Bacterial Folic Acid Biosynthesis
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The Role of Nanobiosensors in Therapeutic Drug Monitoring
Journal of Personalized Medicine Review Personalized Medicine for Antibiotics: The Role of Nanobiosensors in Therapeutic Drug Monitoring Vivian Garzón 1, Rosa-Helena Bustos 2 and Daniel G. Pinacho 2,* 1 PhD Biosciences Program, Universidad de La Sabana, Chía 140013, Colombia; [email protected] 2 Therapeutical Evidence Group, Clinical Pharmacology, Universidad de La Sabana, Chía 140013, Colombia; [email protected] * Correspondence: [email protected]; Tel.: +57-1-8615555 (ext. 23309) Received: 21 August 2020; Accepted: 7 September 2020; Published: 25 September 2020 Abstract: Due to the high bacterial resistance to antibiotics (AB), it has become necessary to adjust the dose aimed at personalized medicine by means of therapeutic drug monitoring (TDM). TDM is a fundamental tool for measuring the concentration of drugs that have a limited or highly toxic dose in different body fluids, such as blood, plasma, serum, and urine, among others. Using different techniques that allow for the pharmacokinetic (PK) and pharmacodynamic (PD) analysis of the drug, TDM can reduce the risks inherent in treatment. Among these techniques, nanotechnology focused on biosensors, which are relevant due to their versatility, sensitivity, specificity, and low cost. They provide results in real time, using an element for biological recognition coupled to a signal transducer. This review describes recent advances in the quantification of AB using biosensors with a focus on TDM as a fundamental aspect of personalized medicine. Keywords: biosensors; therapeutic drug monitoring (TDM), antibiotic; personalized medicine 1. Introduction The discovery of antibiotics (AB) ushered in a new era of progress in controlling bacterial infections in human health, agriculture, and livestock [1] However, the use of AB has been challenged due to the appearance of multi-resistant bacteria (MDR), which have increased significantly in recent years due to AB mismanagement and have become a global public health problem [2]. -
Folic Acid Antagonists: Antimicrobial and Immunomodulating Mechanisms and Applications
International Journal of Molecular Sciences Review Folic Acid Antagonists: Antimicrobial and Immunomodulating Mechanisms and Applications Daniel Fernández-Villa 1, Maria Rosa Aguilar 1,2 and Luis Rojo 1,2,* 1 Instituto de Ciencia y Tecnología de Polímeros, Consejo Superior de Investigaciones Científicas, CSIC, 28006 Madrid, Spain; [email protected] (D.F.-V.); [email protected] (M.R.A.) 2 Consorcio Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina, 28029 Madrid, Spain * Correspondence: [email protected]; Tel.: +34-915-622-900 Received: 18 September 2019; Accepted: 7 October 2019; Published: 9 October 2019 Abstract: Bacterial, protozoan and other microbial infections share an accelerated metabolic rate. In order to ensure a proper functioning of cell replication and proteins and nucleic acids synthesis processes, folate metabolism rate is also increased in these cases. For this reason, folic acid antagonists have been used since their discovery to treat different kinds of microbial infections, taking advantage of this metabolic difference when compared with human cells. However, resistances to these compounds have emerged since then and only combined therapies are currently used in clinic. In addition, some of these compounds have been found to have an immunomodulatory behavior that allows clinicians using them as anti-inflammatory or immunosuppressive drugs. Therefore, the aim of this review is to provide an updated state-of-the-art on the use of antifolates as antibacterial and immunomodulating agents in the clinical setting, as well as to present their action mechanisms and currently investigated biomedical applications. Keywords: folic acid antagonists; antifolates; antibiotics; antibacterials; immunomodulation; sulfonamides; antimalarial 1. -
CHM 114: Bioorganic Molecules Week 6 Laboratory
