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Title: Compositions and methods
for affecting virulence determinants in bacteria
United States Patent: 7,339,043
Issued: March 4, 2008
Inventors: Cheung; Ambrose
L. (Hanover, NH), Manna; Adhar (Lebanon, NH)
Assignee: Trustees of
Dartmouth College (Hanover, NH)
Appl. No.: 11/063,308
Filed: February 22, 2005
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Patheon
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Abstract
A novel sarR gene and sarR gene product
which down regulates the expression of sarA and the resulting virulence
determinants in Staphylococcus aureus is provided. Methods for modulating
the expression of sarA and virulence determinants are also provided. A
preferred embodiment of the present invention provides structural
information relating to the gene product and enables the identification
and formulation of lead compounds and reducements for treating and
preventing infections by S. aureus and related bacteria.
Description of the
Invention
SUMMARY OF THE INVENTION
The present invention provides a new genetic locus of S. aureus and other
bacteria. The gene at this locus is referred to herein as sarR. The sarR
gene is involved in the regulation and expression of virulence determinants
in S. aureus and other bacteria.
The present invention provides a polynucleotide sequence of the sarR gene
(SEQ. ID. NO: 1) which is involved in the regulation and expression of
virulence determinants in S. aureus and related bacteria. Also provided is a
sarR gene product, an isolated polypeptide which is involved in regulation
and expression of virulence determinants in S. aureus and related bacteria.
An object of the present invention is to provide nucleic acid sequences that
regulate the expression of virulence determinants in S. aureus and related
bacteria. In a preferred embodiment the nucleic acid sequence is isolated
from S. aureus and in another preferred embodiment the nucleic acid sequence
is a sarR gene (SEQ. ID. NO: 1).
Another object of the present invention is to provide a polypeptide which
regulates the expression of virulence determinants in S. aureus and other
bacteria. In a preferred embodiment the polypeptide is isolated from S.
aureus and in another preferred embodiment the polypeptide is encoded by a
sarR gene and correspond to the sequence set forth in SEQ ID NO: 2.
Vectors and host cells comprising nucleic acid sequences encoding these
polypeptides and chemical entities that mimic or enhance the activity of
such polypeptides are further objects of the invention. These agents can be
used alone or in combination with antibacterial agents such as penicillin to
enhance the properties of such agents.
Another object of the present invention is to provide methods for modulating
regulation and expression of virulence determinants in S. aureus and related
bacteria to inhibit their growth and infectivity by contacting the bacteria
with an agent which interacts with sarA promoter regions.
Another object of the present invention is to provide a method of inhibiting
growth and infectivity of bacteria comprising contacting the bacteria with
an agent which enhances the expression of the sarR gene, or the activity of
a polypeptide encoded by the sarR. gene.
Another object of the present invention is to provide a kit for identifying
the presence of a sarR gene or a polypeptide encoded by a sarR gene.
A further object of the present invention is to provide nucleic acid
sequences from a mutant sarR gene in S. aureus and related bacteria, and
polypeptides encoded by a mutant sarR gene.
A further object of the invention is to provide a three dimensional crystal
structure of the SarR protein.
A further object of the invention is to provide methods of screening for
lead compounds which inhibit the expression of virulence determinants in S.
aureus and related bacteria.
Another object of the present invention is to provide pharmaceutical
compositions for use as anti-bacterial agents against S. aureus and other
bacteria.
DETAILED DESCRIPTION OF THE INVENTION
The present invention provides a novel gene found in S. aureus and other
bacterial species. This gene is designated herein as sarR and is represented
SEQ ID NO: 1. The present invention also provides for a novel gene
corresponding to the sequence as essentially set forth in SEQ ID NO: 1, and
analogs or homologs thereof.
The present invention also provides the sarR gene product designated herein
as the SarR protein represented in SEQ ID. NO. 2, and analogs or homologs
thereof. The SarR protein has a molecular weight of approximately 13.7 kDa
and has a deduced basic pI of approximately 9.2. The sarR gene product is
also characterized by a predominance of charged residues (34%).
