1999
DOI: 10.1002/(sici)1521-3773(19990503)38:9<1172::aid-anie1172>3.0.co;2-c
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The Vancomycin Group of Antibiotics and the Fight against Resistant Bacteria

Abstract: A last line of defence against "superbugs" are the vancomycin group antibiotics. This review describes the determination of their mode of action, and a mechanism of resistance to them. Remarkably, this mechanism of resistance can be overcome without directly modifying the binding site of the antibiotics for the cell-wall precursors of pathogenic bacteria.

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Cited by 489 publications
(367 citation statements)
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“…4 Less appreciated is that the clinical formulation of vancomycin is exclusively the (P) isomer of the molecule (Figure 2, Compound 1); the highly-strained cyclophane (M) isomer remains undetected. 5 This exclusivity also extends to the axial chirality shown by both biaryl ethers. The increasing instances of vancomycin resistance have hence necessitated the need for alternative treatments, though it is clear that this naturally-produced atropisomer has played a crucial role in the progression of antibiotic drugs, and has acted as a safeguard from penicillinresistant microbes for decades.…”
Section: Natural Atropisomerism In Medicinal Chemistrymentioning
confidence: 73%
“…4 Less appreciated is that the clinical formulation of vancomycin is exclusively the (P) isomer of the molecule (Figure 2, Compound 1); the highly-strained cyclophane (M) isomer remains undetected. 5 This exclusivity also extends to the axial chirality shown by both biaryl ethers. The increasing instances of vancomycin resistance have hence necessitated the need for alternative treatments, though it is clear that this naturally-produced atropisomer has played a crucial role in the progression of antibiotic drugs, and has acted as a safeguard from penicillinresistant microbes for decades.…”
Section: Natural Atropisomerism In Medicinal Chemistrymentioning
confidence: 73%
“…Exceptions are: (1) Small residue (S, G, A), (2) Positively Charged Residue (K, H, R), (3) Majority Hydrophobic (L, V; also S and G), (4) Majority Small (S, A; also V). b Percentage of residues matching to the overall consensus rule, based upon similarity.…”
Section: Identification Of a Common Motif In P450smentioning
confidence: 99%
“…2, 3). These glycopeptide antibiotics have had great clinical success in treating Gram-positive bacterial infections that are resistant to other classes of antibiotics and function through blocking cell wall biosynthesis via complex formation with the cell wall precursor peptidoglycan peptidyl units terminating in -Lys-D-Ala-D-Ala (2,3). The biosynthesis of the vancomycin peptide requires the incorporation of two amino acid residues derived from ␤-R-hydroxytyrosine.…”
mentioning
confidence: 99%
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“…Interestingly, many glycopeptide antibiotics [vancomycin (2), eremomycin (1), ristocetin A (5), etc.] form dimeric complexes in aqueous solution [4].…”
Section: A New Series Of Glycopeptide Antibiotics Incorporating a Squmentioning
confidence: 99%