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1.
J Antibiot (Tokyo) ; 72(7): 524-534, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30874609

RESUMEN

Ten analogues of a teicoplanin pseudoaglycon derivative have been synthesized with the aim of optimizing the in vitro activity of the compound against VanA type vancomycin resistant enterococci (VRE) isolated from hospitalized patients. Teicoplanin, vancomycin, and oritavancin were used as reference antibiotics for the antibacterial evaluations. One of the new derivatives exhibited far superior activity than the original compound. The in vitro MICs measured were comparable to that of oritavancin against the investigated VRE strains.


Asunto(s)
Antibacterianos/farmacología , Lipoglucopéptidos/farmacología , Teicoplanina/síntesis química , Teicoplanina/farmacología , Enterococos Resistentes a la Vancomicina/efectos de los fármacos , Infección Hospitalaria/microbiología , Farmacorresistencia Bacteriana , Bacterias Grampositivas/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Teicoplanina/análogos & derivados
2.
J Antibiot (Tokyo) ; 70(5): 664-670, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28144040

RESUMEN

A selection of nine derivatives of teicoplanin pseudoaglycon were tested in vitro against clinical vancomycin-resistant Enterococcus strains possessing vanA, vanB or both genes. The bacteria were characterized by PCR for the identification of their resistance genes. The tested compounds contain lipoic acid, different carbohydrates and aryl groups as lipophilic moieties. About one-third of the teicoplanin-resistant strains were shown to be susceptible to one or more of the glycopeptide derivatives.


Asunto(s)
Antibacterianos/farmacología , Enterococcus/efectos de los fármacos , Teicoplanina/farmacología , Antibacterianos/síntesis química , Antibacterianos/química , Proteínas Bacterianas/genética , Ligasas de Carbono-Oxígeno/genética , Farmacorresistencia Bacteriana/genética , Enterococcus/genética , Pruebas de Sensibilidad Microbiana , Reacción en Cadena de la Polimerasa , Teicoplanina/síntesis química , Teicoplanina/química , Vancomicina/farmacología , Resistencia a la Vancomicina
3.
J Antibiot (Tokyo) ; 70(2): 152-157, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-27353163

RESUMEN

A series of lipophilic teicoplanin pseudoaglycon derivatives, including alkyl-, aryl-, calixarene- and protected sugar-containing conjugates, were prepared using azide-alkyne click chemistry. Out of the conditions applied, the CuSO4-ascorbate reagent system proved to be more efficient than the Cu(I)I-Et3N-mediated reaction. Some of the new compounds have high in vitro activity against glycopeptide-resistant Gram-positive bacteria, including vanA-positive Enterococcus faecalis. A few of them also display promising in vitro anti-influenza activity.


Asunto(s)
Antibacterianos/síntesis química , Antibacterianos/farmacología , Bacterias/efectos de los fármacos , Teicoplanina/análogos & derivados , Triazoles/química , Farmacorresistencia Bacteriana , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Teicoplanina/síntesis química , Teicoplanina/farmacología
4.
Methods Mol Biol ; 1401: 85-102, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26831703

RESUMEN

The glycopeptide antibiotics are an important class of complex, medically relevant peptide natural products. Given that the production of such compounds all stems from in vivo biosynthesis, understanding the mechanisms of the natural assembly system--consisting of a nonribosomal-peptide synthetase machinery (NRPS) and further modifying enzymes--is vital. In order to address the later steps of peptide biosynthesis, which are catalyzed by Cytochrome P450s that interact with the peptide-producing nonribosomal peptide synthetase, peptide substrates are required: these peptides must also be in a form that can be conjugated to carrier protein domains of the nonribosomal peptide synthetase machinery. Here, we describe a practical and effective route for the solid phase synthesis of glycopeptide antibiotic precursor peptides as their Coenzyme A (CoA) conjugates to allow enzymatic conjugation to carrier protein domains. This route utilizes Fmoc-chemistry suppressing epimerization of racemization-prone aryl glycine derivatives and affords high yields and excellent purities, requiring only a single step of simple solid phase extraction for chromatographic purification. With this, comprehensive investigations of interactions between various NRPS-bound substrates and Cytochrome P450s are enabled.


