PYRAZINOIC ACID CONJUGATES AND HYBRID CONJUGATES

Abstract

Pyrazinamide (PZA) conjugates and hybrids are provided herein. The PZA conjugates are useful for treating bacterial infections. In one embodiment, the PZA conjugates are useful for treating tuberculosis.

Description

TECHNICAL FIELD OF THE INVENTION

Aspects of the invention are generally directed to antibiotic compositions and methods of their use.

BACKGROUND OF THE INVENTION

Tuberculosis (TB) is a bacterial pathogen caused by Mycobacterium tuberculosis, which is known to cause pulmonary infection and to become extremely pervasive within the lungs. TB is considered to be one of the world's deadliest communicable diseases because of its high virulence and the ability of M. tuberculosis to enter into a dormant state, then subsequently undergo reactivation. Pyrazinamide (PZA) is a first-line antituberculosis prodrug that is often used in combinational therapy with drugs such as isoniazide, ethambutol, streptomycin, and rifampicin.

PZA is perceived to inhibit vital ribosomal proteins after being converted into its active constituent, pyrazinoic acid (POA), by the tuberculosis enzyme, pyrazinamidase (PZAase) (FIG. 1A). It may lower the pH of the area surrounding M. tuberculosis to such an extent that the organism is unable to grow. Due to its low lipophilicity, POA cannot be absorbed by the gastrointestinal tract. Fortunately, the drug can be absorbed in the pyrazinamide configuration.

One of the drawbacks of using PZA to treat TB is that it inhibits protein synthesis. With prolonged administration of the recommended dose, harmful side effects such as hepatitis, acute hypertension, thrombocytopenia, and gastrointestinal discomfort have been reported. To overcome these issues, several molecular hybridization approaches have been reported for the development of potential antitubercular agents. Most hybridized structures include clinically used drugs such as rifamycin, ethambutol and isoniazid coupled with other hydrophobic structures such as cinnamic acid derivatives. Unfortunately the most promising prodrugs of POA are not stable.

Therefore, it is an object of the invention to provide improved prodrugs of POA methods of their use.

SUMMARY OF THE INVENTION

Pyrazinamide (PZA) conjugates and hybrids are provided herein. The PZA conjugates are useful for treating infections, for example bacterial infections. In one embodiment the PZA conjugates are used to treat tuberculosis. An exemplary PZA conjugate has the generic structure

wherein:

R₁ is alkyl, alkenyl, alkynyl, aryl, or heteroaryl having between C₁ and C₃₀ carbon atoms, and

R₂ is carboxylic acid, nicotinic acid, or derivatives thereof.

In one embodiment, R₁ is is CH₂CH(CH₃)₂, CH(CH₃)₂, CH(CH₂CH₃)CH₃, CH₂CH₂SCH₃, CH₂Ph, or CH₂-indoyl. In one embodiment, R₂ is isoniazid or ethionamide.

Another embodiment provides a PZA conjugate having a structure according to any one of the following:

or an isolated optical isomer or an isolate isomer thereof.

Yet another embodiment provides pharmaceutical compositions including the disclosed PZA conjugates and hybrids. The pharmaceutical composition can be formulated for oral administration. In another embodiment, the pharmaceutical composition additionally includes a pharmaceutically acceptable excipient.

Also disclosed is a method for treating a bacterial infection in a subject in need thereof by administering to the subject an effective amount of a pharmaceutical composition including at least one of the disclosed PZA conjugates and hybrids. In one embodiment, the bacterial infection is tuberculosis. In another embodiment, the bacterial infection is cause by one or more bacteria selected from the group consisting of Mycobacterium marinum, Mycobacterium fortuitum, Mycobacterium tuberculosis, Staphylococcus aureus, Enterococcus faecalis, Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa, and Proteus vulgaris. In one embodiment, the composition is administered to the subject according to a regimen selected from 7 days per week for 8 weeks, 5 days per week for 8 weeks, 3 times per week for 7 weeks, or 7 days per week for 2 weeks then twice weekly for 6 weeks. In some embodiments, a second therapeutic is jointly administered to the subject serially or in combination or alternation with the pyrazinamide conjugate.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG, 1A is a schematic illustrating the hydrolysis of PZA into its active constituent pyrazinoic acid.

FIG. 1B is a schematic illustrating the series of reactions that lead to the activation of isoniazid.

FIG. 2 is a schematic illustrating the synthesis of hybrid conjugates of pyrazinoic acid by coupling amino acid and isoniazid using benzotriazole chemistry.

FIG. 3 is a BMLR-QSAR model plot of correlations representing the observed vs. predicted log(MIC, mM) values for the tested compounds against Mycobacterium marinum.

FIG. 4 is a bar graph showing observed and estimated activity MIC values for the tested compounds against Mycobacterium marinum according to the BMLR-QSAR model.

FIG. 5 is a BMLR-QSAR model plot of correlations representing the observed vs. predicted log(MIC, mM) values for the tested compounds against Mycobacterium fortuitum.

FIG. 6 is a bar graph showing the observed and estimated activity MIC values for the tested compounds against Mycobacterium fortuitum according to the BMLR-QSAR model.

FIGS. 7A and 7B are illustrations showing the constraint distances (FIG. 7A; HBA-1-HBA-2=4.800, HBA-1-HBD=3.026, HBA-2-HBD=4.909 Å) and constraint angles (FIG. 7B; HBA-1-HBA-2-HBD=36.29°) of the generated 3D-pharmacophore for the synthesized bio-active compounds against Mycobacterium marinum which contains two hydrogen bonding acceptors (HBA-1, HBA-2) and one hydrogen bonding donor (HBD).

FIGS. 8A-8K are illustrations showing the 3D-pharmacophore mapped on the synthesized bio-active compounds against Mycobacterium marinum (FIG. 8A=PZA; FIG. 8B=INH; FIG. 8C=PZA-Leu-OH; FIG. 8D=PZA-Leu-INH; FIG. 8E=PZA-Val-INH; FIG. 8F=PZA-Ile-INH; FIG. 8G=PZA-Met-INH; FIG. 8H=PZA-Phe-INH; FIG. 81=PZA-Trp-INH; FIG. 8J=PZA-INH; FIG. 8K=Iso-INH).

FIGS. 9A-9B are illustrations showing constraint distances (FIG. 9A; HBD-1-HBD-2=8.500, HBD-1-HBA=4.271, HBD-2-HBA=5.844 Å) and constraint angles (FIG. 9B; HBD-1-HBD-2-HBA=27.45°) of the generated 3D-pharmacophore for the synthesized bio-active compounds against Mycobacterium fortuitum which contains two hydrogen bonding donors (HBD-1, HBD-2) and one hydrogen bonding acceptor (HBA).

FIGS. 10A-10K are illustrations showing the 3D-pharmacophore mapped on the synthesized bio-active compounds against Mycobacterium fortuitum (FIG. 10A=PZA; FIG. 10B=INH; FIG. 10C=PZA-Leu-OH; FIG. 10D=PZA-Leu-INH; FIG. 10E=PZA-Val-INH; FIG. 10F=PZA-Ile-INH; FIG. 10G=PZA-Met-INH; FIG. 10H=PZA-Phe-INH; FIG. 10I=PZA-Trp-INH; FIG. 10J=PZA-INH; FIG. 10K=Iso-INH).

