Novel imidazole substituted 6-methylidene-penems as broad-spectrum beta-lactamase inhibitors

Bioorg Med Chem. 2004 Nov 15;12(22):5807-17. doi: 10.1016/j.bmc.2004.08.039.

Abstract

Beta-lactamases are serine and metallo-dependent enzymes produced by the bacteria in defense against beta-lactam antibiotics. Production of class-A, class-B, and class-C enzymes by the bacteria make the use of beta-lactam antibiotics ineffective in certain cases. To overcome resistance to beta-lactam antibiotics, several beta-lactamase inhibitors such as clavulanic acid, sulbactam, and tazobactam are widely used in the clinic in combination with beta-lactam antibiotics. However, single point mutations within these enzymes have allowed bacteria to overcome the inhibitory effect of the commercially approved beta-lactamase inhibitors. Although the commercially available beta-lactamase inhibitor/beta-lactam antibiotic combinations are effective against class-A producing bacteria and many extended spectrum beta-lactamase (ESBL's) producing bacteria they are less effective against class-C enzymes expressing bacteria. To circumvent this problem, based on modeling studies several novel imidazole substituted 6-methylidene-penem derivatives were synthesized and tested against various beta-lactamase producing isolates. The present paper deals with the synthesis and structure-activity relationships (SAR) of these compounds.

MeSH terms

  • Imidazoles / chemistry*
  • Imidazoles / pharmacology
  • Microbial Sensitivity Tests / statistics & numerical data
  • Molecular Conformation
  • Protease Inhibitors / chemistry*
  • Protease Inhibitors / pharmacology
  • Structure-Activity Relationship
  • beta-Lactamase Inhibitors*
  • beta-Lactamases / metabolism

Substances

  • Imidazoles
  • Protease Inhibitors
  • beta-Lactamase Inhibitors
  • beta-Lactamases