Asunto(s)
Antibacterianos/síntesis química , Bacterias/enzimología , Coenzima A/química , Glicopéptidos/síntesis química , Péptido Sintasas/metabolismo , Técnicas de Síntesis en Fase Sólida/métodos , Secuencia de Aminoácidos , Antibacterianos/química , Antibacterianos/metabolismo , Bacterias/química , Bacterias/metabolismo , Coenzima A/síntesis química , Coenzima A/metabolismo , Sistema Enzimático del Citocromo P-450/metabolismo , Glicopéptidos/química , Glicopéptidos/metabolismo , Datos de Secuencia Molecular , Teicoplanina/síntesis química , Teicoplanina/química , Teicoplanina/metabolismo
6.
J Org Chem ; 79(18): 8550-6, 2014 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-25147913

RESUMEN

We report the X-ray crystal structure of a site-selective peptide catalyst moiety and teicoplanin A2-2 complex. The expressed protein ligation technique was used to couple T4 lysozyme (T4L) and a synthetic peptide catalyst responsible for the selective phosphorylation of the N-acetylglucosamine sugar in a teicoplanin A2-2 derivative. The T4L-Pmh-dPro-Aib-dAla-dAla construct was crystallized in the presence of teicoplanin A2-2. The resulting 2.3 Å resolution protein-peptide-teicoplanin complex crystal structure revealed that the nucleophilic nitrogen of N-methylimidazole in the Pmh residue is in closer proximity (7.6 Å) to the N-acetylglucosamine than the two other sugar rings present in teicoplanin (9.3 and 20.3 Å, respectively). This molecular arrangement is consistent with the observed selectivity afforded by the peptide-based catalyst when it is applied to a site-selective phosphorylation reaction involving a teicoplanin A2-2 derivative.


Asunto(s)
Acetilglucosamina/química , Antibacterianos/síntesis química , Proteínas Portadoras/síntesis química , Teicoplanina/análogos & derivados , Secuencia de Aminoácidos , Antibacterianos/química , Sitios de Unión , Proteínas Portadoras/química , Catálisis , Cristalografía por Rayos X , Conformación Molecular , Fosforilación , Teicoplanina/síntesis química , Teicoplanina/química
7.
Bioorg Med Chem Lett ; 24(15): 3251-4, 2014 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-24974341

RESUMEN

In order to obtain new, cluster-forming antibiotic compounds, teicoplanin pseudoaglycone derivatives containing two lipophilic n-octyl chains have been synthesized. The compounds proved to be poor antibacterials, but, surprisingly, they exhibited potent anti-influenza virus activity against influenza A strains. This antiviral action was related to inhibition of the binding interaction between the virus and the host cell. Related analogs bearing methyl substituents in lieu of the octyl chains, displayed no anti-influenza virus activity. Hence, an interaction between the active, dually n-octylated compounds and the lipid bilayer of the host cell can be postulated, to explain the observed inhibition of influenza virus attachment.


Asunto(s)
Antivirales/farmacología , Orthomyxoviridae/efectos de los fármacos , Teicoplanina/farmacología , Animales , Antivirales/síntesis química , Antivirales/química , Sitios de Unión/efectos de los fármacos , Perros , Relación Dosis-Respuesta a Droga , Membrana Dobles de Lípidos/metabolismo , Células de Riñón Canino Madin Darby/efectos de los fármacos , Células de Riñón Canino Madin Darby/metabolismo , Células de Riñón Canino Madin Darby/virología , Pruebas de Sensibilidad Microbiana , Estructura Molecular , Relación Estructura-Actividad , Teicoplanina/síntesis química , Teicoplanina/química
8.
Org Lett ; 16(9): 2454-7, 2014 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-24730694

RESUMEN

A rapid protocol based on Fmoc-chemistry for the solid phase peptide synthesis of vancomycin- and teicoplanin-type peptides is described. Epimerization of highly racemization-prone arlyglycine derivatives is suppressed through optimized Fmoc-deprotection and coupling conditions. Starting from easily accessible Fmoc-protected amino acids, this strategy enables the enantioselective synthesis of peptides corresponding to intermediates found in vancomycin and teicoplanin biosynthesis with excellent purity and in high yields (38%-71%).


