CARBOHYDRATE DERIVATIVES AND COMPOSITIONS THEREOF FOR THERAPEUTIC OR DIAGNOSTIC USE

Abstract: A compound for use in the treatment, profylaxis or diagnosis of bacterial infections caused by pneumococci, having the general formula: wherein R¹ and R² independently are hydrogen or carbo­ hydrate residue and R₃ is hydrogen, lower alkyl or a carbohydrate residue, whereby R₃ may constitute the residue of a natural or synthetic glycoconjugate, and whereiun R₄ is hydrogen and R₅ is acetyl or R₄ and R₅ together with the nitrogen atom to which they are attached form a cyclic imide, whereby R₁ is other than a galactose residue or derivative thereof; compositions containing such compounds; process for identification and quantification of such compounds; process for purification of acceptor structures of bacteria; process for determining the presence of pneumococci in samples from living animals; and new carbohydrate compounds.

Description: TITLE OF INVENTION: Compound and Composition for Therapeutic or Diagnostic Use and a Process for Therapeutic Treatment. The present invention relates to compounds and compositions which are useful for therapeutic treatment of infections as well as profylaxis and diagnosis in connection therewith. The invention also relates to a process for therapeutic treatment of mammals including man. The technique of the invention is applicable to patogenic microorganisms of different types, particularly patogenic bacteria, such as gram-positive cocci, for example streptococci, pneumococci and staphylococci. The invention is in particular related to applications directed to streptococci, such as S. pneumoniae. A large number of bacterial infections arise by bacterial attack on mucous membranes. In the initial part of the course of infection it is essential to the bacterium to be able to bind to epithelium cells. The infectious capacity of bacteria is therefore often directly related to the ability of the bacteria to adhere to epithelium cells. S. pneumoniae is a bacterium which is a frequent cause of ear disorders and sinusitis. The bacterium is present in the flora of healty nasopharynx and is often cause to inflammation of the middle ear. Studies have shown that adherence of S.pneumoniae to epithelium cells is due to glycoconjugates receptors, and the present invention has for an object to provide a composition or compound having the ability of replacing the normal receptor function in vivo and in vitro in relation to patogenic bacteria prone to provide disorders in human and animals due to the bacteria. Another object of the invention is to provide a composition or a compound which can be used diagnostically or which can form the basis for a process for therapeutic or profylactic treatment of mammals including man. Another object of the invention is tQ - provide a process for identification and/or quantifica tion of receptor structures of biological materials from manmals including man. Yet another object of the invention is to provide a process for isolating and purifying bacteria or acceptor structures of bacteria. The invention is particularly directed to receptor structures for 5. pneumoniae, but the invention is not limited to this particular bacteria. By studies and experiments it has been found that the receptor for S. pneumoniae contains a structural element having the formula: EMI2.1 wherein R1 and R2 independently are hydrogen or carbohydrate residue and R3 is hydrogen , lower alkyl or a carbohydrate residue, whereby h may constitute the residue of a natural or synthetic glycoconjugate, and wherein R4 is hydrogen and R5 is acetyl or R4 and R5 together with the nitrogen atom to which they are attached form a cyclic imide, where by R1 is other than a lactose residue or derivative thereof. In structural formula I R1, R2 and R4 all have the meaning of hydrogen in a preferred embodiment. R5 is suitably acetyl. In regard to substituent R this may be of any type 3 as long as it does not adversely effect the conditions in connection with applying the invention. Preferred meanings of R3 is methyl or a carbohydrate residue, but R3 may also be the residue of a natural or synthetic glycoconjugate, the compound of the invention thus being a glycoconjugate. The technique concerning the preparation of such glycoconjugates is well developed (see for example references 19 and 20). It is preferred that OR3 is in ss-configuration. In regard to the meaning of R4 and R5 it is preferred that these substituents together with the nitrogen to whi they are attached form an imide, for example phthalimide. The invention thus provides for compounds or compositions which are useful as inhibitors for the adherence of pneumococci to human pharyngeal epithelium cells. The active substances according to the present invention can be formulated for use in human or veterinary medicine for therapeutic, profylactic, or diagnostic use. In clinical application the active constituents are normally administered orally or rectally or by injection in the form of a pharmaceutical preparation containing the active constituents in combination with a pharmaceutically acceptable carrier, which may be solid, semi-solid or liquid, or as a capsule, and such preparations constitute a further aspect of the invention. The compounds may also be used as such without carriers or in the form of an aqueous solution for external use, such as rinsing liquids or for injection. As examples of pharmaceutical preparations there may be mentioned tablets, drops, solutions and suppositories. Usually, the active substance constitutes 0.05 to 99 pereent by weight of the preparation, for example from 0.1 to 50 pereent for preparations for oral administration. To prepare pharmaceutical preparations in the form of dosage units for oral application containing a compound according to the invention the active con stftuenta may be admixed with a solid, pulverulent or other carrier, for example lactose, saccharose, sorbitol, manna toll starch, such as potato starch, corn starch, amylopectine, a cellulose derivative or gelatine and may also comprise lubricants, such as magnesium or calcium stearate, or polyethylene glycol waxes compressed to form tablets or cores for drawees, By using several layers of the active