JP7239252B2 - 抗生物質耐性を減弱するための方法および組成物 - Google Patents
抗生物質耐性を減弱するための方法および組成物 Download PDFInfo
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- JP7239252B2 JP7239252B2 JP2019544800A JP2019544800A JP7239252B2 JP 7239252 B2 JP7239252 B2 JP 7239252B2 JP 2019544800 A JP2019544800 A JP 2019544800A JP 2019544800 A JP2019544800 A JP 2019544800A JP 7239252 B2 JP7239252 B2 JP 7239252B2
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Description
本発明は、一部として、ベータラクタマーゼを用いて抗生物質耐性を軽減するための組成物および方法を提供する。
本出願は、2016年11月1日出願の米国特許仮出願第62/415,679号および2017年2月15日出願の米国特許仮出願第62/459,092号の利益を主張するものであり、それらの各出願の内容は、全体として参照により本明細書に組み入られる。
本出願は、EFS-Webを介してASCIIフォーマットで提出されていて、全体として参照により本明細書に組み入られる、配列表を含む。2017年10月31日頃に作成されたASCIIのコピーは、11.8KBサイズで、SYN-028PC_ST25.txtという名称である。
抗生物質耐性は、細菌が、抗生物質を含む、薬物、化学物質、または感染を治癒もしくは予防するように設計された他の薬剤の効果を低減するように変化する際に、生じる。結果として生じた耐性菌は、生き残って増殖し続け、それにより抗生物質処置を回避する。
したがって本発明は、幾つかの態様において、抗生物質耐性を促進することなく、または予防もしくは軽減することにより、対象への抗生物質投与を可能にするための組成物および方法を提供する。様々な態様において、本発明は、胃腸の(GI)マイクロバイオームをはじめとするマイクロバイオームを調整して、抗生物質への耐性を低減または予防するための治療性ベータラクタマーゼの使用に関する。様々な実施形態において、本発明は、例えばレジストームの存在の増加を低減または予防するために、抗生物質の投与前に対象のレジストーム状態を保持するための治療性ベータラクタマーゼの使用に関する。様々な実施形態において、本発明は、抗生物質が投与されても対象のレジストーム状態を低減するための治療性ベータラクタマーゼの使用に関する。
様々な態様において、本発明は、抗生物質に耐性であると決定された患者において、この抗生物質または異なる抗生物質より前にまたはそれと同時に、SEQ.ID NO:1と少なくとも95%(または97%、または98%、または99%、または100%)の同一性があるアミノ酸配列を有する(かつ場合によりAmbler D276N突然変異を有する)ベータラクタマーゼの有効量を投与することにより、感染を処置または予防するための方法に関する。
様々な実施形態において、本発明は、抗生物質耐性を促進することのない、または予防もしくは軽減することによる、対象への抗生物質投与の方法に関する。様々な実施形態において、本発明は、胃腸の(GI)マイクロバイオームをはじめとするマイクロバイオームを調整して、抗生物質への耐性を低減または予防するための治療性ベータラクタマーゼの使用に関する。様々な実施形態において、本発明は、例えばレジストームの存在の増加を低減または予防するために、抗生物質の投与前に対象のレジストームの状態を保持するための治療性ベータラクタマーゼの使用に関する。様々な実施形態において、本発明は、抗生物質が投与されても対象のレジストームの状態を低減するための治療性ベータラクタマーゼの使用に関する。
幾つかの態様において、本発明は、例えば抗生物質耐性を低減または予防するための、1種または複数のベータラクタマーゼの使用を含む。本明細書で用いられるベータラクタマーゼは、ベータラクタムを加水分解する酵素を指す。ベータラクタム環のアミド結合の加水分解は、抗微生物剤を生物学的不活性にする。本明細書で用いられる分類Aベータラクタマーゼ(Ambler分類)は、セリンベータラクタマーゼを指し、ベータラクタムの加水分解が、通常はアルファヘリックス2のアミノ酸位置70にある、活性部位のセリンにより介在される。分類Aベータラクタマーゼとしては、Len-1、SHV-1、TEM-1、PSE-3/PSE-3、ROB-1、バチルシ・セレウス、例えば5/B 1型、569/H 1型および569/H 3型など、バチルス・アントラシスsp.、バチルス・リッチェニフォルミス、例えばPenP、バチルス・ウェイヘンステファネンシス、バチルス・クラウシー、スタフィロコッカス・アウレウス、PC1、Sme-1、NmcA、IMI-、PER-、VEB-、GES-、KPC-、CME-およびCTX-M型ベータラクタマーゼが挙げられるが、これらに限定されない。
