作者:Timothy A. Blizzard、Helen Chen、Seongkon Kim、Jane Wu、Rena Bodner、Candido Gude、Jason Imbriglio、Katherine Young、Young-Whan Park、Aimie Ogawa、Susan Raghoobar、Nichelle Hairston、Ronald E. Painter、Doug Wisniewski、Giovanna Scapin、Paula Fitzgerald、Nandini Sharma、Jun Lu、Sookhee Ha、Jeff Hermes、Milton L. Hammond
DOI:10.1016/j.bmcl.2013.12.101
日期:2014.2
beta-Lactamase inhibitors with a bicyclic urea core and a variety of heterocyclic side chains were prepared and evaluated as potential partners for combination with imipenem to overcome class A and C beta-lactamase mediated antibiotic resistance. The piperidine analog 3 (MK-7655) inhibited both class A and C beta-lactamases in vitro. It effectively restored imipenem's activity against imipenem-resistant Pseudomonas and Klebsiella strains at clinically achievable concentrations. A combination of MK-7655 and Primaxin (R) is currently in phase II clinical trials for the treatment of Gram-negative bacterial infections. (C) 2014 Elsevier Ltd. All rights reserved.