CHM 114: Bioorganic Molecules Week 6 Laboratory Azosulfonamides: Part 1. Synthesis of a Ligand for Protein Binding Studies1 Dyes and Serendipity: In the Persian fairy tale The Three Princes of Serendip, the title characters were forever discovering things they were not looking for at the time—thus, serendipity is the aptitude for for making happy discoveries by accident. The preparation of the first commercially important synthetic dye by William Henry Perkin (not of Perkin’s restaurant fame) in 1854 is a good example of a serendipitous discovery in science. During the nineteenth century quinine was the only drug known to be effective against malaria, and it could be obtained only from the bark of the cinchona tree, which grew in South America. French chemists had isolated pure quinine from cinchona bark in 1820, but the inaccessibility of the tree made natural quinine very expensive. Perkin, then an 18-year-old graduate student working for the eminent German chemist August Wilhelm von Hofmann, realized that anyone who could make synthetic quinine might well become rich and famous. Perkin knew nothing about the molecular structure of quinine—structural organic chemistry was in its infancy in the mid-1800’s—but he knew that quinine’s molecular formula was C20H24N2O2. Perkin prepared some allytoluidine (C10H13N), apparently thinking that two molecules of allyltoluidine plus three oxygen atoms minus a molecule of water would magically yield C20H24N2O2 –quinine! (Figure 1). H H N N +3[O] 2 OH H H C -H2O 3 H3CO Allyltoluidine N Quinine Figure 1. Perkin’s Idea for the Synthesis of Quinine Of course Perkin had attempted the impossible. -
9-20-08 Referral
Comparative studies with antibiotics: Why should we change the rules? Paul M. Tulkens, MD, PhD Cellular and Molecular Pharmacology & Centre for Clinical Pharmacy Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 1 What its all about ? • We are in real need of novel antibiotics… but … most clinical studies with new compounds aim at equivalence or non-inferiority, failing to meet clinicians’ expectations and regulatory requirements for novelty. In parallel, safety issues are becoming an increasingly worrying hurdle for manufacturers Pricing make antibiotic unattractive • What are the possible solutions ? 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 2 The antibiotic crisis * * A pictorial view using 4 paintings of Van Gogh (who stayed briefly in Belgium when moving from Holland to France) and with selected Belgian and International data… 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 3 Are antibiotics following a path to madness ? discovery in soil bacteria and fungi 1928 - … 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 4 Are antibiotics following a path to madness ? and then we all saw the blooming tree of semi- synthetic and totally synthetic antibiotics 1950 – 1980 … 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 5 Are antibiotics following a path to madness ? and the US General Surgeon told us that the fight was over 1970 … 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 6 Are antibiotics following a path to madness ? But… 2012 … 10-10-2012 Late Phase Leaders Forum, Vienna, Austria 7 Extent of resistance of P. -
An Updated Review of Iclaprim
Open Forum Infectious Diseases REVIEW ARTICLE An Updated Review of Iclaprim: A Potent and Rapidly Bactericidal Antibiotic for the Treatment of Skin and Skin Structure Infections and Nosocomial Pneumonia Caused by Gram-Positive Including Multidrug-Resistant Bacteria David B. Huang,1 Catherine D. Strader,3 James S. MacDonald,3 Mark VanArendonk,2 Richard Peck,4 and Thomas Holland5 1Motif BioSciences, New York, New York; Rutgers New Jersey Medical School, 2Vermeer Pharma, Morristown, New Jersey, 3Synergy Partners R&D Solutions, Chester, New Jersey; 4Hemex, Liestal, Switzerland, 5Duke University Medical Center, Durham, North Carolina New antibiotics are needed because of the increased morbidity and mortality associated with multidrug-resistant bacteria. Iclaprim, a bacterial dihydrofolate reductase inhibitor, not currently approved, is being studied for the treatment of skin infections and noso- comial pneumonia caused by Gram-positve bacteria, including multidrug-resistant bacteria. Iclaprim showed noninferiority at –10% to linezolid in 1 of 2 phase 3 studies for the treatment of complicated skin and skin