SEQ ID NO:1
TEMKDDFAKLEEQFDAKLGIFALDTGTNRTVAYRPDERFAFASTIKALTVGVLLQQKSIEDLNQRITYTRDDLVNYNPITEKHVDTGMTLKELADASLRYSDNAAQNLILKQIGGPESLKKELRKIGDEVTNPERFEPELNEVNPGETQDTSTARALVTSLRAFALEDKLPSEKRELLIDWMKRNTTGDALIRAGVPDGWEVADKTGAASYGTRNDIAIIWPPKGDPVVLAVLSSRDKKDAKYDNKLIAEATKVVMKALNMNGK
SEQ ID NO:2
atgactgagatgaaagatgattttgcgaagctggaagaacagtttgacgcaaaattgggcattttcgcgttggacacgggtacgaatcgtacggttgcctaccgtccggacgagcgcttcgccttcgcgagcacgatcaaagccctgaccgtcggcgtgctgctccagcaaaagagcatcgaggacctgaaccagcgcattacctacacccgtgatgatctggtgaactataatccgatcaccgagaaacacgttgataccggtatgaccctgaaagaactggcagatgcaagcctgcgctacagcgataacgcggctcagaatctgattctgaagcaaatcggtggtccggagagcttgaagaaagaactgcgtaaaatcggcgatgaagtcactaatccggagcgttttgagccggagctgaacgaagtgaatccgggtgaaacgcaagacacgagcaccgcgcgtgcgcttgtcacctccctgcgcgctttcgcactggaagataagctgccgtcggagaaacgcgagctgctgatcgactggatgaagcgcaatacgaccggcgacgcgctgattcgtgcgggcgttccggacggttgggaagtggctgacaagaccggtgcggcgagctacggcacccgtaacgatatcgcgatcatttggccacctaaaggtgacccggtcgtgctggccgtactgagcagccgtgacaagaaagacgcaaagtatgataacaagctgattgcagaggcgaccaaagttgttatgaaggcactgaacatgaatggtaag
SEQ ID NO:3
EMKDDFAKLEEQFDAKLGIFALDTGTNRTVAYRPDERFAFASTIKALTVGVLLQQKSIEDLNQRITTRDDLVNYNPITEKHVDTGMTLKELADASLRYSDNAAQNLILKQIGGPESLKKELRKIGDEVTNPERFEPELNEVNPGETQDTSTARALVTSLRAFALEDKLPSEKRELLIDWMKRNTTGDALIRAGVPDGWEVGDKTGSGDYGTRNDIAIIWPPKGDPVVLAVLSSRDKKDAKYDNKLIAEATKVVMKALNMNGK
ETGTISISQLNKNVWVHTELGYFNGEAVPSNGLVLNTSKGLVLVDSSWDNKLTKELIEMVEKKFQKRVTDVIITHAHADRIGGITALKERGIKAHSTALTAELAKNSGYEEPLGDLQTITSLKFGNTKVETFYPGKGHTEDNIVVWLPQYQILAGGCLVKSAEAKDLGNVADAYVNEWSTSIENVLKRYGNINSVVPGHGEVGDKGLLLHTLDLLK
様々な実施形態において、本発明は、少なくとも1種のベータラクタマーゼを含む放出改変配合物を用い、ここで配合物は、GI管の1つまたは複数の領域にベータラクタマーゼの実質的量を放出する。幾つかの実施形態において、ベータラクタマーゼは、SYN-004または本明細書に記載された他のベータラクタマーゼ剤、およびその変異体である(例えば、先に記載された通り)。例えば配合物は、胃の後のGI管の1つまたは複数の領域中に、ベータラクタマーゼ、例えばSYN-004を少なくとも約60%放出してよい。