The present invention also relates to newly discovered binding sites in the
sarA promoter system. These binding sites enable the SarR protein to repress
sarA expression by preventing sarA from initiating the expression of
virulence factors
The present invention further provides a model for a SarA/SarR heterodimer
which interferes with the function of the SarA homodimer. The present
invention also provides alternative heterodimers which include SarA/SarR
peptidomimetic combinations and other combinations resulting from lead
compounds developed from structural analysis of SarR.
The present invention also provides a sarR gene product or peptidomimetic
capable of directly binding to promoters of a virulence gene such as the hla
promoter of the alpha hemolysin gene to provide direct inhibition of such
virulence factors.
The present invention also provides a method of down; regulating sarA P1
transcription to repress the expression of sarA. This function of the sarR
gene product was demonstrated by the results of mutant studies disclosed
herein. The sarR mutant expressed a much higher level of the SarA protein
than the parent strain. Accordingly, the present invention also provides
sarR mutant strains. These strains are useful as experimental and diagnostic
tools to specifically characterize the sarA expression systems.
The present invention also provides a detailed three-diminsional (3-D)
crystal structure of the SarR protein. The structural data demonstrate that
the protein is a member of a new family of winged helix proteins.
The present invention provides methods for treating microbial pathogenesis
by the administration of SarR analogs in the form of small molecule
compounds which alter the functioning of a microbial sarA expression.
Reducing or eliminating the expression of sarA by such analogs can greatly
alter the course and effects of a bacterial infection. This treatment
approach is distinct from most prior bactericidal or bacteristatic
antimicrobial treatments which attempted to either kill the microbial cells,
or directly prevent them from reproducing. The antimicrobial action of the
compounds of these standard antimicrobial treatments is exerted both in
vivo, in an infection, and in vitro, in a culture, unless some specific
compensating factor(s) is provided which allows survival or growth in the
presence of the antimicrobial agent. In contrast, this invention is directed
at the regulation of sarA expression which is involved in the pathogenesis
process, but is not necessarily essential for microbial survival or growth
in vitro. By selectively targeting the expression of virulence factors and
not directly killing the bacterium there is less pressure to develop
antimicrobial resistance. Because this type of therapy is less likely to
alter the local flora, the incidence of superinfection (e.g. fungal or other
bacterial infections such as pseudomonas or enterococcus) is reduced.
According to one aspect of the present invention, an analog library is
provided to produce a very large number of potential molecules for
regulating the sarA expression system, and in general the greater:the number
of analogs in the library, the greater the likelihood that at least one
member of the library will effectively regulate the sarA expression system.
Designed libraries following a particular template structure and limiting
amino acid variation at particular positions are much preferred, since a
single library can encompass all the designed analogs and the included
sequences will be known and presented in roughly equal numbers. By contrast,
random substitution at only six positions in an amino acid sequence provides
over 60 million analogs, which is a library size that begins to present
practical limitations even when utilizing screening techniques as powerful
as phage display. Libraries larger than this would pose problems in
handling, e.g., fermentation vessels would need to be of extraordinary size,
and more importantly, the likelihood of having all of the planned
polypeptide sequence variations represented in the prepared library would
decrease sharply. It is therefore preferred to create a designed or biased
library, in which the amino acid positions designated for variation are
considered so as to maximize the effect of substitution on the sarA
regulation characteristics of the analog, and the amino acid residues
allowed or planned for use in substitutions are limited.
The use of replicable genetic packages, such as the bacteriophages, is one
method of generating novel polypeptide entities that regulate sarA
expression. This method generally consists of introducing a novel, exogenous
DNA segments into the genome of a bacteriophage (or other amplifiable
genetic package) so that the polypeptide encoded by the non-native DNA
appears on the surface of the phage. When the inserted DNA contains sequence
diversity, then each recipient phage displays one variant of the template
(parental) amino acid sequence encoded by the DNA, and the phage population
(library) displays a vast number of different but related amino acid
sequences.
Such techniques make it possible not only to screen a large number of
potential binding molecules but make it practical to repeat the
binding/elution cycles and to build secondary, biased libraries for
screening analog-displaying packages that meet initial criteria.
It is well-known to those normally skilled in the art that it is possible to
replace peptides with peptidomimetics. Peptidomimetics are generally
preferable as therapeutic agents to peptides owing to their enhanced
bioavailability and relative lack of attack from proteolytic enzymes.