structure infections with a weight-based dose (0.8 mg/kg) but did not show noninferiority at –10% to linezolid in a second phase 3 study. More recently, iclaprim has shown noninferiority at –10% to vancomycin in 2 phase 3 studies for the treatment of acute bacterial skin and skin structure infections with an optimized fixed dose (80 mg). A phase 3 study for the treatment of hospital-acquired bacterial and ventilator-associated bacterial pneumonia is upcoming. If, as anticipated, iclaprim becomes available for the treatment of skin and skin structure infections, it will serve as an alternative to current antibiotics for treatment of severe infections. -
Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in Klebsiella Pneumoniae Isolates from Hospital Wastewater
antibiotics Article Antimicrobial Resistance in Bacterial Pathogens and Detection of Carbapenemases in Klebsiella pneumoniae Isolates from Hospital Wastewater Hercules Sakkas * , Petros Bozidis , Afrodite Ilia, George Mpekoulis and Chrissanthy Papadopoulou Microbiology Department, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece * Correspondence: [email protected]; Tel.: +30-265-100-7769 Received: 21 May 2019; Accepted: 26 June 2019; Published: 27 June 2019 Abstract: During a six-month period (October 2017–March 2018), the prevalence and susceptibility of important pathogenic bacteria isolated from 12 hospital raw sewage samples in North Western Greece was investigated. The samples were analyzed for methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), extended-spectrum beta-lactamase (ESBL) producing Escherichia coli, carbapenemase-producing Klebsiella pneumoniae (CKP), and multidrug-resistant Pseudomonas aeruginosa. Antimicrobial susceptibility testing was performed using the agar diffusion method according to the recommendations of the Clinical and Laboratory Standards Institute. The diversity of carbapenemases harboring K. pneumoniae was examined by two phenotyping screening methods (modified Hodge test and combined disk test), a new immunochromatographic rapid assay (RESIST-4 O.K.N.V.) and a polymerase chain reaction (PCR). The results demonstrated the prevalence of MRSA, vancomycin-resistant Staphylococcus aureus (VRSA), VRE, and CKP in the examined -
From Prontosil Rubrum to Antipsychotics
IJRPC 2017, 7(3), 306-319 Edna S Suyenaga et al. ISSN: 22312781 INTERNATIONAL JOURNAL OF RESEARCH IN PHARMACY AND CHEMISTRY Available online at www.ijrpc.com Research Article GENESIS OF PHARMACEUTICALS: FROM PRONTOSIL RUBRUM TO ANTIPSYCHOTICS – A HISTORY OF SULFA DRUGS FROM THE PERSPECTIVE OF MEDICINAL CHEMISTRY Gabriela M Aver1, Vitória HM Mottin2, Olyr C Kreutz1 and Edna S Suyenaga1,2* 1Universidade Feevale, ERS-239, 2755, Vila Nova, 93525-000, Novo Hamburgo–RS, Brazil. 2Universidade Vale do Rio dos Sinos, Avenida Unisinos, 950, 93022-000, São Leopoldo–RS, Brazil. ABSTRACT Based on research conducted on dye Prontosil Rubrum, it was possible to obtain the first synthetic bacteriostatic, the sulfas, which present sulfanilamide as its pharmacophore. This prototype made possible to obtain pharmaceuticals of different pharmacological classes, such as diuretics, hypoglycemiants, anti-inflammatories, antipsychotics, anti-leprosy drugs and antiadrenergics. This paper intends to report, through a bibliographic review, the structural alterations that characterize the different therapeutic classes of sulfanilamide derivatives, through chemical structure versus pharmacological activity relationship analysis. As a result, it was observed that some chemical groups are essential to define the pharmacological action. Diuretic drugs derived from sulfanilamide present groups of benzothiazide, thiadiazole and associated to sulfamoylbenzoic acid in their chemical structure. As for hypoglycemiants, they present the group sulfonylurea in their chemical structure. In the chemical structure of oxicams, there is cyclization of the pharmacophore, 4- hydroxy-2-methyl-1,2-benzothiazine-3-carboxamide -1,1-dioxide. The coxibs present in their chemical structures two aromatic rings linked by a furan or trifluoromethyl pyrazole ring, the antipsychotics show the group N-(pyrrolidin-2-yl) -sulfonylbenzamide. -
Chapter 12 Antimicrobial Therapy Antibiotics
