In vitro and in vivo efficacy, toxicity, bio-distribution and resistance selection of a novel antibacterial drug candidate

Sci Rep. 2016 May 12:6:26077. doi: 10.1038/srep26077.

Abstract

A synthetic antimicrobial peptide was identified as a possible candidate for the development of a new antibacterial drug. The peptide, SET-M33L, showed a MIC90 below 1.5 μM and 3 μM for Pseudomonas aeruginosa and Klebsiella pneumoniae, respectively. In in vivo models of P. aeruginosa infections, the peptide and its pegylated form (SET-M33L-PEG) enabled a survival percentage of 60-80% in sepsis and lung infections when injected twice i.v. at 5 mg/Kg, and completely healed skin infections when administered topically. Plasma clearance showed different kinetics for SET-M33L and SET-M33L-PEG, the latter having greater persistence two hours after injection. Bio-distribution in organs did not show significant differences in uptake of the two peptides. Unlike colistin, SET-M33L did not select resistant mutants in bacterial cultures and also proved non genotoxic and to have much lower in vivo toxicity than antimicrobial peptides already used in clinical practice. The characterizations reported here are part of a preclinical development plan that should bring the molecule to clinical trial in the next few years.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use*
  • Antimicrobial Cationic Peptides / chemistry
  • Antimicrobial Cationic Peptides / therapeutic use*
  • Colistin / therapeutic use
  • Disease Models, Animal
  • Drug Resistance, Bacterial
  • Female
  • Humans
  • Klebsiella pneumoniae / physiology*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Pneumonia / drug therapy*
  • Polyethylene Glycols / chemistry
  • Pseudomonas Infections / drug therapy*
  • Pseudomonas aeruginosa / physiology*
  • Sepsis / drug therapy*
  • Skin / drug effects*
  • Skin / microbiology
  • Skin / pathology

Substances

  • Anti-Bacterial Agents
  • Antimicrobial Cationic Peptides
  • Polyethylene Glycols
  • Colistin