In vitro activities of novel oxapenems, alone and in combination with ceftazidime, against gram-positive and gram-negative organisms

Antimicrob Agents Chemother. 2003 Aug;47(8):2615-8. doi: 10.1128/AAC.47.8.2615-2618.2003.

Abstract

Four novel oxapenem compounds (i.e., AM-112, AM-113, AM-114, and AM-115) were investigated for their beta-lactamase inhibitory activity against a panel of isolated class A, C, and D enzymes, which included expanded-spectrum beta-lactamase enzymes (ESBLs). The oxapenems were potent beta-lactamase inhibitors. Activity varied within the group, with AM-113 and AM-114 proving to be the most active compounds. The 50% inhibitory concentrations for these agents were up to 100,000-fold lower than that of clavulanic acid against class C and D enzymes. As a group, the oxapenems were more potent than clavulanic acid against enzymes from all classes. The ability of these compounds to protect ceftazidime from hydrolysis by beta-lactamase-producing strains was evaluated by MIC tests that combined ceftazidime and each oxapenem in a 1:1 or 2:1 ratio. The oxapenems markedly reduced the MICs for ceftazidime against class C hyperproducing strains and strains producing TEM- and SHV-derived ESBLs. There was little difference between the activity of 1:1 and 2:1 combinations of ceftazidime and oxapenem. The oxapenems failed to enhance the activity of ceftazidime against derepressed AmpC-producing Pseudomonas aeruginosa strains.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins*
  • Ceftazidime / pharmacology*
  • Cephalosporins / pharmacology*
  • Clavulanic Acid / pharmacology
  • Drug Synergism
  • Enterococcus faecalis / drug effects
  • Enzyme Inhibitors / pharmacology
  • Escherichia coli / drug effects
  • Gram-Negative Bacteria / drug effects*
  • Gram-Positive Bacteria / drug effects*
  • Lactams*
  • Microbial Sensitivity Tests
  • Staphylococcus aureus / drug effects
  • beta-Lactamase Inhibitors
  • beta-Lactamases / drug effects
  • beta-Lactamases / genetics
  • beta-Lactams / pharmacology*

Substances

  • (1'R,5R,6R)-3-(4-amino-1,1-dimethyl-butyl)-6-(1'-hydroxyethyl)oxapenem-3-carboxylate
  • AM 113
  • AM 114
  • AM 115
  • Anti-Bacterial Agents
  • Bacterial Proteins
  • Cephalosporins
  • Enzyme Inhibitors
  • Lactams
  • beta-Lactamase Inhibitors
  • beta-Lactams
  • Clavulanic Acid
  • Ceftazidime
  • AmpC beta-lactamases
  • beta-Lactamases