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Dr. Aziza Abdel Fattah Abdel Mageed Amin :: Publications:

Title:
PROTEASE INHIBITORS FOR TREATING TRICHOMONAS GALLINAE INFECTIONS
Authors: HESS, Michael; BILIC, Ivana; ABDEL-FATTAH ABDEL- MAGEED AMIN, Aziza
Year: 2013
Keywords: Not Available
Journal: World Intellectual Property Organization I International Bureau
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: World Intellectual Property Organization I International Bureau
Local/International: International
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Full paper Not Available
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Abstract:

The present invention relates to the use of protease inhibitors, especially cysteine protease inhibitors. Trichomonas gallinae is a flagellated protozoan parasite which infects a variety of birds all over the world. Avian trichomonosis , caused by T . gallinae, has been reported from several continents as a major disease for numerous avian species of the orders Columbif ormes , Falconif ormes and Psittacif omes . They may infect other avian species as well, like Galliformes and Passerif ormers . The domestic pigeon (Columba livia) is the primary host of this flagellate which has been considered re sponsible for the worldwide spread of T . gallinae. Furthermore, serious losses among wild birds, in particular wild finches, due to T . gallinae were reported recently. T . gallinae colonizes mainly in the upper digestive tract of the birds, where, it can cause granulomatous lesions that occlude the oesophagus lumen, leading to the death of birds as a result of severe starvation. The parasite produces a variety of pathological changes depend ing on the virulence of the strain and the species of bird in fected. Earlier studies with T . gallinae have demonstrated a wide spectrum of virulence among different T . gallinae strains. Accordingly, some T . gallinae strains do not cause clinical signs and can induce certain immunity against a highly virulent one. Virulent strains are able to produce a systemic infection in its host and affect mainly the liver and lung beside the oro pharynx. Pathological changes following experimental infection of a pigeon with a virulent strain of T . gallinae were described in detail in the prior art. Applying molecular technologies genetic differences between T . gallinae strains could be demonstrated in different studies, for example it could be shown that T . gallinae clones 5895-C1/06 and 8855-C3/06 are members of a particular clade (T. gallinae like isolates) belonging to two different subgroups. In contrast clone 231-C1/07 was grouped in a different clade (Trichomonas tenax like isolates) , based on phylogenetic analyses of the two ribosomal RNA internal transcribed spacers (ITS1 and ITS2) and the 5 .8S rRNA gene . In order to assess the virulence of T . gallinae in vivo a suitable system is needed premising a simple working protocol and the protection of animals. Embryonated chicken eggs have been one of the most common substrate for isolation, propagation and characterization of different avian viruses as well as for the production of viral vaccines. Additionally, embryonated eggs have been used to investigate the virulence of various bacteria and