, starches, acacia gum, calcium phosphate, alginates , tragacanth, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, polyethylene glycol, cellulose, water (sterile), methylcellulose, methyl- and propylhydrox ybenzoates, talc, magnesium
- the formulations may optionally contain other substances commonly used in pharmaceutical formulations, such as lubricating agents, wetting agents, emulsifying and suspending agents, dispersing agents, disintegrants, bulking agents, filling agents, preservatives, sweetening agents, flavoring agents, flow regulators, mold release agents, etc.
- the compositions can also be formulated so as to ensure a rapid, sustained or delayed release of the active compound (s) which they contain.
- the pharmaceutical preparations of the invention are preferably in unit dose form and may be packaged in an appropriate manner, for example in a box, blister pack, vial, sachet, ampoule or in any other dose appropriate carrier or container. single or multiple dose (which may be correctly labeled); possibly with one or more leaflets containing product information and / or instructions for use.
- these unit doses will contain between 1 and 1000 mg, and generally between 1 and 500 mg, preferably between 250 and 500 mg of at least one compound of the invention.
- the effective dose to be administered depends on one or more parameters, including in particular, the material used for administration, age, sex, height, weight, physical condition and the degree of severity of the drug. disorder to be treated.
- the active compound of the invention will be administered between 0.1 mg per kilogram and 5000 mg per kilogram of body weight, more often between 1 mg per kilogram and 2000 mg per kilogram of body weight, preferably between 1 and 100 mg per kilogram of body weight, for example about 1, 10, 100 mg per kilogram of human patient body weight per day, which can be administered in a single daily dose, divided into one or more daily doses, or essentially continuously, for example using a drip infusion.
- Figure 1 is a histogram showing the percentage of positive bacterial culture in the spleen evaluated at 24 h, 48 h and 72 h.
- FIG. 2 is a histogram showing the survival rate of the mice after LPC (Cecal puncture ligation) at 24h, 48h, 72h and 96h.
- Figure 3 is a histogram showing the drop in temperature after LPC, monitored over 48 hours.
- FIG. 4 is a histogram showing the weight (Fig. 4A) and the weight loss (Fig. 4B) of the mice after LPC at 24h, 48h, 72h and 96h.
- FIG. 5 is a histogram showing the clinical score of the mice after LPC at 24h, 48h, 72h and 96h.
- Figure 6 is a histogram showing the bacterial load in the blood 24 h after LPC, evaluated by RT -PCT quantification of T bacterial DNA (16S).
- Figure 7 is a histogram showing the bacterial load in the blood (Fig. 7A) and in the lungs (Fig. 7B), 5 days after infection with Pseudomonas aeruginosa.
- Thin layer chromatography was performed on TLC plastic sheets of 60F254 silica gel (layer thickness 0.2 mm) from Merck. Purification by column chromatography was performed on silica gel 60 (70-230 mesh ASTM, Merck). The melting points were determined either on a digital apparatus (Electrothermal IA 8103) and are not corrected, or on a Kofler bench of the WME type (Wagner & Munz). IR, 1 H, 19 F and 13 C NMR spectra confirmed the structures of all compounds.
- the IR spectra were recorded on an FT -IR Perkin El mer Spectrum 100 spectrometer and the NMR spectra were recorded, using CDCh, CD 3 CN, D2O or DMSQ-dc, as solvent, on a BRUKER AC 300 or 400 spectrometer , at 300 or 400 MHz, for spectra 3 ⁇ 4 75 or 100 MHz for l3 C, and 282 or 377 MHz for 19 F.
- the chemical shifts (d) were expressed in parts per million with respect to the signal, indirectly ( i) to CHCL, (d 7.27) for 3 ⁇ 4 and (ii) to CDCI3 (d 77.2) for 13 C and directly (iii) to CFCh (internal standard) (d 0) for 19 F.
- the chemical shifts are given in ppm and the peak multiplicities are designated as follows: s, singlet; br s, broad singlet; d, doublet; dd, doublet of doublet; t, triplet; q, quadruplet; quint, quintuplate; m, multiplet.
- HRMS High-resolution mass spectra
- Tetraacetate A-1 is dissolved in methanol and cooled to -10 ° C.
- 4.6 M ammonia in methanol (3.0 equivalents) at -10 ° C is added and the mixture is stirred at this temperature until the reaction is complete.
- Dowex HCR (H +) resin is added to a pH of 6-7.
- the reaction mixture is heated to 0 ° C and filtered.
- the resin is washed with a mixture of methanol and acetonitrile.
- the filtrate is concentrated to dryness.
- the residue is dissolved in acetonitrile and concentrated to dryness.
- the residue is dissolved in acetonitrile to give a solution of the compound of formula A-2.