FIG. 11 is a schematic showing a general approach to producing PZA conjugates.

FIG. 12A is the 1H NMR of POA-L-Val-INH.

FIG. 12B is the 13C NMR of POA-L-Val-INH.

DETAILED DESCRIPTION OF THE INVENTION

I. Definitions

The use of the terms “a,” “an,” “the,” and similar referents in the context of describing the presently claimed invention (especially in the context of the claims) are to be construed to cover both the singular and the plural, unless otherwise indicated herein or clearly contradicted by context.

Recitation of ranges of values herein are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein.

Use of the term “about” is intended to describe values either above or below the stated value in a range of approx. +/−10%; in other embodiments the values may range in value either above or below the stated value in a range of approx. +/−5%; in other embodiments the values may range in value either above or below the stated value in a range of approx. +/−2%; in other embodiments the values may range in value either above or below the stated value in a range of approx. +/−1%. The preceding ranges are intended to be made clear by context, and no further limitation is implied. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as”) provided herein, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention unless otherwise claimed. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.

The term, “alkyl,” as used herein, refers to the radical of saturated or unsaturated aliphatic groups, including straight-chain alkyl, alkenyl, or alkynyl groups, branched-chain alkyl, alkenyl, or alkynyl groups, cycloalkyl, cycicoalkenyl, cycloalkynyl groups, alkyl substituted cycloalkyl, cycloalkenyl, or cycloalkynyl groups, and cycloalkyl substituted alkyl, alkenyl, or alkynyl groups. Unless otherwise indicated, a straight chain or branched chain alkyl has 30 or fewer carbon atoms in its backbone, preferably 20 or fewer, and more preferably 10 or fewer.

The term, “alkyl,” also includes one or more substitutions at one or more carbon atoms of the hydrocarbon radical as well as heteroalkyls. Suitable substituents include, but are not limited to, halogens, such as fluorine, chlorine, bromine, or iodine; hydroxyl; —NR₁R_2, wherein R₁ and R₂ are independently hydrogen, alkyl, or aryl, and wherein the nitrogen atom is optionally quaternized; —SR, wherein R is hydrogen, alkyl, or aryl; —CN; —NO₂; —COOH; carboxylate; —COR, —COOR, or —CONR_2, wherein R is hydrogen, alkyl, or aryl; azide, aralkyl, alkoxyl, imino, phosphonate, phosphinate, silyl, ether, sulfonyl, sulfonamido, heterocyclic, aromatic or heteroaromatic moieties, —CF3; —CN; —NCOCOCH₂CH₂; —NCOCOCHCH; —NCS; and combinations thereof.

The terms “alkenyl” and “alkynyl”, as used herein, refer to unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond respectively.

The term “aryl” refers to a mono- or multi-cyclic aromatic radical having in the range of 6 up to 30 carbon atoms such as phenyl, naphthyl, tetrahydronapthyl, indanyl, and biphenyl.

The term, “heteroaryl,” as used herein, refers to straight or branched chain, or cyclic carbon-containing radicals, or combinations thereof, having 3 to 30 carbon atoms where one or more of the carbon atoms are replaced by heteroatoms. Suitable heteroatoms include, but are not limited to, O, N, Si, P and S, where the nitrogen, phosphorous and sulfur atoms are optionally oxidized, and the nitrogen heteroatom is optionally quaternized. One of the rings may also be aromatic. Examples of heterocyclic and heteroaromatic rings include, but are not limited to, benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzoxazolinyl, benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazolinyl, carbazolyl, 4aH-carbazolyl, carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2H,6H-1,5,2-dithiazinyl, dihydrofuro[2,3 -b]tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, 3H-indolyl, isatinoyl, isobenzofuranyl, isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl, isoxazolyl, methylenedioxyphenyl, morpholinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, oxazolidinyl, oxazolyl, oxindolyl, pyrimidinyl, phenanthridinyl, phenanthrolinyl, phenazinyl, phenothiazinyl, phenoxathinyl, phenoxazinyl, phthalazinyl, piperazinyl, piperidinyl, piperidonyl, 4-piperidonyl, piperonyl, pteridinyl, purinyl, pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole, pyridoimidazole, pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, 2H-pyrrolyl, pyrrolyl, quinazolinyl, quinolinyl, 4H-quinolizinyl, quinoxalinyl, quinuclidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolinyl, tetrazolyl, 6H-1,2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazolyl, thienoimidazolyl, thiophenyl and xanthenyl.

As used herein, “tuberculosis disease”, “TB disease”, and “TB” can be used interchangeably and refer to an active infection with Mycobacterium tuberculosis. The disease is typically initiated by the deposition of M. tuberculosis contained in aerosol droplets onto lung alveolar surfaces. If the patient's immune system cannot stop the bacteria from growing, the bacteria are able to multiply in the body and cause active disease and symptoms thereof. Symptoms of tuberculosis include but are not limited to persistent cough, constant fatigue, weight loss, loss of appetite, fever, coughing up blood, night sweats, and shortness of breath.

As used herein, “latent tuberculosis infection”, “latent TB infection” and “latent infection” can be used interchangeably and refer to a condition in which a patient has an inactive, asymptomatic M. tuberculosis infection. These patients typically show no symptoms and cannot spread the disease to others.

As used herein, a “therapeutically effective amount” refers to that amount of a therapeutic agent sufficient to mediate a clinically relevant elimination, reduction or amelioration of such symptoms. An effect is clinically relevant if its magnitude is sufficient to impact the health or prognosis of a recipient subject. A therapeutically effective amount may refer to the amount of therapeutic agent sufficient to delay or minimize the onset of disease, e.g., delay or minimize the spread of cancer. A therapeutically effective amount may also refer to the amount of the therapeutic agent that provides a therapeutic benefit in the treatment or management of a disease.

As used herein, the term “prophylactic agent” refers to an agent that can be used in the prevention of a disorder or disease prior to the detection of any symptoms of such disorder or disease. A “prophylactically effective” amount is the amount of prophylactic agent sufficient to mediate such protection. A prophylactically effective amount may also refer to the amount of the prophylactic agent that provides a prophylactic benefit in the prevention of disease.

As used herein, the term “pharmaceutically acceptable carrier” encompasses any of the standard pharmaceutical carriers, such as a phosphate buffered saline solution, water and emulsions such as an oil/water or water/oil emulsion, and various types of wetting agents.

As used herein, the terms “individual,” “host,” “subject, and “patient” are used interchangeably and refer to a mammal, including, but not limited to, humans, rodents, such as mice and rats, and other laboratory animals.

The terms “treat,” “treating,” or “treatment” refer to alleviating, reducing, or inhibiting one or more symptoms or physiological aspects of a disease, disorder, syndrome, or condition. “Treatment” as used herein covers any treatment of a disease in a subject, and includes: (a) preventing the disease or symptom from occurring in a subject which may be predisposed to the disease or symptom, but has not yet been diagnosed as having it; (b) inhibiting the disease symptom, i.e., arresting its development; or (c) relieving the disease symptom, i.e., causing regression of the disease or symptom.