本発明により投与されるベータラクタマーゼ(例えば、SYN-004または本明細書に記載される他のベータラクタマーゼ、およびその変異体)の実際の用量が、例えば特定の投与剤形および投与様式により変動することは、察知されよう。ベータラクタマーゼの作用を改変し得る多くの因子(例えば、体重、性別、食事、投与時間、投与経路、排出速度、対象の状態、薬物併用、遺伝的素因、および反応感受性)は、当業者により考慮され得る。投与は、最大耐容用量内で、連続で、または1回もしくは複数の別個の投与で実施され得る。所与の条件の組み合わせに最適な投与速度は、従来の投与量の投与テストを利用して、当業者が確認できる。
様々な態様において、本発明は、抗生物質への耐性の生成を防ぐまたは低減するための方法を提供する。様々な実施形態において、対象は、抗生物質での処置を受けているか、または処置を最近受けた。様々な実施形態において、対象は、1種または複数の抗生物質を受けることになっている。
本発明は、本明細書に記載される放出改変配合物の投与を簡便にし得るキットを提供する。キットは、本明細書に記載される放出改変配合物の少なくとも1種を含む、材料または成分の集合である。キット中で構成される成分の厳密な性質は、意図する目的に依存する。一実施形態において、キットは、ヒト対象を処置する目的で構成される。
実施例1:抗生物質介在性のブタ腸管マイクロバイオーム崩壊試験計画
セフトリアキソンへの腸管微生物叢の暴露により誘発される抗生物質耐性遺伝子の増加を軽減するSYN-004(リバキサマーゼ)の能力を、正常な2ヶ月齢子ブタで評価した。試験計画およびタイムラインについては表5および図1を参照されたい。動物を試験開始前に14日間、馴化した。セフトリアキソン(CRO)を7日間にわたり1日1回投与し、動物は、SYN-004(リバキサマーゼ)を抗生物質処置の前日に開始して連続9日間、受けた。糞便を、試験-7日目、-4日目、4日目、および8日目に採取した。糞便DNAを単離し、全ゲノムショットガンメタゲノミクス解析に供した。マイクロバイオーム中の抗生物質耐性遺伝子の収集物であるレジストーム共同体を、抗生物質耐性遺伝子のキューレーティッドデータベースへの比較により同定した。
経口アモキシシリンへの腸管微生物叢の暴露により誘発された抗生物質耐性遺伝子の増加を軽減するSYN-004(リバキサマーゼ)遅延放出性配合物の能力を、正常な7ヶ月齢雌ビーグル犬で評価した。動物を投与開始前に24日間、馴化した。動物(n=10、5匹/コホート)は、1日3回の経口アモキシシリン(リンゴ果汁で再構成された40mg/kg/用量)+/- SYN-004(10mg) 1カプセルを5日間受け、6日目の午前が最終投与であった。動物は、アモキシシリン+/-SYN-004の合計16用量を受けた。糞便試料を、抗生物質投与前および最終投与後に採取した。血液を、1日目の最初の抗生物質投与後、および6日目の最終投与後に採取した。各血液採取日に、血液を、各動物から7つのタイムポイント:0.5、1、2、3、4、6および8時間目に採取した。アモキシシリン血清レベルを、検証された液体クロマトグラフィー(LC)法とタンデム質量分析検出法(LC/MS/MS)を利用して測定した。糞便試料から単離されたDNAを、全ゲノムショットガンシーケンシングおよびメタゲノミクス解析に供した。
カルバペネム系抗生物質であるエルタペネムへの腸管微生物叢暴露により誘発された抗生物質耐性遺伝子の増加を軽減する、カルバペネマーゼP2Aの能力を、正常な2ヶ月齢ブタで評価する。動物を投与開始前に24日間、馴化する。動物(n=16、8匹/コホート)は、エルタペネム(30mg/kg/用量、IV、1日1回で4日間)+/-2PA 1カプセル(50mg、PO、1日4回)を受ける。P2Aを、抗生物質処置の前日に開始して、5日目の午前の最終投与1回まで継続する。糞便試料を抗生物質投与前および5日目のP2Aの最終投与後に採取する。血液を、3日目の3回のエルタペネム投与後に採取する。血液を、エルタペネム後の3つのタイムポイント:1時間後、2時間後、および3時間後に採取する。エルタペネム血清レベルを、検証された液体クロマトグラフィー(LC)法とタンデム質量分析検出法(LC/MS/MS)を利用して測定する。DNAを、糞便試料から単離し、全ゲノムショットガンシーケンシングおよびメタゲノミクス解析に供する。
本明細書で用いられる「a」、「an」または「the」は、1以上を意味し得る。
本発明を具体的実施形態に関連して記載したが、本発明が属する当該技術分野における公知の、または慣例的な実務に含まれる通り、そして本明細書の以前に示された本質的特性に適用され得る通り、そして添付の特許請求の範囲に含まれる通り、さらなる改良が可能であり、この適用が一般に本発明の原理に従い、本開示からのそのような逸脱を含む、本発明の任意の変更、使用、または適合に及ぶことは、理解されよう。
本明細書で参照される全ての特許および発行物は、全体として参照により本明細書に組み入れられる。
