Reduced immunotoxicity and preservation of antibacterial activity in a releasable side-chain carbapenem antibiotic

被引:31
作者
Rosen, H [1 ]
Hajdu, R [1 ]
Silver, L [1 ]
Kropp, H [1 ]
Dorso, K [1 ]
Kohler, J [1 ]
Sundelof, JG [1 ]
Huber, J [1 ]
Hammond, GG [1 ]
Jackson, JJ [1 ]
Gill, CJ [1 ]
Thompson, R [1 ]
Pelak, BA [1 ]
Epstein-Toney, JH [1 ]
Lankas, G [1 ]
Wilkening, RR [1 ]
Wildonger, KJ [1 ]
Blizzard, TA [1 ]
DiNinno, FP [1 ]
Ratcliffe, RW [1 ]
Heck, JV [1 ]
Kozarich, JW [1 ]
Hammond, ML [1 ]
机构
[1] Merck Res Labs, Rahway, NJ 07065 USA
关键词
D O I
10.1126/science.283.5402.703
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
A carbapenem antibiotic, L-786,392, was designed so that the side chain that provides high-affinity binding to the penicillin-binding proteins responsible for bacterial resistance was also the structural basis for ameliorating immunopathology. Expulsion of the side chain upon opening of the beta-lactam ring retained antibacterial activity while safely expelling the immunodominant epitope. L-786,392 was well tolerated in animal safety studies and had significant in vitro and in vivo activities against methicillin- and vancomycin-resistant Staphylococci and vancomycin-resistant Enterococci.
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页码:703 / 706
页数:4
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