II. PZA Conjugates and Hybrids

A. Compounds

Pyrazinamide (PZA) conjugates and hybrids are provided. One embodiment provides a compound according to the following general structure:

wherein R₁ is alkyl, alkenyl, alkynyl, aryl, or heteroaryl, having between C₁ and C₃₀ carbon atoms, and

• • wherein R₂ is a hydroxyl group, or carboxylic acid, nicotinic acid or derivatives thereof.

In one embodiment, R₁ is is CH₂CH(CH₃)₂, CH(CH₃)₂, CH(CH₂CH₃)CH₃, CH₂CH₂SCH₃, CH₂Ph, or CH₂-indoyl. In another embodiment, R₂ is isoniazid or ethionamide.

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Leu-OH.

Another embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Val-OH.

Another embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Ile-OH.

Still another embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Met-OH.

Yet another embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Phe-OH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-DL-Phe-OH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Trp-OH.

Other embodiments provide PZA and isoniazide (INH) hybrid compounds. One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Leu-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Val-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Ile-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Met-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Phe-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-DL-Phe-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-Trp-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as PZA-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as Iso-INH.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as POA-Gly-Mor.

One embodiment provides a compound according to the following structure:

or an isolated optical isomer or an isolated enantiomer thereof. This compound is also referred to as POA-L-Val-INH.

In some embodiments, other isonicotinic acid derivatives are contemplated instead of INH. Exemplary isonicotinic acid derivatives include but are not limited to iproniazid, nialamide, ethionamide, and dexamethasone isonicotinate. In other embodiments, a nicotinic acid derivative is conjugated to PZA. Exemplary nicotinic acid derivatives include but are not limited to ethionamide.

B. Formulations and Pharmaceutical Compositions

In some embodiments the disclosed PZA conjugates and hybrids are formulated as a pharmaceutical formulation, optionally with a second antibiotic, antifungal agent, or other treatment for tuberculosis. Other antibiotics that are commonly used to treat bacterial infections include but are not limited to amoxicillin, ampicillin, flucoxacillin, penicillin, pivmecillinam, tazocin, timentin, cefaclor, cefadroxil, cephalexin, cefotaxime, cefradine, ceftazimide, ceftriaxone, cefuroxime, azithromycin, clamelle, clarithromycin, erythromycin, ciprofloxacin, levofloxacin, moxifloxacin, nalidixic acid, norfloxacin, ofloxacin, demeclocycline, doxycycline, lymecycline, minocycline, oxytetracycline, tetracycline, amikacin, gentamicin, neomycin, tobramycin, septrin, sulfadiazine, aztreonam, chloramphenicol, clindamycin, clofazimine, colistin, daptomycin, fidaxomicin, fucidin, linezolid, meropenem, methenamine, metronidazole, nitrofurantoin, primazin, rifaximin, teicoplanin, tinidazole, trimethoprim, and vancomycin.

Pharmaceutical compositions including the disclosed compositions are provided. Pharmaceutical compositions containing the disclosed compositions can be for administration by parenteral (intramuscular, intraperitoneal, intravenous (IV) or subcutaneous injection), transdermal (either passively or using iontophoresis or electroporation), or transmucosal (nasal, vaginal, rectal, or sublingual) routes of administration or using bioerodible inserts and can be formulated in dosage forms appropriate for each route of administration.

In some in vivo approaches, the compositions disclosed herein are administered to a subject in a therapeutically effective amount. As used herein the term “effective amount” or “therapeutically effective amount” means a dosage sufficient to treat, inhibit, or alleviate one or more symptoms of the disorder being treated or to otherwise provide a desired pharmacologic and/or physiologic effect. The precise dosage will vary according to a variety of factors such as subject-dependent variables (e.g., age, immune system health, etc.), the disease, and the treatment being effected.

For the disclosed compositions, as further studies are conducted, information will emerge regarding appropriate dosage levels for treatment of various conditions in various patients, and the ordinary skilled worker, considering the therapeutic context, age, and general health of the recipient, will be able to ascertain proper dosing. The selected dosage depends upon the desired therapeutic effect, on the route of administration, and on the duration of the treatment desired. For the disclosed compositions, generally dosage levels of 0.001 to 20 mg/kg of body weight daily are administered to mammals. Generally, for intravenous injection or infusion, dosage may be lower.

In certain embodiments, the composition is administered locally, for example by injection directly into a site to be treated. Typically, the injection causes an increased localized concentration of the composition which is greater than that which can be achieved by systemic administration. The compositions can be combined with a matrix as described above to assist in creating an increased localized concentration of the polypeptide compositions by reducing the passive diffusion of the polypeptides out of the site to be treated.

In some embodiments, compositions disclosed herein, including those containing peptides and polypeptides, are administered in an aqueous solution, by parenteral injection. The formulation may also be in the form of a suspension or emulsion. In general, pharmaceutical compositions are provided including effective amounts of a peptide or polypeptide, and optionally include pharmaceutically acceptable diluents, preservatives, solubilizers, emulsifiers, adjuvants and/or carriers. Such compositions optionally include one or more for the following: diluents, sterile water, buffered saline of various buffer content (e.g., Tris-HCl, acetate, phosphate), pH and ionic strength; and additives such as detergents and solubilizing agents (e.g., TWEEN 20 (polysorbate-20), TWEEN 80 (polysorbate-80)), anti-oxidants (e.g., ascorbic acid, sodium metabisulfite), and preservatives (e.g., Thimersol, benzyl alcohol) and bulking substances (e.g., lactose, mannitol). Examples of non-aqueous solvents or vehicles are propylene glycol, polyethylene glycol, vegetable oils, such as olive oil and corn oil, gelatin, and injectable organic esters such as ethyl oleate. The formulations may be lyophilized and redissolved/resuspended immediately before use. The formulation may be sterilized by, for example, filtration through a bacteria retaining filter, by incorporating sterilizing agents into the compositions, by irradiating the compositions, or by heating the compositions.

In embodiments the compositions are formulated for oral delivery. Oral solid dosage forms are described generally in Remington's Pharmaceutical Sciences, 18th Ed. 1990 (Mack Publishing Co. Easton Pa. 18042) at Chapter 89. Solid dosage forms include tablets, capsules, pills, troches or lozenges, cachets, pellets, powders, or granules or incorporation of the material into particulate preparations of polymeric compounds such as polylactic acid, polyglycolic acid, etc. or into liposomes. Such compositions may influence the physical state, stability, rate of in vivo release, and rate of in vivo clearance of the disclosed. See, e.g., Remington's Pharmaceutical Sciences, 18th Ed. (1990, Mack Publishing Co., Easton, Pa. 18042) pages 1435-1712 which are herein incorporated by reference. The compositions may be prepared in liquid form, or may be in dried powder (e.g., lyophilized) form. Liposomal or proteinoid encapsulation may be used to formulate the compositions. Liposomal encapsulation may be used and the liposomes may be derivatized with various polymers (e.g., U.S. Pat. No. 5,013,556). See also Marshall, K. In: Modern Pharmaceutics Edited by G. S. Banker and C. T. Rhodes Chapter 10, 1979. In general, the formulation will include the peptide (or chemically modified forms thereof) and inert ingredients which protect peptide in the stomach environment, and release of the biologically active material in the intestine.

