Antimicrobial Agent
ALL
Cpl-1 (alone)
+ Gentamicin
+ Pal
+ Penicillin
Study Type
ALL
in vitro
in vivo
Model
ALL
Bacteria
Mouse
Rat
Administration
ALL
n/a
intracisternal
intranasal
intraperitoneal
intravenous
Relevant Results Adverse Effects and Other Issues Reference ?
Cpl-1
in vivo
mouse model of pneumococcal bacteremia
intravenous
Single dose of Cpl-1 (2000 µg) administered 1 h after intravenous infection resulted in rapid (within 15 min) decrease of bacterial titers to undetectable levels and led to 100% survival at 48 h compared to the 20% survival of untreated controls.
Toxicity
Repeated administration of large amounts of Cpl-1 revealed no signs of toxicity in the treated animals for 4 weeks.
Other Issues
Rapid decrease of enzyme activity occured after treatment with NaCl, a concentration of or above 300 mM (two times the physiological concentration).
The pH optimum for enzyme was found between 4 and 5 and complete loss of activity was observed at ph values above 8 and below 3.
14573637
Cpl-1
in vivo
rat model of experimental endocarditis
intravenous
Administration of Cpl-1 (250 mg/kg) followed by continuous infusion (250 mg/kg/h) for 6 h cleared pneumococci from blood within 30 min and almost complete elimination of bacteria was maintained over the next 6 h.
Toxicity
Untreated pneumococcal endocarditis induced the release of IL -1α, IL -1β, IL -6, IL -10, IFN -γ, TNF but not IL -2, IL -4, or GM-CSF .
High concentration of Cpl-1 resulted in fragmentation of the bacterial cell wall and induce accentuated cytokine secretion noticeably, but no deterioration of lysin activity was observed.
16251333
Cpl-1
in vivo
murine model for acute otitis media
intranasal
Administration of two topical doses of Cpl-1 resulted in complete prevention of otitis media by entire elimination of bacterial colonization in 90% of the mice.
17381239
Cpl-1
in vivo
murine β-lactam-resistant peritonitis-sepsis model
intraperitoneal
intravenous
Single dose of Cpl-1 administered 1 h after inoculation with pneumococci resulted in 4 to 5 logs decrease of bacterial titers in blood and intraperitoneal fluid.
Antibacterial effect was observed after administration either low-dose (1.4 mg; 47 mg/kg) or high-dose (3.3 mg; 110 mg/kg) of enzyme.
17827138
Cpl-1
in vivo
murine model of nasopharyngeal colonization
intranasal
Single dose of Cpl-1 (1000 µg) resulted in elimination of bacterial colonization in mice.
Enzyme potent killing activity was found to be as efficient as other pneumococcal phage enzyme described previously Pal amidase.
14573637
Cpl-1
in vivo
infant-rat model of experimental pneumococcal meningitis
intracisternal
intraperitoneal
Single intracisternal injection of Cpl-1 (~20 mg/kg) resulted in a rapid (within 30 min) reduction of pneumococci in the CSF by 3 orders of magnitude lasting for 2 h. After intraperitoneal injection of Cpl-1 (~200 mg/kg) pneumococal titers in CSF dropped by 2 orders of magnitude for 3 h.
Other Issues
Half-life of Cpl-1 in CSF was estimated to be ~16 min and therefore temporally defined antibacterial effect of enzyme. Following intracisternal administration antibacterial effect was detectable in CSF for as long as 3 h after initiation of the treatment; intraperitoneal administration extend this effect up to 4 h after injection due to prolonged systemic release of the enzyme.
18471063
Cpl-1 + Gentamicin
in vitro
Streptococcus pneumoniae strains with various susceptibilities to penicillin:
DCC1490
DCC1476
DCC1420
8249
Combination of Cpl-1 with GEN resulted in effective synergistic inhibition (with a 1.000 fold-lower final titer in combination than with the most active agent alone) against more susceptible S. pneumoniae strains DCC1490 and DCC147; thus showed increasing synergy with a decresing penicillin MIC .
15728935
Cpl-1 + Penicillin
in vitro
Streptococcus pneumoniae strains with various susceptibilities to penicillin:
DCC1490
DCC1476
DCC1420
8249
Combination of Cpl-1 with PEN resulted in effective synergistic inhibition (with a 10.000-fold lower final titer than with the most active agent alone) against an extremely PRSP strains DCC1420 and 8249.
15728935
Cpl-1 + Pal
in vitro
Streptococcus pneumoniae strains including highly penicilin resistant strains:
DCC1355
DCC1490
DCC1494
DCC1335
DCC1420
(each representing distinct serotype)
Efficient lytic activity against all strains tested.
In 30 sec 150 µL of Cpl-1 at the final concentration of 1 U/mL significantly reduced bacterial titers of the four strains by 0.83 log10 CFU /mL and in 10 min 1.44 log10 CFU /mL.
Killing efficacy of the combination of Cpl-1 and Pal was always significantly higher than that of single enzyme, reducing titers by a median of 2.40 (30 sec) and 3.15 (10 min) log10 CFU /mL respectively, demonstrated synergism.
12499217
Cpl-1 + Pal
in vivo
murine peritonitis-sepsis model
intraperitoneal
Single dose of Cpl-1 (200 µg) administered 1 h after inoculation rescued 100% of the mice (same as Pal amidase) with very rapid antibacterial activity (decrease of bacterial titers ~4 log units 2 h after treatment).
Combined treatment with both enzymes resulted in synergistic effect and was found with different doses and administration times.
Toxicity
Titres of specific IgG antibodies measured 10 days after injection of enzyme were 8 times higher in hyperimunne than preimunne serum.
Health Effect
No signs of anaphylaxis or adverse side effects were observed.
Other Issues
Effective protection was achieved only with functional enzymes, with heat-inactivated enzymes rescue did not occur.
14613958