Asunto(s)
Antibacterianos/síntesis química , Glicopéptidos/síntesis química , Teicoplanina/síntesis química , Vancomicina/síntesis química , Secuencia de Aminoácidos , Antibacterianos/química , Glicopéptidos/química , Estructura Molecular , Técnicas de Síntesis en Fase Sólida , Estereoisomerismo , Teicoplanina/química , Vancomicina/química
9.
Org Biomol Chem ; 12(16): 2568-75, 2014 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-24608916

RESUMEN

Dalbavancin, a semi-synthetic glycopeptide with enhanced antibiotic activity compared to vancomycin and teicoplanin, binds to the C-terminal lysyl-d-alanyl-d-alanine subunit of Lipid II, inhibiting peptidoglycan biosynthesis. In this study, micro-calorimetry and electrospray ionization (ESI)-MS have been used to investigate the relationship between oligomerisation of dalbavancin and binding of a Lipid II peptide mimic, diacetyl-Lys-d-Ala-d-Ala (Ac2-Kaa). Dalbavancin dimerised strongly in an anti-cooperative manner with ligand-binding, as was the case for ristocetin A, but not for vancomycin and teicoplanin. Dalbavancin and ristocetin A both adopt an 'closed' conformation upon ligand binding, suggesting anti-cooperative dimerisation with ligand-binding may be a general feature of dalbavancin/ristocetin A-like glycopeptides. Understanding these effects may provide insight into design of novel dalbavancin derivatives with cooperative ligand-binding and dimerisation characteristics that could enhance antibiotic activity.


Asunto(s)
Antibacterianos/química , Glicopéptidos/química , Teicoplanina/análogos & derivados , Antibacterianos/síntesis química , Sitios de Unión , Calorimetría , Dimerización , Ligandos , Modelos Moleculares , Conformación Molecular , Ristocetina/química , Soluciones , Espectrometría de Masa por Ionización de Electrospray , Teicoplanina/síntesis química , Teicoplanina/química
10.
Future Med Chem ; 5(6): 641-52, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23617428

RESUMEN

BACKGROUND: The ability of boron-containing compounds to undergo a number of novel binding interactions with drug target functional groups has recently been described. In an extension of this work, we have incorporated a boron-containing scaffold, the benzoxaborole, into several glycopeptides antibiotics. The aim of this work is to exploit the inherent reactivity of boron to gain additional interactions with the bacterial cell wall components to improve binding affinity and to thereby overcome resistance. RESULTS: Three antibacterial glycopeptides (vancomycin, eremomycin and teicoplanin aglycone) have been selected for the construction of a series of 12 new benzoxaborole-glycopeptide conjugates. The hybrid antibiotics, in which the benzoxaborole and glycopeptide moieties were separated by a linker, exhibited excellent antibacterial activity against Gram-positive bacteria, including those with intermediate susceptibility to glycopeptides. Some analogs also demonstrated activity against vancomycin-resistant enterococci. CONCLUSION: Conjugation of antibiotics with benzoxaborole derivatives provides antibiotics with new and useful properties. Teicoplanin aglycone-benzoxaborole derivatives overcome resistance of Gram-positive bacteria to vancomycin.


Asunto(s)
Antibacterianos/síntesis química , Compuestos de Boro/química , Glicopéptidos/química , Antibacterianos/farmacología , Farmacorresistencia Bacteriana/efectos de los fármacos , Glicopéptidos/síntesis química , Glicopéptidos/farmacología , Bacterias Grampositivas/efectos de los fármacos , Teicoplanina/análogos & derivados , Teicoplanina/síntesis química , Teicoplanina/química , Teicoplanina/farmacología , Vancomicina/síntesis química , Vancomicina/química , Vancomicina/farmacología
11.
J Colloid Interface Sci ; 399: 107-14, 2013 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-23541694

