Abstract:
The invention is directed to the use of tilmicosin and other compounds of U.S. Pat. No. 4,820,695 for the treatment of viral infection in swine.

Description:
CROSS REFERENCE 
     This application claims priority of Provisional Application Ser. No. 60/076,466, filed Mar. 2, 1998. 
    
    
     BACKGROUND OF THE INVENTION 
     U.S. Pat. No. 4,820,695 describes certain macrolide antibiotics. Using the description of U.S. Pat. No. 4,820,695, such a compound may be described as a compound of formula I: ##STR1## wherein R is a saturated or unsaturated secondary amino group of the formula ##STR2## in which the nitrogen atom is part of an otherwise carbocyclic ring system selected from a monocyclic ring containing from 5 to 16 ring atoms or a bicyclic or tricyclic ring system containing from 8 to 20 ring atoms or such a group wherein one or more of the carbon atoms is substituted by C 1  -C 4  alkyl, C 2  -C 4  alkenyl, C 1  -C 3  alkoxy, C 1  -C 4  alkoxycarbonyl, hydroxyl, C 1  -C 4  alkanoyloxy, halo, halo-C 1  -C 4  alkyl, --N(C 1  -C 4  alkyl) 2 , --N(CH 2 ) m , ##STR3## cyano, ethylenedioxy, benzyl, phenyl, or phenyl substituted by from 1 to 3 substituent--substituents selected from nitro, halo, C 1  -C 4  -alkyl, C 1  -C 4  alkoxy, hydroxy, amino, or mono- or di-(C 1  -C 4  alkyl) amino; 
     m is an integer from 4 through 7; 
     R 1  is ##STR4## R 2  is hydrogen; C 1  -C 5  -alkanoyl or C 1  -C 5  -alkanoyl having from one to three halo substituents; benzoyl, phenylacetyl or phenylprionyl or benzoyl, phenylacetyl or phenylpropionyl having from one to five halo or methyl or from one to two methoxyl, nitro or hydroxyl substituents; 
     R 3  is hydroxy; C 1  -C 5  alkanoyloxy; C 1  -C 5  -alkanoyloxy having from one to three halo substituents; benzoyloxy, phenylacetoxy or phenoxyacetoxy or benzoyloxy, phenylacetoxy or phenoxyacetoxy having from one to five halo or methyl or from one to two methoxyl, nitro or hydroxyl substituents; or ##STR5## or an acid addition salt thereof. 
     A particularly useful formula I compound is one wherein R is ##STR6## R 1  is an (a) group, R 2  is H and R 3  is hydroxy. It is known by the non-proprietary name tilmicosin, assigned by USAN, the United States Adopted Names organization. It has the following structural formula: ##STR7## 
     BRIEF SUMMARY OF THE INVENTION 
     It has now been discovered, and this is an aspect of the present invention, that a compound of formula I, and tilmicosin in particular, can be used to control certain virus infections in swine. A compound of formula I may be used as such or in the form of a physiologically acceptable salt. 
     Known viruses which are pathogenic in mammal species are of large numbers; but there are a few which present a most severe challenge to the swine industry, including Swine Infertility and Respiratory Syndrome Virus (SIRSV), also known as Porcine Respiratory and Reproductive Syndrome Virus (PRRSV), referred to hereafter as SIRSV; Lelystad Virus, as seen in European swine populations; and a rare disease, Swine Abortion Mortality Syndrome Virus, referred to hereafter as SAMSV, thought to be a variant of SIRSV. 
     Swine Infertility and Respiratory Syndrome was first described in the United States in 1987. The condition was characterized by abortion, premature farrowing, stillborn pigs, and respiratory disease with death loss and chronic poor performance of nursing and weaned pigs. The severity of clinical signs in a herd depends on many factors including stress, concurrent disease, herd management, and virulence of the specific SIRSV strain. The virus can infect swine at any stage of life; as a nursery pig, finishing pig, boar, or breeding female. The history of the condition indicates that it appeared in Europe at about the same time as in the U.S. The European clinical signs are also caused by a strain of an arterivirus, commonly known as the Lelystad virus. 
