An Advanced Apralog with Increased in vitro and in vivo Activity toward Gram-negative Pathogens and Reduced ex vivo Cochleotoxicity.

An Advanced Apralog with Increased in vitro and in vivo Activity toward Gram-negative Pathogens and Reduced ex vivo Cochleotoxicity.
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DOI:
10.1002/cmdc.202000726
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发表时间:
2021-01-19
期刊:
影响因子:
3.4
通讯作者:
Crich D
Crich D
中科院分区:
医学4区
文献类型:
--
作者:
Sonousi A;Quirke JCK;Waduge P;Janusic T;Gysin M;Haldimann K;Xu S;Hobbie SN;Sha SH;Schacht J;Chow CS;Vasella A;Böttger EC;Crich D

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We describe the convergent synthesis of a 5-O-β-D-ribofuranosyl-based apramycin derivative (apralog) that displays significantly improved antibacterial activity over the parent apramycin against wild-type ESKAPE pathogens. In addition, the new apralog retains excellent antibacterial activity in the presence of the only aminoglycoside modifying enzyme (AAC(3)-IV) acting on the parent, without incurring susceptibility to the APH(3’) mechanism that disables other 5-O-β-D-ribosfuranosyl 2-deoxystreptamine type aminoglycosides by phosphorylation at the ribose 5-position. Consistent with this antibacterial activity, the new apralog has excellent 30 nM activity (IC50) for the inhibition of protein synthesis by the bacterial ribosome in a cell-free translation assay, while retaining the excellent across-the-board selectivity of the parent for inhibition of bacterial over eukaryotic ribosomes. Overall, these characteristics translate into excellent in-vivo efficacy against E. coli in a mouse thigh infection model and reduced ototoxicity vis à vis the parent in mouse cochlear explants. A next generation aminoglycoside antibiotic based on the apralog concept is presented that displays excellent activity in vivo and in vitro, excellent across the board selectivity for the inhibition of bacterial over hybrid eukaryotic ribosomes, minimal ototoxicity in an ex-vivo model, and which circumvents AAC(3)-IV, the only current aminoglycoside modifying enzyme acting on the parent.
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