CN107898801A - Composition and its application containing rifamycin and lipiarmycin - Google Patents

Composition and its application containing rifamycin and lipiarmycin Download PDF

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Publication number
CN107898801A
CN107898801A CN201711439495.8A CN201711439495A CN107898801A CN 107898801 A CN107898801 A CN 107898801A CN 201711439495 A CN201711439495 A CN 201711439495A CN 107898801 A CN107898801 A CN 107898801A
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CN
China
Prior art keywords
rifamycin
lipiarmycin
composition
rifampin
bacterium
Prior art date
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Pending
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CN201711439495.8A
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Chinese (zh)
Inventor
王欣荣
褚以文
翟龙飞
马文博
袁阳
潘文娟
詹良静
张新宜
林家富
刘超兰
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Sichuan Industrial Institute of Antibiotics
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Sichuan Industrial Institute of Antibiotics
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Priority to CN201711439495.8A priority Critical patent/CN107898801A/en
Publication of CN107898801A publication Critical patent/CN107898801A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Agricultural Chemicals And Associated Chemicals (AREA)

Abstract

The invention discloses one kind to contain rifamycin(rifamycin)With the composition of lipiarmycin (lipiarmycin).Solve to be used to treat bacterium infection in human body, the problem of one of above two antibiotic produces drug resistance there are hepatotoxicity wind agitation and easily is used alone.The weight ratio of rifamycin and lipiarmycin is 10: 1 to 1: 10.Method of the present invention includes following features:(1) two kind of component produces Synergistic biocidal effect, and, toxicity is lower under lower dosage effectively;2)Lower antibiotic nature Resistant frequency.The composition of the present invention can be used in this kind of disease for needing long-term treatment of mycobacterium tuberculosis infection, it is not easy to produces drug resistance, mitigates toxic side effect.

