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J Antibiot (Tokyo) ; 57(5): 326-36, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15303493

RESUMO

Novel derivatives of N-decylaminoethylvancomycin (2), containing appended hydrophilic groups were synthesized and their antibacterial activity and ADME properties were evaluated. The compounds were prepared by reacting amines with the C-terminus (C-) of 2 using PyBOP mediated amide formation, or with the resorcinol-like (R-) position of 2 using a Mannich aminomethylation reaction. These analogs retained the antibacterial activity of 2 against methicillin-resistant staphylococci and vancomycin-resistant enterococci. Compounds with a negatively charged auxiliary group also exhibited improved ADME properties relative to 2. In particular, R-phosphonomethylaminomethyl derivative 21 displayed good in vitro antibacterial activity, high urinary recovery and low distribution to liver and kidney tissues. Based on these results, 21 was advanced into development as TD-6424, and is currently in human clinical trials. The generic name telavancin has recently been approved for compound 21.


Assuntos
Aminoglicosídeos/farmacocinética , Antibacterianos/farmacologia , Vancomicina/análogos & derivados , Vancomicina/farmacocinética , Aminoglicosídeos/química , Animais , Fenômenos Químicos , Físico-Química , Cromatografia Líquida de Alta Pressão , Feminino , Bactérias Gram-Positivas/efeitos dos fármacos , Indicadores e Reagentes , Injeções Intravenosas , Lipoglicopeptídeos , Testes de Sensibilidade Microbiana , Ratos , Ratos Sprague-Dawley , Espectrometria de Massas por Ionização por Electrospray , Espectrofotometria Ultravioleta , Teicoplanina/farmacologia , Distribuição Tecidual
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