Bioorganic & Medicinal Chemistry Letters
Synthesis of 400-O-desosaminyl clarithromycin derivatives and their
anti-bacterial activities
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Di Zhu, Yanpeng Xu, Yi Liu, Xiaozhuo Chen, Zhehui Zhao, Pingsheng Lei
State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Beijing Key Laboratory of Active Substances Discovery and Drugability Evaluation,
Department of Medicinal Chemistry, Institute of Materia Medica, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100050, PR China
a r t i c l e i n f o
a b s t r a c t
A series of new 400-O-desosaminyl clarithromycin derivatives were designed and synthesized. The effi-
cient synthesis routes of 6-deoxy-desosamine donors 8 and 11 were developed and the methodology
of glycosylation of clarithromycin 400-OH with desosamine was studied. The activities of the target com-
pounds were tested against a series of macrolide-sensitive and macrolide-resistant pathogens. Some of
them showed activities against macrolide sensitive pathogens, and compounds 19 and 22 displayed sig-
nificant improvement of activities against sensitive pathogens and two strains of MRSE, which verified
the importance of desosamine in the interaction of macrolide and its receptor, and offered valuable infor-
mation of the SAR of macrolide 400-OH derivatives.
Article history:
Received 9 June 2013
Revised 9 September 2013
Accepted 25 September 2013
Available online 3 October 2013
Keywords:
Macrolide antibiotics
Clarithromycin derivatives
Desosamine
Ó 2013 Elsevier Ltd. All rights reserved.
Glycosylation
Antibacterial activity
Bacterial resistance
Macrolide antibiotics have been widely used for the treatment
of upper and lower respiratory tract infections (RTIs), renowned
for its safety and low toxicity since the discovery of erythromycin
in 1950s.1 Second generation macrolides, such as clarithromycin
and roxithromycin, improved the acid unstability and decreased
the gastric-intestine stimulation of erythromycin and as a result
were widely used clinically. However, the problem of antibacterial
resistance is becoming more and more serious due to the abuse of
antibiotics and hence great efforts have been made to develop no-
vel macrolide structures against resistant pathogens.2 The most
successful improvement of anti-resistant macrolide antibiotics is
well-known as ketolides, represented by telithromycin3 and
cethromycin.4 The structural features of ketolides include a 3-keto
group, a 11,12-cyclic or 6-carbamate and a tethered hetero-aro-
matic substituent. Ketolides, however, are not the only class of
macrolides against resistant bacterials. Among the many none
ketolides, 400-modified macrolide derivatives show a notable potent
activity against macrolide-sensitive and macrolide-resistant
pathogens. In 1989, Fernandes et al. found that compound A-
60565 had better activity than erythromycin against some consti-
tutively resistant Streptococcus pyogenes.5 During the refinement
process of A-60565, Su et al. discovered that compound CP-
544372, whose linker was as long as 6 atoms, exhibited a powerful
activity against several sensitive and resistant strains.6 Since then,
such 400-modified macrolides have been investigated by several re-
search groups. Ma et al. have designed and synthesized a series of
400-carbamate macrolide derivatives based on the structure of sec-
ond generation macrolides clarithromycin and azithromycin.7 In
their recent report, compound 1, the C-400 elongated aryl–alkyl
groups with eight atoms from the 400-oxygen atom to the terminal
benzene ring were the most effective against resistant bacteria.
Our group has also synthesized some C-400 modified clarithromycin
with significant anti-resistant activity, represented by compound 2
(Fig. 1).8
The anti-bacterial mechanism of macrolides has been illus-
trated as a reversible binding between the nucleotide A2058 in do-
main V of 23S rRNA of the 50S ribosomal subunit and the
macrolide molecule and block the protein synthesis and elonga-
tion, in which the 5-desosamine plays an important part.9 It has
been suggested that the 20-OH and 30-NMe2 form hydrogen bonds
with A2058 and A2059 and the stereo-shape of desosamine
matches with the binding pocket made of A2058, C2611 and
G2505.10 The major mechanisms of macrolide resistance are
erm-encoded methylation of 23S rRNA or mef-encoded efflux. The
expression of erm gene leads to the production of a methyltransfer-
ase which results in the methylation of A2058 and thus causing
resistance in MLSB (Macrolide–Lincosamide–Streptogramin B).11
The mechanism of anti-resistance of ketolides is through an extra
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Corresponding author. Tel.: +86 10 63162006; fax: +86 10 6301775.
0960-894X/$ - see front matter Ó 2013 Elsevier Ltd. All rights reserved.