Chapter 8 Antibiotics Wei-Min Chen, Prof. Department of Medicinal Chemistry, JNU Topics in This Class Antibiotics Definition, Classification, Development, and Action mechanism of antibiotics. β–Lactam antibiotics Penicillins Benzylpenicillin sodium, Amoxicillin, Oxacillin sodium Semi-synthetic penicillins Key issues: β–Lactam Antibiotics and Penicillins Tough issues: Action mechanisms of antibiotics and Resistance HISTORICAL BACKGROUND Since 1940s, antibiotics have transformed medicine; most infectious diseases can be effectively controlled by the appropriate use of the correct drugs. plague(瘟疫) typhus(伤寒) cholera(霍乱) tuberculosis(肺结核) 1928 Alexander Fleming, Inhibition of S. aureus colonies by mold Penicillium notatum; Discovered "miracle drug" Penicillin Some Terms Antibacterial Agents (Antimicrobial agents) The drugs having bacteriostatic and bactericidal activities for pathogenic microorganism,used to treat pathogenic bacterial infections . “bacteriostatic ’’ agents They can inhibit bacterial cell growth only,but do not actively kill the cells. “bactericidal’’ agents They can kill bacterial cells,but are nontoxic to human cells . Classification of Antimicrobial agents Antibiotics: (to be modeled after natural products) Synthetic antibacterial agents (Chapter 9) Sulfonamides,(Antibacterial synergists) Quinolone antibacterial agents Nitrofurantoin antibacterial agents Oxazolidiones Antifungal agents Taberculostatics Definition of Antibiotics Antibiotic (Literal definition): Against (anti-) life (biotic); Antibiotic (Old definition): Chemical substance produced by various species of microorganisms that is capable, in low concentrations, of inhibiting the growth of or killing other microorganisms (Proposed by Waksman in 1942) Definition of Antibiotics Antibiotic (New definition): Substance produced by a microorganism or a similar product produced wholly (synthetic) or partially (semi-synthetic) by chemical synthesis and in low concentrations inhibits the growth of or kills microorganisms If a substance is classified as an antibiotic It is a product of metabolism (although it may be duplicated or even have been anticipated by chemical synthesis). It is a synthetic product produced as a structural analogue of a naturally occurring antibiotic. It antagonizes the growth or survival of one or more species of microorganisms. It is effective in low concentrations. Classification of Antibiotics (According their structures) 1.β-Lactam antibiotics (β –内酰胺类) 2.Tetracyclines antibiotics (四环素类) 3. Aminoglycoside antibiotics (氨基糖甙类) 4. Macrolides antibiotics (大环内酯类) 5. Others (Chloramphenicol, 氯霉素) Action Mechanisms of Antibiotic Inhibition of Cell Wall Synthesis (most common mechanism) →(β –Lactam) Inhibition of Protein Synthesis (Translation) (second largest class) →(Aminoglycosides, Tetracyclines, Erythromycins, Chloramphenicol) Alteration of Cell Membranes →(Amphotericin B) Inhibition of Nucleic Acid Synthesis or action on DNA and/or RNA →(Actinomycin, Rifampin) Selective toxicity Cell wall synthesis inhibitors: Human cell don't have cell walls Protein synthesis inhibitors: Target 30S or 50S ribosomal structures that bacteria have, that we don't have Target bacterial protein synthesis that is occurring at a much faster rate than in mammalian cells Actively taken up into bacteria cells-not ours 1.β –Lactam Antibiotics Penicillins Cephalosporins Monobactams Carbapenems β-Lactamase Inhibitors 1.β–Lactam Antibiotics X H X H S RCONH RCONH N O S N N COOH O A COOH X= -H, -OCH3 X= -H, -OCH3 Penicillins Cephalosporins N N Penem Carbapenem O S O O O Oxypenam NH O Monobactam 1.β–Lactam Antibiotics ¦Á O ¦Â N These all share a common β-lactam ring. The ring is very strained and the bond between the carbonyl and the nitrogen in the β-lactam ring is very labile and hence makes the molecule reactive. Three-dimensional structures The R-group substitute of the penicillin nucleus can be changed to give the molecule different antibacterial properties. The two naturally occurring penicillins from Penicillium notatum are Penicillin G, [Benzyl penicillin, R = C6H6] and Penicillin V, [Phenoxymethyl penicillin, R = CH2O(C6H6)] O R X H S NH N O H COOH The β-lactam structure is derived from two covalently bonded amino acid residues; cysteine and valine. This forms via a tripeptide intermediate where the third amino acid is replaced by the variable R-group. Mechanism of Action O O O R N N O O N S R N O D-Alanyl-D-Alanin O Penicillins O The Cell Wall Synthesis MurNAc L-Ala D-Glu m-DAP D-Ala D-Ala GlcNAc D-Ala m-DAP D-Ala D-Glu L-Ala MurNAc GlcNAc תëÄø MurNAc GlcNAc L-Ala D-Glu m-DAP D-Ala transpeptidase D-Ala m-DAP D-Ala D-Glu L-Ala MurNAc GlcNAc Mechanism of action of -lactams Mechanism of Action Penicillin binds at the active site of the transpeptidase enzyme that cross-links the peptidoglycan strands. It does this by mimicking the D-alanyl-D-alanine residues that would normally bind to this site. The labile β-lactam ring in penicillin reacts with a serine residue in the transpeptidase. This reaction is irreversible and so the growth