     The primary transmission of SIRSV is from animal to animal. Pigs infected with SIRSV shed the virus primarily in oral-nasal secretions. Virus can also be shed in urine and feces. When infected, boars can shed SIRSV in semen and can transmit the virus to susceptible females. Reproductive failure of breeding females, such as abortion, still-births, and weakborn pigs, can persist for 2-3 months within a herd. The herds may have recurrent episodes of clinical signs. Studies indicate that boars initially infected with SIRSV may shed virus in semen for about 35 days, nursery pigs infected with SIRSV may shed for 2-3 months, and pigs infected in utero may shed virus for at least six months after birth. 
     Swine Infertility and Respiratory Syndrome and Swine Abortion Mortality Syndrome differ in clinical symptoms in that SAMSV-infected swine also exhibit higher abortion rates in all stages of gestation and sow death, in addition to the SIRSV clinical symptoms. 
     DETAILED DESCRIPTION OF THE INVENTION 
     The present invention provides a veterinary formulation adapted for inhibiting proliferation of a virus in swine, comprising a compound of formula I, or a physiologically acceptable salt thereof, and a physiologically acceptable carrier. It also provides a method of inhibiting virus proliferation in a swine in need of treatment comprising administering to the swine an effective amount of a compound of formula I or a physiologically acceptable salt thereof. 
     The term &#34;inhibiting virus proliferation&#34; means preventing the growth or replication and in vivo spread of the virus. The term &#34;in need of treatment&#34; means a swine that is infected by, or has been exposed to, SIRSV, Lelystad virus, or SAMSV. A preferred compound of formula I for use in this invention is tilmicosin, or a physiologically acceptable acid addition salt thereof. A more preferred formula I compound for use in this invention is tilmicosin phosphate. 
     The term &#34;effective amount&#34; means an amount of formula I compound that is capable of inhibiting SIRSV, Lelystad virus, or SAMSV proliferation in swine. The present veterinary formulations and methods may be used for therapeutic and/or prophylactic treatment, as required. Generally, the specific dose of compound administered to obtain a therapeutic and/or prophylactic effect is not critical. For example, the dose will vary with the compound administered, the identity of the species, the route of administration, and other factors known to those in the field. When the compound is administered via a feed, an effective amount will vary with such particulars as the species, the age, and rate of consumption; however, concentrations in the diet of from about 1 to 4000 ppm will generally provide an effective amount of the compound as a daily dosage. In many situations, diet concentrations in the range of from 100 to 500 ppm will provide efficacy. The compound may also be administered via drinking water at concentrations of about 100 to 300 mg/L. 
     The veterinary formulations of this invention can be administered by a variety of routes, including oral, rectal, transdermal, subcutaneous, intravenous, intramuscular, and intranasal. A preferred veterinary formulation adapted for inhibiting proliferation of a virus in swine comprises an effective amount of a formula I compound and a standard swine ration. This formulation is particularly useful in controlling SIRSV, Lelystad virus, or SAMSV, which are transmitted from one swine to the next. 
     The veterinary formulations of this invention are prepared by known procedures, using available ingredients. The formula I compound is typically formulated with one or more physiologically acceptable carriers, such as normal feed components, carriers for injection, and the like. 
    