drug separated by slowly dissolving layers tablets with delayed release are obtained. Liquid preparations for oral applications may be in the form of elixir, syrups or suspensions, for example solutions containing from 0.1 to 20 percent by weight of active substance, sugar and a mixture of ethanol, water, glycerol, propylene, glycol and optionally other additives of a conventional nature. The dose by which the active constituents are administered can vary within broad limits and depends on different factors, such as the seriousness of the disorder, age and weight of the patient and can be individually adjusted. As a conceivable range for the amount of active constituents that may be administered per day there may be mentioned from O 1 to 2000 mg or from 1 mg to 2000 mg. In accordance with the invention it has been found that compounds of formula 1 as defined above have the ability of inhibiting the adherence of bacteria to humane pharyngeal epithelium cells. Since such adherence in many cases is an essential requisite for the disorders caused by the bacteria these compounds and the corresponding pharmaceutical preparations are useful in therapeutic and/or prophylactic treatment for the purpose of effecting the adherence of the bacteria. The particular compounds described in the following are with some exceptions all known as such and can be prepared in accordance with known processes. However, the compounds have not previously been described as possessing properties which would make tEm medicinally useful. The invention also relates to a process for therapeutic treatment of mammals including man, an active amount of the composition or a compound in accordance with the invention being administered to the mammal. According to another aspect of the invention there is provided a compound or composition which can be used for identification and/or quantification of the receptor structure in question in biological materials or for purifying bacteria or their acceptor structures. The composition contains one or several structural elements according to the invention above or according to the patent claims covalently or in another manner associated to for example a macromolecular carrier, optionally via a coupling arm. Useful carriers can be synthetic or naturally occurring polypeptides, polysaccharides or other types of polymers or particles. In practice the arm between structural element and macromolecular carrier can be any of the following: EMI5.1 ¯S (2)nS-R- wherein R is an alkyl or aryl residue (Ref. 21). According to yet another aspect of the invention there is provided a process for determining the presence of pneu nococci in a sample taken from an animal including man. This process is based on the technique of determining the degree of interaction between the bacteria of the sample and a compound or composition in accordance with the present invention. Such interaction may be determined by inhibition or induction of the adherence of the bacteria to cells or other surfaces. In the above examples n may vary between 1 and 20. The invention will in the following be further described by nonlimiting examples. Bacteria. Two strains of S. Pneusoniae, EF3114 and EF 10276 (both of the capsular type 6A isolated from the nasopharynx of patients having inflammation in the middle ear) were maintained in a lyophilized state For adherence test the lyophiles were transferred to blood agar plates and cultivated over night, were then allowed to grow forl8 hours in a synthetic medium (Ref. 1) supplemented with 2 g/l ascorbic acid and such as described in (Ref. Z). The bacteria were harvested by centrifugation and suspended in saline solution (Ref. 3). Active structures. The structures of the glycoconjugates and oligosaccharides used are given in table I. Human plasma fibronectine isolated according to known technique (Refs. 4 and 5) was supplied by Dr. A. Si@pson, Mesphis, Tennessee. E.coli lipopolysaccharides (LPS) from strains of the serotypes 04 and 083 and from mutants having nuclear structures R1, R2, R3 and R4 were prepared by extraction with warn phenol water (Ref. 6). The R LPS-preparations were supplied by B. and K. Jann, Max Pl-anck-Institut for Immunobiology, Freiburg, BRD. The glycolipids neolactotetraosyl ceramide, N-acetylneu raminosyl neolactotetraosyl ceramide and globotetraosylceraside were isolated from humane erythrocytes. For the preparation of neolactotetraosyl ceramide the main ganglioside of Bu- man erythrocytes was isolated, N-acetylneuraminosyl neolacto tetraosyl ceramide (Ref. 7) was isolated and degraded with Vib- rio cholerae neuraminidas (Calbiochem, San Diego, Calif.). The glycolipids were prepared by chloroform methanol extraction, mild alkaline hydrolysis, dialysis, diethylaminoethyl-cellulose chromatography and silica chromatography (Rer. 8). The glycolipids were further purified as acylated derivatives (Ref. 9) and were found to have a purity of at least 95 % according to thin layer chromatography. The known glycolipid structures were confirmed by mass spectrometry, nuclear magnetic resonance (NMR) and degradation methods (Refs. 10, 11, 12 and even 1)). For testing the glycolipids were taken from solutions in chloroform-methanol, freed from solvent in a stream of nitrogen, dried over night and suspended in NaCl by means of ultrasound in a water bath. The tetrasaccharides neolactotetraos and lactotetraos were isolated from human milk (Ref. 14). The octasaccharide was isolated from the urine of a patient having mannosidosis (Ref. 15). The known oligosaccharide structures were confirmed by NMR. Substance 13 below has been prepared synthetically (Ref. 22). Substance 10 is commercially available. Substan ces 8, 9, 11, 12, 14, 15 and 16 were synthesized in the following manner: Preparation of substance 8 Methyl 2-acetamido-2-deoxy-3,4,6-tri-0-acetyl-a-D-glyco- pyranoside (Ref. 24) (20) N-acetyl glycosamine (10 g, 45.2 mmole), Duolite H+ ion exchange mass (20 g), CaC12 (20 g) and methanol (600 ml) were heated to boiling for 29 h. The admixture was filtered and the residue was washed with methanol. The collected methanol phases were evaporated to dryness and pyridine (250 ml) and acetic anhydride (95 ml) were added to the residue and left for 72 