WO 2017/122111 Al 20 July 2017 (20.07.2017) P O P C T
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(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2017/122111 Al 20 July 2017 (20.07.2017) P O P C T (51) International Patent Classification: (81) Designated States (unless otherwise indicated, for every A61K 38/16 (2006.01) A61K 9/00 (2006.01) kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, (21) International Application Number: BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DJ, DK, DM, PCT/IB20 17/050087 DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, (22) International Filing Date: HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KH, KN, January 2017 (09.01 .2017) KP, KR, KW, KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, (25) Filing Language: English NI, NO, NZ, OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, (26) Publication Language: English RU, RW, SA, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, (30) Priority Data: ZA, ZM, ZW. 62/277,506 12 January 2016 (12.01.2016) U S (84) Designated States (unless otherwise indicated, for every (71) Applicant: INTRON BIOTECHNOLOGY, INC. kind of regional protection available): ARIPO (BW, GH, [KR/KR]; #1007, JungAng Induspia V , 138-6 Sangdae- GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, won-Dong, Jungwon-Gu, Seongnam-Si, Gyeonggi-do, TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, 462-120 (KR). TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, (72) Inventors: YOON, Seong Jun; #301 Shinhan Apt., LV, MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, Galak2-Dong, Songpa-Ku, Seoul, 138-807 (KR). JUN, SM, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, Soo Youn; #301 Shinhan Apt., Galak2-Dong, Songpa-Ku, GW, KM, ML, MR, NE, SN, TD, TG). Seoul, 138-807 (KR). JUNG, Gi Mo; #301 Shinhan Apt., Galak2-Dong, Songpa-Ku, Seoul, 138-807 (KR). KANG, Published: Sang Hyeon; #507-310 Jugong-5-danzi Apt., 27, Jam- — with international search report (Art. 21(3)) sil-Dong, Songpa-Ku, Seoul, 138-225 (KR). — with sequence listing part of description (Rule 5.2(a)) (74) Agent: MIN, H. Timothy; SIMI, 1 Broadway, 14th Floor, Cambridge, Massachusetts 02142 (US). (54) Title: AN ANTIBACTERIAL COMPOSITION AND A METHOD OF TREATING STAPHYLOCOCCAL INFECTIONS WITH THE ANTIBACTERIAL COMPOSITION Figure 1 Staphylococcus mi e S !¾ i : CTC 5 ί (A) (B) Spot-on-lawn assay Turbidity reduction assay (0.5 l \) TOD50= 13.0 (57) Abstract: A method of treating staphylococcal infections includes administering to a subject an effective amount of an antibac terial composition having a broad bactericidal activity. The antibacterial composition includes a first antibacterial protein consisting of the amino acid sequence as set forth in SEQ. ID. NO: 1 and/or a second antibacterial protein consisting of the amino acid se quence as set forth in SEQ. ID. NO: 2 . An Antibacterial Composition and A Method of Treating Staphylococcal Infections With the Antibacterial Composition The present application claims the benefit of US Provisional Application No. 62/277,506, filed on January 12, 2016, which is incorporated by reference for all purposes as if fully set forth herein. BACKGROUND OF THE INVENTION Field of the Invention [0001] The present invention relates to an antibacterial composition and a method of treating staphylococcal infections with the antibacterial composition. Discussion of the Related Art [0002] Staphylococcus is a genus of Gram-positive bacteria, and can cause a wide variety of diseases in humans and animals through either toxin production or penetration. Staphylococcus'-related illness can range from mild and requiring no treatment to severe and potentially fatal. Over 30 different species of Staphylococcus can infect humans. Manifestations of staphylococcal infections usually depend on the type of infection the organism causes. Common types of infections include the followings: skin infections (e.g., folliculitis, furuncles, impetigo, wound infections, scalded skin syndrome), soft-tissue infections (e.g., pyomyositis, septic bursitis, septic arthritis), toxic shock syndrome, purpura fulminans, endocarditis, osteomyelitis, pneumonia, infections related to prosthetic devices (e.g., prosthetic joints and heart valves; vascular shunts, grafts, catheters), and urinary tract infection. People with suppressed immune systems (those taking immune-suppressing medications or with immune deficiencies) are at increased risk for developing more serious infections. [0003] Staphylococcal infections are usually caused by Staphylococcus aureus. The infections due to other Staphylococcus species have been steadily rising. For example, Staphylococcus