The agents can be chemically modified so that oral delivery of the derivative is efficacious. Generally, the chemical modification contemplated is the attachment of at least one moiety to the component molecule itself, where the moiety permits uptake into the blood stream from the stomach or intestine, or uptake directly into the intestinal mucosa. Also desired is the increase in overall stability of the component or components and increase in circulation time in the body. PEGylation is an exemplary chemical modification for pharmaceutical usage. Other moieties that may be used include: propylene glycol, copolymers of ethylene glycol and propylene glycol, carboxymethyl cellulose, dextran, polyvinyl alcohol, polyvinyl pyrrolidone, polyproline, poly-1,3-dioxolane and poly-1,3,6-tioxocane [see, e.g., Abuchowski and Davis (1981) “Soluble Polymer-Enzyme Adducts,” in Enzymes as Drugs. Hocenberg and Roberts, eds. (Wiley-Interscience: New York, N.Y.) pp. 367-383; and Newmark, et al. (1982) J. Appl. Biochem. 4:185-189].

Another embodiment provides liquid dosage forms for oral administration, including pharmaceutically acceptable emulsions, solutions, suspensions, and syrups, which may contain other components including inert diluents; adjuvants such as wetting agents, emulsifying and suspending agents; and sweetening, flavoring, and perfuming agents.

Controlled release oral formulations may be desirable. The agent can be incorporated into an inert matrix which permits release by either diffusion or leaching mechanisms, e.g., gums. Slowly degenerating matrices may also be incorporated into the formulation. Another form of a controlled release is based on the Oros therapeutic system (Alza Corp.), i.e., the drug is enclosed in a semipermeable membrane which allows water to enter and push drug out through a single small opening due to osmotic effects.

For oral formulations, the location of release may be the stomach, the small intestine (the duodenum, the jejunum, or the ileum), or the large intestine. In some embodiments, the release will avoid the deleterious effects of the stomach environment, either by protection of the agent (or derivative) or by release of the agent (or derivative) beyond the stomach environment, such as in the intestine. To ensure full gastric resistance a coating impermeable to at least pH 5.0 is essential. Examples of the more common inert ingredients that are used as enteric coatings are cellulose acetate trimellitate (CAT), hydroxypropylmethylcellulose phthalate (HPMCP), HPMCP 50, HPMCP 55, polyvinyl acetate phthalate (PVAP), Eudragit L30D™, Aquateric™, cellulose acetate phthalate (CAP), Eudragit L™, Eudragit S™ and Shellac™. These coatings may be used as mixed films.

The disclosed compositions can be applied topically. Topical administration does not work well for most peptide formulations, although it can be effective especially if applied to the lungs, nasal, oral (sublingual, buccal), vaginal, or rectal mucosa.

Compositions can be delivered to the lungs while inhaling and traverse across the lung epithelial lining to the blood stream when delivered either as an aerosol or spray dried particles having an aerodynamic diameter of less than about 5 microns.

A wide range of mechanical devices designed for pulmonary delivery of therapeutic products can be used, including but not limited to nebulizers, metered dose inhalers, and powder inhalers, all of which are familiar to those skilled in the art. Some specific examples of commercially available devices are the Ultravent nebulizer (Mallinckrodt Inc., St. Louis, Mo.); the Acorn II nebulizer (Marquest Medical Products, Englewood, Colo.); the Ventolin metered dose inhaler (Glaxo Inc., Research Triangle Park, N.C.); and the Spinhaler powder inhaler (Fisons Corp., Bedford, Mass.). Nektar, Alkermes and Mannkind all have inhalable insulin powder preparations approved or in clinical trials where the technology could be applied to the formulations described herein.

Formulations for administration to the mucosa will typically be spray dried drug particles, which may be incorporated into a tablet, gel, capsule, suspension or emulsion. Standard pharmaceutical excipients are available from any formulator.

Transdermal formulations may also be prepared. These will typically be ointments, lotions, sprays, or patches, all of which can be prepared using standard technology. Transdermal formulations may require the inclusion of penetration enhancers.

The compositions disclosed herein can also be administered in controlled release formulations. Controlled release polymeric devices can be made for long term release systemically following implantation of a polymeric device (rod, cylinder, film, disk) or injection (microparticles). The matrix can be in the form of microparticles such as microspheres, where the agent is dispersed within a solid polymeric matrix or microcapsules, where the core is of a different material than the polymeric shell, and the peptide is dispersed or suspended in the core, which may be liquid or solid in nature. Unless specifically defined herein, microparticles, microspheres, and microcapsules are used interchangeably. Alternatively, the polymer may be cast as a thin slab or film, ranging from nanometers to four centimeters, a powder produced by grinding or other standard techniques, or even a gel such as a hydrogel.

Either non-biodegradable or biodegradable matrices can be used for delivery of fusion polypeptides or nucleic acids encoding the fusion polypeptides, although in some embodiments biodegradable matrices are preferred. These may be natural or synthetic polymers, although synthetic polymers are preferred in some embodiments due to the better characterization of degradation and release profiles. The polymer is selected based on the period over which release is desired. In some cases linear release may be most useful, although in others a pulse release or “bulk release” may provide more effective results. The polymer may be in the form of a hydrogel (typically in absorbing up to about 90% by weight of water), and can optionally be crosslinked with multivalent ions or polymers.

The matrices can be formed by solvent evaporation, spray drying, solvent extraction and other methods known to those skilled in the art. Bioerodible microspheres can be prepared using any of the methods developed for making microspheres for drug delivery, for example, as described by Mathiowitz and Langer, J. Controlled Release, 5:13-22 (1987); Mathiowitz, et al., Reactive Polymers, 6:275-283 (1987); and Mathiowitz, et al., J. Appl. Polymer Sci., 35:755-774 (1988).

The devices can be formulated for local release to treat the area of implantation or injection—which will typically deliver a dosage that is much less than the dosage for treatment of an entire body—or systemic delivery. These can be implanted or injected subcutaneously, into the muscle, fat, or swallowed.

III. Methods for Treating Infections

The disclosed compounds and compositions can be used to treat bacterial infections. One embodiment provides a method for treating a bacterial infection in a subject in need thereof by administering to the subject an effective amount of pharmaceutical composition containing an effective amount of one or more of the PZA conjugates and hybrids to treat the bacterial infection.

In some embodiments, the bacterial infection is caused by one or more bacteria selected from the group consisting of Mycobacterium marinum, Mycobacterium fortuitum, Mycobacterium tuberculosis, Staphylococcus aureus, Enterococcus faecalis, Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa, and Proteus vulgaris.

In one embodiment, the subject has or is suspected of having tuberculosis.

TB bacterial infection can be detected using the tuberculin skin test (TST) or interferon-gamma release assays (IGRAs) in combination with chest x-ray. The TST is used to determine if a person is infected with tuberculosis. If a person is infected, a delayed-type hypersensitivity reaction is detectable 2 to 8 weeks after infection. IGRAs are used to determine if a person is infected with tuberculosis by measuring the immune response to TB proteins in whole blood. Not everyone infected with TB bacteria becomes sick. Because of this, two TB-related conditions exist: latent TB infection and TB disease. Chest x-rays help differentiate between latent TB infection and TB disease in individuals who test positive for TB infection with TST or IGRA. Patients with latent disease do not have symptoms and they cannot spread TB bacteria to others. However, patients with latent disease must be treated to prevent the bacteria from becoming active and developing into TB disease. Groups that have a higher risk of developing TB disease from latent TB infection include but are not limited to patients with HIV, diabetes, and other conditions that affect the immune system. These high risk patients should be treated for latent infection. There are four CDC-recommended treatment regimens for latent TB infection. Treatment regimens for latent TB infection include but are not limited to isoniazid and rifapentine once weekly for 3 months, rifampin daily for four months, and isoniazid daily or twice weekly for six to 9 months.