h. Work up gave a yellow syrup which was chromatographed (SiO2, choroform-methanol 15:1) which gave 20 as a weakly yellow syrup (6.6 g, 40 %). N.m.r. data: ÚH (CDCl3, TMS) # 4.77 (d, 1H, J1.2 3.4 Hz, H-1), 3.43 (s, 3H, MeO), 2.13, 2.06, 2.05, 1.98 (4s, 3H for each, AcO). @@C (CDCl TMs) 5 98.3 (C-1), 55.4 (MeO). Methyl 2-acetamido-2-deoxy-4,6-benzyliden-&alpha;-D-glycopyrano side (21). Substance 20 (6.17 g, 17.1 mmole) was treated with NaOMe (87 mg) in methanol (170 ml) at room temperature for 4 h. T.l.c. (chloroform-methanol 6:1) showed that the reaction was complete. The mixture was treated with Duolit z H ion exchange mass, filtered and evaporated to dryness which gave 21 (3.16 g, 79 %). E small sample was chromatographed (SiO2, chloroform-methanol 8:1) which gave white crystals of 21. M.p.: 189-191.5 , [&alpha;]20D + 137.6 (c 0.9, methanol). [Litt. (Ref. 24) M.p. 187-188, [&alpha;]D + 131 (water)]. Dry ZnCl2 (1.79 g, 12.8 mmoles) in benzaldehyde (13.6 g, 128 mmoles) was added and the mixture was stirred under nitrogen gas for 24 h. The reaction mixture was shaken with a mixture of saturated sodium bicarbonate solution (120 ml), ether (120 ml) and petroleum ether (240 ml). Crystalline 25 was formed, which was separated by filtration and washed with water and petroleum ether. The product was dried in wacuum over P2Ot which gave a residue (4.74 g) which was used directly in the next step. A small sample was recrystallized from methanol: M.p. 259-261 , [&alpha;]24D + 31.2 (c 0.8, chloroform). [Litt. (Ref. 25) M.p. 261-262 , [&alpha;]20D + 39.5 (c 0.5, chloro form Methyl 2-acetamido-2-deoxy-4,6-benzylidene-3-benzyl-&alpha;- -D-glycopyranoside (22). Barium oxide (18.9 g, 123.5 mmoles) and barium hydroxide octahydrate (7.78 g, 25 mmoles) were added to a suspension of 21 (4 g, 12 mmoles) and benzyl bromide (28.1 g, 164 mmoles) in dry N,N-dimethylformamide (50 ml) at 00. The reaction mixture was agitated under nitrogen gas, the temperature being allowed to rise to # 22 for 17 h. Chloroform (100 ml) was added and the mixture was filtered through Celite. The filtrate was washed with water, dried (Na2S04) and evaporated. The half-crystalline residue was triturated with ether. Filtration and air drying gave crystalline 22 (2.3 g, 45 ). N.m.r. data: 1H(CDCl @. . . ... .. . .. . AB #-CH2), 4.73 (d, 1H, J1,2 3.8 Hz, H-1), 3.34 (s, 3H, MeO, l.91(s, 3H, NAc); 13C(CDCl3, TMS) 5 98.8 (C-1). Methyl 2-acetamido-2-deoxy-3,6-di-O-benzyl-&alpha;-D-glyco- pyranoside (2 A mixture of 22 (2.28 g, 5.5 mmoles), sodium cyanoborohydride (3.1 g, 49 mmoles), pulverized molecular sieves (2.4 g, 3 ) and freshly distilled tetrahydrofurane (100 ml) under nitrogen gas were supplied dropwise with HCl-saturated ether until the reaction mixture became acid. The mixture was agitated on an ice bath for 45 minutes (t.l.c: chloroform methanol 15:1), poured into ice water and extracted with chloroform (250 + 50 ml). The chloroform solution was washed with sodium bicarbonate solution and water and dried and evaporated. The residue was chromatographed (SiO2, chloroform methanol 15:1) which gave 23 (1.51 g, 36 %). M.p. 146-147 , [&alpha;]24D + 88.4 (c 1.1, chloroform). N.m.r. data: ÚH (CDcl3, TMS) 5 4.67(d, J1.2 3.6 Hz, H-1), 3.36 (s, 3H, MeO), 1.90 (s, 3H, NAc). 13C(CDCl3, TMS) 5 98.8 (C-1), 51.9 (MeO), 23.5 (NAc). Methyl 2-acetamido-2-deoxy-3,6-di-O-benzyl-4-O-(2,3,4,6 tetra-0-acetyl-p-Dgalactopyranosyl )-o-D-glycopyranoside (24) Substance 23 (317 mg, 0.6 mmole) was dissolved in benzene -nitromethane (1:1, 35 ml) Hg (CN)@ (418 mg, 1.65 mmole) then being added. About 10 ml of solvent was evaporated whereafter solution of acetobromogalactose (678 mg, 1.65 mmole recrystallized) in benzene (10 ml) was added dropwise under agitation at 600 (3 h). The reaction mixture was left over night at 400, cooled, washed (sodium bicarbonate solution, saturated saline solution), dried (Na2S04) and evaporated. The residue was chromatographed which gave 24 (281 mg, 63 %), which was directly used in the next step. Methyl 2-acetamido-2-deoxy-4-O-(ss-D-galactopyranosyl)-&alpha;- -D-glycopyranoside (8) Substance 24 (281 mg, 0.4 mmole) was treated with MeONa (56 rg) in methanol (10 ml) for 2 h (t.l.c.: chloroform methanol 6:1). The reaction mixture was desalted with Duolite H ion exchange mass and evaporated. The residue was dissolved in methanol (10 ml) and debenzylated with hydrogen gas (atm. pressure, room temp., Pd/C 10 %, 150 mg). The mixture was filtered with Celite, evaporated and chromatographed (SiO2, chloroform-methanol-water (65:35:10, lower phase) which gave 8 (87 mg, 54 %). [&alpha;]21D + 80.4 (c 0.5, water). N.m.r. data: ÚH (D2O) # 4.79 (d, 1H, J 3.2 Hz, H-1), 4.48 (d, 1H, J 7.1 Hz, H-1), 3.39 (s, 3H, MeO), 2.03 (s, 3H, NAc); 13C (D2O) # 105.8 (C-1'), 100.6 (C-1), 58.1 (MeO), 56.1 (C-2),¯24.7 (Ac). ¯¯¯¯ Preparation of substance 9 Methyl 2-acetamido-2-deoxy-3,6-di-O-acetyl-4-O-(2,3,4,6 -tetra-O-acetyl-ss-D-galactopyranosyl)-ss-D-glycopyranoside (25) Acetylated D-lactose oxazoline (Ref. 26, 27) (151 mg, 0.24 mmole) was dissolved in dry methanol (6 ml) containing anhydrous toluene-p-sulfonic acid (10 sg) and stirred at 60 until t.l.c. (Si02, chloroform-methanol 20:1) showed that the oxazoline had been consumed (15 min.). The mixture was cooled and pyridine (0.5 ml) was added, the solvent being then evaporated with toluene. The residue was chromatographed (SiO2, chloroform-methanol 20:1) which gave 25 (122 mg, 77 %). [&alpha;]25D - 18.40 (c 1.3, CDCl3). [Litt. (Ref. 28): [&alpha;]20D - 9 (c 1.0, CHCl3)]. N.m.r. data: 1 4.50 iH, J12 7.7 Hz, H-i), 4.36 @(@@@)3, @@@ @@ @@ @,@@, @1.2 @.@ @ ), @.