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PDBsum entry 6b1f
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Hydrolase/hydrolase inhibitor
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PDB id
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6b1f
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DOI no:
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J Med Chem
61:4067-4086
(2018)
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PubMed id:
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Strategic Approaches to Overcome Resistance against Gram-Negative Pathogens Using β-Lactamase Inhibitors and β-Lactam Enhancers: Activity of Three Novel Diazabicyclooctanes WCK 5153, Zidebactam (WCK 5107), and WCK 4234.
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K.M.Papp-Wallace,
N.Q.Nguyen,
M.R.Jacobs,
C.R.Bethel,
M.D.Barnes,
V.Kumar,
S.Bajaksouzian,
S.D.Rudin,
P.N.Rather,
S.Bhavsar,
T.Ravikumar,
P.K.Deshpande,
V.Patil,
R.Yeole,
S.S.Bhagwat,
M.V.Patel,
F.van den Akker,
R.A.Bonomo.
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ABSTRACT
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Limited treatment options exist to combat infections caused by
multidrug-resistant (MDR) Gram-negative bacteria possessing broad-spectrum
β-lactamases. The design of novel β-lactamase inhibitors is of paramount
importance. Here, three novel diazabicyclooctanes (DBOs), WCK 5153, zidebactam
(WCK 5107), and WCK 4234 (compounds 1-3, respectively), were synthesized and
biochemically characterized against clinically important bacteria. Compound 3
inhibited class A, C, and D β-lactamases with unprecedented k2/ K
values against OXA carbapenemases. Compounds 1 and 2 acylated class A and C
β-lactamses rapidly but not the tested OXAs. Compounds 1-3 formed highly stable
acyl-complexes as demonstrated by mass spectrometry. Crystallography revealed
that 1-3 complexed with KPC-2 adopted a "chair conformation" with the
sulfate occupying the carboxylate binding region. The cefepime-2 and meropenem-3
combinations were effective in murine peritonitis and neutropenic lung infection
models caused by MDR Acinetobacter baumannii. Compounds 1-3 are novel
β-lactamase inhibitors that demonstate potent cross-class inhibition, and
clinical studies targeting MDR infections are warranted.
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');
}
}
 |