When TB bacteria become active and the immune system cannot rid the body of the bacteria, the patient will develop TB disease. Tuberculosis drugs target various aspects of Mycobacterium tuberculosis biology, including inhibition of cell wall synthesis, protein synthesis, or nucleic acid synthesis. There are several drugs currently approved by the U.S. FDA for treating TB including but not limited to first-line anti-TB agents such as isoniazid, rifampin, ethambutol, and pyrazinamide. Second-line drugs for the treatment of tuberculosis that can be used with the PZA conjugates and hybrids include but are not limited to amikacin, kanamycin, streptomycin, cyclic peptides such as capreomycin, ethionamide, prothionamide, para-aminosalicylic acid (PAS), cycloserine, moxifloxacin, levofloxacin, and nitroimidazole. TB infection is typically treated by taking several drugs for six to nine months. Treatment regimens for treating TB disease have an intensive phase of two months, followed by a continuation phase of either four or seven months. During the intensive phase, patients commonly receive isoniazid, rifampin, ethambutol, and pyrazinamide for 7 days per week for 56 doses, 5 days per week for 40 doses, 3 times per week for 24 doses or 7 days per week for 14 doses then twice weekly for 12 doses. During the continuation phase, patients typically receive isoniazid and rifampin for 7 days per week for 126 doses, 5 days per week for 90 doses, 3 times per week for 54 doses, or twice weekly for 36 doses. In one embodiment, patients are administered an effective amount of pharmaceutical composition containing an effective amount of one or more of the PZA conjugates and hybrids for 7 days per week for 56 doses, 5 days per week for 40 doses, 3 times per week for 24 doses or 7 days per week for 14 doses then twice weekly for 12 doses. In another embodiment, the disclosed pharmaceutical compositions containing an effective amount of one or more of the PZA conjugates and hybrids treat TB disease without the need for a continuation phase of treatment.

In some embodiments, the subject has Multi-drug resistant (MDR) TB. MDR TB occurs when a Mycobacterium tuberculosis strain is resistant to at least isoniazid and rifampin. In order to treat and cure MDR TB disease, patients must be given a combination of second-line drugs. Second-line drugs may have more side-effects and the treatment must last longer than combination treatment with first-line drugs. Exemplary treatment for MDR TB includes but is not limited to 18-24 months of treatment with five or six drugs such as a susceptible first-line drugs plus an injectable agent, a fluoroquinolone, and other second-line drugs as needed. Extensively drug-resistant tuberculosis (XDR TB) is defined as MDR TB with additional resistance to any fluoroquinolone and to at least one of three injectable anti-TB drugs (i.e., kanamycin, amikacin, or capreomycin). In one embodiment, the disclosed pharmaceutical compositions containing an effective amount of one or more of the PZA conjugates and hybrids can treat MDR TB.

EXAMPLES

Example 1: Synthesis of PZA Conjugates

Materials and Methods:

Hybrid conjugates of pyrazinoic acid were successfully synthesized by coupling an amino acid and then followed by the isoniazid using benzotriazole chemistry (FIG. 2). All the synthesized compounds were fully characterized by NMR and Mass spectroscopy. The retention of the chirality was studied by optical rotation and chiral HPLC of L and DL amino acid derivatives.

Results:

Benzotriazole chemistry was utilized to synthesize the desired hybrid conjugates. PZA-AA-INH conjugates were successfully synthesized in good yields (Table 1). The purity of the products was confirmed by spectral studies. Preservation of chirality from starting material to final products was validated by chiral HPLC and optical rotation.

TABLE 1
Properties of PZA-INH hybrid conjugates.
Entry	Compounds	Yield (%)	mp (° C.)
1	PZA-L-Leu-OH	77	115-117
2	PZA-L-Ile-OH	74	152-154
3	PZA-L-Val-OH	72	160-162
4	PZA-L-Met-OH	68	136-138
5	PZA-L-Phe-OH	89	165-167
6	PZA-DL-Phe-OH	90	155-157
7	PZA-L-Trp-OH	89	133-135
8	PZA-L-Leu-INH	69	161-163
9	PZA-L-Ile-INH	82	163-165
10	PZA-L-Met-INH	79	175-177
11	PZA-L-Met-INH	78	oil
12	PZA-L-Phe-INH	88	177-179
13	PZA-DL-Phe-INK	80	142-144
14	PZA-L-Trp-INH	81	159-161

Example 2: Aerobic Antibacterial Properties

Materials and Methods:

Antibacterial properties were investigated for the synthesized compounds against a variety of Gram-positive (Staphylococcus aureus, Enterococcus faecalis) and Gram-negative (Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa) bacteria utilizing the standard technique.

Results:

From the results obtained (Table 2) it has been noticed that most of the tested compounds (INH, PZA-INH, and Iso-INH are an exception) show potency in sub-micromolar values (MIC=0.97−0.07 μM), higher than that of the standard reference used (MIC of ciprofloxacin=1.21 μM) against Enterococcus faecalis. Similar observations were also shown for most of the tested compounds against Proteus vulgaris (PZA, INH, PZA-Leu-OH, PZA-DL-Phe-INH, and PZA-INH are exceptions) and Pseudomonas aeruginosa (PZA, INH, PZA-Val-OH, PZA-DL-Phe-OH, PZA- Leu-INH and PZA-DL-Phe-INH) with MIC values=0.12-0.27, 0.12-0.51 /AI, respectively relative to the standard reference ciprofloxacin (MIC=6.04, 12.07 μM against Proteus vulgaris and Pseudomonas aeruginosa, respectively).

TABLE 2
Antimicrobial properties of the tested compounds against aerobic bacteria.
		Minimum inhibitory concentration (MIC), μg/ml (μM)
		Staphylococcus	Enterococcus	Klebsiella	Proteus	Pseudomonas
Entry	Compound	aureas	faecalis	pneumonia	vulgaris	aeruginosa
1		1024 (8317.43)	0.12 (0.97)	64 (519.84)	8 (64.98)	4 (32.49)
2		64 (466.67)	16 (116.67)	8 (58.33)	64 (466.67)	64 (466.67)
3		0.4 (1.21)	0.4 (1.21)	2 (6.04)	2 (6.04)	4 (12.07)
4		1024 (4315.96)	0.03 (0.13)	64 (269.75)	8 (33.72)	0.03 (0.13)
5		512 (2293.58)	0.03 (0.13)	0.03 (0.13)	0.06 (0.27)	4 (17.92)
6		16 (67.44)	0.03 (0.13)	8 (33.72)	0.06 (0.25)	0.12 (0.51)
7		16 (62.67)	0.03 (0.12)	64 (250.69)	0.06 (0.24)	0.12 (0.47)
8		64 (235.92)	0.12 (0.44)	64 (235.92)	0.06 (0.22)	0.12 (0.44)
9		16 (58.98)	0.03 (0.11)	16 (58.98)	0.06 (0.22)	16 (58.98)
10		64 (206.24)	0.03 (0.10)	64 (206.24)	0.06 (0.19)	0.12 (0.39)
11		2 (5.61)	0.03 (0.08)	4 (11.22)	0.06 (0.17)	64 (179.58)
12		16 (46.73)	0.12 (0.35)	8 (23.37)	0.06 (0.18)	0.12 (0.35)
13		16 (44.90)	0.03 (0.08)	8 (22.45)	0.06 (0.17)	0.12 (0.34)
14		64 (170.93)	0.03 (0.08)	4 (10.68)	0.06 (0.16)	0.12 (0.32)
15		16 (40.98)	0.12 (0.31)	8 (20.49)	0.06 (0.15)	0.12 (0.31)
16		16 (40.98)	0.03 (0.08)	8 (20.49)	16 (40.98)	32 (81.97)
17		16 (37.26)	0.03 (0.07)	4 (9.31)	0.06 (0.14)	0.12 (0.28)
18		8 (32.89)	16 (65.78)	8 (32.89)	64 (263.13)	0.03 (0.12)
19		4 (16.51)	16 (66.05)	4 (16.51)	0.03 (0.12)	0.06 (0.25)