@@ (d, 1H, J1', 2' 7.4 Hz, H-1'), 3.46 (s, 3H, MeO). Ú C (CDCl TMS) 5 101.8 (C-1 ), 101.0 (C-1), (MeO), 23.3 (NAc). Methyl 2-acetamido-2-deoxy-4-O-(ss-D-galactopyranosyl)-ss -D-glycopyranoside (9). Substance 25 (77 mg) was deacetylated in the usual manner which gave 9 (43 mg, 92 ). [&alpha;]25D- 24.99 (c 1.5, D20) [Litt. (Ref. 29): [&alpha;]22D-23.1 (c 0.9, water)]. N.m.r. data: H (D20) 5 4.45 (d, 2H, J. 7.6 Hz, H-1 and H-i'), 3.45 (s, 3H, MeO), 2.02 (s, 3H, NAc). Ú C (D2O) # 104.1 (C-1'), 103.1 (C-1), 58.3 (OMe), 23.4 (NAc). Preparation of substance 11 Methyl 2,6-di-0-benzyl-4-0-(2-acetamido-2-deoxy-3O4,G- -tri-O-acetyl-ss-D-glycopyranosyl)--D-galactopyranoside (. Acetylated D-glycose oxazoline (Ref. 31) (1.8 g 6.0 mmoles), metyl 2,6-di-O-benzyl-ss-D-galactopyranoside (1.5 g, 4.0 mmoles) and toluene-p-sulfonic acid (100 mg) were dissolved in 1,2-dichloroethane (100 ml) and heated at 600 for 6 h (no reaction product was seen by t.l.c. analysis with SiO2, ethyl acetate-isooctane 1:4). Tri fluoromethane sulfonic acid (5 drops) was added followed by the oxazoline (2.0 g) and the reaction was continued until all oxazoline had been consumed. Pyridine (2 ml) was added and the mixture was distributed between dichloromethane and water. The organic phase was washed with water, dried (Na2S04) and evaporated. The residue was chromatographed which gave 3@ (92 mg, 3%). Recrystallization from absolute ethanol gave a material with M.p. 205-206 , [&alpha;]D 0 (c 0.5, chloroform). N.m.r. date: ÚH (CDCl3, TMS) # 4.90 (d, 1H, J1', 2'8.6 Hz, H-1'), 4.26 (d, 1H, J1,2 7.6 Hz, H-1), 3.55 (s. 3H, Meo); Ú C (CDCl3, TMS) # 104.5, 101.7 (C-1, C-1'), 56.8 (MeO). Methyl 2,3,6-tri-0-acetyl-4-0-(2-acetamido-2-deoxy-3,4,6- -tri-O-acetyl-ss-D-glycopyranosyl)-ss-D-galactopyranoside Substance 30 (92 mg, 0.13 mmole) was hydrogenated (Pd/C), 104; 4 atm.) in ethanol (100 ml). The mixture was filtered with Celite and evaporated which gave a residue (85 mg) that was acetylated (pyridine-acetic anhydride 2:1, 15 ml) at 60 for 2 h. The mixture was evaporated with toluene and the residue was chromatographed (SiO2, chloroform-methanol 50:1) which gave 31 g55 mg, 65%) and having m.p. 189-190 , [&alpha;]D + 4 (c 0.2, chloroform). N.m.r. data: ÚH (CDCl3, TMS) # 5.20 (d, 1H, J1',2'8.1 Hz, J-1'), 4.37 (d, 1H, J1,2 7.9 Hz, H-1), 3.51 (s., 3H, MeO); Ú C (CDCl3, TMS) # 101.7 98.4 (C-1, C-1'), 57.2 [MeO]. Methyl 4-O-(2-acetamido-2-deoxy-ss-D-glycopyranosyl)- -D -galactopyranoside (11). Substance 31 (42 mg) was deacetylated in the usual manner which gave 11 (18 mg, 77 %) -[&alpha;]25D-19 (c 0.3, water). N.m.r. data: ÚH (D2O, external TMS) # 4.70 (d, 1H, J1',2' 8.3 Hz, H-1'), 4.30 (d, 1H, J1,2 7.9 Hz, H-1), 3.53 (s, 3H, MeO), 2.04 (s, 3H, NAc); Ú C (D2O, external TMS) # 106.5, 104.9 (C-1, C-1'), 59.8 (MeO), 25.1 (NAc). Preparation of substance 12 Methyl 2,4,6-tri-O-benzyl-3-O-2-acetamdio-2-deoxy-3,4,6 -tri-O-acetyl-ss-D-glycopyranosyl)-ss-D-galactopyranoside (26). Methyl 2,4,6-tri-O-benzyl-ss-D-galactopyranoside (Ref. 30) (1.4 g, 3 mmoles), acetylated D-glycose oxazoline (Ref. 31) (0.99 g, 3 mmoles), tetramethyl urea (0.70 g, 6 mmoles) and trimethylsilyl trifluoromethyl sulfonate (Ref. 32) ( 5 g, 3 mmoles) were dissolved in dry 1,2-dichSoro- ethane (15 ml). The mixture was stirred under nitrogen gas at 80 for 2.5 h, t.l.c. (toluene-ether-methanol 7:7:1) showing that the oxazoline had been Consumed. Further oxazoline (0.69 g, 2.1 mmoles) in 1,2-dichloroethane (5 ml) was added and the reaction was continued for 3 h. The mixture was cooled and chloroform (60 ml) added, washed with water (50 ml), saturated sodium-bicarbonate solution (50 ml) and water (50 ml). Each aqueous phase was extracted with chloroform and the collected chloroform extracts were dried (Na2SO4) and evaporated. The residue was chromatographed (SiO2, toluene-ethylacetate-isopropanol 16:8:1) which gave methyl 2,4,6-tri-0-benzyl-B-D-galactopyranoside (0.35 g, 25% recovered) and the desired product 26 (1.08g, 45%). N.m.r. data: 13C(CDCl3, TMS) 6 104.8 (C-l), 101.8 (C-1'), 56.9 (OMe), 22.8 (NAc). Methyl 3-O-(2-acetamdio-2-deoxy-3,4,6-tri-O-acetyl-ss-Dglycopyranosyl)-ss-O-galactopyranoside (27). Substance 26 (2.29 g, 2.89 mmoles) was dissolved in ethyl acetate (70 ml) and methanol(20 ml) and hydrogenated (Pd/C, 10%; 4 atm.) for 22 h. The mixture was filtered with Celite, evaporated and chromatographed (SiO2, chloroform-methanol 8:1) which gave 27 (1.24 g, 82%). [&alpha;]25D - 12.3 (c 1.1, methanol). N.m.r. data: 1H(CD3OD, TMS) 6 4.86 (d, J1', 28.0 Hz, H-1'), 4.14 (d, J@@ 7.6 Hz, H-1), 13 3.52 (s. 3H, MeO). C(CD30D, TMS) 6 106.0 (C-1), 103.6 C-1'), 57.3 (MeO), 22.9 (NAc). Methyl 3-O-(2-acetamido-2-deoxy-ss-D-glycopyranosyl)-ss-D -galactopyranoside (12). Substance 27 was deacetylated in the usual manner which gave 12. [&alpha;]21D + 3.60 (c 0.4 water). N.m.r. data: 1H(D2O) % 4.69 (d, 1H, J1',2'8.5 Hz, H-l'), 4.30 (d, 1H, J1 2 8.8 Hz H-1), 3.56 (s, 3H, MeO), 2.03 (s, 3H, NAc). 13C (D2O) 6 106.7 (C-l), 105.5 (C-l'), 60.0 (MeO), 25.0 (NAc). reparation of substance 14 Ethyl 4-O-ss-D-galactopyranosyl-ss-D-glycopyranoside (14) was prepared fro ethanol and lactose octaacetate in the same manner as the corresponding 2-bromoethyl glycoside (Ref. 23). [&alpha;]21D - 1.7 (c 1.0, water); N.m.r. data: ÚH (DMSO-d6, 50 , plus D2O) # 4.28-4.16 (3H, inter alia H-1 and H-1'), 1.14 (t, 3H, J7 Hz, CH3), Ú C(D2O, TSP) # 105.8, 104.6 (2d, J158 and 155 Hz, C-1 and C-1'), 17.1 (CH3). Preparation of substance 15. Methyl 2,4,6-tri-O-benzyl-3-B-2-acetamldo-2-deoxy-3,6- -di-Q-acetyl-4- 2,3,4,6-tetra-0-acetyl-ss-D-galacto- pyranosyl)-ss-D-glycopyranosyl-ss-D-galactopyranoside (28). Methyl 2,4,6-tri-O-benzyl-ss-D-galactopyranoside (Ref. 30) (464 mg, 1 mmole), acetylated D-lactose oxazoline (Ref. 26, 27) (617 mg, 1 mmole), tetramethyl urea (232 mg, 2 mmoles) and trimethyl silyl trifluoromethyl sulfonate (218 mg, 1 mmole) were dissolved in dry 1,2-dichloroethane (10 ml) and treated as for substance 26 which gave 28 (195 mg, 58 % based on converted methyl galaetoside). [&alpha;]23D - 14.2 (c 1.0, CDCl3). N.m.r. data: ÚH (CDCl3, TMS) # 4.73 (d, 1H, J1',2' 8 Hz, H-1'), 4.51 (d, 1H, J 8.0 Hz, H-1''), 4.26 (m, virtual coupling, H-1), 3.52 (s, 3H, MeO). Ú C(CDCl3, TMS) # 104.8 101.9 101.2 (anomeric-C), 56.9 (meO), 22.8 (NAc). Methyl 2,4,6-tri-O-acetyl-3-O-2-acetamido-2-deoxy-3,6 di-O-acetyl-4-O-(2,3,4,6-tetra-O-acetyl-ss-D-glycopyranosyl -ss-D-galaotopyranoside (29). Substance 28 (180 mg) was dissolved in ethyl acetate (25 mi) and methanol (5 mi) and hydrogenated (Pd/C, 10 %, 4 atm.) for 24 h. The mixture was filtered with Celite and evaporated to dryness, which gave a product (169 mg) that was then acetylated (acetic anhydride-pyridine 1:2, 3m1) at room temperature for 16 h. The mixture was evaporated with toluene and the residue was chromatographed (SiO2, chloroform-aceton 5:2) which gave 29 (76 %). [&alpha;]24D +7.20 (c 1.3, CDCl3). N.m.r. data: lH(CDCl3, TMS) 6 4.76, 4.55 4.31 (3d, each 1H, J 7.7, 7.6 and 8.0 Hz, anomeric-H), 3.48 (s, 3H, MeO). 