3/31/2010 Chapter 12 Antimicrobial Therapy Topics: • Ehrlich (1900’s) – compound 606 to - Antimicrobial Therapy treat syphilis. Coined the term - Selective Toxicity “selective toxicity” - Survey of Antimicrobial Drug • Fleming (1928) – discovered - Microbial Drug Resistance penicillin - Drug and Host Interaction • Domagk (1930s) – “prontosil” was modified in the body to an active compound (first sulfa drug!) An ideal antimicrobic: Chemotherapy is the use of any chemical - soluble in body fluids, agent in the treatment of disease. - selectively toxic , - nonallergenic, An antibiotic agent is usually considered to - reasonable half life (maintained at a be a chemical substance made by a constant therapeutic concentration) microorganism that can inhibit the growth or - unlikely to elicit resistance, kill another microorganisms. - has a long shelf life, An antimicrobic or antimicrobial agent is - reasonably priced. a chemical substance similar to an There is no ideal antimicrobic!!! antibiotic, but may be synthetic. Selective Toxicity - Drugs that specifically target microbial processes, and not the human host’s. Antibiotics Spectrum of antibiotics and targets • Naturally occurring antimicrobials – Metabolic products of bacteria and fungi – Reduce competition for nutrients and space • Bacteria – Streptomyces, Bacillus, • Molds – Penicillium, Cephalosporium * * 1 3/31/2010 The mechanism of action for different 5 General Mechanisms of Action for antimicrobial drug targets in bacterial cells Antibiotics - Inhibition of Cell Wall Synthesis - Disruption of Cell Membrane Function - Inhibition of Protein Synthesis - Inhibition of Nucleic Acid Synthesis - Anti-metabolic activity Antibiotics weaken the cell wall, and cause the cell to lyse . Cell wall synthesis • Bactericidal • Vancomycin – hinders peptidoglycan elongation • Penicillin and cephalosporins – binds and blocks peptidases involved in cross-linking the glycan molecules Fig. -
Potent Late-Stage Antibiotic for Serious and Life-Threatening Bacterial
ADVERTISEMENT FEATURE Motif BioSciences, Inc. www.motifbio.com Potent late-stage antibiotic for serious and life-threatening bacterial infections Motif Bio’s iclaprim shows rapid bactericidal activity and low propensity for induction of resistance and is in late-stage clinical testing for acute bacterial skin and skin structure infections. The need for new antibiotics to combat multidrug- a Control Vanco 8×MIC Iclaprim 2×MIC b resistant infections is increasingly urgent in the hos- 1.00E+101010 Induction of resistance with iclaprim and trimethoprim: Staphylococcus. aureus ATCC 25923 (trimethoprim sensitive).* pital setting, where patients often succumb to serious 1.00E+091090 and life-threatening infections that require immedi- 1.00E+081080 140 1.00E+071070 120 profile ate treatment with the best available antibiotic. 100 1.00E+061060 CFU 80 Motif Bio is a clinical-stage biopharmaceutical com- 1.00E+051050 60 40 MIC (mg/ml) pany developing new antibiotics against serious and 1.00E+0410 40 30 1.00E+0310 20 life-threatening infections caused by multidrug-resis- 20 1.00E+0210 0 tant bacteria. Its lead product candidate, iclaprim, is 00 0 5 10 15 20 25 10 Passage number 1.00E+010 being developed for the treatment of the most com- 0 1 2 3 4 5 6 7 8 9 10 Trimethoprim Iclaprim Rifampin mon and serious bacterial infections, such as acute Time (h) *Similar results were obtained with a trimethoprim-resistant (F98Y) S. aureus. bacterial skin and skin structure infections (ABSSSIs) and hospital-acquired bacterial pneumonia (HABP), Figure 1: Iclaprim bactericidal activity and low resistance profile. -
The Effect of Pulmonary Surfactant on the in Vitro Activity of Iclaprim Against Common Respiratory Bacterial Pathogens
