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Experimental Therapeutics

In Vitro and In Vivo Activities of the Riminophenazine TBI-166 against Mycobacterium tuberculosis

Jian Xu, Bin Wang, Lei Fu, Hui Zhu, Shaochen Guo, Haihong Huang, Dali Yin, Ye Zhang, Yu Lu
Jian Xu
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Bin Wang
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Lei Fu
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Hui Zhu
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Shaochen Guo
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Haihong Huang
bBeijing Key Laboratory of Active Substance Discovery and Druggability Evaluation, Institute of Materia Medica, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
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Dali Yin
bBeijing Key Laboratory of Active Substance Discovery and Druggability Evaluation, Institute of Materia Medica, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
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Ye Zhang
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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Yu Lu
aBeijing Key Laboratory of Drug Resistance Tuberculosis Research, Beijing Tuberculosis and Thoracic Tumor Research Institute, and Beijing Chest Hospital, Capital Medical University, Beijing, China
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DOI: 10.1128/AAC.02155-18
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  • FIG 1
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    FIG 1

    Structures of clofazimine and TBI-166.

  • FIG 2
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    FIG 2

    Activity of TBI-166 against intracellular M. tuberculosis H37Rv.

  • FIG 3
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    FIG 3

    Efficacy of TBI-166 in the acute mouse infection model. Dosages are in milligrams per kilogram of body weight. At the beginning of treatment at day 10 postinfection, there were 2.97 ± 0.17 log10 CFU in the lungs of untreated mice. Values were determined after 20 days of treatment in BALB/c mice infected with M. tuberculosis H37Rv.

  • FIG 4
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    FIG 4

    Dose-response and kill kinetics of TBI-166 in the chronic mouse infection model. Eight weeks of treatment with vehicle (CMC), 10 mg/kg RIF, 20 mg/kg CFZ, or 10 to 80 mg/kg TBI-166; treatment was initiated on day 28 postinfection. Dosages are in milligrams per kilogram of body weight. All mice were sacrificed prior to treatment or after 2, 4, and 8 weeks of treatment.

  • FIG 5
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    FIG 5

    Riminophenazine-induced discoloration of ears in the chronic mouse infection model after 4 weeks of treatment. Ear discoloration of mice after 2 and 8 weeks of administration are presented in Fig. S2 in the supplemental material.

  • FIG 6
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    FIG 6

    Riminophenazine-induced discoloration of subcutaneous adipose tissue in the chronic infection model after 4 weeks of treatment. Fat discoloration of the mice after 2 and 8 weeks of administration is presented in Fig. S1.

  • FIG 7
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    FIG 7

    Plasma concentrations before dose and 3 h postdose after repeated dosing.

Tables

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  • TABLE 1

    MICs of TBI-166 against different mycobacterial species

    Mycobacterial species and/or strainaNo. of strainsMIC data (μg/ml) by drugb
    TBI-166CFZ
    RangeMedianRangeMedian
    M. tuberculosis H37Rv1NA0.063NA0.25
    M. tuberculosis fully susceptible clinical isolates16<0.005–0.150.0380.026–0.6330.227
    M. tuberculosis resistant to RIF1NA0.099NA0.224
    M. tuberculosis resistant to INH and RIF20.017–0.0250.0210.15–0.2640.207
    M. tuberculosis resistant to INH and STR10.0180.0180.3860.386
    M. tuberculosis resistant to RIF and EMB1NA0.2NA0.3
    M. tuberculosis resistant to INH, RIF, and LVX1NA0.026NA0.064
    M. tuberculosis resistant to INH, RIF, and STR1NA0.1NA0.3
    M. tuberculosis resistant to RIF, STR, and EMB1NA0.1NA0.3
    M. tuberculosis resistant to INH, RIF, and EMB30.013–0.0980.0250.075–0.30.143
    M. tuberculosis resistant to RIF, STR, LVX, and EMB20.1–0.1640.1320.15–0.5440.347
    M. tuberculosis resistant to INH, RIF, LVX, and EMB40.019–0.050.03850.095–0.4860.2425
    M. tuberculosis resistant to INH, RIF, STR, and EMB50.01–0.20.10.15–0.30.219
    M. tuberculosis resistant to INH, RIF, STR, LVX, and EMB60.039–0.20.11250.118–0.8440.4095
    M. kansasii1NA0.183NA1.776
    M. scrofulaceum1NA1.49NA0.292
    M. fortuitum1NA0.688NA0.276
    • ↵a RIF, rifampin; INH, isoniazid; STR, streptomycin; EMB, ethambutol; LVX, levofloxacin.

    • ↵b NA, not applicable.

  • TABLE 2

    MICs for CFZ and TBI-166 against rv0678 mutant and wild-type M. tuberculosis strains

    StrainSequence or mutation by geneMIC (μg/ml) by drug
    rv0678pepQatpEBedaquilineCFZTBI-166
    BDQ-1C305TWTWT0.491.340.18
    BDQ-2292–316 nt deletionWTWT0.471.290.19
    BDQ-3C403TWTWT0.471.620.19
    H37RvWTWTWT0.060.140.060
  • TABLE 3

    Distribution and accumulation of 20 mg/kg TBI-166 and CFZ in uninfected mice after 2, 4, and 8 weeks of exposure

    DrugInfection siteConcn (μg/g) by exposure time
    2 wk4 wk8 wk
    TBI-166Lung27.12 ± 6.1528.91 ± 12.3344.28 ± 12.62
    CFZ7.92 ± 7.1031.87 ± 2.8232.88 ± 10.28
    TBI-166Liver32.29 ± 9.6853.60 ± 42.66108.17 ± 46.93
    CFZ2.01 ± 0.924.94 ± 2.0212.75 ± 0.87
    TBI-166Spleen27.98 ± 11.1716.83 ± 15.3936.54 ± 19.52
    CFZ13.18 ± 3.3533.30 ± 0.9736.47 ± 4.71
    TBI-166Fat576.45 ± 307.521,336.34 ± 503.18
    CFZ180.07 ± 88.66253.27 ± 28.50
    TBI-166Skin103.51 ± 71.50169.23 ± 15.91
    CFZ47.78 ± 19.6741.57 ± 13.88

Additional Files

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      Fig. S1 and S2 and Tables S1 and S2

      PDF, 457K

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In Vitro and In Vivo Activities of the Riminophenazine TBI-166 against Mycobacterium tuberculosis
Jian Xu, Bin Wang, Lei Fu, Hui Zhu, Shaochen Guo, Haihong Huang, Dali Yin, Ye Zhang, Yu Lu
Antimicrobial Agents and Chemotherapy Apr 2019, 63 (5) e02155-18; DOI: 10.1128/AAC.02155-18

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In Vitro and In Vivo Activities of the Riminophenazine TBI-166 against Mycobacterium tuberculosis
Jian Xu, Bin Wang, Lei Fu, Hui Zhu, Shaochen Guo, Haihong Huang, Dali Yin, Ye Zhang, Yu Lu
Antimicrobial Agents and Chemotherapy Apr 2019, 63 (5) e02155-18; DOI: 10.1128/AAC.02155-18
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    • ABSTRACT
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KEYWORDS

riminophenazine
TBI-166
clofazimine
in vivo
Mycobacterium tuberculosis

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