*St. Augustine Campus* Faculty of Medical Sciences School of Pharmacy Course: MICROBIOLOGY, IMMUNOLOGY AND GENERAL PATHOLOGY (PHAR 2401) 07/10/2019 1 Prepared By: Dr. Rajiv Dahiya 2 3 CEPHALOSPORINS 4 5 -lactamase resistant/sensitive structural features *Movement of one of the methoxy group to para position or replacement with hydrogen results in b-lactamase sensitive agents. 6 7 8 9 GLYCOPEPTIDES Glycopeptides are peptides that contain carbohydrate moieties (glycans) covalently attached to the side chains of the amino acid residues that constitute the peptide. 10 GLYCOPEPTIDE LINKAGES N-Linked Glycans are the glycans where glycan is attached to an asparagine (Asn) residue, and are amongst the most common linkages found in nature. GlcNAc-β-Asn 11 GLYCOPEPTIDE LINKAGES O-Linked Glycans are the glycans that are formed by a linkage between an amino acid hydroxyl side chain (usually from serine or threonine) with the glycan. GlcNac-β-Ser 12 GLYCOPEPTIDE LINKAGES C-Linked Glycans refers to the covalent attachement of mannose to a tryptophan residue. An example of a C-linked glycan is α-mannosyl tryptophan. Of the three linkages, these are least common one. α-mannosyl tryptophan 13 GLYCOPEPTIDE ANTIBIOTICS Glycopeptide antibiotics are a class of drugs of microbial origin that are composed of glycosylated cyclic/polycyclic nonribosomal peptides. Types:Anti-infective antibiotics e.g. Vancomycin, Teicoplanin, Telavancin, Ramoplanin, Decaplanin Anti-tumor antibiotics e.g. Bleomycin 14 STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS Vancomycin *Vancomycin is indicated for the treatment of serious, life-threatening infections by gram-positive bacteria unresponsive to other antibiotics. 15 STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS *All teicoplanins share a same glycopeptide core, termed teicoplanin A3-1 - a fused ring structure to which two carbohydrates (mannose and N-acetylglucosamine) are attached. 16 STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS Telavancin (semi-synthetic derivative of vancomycin) *Telavancin inhibits bacterial cell wall synthesis by binding to the D-AlaD-Ala terminus of the peptidoglycan in the growing cell wall. 17 STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS Ramoplanin (having 49 membered macrocyclic depsipeptide ring with 17 amino acids) *Telavancin is a potent inhibitor of bacterial cell wall synthesis. . 18 STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS Decaplanin *Decaplanin was two- to four-fold less active than vancomycin, telcoplanin and daptomycin against Staphylococcus aureus and Staphylococcus epidermidis. 19 . STRUCTURES OF GLYCOPEPTIDE ANTIBIOTICS Bleomycin (a hybrid peptidepolyketide natural product) *It is recommended in Hodgkin's disease, non-Hodgkin's disease, testicular cancer, ovarian cancer, and cervical cancer.. 20 AMINOGLYCOSIDE ANTIBIOTICS Aminoglycosides are gram-negative antibacterial therapeutic agents that inhibit protein synthesis and contain an amino-modified glycoside (sugar). 2-deoxystreptamine 21 TYPES OF AMINOGLYCOSIDES Non-deoxystreptamine aminoglycosides e.g. Streptomycin Those having 4,6-disubstituted deoxystreptamine e.g Kanamycin A, Tobramycin, Amikacin Those having 4,5-disubstituted deoxystreptamine e.g. Neomycins 22 23 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Streptomycin *Streptomycin is produced by fermentation of Streptomyces griseus. 24 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Kanamycin A Amikacin *Kanamycin is isolated from Streptomyces kanamyceticus. 25 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Tobramycin Gentamicin *Tobramycin is produced by fermentation of Streptomyces tenebrarius and Gentamicin is produced by fermentation of Micromonospora purpurea. 26 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Sisomicin Netilmicin 27 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Neomycins B, C *Neomycins are produced by fermentation of Streptomyces fradiae. 28 STRUCTURES OF AMINOGLYCOSIDE ANTIBIOTICS Neomycin E (Paromomycin) *Paromomycin is isolated from Streptomyces krestomuceticus. . 29 TETRACYCLINES Tetracyclines are a group of broadspectrum antibiotics which are derivatives of polycyclic naphthacene carboxamide having four adjacent rings and used in the treatment of infections of the urinary and respiratory tract. Basic tetracycline structure 30 CLASSIFICATION OF TETRACYCLINES According to source… Naturally occurring tetracyclines e.g. Tetracycline, Chlortetracycline, Oxytetracycline, Demeclocycline Semi-synthetic tetracyclines e.g. Lymecycline, Meclocycline, Methacycline, Minocycline, Rolitetracycline 31 CLASSIFICATION OF TETRACYCLINES According to duration of action… Short-acting tetracyclines (Half life: 6-8 hrs) e.g. Tetracycline, Chlortetracycline, Oxytetracycline Intermediate-acting tetracyclines (Half life: ~12 hrs) e.g. Demeclocycline, Methacycline 32 CLASSIFICATION OF TETRACYCLINES According to duration of action (contd.) Long-acting tetracyclines (Half life: 16 hrs & more) e.g. Doxycycline, Minocycline, Tigecycline *Tetracycline antibiotics are protein synthesis inhibitors, inhibiting the binding of aminoacyl-tRNA to the mRNAribosome complex. They do so mainly by binding to the 30S ribosomal subunit in mRNA translation complex 33 STRUCTURES OF TETRACYCLINES 34 STRUCTURES OF TETRACYCLINES Lymecyline Tigecyline Meclocyline 35 TETRACYCLINE - PRODRUGS Rolitetracycline (a pyrrolidinylmethyl tetracycline) *Rolitetracycline is a N-Mannich base prodrug which is more hydrophilic than tetracycline and has sufficient water solubility to allow intravenous administration 36 REFERENCES Block JH, Beale JM, Gisvold O. Wilson and Gisvold’s Textbook of Organic, Medicinal and Pharmaceutical Chemistry, 11th edition, Lipincott Williams and Wilkins, 2004. Lemke TL, Williams DA, Roche VF, Zito WS. Foye’s Principles of Medicinal Chemistry, 6th edition, Lipincott Williams and Wilkins, 2008. Abraham DJ. Burger’s Medicinal Chemistry and Drug Discovery, 6th edition, Wiley Interscience, 2006. Ashutosh Kar. Medicinal Chemistry, 4th edition, New Age International Publishers, 2007. 37 38