Techniques of molecular modeling may be used to design a peptidomimetics
which mimic the structure of the SarR peptide disclosed herein. Accordingly,
the present invention also provides peptidomimetics and other lead compounds
which can be identified based on the data obtained from structural analysis
of the SarR protein disclosed herein. A potential SarR analog is examined
through the use of computer modeling using a docking program such as GRAM,
DOCK, or AUTODOCK. This procedure can include computer fitting of potential
SarR analogs. Computer programs can also be employed to estimate the
attraction, repulsion, and steric hindrance of an analog to a potential
binding site. Generally the tighter the fit (e.g., the lower the steric
hindrance, and/or the greater the attractive force) the more potent the
potential drug will be since these properties are consistent with a tighter
binding constant. Furthermore, the more specificity in the design of a
potential drug the more likely that the drug will not interfere with other
properties of the sarA expression system. This will minimize potential
side-effects due to unwanted interactions with other proteins.
Initially a potential SarR analog could be obtained by screening a random
peptide library produced by a recombinant bacteriophage, for example, or a
chemical library. A analog ligand selected in this manner could be then be
systematically modified by computer modeling programs until one or more
promising potential ligands are identified.
Such computer modeling allows the selection of a finite number of rational
chemical modifications, as opposed to the countless number of essentially
random chemical modifications that could be made, and of which any one might
lead to a useful drug. Thus through the use of the three-dimensional
structure disclosed herein and computer modeling, a large number of
compounds is rapidly screened and a few likely candidates can be determined
without the laborious synthesis of untold numbers of compounds.
Once a potential SarR analog is identified it can be either selected from a
library of chemicals commercially available from most large chemical
companies including Merck, GlaxoWelcome, Bristol Meyers Squib,
Monsanto/Searle, Eli Lilly, Novartis and Pharmacia UpJohn, or alternatively
the potential ligand is synthesized de novo. As mentioned above, the de novo
synthesis of one or even a relatively small group of specific compounds is
reasonable in the art of drug design.
In a further aspect, this invention provides methods of treating a bacterial
infection by administering a pharmaceutical composition comprising a SarR
analog, peptide, or peptidomimitic to inhibit the expression of sarA. The
present invention also provides a method for prophylactic treatment of a
mammal, in particular a human, in order to prevent a bacterial infection.
Such treatment comprises administering a pharmaceutical preparation
comprising a SarR analog, peptide, or peptidomimetic to the mammal.
Preferably such treatment would be used when the patient is at risk of
contracting or developing a bacterial infection. Such a prophylactic
treatment method may have particular benefit, for example, for treating
patients prior to surgical operations.
Pharmaceutical compositions according to the present invention may comprise
peptides and peptidomimetics of the present invention in association with a
pharmaceutically acceptable carrier or excipient, adapted for use in human
or veterinary medicine. The compositions may contain from 0.001-99% of the
active material. Such compositions may be presented for use in conventional
manner in admixture with one or more physiologically acceptable carriers of
excipients. The pharmaceutical compositions according to the invention may
also contain other active ingredients such as antimicrobial agents, or
preservatives. The compositions may optionally further contain one or more
other therapeutic agents which may, if desired, be a chemotherapeutic
antiviral agent.
Pharmaceutically acceptable salts of the peptides of this invention may be
formed conventionally by reaction with an appropriate acid. The additional
salts so formed from addition by acid may be identified by hydrochloric,
hydrobromic, phosphoric, acetic, fumaric, salicylic, citric, lactic,
mandelic, tartaric, oxalic, methanesulfonic, and the like.
Thus, the peptides and peptidomimetics according to the present invention
may be formulated for oral, buccal, parenteral, topical or rectal
administration. In particular, these peptides and peptidomimetics may be
formulated for injection or for infusion and may be presented in unit dose
form in ampoules or in multidose containers with an added preservative. The
compositions may take such forms as suspensions, solutions, or emulsions in
oily or aqueous vehicles, and may contain formulatory agents such as
suspending, stabilizing and/or dispersing agents. Alternatively, the active
ingredient may be in powder form for constitution with a suitable vehicle,
e.g. sterile, pyrogen-free water, before use.
