基本信息:
- 专利标题: AGENT FOR REVERSAL OF DRUG RESISTANCE IN MYCOBACTERIUM TUBERCULOSIS
- 专利标题(中):药物耐药性在MYCOBACTERIUM TUBERCULOSIS中的反应代理
- 申请号:PCT/IB2001/001136 申请日:2001-06-26
- 公开(公告)号:WO02000165A2 公开(公告)日:2002-01-03
- 主分类号: A61K31/43
- IPC分类号: A61K31/43 ; A61K31/431 ; A61P31/06 ; A61K
摘要:
Multidrug resistance to anti-tuberculous drugs poses threat in the treatment of tuberculosis. These strains are resistant to at least two first line anti-tuberculous drugs such as INH and rifampicin. Frequently, such MDR strains show resistance to all commonly used first-line agent i.e. INH, rifamcpicin, streptomycin, ethambutol and pyrazinamide. Isoniazid is the most widely used anti-tuberculous drug. Resistance to isoniazid can occur by increased expression in inhA or by mutations that lower the enzyme's affinity to NADH. Mutations in katG, which encodes catalase peroxidase, is the most common source of resistance. Another mechanism of isoniazid resistance occurs by defects in NADH dehydrogenase (Ndh) of the respiratory chain. Increases expression of AphC has been suggested as another mechanism of INH resistance in mycobacteria. The present invention overcomes INH resistance by the use of penicillins with INH. According to present invention, penicillins when used in effective amount, reduces the MIC of INH in multi-drug resistant strains of M. tuberculosis. The improved INH sensitivity, as brought by the present invention, falls within the range which can be exploited for effective therapeutic intervention.
摘要(中):
抗结核药物的多药耐药对结核病的治疗构成威胁。 这些菌株对至少两种一线抗结核药物如INH和利福平具有抗性。 通常,这样的MDR菌株对所有常用的一线制剂即INH,利福霉素,链霉素,乙胺丁醇和吡嗪酰胺显示出抗性。 异烟肼是最广泛使用的抗结核药物。 对异烟肼的抗性可以通过增加inhA中的表达或降低酶对NADH的亲和力的突变而发生。 编码过氧化氢酶过氧化物酶的katG的突变是最常见的抵抗来源。 呼吸链的NADH脱氢酶(Ndh)缺陷发生异烟肼抗性的另一种机制。 已经提出增加AphC的表达是分泌细菌中INH抗性的另一种机制。 本发明通过使用青霉素与INH克服INH抗性。 根据本发明,当有效量使用青霉素时,降低结核分枝杆菌多药耐药株INH的MIC。 由本发明提供的改善的INH灵敏度落入可用于有效治疗干预的范围内。
IPC结构图谱:
A | 人类生活必需 |
--A61 | 医学或兽医学;卫生学 |
----A61K | 医用、牙科用或梳妆用的配制品 |
------A61K31/00 | 含有机有效成分的医药配制品 |
--------A61K31/33 | .杂环化合物 |
----------A61K31/335 | ..仅有氧作为环杂原子的,例如制霉色基素 |
------------A61K31/40 | ...有仅以1个氮作为环杂原子的五元环的,例如舒必利、琥珀酰亚胺、托尔米丁、甲氧吡丁苯 |
--------------A61K31/425 | ....噻唑 |
----------------A61K31/429 | .....与杂环稠合的 |
------------------A61K31/43 | ......含4硫杂1氮杂双环 |