Claims
- 1. Pharmaceutical preparation with antiobiotic activity for parenteral or enteral administration which contains an antibiotically effective combination of at least one antibiotic and an amount sufficient to enhance the activity of said antibiotic of at least one phosphorylmuramyl peptide of the formula ##STR37## wherein X represents carbonyl, R.sub.1 represents lower alkyl unsubstituted or substituted by hydroxy, lower alkoxy or halogen, or represents phenyl unsubstituted or substituted by hydroxy, lower alkoxy, lower alkyl or halogen, R.sub.2, R.sub.4 or R.sub.6 independently of one another represent hydrogen or lower alkyl, R.sub.3 represents hydrogen or lower alkyl, R.sub.5 represents hydrogen, lower alkyl having from 1 to 3 carbon atoms unsubstituted or substituted by hydroxy, lower alkoxy, mercapto, lower alkylthio, amino or halogen, or represents cycloalkyl or cycloalkyl-lower alkyl in which the lower alkyl radical contains from 1 to 3 carbon atoms, and in each of which the cycloalkyl radical contains from 4 to 6 carbon atoms, phenyl or phenyl-lower alkyl having from 1 to 3 carbon atoms in the lower alkyl radical and each unsubstituted or substituted by hydroxy, lower alkoxy or halogen, or heterocyclyl or heterocyclyl-lower alkyl having from 1 to 3 carbon atoms in the lower alkyl radical, and each containing one or two nitrogen atoms and having 5 or 6 ring members, or R.sub.4 and R.sub.5 together alternatively represent alkylene having 3 to 4 carbon atoms, R.sub.7 represents hydrogen, and one of the radicals A.sub.1 and A.sub.2 represents a radical of the formula ##STR38## in which T represents HN or O, Y represents lower alkylene which is unsubstituted or substituted by hydroxy, lower alkoxy, lower alkanoyloxy, halogen, mercapto, lower alkylthio, lower alkanoylthio, amino-lower alkyl, mono- or di- lower alkylamino-lower alkyl, lower alkanoylamino-lower alkyl, aminocarbonyl, lower alkyl, cycloalkyl having 5 or 6 carbon atoms, a phenyl or a phenyl-lower alkyl radical, or by heterocyclyl or heterocyclyl-lower alkyl having from 1 to 3 carbon atoms in the lower alkyl radical and each containing one or two nitrogen atoms and having 5 or 6 ring members or a radical of one of the formulae ##STR39## in which Y.sub.1 and Y.sub.2 each represents lower alkylene which is unsubstituted or substituted by hydroxy, lower alkoxy, lower alkanoyloxy, halogen, mercapto, lower alkylthio, lower alkanoylthio, amino-lower alkyl, mono- or di-lower alkylamino-lower alkyl, lower alkanoylamino-lower alkyl, aminocarbonyl, lower alkyl, cycloalkyl having 5 or 6 carbon atoms, a phenyl or a phenyl-lower alkyl radical, or by heterocyclyl or heterocyclyl-lower alkyl having from 1 to 3 carbon atoms in the lower alkyl radical and each containing one or two nitrogen atoms and having 5 or 6 ring members and R.sub.8 represents hydrogen, W represents an alkyl or alkenyl group having from 7 to 30 carbon atoms which is unsubstituted or substituted by hydroxy, lower alkoxy, lower alkanoyloxy, halogen, amino, lower alkylamino, lower alkanoylamino or oxo or represents a cycloalkyl or cycloalkenyl radical having from 10 to 30 carbon atoms which is unsubstituted or substituted by one or more alkyl radicals having from 1 to 8 carbon atoms, and the other of the radicals A.sub.1 and A.sub.2 represents hydroxy, lower alkoxy, amino or lower alkylamino, or represents aminocarbonyl-lower alkylamino unsubstituted or substituted in the lower alkyl radical by hydroxy, carboxy or amino groups, or a pharmaceutically acceptable salt thereof together with a significant amount of a pharmaceutically acceptable carrier.
- 2. Pharmaceutical preparation according to claim 1, which contains a compound of formula I, wherein X represents carbonyl, R.sub.1 represents lower alkyl having from 1 to 7 carbon atoms or phenyl, R.sub.2, R.sub.4, R.sub.6 and R.sub.7 represent hydrogen, R.sub.3 represents hydrogen or lower alkyl, R.sub.5 represents hydrogen, lower alkyl, hydroxymethyl, mercaptomethyl, 1-hydroxyethyl, 2-methylthioethyl, phenylmethyl, p-hydroxyphenylmethyl, 4-aminobutyl, 4-imidazolylmethyl, or 3-indolylmethyl, or R.sub.4 and R.sub.5 together alternatively represent trimethylene, in which A.sub.1 represents hydroxy, lower alkoxy, amino, lower alkylamino or aminocarbonyl-lower alkylamino and A.sub.2 represents a radical of the formula ##STR40## in which T represents NH or O and W represents an alkyl or alkenyl group that is unsubstituted or substituted by hydroxy, lower alkoxy, lower alkanoyloxy, amino, lower alkylamino or lower alkanoylamino having up to 25 carbon atoms, or represents a cycloalkyl or cycloalkenyl radical having from 10 to 30 carbon atoms, Y represents ethylene or a radical of the formula ##STR41## in which R.sub.8 represents hydrogen and Y.sub.1 and Y.sub.2, independently of one another, each represents lower alkylene having from 1 to 7 carbon atoms whichh is optionally substituted by hydroxy, lower alkoxy, mercapto, methylthio, phenyl, 4-imidazolyl or 3-indolyl, or a pharmaceutically acceptable salt thereof.
