“…The Woodward, Shemyakin, and Muxfeldt groups reported remarkable advances for their time with their successful constructions of sancycline (25 synthetic steps, 0.002 % yield), tetracycline (yield not reported), and oxytetracycline (22 steps, 0.06 % yield), respectively, but these routes were lengthy and impractical to scale (though it should be noted that the Muxfeldt approach was for a time adapted by researchers at Merck in Germany for the preparation of fully synthetic 6-thiatetracycline, an antibiotic candidate that was abandoned during clinical development due to liver toxicity). [123] Interestingly, each group had employed a "left-to-right" or D!A mode of construction, which was not ideal from the standpoint of drug discovery, since substitution of the D ring proves to be remarkably fruitful for the development of novel antibiotics, especially those with improved activities against tetracyclineresistant microorganisms, whereas most substitutions of the A ring diminish or abolish antibiotic activity.…”