RESUMEN

Teicoplanin-conjugated mesoporous silica magnetic nanoparticles (TE-MSMNPs) were fabricated as novel chiral magnetic nano-selectors. Successful preparation of the functional magnetic mesoporous materials was achieved by grafting teicoplanin on N-(2-aminoethyl)-3-aminopropyltrimethoxysilane-modified mesoporous silica Fe3O4 magnetic nanoparticles (AEAPTMS-MSMNPs), and this was confirmed by various characterization techniques. The synthesized magnetic nanoparticles were regularly spherical and uniformly mesoporous with an average diameter of around 600 nm and a mean pore size of about 3.9 nm, respectively. These versatile magnetic nanoparticles were effective in a direct chiral separation of five racemic compounds in phosphate buffer. Much stronger interactions were observed with the (+)-enantiomers than with the (-)-enantiomers. After washing with water and ethanol by sonication, TE-MSMNPs could be reused at least three times with little efficiency loss. The functional magnetic mesoporous nanoparticles were easily separated from the racemic solutions using an external magnetic field. These magnetic nano-materials are suitable for enantiomer separations.


Asunto(s)
Nanopartículas de Magnetita/química , Dióxido de Silicio/química , Teicoplanina/síntesis química , Teicoplanina/aislamiento & purificación , Tamaño de la Partícula , Estereoisomerismo , Teicoplanina/química
12.
Mol Biosyst ; 7(4): 1224-31, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21267472

RESUMEN

Lipoglycopeptide antibiotics are more effective than vancomycin against MRSA as they carry an extra aliphatic acyl side chain on glucosamine (Glm) at residue 4 (r4). The biosynthesis of the r4 N-acyl Glc moiety at teicoplanin (Tei) or A40926 has been elucidated, in which the primary amine nucleophile of Glm is freed from the r4 GlcNac pseudo-Tei precursor by Orf2* for the subsequent acylation reaction to occur. In this report, two Orf2* structures in complex with ß-D-octyl glucoside or Tei were solved. Of the complexed structures, the substrate binding site and a previously unknown hydrophobic cavity were revealed, wherein r4 GlcNac acts as the key signature for molecular recognition and the cavity allows substrates carrying longer acyl side chains in addition to the acetyl group. On the basis of the complexed structures, a triple-mutation mutant S98A/V121A/F193Y is able to regioselectively deacetylate r6 GlcNac pseudo-Tei instead of that at r4. Thereby, novel analogs can be made at the r6 sugar moiety.


Asunto(s)
Antibacterianos/química , Antibacterianos/síntesis química , Modelos Moleculares , Ingeniería de Proteínas , Teicoplanina , Antibacterianos/metabolismo , Sitios de Unión , Cinética , Conformación Proteica , Relación Estructura-Actividad , Especificidad por Sustrato , Teicoplanina/análogos & derivados , Teicoplanina/síntesis química , Teicoplanina/química , Teicoplanina/metabolismo
13.
J Med Chem ; 52(19): 6053-61, 2009 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-19791806

RESUMEN

Semisynthetic, lipophilic ristocetin and teicoplanin derivatives were prepared starting from ristocetin aglycon and teicoplanin psi-aglycon (N-acetyl-D-glucosaminyl aglycoteicoplanin). The terminal amino functions of the aglycons were converted into azido form by triflic azide. Copper catalyzed 1,3-dipolar cycloaddition reaction with lipophilic alkynes resulted in the title compounds. Two of the teicoplanin derivatives showed very good MIC and MBC values against various Gram-positive bacteria, including vanA enterococci. The aggregation and interaction of a n-decyl derivative with bacterial cell wall components was studied. One of the lipophilic ristocetin derivatives displayed favorable anti-influenza virus activity.