of the bacterial cell wall is inhibited. Penicillin G and V are only active against Gram Positive bacterial cells, which have an exposed layer of peptidoglycan around the outside of the cell wall, as shown below. Gram Negative bacteria have a more complicated composition, which Penicillin G and V can not destroy . All β–lactam antibiotics owe their activity to their ability to act as irreversible inhibitors of the D-alanyl-D-alanine carboxypeptidase / Transpeptidase. These enzymes are collectively known as Penicllin-Binding Poteins, PBPs R OH PBPs N O H NH3 COOH glycopeptide PBPs peptidoglycan strands Cell Wall -Lactam Clinical use β-lactam antibiotics are indicated for the prophylaxis and treatment of bacterial infections caused by susceptible organisms. At first, βlactam antibiotics were mainly active only against Gram-positive bacteria, yet the recent development of broad-spectrum β-lactam antibiotics active against various Gram-negative organisms has increased their usefulness. The Penicillins Benzylpenicillin Sodium O H H 4 5S 6 HN 3 7 N1 2 Bicyclo[3.2.0]heptane O H ONa O Chemical name: (2S,5R,6R)-3,3-dimethyl-6-(2benzylacetamido)-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane2-carboxylic acid Penicillin G Penicillins nucleus consists of the β–lactam ring fused through a nitrogen atom and the adjacent tetrahedral carbon atom to a 5-member thiazolidine ring. Both two rings are strained. In addition, the carbonyl group in benzylpenicillin can’t form conjugate structure with the unshared electron pair of nitrogen, so it’s not a normal amide. it can be easily attacked by nucleophilic agent. Structure and bonding of normal amide Degradation of penicillins O H H N H O S N H COOH H + or HgCl2 O O N H OH S O + N H HN H COOH O H OH O ÇàùȩËá Penaldic Acid ÇàùËá Penicilloic Acid - CO2 O O N H Çàùȩ Penilloaldehyde Under pH4 and r.t. conditions O + H .. H H S N H N .. O H COOH O O pH = 4 HO O N+ H H + S S N HN COOH Çàù¶þËá Penillic Acid H COOH H+ O O N H Çàùȩ Penilloaldehyde O+ N HS OH H NH2 Çàù°· Penicillamine Under base condition O O H H S N H O OH - H H S N H N H COOH -CO2 HN OH COOH H O ÇàùËá Penicilloic acid O H N H S HN H COOH ÇàùàçßòËá Penilloic acid HgCl2 O O N H Çàùȩ Penilloaldehyde O+ HS OH H NH2 Çàù°· Penicillamine Benzylpenicillin react with amine or alcohol NH RNH2 S O H H N H H O O OH NHR Amide of Penicilloic Acid NH S O H H O N O H ROH OH NH S O H H O N H H OR Ester of Penicilloic Acid O OH Resistance: Penicillin G is a typical example of compounds that inhibit the action of DDtranspeptidases, but it is also a substrate for β– lactamases. Products Natural Penicillins The disadvantages of Penicillins (Penicillin G) Narrower in antibacterial spectrum, active for G-P only, poor active for G-N. Can not be oral administrated , just for injection. Allergic action (frequency : 0.7–10% ). Susceptible to acid and Penicillinase. Produces Penicllins-resistant bacteria. Pencillinase-resistant penicillins Oxacillin Sodium O H H S HN N O N O .H2O COONa (2S,5R,6R)-3,3-Dimethyl-6-(5-methyl-3-phenyl4-isooxazoleformamide)-7-oxo-4-thia-1-azabicyclo[3. 2.0]heptane-2-carboxylic acid sodium monohydrate Oxacillin was designed and discovered according to bioisosterism from the Methicillin as lead compound. Methicillin and Oxacillin Aminopenicillins: the broader antibacterial spectrum antibiotics Amoxicillin HO O H H HN H NH2 O S N .3H2O COOH (2S,5R,6R)-3,3-Dimethyl-6-[(R)-(-)-2-amino-2-(4hydroxyphenyl)acetamido]-7-oxo-4-thia-1azabicyclo[3.2.0.]heptane-2-carboxylic acid trihydrate Formation of polymer HO HO O H H H NH 2 O H NH2 O N O COOH HO COOH O N NH HO N S NH H NH2 O S H H HO S HN COOH NH H N S O O n HN COOH NH H S N O N COOH O SAR of Penicillins O H N H O H S N H COOH The presence of a carboxy group is a requirement for PBP recognition. When esterition of it, it behaves a pro-drug The bioavailability will be raisen. SAR of Penicillins O H N H O H S N H COOH Three chiral centers are requirement for Penicillins bioactivity SAR of Penicillins Side chain can be replaced with different R group to obtain different compounds With broad antibacterial spectrum O H N H O H S N H COOH The synthetic routes of semi-synthetic penicillins from 6-APA (6-Amino-Penicillanic Acid) H H H2 N S N O H NH2 COOH Cl O H NH2 R' S H H R' NH N O O RCOOH R O H H NH N C N O O HO HO O O S R H H N COOH O S NH N COOH O COOH The synthetic routes of semi-synthetic penicillins --Key intermediate 6-Amino-Penicillanic Acid (6-APA) O H H H H S HN Penicillin G S H2N N N O Penicillin acylase O COOH 6-APA COOH Preparation of Salt of Penicillins COONa NH 2 H NH O S NH 2 H OH H H N H O NH O O S H H N O H OH O ONa O ONa N HN O S H O H O H O N OH CH3OH N HN O S H O H O H O N ONa Brief summary Typical drug Benzylpenicillin sodium, Amoxicillin The structural characteristic of Pencillins Semi-synthetic Penicillins SAR of Penicillins O H N H O HO H S N H COOH O H H HN H NH2 O S N .3H2O COOH Assignment: 1.Read English textbook pp299-314 2.Homework: Experimental Medicinal Chemistry, exercises of medicinal chemistry p84 Type A; 药物化学学习指导,第八章 8-2,8-3,8-8,8-46