Corallopyronin A: A New antibiotic against worm infections

Patients with river blindness are recruited for a study.

© Achim Hörauf

In 2009, Prof. Achim Hörauf and his team at the University Hospital Bonn discovered that the natural substance Corallopyronin A is effective against filarial worms. Infections with these worms can lead to river blindness and, if left untreated, also to so-called elephantiasis - a dreaded disease in which body parts are greatly enlarged. Scientists at the DZIF are now developing the substance into a drug. Preclinical trials are currently underway; the production process for a high-quality Corallopyronin A according to drug standard (GMP) has been established, and is being assessed for upscaling in a feasibility study.

„I am very glad that through the DZIF we are able to carry out the high international standards of preclinical development in a consortium of academic institutions together with contractors from industry, although this usually takes years.“
Prof. Achim Hörauf
Project leader, University of Bonn

Background

More than 21 million people in Africa are infected with the threadworm Onchocerca volvulus, the parasite that causes river blindness. About one in ten of those affected goes blind. What is needed are active agents that kill the long-lived adult worms. In Corallopyronin A, Achim Hörauf's scientists have found an active ingredient that can do just that. Initially, it does not destroy the worms themselves, but the bacteria that live in the worms as symbionts. However, since the bacteria are necessary for the worms’ survival, they also die in the second step.

In addition to these bacteria in nematodes, the pathogens causing Tsutsugamushi fever, (see publication) including bush typhoid, as well as Chlamydia, have been proven to be sensitive to Corallopyronin A. The scientists see corallopyronins as a promising substance class for the development of antibacterial therapeutics.

Development

Corallopyronin A, which originates from an environmental bacterium, was already identified by scientists at the Helmholtz Centre for Infection Research (HZI) in the 1980s as an effective antibiotic against staphylococci. When Achim Hörauf's team at the University of Bonn then discovered its effectiveness against filariae, which have devastating consequences for those affected, particularly in Africa and other tropical regions, scientists at the DZIF took a closer look at the substance for an application. Translational research is currently in the final phase of preclinical testing of Corallopyronin A.

In collaboration with the HZI, a biotechnological process has already been established to produce the substance in sufficient concentration and purity for toxicity testing (see the two publications from the years 2017 and 2019). A manufacturing company that can produce the antibiotic on a large scale for clinical trials is currently being sought and discussions are ongoing with several international interested parties.

Partners