fungi . WO 97/05867 A l discloses the treatment of Trichomonas in fections with ditiocarb or disulfiram. WO 00/63350 A2 D2 dis closes a cysteine protease and/ or a nucleic acid encoding a cysteine protease as a vaccine against neurocysticerocosis ; also WO 98/44943 A l discloses a Leishmania vaccine comprising a cys teine protease and/ or a nucleic acid encoding a cysteine prote ase. WO 2008/043180 A l discloses immunostimulatory compositions comprising recombinant BCG Mycobacterium expressing a mammalian cysteine protease. WO 2010/000398 A l discloses the use of nifurtimox for treating diseases caused by Trichomonadida . Iwalewa et al . (J. Ethnopharm. 117 (2008), 507-511) report about antiprotozoan activities of Harungana madagascariensis stem bark ex tract on trichomonads and malaria. Amin et al . (PLoS ONE 7 (2012), e37417) disclose that cysteine peptidases that are se creted by Trichomonas gallinae are involved in the cytopathogenic effects on a permanent chicken liver cell culture. Recently, peptidases are described as synonyms for proteas es, proteinases and peptide hydrolases which are the best known enzymes which catabolize proteins and polypeptides through cleavage of peptide bonds. Cysteine peptidases have been report ed as essential factors in the biology and the pathogenesis of various parasitic diseases. In this context it was reported that cysteine peptidases are involved in degradation of extracellular matrix components such as fibronectin and laminin. Previously, it was demonstrated that liver abscesses produced by Entamoeba histolytica in severe combined immunodef icient (SCID) mice were greatly reduced by preincubation of the trophozoites with the cysteine peptidase inhibitor namely L-3-carboxyl-2 ,3-transepoxysuccinyl- leucylamido (4-guanidino) butane (E-64). Moreover, application of a specific inhibitor to major Trypanosoma cruzi cysteine peptidases (cruzain) was able to protect the infected mice from lethal infection. Recently, cathepsin L-like cysteine peptidases were identi fied as secreted virulence products in a cell-free filtrate of axenic T . gallinae clonal culture. Additionally, it could also be shown that certain peptidase inhibitors are capable to reduce the cytopathogenic effects of T . gallinae in a permanent chicken liver (LMH) cell line. However, evidence that peptidase inhibi tors could significantly decrease the protozoal peptidases of T . gallinae activity in vivo is still lacking. It is therefore an object of the present invention to pro vide suitable means for combatting infections with T . gallinae in birds. Therefore the present invention provides protease inhibi tors for use in the treatment of a Trichomonas gallinae infec tion of an animal, selected from the orders Galliformes, Passeriformes, Psittacif ormes , Columbif ormes and Falconif ormes . With the present invention it is demonstrated that the pro gression of avian trichomonosis is linked with the presence of cysteine peptidases which can be neutralized by co-application of peptidase inhibitors without toxicity to the host. Such pep tidase inhibitors had no direct cytotoxic effect on the viabil ity of the trichomonads . This indicates that the reduction of pathogenicity of T . gallinae in the presence of peptidase inhib itors is