Description

Composition and its application containing rifamycin and lipiarmycin
Technical field
The present invention relates to a kind of composition containing rifamycin and lipiarmycin and its application.In particular to one Composition of the kind containing rifamycin and lipiarmycin, produces cooperative effect, lower for treating bacterium infection in human body Dosage under effectively, toxicity is lower;Frequency is induced with lower natural drug resistance.The composition of the present invention can be used in tying This kind of disease for needing long-term treatment of core bacillus infection, it is not easy to produce drug resistance, mitigate toxic side effect.
Background technology
A kind of antibiotic that rifamycinoid antibiotics is produced by Mediterranean Streptothrix.RNA polymerase is acted on, can be suppressed DNA of bacteria transcription synthesis RNA, available for treatment tuberculosis, enterococcal infection etc., there is very gram-positive cocci, tubercle bacillus Strong antibacterial action, the effect to drug resistant staphylococcus aureus is also strong, but the effect to gram-negative bacteria is then weaker.With it His class antibiotic or anti-tubercular drug do not find cross resistance.The structural formula of Ryfamycin derivative rifampin is as follows:
Lipiarmycin is the secondary metabolite produced by multiple-microorganism fermentation, its molecular formula is C51H72Cl2O18, as turn Record switch, the RNA polymerase inhibited bacteria is combined with DNA, so as to inhibit bacteria breeding, better than the existing medicine such as vancomycin, With lower recurrence rate.The structural formula of New Year Amycin A4 is as follows:
Rifamycin and lipiarmycin act on RNA polymerase, but the two zone of action is not overlapping, and two kinds of antibiotic are made at the same time For the different step in the same path in bacterium, cooperative effect is generated.Therefore crossing drug resistant is not present in the two.
Fiest-tire medication of the rifamycin as anti-mycobacterium tuberculosis, the blood concentration, it is necessary to higher, meeting are effectively sterilized to realize Higher hepatotoxicity wind agitation is produced, limits its use;Meanwhile during the use of rifamycin, there are quite high nature Resistant rate(6×10-8), long-time service can gradually lose sterilizing ability.There is same, its nature in the use of lipiarmycin Resistant rate is 4 × 10-8
For treating bacterium infection in human body, one of above two antibiotic is used alone and is produced there are hepatotoxicity wind agitation and easily The problem of raw drug resistance.
The content of the invention
The object of the present invention is to provide a kind of natural resistant rate is low, treatment cycle length, can mitigate toxic side effect containing favourable The composition and its application of good fortune mycin and lipiarmycin.
What the present invention was realized in:
Composition containing rifamycin and lipiarmycin, the rifamycin are rifamycin As, rifamycin B, and sharp good fortune is mould Plain C, rifamycin D, rifamycin E, rifamycin-S, Rifamycin Sodium, rifampin, Rifapentine, Mycobutin, sharp good fortune former times One kind in bright and rifalazil, lipiarmycin is the weight of New Year Amycin A4 and its derivative, rifamycin and lipiarmycin Than for 10: 1 to 1: 10.
Composition can be presented with pharmaceutically acceptable dosage form.The form of preparation includes tablet, capsule, injection The form of agent, spray or other absorptions that can be absorbed by the body, two components can separately fabricated be similar and different system Dosage form formula, can also be fabricated to compound.
Composition containing rifamycin and lipiarmycin is in the medicine for treating bacterium infection in human body is prepared Application.
The bacterium is Gram-negative bacteria or gram-positive bacteria.
The bacterium is staphylococcus aureus (Staphylococcus aureus) or tubercle bacillus (Mycobecterium Tuberculosis) or enterobacteria(Escherichia coli).
Composition of the present invention includes following features:(1) two kind of component produces cooperative effect, and agent is used in lower Effective under amount, toxicity is lower;2)There is composition lower natural drug resistance to induce frequency, be advantageously used for the disease of long-term treatment Disease.The composition of the present invention can be used in this kind of disease for needing long-term treatment of mycobacterium tuberculosis infection, it is not easy to produces drug resistance, subtracts Light toxic side effect.
The present invention has invented a kind of composition containing rifamycin and lipiarmycin, and two kinds of components are made respectively in this method For RNA polymerase different loci, synergistic effect is produced by different and independent suppression mechanisms immediately.
(1)Cooperative effect is produced between component so that two kinds of antibiotic are more effective under the dosage of lower inferior toxicity;
(2)Lower natural drug resistance induces frequency:In theory 4 × 10-15, it is thousand a ten thousandths that two kinds of antibiotic are used alone, Be conducive to long-term treatment.In particular for this kind of disease for needing long-term treatment of mycobacterium tuberculosis infection, it is not easy to produce drug resistance, subtract Light toxic side effect.
These effects are using staphylococcus aureus (Staphylococcus aureus), tubercle bacillus (Mycobecterium Tuberculosis) and Escherichia coli(Escherichia coli)External evaluation is carried out, the result is shown in Experimental example:
In vitro, rifampin and when New Year Amycin A4 composition, have Synergistic fungicidal active.Rifampin and New Year Amycin A4 are most Small Mlc is significantly lower than exclusive use one of which antibiotic.Reduce the minimum effective dose of at least one antibiotic, Dosage is differed from ten halfs to 60% in the case of difference.
Rifampin and New Year Amycin A4 composition and the natural resistant rate being used alone are respectively: 1) Staphylococcus aureus :〈1×10-12 vs. 6×10-8With 4 × 10-8;2)Escherichia coli:〈1× 10-12 vs. 1×10-9With 3 × 10-10;3)Mycobecterium Tuberculosis:〈1×10-12 vs. 1×10-9With 3×10-10
Composition is used in human body with pharmaceutically acceptable dosage form.The form of preparation includes tablet, capsule, note Penetrate agent, spray or other forms that can be absorbed by the body.Two class compounds can separately fabricated be similar and different system The purpose of dosage form formula, can also be fabricated to compound, all formulations form is can be absorbed by human body, reaches treatment bacterium infection institute The concentration needed.