- 3. Pharmaceutical preparation according to claim 1, which contains a compound of formula I, wherein X represents carbonyl, R.sub.1 represents lower alkyl having from 1 to 3 carbon atoms, R.sub.2, R.sub.4, R.sub.6 and R.sub.7 represent hydrogen, R.sub.3 represents hydrogen or methyl, R.sub.5 represents hydrogen or lower alkyl, A.sub.1 represents amino and A.sub.2 represents a radical of the formula ##STR42## in which T represents NH, W represents an alkyl or alkenyl group having from 10 to 25 carbon atoms that is unsubstituted or substituted by hydroxy, lower alkoxy, lower alkanoyloxy, amino, lower alkylamino or lower alkanoylamino having up to 25 carbon atoms, or represents a cholesteryl radical, and Y represents ethylene or a radical of the formula ##STR43## in which R.sub.8 represents hydrogen and Y.sub.1 and Y.sub.2, independently of one another, each represents lower alkylene, or a pharmaceutically acceptable salt thereof.
- 4. Pharmaceutical preparation according to claim 2 or 3, which contains a compound of the formula I wherein the meanings for A.sub.1 and A.sub.2 are interchanged, or a pharmaceutically acceptable salt thereof.
- 5. Pharmaceutical preparation according to claim 1, which contains a compound of the formula I, wherein X represents carbonyl, R.sub.1 represents lower alkyl having from 1 to 3 carbon atoms or phenyl, R.sub.2, R.sub.4 and R.sub.6 represent hydrogen, R.sub.3 represents hydrogen or lower alkyl having from 1 to 3 carbon atoms, R.sub.5 represents hydrogen, lower alkyl having from 1 to 3 carbon atooms unsubstituted or substituted by hydroxy, methoxy, mercapto, methylthio or halogen, or represents phenyl or phenylmethyl each unsubstituted or substituted by hydroxy, methoxy or halogen, or represents heterocyclyl or heterocyclylmethyl each containing one or two nitrogen atoms and having 5 ring members, or R.sub.4 and R.sub.5 together alternatively represent trimethylene, R.sub.7 represents hydrogen and one of the radicals A.sub.1 and A.sub.2 represents a radical of the formula ##STR44## in which T represents HN or O, Y represents lower alkylene having 2 or 3 carbon atoms, or a radical of the formula (IIIa) or (IIIc) ##STR45## in which R.sub.8 represents hydrogen, and Y.sub.1 and Y.sub.2, independently of one another, each represents lower alkylene having from 1 to 3 carbon atoms unsubstituted or substituted by hydroxy, lower alkoxy, mercapto or lower alkylthio, or lower alkylene having from 1 to 3 carbon atoms that is unsubstituted or substituted by hydroxy-, methoxy- or halogen-substituted phenyl or phenyl-lower alkyl or by heterocyclyl or heterocyclyl-lower alkyl having from 1 to 3 carbon atoms in the lower alkyl radical and each containing one or two nitrogen atoms and having 5 or 6 ring members, W represents an alkyl group having from 10 to 25 carbon atoms substituted in the 2-position by hydroxy, lower alkanoyloxy, amino or lower alkanoylamino, and the other of the radicals A.sub.1 and A.sub.2 represents hydroxy, lower alkoxy, amino, lower alkylamino or aminocarbonyl-lower alkylamino, or a pharmaceutically acceptable salt thereof.
- 6. Pharmaceutical preparation according to claim 1, which contains a compound of the formula I, wherein R.sub.1 represents lower alkyl or a pharmaceutically acceptable salt thereof.
- 7. Pharmaceutical preparation according to claim 1, which contains a compound of the formula I, wherein R.sub.4 represents alkyl having from 1 to 4 carbon atoms and R.sub.2 and R.sub.6 represent hydrogen or a pharmaceutically acceptable salt thereof.
- 8. Pharmaceutical preparation according to claim 1, which contains N-acetyldesmethylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide or a pharmaceutically acceptable salt thereof.
- 9. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide or a pharmaceutically acceptable salt thereof.
- 10. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-(tetradecyloxyhydroxyphosphoryloxy)ethylamide or a pharmaceutically acceptable salt thereof.
