2020
DOI: 10.1021/acs.jmedchem.0c00328
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New Broad-Spectrum Antibiotics Containing a Pyrrolobenzodiazepine Ring with Activity against Multidrug-Resistant Gram-Negative Bacteria

Abstract: It is urgent to find new antibiotic classes with activity against multidrug-resistant (MDR) Gram-negative pathogens as the pipeline of antibiotics is essentially empty. Modified pyrrolobenzodiazepines with a C8-linked aliphatic heterocycle provide a new class of broad-spectrum antibacterial agents with activity against MDR Gram-negative bacteria, including WHO priority pathogens. The structure–activity relationship established that the third ring was particularly important for Gram-negative activity. Minimum i… Show more

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Cited by 15 publications
(20 citation statements)
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“…However, host-phage specificity requires that the pathogenic species has been identified before treatment can be started. Antibiotics do not have this issue as broadspectrum compounds are available [27][28][29]. This comes at a cost: broad-spectrum drugs such as the carbapenem class of antibiotics are known for their side effects, mostly due to the elimination of the natural bacterial flora [30][31][32].…”
Section: Broader Applications Of the Viruses Of Bacteriamentioning
confidence: 99%
“…However, host-phage specificity requires that the pathogenic species has been identified before treatment can be started. Antibiotics do not have this issue as broadspectrum compounds are available [27][28][29]. This comes at a cost: broad-spectrum drugs such as the carbapenem class of antibiotics are known for their side effects, mostly due to the elimination of the natural bacterial flora [30][31][32].…”
Section: Broader Applications Of the Viruses Of Bacteriamentioning
confidence: 99%
“…Interestingly, many of these PBD monomers also exhibited anti-bacterial activity against a range of Gram-positive bacteria, including methicillin-resistant Staphylococcus (Rahman et al, 2012). Another set of PBDs containing a terminal heteroaliphatic ring has similarly shown excellent activity against a panel of multidrug resistant Gram-negative bacteria (Picconi et al, 2020), without noticeable toxicity against eukaryotic cells. The therapeutic potential exhibited by PBD bi-aryl monomers (Andriollo et al, 2018; Brucoli et al, 2016; Picconi et al, 2020; Rahman et al, 2012; Rosado et al, 2011) is encouraging as they appear to possess significant anticancer and antibacterial activity and their eukaryotic toxicity can be tuned by altering the C8-side chain to make them selective against either eukaryotic or prokaryotic cells.…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, it is important to explore diverse chemical scaffolds to develop new antibiotics that can be used to treat multiple-drug resistant infections. Recently, C8-linked pyrrolobenzodiazepines with a 3rd aliphatic-heterocycle have been identified as a new broad spectrum antibiotic class with activity against multidrug (MDR) bacteria including WHO priority pathogens 7 . This provided an important new chemical scaffold in our search for new broad-spectrum antibiotics and replenish the waning pipeline of antibiotic discovery.…”
Section: Introductionmentioning
confidence: 99%