The present invention further provides a process for preparing a
pharmaceutical composition which comprises bringing a peptide or
peptidomimetic of the invention into association with a pharmaceutically
acceptable excipient or carrier.
The dosage of the peptide or peptidomimetic used in the treatment will vary,
depending on the seriousness of the disorder, the weight of the patient, the
relative efficacy of the peptide and the judgment of the treating physician.
Unit dosages may be administered more than once a day, e g., two or three
times a day. Such therapy may extend for several weeks, in an intermittent
or uninterrupted manner, until the patient's symptoms are eliminated.
The present invention also provides pharmaceutical compositions which
comprise a pharmaceutically effective amount of the peptides of this
invention, or pharmaceutically acceptable salts thereof, and, preferably, a
pharmaceutically acceptable carrier or adjuvant. Therapeutic methods of this
invention comprise the step of treating patients in a pharmaceutically
acceptable manner with those peptides or compositions. Such compositions may
be in the form of tablets, capsules, caplets, powders, granules, lozenges,
suppositories, reconstitutable powders, or liquid preparations, such as oral
or sterile parenteral solutions or suspensions.
In order to obtain consistency of administration, it is preferred that a
composition of the invention is in the form of a unit dose. The unit dose
presentation forms for oral administration may be tablets and capsules and
may contain conventional expedients. For example binding agents, such as
acacia, gelatin, sorbitol, or polyvinylpyrrolidone; fillers, such as
lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine;
tabletting lubricants such as magnesium stearate; disintegrants, such as
starch, polyvinylpyrrolidone, sodium starch glycolate or microcrystalline
cellulose; or pharmaceutically acceptable wetting agents such as sodium
lauryl sulfate.
The solid oral compositions may be prepared by conventional methods of
blending, filling, tabletting, or the like. Repeated blending operations may
be used to distribute the active agent throughout those compositions
employing large quantities of fillers. Such operations are, of course,
conventional in the art. The tablets may be coated according to methods
well-known in normal pharmaceutical practice, in particular with an enteric
coating.
Oral liquid preparations may be in the form of emulsions, syrups, or
elixirs, or may be presented as a dry product-for reconstitution with water
or other suitable vehicle before use. Such liquid preparations may or may
not contain conventional additives. For example suspending agents, such as
sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose,
carboxymethylcellulose, aluminum stearate gel, or hydrogenated edible fats;
emulsifying agents, such as sorbitan monooleate or acacia; non-aqueous
vehicles (which may include edible oils), such as almond oil, fractionated
coconut oil, oily esters selected from the group consisting of glycerine,
propylene glycol, ethylene glycol, and ethyl alcohol; preservatives, for
instance methyl para-hydroxybenzoate, ethyl para-hydroxybenzoate, n-propyl
parahydroxybenzoate, or n-butyl parahydroxybenzoate or sorbic acid; and, if
desired, conventional flavoring or coloring agents.
For parenteral administration, fluid unit dosage forms may be prepared by
utilizing the peptide and a sterile vehicle, and, depending on the
concentration employed, may be either suspended or dissolved in the vehicle.
In preparing solutions, the peptides of this invention may be dissolved in
water, whereas opiates used heretofore showed only marginal solubility in
aqueous media or physiological fluids. Once in solution, the peptide may be
injected and filter sterilized before filling a suitable vial or ampoule and
subsequently sealing the carrier or storage package. Adjuvants, such as a
local anaesthetic, a preservative or a buffering agent, may be dissolved in
the vehicle prior to use. Stability of the pharmaceutical composition may be
enhanced by freezing the composition after filling the vial and removing the
water under vacuum, e.g., freeze drying the composition. Parenteral
suspensions may be prepared in substantially the same manner, except that
the peptide should be suspended in the vehicle rather than being dissolved.
A surfactant or wetting solution may be advantageously included in the
composition to facilitate uniform distribution of the peptide.
Claim 1 of 5 Claims
1. An isolated nucleic acid molecule
which regulates the expression of virulence determinants in gram positive
bacteria, wherein said isolated nucleic acid molecule comprises the
sequence set forth in SEQ ID NO:1. ____________________________________________
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