saprophytics accounts for up to 10% of uncomplicated urinary tract infections in young women; Staphylococcus schleiferi, Staphylococcus lugdunensis and Staphylococcus haemolyticus are associated with native valve endocarditis. Coagulase-negative Staphylococcus (CoNS) has emerged as a clinically relevant pathogen found in more than 12% of hospitalized inpatients and implicated in up to 30% of healthcare-associated sepsis cases. In addition, many Staphylococcus species are resistant to many antibiotics. [0004] Considering the problems causing by Staphylococcus, it is urgently requested to develop a method for treating staphylococcal infections caused by antibiotic-sensitive and antibiotic-resistant Staphylococcus. Even though antibiotics are still major therapeutic agents for the treatment of such staphylococcal infections, t e antibiotic -based treatment has serious problems such as the reduced treatment outcome. Therefore, to enhance the treatment efficiency for staphylococcal infections, a new efficient alternative (therapeutic agent) is urgently requested. [0005] Recently, the use of endolysins has drawn our attention as a new way of treating bacterial infections. Phage endolysins, also known as phage lysins or lysins, are bacteriophage-encoded, peptidoglycan-degrading enzymes that rapidly degrade bacterial cell walls and release phage progeny. US Patent No. 8,232,370 reported that an antibacterial protein that has antibacterial activity specific to Staphylococcus aureus. [0006] Furthermore, it is widely reported that endolysins have species-specific bactericidal activity. For example, Future Microbiol. 2012 October; 7(10): 1147— 1171 at 1148 reports that "[a]n important advantage of endolysins over classical antibiotics is their high specificity for certain PG [peptidoglycan] types, which generally limits their antimicrobial action to members of a certain bacterial genus, species or even serotype." Applied and Environmental Microbiology, Mar. 2009, p . 1388-1394, at pages 1388-1389, reports that "[bacteriophage lysins] not only exert their lethal effects in the absence of bacteriophage (cause 'lysis from without') but also display specificity for a bacterial host, often for a particular genus, species, or even a subspecies depending on the lysin." Applied and Evironmental Microbiology, Nov. 2002, p. 531 1-5317, at page 5311, reports that "[a]ll 48 tested strains of C. perfringens were sensitive to the murein hydrolase [of the Bacteriophage φ3626 Dual Lysis System], whereas other Clostridia and bacteria belonging to other genera were generally not affected." [0007] Therefore, there is a need to develop antibacterial proteins that have antibacterial activity specific to more than one Staphylococcus species, and thus the infections caused by multiple Staphylococcus species can be treated. SUMMARY OF THE INVENTION [0008] The present invention provides a method of treating staphylococcal infections. The method includes administering to a subject an effective amount of an antibacterial composition having a broad bactericidal activity against at least one of or all following Staphylococcus species: Staphylococcus arlettae, Staphylococcus aureus, Staphylococcus auricularis, Staphylococcus carnosus, Staphylococcus carprae, Staphylococcus chromogenes, Staphylococcus cohnii, Staphylococcus delphini, Staphylococcus epidermidis, Staphylococcus equorum, Staphylococcus gallinarum, Staphylococcus hemolyticus, Staphylococcus hominis, Staphylococcus intermedius, Staphylococcus kloosii, Staphylococcus lentus, Staphylococcus lugdunensis, Staphylococcus muscae, Staphylococcus pasteuri, Staphylococcus saprophyticus, Staphylococcus warneri, and Staphylococcus xylosus. The antibacterial composition includes a first antibacterial protein consisting of the amino acid sequence as set forth in SEQ. ID. NO: 1 and/or a second antibacterial protein consisting of t e amino acid sequence as set forth in SEQ. ID. NO: 2. [0009] In an aspect, the antibacterial composition includes 15-35 mole % of t e first antibacterial protein and 55-85 mole % of the second antibacterial protein. [0010] In another aspect, the antibacterial composition includes 25 mole % of the first antibacterial protein and 75 mole % of the second antibacterial protein. [0011] In another aspect, the staphylococcal infections are skin infections, soft-tissue infections, toxic shock syndrome, purpura fulminans, endocarditis, osteomyelitis, pneumonia, infections related to prosthetic devices, or urinary tract infections. [0012] In another aspect, the skin infections are folliculitis, furuncles, impetigo, wound infections, or scalded skin syndrome. [0013] In another aspect, the soft-tissue infections are