Composition of the present invention includes following advantage:
(1)Two kinds of components produce cooperative effect, and, toxicity is lower under lower dosage effectively;2)Composition has lower Natural drug resistance induce frequency, be advantageously used for the disease of long-term treatment.The composition of the present invention can be used in tubercle bacillus sense Contaminate this kind of disease for needing long-term treatment, it is not easy to produce drug resistance, mitigate toxic side effect.
Brief description of the drawings
Fig. 1 is one of equivalent line analysis chart of the present invention.
Fig. 2 is the two of the equivalent line analysis chart of the present invention.
Embodiment
With reference to embodiment, the embodiment of the present invention is described in further detail.Following embodiments are used for Illustrate the present invention, but be not limited to the scope of the present invention.Present invention encompasses all possible in Claims scope Alternative, improvement project and equivalents.The particular technique or condition being not specified in following embodiments, be routine techniques or Condition, or carried out according to the described technology of document in the art or condition, or according to product description.
Embodiment 1:
Rifampin and New Year Amycin A4 composition.The weight ratio of rifampin and New Year Amycin A4 is 10:1 to 1:10, preparation is note Penetrate agent.
Experimental example 1:
Rifampin and the equivalent line analysis of New Year Amycin A4.
Reference literature J.infect.Dis.140,629-633 (1979) and Pain 98,163-168 (2002), utilize leather Lan Shi positive bacterium S. aureus (Staphylococcus aureus) CMCC (B) 26 003(5×105)In M-H When 37 DEG C of cultures 14 of broth bouillon are small, the cooperative effect of the rifampin in embodiment 1 and New Year Amycin A4 composition is carried out Research, analyzes using isobologram the cooperative effect of two kinds of antibiotic.
Equivalent line analysis chart such as Fig. 1.Rifampin and New Year Amycin A4 equivalent point all when being combined below diagonal, Two kinds of antibiotic of display possess the synergistic effect of complementation.Compared with exclusive use, combination is so that the concentration of rifampin is reduced to it Minimal inhibitory concentration(MIC)Ten halfs, the concentration of lipiarmycin is reduced to the half of MIC (second left point), profit The flat concentration of good fortune is reduced to a quarter of its MIC, and the concentration of lipiarmycin is reduced to 2/5ths (third lefts of MIC Point) concentration of rifampin is reduced to 1/3rd of its MIC, and the concentration of lipiarmycin is reduced to 1/3rd (left sides of MIC 4th point).Index of correlation γ is 0.57, and both displays possess complementary synergistic effect.
Experimental example 2:
Rifampin reduces nature resistant rate to undetectable level with New Year Amycin A4 composition.
Using colony counting method measure staphylococcus aureus (Staphylococcus aureus) CMCC (B) 26 003(1×108-1×1012Cfu/ tablets)Natural Resistant frequency, when 37 DEG C of M-H broth agar culture mediums culture 14 is small after Count, different tablets add rifampin, New Year Amycin A4 or embodiment 1 respectively.Experiment be divided into (1) individually add 1 ×, 2 ×, 4 The MIC concentration of × rifampin;(2)Independent addition 1 ×, 2 ×, the MIC concentration of 4 × New Year Amycin A4;(3)Addition 1 ×, 2 ×, 4 The MIC concentration of × rifampin and addition 1 ×, 2 ×, the MIC concentration of 4 × New Year Amycin A4.All experiments are using the thin of 4 kinds of concentration Bacterium is repeated 4 times.
Shown from table 1, rifampin, New Year Amycin A4 and natural medicament-resistant mutation frequency associated with the two are respectively 6 × 10-8, 3 × 10-8With undetectable level (< 1 × 10-12).
1 rifampin of table, New Year Amycin A4 or natural resistant rate associated with the two(S.aureus )
Using colony counting method measure Escherichia coli (Escherichia coli) CMCC (B) 44 103(1×108-1× 1012Cfu/ tablets)Natural Resistant frequency, when 37 DEG C of nutrient agar culture 24 is small after count, different tablets difference Addition rifampin, New Year Amycin A4 or both add together.Experiment is divided into the MIC concentration that (1) individually adds 2 × rifampin;(2) Independent addition 2 ×, the MIC concentration of New Year Amycin A4;(3)Add the MIC concentration of 2 × rifampin and the MIC of 2 × New Year Amycin A4 Concentration.All experiments are repeated 5 times using the bacterium of 5 kinds of concentration.The analysis and evaluation resistant rate of 95% confidential interval.
Shown from table 2, rifampin, New Year Amycin A4 and natural medicament-resistant mutation frequency associated with the two are respectively 4 × 10-9, 6 × 10-10With undetectable level (< 1 × 10-12).
Shown from table 3, rifampin, New Year Amycin A4 and resistant rate associated with the two are respectively 1 × 10-9, 3 × 10-10And nothing Level (the < 1 × 10 of method detection-12).
2 rifampin of table, New Year Amycin A4 or natural resistant rate associated with the two(Escherichia coli )
3 rifampin of table, New Year Amycin A4 or resistant rate associated with the two(Escherichia coli )
Experimental example 3:
The cooperative effect of rifampin and New Year Amycin A4 composition.
Reference literature J.infect.Dis.140,629-633 (1979) and Pain 98,163-168 (2002), utilize leather Lan Shi positive bacterias mycobacterium tuberculosis (Mycobecterium Tuberculosis)(10×1010)In 7H10 agar cultures 37 DEG C of base is cultivated 4-6 weeks, and cooperative effect associated with the rifampin and New Year Amycin A4 to embodiment 1 is studied, using etc. Imitate the line chart solution analysis cooperative effect of two kinds of antibiotic.
Equivalent line analysis chart such as Fig. 2.Rifampin and New Year Amycin A4 equivalent point all when being combined below diagonal, Two kinds of antibiotic of display possess the synergistic effect of complementation.Compared with exclusive use, combination is so that the concentration of rifampin is reduced to it Minimal inhibitory concentration(MIC)1/11st, the concentration of lipiarmycin is reduced to 60% (the second left point) of MIC, Li Fu Flat concentration is reduced to the 25% of its MIC, and the concentration of lipiarmycin is reduced to 40% (third left point) rifampin of MIC Concentration is reduced to the 35% of its MIC, and the concentration of lipiarmycin is reduced to 28% (the fourth left point) of MIC.Index of correlation γ is 0.68, both displays possess complementary synergistic effect.

