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PDBsum entry 4e3m
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Hydrolase/hydrolase inhibitor
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PDB id
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4e3m
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Proc Natl Acad Sci U S A
109:17448-17453
(2012)
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PubMed id:
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Fragment-guided design of subnanomolar β-lactamase inhibitors active in vivo.
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O.Eidam,
C.Romagnoli,
G.Dalmasso,
S.Barelier,
E.Caselli,
R.Bonnet,
B.K.Shoichet,
F.Prati.
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ABSTRACT
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Fragment-based design was used to guide derivatization of a lead series of
β-lactamase inhibitors that had heretofore resisted optimization for in vivo
activity. X-ray structures of fragments overlaid with the lead suggested new,
unanticipated functionality and points of attachment. Synthesis of three
derivatives improved affinity over 20-fold and improved efficacy in cell
culture. Crystal structures were consistent with the fragment-based design,
enabling further optimization to a K(i) of 50 pM, a 500-fold improvement that
required the synthesis of only six derivatives. One of these, compound 5, was
tested in mice. Whereas cefotaxime alone failed to cure mice infected with
β-lactamase-expressing Escherichia coli, 65% were cleared of infection when
treated with a cefotaxime:5 combination. Fragment complexes offer a path around
design hurdles, even for advanced molecules; the series described here may
provide leads to overcome β-lactamase-based resistance, a key clinical
challenge.
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');
}
}
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