- 11. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-[(3'R)-hydroxy-(2'S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide or a pharmaceutically acceptable salt thereof.
- 12. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-.alpha.-aminobutyryl-D-isoglutaminyl-L-alanine 2-[(3'R)-hydroxy-(2'S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide or a pharmaceutically acceptable salt thereof.
- 13. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-.alpha.-aminobutyryl-D-isoglutaminyl-L-alanine 2-[(3'R)-hydroxy-(2'S)-palmitoylamino-octadecyloxyhydroxyphosphoryloxy]ethylamide or a pharmaceutically acceptable salt thereof.
- 14. Pharmaceutical preparation according to claim 1, which contains N-acetylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-(cholest-5-ene-3.beta.-oxy-hydroxyphosphoryloxy)ethylamide or a pharmaceutically acceptable salt thereof.
- 15. Pharmaceutical preparation according to claim 1, which contains N-benzoylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide or a pharmaceutically acceptable salt thereof.
- 16. Pharmaceutical preparation according to claim 1, which contains a compound selected from the group consisting of N-acetylmuramyl-L-alanyl-D-isoglutamine 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide, N-acetyldesmethylmuramyl-L-alanyl-D-isoglutamine 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide, N-acetylmuramyl-L-alanyl-D-isoglutaminyloxymethylcarboxylic acid 2-(hexadecyloxyhydroxyphosphoryloxy)ethylamide, N-acetylmuramyl-L-alanyl-D-isoglutamine 2-[(3'-R)-hydroxy-(2'S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide, N-acetyldesmethylmuramyl-L-alanyl-D-isoglutamine 2-[(3'R)-hydroxy-(2'S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide, N-acetyldesmethylmuramyl-L-alanyl-D-isoglutaminyl-L-alanine 2-[(3'-R)-hydroxy-(2'-S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide, N-acetylmuramyl-L-alanyl-D-isoglutaminyloxymethylcarboxylic acid [(3'R)-hydroxy-(2'S)-palmitoylamino-4't-octadecenyloxyhydroxyphosphoryloxy]ethylamide or a pharmaceutically acceptable salt thereof.
- 17. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from .beta.-lactam antibiotics, aminoglycosides, tetracyclines, macrolides, lincomycins, polyene antibiotics, polypeptide antibiotics, anthracyclines, chloramphenicols, thiamphenicols, cycloserines, fusidic acids or rifamycins.
- 18. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from amoxycillin, ampicillin, carbenicillin, cloxacillin, cyclacillin, dicloxacillin, mecillinam, methicillin, penicillin G, penicillin V, pivampicillin, sulbenicillin, azlocillin, ticarcillin, mezlocillin, pivmecillinam and 6-(4-endoazatricyclo[5.2.2.0.sup.2,6 ]undec-8-enyl)-methyleneaminopencillanic acid.
- 19. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from cefaclor, cefazaflur, cefazolin, cefadroxil, cefoxitin, cefuroxim, cephacetril, cephalexin, cephaloglycin, cephaloridines, cephalotin, cefamandol, cephanon, cephapirin, cefatrizin, cephradin, cefroxadin (7.beta.-[D-2-amino-2-(1,4-cyclohexadienyl)-acetamido]-3-methoxy-3-cephem-4-carboxylic acid), cefsulodin, cefotaxim, cefotiam, ceftezol and cefazedon.
- 20. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from nocardicine A, thienamycin and clavulanic acid.
- 21. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from streptomycin, streptomycin A, neomycin B, tobramycin, dibekacin, kanamycins, amicacins, gentamycins, sisomicin, netilmicin, lividomycin, ribocamycin and paromomycin.
- 22. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from tetracycline, doxycycline, chlorotetracycline, oxytetracycline and methacycline.
- 23. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from maridomycin, spiramycins, erythromycins, oleandomycins and lincomycins.
- 24. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from amphotericin B, its methyl esters and nystalin.
- 25. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from colistin, gramicidin S, polymyxin B, virginamycin, tyrothricin, viomycin and vancomycin.
- 26. Pharmaceutical preparation according to claim 1, which contains an antibiotic selected from rifamycin S, rifamycin SV, rifamycin B and rifampicin.
- 27. A process for increasing the activity of antibiotics comprising administering to animals in need of such administration a pharmaceutical preparation according to one of claims 1-26 wherein the muramyl peptide is administered up to 24 hours before or after the antibiotic.
Parent Case Info
This is a divisional of application Ser. No. 194,104 filed on Oct. 6, 1980, now U.S. Pat. No. 4,323,560 issued Apr. 6, 1982.
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4082735 |
Jones et al. |
Apr 1978 |
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4082736 |
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4153684 |
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Number |
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Divisions (1)
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Number |
Date |
Country |
Parent |
194104 |
Oct 1980 |
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