- step 3 above The mixture obtained in step 3 above is hydrolyzed by adding a 50/50 mixture of acetonitrile and water, followed by the addition of tert-butyl methyl ether. The mixture is filtered and the solid is dissolved in water. The aqueous solution is neutralized by adding sodium bicarbonate and extracted with dichloromethane. The aqueous layer is concentrated to dryness to yield the crude compound of formula IA, which is purified on a DOWEX 50wx8 column with elution in water followed by a column chromatography on silica gel. IL Biological studies
- Example 1 In vivo efficacy of the compound of formula I-A in a non-lethal model of pneumonia induced by Escherichia coli (E. coli).
- the aim of this study is to evaluate the effect of pretreatment, with a precursor of N AD, on the spread of bacterial infection to the spleen in a mouse model with non-lethal pneumonia induced by Escherichia coli ( E. coli)
- the administration of the compound at 185 mg / kg and of the vehicle (physiological buffer) is carried out by the intraperitoneal and / or intratracheal route.
- the compound of formula I-A (white powder) is dissolved in the vehicle. The solution is used at room temperature for up to 1 day and freshly prepared for each new experiment.
- mice are weighed daily in order to adjust the volume of compound to be administered.
- the E. coli culture was washed twice with 0.9% NaCl. After the second wash, the pellet was resuspended in sterile saline and the dose calibrated by nephelometry.
- mice Female BALB / c mice (20-24 g) were then inoculated using the intratracheal insertion of a gavage needle (24 G) for injection of 75 ⁇ L of the bacterial suspension.
- the compound of formula IA and the vehicle are administered to animals intraperitoneally and / or intratracheally.
- the injection of the compound of formula IA is carried out 24 hours before the operation before the infection with Escherichia coli. Simulated animals receive physiological buffer by intraperitoneal administration.
- the spleens of the sacrificed animals were weighed and homogenized in 1 ml of saline solution. These solutions were then used for quantitative cultures on agar gel for 24 hours incubation at 37 ° C. The count of viable bacterial colonies is expressed in Logl 0 CF U per gram of organ.
- FIG. 1 shows the percentage of positive bacterial culture in the spleen evaluated at 24 h, 48 h and 72 h.
- the pretreatment with the compound of formula LA made it possible to reduce the percentage of positive cultures in the spleen in comparison with the untreated (control) mice after intraperitoneal administration.
- no bacteria were found in the spleen 48 hours after intraperitoneal administration and 72 hours after intratracheal administration.
- mice After induction of non-lethal E. coli pneumonia in mice, the spleens were removed and analyzed.
- the percentage of animals having bacteria in the spleen after 24 hours is greatly reduced in the group treated with the compound of formula LA compared to the control group.
- no bacteria were found in the spleen in mice pretreated with the compound of formula IA 48 hours after intraperitoneal administration while animals of the control group are positive.
- Pretreatment with the compound of formula LA prevented the spread of bacteria from the lungs to the spleen after intraperitoneal and / or intratracheal administration demonstrating a potential effect of the compound of formula LA in preventing sepsis during bacterial infection.
- Example 2 In vivo evaluation of the compounds of formula IA and IB on revolution of sepsis in a lethal model island ligation and puncture of the cecum.
- the aim of this study is to evaluate the effect of the administration of compounds according to the invention (LA and I-B) on the survival rate of mice in a model of sepsis induced by ligation and puncture of the cecum (LPC).
- the study consists of creating a model of sepsis in mice, by ligature and puncture of the cecum (LPC), and to assess the impact of compounds LA and I-B on the development of sepsis, for 4 days.
- test compounds are administered at 185 mg / kg, intraperitoneally, immediately after the LPC operation, then once daily at 24, 48 and 72 hours. The remaining mice are euthanized at 96 hours post LPC.
- vehicle physiological buffer
- mice are anesthetized with 3% Vetoflurane.
- a laparotomy is performed to exteriorize the cecum.
- the cecum is ligated between the distal pole and the base of the cecum.
- a puncture through and through with a 21 gauge needle is performed.
- a small amount of excreta is squeezed out of the mesenteric and anti-mesenteric penetration holes to ensure patency.
- the cecum is repositioned on the abdominal cavity.
- the peritoneum, fasciae, abdominal muscles and then the skin are closed by the application of simple sutures.
- the animals are resuscitated by injecting a preheated normal saline solution (37 ° C; 5 ml per 100 g of body weight) subcutaneously.
- Preparation of the formulations the powder of compounds LA and I-B are dissolved in the vehicle. Storage conditions: The solution is used at room temperature for up to 1 day and freshly prepared for each new experiment. The mice are weighed daily in order to adjust the volume of compound to be administered.
- Rectal temperature is checked every 2 to 4 hours for the first day, then twice for the second day.