Example 3:Anti-Tuberculosis Properties

Results:

Mycobacterium marinum:

Some of the synthesized isonicotinic acid-pyrazinecarboxamide conjugates with amino acid linker reveal high anti-mycobacterial properties against M. marinum (about three folds potency; MIC=26.7, 25.6 mM of PZA-Met-INH and PZA-DL-Phe-INH, respectively) than the standard reference used (MIC=72.9 mM of INH). Other conjugates synthesized with potency comparable to that of the standard reference are also revealed (MIC=56.1, 58.4, 56.1, 51.2, 46.6, 41.1 mM for PZA-Leu-INH, PZA-Val-INH, PZA- Ile-INH, PZA-Phe-INH, PZA-Trp-INH, and PZA-INH, respectively). Compounds PZA, PZA-Leu-OH, PZA-DL-Phe-OH and Iso-INH show biological properties (MIC=81.2, 84.3, 73.7, 82.6 mM, respectively) close to that of the standard reference.

Mycobacterium fortuitum:

Compound PZA-DL-Phe-INH seems superior among all the synthesized analogs (MIC=25.6 mM) with a potency about 5.6 folds than that of the standard reference (MIC=145.8 mM of INH). 2. Many of the synthesized compounds (MIC=81.2, 84.3, 56.1, 58.4, 56.1, 53.4, 51.2, 46.6, 41.1, 82.6 mM PZA, PZA-Leu-OH, PZA-Leu-INH, PZA-Val-INH, PZA-Ile-INH, PZA-Met-INH, PZA-Phe-INH, PZA-Trp-INH, PZA-INH and Iso-INH, respectively) reveal high biological properties, about 2-3 folds than that of the standard reference.

Mycobacterium bovis:

Only compounds PZA-INH and Iso-INH (MIC=82.2, 82.6 mM, respectively) show promising antibacterial properties, about 1.8 folds lower than that of the standard reference (MIC=145.8 mM of INH). Pyrazine-2-carboxamide (MIC=162.4 mM) reveals antibacterial properties close to the standard reference.

TABLE 3
Anti-mycobacterial properties of the tested compounds.
		Minimum inhibitory concentration (MIC), mg/ml (mM)
Entry	Compound	Mycobacterium marinum	Mycobacterium fortuitum	Mycobacterium bovis
1		10 (81.2)	10 (81.2)	20 (162.4)
2		10 (72.9)	20 (145.8)	20 (145.8)
3		20 (84.3)	20 (84.3)	>20 (>84.3)
4		>20 (>89.6)	>20 (>89.6)	>20 (>89.6)
5		>20 (>84.3)	>20 (>84.3)	>20 (>84.3)
6		>20 (>78.3)	>20 (>78.3)	>20 (>78.3)
7		>20 (>73.7)	>20 (>73.7)	>20 (>73.7)
8		20 (73.7)	>20 (>73.7)	>20 (>73.7)
9		>20 (>64.5)	>20 (>64.5)	>20 (>64.5)
10		20 (56.1)	20 (56.1)	>20 (>56.1)
11		20 (58.4)	20 (58.4)	>20 (>58.4)
12		20 (56.1)	20 (56.1)	>20 (>56.1)
13		10 (26.7)	20 (53.4)	>20 (>53.4)
14		20 (51.2)	20 (51.2)	>20 (>51.2)
15		10 (25.6)	10 (25.6)	>20 (>51.2)
16		20 (46.6)	20 (46.6)	>20 (>46.6)
17		10 (41.1)	10 (41.1)	20 (82.2)
18		20 (82.6)	20 (82.6)	20 (82.6)

Example 4: ADMET Studies

Methods

Discovery Studio 2.5 software was utilized for computational ADMET (absorption, distribution, metabolism, excretion, toxicity) studies. From the results obtained it has been noticed that most of the tested compounds show optimal aqueous solubility and good to moderate intestinal absorption. Blood-brain barrier penetration (BBB) is ranging from low to very low level. Many of the tested compounds show non-hepatotoxicity (Table 4). These computational observations indicate that many of the constructed compounds are good hits to be handled by more sophisticated biological/pharmacological studies for optimizing promising bio-active agents.

TABLE 4
ADMET descriptor values for the tested compounds.
Entry	Compound	Aqueous solubility a	Intestinal absorptionb	BBBc	PPBd	Hepatotoxicitye
1		5	1	3	0	1
2		4	0	3	1	0
3		4	0	3	0	0
4		4	0	3	0	0
5		4	0	3	0	0
6		4	0	3	0	0
7		4	0	3	2	1
8		3	0	3	2	1
9		4	1	4	0	0
10		4	1	4	0	1
11		4	1	4	0	0
12		4	1	4	1	0
13		4	1	4	2	1
14		3	1	4	2	1
15		4	0	4	2	1
16		4	0	3	2	1
a Aqueous solubility level: 0, extremely low; 1, very low; 2, low; 3, good; 4, optimal; 5, too soluble; 6, unknown.
bIntestinal absorption level: 0, good; 1, moderate; 2, poor; 3 very poor.
cBlood brain barrier penetration (BBB) level: 0, very good; 1, high; 2, medium; 3, low; 4, very low.
dPlasma protein binding (PPB) level: 0, <90%; 1, >90%; 2, >95%.
eHepatotoxicity level: 0, non-toxic; 1, toxic.

Example 5: 2D-QSAR

Results:

Mycobacterium marinum

The two-descriptor model was determined to describe the bio-properties of the biologically active agents against Mycobacterium marinum (Table 4). The maximum e-n attraction for bond C-N (semi-empirical descriptor) is the first descriptor governing the BMLR-QSAR model based on its t-criterion value “level of significance”=−4.762. This descriptor participates negatively in the 2D-QSAR model. In other words, the higher the value of the descriptor the more anti-mycobacterial potency of the compound as observed in the highest effective agent synthesized PZA-Met-INH (MIC_observed=26.7, MIC_estimated=30.8 mM) relative to Iso-INH (MIC_observed=82.6, MIC_estimated=82.3 mM) that possess descriptor values of 330.7008, 329.2578, respectively (Tables 5, 6). Nuclear-electron attraction energy between two given atoms is determined by Equation 1.