due to the inhibition of cysteine peptidase activity rather than a direct effect on the trichomonad cells. The pre sent investigations also show the importance of cysteine pepti dases as drug targets as a strategy for chemotherapy. The present invention is based on the surprising fact that the protease inhibitors are successful in preventing or reducing the pathogenic effects of T . gallinae after oral administration to the animals. Although proteases have been suggested for com batting parasitic diseases for more than 2 0 years (e.g. Rosen thal et al., J . Clin. Invest. 82 (1988), 1560-1566), no success ful application of this concept has yet made its way to applied medicine, neither in humans nor in animals. This might also be due to the different nature and protease strategy such pathogens have with respect to their host. The fact that the strategy of the present invention can be successfully applied for combatting T . gallinae caused patho genicity stands in contrast to recently published results that the haemolytic activity of T . gallinae does not correspond with clinical virulence (Gerhold et al ., Vet. Parasitol. 160 (2009), 221-224). The successful administration of protease inhibitors according to the present invention shows that those results do not necessarily exclude combatting clinical virulence of T . gal linae, although the results according to the present invention could not have been predicted on the basis of e.g. Gerhold et al .. For example, it was also surprising that T . gallinae, in contrast to the closely related Tetratrichomonas gallinarum (Ma lik et al., PLoS ONE 6(2011): e20774) indeed induces distinctive cytopathogenic effects in tissue cultures. Preferably, the protease inhibitors according to the pre sent invention are protease inhibitors selected from cysteine protease inhibitors and serine protease inhibitors, especially cysteine protease inhibitors. Proteases are enzymes that degrade polypeptides. Cysteine proteases have a common catalytic mechanism that involves a nucleophilic cysteine thiol in a catalytic dyad. The first step is deprotonation of a thiol in the enzyme's active site by an adjacent amino acid with a basic side chain, usually a histidine residue. The next step is nucleophilic attack by the deprotonated cysteine's anionic sulfur on the substrate carbonyl carbon. In this step, a fragment of the substrate is released with an amine terminus, the histidine residue in the protease is restored to its deprotonated form, and a thioester intermediate linking the new carboxy-terminus of the substrate to the cyste ine thiol is formed. Therefore they are also sometimes referred to as thiol proteases. The thioester bond is subsequently hydrolysed to generate a carboxylic acid moiety on the remaining sub strate fragment, while regenerating the free enzyme. Serine proteases are enzymes that cleave peptide bonds in proteins, in which serine serves as the nucleophilic amino acid at the active site. Serine proteases fall into two broad catego ries based on their structure: chymotrypsin-like (trypsin-like) or subtilisin-like . The main player in the catalytic mechanism in the serine proteases is the catalytic triad. The triad is lo cated in the active site of the enzyme, where catalysis occurs, and is