以下のものは、全体として参照により本明細書に組み入れられる:
Hasan NA, Young BA, Minard-Smith AT, Saeed K, Li H, Heizer EM, McMIllan MJ, Isom R, Abdullah, AS, Bornman DM, Faith SA, Choi SA, Dickens ML, Cebula TA, Colwell RR. (2014). Microbial community profiling of human saliva using shotgun metagenomics sequencing. PLoS ONE 9(5):e97699. Doi:10.1371/journal.pone.0097699.
Lax S, Smith DP, Marcell JH, Owens S, Handley K, Scott K, Gibbons S, Larsen P, Shogan BD, Weiss S, Metcalf JK, Ursell LK, Vazquez-Baeza Y, Treuren VW, Hasan NA, Gibson MK, Colwell RR, Dantas G, Knight R, Gilbert JA. (2014). Longitudinal analysis of microbial interaction between humans and the indoor environment. Science 345, 1048 (2014); DOI:1126/science.1254529.
McArthur AG, Wright GD. 2015. Bioinformatics of antimicrobial resistance in the age of molecular epidemiology. Curr Opin Microbiol 27:45-50.
Bush K, Palzkill, T., Jacoby, G. 2016. Beta-lactamase classification and amino acid sequences for TEM, SHV and OXA Extended-Spectrum and Inhibitor Resistant Enzymes. lahey.org/studies/. Accessed September 6.
McArthur AG, Waglechner N, Nizam F, Yan A, Azad MA, Baylay AJ, Bhullar K, Canova MJ, De Pascale G, Ejim L, Kalan L, King AM, Koteva K, Morar M, Mulvey MR, O’Brien JS, Pawlowski AC, Piddock LJ, Spanogiannopoulos P, Sutherland AD, Tang I, Taylor PL, Thaker M, Wang W, Yan M, Yu T, Wright GD. 2013. The comprehensive antibiotic resistance database. Antimicrob Agents Chemother 57:3348-3357.
Lau SY, Zgurskaya HI. 2005. Cell division defects in Escherichia coli deficient in the multidrug efflux transporter AcrEF-TolC. J Bacteriol 187:7815-7825.
Nagakubo S, Nishino K, Hirata T, Yamaguchi A. 2002. The putative response regulator BaeR stimulates multidrug resistance of Escherichia coli via a novel multidrug exporter system, MdtABC. J Bacteriol 184:4161-4167.
Tanabe H, Yamasak K, Furue M, Yamamoto K, Katoh A, Yamamoto M, Yoshioka S, Tagami H, Aiba HA, Utsumi R. 1997. Growth phase-dependent transcription of emrKY, a homolog of multidrug efflux emrAB genes of Escherichia coli, is induced by tetracycline. J Gen Appl Microbiol 43:257-263.