    
     The following examples are illustrative and are not intended to limit the scope of the invention in any way. 
     EXAMPLE 1 
     Tilmicosin Feed Additive Formulations 
     
         ______________________________________Formulation I  Tilmicosin Premix, 200 g/kg   Ingredient   Wt. (g)______________________________________Tilmicosin Activity            200  Ground Corn Cobs 684______________________________________ 
    
     
         ______________________________________Formulation II  Tilmicosin Premix, 100 g/kg Ingredient       Percent (%)______________________________________Tilmicosin Premix, 200 g/kg              50  Rice Hulls 47  Soybean Oil Refined 3______________________________________ 
    
     EXAMPLE 2 
     In Vivo and in Vitro Effect of Tilmicosin on SIRSV in Swine 
     Experimental Design 
     Thirty conventional 8 week-old pigs shown to be SIRSV-free were randomly allocated into four separate groups and treated as follows: 
     1. 200 ppm of tilmicosin; SIRSV-infected (200, inf) 
     2. 400 ppm of tilmicosin; SIRSV-infected (400, inf) 
     3. no treatment; SIRSV-infected (virus) 
     4. no treatment; no infection (control) 
     Pigs were treated with either 200 or 400 ppm tilmicosin for 7 days prior to exposure with SIRSV. Treatment was continued after infection. Infected pigs were experimentally infected with the SIRSV isolate VR-2332. Pigs from groups 1, 2, and 3 were infected intranasally with 10 5  TCID 50  of the VR-2332 strain of SIRSV, and the pigs from group 4 were left as uninfected controls. The pigs were monitored daily for changes in clinical parameters, body temperature, clinical score of signs, rate of food consumption, and rate of body weight gain. Pigs were euthanized after 14 or 16 days of infection. Blood samples were collected at day 0, 2, 5, 7, 10, 12, and 14 after inoculation. The blood samples were tested for virus isolation (i.e. presence and quantity). Quantity of virus in the blood was determined by a quantitative PCR assay. Virus distribution in tissues was determined by immunocytochemistry and in situ hybridization using virus specific antibodies and probes. 
     The endpoints for the experiments were the clinical signs, gross and microscopic lesions, viremia, and distribution of virus in infected animals. 
     Data Analysis 
     Comparisons were made within animals over time, between animals over the same group, and between groups. For comparison of means of two groups, statistical significance was assessed by Student&#39;s test. For comparison of data involving multiple groups, analysis of variance was performed using Systat, a Statistical Analysis System (SAS) package. Significance was always defined as p&lt;0.05. 
     Results 
     The following grid outlines the effects of tilmicosin on SIRSV replication in porcine alveolar macrophage. It compares progeny viral yield of alveolar macrophage treated with: 
     0 μg/mL tilmicosin=A 
     0.1 μg/mL tilmicosin=B 
     1.0 μg/mL tilmicosin=C 
     10 μg/mL tilmicosin=D 
     
         ______________________________________SIRSV Multiplicity of Infection of  0.1               1.0     10.0______________________________________A &gt; B           A &gt; B   A &gt; B  B &gt; C B &gt; C B &gt; C  C &gt; D C &gt; D C &gt; D  D = 0 D = 0 D = 0______________________________________ 
    
     Thus, tilmicosin inhibited in vitro replication of the SIRSV virus in alveolar macrophage at all dosages, and completely stopped viral replication at the 10 μg/mL dosage. 
     Comparison between groups of mean weight gains: 
     
         ______________________________________Day 2         Day 7         Day 14______________________________________control &gt; virus         control &gt; virus                       control &gt; virus  control &lt; 400, inf control &lt; 400, inf control &lt; 400, inf  control &lt; 200, inf control &lt; 200, inf control &lt; 200, inf  virus &lt; 400, inf virus &lt; 400, inf virus &lt; 400, inf  virus &lt; 200, inf virus &lt; 200, inf virus &lt; 200, inf  400, inf &gt; 200, inf 400, inf &gt; 200, inf 400, inf &gt; 200, inf______________________________________ 
    
     When comparing means, all infected pigs treated with 440 ppm of tilmicosin gained more weight than the untreated, infected pigs. All infected pigs treated with 200 ppm tilmicosin fared no worse in weight gain than the untreated, infected pigs. 
     The following grid summarizes the effect of tilmicosin in SIRSV infection, as measured by comparing white blood cell counts from lung lavage: 
     
         ______________________________________White Blood Cell Counts______________________________________control &lt; virus  control &lt; 400, inf  control &lt; 200, inf  virus &gt; 400, inf  virus &gt; 200, inf  400, inf &gt; 200, inf______________________________________ 
    
     When comparing means, all infected pigs treated with tilmicosin had a lower white blood cell count from lung lavage than the untreated, infected pigs. 
     The effect of tilmicosin on SIRSV-induced pathology was measured by comparing severity scores of lymph node (LN) hypertrophy: 
     
         ______________________________________Mandibular LN       Tracheobronchial LN                      Mediastinal LN______________________________________control &lt; virus       control &lt; virus                      control &lt; virus  control &lt; 400, inf control &lt; 400, inf control &lt; 400, inf  control &lt; 200, inf control &lt; 200, inf control &lt; 200, inf  virus &lt; 400, inf virus &lt; 400, inf virus &lt; 400, inf  virus &lt; 200, inf virus &lt; 200, inf virus &lt; 200, inf  400, inf &lt; 200, inf 400, inf &lt; 200, inf 400, inf &lt; 200, inf______________________________________ 
    
     When comparing means, all infected pigs treated with 400 ppm or 200 ppm of tilmicosin had less severe lymph node hypertrophy than the untreated, infected pigs. 
     The effect of tilmicosin on SIRSV-induced pathology was also measured by comparing severity scores of lung lesions: 
     
         ______________________________________Lung Lesion Severity Scores______________________________________control &lt; virus  control &lt; 400, inf  control &lt; 200, inf  virus &gt; 400, inf  virus &gt; 200, inf  400, inf &lt; 200, inf______________________________________ 
    
     When comparing means, all infected pigs treated with 400 ppm or 200 ppm of tilmicosin had less severe lung lesions than the untreated, infected pigs.