13C(CDCl3, TMS) 6 101.8, 101.1, 100.4 (anomeric-C), 56,7 (MeO), 23.2 (NAc). Methyl 3-O-2-acetamido-2-deoxy-4-O-(ss-D-galactopyranosyl) -ss-D-glycopyranosyl-ss-D-galactopyranoside (15). Substance 29 (109 mg) was deacetylated in the usual manner and the product was chromatographed (SiO2, chloroform -methanol-water 8:6:1), which gave 15 (9 mg, 14t; the major part of the product attached irreversibly on the SiO2-column). [&alpha;]24D + 1.80 (c 0.45, D20). N.m.r. data: H(D2O, 800) 4.79 (m, virtual coupling, anomeric-H), 4.50, 4.30 (2d, each 1H, J7.5 and 7.6 Hz, anomeric-H), 3.56 (s, 3H, MeO), 2.03 (s, 3H, NAc). 13C(D2 0) 6 106.7, 105.6, 105.4 (anomeric-C), 60.0 (MeO), 24.8 (NAc). Preparation of substance 16 Methyl 2,3,6-tri-O-acetyl-4-O-(2,3,4,6-tetra-O-acetyl-ss -D-galactopyranosyl)-B-D-glucopyranoside (30) A solution of freshly prepared acetobromolactose (72 g, 103 mmol) in a mixture of dry toluene (250 mi) and methylene chloride (250 ml) was added to a cooled (550), stirred solution of methanol (28.5 g, 890 mmol), N,N,N',N'-tetra- methylurea (12.9 g, 110 mmol), silver triflate (28.5 g 110 mmol) in dry toluene (250 ml) over a period of 1 h. The reaction mixture was then allowed to attain ambient temperature during 3.5 h, after which time TLC (isooctane: ethyl acetate 1:2) showed the presence of some acetobromolactose. The reaction mixture was cooled again (-15 ) and more silver triflate (5.1 g, 20 mmol) and tetramethylurea (3.1 g, 27 mmol) were added. TLC after 1 h showed the reaction to be complete. The mixture was then diluted with methylene chloride (700 ml), filtered through celite. The filtrate was washed with a saturated solution of sodium hydrogencarbonate and water, dried (Na2SO4), filtered and concentrated to a syrup which was chromatographed (SiO2, isooctane:ethyl acetate 2:1 - 3:2) to afford pure syrupy 30 (55.8 g, 77.5%), [&alpha;]25D - 11.5 (c 1.3, CHCl3). NMR data: (CDCl3, TMS) : ÚH, # 5.35 (dd, J4',5'1.0 Hz, J3',4',3.4 Hz, H-4'), 4.49 (d, J1,2 7.8 Hz, H-1), 4.40 (d, H1',2'7.8 Hz, H-2'), 3.49 (s, 3H, OCH3) and 2.16, 2.13, 2.07, 2.054, 2.050, 1.97 (s, 21H, OAc); 13C, 6 101.3, 101.0 (C-1 and C-1'), 61.9 60.7 (C@6 and C-6'), 57.0 (OCH3) Methyl ss-lactoside (31). A solution of 30 (53.8 g, 82.8 mmol) in methanol (600 ml) containing a catalytic amount of sodium methoxide was stirred at 200 for 3 li. The precipitated product was filtered and washed several times with methanol to give after drying pure 31 (28.2 g, 96%), [&alpha;]25D + 1.7 (c (c 1.78, D2O) (Lit19, [&alpha;]23D + 6.3 (c3.5, water) for the anhydrous product). ÚH-NMR (D2O, TSP): 6 4.44 (d, J 7.4 Hz) and 4.40 (d, J 8.4 Hz) (H-1 and H-1'), 3.34 (s, 3H, OCH3). Ú C (D2O, TSP): 105.9, 105.8 (C-i, C-1'), 63.9, 62.9 (C-6, C-6') and 60.1 (OCH3). Methyl 4-O-(3,4-isopropyrlidene-ss-D-galactopyranosyl) ss-D-glucopyranoside (32). A suspension of 31 (2.00 g, 5.6 mmol) in neat 2,2-dimethoxypropane (45 ml) containing anhydrous p-toluenesulphonic acid (250 ng) was stirred at room temperature for 20 h. The mixture was then diluted with methanol and 5 ml of water was added to obtain a clear solution, which was neutralised with triethylamine (5 ml) and concentrated. The residual semi-solid was chromatographed (SiO2, chloroform:methanol 6:1) to obtain 32 (1.87 g, 84.2%) as an amorphous solid, which crystallised from methanol after several days in the refrigerator; m.p. 222 -223 ; [&alpha;]25D + 18.8 (c 1.16, D2O). NMR data: (D2o, TSP): ÚH, # 4.51 (d, J1',2'8.2 Hz, H-1'), 4.42 (d, J1,2 8.0 Hz, H-1), 4.38 (dd, J3',4'5.3 Hz, J4',5'1.9 Hz, H-4'), 4.22 (dd, J2',3'7.5 Hz, H-3'), 3.59 (s, 3H, OCH3) 1.55 and 1.40 (s, 6H, -C(U33)2). Methyl 2,3,6-tri-O-benzyl-4-O-(2,6-di-O-benzyl-3,4 ísopropylidene-ss-D-galactopyranosyi-ss-D-glucopyranoside (33) Sodium hydride (1.98g, 50% dispersion in oil) was added in one portion to a stirred solution of 31 (1.36 g, 3.4 mmol) and the suspension was stirred at room temperature for 30 min. after which time benzyl bromide (7.05 g, 41.2 mmol) was added in one portion and the mixture was stirred for 64 h. The excess sodium hydride was then destroyed by dropwise addition of methanol (15 ml), and the reaction mixture was diluted with EtOAc and extracted three times with water, dried (Na2SO4), filtered and concentrated. The residual oil was chromatographed (SiO2, isooctane:ethyl acetate 2:1) to obtain 33 (2.50 g, 88.5%) as a clear syrup; [&alpha;]25D + 22.60 (c 1.1, CHC13). NMR data: (CDCl3, TMS): 1H , 67.20-7.42 (m, 25H, aromatic), 3.56 (s, 3H, OCH3), 1.40, 1.35 s, 2x3H, C(CH3)2; Ú C # 109.8 C(CH3)2, 104.8 (C-1'), 101.9 (C-1), 69.0 and 68.3 (C-6, C-6'), 57.2 (OCH3), 28.1 and 26.6 C(CH3)2. Methyl 2,3,6-tri-O-benzyl-4-O-(2,6-di-O-benzyl ss-D-galactopyranosyl)-ss-D-glucopyranoside (34) A solution of 33 (15.04 g, 17.8 mmol) in 80% aqueous acetic acid (450 ml) was heated at reflux (1000 bath temperature) for 30 min. The solution was then concentrated and co-concentrated with toluene several times to obtain a clear syrup which crystallised upon trituration with diethyl ether: Recrystallisation from diethyl ether and light petroleum (60-80 ) gave pure 34 (11.72 g, 81.7%). M.p. 111.5-112.5 , [&alpha;]24D + 22.9 (c 1.26, CDCl3). NMR data: (CDCl3, TMS): ÚH, # 7.22-7.42 (m, 25H, aromatic), 3.56 (s, 3H, OCH3), 2.53 (broad d, 1H, OH), 2.44 (broad s, iH, OH); the latter two protons were D20-exchangeable. 