$\begin{array}{cc}{E}_{\mathrm{ne}}\left(\mathrm{AB}\right)=\sum B\sum \mu ,v\epsilon {\mathrm{AP}}_{\mu v}\langle \mu ❘\frac{Z_B}{R_{\mathrm{iB}}}❘v\rangle & \left(1\right)\end{array}$

Where A stands for a given atomic species, B another atomic species, Pμν density matrix elements over atomic basis {μν}, ZBcharge the of atomic nucleus B, RiB distance between the electron and atomic nucleus B, and

$\langle \mu ❘\frac{Z_B}{R_{\mathrm{iB}}}❘v\rangle$

is the electron-nuclear attraction integrals on atomic basis {μμ}an.

Maximum e-e repulsion for bond C—C is also a semi-empirical descriptor participates negatively in the BMLR-QSAR model. Electron-electron repulsion between two given atoms can be calculated by Equation 2.

E _ee(AB)=Σμ,νεAΣλ,σBP_μνP_λσμμ|λσ  (2)

Where A stands for a given atomic species, B another atomic species, P_μν, P_λσ density matrix elements over atomic basis {μνλσ}, and μν|λσ is the electron repulsion integrals on atomic basis fan {an μνλσ}.

Mycobacterium fortuitum

Two semi-empirical descriptor model is observed for the biologically active agents against M. fortuitum (Table 8). Both of them positively participate in the BMLR-QSAR model, i.e. the higher descriptor value the lower biological properties (Tables 6, 7). Electron-electron repulsion energy for a given atomic species can be calculated by Equation 3.

E _ee(A)=ΣB≠AΣμ,νεAΣλ,σBP_μνP_λσμμ|λσ  (3)

Where A stands for a given atomic species, B another atomic species, P_μν, P_λσ density matrix elements over atomic basis {μνλσ}, and μν|λσ is the electron repulsion integrals on atomic basis {an μνλσ}.

Validation of the 2D-QSAR Models:

Due to the short training set utilized in the 2D-QSAR study, internal validation seems the most appropriate technique. Goodness of the QSAR models are established by the statistical parameters (R²=0.908, R²cvOO=0.829, R²cvMO=0.861, F=39.543, s²=0.003 and R²=0.984, R²cvOO=0.962, R²cvMO=0.972, F=240.314, s²=0.001 for the BMLR-QSAR models of M. marinum and M. fortuitum, respectively). Estimated properties of the effective agents by the BMLR-QSAR models are comparable to their observed values (Tables 6, 7, 8, and 9; FIGS. 3-6) preserving their potency among each other and to the standard reference used.

TABLE 5
The descriptor of the BMLR-QSAR model for the tested
compounds against Mycobacterium marinum.
Entry	ID	Coefficient	s	t	Descriptor
1	0	74.8101	12.160	6.152	Intercept
2	D1	−0.176724	0.037	−4.762	Max. e-n attraction
					for bond C—N
3	D2	−0.113573	0.017	−6.809	Max. e-e repulsion
					for bond C—C
N = 11, n = 2, R2 = 0.908, R2cvOO = 0.829, R2cvMO = 0.861, F = 39.543, s2 = 0.003 Log(MIC, mM) = 74.8101 − (0.176724 × D1) − (0.113573 × D2)

TABLE 6
Observed and estimated MIC values for the tested compounds against Mycobacterium
marinum according to the BMLR-QSAR model.
		Observed	Estimated
Entry	Compound	MIC, mM	MIC, mM	Errora
1		81.2	86.8	−5.6
2		72.9	80.5	−7.6
3		84.3	79.8	4.5
4		56.1	46.7	9.4
5		58.4	57.4	1.0
6		56.1	52.5	3.6
7		26.7	30.8	−4.1
8		51.2	46.3	4.9
9		46.6	44.8	1.8
10		41.1	48.0	−6.9
11		82.6	82.3	0.3
aError is the difference between the observed and estimated biologically activity (MIC) value.

TABLE 7
Molecular descriptor values of the BMLR-QSAR
model for the tested compounds against Mycobacterium
marinum according to the BMLR-QSAR model.
		Descriptors a
Entry	Compound	D1	D2
1	PZA	330.1631	127.8817
2	INH	329.9877	128.4424
3	PZA-Leu-OH	330.4742	127.7163
4	PZA-Leu-INH	330.664	129.4675
5	PZA-Val-INH	330.6187	128.7496
6	PZA-Ile-INH	330.4774	129.3105
7	PZA-Met-INH	330.7008	131.0057
8	PZA-Phe-INH	330.426	129.8765
9	PZA-Trp-INH	330.3036	130.193
10	PZA-INH	330.8481	129.0796
11	Iso-INH	329.2578	129.4907
a D1 = Max. e-n attraction for bond C—N, D2 = Max. e-e repulsion for bond C—C.

TABLE 8
The descriptor of the BMLR-QSAR model for the tested
compounds against Mycobacterium fortuitum.
Entry	ID	Coefficient	s	t	Descriptor
1	0	−2.6795	0.388	−6.913	Intercept
2	D1	0.0298467	0.003	11.054	Max. e-e repulsion for
					atom N
3	D2	80.0736	3.734	21.444	Avg. electroph. react.
					index for atom N
N =11, n = 2, R2 = 0.984, R2cvOO = 0.962, R2cvMO = 0.972, F = 240.314, s2 = 0.001 Log(MIC, mM) = −2.6795 + (0.0298467 × D1) − (80.0736 × D2)

TABLE 9
Observed and estimated MIC values for the tested compounds against Mycobacteriumfortuitum
		Observed	Estimated
Entry	Compound	MIC, mM	MIC, mM	Errora
1		81.2	78.4	2.8
2		145.8	152.9	−7.1
3		84.3	81.5	2.8
4		56.1	54.3	1.8
5		58.4	55.9	2.5
6		56.1	54.0	2.1
7		53.4	57.9	−4.5
8		51.2	53.6	−2.4
9		46.6	48.2	−1.6
10		41.1	42.0	−0.9
11		82.6	79.0	3.6
aError is the difference between the observed and estimated biologically activity (MIC) values.

TABLE 10
Molecular descriptor values of the BMLR-QSAR model for
the tested compounds against Mycobacterium
fortuitum according to the BMLR-QSAR model.
		Descriptors a
Entry	Compound	D1	D2
1	PZA	147.356	0.00219
2	INH	142.5146	0.00762
3	PZA-Leu-OH	142.6322	0.00416
4	PZA-Leu-INH	142.502	0.00201
5	PZA-Val-INH	142.4075	0.00221
6	PZA-Ile-INH	142.064	0.00215
7	PZA-Met-INH	142.7317	0.00227
8	PZA-Phe-INH	142.3404	0.002
9	PZA-Trp-INH	144.0619	0.00078
10	PZA-INH	137.0116	0.00266
11	Iso-INH	137.8948	0.00576
a D1 = Max. e-e repulsion for atom N, D2 = Avg. electroph. react. index for atom N.

Example 6: 3D-Pharmacophore Modeling

Methods:

3D-Pharmacophore modeling is an important computational technique explains the biological/pharmacological properties of compound(s) through alignment of the structural elements with chemical features in 3D-array. The biologically active compounds were undertaken by Discovery Studio 2.5 software searching for the 3D-pharmacophoric modeling in which alignment of the synthesized conjugates describes the observed biological properties.