Asunto(s)
Antibacterianos/síntesis química , Antivirales/síntesis química , Compuestos de Diazonio/química , Doxorrubicina/análogos & derivados , Teicoplanina/análogos & derivados , Compuestos de Diazonio/farmacología , Doxorrubicina/síntesis química , Doxorrubicina/farmacología , Bacterias Grampositivas/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Orthomyxoviridae/efectos de los fármacos , Teicoplanina/síntesis química , Teicoplanina/farmacología
14.
J Ind Microbiol Biotechnol ; 33(7): 569-76, 2006 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-16761167

RESUMEN

Glycopeptide antibiotics represent an important class of microbial compounds produced by several genera of actinomycetes. The emergence of resistance to glycopeptides among enterococci and staphylococci has prompted the search for second-generation drugs of this class and semi-synthetic derivatives are currently under clinical trials. Dalbavancin is obtained by chemical modification of the natural glycopeptide A40926, produced by a Nonomuraea sp. Recently, there has been considerable progress in the elucidation of biosynthesis of glycopeptide antibiotics; several gene clusters have been characterized, thus providing an understanding of the biosynthesis of these chemically complex molecules. Furthermore, such investigations have yielded the first glycopeptide derivatives produced by genetic or enzymatic intervention. We have isolated and characterized the dbv clusters, involved in the formation of the glycopeptides A40926. The development of a gene-transfer system for Nonomuraea sp. has allowed the manipulation of the A40926 pathway. New derivatives were obtained by inactivating selected dbv genes. In addition, our data suggest differences in the biosynthetic routes for heptapeptide formation between the vancomycin and the teicoplanin families of glycopeptides.


Asunto(s)
Actinomycetales/genética , Antibacterianos/biosíntesis , Ingeniería Genética/métodos , Glicopéptidos/biosíntesis , Teicoplanina/análogos & derivados , Actinomycetales/enzimología , Actinomycetales/metabolismo , Aminoácidos/biosíntesis , Aminoácidos/genética , Técnicas de Transferencia de Gen , Genes Bacterianos , Glicopéptidos/química , Glicopéptidos/genética , Halógenos/química , Teicoplanina/biosíntesis , Teicoplanina/síntesis química
15.
Bioorg Med Chem Lett ; 15(16): 3801-5, 2005 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-15993054

RESUMEN

New derivatives of the glycopeptide antibiotic A40926 were synthesized and evaluated for antimicrobial activity against VRE. Deacylated A40926 was obtained by microbial transformation of the parent antibiotic with the use of Actinoplanes teichomyceticus ATCC 31121. Regioselective synthesis of alkylated derivatives of Deacyl A40926 was carried out using lipophilic aliphatic and aromatic halides or aldehydes. Further modification of the two carboxylic acids was performed to increase antibiotic activity. Poor antimicrobial activity was observed for the derivatives obtained by lipophilic mono- or dialkylation of the amino groups present on the molecule, while simultaneous condensation of both carboxylic groups, in hydrophobic derivatives, with dibasic amines led to a strong increase in antibiotic activity.


Asunto(s)
Amidas/síntesis química , Amidas/farmacología , Antibacterianos/síntesis química , Antibacterianos/farmacología , Teicoplanina/análogos & derivados , Amidas/química , Antibacterianos/química , Enterococcus/efectos de los fármacos , Glicopéptidos/química , Pruebas de Sensibilidad Microbiana , Conformación Molecular , Relación Estructura-Actividad , Teicoplanina/síntesis química , Teicoplanina/química , Teicoplanina/farmacología , Resistencia a la Vancomicina
16.
Chem Biol ; 12(1): 131-40, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15664522

RESUMEN

The teicoplanin acyltransferase (Atf) responsible for N-acylation of the glucosamine moiety to create the teicoplanin lipoglycopeptide scaffold has recently been identified. Here we use that enzyme (tAtf) and the cognate acyltransferase from the related A-40,926 biosynthetic cluster (aAtf) to evaluate specificity for glycopeptide scaffolds and for the acyl-CoA donor. In addition to acylation of 2-aminoglucosyl glycopeptide scaffolds with k(cat) values of 400-2000 min(-1), both Atfs transfer acyl groups to regioisomeric 6-aminoglucosyl scaffolds and to glucosyl scaffolds at rates of 0.2-0.5 min(-1) to create variant lipoglycopeptides. Using the teicoplanin glycosyltransferase tGtfA, tAtf, and GtfD, a glycosyltransferase from the vancomycin producer, it is possible to assemble a novel lipoglycopeptide with GlcNAc at beta-OH-Tyr(6) and an N(6)-acyl-glucosaminyl-vancosamine at Phegly(4). This study illustrates the utility of chemo- and regioselective acyltransferases and glycosyltransferases to create novel lipoglycopeptides.