13C,6 104.7 (C-1'), 102.6 (C-1), 68.7 and 68.3 (C-6 and C-63 and 57.1 (OCH3). Methyl 2, 37 6-tri-O-henzyl-4-0-(2,6-di-O-benzyl-3,6- benzylidene-ss-D-galactopyranosyl)-ss-D-glucopyranoside (35) A solution of 34 (11.5 g, 14.3 mmol) and &alpha;,&alpha;-dimethoxyto luene (10.53 g, 69.3 mmol) in dry tetrahydrofuran (150 ml) containing p-toluenesulphonic acid monohydrate (0.86 g) was stirred at room temperature overnight. The mixture was then neutralised with triethylamine (10 ml) and con centrated. The residual oil was chromatographed (SiO2, isooctane:ethyl acetate 4:1 - 2.5:1) to give the title compound 35 (11.37 g, 89.1t) as an immobile syrup. NMR data: (CDCl3, TMS): # 7.21-7.44 (m, 30H, aromatic), 5.96 (s, 1H, benzylidene) and 3.57 (s, 3H, OCH3). This product contained a trace amount of a slightly faster moving substance (TLC), presumably the isomeric product. The product was, therefore, used in the next step without further purification. Methyl 2,3,6-tri-O-benzyl-4-0-(2,3,6-tri-O-benzyl- S-D- galactopyranosyl)-ss-D-glucopyranoside 36 and methyl 2,3,6-tri-O-benzyl-4-O-(2,4,6-tri-O-benzyl-ss-D-galactopyranosyl)-ss-Dglucopyranoside 37 A solution of the benzylidene acetal 35 (11.37 g, 12.7 mmol) and sodium cyanoborohydride (7.19 g, 114.5 mmol) in dry tetrahydrofuran (170 ml) containing powdered 3A molecular sieves was cooled to 0 . Hydrogen chloride saturated diethyl ether was then added until the solution was acidic (pH paper). After 1 h. t.l.c. (isooctane:ethyl acetate 1:2) showed complete reaction. The reaction mixture was then diluted with ethyl acetate and filtered through a celite pad. The filtrate was washed wth 10% aqueous hydrogen chloride, water, saturated so dium hydrogencarbonate and then stirred with silica gel for 24 h. filtered and then concentrated. The residue was chromatographed ((SiO2, isooctane:ethyl acetate 3:1 - 2:1) to give syrupy 36 (0.90 g, 7,9%), identified as the mono-acetyl derivative 38, [&alpha;]29@ + 19.80 (c 1.10, CHCl3). NMR data: (CDCl3, TMS): ÚH, # 7.16-7.38 (m, 30H, aromatic), 5.56 (d, J3',4 2.2 Hz, H-4), 3.56 (s, 3H, OCH3) and 2.03 (s, 3H, OAc); and syrupy 37 (6.18 g, 54.3%), [&alpha;]27 D + 6.20 ( c 1.3, CHCl3). NMR data (CDC13,TMS): 13C, 6 104.6 (C-1'), 102.6 (C-1), 80.6 (C-3'), 68.2 and 67.6 (C-6 and C-6'), 57.0 (OCH3). Methyl 2,3,6-tri-O-benzyl-4-O-{2,4,6-tri-O-benzyl-3-O-{ 2-acetamido-2-deoxy-3,6-di-O-acetyl-4-O-(2,3,4,6-tetra O-acetyl-ss-D-galactopyranosyl)-ss-D-glucopyranosyl7-ssD- galactopyranosyl}-ss-D-glucopyranoside 38. A mixture of 37 (4.29 g, 3.84 mmol) laktose-oxazoline (Ref. 26,27) (3.97 g, 6.43 mmol), trimethylsilyl triflate (1.40 g, 6.43 mmol) and N,N,N',N'-tetramethylurea (1.11 g, 9.57 mmol) in dry 1,2-dichloroethane (200 ml) was heated under reflux (bath temperature 700) under N2. After 3 h more oxazoline (2.00 g, 3.24 mmol), trimethylsilyl triflate (0.62 g, 2.82 mmol) and tetramethylurea (0.50 g, 4.31 mmol) were added and heating was conti nued for a further 19 h at 600. The reaction mixture was then cooled, diluted with methylene chloride (300 ml) and washed successively with cold, saturated sodium hydrogencarbonate, cold water and dried (Na2SO4). Filtration and solvent removal left a brown syrup which was chromatographed (Si02, toluene:diethyl ether:methanol 14:14:1) to obtain 37 (1.60 g, 37.3%), lactQse oxazoline (1.10 g, 18.4%) and a fraction containing 38 together with some impurities. The latter was rechromatographed (SiO2, isooctane:ethyl acetate 1:2) to give essentially pure 38 (2.50 g) as a clear foam. A chromato graphically homogenous sample hada25 -8 -8.9 (c CHCl3). NMR data: (CDCl3, TMS): ÚH # 7.22-7.43 (m, 30H, aromatic), 5.35 (d, J3''',4'''3.2 Hz, H-4'''), 3.52 (s, 3H, OCH3), 2.15, 2.08, 2.04, 2.02, 1.97, 1.96 and 1.46 (s, 7x3H, 0- and N-Ac); 13C, 6 170.6, 170.4, 170.3, 170.12, 170.07, 169.8, 169.3 (CO), 104.6, 102.5, 102.3, 101.2 (C-1, C-1', C-1'', C-1'''), 62.1, 60.7, (C-6'', C-6'''), 57.0 (OCH3) 53.9 (C-2''), 22.7 (NCOCH3), 20.8, 20.7 and 20.5 (OCOCH3). Methyl 4-O-{3-O-[2-acetamido-2-deoxy-3,6-di-O-acetyl -4-O-(2,3,4,6-tetra-O-acetyl-ss-D-galactopyranosyl) ss-D-glucopyranosyl]-ss-D-galactopyranosyl}-ss-D-galcopyranoside 39 A suspension of 38 (2.50 g) and 10% Pd/C (2.50 g) in a mixture of ethyl acetate (50 ml) and methanol (50 ml) was shaken for 24 h under hydrogen (30 psi) in a Parr apparatus. The catalyst was then removed by filtration through a celite pad and the filtrate was concentrated. The residue was chromatographed (SiO2, chloroform:metha- nol 8:1 - 6:1) to give 39 (1.20 g, 28.8t, from 2 as a foam. [&alpha;]25D-2.2 (c 1.12, CDCl3) and -4.6 (c 0.83, CHCl3). NMR data: (CDCl3 + CD3OD, TMS): H, 6 5.36 (dd, 3.2 Hz, J4''',5''' < 1.0 Hz, H-4'''), 4.70, 4.54, 4.35, 4.25 (4d, each lH, J 8.5, 7.7, 7.9, 7.7 Hz, HI, H1', H1", 3.56 (s, 3H, OCH3), 2.16, 2.12, 2.07, 2.068, 1.98 and 1.94 (s, 7x3H, O- and N-Ac).--C, 103.9 103.7, 101.9, 101.2 (C-1, C-1', C-1'', C-1'''), 62.2, 61.8, 61.4, 60.8 (C-6, C-6', C-6'', C-6'''), 57.2 (OCH3) 54.1 (C-2'') and 22.7 (NCOCH3). Methyl 4-O-{3-O-[2-acetamido-2-deoxy-4-O-(ss-D-galactopyranosyl)-ss-D-glucopyranosyl]-ss-D-galactopyranosyl]-ss-D glucopyranoside 16 A solution of 39 (650 mg) in methanol (40 ml) containing a catalytic amount of sodium methoxide was left at room temperature for 18 h. T.l.c. (ethyl acetate:acetatic acid: water 2:1;1) examination of the precipitated product indi cated incomplete deacetylation. The precipitate was then dissolved in distilled water (15 ml), more sodium metho- xide added and the mixture was left in a refrigerator (70) for 48 h. The mixture was then treated with Duolite C26 H@), filtered and concentrated to a glass which was trea ted with hot aqueous ethanol and the precipitated amorphous product was filtered, redissolved in distilled water, fil tered through a millipore membrane (0.5 m) and freeze dried to give 16 (328 mg, 68%), [&alpha;]27D + 3.8@ (c 0.93, D2O). NMR data: (D2O, TSP): 64.71, 4.49, 4.44, 4.41 (4d, each ill, J 7.6, 7.6, 7.8, 7.9 Hz respectively H1, H1', H1'', H1'''), 3.58 (s,3H OCH3) and 2.04 (s, 3H, N-Ac). 13C, 6 177.7 (CO), 105.9, 105.8, 105.7, 105.6 (C-l, C-1 , C-1'', C-1'''), 63.83, 63.78, 62.8, 62.6 (C-6, C-6', C-6 C-6'''), 60.0 (OCH3), 58.0 (C-2'') and 25.0 (N-Ac). TESTS CONCERNING BACTERIAL BINDING Adherence to epithelium cells. Binding to humane nasopharyngeal epithelium cells was investigated in vitro as previously described (Ref. 3). Bacterial cells (109/ml) and pharyngeal epithelium cells from a hyalthy male donor (104/ml) were mixed, centrifugated at 1500xg for 10 minutes and incubated at 370 C for 30 minutes. After washing twice in 2.5 ml salines for separating epithelium cells from non-adhering bacteria the number of bacteria adhering at 40 epithelium cells were counted and the average number per cell was determined. Haemagglutination. Binding to cells other than epithelium cells can facilitate identification of components taking part in adherence phenomena. Bacteria binding to erythrocytes result in haemagglutination. The ability of adhering pneumococci to agglutinate