1990
DOI: 10.1128/aac.34.3.413
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Inhibition of peptidoglycan biosynthesis by ramoplanin

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Cited by 139 publications
(109 citation statements)
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“…Ramoplanin factor A2 is currently under Phase III clinical development for eradication of VRE and MRSA. No cases of clinical or laboratory-generated resistance to this antibiotic have been reported (12,13).…”
mentioning
confidence: 99%
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“…Ramoplanin factor A2 is currently under Phase III clinical development for eradication of VRE and MRSA. No cases of clinical or laboratory-generated resistance to this antibiotic have been reported (12,13).…”
mentioning
confidence: 99%
“…Reynolds and Somner determined that ramoplanin arrests cell wall biosynthesis at a late stage peptidoglycan (PG) biosynthesis step whereby the enzyme MurG catalyzes the conversion of undecaprenyl-pyrophosphoryl-Nacetylmuramyl-pentapeptide (Lipid I) and uridyl-pyrophosphoryl-N-acetylglucosamine (UDP-GlcNAc) to uridyl-diphosphate (UDP) and undecaprenyl-pyrophosphoryl-N-acetylmuramyl(Nacetylglucoseamine)-pentapeptide (Lipid II) (13). Reynolds further postulated that this mechanism of inhibition might involve complexation of Lipid I by ramoplanin, a mechanism that echoes the mode of action of both glycopeptide antibiotics and select lantibiotics.…”
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confidence: 99%
“…Lipid II sequestration precludes formation of the mature, fully cross-linked peptidoglycan, leading to a mechanically weakened cell wall and bacterial death from osmotic lysis (11)(12)(13)(14). Thus, like the glycopeptide antibiotics, ramoplanin inhibits cell wall biosynthesis, but the molecular underpinnings are distinct, since the binding epitopes on Lipid II that are recognized by the two types of antibiotics are largely non-overlapping (3,4,10,15,16). This differential targeting likely explains ramoplanin's excellent activity against vancomycin-resistant microorganisms.…”
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confidence: 99%
“…1). Ramoplanin A2 is highly effective against MRSA and vancomycin-resistant E. faecium (VRE) (3,4) and has recently been in development for the treatment of Clostridium difficile infections. Since the antibiotic's discovery over two decades ago, no clinical or laboratorygenerated resistance to ramoplanin A2 has been reported.…”
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confidence: 99%
“…microorganism, is a glycolipodepsipeptide antibiotic active against Gram-positive bacteria [6,7]. It comprises a complex of three factors, A1, A2 and A3, which are closely related structurally.…”
Section: Introductionmentioning
confidence: 99%