Discovery of Efficacious <i>Pseudomonas aeruginosa</i>-Targeted Siderophore-Conjugated Monocarbams by Application of a Semi-mechanistic Pharmacokinetic/Pharmacodynamic Model
作者:Kerry E. Murphy-Benenato、Pratik R. Bhagunde、April Chen、Hajnalka E. Davis、Thomas F. Durand-Réville、David E. Ehmann、Vincent Galullo、Jennifer J. Harris、Holia Hatoum-Mokdad、Haris Jahić、Aryun Kim、M. R. Manjunatha、Erika L. Manyak、John Mueller、Sara Patey、Olga Quiroga、Michael Rooney、Li Sha、Adam B. Shapiro、Mark Sylvester、Beesan Tan、Andy S. Tsai、Maria Uria-Nickelsen、Ye Wu、Mark Zambrowski、Shannon X. Zhao
DOI:10.1021/jm501506f
日期:2015.3.12
To identify new agents for the treatment of multi-drug-resistant Pseudomonas aeruginosa, we focused on siderophore-conjugated monocarbams. This class of monocyclic beta-lactams are stable to metallo-beta-lactamases and have excellent P. aeruginosa activities due to their ability to exploit the iron uptake machinery of Gram-negative bacteria. Our medicinal chemistry plan focused on identifying a molecule with optimal potency and physical properties and activity for in vivo efficacy. Modifications to the monocarbam linker, siderophore, and oxime portion of the molecules were examined. Through these efforts, a series of pyrrolidinone-based monocarbams with good P. aeruginosa cellular activity (P. aeruginosa MIC90 = 2 mu g/mL), free fraction levels (>20% free), and hydrolytic stability (t(1/2) = 100 h) were identified. To differentiate the lead compounds and enable prioritization for in vivo studies, we applied a semi-mechanistic pharmacokinetic/pharmacodynamic model to enable prediction of in vivo efficacy from in vitro data.