erythrocytes was investigated. Newly drained citratized blood was washed and 5 % suspensions in saline of humane, bovine, rabbit and guinea pig erythrocytes were prepared. Humane 0-, A-, B-, AB- and umbillical cord blood tests were supplied by the blood back, Sahlgrenska Hospital, Gothenburgh, Sweden. For enzymatic treatment the suspensions were admixed with Papain (Kebo Grave, Stockholm, Sweden) or neuramidase (SIGMA, St. Louis, MO, USA) till a final concentration of 1 mgZml and was rotated at 370C for 30 minutes. After washing twice the suspension was again adjusted to 5 %, Bacterial and erythrocyte suspensions (25 l of each) were admixed on a slide and agglutionation was read visually. Screening in regard to receptor activity of glycoconJugates. The receptor activity of glycoconjugates or isolated or synthetic oligosaccharides was investigated in two principally different ways. 1. Inhibition of binding by excess of free receptor. For inhibition of adhesion the bacterium concentra tion giving an average adhesion value of 20-300 bacteria per cell was determined. This inoculate was then preincubated with dilutions of the solutions of potential receptor activity for 15 minutes at 37 C. Epithelium cells were added and adhesion testing was carried out as described. The adhesion was given in percent of the saline as a control sample. 2. Induction of binding by coating with a receptor. Association of receptor active glycolipids with epithelium cells or erythrocytes can increase binding to epithelium cells already containing the receptor or induce binding of cells which have not previously contained receptor. Rabbit erythrocytes (100 ul of a 5 ffi suspension) were mixed with a neolactotetraosyl ceramide, sialylneolactotetra osylceramide or globotetraosylceramide (5OO ul of suspensions of 200 ugAml) and incubated at 370 for 3 hours with rotation (Ref. 16). After elimination of unbound glycolipid by repeated washing the erythrocyte concentration was again adjusted to 5 % and used for haemagglutination. Parallel to the tests regarding inhibition of adherence the humane nasopharyngeal epithelium cells were pretreated with decreasing concentrations of glycolipid, incubated for 2 hours at 370C, washed and used for testing of adherence. RESULTS The neo-lactose series of glycolipids. The receptor activity of the glycolipids is shown in table II. Pretreatment of the pneumococci with neolactotetraosylceramide inhibited adherence (59% of the saline as a control at 200 pg/ml). Sialylneolactotetraosylceramide showed no effect (table II). Coating of pharyngeal epithelium cells with 200 pg/ml of neolactotetraosylceramide increased adherence (table III), while sialylneolactotetraosylceramide or globotetraosylceramide showed no effect at the same concentration. The structural differences between said compounds is clear from table I. Oligosaccharides. From the natural occurring oligosaccharides tested neolactotetraose and lactotetraose were the best inhibitors with a concentration approximately 400 pg/ml for 50% inhibition of adherence of 109 pneumococci (table III). The octasaccharide from humane urine had no effect. N-acetyl-lactose amine and a-methyl-N-acetyl -lactose amine were inactive wheras ss-methyl-N-acetyl- lactose amine inhibited adherence at a concentration of about 5 mg/ml.A number of synthetic oligosaccharides and derivatives were tested for determining receptor specificity. The results are presented in table IV. The results show that the active receptor function is essentially derived from the disaccharide GlcNAcss1- 3Gal). common to both lacto-N- and lacto-N-neo-tetraos ( see substances 5, 6 and 16 of tables III and IV). GlcNAcssl -+ 4Galss-O-Me was inactive (table IV). In the present disclosure the nomenclature recommended by IUPAC-IUB has been used (Refs. 17 and 18). TABLE I Chemical struoture of characteristio parts of glycoconjugates and saocharides tested with regard to receptor activity. EMI24.1 Main <SEP> compound <SEP> Souroe <SEP> Number <SEP> Chemical <SEP> structure <SEP> of <SEP> characteristic <SEP> saccharide <SEP> part <tb> Glycoconjugate: <tb> Humane <SEP> fibro- <SEP> Human <SEP> 1 <SEP> NeuNAc&alpha;2- <SEP> 4 <SEP> (6) <SEP> Galssl <SEP> - <SEP> 4G1GNAcssl <SEP> - <SEP> 2Man&alpha;l <tb> nectine <SEP> blood <SEP> #6 <SEP> Manssl-4GlcNAcssl <SEP> # <SEP> -4GlcNAc-ASN <tb> <SEP> NeuNAc&alpha;2- <SEP> 4 <SEP> (6) <SEP> GalBl <SEP> - <SEP> 4GlcNAcssl <SEP> - <SEP> 2Man&alpha;l <tb> Neolactotetraosyl <SEP> ceramide <SEP> -"- <SEP> 2 <SEP> Galssl-4GlgNAcssl-3Galssl-4Glc-Cer <tb> Sialylneolactotetraosyl <SEP> ceramide <SEP> -"- <SEP> 3 <SEP> NeuNAc&alpha;2-3Galssl-4GIcNAcssl-3Galssl-4Glc-Cer <tb> Globotetraosylceramide <SEP> -"- <SEP> 4 <SEP> GalNAossl-3Gal&alpha;l-4Galssl-4Glc-Cer <tb> Natural <SEP> oligosaccharides: : <tb> Neolactotetraose <SEP> Human <tb> <SEP> milk <SEP> 5 <SEP> Galssl-4G1lNAcssl-3Galssl-4Glc <tb> Lactotetraose <SEP> -"- <SEP> 6 <SEP> Galssl-3GlcNAcss1-3Galssl-4Glc <tb> "Octasaccharide" <SEP> Human <tb> <SEP> urine <SEP> 7 <SEP> Galssl-4GlcNAcss1-2Man&alpha;l <tb> <SEP> # <SEP> 6 <SEP> Manssl-4GlcNAc <tb> <SEP> Galssl-4GlcNAcss1-2Manssl <SEP> 3 <tb> TABLE I cont. Main compound Source Number Chemical structure of characteristic saccharide part Synthetic oligosaccharides: &alpha;-methyl-N-acetyl- 8 Galssl-4GlcNAc&alpha;-O-Me lactose amine ss-methyl-N-acetyllactose amine 9 Galssl-4GlcNAcssl-O-Me N-acetyllactose amine 10 Galssl-4GlcNAc 11 GlcNAcssl-4Galssl-O-Me 12 GlcNAcssl-3Galssl-O-Me 13 Galssl-4GlcNAcssl-O-Et 14 Galssl-4Glcssl-O-Et 15 Galssl-4GlcNAcssl-3Galssl-O-Me 16 Galss-4GlcNAcssl-3Galssl-4Glc-ss-l-O-Me 17 Galssl-3 GlcNAc-ssl-O-Bz TABLE II Effect of glycoconjugates on adherence of pneumococci to humane pharyngeal epithelium cells. Compound Conc. Inhibition of adherenceÚ Conc. Inorease of adherence ê) ( g/ml) % of control Number ( g/ml) % of control Number of Average Range of tests Average Range tests Fibronectine 100 42 23-50 3 1000 234 - 1 Neolactotetraosylceramide 200 59 22-100 6 200 190 85-244 4 Sialylneolactotetraosyl ceramide 200 100 93-108 3 200 94 65-127 3 Globotetraosyl ceramide - 200 100 - 1 1) The bacteria were preincubated with the glycoconjugates before adding spithelium cells. 