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E. coli, even with a permeabilized outer membrane, they do gener-
ally have antibiotic activity against the important human pathogen
S. epidermidis. S. epidermidis is a very common nocosomial patho-
gen and the major cause of indwelling device infection.30,31 Inter-
estingly, the penem’s activity is only ꢀ50-fold less than that of
antibacterials currently used to treat S. epidermidis infections.32
Importantly, the carbamate derivatives also resulted in activity
against MRSA. One interpretation of the structure–activity rela-
tionship data is that the ester linkage employed mispositions the
amino acid side chains or H-bonding functionality relative to the
SPase binding site, and that the carbamate nitrogen, which is
shifted by one bond, is better positioned to favorably engage the
enzyme. This suggests that amino acids attached via different link-
ers might be better mimics of the natural substrate and might
increase penem activity.
The structure–activity relationship data also reveal interesting
differences among the SPases from the different organisms. The
unique activity against S. epidermidis might result from unique
aspects of the pathogen’s SPase or from a unique aspect of its biol-
ogy, perhaps being more sensitive to SPase inhibition. Also, not
only is there variation in the SPases from Gram-negative and
Gram-positive pathogens, but the cell wall changes associated with
methicilin resistance33,34 appear to confer S. aureus with sensitiv-
ity, at least to the carbamate-derivatized penems. This latter effect
may result from increased or altered protein secretion in MRSA
relative to methicillin sensitive S. aureus. Thus, the characterization
of additional penem derivatives should help further define both
SPase biochemistry and possibly protein secretion in general.
Increasingly, there is a pressing need for antibiotics with novel
mechanisms of action, and in this regard penem inhibitors of SPase
appear attractive. The demonstration that a derivative of the
penem possesses at least modest in vivo antibacterial activity
against two important human pathogens suggests that with fur-
ther optimization more potent and broad spectrum activity may
be achievable.
Acknowledgments
30. Catheter-Related Infections; Seifert, H., Jansen, B., Farr, B. M., Eds.; Marcel
Dekker: New York, 1997.
31. Infections Associated with Indwelling Medical Devices; Waldvogel, F. A., Bisno, A.
L., Eds.; American Society for Microbiology: Washington, DC, 2000.
32. John, M. A.; Pletch, C.; Hussain, Z. J. Antimicrob. Chemother. 2002, 50, 933.
33. McAleese, F.; Wu, S. W.; Sieradzki, K.; Dunman, P.; Murphy, E.; Projan, S.;
Tomasz, A. J. Bacteriol. 2006, 188, 1120.
We acknowledge the Office of Naval Research (N00014-08-1-
0478 and N00014-03-1-0126) and Achaogen Inc. for funding.
References and notes
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