Claims (5)

1. the composition containing rifamycin and lipiarmycin, it is characterised in that:The rifamycin is rifamycin A, profit Good fortune mycin B, rifamycin C, rifamycin D, rifamycin E, rifamycin-S, Rifamycin Sodium, rifampin, Rifapentine, profit Good fortune pudding, one kind in rifaximin and rifalazil, lipiarmycin is the weight of New Year Amycin A4, rifamycin and lipiarmycin Amount is than being 10:1 to 1:10.
2. according to claim 1 contain rifamycin and lipiarmycin composition, it is characterised in that:Composition can be with Presented with pharmaceutically acceptable dosage form, the form of preparation includes tablet, capsule, injection, spray or it is other can The form for the absorption being absorbed by the body, two components can it is separately fabricated be similar and different dosage form, can also be fabricated to Compound.
3. the composition according to claim 1 or 2 containing rifamycin and lipiarmycin is being prepared in human body Treat the application in the medicine of bacterium infection.
4. according to claim 3 preparing the application in being used to treat the medicine of bacterium infection in human body, its feature It is:The bacterium is Gram-negative bacteria or gram-positive bacteria.
5. according to claim 4 preparing the application in being used to treat the medicine of bacterium infection in human body, its feature It is:The bacterium is staphylococcus aureus or tubercle bacillus or enterobacteria.
CN201711439495.8A 2017-12-27 2017-12-27 Composition and its application containing rifamycin and lipiarmycin Pending CN107898801A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110179967A (en) * 2019-05-28 2019-08-30 中国医药集团总公司四川抗菌素工业研究所 The composition and its application of polymyxins parent nucleus and a kind of antibiotic

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150031640A1 (en) * 2012-02-06 2015-01-29 Richard H. Ebright Antibacterial agents: combination of a rifamycin and a switch region inhibitor

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20150031640A1 (en) * 2012-02-06 2015-01-29 Richard H. Ebright Antibacterial agents: combination of a rifamycin and a switch region inhibitor

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110179967A (en) * 2019-05-28 2019-08-30 中国医药集团总公司四川抗菌素工业研究所 The composition and its application of polymyxins parent nucleus and a kind of antibiotic

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