2) The epithelium cells were preincubated with glycoconjugates, washed ans used for adherence testing. TABLE III Inhibition of pneumococcal adherence using natural oligo saccharides. Oligosaccharide No. of Conc Adherence Table I (mg/ml) % of control Average Range Number of tests Neolactotetraose 5 10 1 0-2 3 5 0 0-0 4 1 28 14-56 5 0.1 52 36-63 4 Lactotetraose 6 5 4 2-5 3 1 25 14-45 3 0.1 68 55-81 2 "Octasaccharide" 7 5 71 43-116 3 1 62 53-78 3 o.1 141 47-235 2 TABLE IV Inhibition of pneumococcal adherence by using synthetic di- tri- and tetrasaccharides. Glycoside Number of Conc. Adherence table I (mg/ml) ffi of control Average Range Number of tests Gal ss1-4GlcNAc&alpha;1-O-Me 8 10 129 111-146 2 5 98 71-127 2 1 96 - 1 Galssl-4GlcNAcss1-O-Me 9 10 29 26-35 3 5 45 32-53 4 1 96 88-103 2 Galss1-4GlcNAc 10 10 127 12-251 4 5 144 58-335 5 1 95 67-123 2 GlcNAcss1-4Galss-O-Me 11 10 75 57-92 2 5 73 65-81 2 1 72 71-72 2 0,1 65 64-66 2 GlcNAc1-3Galss-O-Me 12 10 4 0-11 3 5 15 0-31 3 1 105 80-136 3 0,1 66 65-66 2 TABLE IV (cont) Glycoside Number of Conc. Adherence Table I (mg/ml) ¯¯¯¯¯¯¯ % of control Average Range Number of tests Galss1-4GlcNAcss1-O-Et 13 10 31 28-34 2 5 38 21-54 2 1 67 59-74 2 Galss1-4Glcss1-O-Et 14 10 63 48-77 2 5 78 69-86 2 1 85 83-87 2 Galss1-4GlcNAcss1-3Gal ssl-O-Me 15 10 2 0-7 3 5 11 0-25 3 1 45 35-70 3 0.1 60 40-75 3 Galgl X 4GlcNAcss1- 16 10 4 1 - 6 2 3Galss1-4 Glc-ss-1-O-Me 5 1 0 - 2 2 1 11 10 -12 2 0.1 104 95 -112 2 Galss1 - 3 GlCNAc-ss1- 17 10 8 2-12 2 O-Bz 5 51 44-58 2 1 86 82-89 2 0.1 88 87-103 2 REFERENCES 1. van de Rijn I., and R.E., Kessler. 1980. Growth characteristics of group A stptococci in a new chemically defined medium. Infect. Immun. 27:444. 2 Andersson B., J. Dahmén, T. Frejd, H. Leffler, G. Magnusson, G. Noori, and C. Svanborg Eden. 1983. identification of an active disaccharide unit of a glycoconjugate receptor for pneumococci attach ing to human pharyngeal epithelial cells. J.Exp. Med. =158:559 3 Andersson B., B. Eriksson, E. Falsen, A. Fogh, L.A. Hanson, O. Nyl6n, H. Peterson, and C. 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Claims: CLAIMS 1. A compound for use in the treatment, profylaxis or diagnosis of bacterial infections caused by pneumococci, characterized thereby that it has the general formula I: EMI34.1 wherein R1 and R2 independently are hydrogen or carbohydrate residue and R3 is hydrorn., lower alkyl or a carbohydrate residue, whereby R3 may constitute the residue of a natural or synthetic glycoconjugate, and wherein R4 is hydrogen and R5 is acetyl or R4 and RS together with the nitrogen atom to which they are attached form a cyclic imide, whereby R1 is other than a galactose residue or derivative thereof. 2. A compound according to claim I, characterized thereby that R1, R2 and R4 all are hydrogen. 3. A compound according to claim 1 or 2, characterized thereby that h is lower alkyl. 4, A compound according to claim 1, 2 or 3, characterized thereby that R4, R5 and said nitrogen atom together form ftalimide. 5. h compound according to claim 1, characterized thereby that is a ssl - 4-Glc-residue. 6. A compound according to any preceding claim for use as an inhibitor of adherence of pneumococci to human pharyngeal epithelial cells. 7. A compound according to any of claims 1-5, characterized thereby that R3 is in ss-configuration. 8. A compound according to any preceding claim, characterized thereby that one of RI and R2 is a galactose residue in ss-configuration. 9. A compound according to claim 3, characterized thereby that R3 is methyl in ss-configuration. 10. A c pound according to any of claims 1-9, characterized thereby that the active constituent is branched and contains at least two structural elements of formula I. 11. A composition for use in the treatment, profylaxis or diagnosis of bacterial infections caused by pneumococci, comprising a compound according to any preceding claim in combination with a pharmaceutically acceptable carrier or diluent. 12. A composition according to claim 11, characterized thereby that it contains a residue of compound I coupled to a macromolecular carrier. 13. A composition according to claim 12, characterized thereby that it contains the said residue covalently coupled to a macromolecular carrier via a coupling arm. 14. A composition according to claim 12 or 13, characterized thereby that as a macromolecular carrier there is used a synthetic or naturally occurring polypeptide, polysaccharide, other polymer or particle. 15. A composition according to any of claims 12-14, characterized thereby that the coupling arm between structural element and macromolecular carrier is constituted by: EMI35.1 - (CH2)n - CO - NH -NH - Mi(CH2)n -CONH - ¯S (2)nS-R - Wherein R is an alkyl or aryl residue, and wherein n may vary from 1 to 20. 16. The process for identification or quantification of the compound of any of claims 1-10 in native biological material from mammals including man, characterized by using in the process antibodies, the generation of which has been induced by using the compound of any of claims 1 - 10 or the composition of any of claims 11 - 15. 17. A process for prrification of acceptor structures of bacteria, characterized by utilising for the purification the affinity between the compound according to any of claims 1 - 10 or the composition according to any of claims 11 - 15 and the said acceptor structures of the bacteria. 18. A process for determining the presence of pneumococci in a sample taken from an animal including man, characterized that by deter mining the degree of interaction between the bacteria of the sample and the ccoipound according to any of claims 1 - 10 or the composition according to any of claims 11 - 15. 19. A process according to claim 18, characterized by determining the interaction by means of inhibition or induction of the adherence of the bacterium to cells or to other surfaces. 20. The compound 21. The compound 22. The compound ss-1-O-Me 23. The compound EMI36.1

Inventors: ANDERSSON, BENGT, LEFFLER, HAKON, MAGNUSSON, GORAN, SVANBORG, EDEN CATHARINA, Magnusson, Göran, Svanborg, Edén Catharina
Applicants: ANDERSSON, BENGT, LEFFLER, HAKON, SVANBORG-EDEN, CATHARINA
Application year: 1984
Main classification: C07H3
IPC codes: G01N33, A61K31, A61P31, C07H3, C12Q1, C07H15