Results:

Mycobacterium marinum

3D-pharmacophoric modeling of the biologically active compounds against Mycobacterium marinum reveals 3D-array of three chemical features [two hydrogen bonding acceptors (HBA-1, HBA-2) and one hydrogen bonding donor (HBD)] (FIGS. 7A-7B). Table 11 exhibits the estimated/predicted properties of the tested compounds due to alignment in the 3D-pharmacophore. From the observed data, it has been noticed that the N-2 of isonicotinic acid hydrazide is aligned with the pharmacophoric HBD in compounds PZA-Met-INH and PZA-Trp-INH, which are the most effective agents synthesized against M. marinum (MIC_observed=26.7, 46.6; MIC_estimated=33.4, 38.1 mM for PZA-Met-INH and PZA-Trp-INH, respectively). However, slight displacement is observed for compounds PZA-Leu-INH, PZA-Val-INH and PZA-Phe-INH which are also promising agents relative to the standard reference used (INH where, the N-1 of isonicotinic acid hydrazide of these compounds is aligned with the pharmacophoric HBD (MIC_observed=56.1, 58.4, 51.2; MIC_estimated=46.9, 43.7, 39.3 mM for PZA-Leu-INH, PZA-Val-INH, and PZA-Phe-INH, respectively). Generally, estimated properties of the tested compounds are correlated with the observed observations and among each other preserving their potencies (FIGS. 8A-8K).

Mycobacterium fortuitum

Three chemical features [two hydrogen bonding donors (HBD-1, HBD-2) and one hydrogen bonding acceptor (HBA)] were exhibited by the 3D-pharmacophore due to the tested bioactive agents against Mycobacterium fortuitum (FIGS. 9A-9B). PZA-Trp-INH, which is one of the highest potent hits synthesized against M fortuitum reveals alignment of isonicotinic acid hydrazide N-1 with HBD-1 (MIC_observed=46.6, MIC_estimated=44.7 mM). However, N-1 and N-2 of the hydrazide moiety of compounds PZA-Met-INH and PZA-Leu-INH are aligned with HBD-2 and HBD-1, respectively (MIC_observed=53.4, 56.1, MIC_estimated=50.6, 52.7 mM for PZA-Met-INH and PZA-Leu-INH, respectively). Meanwhile, the nitrogen atom of pyrazinecarboxamide function of compounds PZA-Phe-INH and PZA-Val-INH are aligned with HBD-1 and HBD-2, respectively (MIC_observed=51.2, 58.4, MIC_estimated=48.0, 56.9 mM for PZA-Phe-INH and PZA-Val-INH, respectively) (Table 11, FIGS. 10A-10K).

From all the above 3D-pharmacophoric model observations, the alignment of various nitrogen atoms with hydrogen bonding donor functions is the main controlling parameter revealing bio-properties. This seems a common observation between the two techniques utilized in the present computational study (2D-QSAR and 3D-pharmacophore) where the 2D-QSAR studies reveal important descriptors dealing with nitrogen atoms governing bio-properties (max. e-n attraction for bond C—N for the QSAR model of M. marinum and max. e-e repulsion for atom N, avg. electroph. react. index for atom N for the QSAR model of M. fortuitum).

TABLE 11
Estimated/predicted activity values for the tested
compounds mapped with the generated 3D-pharmacore models.
		Mycobacterium	Mycobacterium
		marinum	fortuitum
		Observed	Estimated	Observed	Estimated
Entry	Compound	MIC, mM	MIC, mM	MIC, mM	MIC, mM
1	PZA	81.2	138.5	81.2	88.2
2	INH	72.9	77.4	145.8	96.7
3	PZA-Leu-OH	84.3	83.2	84.3	91.5
4	PZA-Leu-INH	56.1	46.9	56.1	52.7
5	PZA-Val-INH	58.4	43.7	58.4	56.9
6	PZA-Ile-INH	56.1	45.2	56.1	52.3
7	PZA-Met-INH	26.7	33.4	53.4	50.6
8	PZA-Phe-INH	51.2	39.3	51.2	48.0
9	PZA-Trp-INH	46.6	38.1	46.6	44.7
10	PZA-INH	41.1	67.4	41.1	75.7
11	Iso-INH	82.6	65.2	82.6	75.8

Example 7: Synthesis of POA-2° Amines and POA-INH Hybrid Conjugates

Results:

An efficient methodology for synthesizing various POA-2° amines and POA-INH hybrid conjugates in high yields and purity was developed by utilizing the benzotriazolides of POA-amino acids. All the synthesized conjugates were fully characterized by spectroscopy methods (FIG. 12A-12B). The retention of the chirality was studied by optical rotation and chiral HPLC of L and DL amino acid derivatives. POA-AA-Het and POA-AA-INH hybrid conjugates were successfully synthesized in good yields.

While in the foregoing specification this invention has been described in relation to certain embodiments thereof, and many details have been put forth for the purpose of illustration, it will be apparent to those skilled in the art that the invention is susceptible to additional embodiments and that certain of the details described herein can be varied considerably without departing from the basic principles of the invention.

All references cited herein are incorporated by reference in their entirety. The present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof and, accordingly, reference should be made to the appended claims, rather than to the foregoing specification, as indicating the scope of the invention.

Claims

1. A pyrazinamide conjugate, consisting of

2. A pharmaceutical composition comprising a therapeutically effective amount the compound of claim 1.

3. The pharmaceutical composition of claim 2, wherein the composition is formulated for oral administration.

4. The pharmaceutical composition of claim 2, wherein the composition is formulated for parenteral administered composition.

5. The pharmaceutical composition of claim 2, further comprising a pharmaceutically acceptable excipient.

6. A method for treating a subject with a bacterial infection, comprising administering to the subject a therapeutically effective amount of the pyrazinamide conjugate of claim 1.

7. The method of claim 6, wherein the bacterial infection is tuberculosis.

8. The method of claim 6, wherein the bacterial infection is caused by one or more bacteria selected from the group consisting of Mycobacterium marinum, Mycobacterium fortuitum, Mycobacterium tuberculosis, Staphylococcus aureus, Enterococcus faecalis, Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa, and Proteus vulgaris.

9. A method for treating a subject with a bacterial infection, comprising administering to the subject the pharmaceutical composition of claim 2.

10. The method of claim 9, wherein the bacterial infection is tuberculosis.

11. The method of claim 9, wherein the bacterial infection is caused by one or more bacteria selected from the group consisting of Mycobacterium marinum, Mycobacterium fortuitum, Mycobacterium tuberculosis, Staphylococcus aureus, Enterococcus faecalis, Klebsiella pneumonia, Proteus vulgaris, Pseudomonas aeruginosa, and Proteus vulgaris.

12. The method of claim 9, wherein the composition is administered to the subject according to a regimen selected from 7 days per week for 8 weeks, 5 days per week for 8 weeks, 3 times per week for 7 weeks, or 7 days per week for 2 weeks then twice weekly for 6 weeks.

13. The method of claim 9, wherein a second therapeutic is jointly administered to the subject serially or in combination or alternation with the pyrazinamide conjugate.