- mice 24 hours after the operation, the mice are anesthetized with Vetoflurane and blood is collected from the retroorbital sinus in order to quantify the bacterial load.
- Bacterial DNA (16S) is extracted and quantified by RT-PCR. 2. Results and discussion 1.1. Survival rate
- Figure 2 shows the survival rate of mice after LPC at 24, 48, 72 and 96 hours.
- Table 4 specifies the number of surviving mice after LPC at 24, 48, 72 and 96 hours. [Table 4]
- Figure 4A shows the weight of the mice after CPL at 24, 48, 72 and 96 hours and Figure 4B illustrates their weight loss over this period.
- the induced sepsis led to a decrease in the weight of the mice in the three groups. However, the weight loss is less in the group treated with compound I-B.
- Figure 5 shows the clinical score of mice after CPL at 24, 48, 72 and 96 hours. The clinical score is very significantly improved in the groups treated with the compound LA or IB, in comparison with the control group. 1.5. Bacterial load
- Figure 6 shows the bacterial load in the blood 24 hours after LPC.
- the bacterial load is significantly reduced in the groups treated with compound LA or I-B, in comparison with the control group.
- Treatment with compound LA or I-B increases survival rate in treated mice in a model of lethal sepsis.
- the treatment also helped to minimize the temperature drop, delay the progression of the infection and reduce the bacterial load.
- Example 3 In vivo evaluation of compound I-A in a mouse model of respiratory tract infection induced by Pseudomonas aeruginosa PAOi.
- the aim of this study is to evaluate the antibacterial effect of administration of compound LA in a lethal mouse model of respiratory tract infection with Pseudomonas aeruginosa and its effect on sepsis.
- the study consists in creating a model of respiratory infection in mice, by intranasal administration of 1.10 4 CFU of Pseudomonas aeruginosa PAOi, and to evaluate the effect of the compound LA on the bacterial load.
- Compound LA is administered at 185 mg / kg, intraperitoneally, 1 hour after infection, then once a day until euthanasia.
- vehicle physiological buffer
- Ciprofloxacin is used as a reference compound and is administered under the same conditions.
- Four groups (10 mice / group) are included in the study:
- Vehicle group PAOi infection + physiological buffer
- Ciprofloxacin group PAOi infection + ciprofloxacin (2 mg / kg);
- Group I-A PAO infection + compound I-A (185 mg / kg); - Group I-A + ciprofloxacin: PAOi infection + compound I-A (185 mg / kg) + ciprofloxacin (2 mg / kg).
- Leukopenia and infection Leukopenia is induced by intraperitoneal injections of cyclophosphamide 4 days and 1 day before infection, with respective doses of 150 mg / kg and 100 mg / kg.
- P. aeruginosa PAO 1 was obtained from ATCC. One vial is thawed and diluted in sterile PBS on the day of infection. The mice are infected by intranasal administration of 1.10 4 CFU of Pseudomonas aeruginosa PAOi. 1.2. Administration of compounds
- Compound I-A at 185 mg / kg and vehicle (physiological buffer) are administered i.p. 1 hour after infection, then once a day until euthanasia.
- the powder of compound I-A is dissolved in the vehicle.
- Storage conditions The powder is stored at + 4 ° C until use.
- the solution should be used at room temperature for up to 1 day and freshly prepared for each new experiment.
- mice are weighed regularly to adapt the volume of compound to be administered.
- ciprofloxacin is also administered at an underactive dose (2 mg / kg) to mice intraperitoneally under the same conditions.
- Co-administration of ciprofloxacin and of compound IA is also carried out, under the same conditions. J.3. Bacterial load
- the bacterial load is evaluated in the blood and the lungs on day 5. Quantitative cultures on agar gel are carried out during 24 hours of incubation at 37 ° C. The count of viable bacterial colonies is expressed in Log10 CFU per mL of blood or per gram of organ.
- Figure 7 shows the bacterial load in the blood (Fig. 7A) and in the lungs (Fig. 7B), 5 days after infection with Pseudomonas aeruginosa.
- the evaluation of the pulmonary bacterial load showed an antibacterial effect of the treatment with compound LA, ciprofloxacin or a combination of ciprofloxacin and compound LA.
- the 3 treated groups showed significant efficacy compared to the vehicle group.
- Treatment with the LA compound therefore made it possible to limit the bacterial load during infection and to limit sepsis.
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FR3108502A1 (en) | 2021-10-01 |
JP2023526726A (en) | 2023-06-23 |
AU2021245030A1 (en) | 2022-11-03 |
CA3171744A1 (en) | 2021-09-30 |
CN115697349A (en) | 2023-02-03 |
WO2021191422A1 (en) | 2021-09-30 |
FR3108502B1 (en) | 2022-09-23 |
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