Sulavik MC, Houseweart C, Cramer C, Jiwani N, Murgolo N, Greene J, DiDomenico B, Shaw KJ, Miller GH, Hare R, Shimer G. 2001. Antibiotic susceptibility profiles of Escherichia coli strains lacking multidrug efflux pump genes. Antimicrob Agents Chemother 45:1126-1136.
Bharat A, Demczuk W, Martin I, Mulvey MR. 2015. Effect of Variants of Penicillin-Binding Protein 2 on Cephalosporin and Carbapenem Susceptibilities in Neisseria gonorrhoeae. Antimicrob Agents Chemother 59:5003-5006.
Sun S, Selmer M, Andersson DI. 2014. Resistance to beta-lactam antibiotics conferred by point mutations in penicillin-binding proteins PBP3, PBP4 and PBP6 in Salmonella enterica. PLoS One 9:e97202.
Scholz P, Haring V, Wittmann-Liebold B, Ashman K, Bagdasarian M, Scherzinger E. 1989. Complete nucleotide sequence and gene organization of the broad-host-range plasmid RSF1010. Gene 75:271-288.
Agerso Y, Guardabassi L. 2005. Identification of Tet 39, a novel class of tetracycline resistance determinant in Acinetobacter spp. of environmental and clinical origin. J Antimicrob Chemother 55:566-569.
Claims (14)
- ベータラクタマーゼを含む、抗生物質に耐性であると決定された患者において感染を処置するまたは予防するために使用される組成物であって、前記ベータラクタマーゼは、SEQ.ID NO:1と少なくとも95%の同一性があるアミノ酸配列およびAmbler分類に基づく位置276でのアスパラギン酸(D)以外の親水性残基を有し、同一の前記抗生物質の投与より前にまたはそれと同時に、前記組成物が投与され、
抗生物質への前記耐性が、前記患者からの生体試料中の抗生物質耐性に関連する2種以上の遺伝子の存在、非存在またはレベルを検出することにより決定され、
抗生物質耐性に関連する前記2種以上の遺伝子が、acrE、acrF、acrS、AmpC、baeR、cfxA、cpxR、ermY、marA、mdtD、mdtN、mdtK、pbp2、pbp4、およびVanRD/VanSDから選択される2種以上の遺伝子である、組成物。 - 前記抗生物質への前記耐性が、抗微生物感受性テスト(AST)を用いて検出される、請求項1に記載の組成物。
- 前記抗生物質への前記耐性が、1種もしくは複数のシークエンシング法を用いて決定される、請求項1に記載の組成物。
- 前記生体試料が、便である、請求項1に記載の組成物。
- 前記生体試料が、GI管液の吸引物である、請求項1に記載の組成物。
- 前記ベータラクタマーゼが、SEQ ID NO:1と少なくとも97%の同一性のあるアミノ酸配列を有する、請求項1に記載の組成物。
- 前記ベータラクタマーゼが、SEQ ID NO:1と少なくとも98%の同一性のあるアミノ酸配列を有する、請求項1に記載の組成物。
- 前記ベータラクタマーゼが、SEQ ID NO:1と少なくとも99%の同一性のあるアミノ酸配列を有する、請求項1に記載の組成物。
- 前記ベータラクタマーゼが、SEQ ID NO:1のアミノ酸配列を有する、請求項1に記載の組成物。
- 前記抗生物質が、ベータラクタム系、カルバペネム系、モノバクタム系、β-ラクタマーゼ阻害剤、アミノグリコシド系、テトラサイクリン系、リファマイシン系、マクロライド系、ケトライド系、リンコサミド系、ストレプトグラミン系、スルホンアミド系、オキサゾリジノン系、およびキノロン系から選択される、請求項1に記載の組成物。
- 前記抗生物質が、ペニシリン系、セファロスポリン系、クラバム系、オキサペナム系、セファマイシン系、およびカルバペネム系から選択されるベータラクタム系抗生物質である、請求項10に記載の組成物。
- 前記抗生物質が、バンコマイシンである、請求項1に記載の組成物。
- 前記感染が、C.ディフィシル感染(CDI)および/またはC.ディフィシル関連疾患である、請求項1に記載の組成物。
- 前記感染が、バンコマイシン耐性腸球菌(VRE)の異常増殖である、請求項1に記載の組成物。