preserved in all serine protease enzymes. The triad is a coordinated structure consisting of three essential amino acids: histidine, serine ("serine protease") and aspartic acid. Located very near one another near the heart of the enzyme, these three key amino acids each play an essential role in the cleaving ability of the proteases. In the event of catalysis, an ordered mechanism occurs in which several intermediates are generated. The catalysis of the peptide cleavage can be seen as a Ping-Pong catalysis, in which a substrate binds (in this case, the poly peptide being cleaved) , a product is released (the N-terminus "half" of the peptide) , another substrate binds (in this case, water) , and another product is released (the C-terminus "half" of the peptide) . Inhibitors to proteases are known to the person skilled in the art. In fact, numerous protease inhibitors with specificity to e.g. serine proteases or cysteine proteases are available. The terms "serine proteases" or "cysteine proteases" and "protease inhibitors", especially "serine protease inhibitors" and "cysteine protease inhibitors" are therefore accepted prod uct classes in the present field. The compounds showing the de sired serine or cysteine protease functionality (or the inhibi tion of this specific enzymatic activity) are part of the common general knowledge and this functionality is accepted in the pri or art to have a clear technical meaning. The functionality can be verified using tests or procedures adequately specified in the prior art and widely known to the skilled person. The nature of a compound being a serine or cysteine protease inhibitor is therefore known to a person skilled in the art (see also the prior art cited herein) or can easily be defined by standard en zymatic inhibition assays (e.g. the assays for testing cysteine or serine inhibiting function disclosed in the prior art docu ments as cited herein) . Such tests can therefore be performed as routing methods and do not require undue experimentation. A s al so disclosed herein, the present invention unambiguously shows that this functional activity is essential for the solution of the technical problem underlying the present invention, regard less of the structure of the compounds. It is known to a person skilled in the art that not only the term "protease inhibitors" as such is directed to a clearly defined class of compounds, this holds specifically true for "cysteine protease inhibitors" as well as for "serine protease inhibitors" . According to a preferred embodiment of the present inven tion, the protease inhibitors are cysteine protease inhibitors selected from the group consisting of E-64 (trans-Epoxysuccinyl- L-leucylamido (4-guanidino) butane) , L-trans-3-Carboxyoxiran-2- carbonyl-L-leucylagmatine, N- (trans-Epoxysuccinyl) -L-leucine 4- guanidinobutylamide) , TLCK (tosyl-L-lysine chloromethyl ketone) , TPCK (tosyl-L-phenylalanine chloromethyl ketone) , or mixtures thereof . A group of preferred cysteine protease inhibitors is the group of cathepsin L inhibitors, such as thiochromanone thiosemicarbazone analogs 6-bromo-TST, acetyl-leu-leu-norleucinol , NPI-8343, NPI-8344, NPI-2349, NPI-2019, NPI-3485 and NPI-3469, epoxysuccinyl acid derivatives containing aziridine-2 ,3- dicarboxylic