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Nature ; 533(7603): 338-45, 2016 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-27193679

RESUMO

The chemical modification of structurally complex fermentation products, a process known as semisynthesis, has been an important tool in the discovery and manufacture of antibiotics for the treatment of various infectious diseases. However, many of the therapeutics obtained in this way are no longer effective, because bacterial resistance to these compounds has developed. Here we present a practical, fully synthetic route to macrolide antibiotics by the convergent assembly of simple chemical building blocks, enabling the synthesis of diverse structures not accessible by traditional semisynthetic approaches. More than 300 new macrolide antibiotic candidates, as well as the clinical candidate solithromycin, have been synthesized using our convergent approach. Evaluation of these compounds against a panel of pathogenic bacteria revealed that the majority of these structures had antibiotic activity, some efficacious against strains resistant to macrolides in current use. The chemistry we describe here provides a platform for the discovery of new macrolide antibiotics and may also serve as the basis for their manufacture.


Assuntos
Antibacterianos/síntese química , Antibacterianos/farmacologia , Descoberta de Drogas/métodos , Macrolídeos/síntese química , Macrolídeos/farmacologia , Amino Açúcares/síntese química , Amino Açúcares/química , Amino Açúcares/farmacologia , Antibacterianos/química , Bactérias/efeitos dos fármacos , Humanos , Cetolídeos/síntese química , Cetolídeos/química , Macrolídeos/química , Testes de Sensibilidade Microbiana , Estrutura Molecular , Bibliotecas de Moléculas Pequenas/síntese química , Bibliotecas de Moléculas Pequenas/química , Triazóis/síntese química , Triazóis/química , Triazóis/farmacologia
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