ÅÒ The Effect of Pulmonary Surfactant on the In Vitro Activity of Iclaprim Against Common Respiratory Bacterial Pathogens David B Huang, Leonard R Duncan, Robert K Flamm, Matthew Dry- den, G. Ralph Corey, Mark H Wilcox, Antoni Torres, Thomas M File Jr PII: S0732-8893(17)30285-7 DOI: doi: 10.1016/j.diagmicrobio.2017.09.011 Reference: DMB 14429 To appear in: Diagnostic Microbiology and Infectious Disease Received date: 10 March 2017 Revised date: 23 June 2017 Accepted date: 16 September 2017 Please cite this article as: Huang David B, Duncan Leonard R, Flamm Robert K, Dryden Matthew, Corey G. Ralph, Wilcox Mark H, Torres Antoni, File Jr Thomas M, The Effect of Pulmonary Surfactant on the In Vitro Activity of Iclaprim Against Common Respiratory Bacterial Pathogens, Diagnostic Microbiology and Infectious Disease (2017), doi: 10.1016/j.diagmicrobio.2017.09.011 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. ACCEPTED MANUSCRIPT The Effect of Pulmonary Surfactant on the In Vitro Activity of Iclaprim Against Common Respiratory Bacterial Pathogens David B Huang,1 Leonard R Duncan,2 Robert K Flamm,2 Matthew Dryden,3 G. Ralph Corey,4 Mark -
Antibacterial Prodrugs to Overcome Bacterial Resistance
molecules Review Antibacterial Prodrugs to Overcome Bacterial Resistance Buthaina Jubeh , Zeinab Breijyeh and Rafik Karaman * Pharmaceutical Sciences Department, Faculty of Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine; [email protected] (B.J.); [email protected] (Z.B.) * Correspondence: [email protected] or rkaraman@staff.alquds.edu Academic Editor: Helen Osborn Received: 10 March 2020; Accepted: 26 March 2020; Published: 28 March 2020 Abstract: Bacterial resistance to present antibiotics is emerging at a high pace that makes the development of new treatments a must. At the same time, the development of novel antibiotics for resistant bacteria is a slow-paced process. Amid the massive need for new drug treatments to combat resistance, time and effort preserving approaches, like the prodrug approach, are most needed. Prodrugs are pharmacologically inactive entities of active drugs that undergo biotransformation before eliciting their pharmacological effects. A prodrug strategy can be used to revive drugs discarded due to a lack of appropriate pharmacokinetic and drug-like properties, or high host toxicity. A special advantage of the use of the prodrug approach in the era of bacterial resistance is targeting resistant bacteria by developing prodrugs that require bacterium-specific enzymes to release the active drug. In this article, we review the up-to-date implementation of prodrugs to develop medications that are active against drug-resistant bacteria. Keywords: prodrugs; biotransformation; targeting; β-lactam antibiotics; β-lactamases; pathogens; resistance 1. Introduction Nowadays, the issue of pathogens resistant to drugs and the urgent need for new compounds that are capable of eradicating these pathogens are well known and understood. -
Perspectives in Antimicrobial Agents What Its All About ?
Perspectives in antimicrobial agents Paul M. Tulkens, MD, PhD 1 Isabelle Huys, PharmD, PhD 2 1 Pharmacologie cellulaire et moléculaire, Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium; 2 Onderzoekscentrum voor Farmaceutische Zorg en Farmaco-economie Departement Farmaceutische en Farmacologische Wetenschappen Katholieke Universiteit Leuven, Leuven, Belgium 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 1 What its all about ? • Is there a crisis in antibiotic research and development ? • What has been introduced recently ? • What is in the pipeline ? • What are the hurdles ? • Towards a really new approach ? 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 2 The antibiotic crisis * 1. Resistance * A pictorial view using 4 paintings of Van Gogh (who stayed briefly in Belgium when moving from Holland to France) and with selected Belgian and International data… 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 3 Are antibiotics following a path to madness ? discovery in soil bacteria and fungi 1928 - … 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 4 Are antibiotics following a path to madness ? and then we all saw the blooming tree of semi- synthetic and totally synthetic antibiotics 1950 – 1980 … 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 5 Are antibiotics following a path to madness ? and the US General Surgeon told us that the fight was over 1970 … 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 6 Are antibiotics following a path to madness ? But … 2012 … 1/6/2012 ESCP International Workshop "Patients, Infections and the Clinical Pharmacist" 7 Extent of resistance of P.