acid as the electrophilic alpha-amino acid, inhibi tors as disclosed in JP-00987265 A , FEBS Lett. 458 (1999), 6-10, EP 0 0611 756 A , and Antibiotics 51 (1998), 629-634; 3-(N-(l-(N- (4-aminobutyl) N- (3-aminopropyl ) carbamoyl) 2- (4-hydroxyphenyl) ethyl) carbamoyl) oxirane 2-carboxylic acid, WF-14685A and WF- 14865B. Examples are also given in Fig. 9 . Cysteine protease inhibitors and various suitable tests and procedures for easily observing such cysteine protease inhibit ing function are also (among many other documents) disclosed in WO 99/53039 Al, WO 02/076939 A2, WO 2003/097664 A2, WO 2005/003150 A2, WO 2006/091610 A2, WO 2007/012180 Al, WO 2007/041775 Al, WO 2009/067797 Al, WO 2010/025314 A2 (especially paragraphs [0056] to [0063]), WO 2010/033658 A2 (especially par agraphs [0036] to [0045]), WO 2010/054042 A2, WO 94/06280 Al, WO 95/23229 A l and Rosenthal et al ., J.Clin. Invest 82 (1988), 1560-1566) . Cysteine protease inhibitors, including their func tionality and mechanistic properties are also reviewed by Otto et al. (Chem. Rev. 97 (1997), 133-171, especially 147-164), e.g. peptidyl-aldehydes , such as leupeptins, chymostatins , antipain, elastinal and b-MARI (b-microbial alkaline protease inhibitor); peptidyl-semicarbazones , such as Z-Arg-Ile-Phe-Sc, Z-Ile-Phe-Sc, Z-Phe-Gly-Sc and Z-Gly-Phe-Gly-Sc; peptidyl-methyl ketones and - trif luormethyl ketones, such as Z-Phe-Ala-CH 3, Z-Phe-Ala-CF 3, Ac-Phe-Gly-CH 3, Z-Phe-CH 3, Bz-Phe-CHF 2, Bz-Phe-CF 3, Z-Val-Phe-CF 3 and Z-Val-D-Phe-CF 3; peptidyl-a-keto acids, - - eto esters, -aketo amides and -diketones, such as Bz-Phe-COOMe, Z-Phe-COOEt, Z-Phe-COCH 3, Z-Val-Phe-COOMe, Z-Val-Phe-COCH 3, Z-Phe-Gly-COOH, Z-Phe-Gly-COOCH 3, Ac-Phe-Gly-COOCH 3, Ac-Phe-Gly-COCH 3, Z-Phe-Gly- CONHEt, Z-Phe-Gly-CO-LeuOMe, Z-Phe-Gly-COOn-But , Z-Gly-Phe-Gly- COOn-But, Z-Phe-Gly-C0 2CH2C02Et, Z-Phe-Gly-C0 2 (CH2)3C02Me, Z-Leu- Phe-CONH, Z-Leu-a-aminodimethylacetic acid-CONH 2, Z-Leu-Phe- CONHR, Z-Leu-a-aminodimethylacetic acid-CONHR, Z-Leu-Phe-CONEt 2, Z-Leu-a-aminodimethylacetic acid -CONR 2, Z-Leu-Phe-COOH, Z-Leua- aminodimethylacetic acid-COOH, Z-Leu-Phe-COOEt , Z-Leu-aaminodimethylacetic acid-COOR, Z-Leu-nLeu-COOEt , Z-Leu-Met- COOEt, Z-Leu-a-aminodimethylacetic acid-CO-NHEt-S0 2Et, (CH3)2NCO- Leu-a-aminodimethylacetic acid-CONHEt and morpholino-CO-Leua- aminodimethylacetic acid-CONHEte ; peptidyl-nitriles , such as Z-NH-CH (CH2OH) -CN, Ac-NH-CH 2-CN, Bz-NH-CH 2-CN, Ac-Phe-NH-CH 2-CN, CH3-0-CO-Phe-NH-CH 2-CN, Ac-Phe-NH-CH (i-But) -CN, Gly-NH-CH (CH2PH) - CN, Ac-NH-CH 2-CSNH 2, Bz-NH-CH2-CSNH 2 and CH3-0-CO-Phe-NHCH 2- CSNH 2; peptidyl-halomethyl ketones, such as TLCK, Z-Phe-Phe- CH2C1, Z-Phe-Phe-CH 2F , Z-Phe-Ala-CH 2C1, Z-Phe-Ala-CH 2F , Z-Leu- Tyr-CH 2F , Z-Ala-Phe-CH 2F , Z-Leu-Leu-Tyr-CH 2F , Z-Tyr-Ala-CH 2F , ZLeu- Leu-Phe-CH 2C1, Pro-Phe-Arg-CH 2Cl, Leu-Leu-Phe-CH 2C1, Leu-Leu- Lys-CH 2C1, Ala-Phe-Lys-CH 2C1, Ala-Phe-Lys-CH 2F , Z-Leu-Gly-CH 2C1, Z-Leu-Gly-CH 2Br, Z-Leu-Ala-CH 2C1 and Z-Leu-Phe-CH 2C1; peptidyldiazomethanes, such as Z-Phe-Ala-CHN 2, Z-Phe-Thr (OBzl )-CHN 2 ZAla- Ala-Pro-CHN 2, Z-Gly-Pro-CHN 2, Z-Lys-CHN 2, Z-Ala-Phe-Ala-CHN 2, Z-Pyrod-Glu-CHN 2, Pyro-CHN 2, Z-Leu-Val-Gly-CHN 2, Z-Phe-Tyr (O-t- But)-CHN 2, Ser (OBzl) -CHN 2, Gly-Phe-CHN 2, Z-Leu-Leu-Tyr-CHN 2 and