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007125032A (ja) | 1994-09-12 | 2007-05-24 | Infectio Diagnostic (Idi) Inc | 微生物検査室における日常的診断用の臨床検体からの通常の細菌病原体および抗生物質耐性遺伝子を迅速に検出および同定するための特異的および普遍的プローブおよび増幅プライマー |
JP2008289493A (ja) | 1996-11-04 | 2008-12-04 | Geneohm Sciences Canada Inc | 微生物研究室での診断のための臨床検体からの共通の細菌性及び真菌性病原体並びに関連する抗生物質耐性遺伝子を迅速に検出及び同定するための種特異的、属特異的及び普遍的プローブ及びプライマー |
JP2013529905A (ja) | 2010-05-24 | 2013-07-25 | プレヴァブ アール エルエルシー | 改変型β−ラクタマーゼ並びにそれに関する方法及び使用 |
US20150259729A1 (en) | 2014-03-13 | 2015-09-17 | Opgen, Inc. | Methods of detecting multi-drug resistant organisms |
WO2016057744A1 (en) | 2014-10-08 | 2016-04-14 | Synthetic Biologics, Inc. | Beta-lactamase formulations and uses thereof |
US20160256533A1 (en) | 2015-03-06 | 2016-09-08 | Synthetic Biologics, Inc. | Safe and effective beta-lactamase dosing for microbiome protection |
-
2017
- 2017-10-31 WO PCT/US2017/059279 patent/WO2018085267A1/en unknown
- 2017-10-31 CN CN202310217916.1A patent/CN116270991A/zh active Pending
- 2017-10-31 CA CA3042525A patent/CA3042525A1/en active Pending
- 2017-10-31 JP JP2019544800A patent/JP7239252B2/ja active Active
- 2017-10-31 CN CN201780074805.2A patent/CN110062623A/zh active Pending
- 2017-10-31 US US16/346,451 patent/US20190275120A1/en not_active Abandoned
- 2017-10-31 EP EP17866863.8A patent/EP3534900A4/en active Pending
-
2022
- 2022-11-22 JP JP2022186698A patent/JP2023025091A/ja active Pending
-
2023
- 2023-05-25 US US18/323,578 patent/US20230398194A1/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007125032A (ja) | 1994-09-12 | 2007-05-24 | Infectio Diagnostic (Idi) Inc | 微生物検査室における日常的診断用の臨床検体からの通常の細菌病原体および抗生物質耐性遺伝子を迅速に検出および同定するための特異的および普遍的プローブおよび増幅プライマー |
JP2008289493A (ja) | 1996-11-04 | 2008-12-04 | Geneohm Sciences Canada Inc | 微生物研究室での診断のための臨床検体からの共通の細菌性及び真菌性病原体並びに関連する抗生物質耐性遺伝子を迅速に検出及び同定するための種特異的、属特異的及び普遍的プローブ及びプライマー |
JP2013529905A (ja) | 2010-05-24 | 2013-07-25 | プレヴァブ アール エルエルシー | 改変型β−ラクタマーゼ並びにそれに関する方法及び使用 |
US20150259729A1 (en) | 2014-03-13 | 2015-09-17 | Opgen, Inc. | Methods of detecting multi-drug resistant organisms |
WO2016057744A1 (en) | 2014-10-08 | 2016-04-14 | Synthetic Biologics, Inc. | Beta-lactamase formulations and uses thereof |
US20160256533A1 (en) | 2015-03-06 | 2016-09-08 | Synthetic Biologics, Inc. | Safe and effective beta-lactamase dosing for microbiome protection |
Non-Patent Citations (1)
Title |
---|
Anaerobe,2016年06月,Vol. 41,p. 58-67 |
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