The University of the West Indies *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 ANTIBACTERIAL AGENTS Antibacterials are class of drugs which are effective in bacterial infections. They can be: Bactericidal - which kill the bacteria Bacteriostatic - which inhibit the growth of bacteria Antibiotics are the antimicrobial agents which destroy microorganisms within the body. 3 Bacteria and Its Cell 4 Mechanism of action of Antibiotics 5 6 -LACTAM ANTIBIOTICS Antibiotics that possess the -lactam (a four-membered cyclic amide) ring structure and are effective agents for chemotherapy of bacterial infections. -lactam ring This ring is named as such because the nitrogen atom is attached to the β-carbon atom relative to the carbonyl. 7 Discovery of Penicillin in 1928 Alexander Fleming 8 TYPES OF -LACTAM ANTIBIOTICS Penicillins Cephalosporins -Lactam ring -Lactam ring 9 GENERAL STRUCTURE 10 11 STRUCTURES OF PENICILLINS 12 AMINOPENCILLINS GENERALIZED STRUCTURES e.g. ampicillin amoxycillin cyclacillin Cyclacillin (1-Aminocyclohexylpencillin) Ampicillin acts as an irreversible inhibitor of the enzyme transpeptidase which is needed by bacteria to make their cell walls. Amino group helps the drug penetrate the outer membrane of Gram-negative bacteria. 13 PRODRUGS OF AMPICILLIN (to improve oral bioavailability) Bacampicillin Talampicillin 14 PRODRUGS OF AMPICILLIN (to improve oral bioavailability) Metampicillin Hetacillin 15 ISOXAZOLYL PENCILLINS 16 CARBOXYPENICILLINS Carbencillin Carindacillin (Carbenicillin indanyl) a prodrug of carbenicillin 17 CARBOXYPENICILLINS Temocillin Ticarcillin 18 UREIDOPENICILLINS Mezlocillin Azlocillin 19 Piperacillin Chemistry of Penicillins Penam ring 20 Degradation of Penicillins 21 STEREOCHEMISTRY OF PENICILLINS Penam Penicillanic acid Penicillin molecule contains 3 chiral carbon atoms at C-3, C-5 and C-6. C-6 (to which acylamino group is attached) has L-configuration. C-3 (to which carboxyl group is attached) has D-configuration. Thus, acylamino and carboxyl groups are trans to each other with former in alpha and latter in beta orientation to the penam ring system. The absolute stereochemistry of penicillins is designated as 3S:5R:6R. Any change in stereochemistry results in loss of activity. 22 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. 23 24