3084 Journal of Medicinal Chemistry, 2007, Vol. 50, No. 13
Ciabatti et al.
min, diluted HCl was added (6.5 mL of a 1 M solution). The
resulting solutions can be tested for antimicrobial and hemolytic
activities. Alternatively, the product can be purified by preparative
HPLC and lyophilized. The derivatives were characterized by MS
spectrometry (see Table 4) and some of them by NMR spectroscopy
(see Table 5).
MICs were determined by broth microdilution method according
to the NCCLS procedure.13 Microorganisms were grown in cation-
adjusted Muller-Hinton broth, in Todd-Hewitt broth (streptococci
only), or in RPMI medium (Candida albicans only). Inocula were
5 × 105 CFU/mL. MICs were read after 24 h of incubation at
35 °C.
Hemolytic Activity. Hemolysis of erythrocytes is considered to
be an indicator of the local tolerability of ramoplanin analogues.
Hemolysis testing was performed according to the method suggested
in the literature. Initial experiments were carried out directly on
the solutions derived from the reaction of the amidation of 4,10-
diFmoc protected ramoplanin-NH2 4 as previously described. The
reaction solutions (resulting from the addition of 1 M hydrochloric
acid) were diluted at 180 mg/L by adding 0.1% peptone and 0.8%
NaCl (PBS). Additional experiments were carried out on the
powdered compound: the ramoplanin analogues were dissolved at
40.000 µg/mL in DMSO and then diluted 1:5 in 0.1% peptone and
0.8% NaCl (PBS). Whole-blood sample was obtained from the
abdominal aorta of rats and diluted 1:100 in PBS before the test.
PBS and 3% saponin in distilled water were the 0% and 100%
hemolysis controls, respectively. The reaction solutions or solubi-
lized powders to be tested were diluted 1:5 in triplicate into the
diluted blood and incubated in a water bath at 37 °C for 45 min.
The blood was then centrifuged at 2500-3000g for 10 min, and
0.1 mL of each supernatant was diluted in 0.9 mL of Drabkin’s
reagent. The OD of the samples was measured at 540 nm versus a
blank consisting of Drabkin’s reagent plus 0.1 mL of PBS. The
percent hemolysis was calculated as ∆x/∆t × 100, where ∆x )
mean OD540 (sample minus blank) and ∆t ) mean OD540 (minus
blank) of the positive control.
In Vivo Tolerability. Compounds were solubilized in 5%
glucose. Three to six rats for dosing of test compound were treated
by intravenous injection at 24 h intervals for 1-2 days. Urine
samples were examined for the presence of blood (hematuria), and
macroscopic observation of the injection sites and general behavior
were also recorded. Rats were killed 24 h after the last treatment.
Positive controls consisting of three rats given 5% glucose were
used. Our previous studies performed in our labs have demonstrated
that ramoplanin, administered to rats at a dose of 10 mg/kg and at
a drug concentration of 1 mg/mL, invariably caused red or dark
urine (hematuria) within 24 h while tails (injection sites) became
dark or discolored 1-2 days postdose (data not shown). Lower
regimens at 5 or 10 mg/kg, both at a drug concentration of 0.5
mg/mL, produced variable results. These in vivo ramoplanin studies
also demonstrated that the drug concentration (mg/mL) more than
the dosage (mg/kg) itself played a crucial role in causing hematuria.
Therefore, in order to find a derivative with enhanced flebotoler-
ability properties, it has been decided to start these in vivo studies
with an initial dose of 10 mg/kg at a drug concentration of 8 mg/
mL (10 mg/kg and 8 mg/mL). As second step, and in the case of
a positive result, other rats were immediately dosed with the same
test compound at 20 mg/kg at the same drug concentration (20 mg/
kg and 8 mg/mL), which was the highest dose-concentration tested.
In the case of a negative result at 20 mg/kg and 8 mg/mL, the
same dose but at a lower drug concentration (20 mg/kg and 4 mg/
mL) was assessed. Conversely, in the case of a negative result with
an initial dose of 10 mg/kg and 8 mg/mL, the same dose
administered at a lower concentration (10 mg/kg at a drug
concentration of 4 mg/mL; 10 mg/kg and 4 mg/mL) was tested. In
this case, whether a positive result was found, the corresponding
higher dose as mg/kg at the same drug concentration was tested.
With this experimental design, it was possible to verify different
conditions and, at the same time, to determine the influence of the
drug concentration versus the dose on the tolerability.
Acknowledgment. This work was partially supported by the
Italian Government throught grants to the Progetto ex art.11
L451/94 Rif.3932 “Ricerca, Caratterizzazione e Sviluppo di
Nuovi Antibiotici”. Part of this work was presented at 43rd
Annual ICAAC, Chicago, September 14-17, 2003.
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