Z-Tyr (I)-Ala-CHN 2; pept idylacyloxymethyl ketones, such as Z-Phe- Ala-CH 2-0-CO- (2, 6- (CF3)2)-Ph, Z-Phe-Ala-CH 2-0-CO- (2,5- (CF3)2)-Ph, Z-Phe-Ala-CH 2-0-CO- (2, 6-Me 2-4-COOMe) -Ph, Z-Phe-Ala-CH 2-0-CO-4- N02-Ph, Z-Phe-Ala-CH 2-0-CO- (2, , 6-Me 3)-Ph, Z-Phe-Ala-CH 2-0-COCMe 3, Z-Phe-Ala-CH 2-0-C 6F5, Z-Phe-Lys-CH 2-0-CO- (2 ,6- (CF3)2)-Ph, ZPhe- Lys-CH 2-0-CO- (2,4, 6-Me 3)-Ph, Z-Phe-Ser (OBzl) -CH2-0-CO- (2, 6- (CF3)2)-Ph, Z-Phe-Cys (SBzl) -CH2-0-CO- (2, 6- (CF3)2)-Ph, Z-Leu-Leu- CH2-0-CO- (2, 6- (CF3)2)-Ph, Z-Val-Phe-CH 2-0-CO- (2, 6- (CF3)2)-Ph, ZLeu- Leu-Phe-CH 2-0-CO- (2, 6- (CF3)2)-Ph, Z-Asp-CH 2-0-CO- (2, 6-Cl 2- Ph) , Z-Val-Asp-CH 2-0-CO- (2, 6-Cl 2-Ph) , Z-Val-Ala-Asp-CH 2-0-CO- (2,6-Cl 2-Ph) and Z-Glu-CH 2-0-CO- (2 ,6-Cl 2-Ph) ; peptidylmethlysulf onium salts, such as (CH3)3-S+, Z-Phe-CH 2-S+- (Me) 2, ZPhe- CH 2-S+- (Me) (Bzl) , Z-Phe-CH 2-S+- (Et )2 Z-Phe-Ala-CH 2-S+- (Me) 2, Z-Phe-Lys-CH 2-S - (Me) 2, Z-Phe-Lys-CH 2-S - (Me) (Bzl) , Z-Lys-CH 2-S - (Me) 2, Ala-Lys-Lys-CH 2-S+- (Me) 2 , Ala-Lys-Arg-CH 2-S+- (Me) 2, Ala- Arg-Lys-CH 2-S+- (Me) 2, Ala-Arg-Arg-CH 2-S+- (Me) 2, Bz-Phe-Arg-CH 2-S+- (Me) 2 and Z-Leu-Leu-Phe-CH 2-S+- (Me) 2 eposuccinyl peptides, such as E-64, E-64 D , Ep 459 (E-64a; HO-Eps-Leu-NH- (CH2) -NH 2), Ep 460 (E-64aZ; HO-Eps-Leu-NH- (CH2)4-NH-Z) , Ep 459-Ac, Ep 479 (HO-Eps- Leu-NH- (CH2)7-NH2 ) , Ep 174 (HO-Eps-Leu) , Eps (Eps=2 (S),3 (S)- transepoxysuccinate) LeuOBzlb, Ep 47 LL, (E-64c) LD, DL, DD, Ep 420 (Bzl-DL-Eps-Ile-TyrOMe) , Ep 429 (E-64b; HO-Eps-Leu-Leu) , EpsLeuProOBzl, EtO-EpsLeuProOBzl , i-ButNH-EpsLeuProOBzl , EpsLeuPro, Et-EpsLeuPro, i-ButNH-EpsLeuPro, EpsPheOBzl, EpsArgOBzl, EpsIleOBzl, EpsPheNBzl, EpsLeuNBzl, E-64, E-64c, E-64d, CA-074 (nPr-NH-Eps-Ile-Pro) , CA-028 (HO-Eps-Ile-Pro) , CA-030 (Et-OEps-Ile-Pro) , CA-030-OMe, EtO-Eps-Pro-Pro, EtO-Eps-Thr-Ile, EtO-Eps-Ile-Ala, EtO-Eps-Gly-Pro, HO-Eps-Leu-OEt , HO-Eps-Leu- OBzl, Bzl-O-Eps-Leu-OEt, Ho-Eps-Ile-OBzl, HO-Eps-Phe-OEt , HOEps- Orn (Z) -OEt, HO-Eps-Arg (N02)-OMe, HO-Eps-Arg-OMe, HO-Eps-Arg and HO-Eps-Lys (Z)-OBzl ; unsaturated derivatives using the M i chael system, such as DC-11, Fum (Fum=EtOOCCH=CH-CO trans) -Phe- OBzl Fum-Ile-NH-nBu, Fum-Ile-Pro-OBzl, N-ethylmaleimide, N - butylmaleimide, N-hexylmaleimide, N-decylmaleimide, Ac-Phe-NHCH2- CH=CH-COOMe, Ac-Phe-NH-CH2-CH=CH, Gly-NH-CH (Bzl )-X (X=CH=CHCOOMe trans), Gly-NH-CH (Bzl )-Y (Y= CH=CHS0 2Me trans), Ac-NH-CH (Bzl) -X, Ac-NH-CH (Bzl )-Y, NH2-CH (Bzl) -X, NH2-CH (Bzl) -Y and Mu (morpholine urea) -Phe-Hphe (homophenylalanine) VsPh (vinylsulf onyl )benzene CH=CHS0 2Phe ) ; disulfides, azapeptides, azobenzenes, O-acylhydroxamates , lysosomotropic bases, such as ammonium chloride, methylamine, tributylamine, nigericin, gramicidin and chloroquine ; calmodulin antagonists, aziridines and thiiranes, 1 , 3 ,2-dioxathiolane dioxide derivatives, Ac-Gly-Phe-Nle-OH, Ac-Gly-Phe-Nle-OS0 2-CH 3, aspartyl R-[(lphenyl- 3- (trif luoromethyl) pyrazol-5-yl] -oxy] methyl ketones and aspartyl R- [(diphenylphosphinyl )oxy ]-methyl ketones. A further group of preferred cysteine protease inhibitors is the group 1-Naphthalenesulf onyl-Ile-Trp-CHO (1), or [(3S) -3- [[(2S) -4-me thy 1-2- (10H-phenothiazine-2-carbonylamino) pen tanoyl] amino] oxolan-2-yl] (BN 82270 (and BN 82204)) (2), Z-Phe- Tyr (OtBu) -COCHO · H20 (3), tert-butyl N - [(2S) -1- [2- [2- (2- ethylanilino) -2- oxoethyl] sulf anylcarbonylhydrazinyl ]-3- (1Hindol- 3-yl) -l-oxopropan-2-yl ]carbamate and N_-[(S)-2- tertbutoxycarbonylamino-3- (lH-indol-3-yl) -propionyl] -hydrazine carboxylic acid 2- (3, 4-dihydro-2H-quinolin-l-yl) -2-oxo-ethyl es ter (4), N-Acetyl-L-leucyl-L-leucyl-L-methional (5), (2S,3S)- oxirane-2 ,3-dicarboxylic acid 2- [((S) -l-benzylcarbamoyl-2- phenyl-ethyl )-amide] 3-{ [2- (4-hydroxy-phenyl) -ethyl] -amide} (6) , [N- (4-Biphenylacetyl) -S-methylcysteine- (D) -Arg-Phe- b- phenethylamide (7), 1-Naphthalenesulf onyl-Ile-Trp-CHO (8), ZPhe- Tyr (t-Bu) -diazomethylketone (9) and acetyl-leu-leunorleucinol (10) . This group is characterised by a strong inhib itory capacity on cysteine proteases (IC5o = 1.9 mM (1); calpain and cell death inhibition in C 6 glial cells (IC50) of 13.34 and 15.5 mM (2); Ki = 600, exhibits over 360-fold greater selectivi ty for cathepsin L compared to cathepsin B (Ki = 214 nM) (3) ; IC50 of 1.0 nM and 0,4 nM (4); very potent inhibitor of cathep sin L (K = 0.6 nM) and the strongest inhibitor of cathepsin B (K = 100 nM) (5) ; inhibits rat liver cathepsin L with IC 50 val ues of 1.9 nM (6); inhibitor of human recombinant cathepsin-L (Ki = 19 nM) (7); inhibitor of cathepsin L (IC50 = 1.9 nM) (8); about 10.000-fold more effective against cathepsin L than ca thepsin S (9) ). Besides the inhibitors mentioned above, the present inven tion can also apply structural alternatives (variants) of the substances mentioned above, e.g. derivates, conjugates and iso mers of such substances which preserve the general structure and the general inhibitory capacity of the molecule, but slightly deviates in structure. For example, (1) and suitable alterna tives for (1) are disclosed in WO 1996/016079 A2 and EP 0 611 756 A2 (especially the compounds of and claims 1 and 14 of the EP 0 611 756 B l document); (2) and suitable alternatives for (2) (BN 82270 and BN 82204) are disclosed in Auvin et al ., Bioorg. Med. Chem. Lett. 14 (2004), 3825-3828; (3) and suitable alterna tives for (3) are disclosed in Lynas et al ., Bioorg. Med. Chem. Lett. 10 (2000), 1771-1773; (4) and suitable alternatives for (4) are disclosed in WO 2009/136997 A2) . Administration amounts are typically dependent on the indi vidual inhibitory capacity of each inhibitor and its toxicity. Preferred administration dosages for the inhibitors are in the mg range, such as 1 to 1000 mg/kg bodyweight /day, preferably 5 to 500 mg/kg bodyweight /day, especially 10 to 100 mg/kg bodyweight /day . Cysteine protease inhibitors have been specifically effec tive in the present invention, especially for combatting T . gallinae pathogenicity in preferred avian species. This has been confirmed within the course of the present invention by using chicken embryos, as a disease model. Accordingly, it is pre ferred to use the protease inhibitors according to the present invention in the treatment of a T . gallinae infection of an an imal, selected from a species belonging to the orders Galliformes, Columbif ormes , Psittacif ormes or Passerif ormes , espe cially Columba livia, Melopsittacus undulates, Serinus canaria forma domestica, or Falco spp ..

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