Asunto(s)
Aciltransferasas/química , Antibacterianos/química , Glicopéptidos/síntesis química , Operón , Teicoplanina/química , Acilcoenzima A/química , Aciltransferasas/genética , Aciltransferasas/aislamiento & purificación , Clonación Molecular , Glicopéptidos/química , Concentración de Iones de Hidrógeno , Cinética , Conformación Molecular , Sensibilidad y Especificidad , Estereoisomerismo , Teicoplanina/síntesis química , Factores de Tiempo
18.
Electrophoresis ; 24(5): 808-15, 2003 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-12627441

RESUMEN

Binding constants between the glycopeptides teicoplanin (Teic) and ristocetin (Rist) and their derivatives to D-Ala-D-Ala terminus peptides were determined by on-column receptor synthesis coupled to partial-filling affinity capillary electrophoresis (PFACE) or affinity capillary electrophoresis (ACE). In these techniques, the column is first partially filled with increasing concentrations of D-Ala-D-Ala terminus peptides. This is followed by plugs of buffer, antibiotic and two noninteracting standards, and acetic and/or succinic anhydride (and buffer in the case of ACE). The order of the reagent plugs containing the antibiotic and anhydride varies with the charge of the glycopeptide. Upon electrophoresis, the antibiotic reacts with the anhydride yielding a derivative of Teic or Rist. Continued electrophoresis results in the overlap of the derivatized antibiotic and the plug of D-Ala-D-Ala peptide. Analysis of the change in the relative migration time ratio (RMTR) of the new glycopeptide relative to the standards, as a function of the concentration of the D-Ala-D-Ala ligand yields a value for the binding constant K(b). The techniques described here can be used to assess how the derivatization of drugs alters their affinities for target molecules.


Asunto(s)
Antibacterianos/química , Electroforesis Capilar/métodos , Ristocetina/química , Teicoplanina/química , Anhídridos Acéticos/química , Antibacterianos/síntesis química , Tampones (Química) , Dipéptidos/química , Electroforesis Capilar/instrumentación , Matemática , Estructura Molecular , Preparaciones Farmacéuticas , Ristocetina/síntesis química , Anhídridos Succínicos/química , Teicoplanina/síntesis química
19.
J Med Chem ; 46(7): 1204-9, 2003 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-12646030

RESUMEN

The antibacterial properties of glycopeptide antibiotics are based on their interaction with the d-Ala-d-Ala containing pentapeptide of bacterial peptidoglycan. The hydrophobic amides of vancomycin (1), teicoplanin (2), teicoplanin aglycon (3), and eremomycin (4) were compared with similar amides of minimally or low active des-(N-methyl-d-leucyl)eremomycin (5), eremomycin aglycon (6), des-(N-methyl-d-leucyl)eremomycin aglycon (7), and a teicoplanin degradation product TB-TPA (8). All hydrophobic amides of 1, 3, 4, and 6 were almost equally active against glycopeptide-resistant enterococci (GRE) [minimum inhibitory concentrations (MIC)

Asunto(s)
Antibacterianos/química , Teicoplanina/análogos & derivados , Antibacterianos/síntesis química , Antibacterianos/farmacología , Farmacorresistencia Bacteriana , Glicopéptidos , Bacterias Grampositivas/efectos de los fármacos , Interacciones Hidrofóbicas e Hidrofílicas , Espectroscopía de Resonancia Magnética , Pruebas de Sensibilidad Microbiana , Espectrometría de Masa por Ionización de Electrospray , Relación Estructura-Actividad , Teicoplanina/síntesis química , Teicoplanina/química , Teicoplanina/farmacología , Vancomicina/análogos & derivados , Vancomicina/síntesis química , Vancomicina/química , Vancomicina/farmacología
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