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The initial compound screened, isoindoline analogue 8a,
was equipotent to linezolid versus the MRSAstrain and
2-fold less active against the other strains in the testing
panel (Table 1). The 4-fold increase in the MIC value in
the presence of serum observed for 8a, however, sug-
gested a high degree of protein binding or inactivation
by serum components, possibly due to the hydro-
phobicity of the molecule. Isoindoline 8a had an ED50
value (effective dose which protects 50% of mice from
death) greater than 80 mg/kg/day following oral
administration in a murine model of lethal systemic
infection due to S. aureus OC4172 (Smith).10 In con-
trast, linezolid had an oral ED50 of 8 mg/kg/day in this
model. The lack of oral activity was likely due to insuf-
ficient free drug concentration of 8a in the blood to
inhibit bacterial growth. Therefore, the next step con-
ceptually in the design of new analogues was to incor-
porate nitrogen atoms in the aryl ring of the substituent
to increase the overall polarity of the molecule.The het-
eroaryl compounds (8b, 8c, 10, 11a, 11b, and 12) in this
series exhibited antibacterial profiles comparable to or
better than linezolid. Also noteworthy was the atte-
nuated increase in MIC in the presence of serum upon
inclusion of nitrogen atoms in the aryl ring. In parti-
cular, the pyrrolo[3,4-b]pyridinyl analogue (8c) was 4-
fold more active than linezolid against all strains in the
testing panel, including MRSAand VRE. In addition,
8c was 2-fold more active than linezolid in the presence
of serum. Likewise, the antibacterial profile of the iso-
meric compound, 8b, was improved compared to line-
zolid with MIC values consistently 2-fold lower, both in
the presence and absence of serum. The diminished
effect of serum on the MIC values of 8b and 8c, com-
pared to 8a, translated into improved in vivo efficacy. In
particular, 8b and 8c had oral ED50 values of 13 and 11
mg/kg/day, respectively, in the murine model of sys-
temic infection due to S. aureus OC4172 (Smith), which
was nearly as efficacious as linezolid (oral ED50 of 8 mg/
kg/day). Additionally, MIC values for 8b and 8c against
four linezolid-resistant S. aureus clinical isolates23 were
4–64 mg/mL, with 8c generally 4-fold more active than
linezolid which had MIC values of 8–64 mg/mL.
bonyl group made little difference in the pyrrolopyridine
series, such that lactam isomer 14b had similar anti-
bacterial activity to isomer 15. In contrast to the parent
compounds, incorporation of nitrogen atoms in the aryl
ring of the lactam and imide derivatives offered no
advantage, with pyrrolopyridine isomers 14b and 15
having slightly less antibacterial activity than the iso-
indoline compound 14a. Furthermore, pyrrolopyridine
isomers 16b and 16c were inactive while the corre-
sponding isoindoline analogue 16a still retained some
antibacterial activity.
The pyrrole ring appeared to be important for optimal
activity. Acyclic compound 17a, in which the pyrrolo-
pyridine heterocycle was replaced with picolyl and ethyl
substituents, was much less potent (16- to 32-fold less
active than 8b, 8c, 11a, 11b). In addition, an isomeric
analogue, compound 17b, was inactive. This large differ-
ence in activity between the cyclic and conformationally
mobile analogues may be reflective of the relative degree
of bacterial cell penetration, or may be due to the reduced
entropic penalty upon binding of the conformationally
constrained compound to the bacterial ribosome.
In summary, replacement of the morpholine ring of
linezolid with a pyrroloaryl substituent has afforded a
potent series of oxazolidinones with in vitro (8b, 8c, 10,
11a, 11b, and 12) and in vivo (8b and 8c) activity com-
parable or superior to linezolid against Gram-positive
bacterial pathogens. Compound 8c exhibited the best in
vitro profile in our abbreviated testing panel with MIC
values of 0.25–0.5 mg/mL against staphylococci, includ-
ing MRSA, and 0.5 mg/mL against enterococci, includ-
ing VRE.
References and Notes
1. Linden, P. K. Drugs 2002, 62, 425.
2. Miller, D.; Urdaneta, V.; Weltman, A.; Park, S. MMWR
2002, 51, 902.
3. Clemett, D.; Markham, A. Drugs 2000, 59, 815.
4. Mutnick, A. H.; Biedenbach, D. J.; Turnidge, J. D.; Jones,
R. N. Diagn. Microbiol. Infect. Dis. 2002, 43, 65.
5. Green, S. L.; Maddox, J. C.; Huttenbach, E. D. JAMA
2001, 285, 1291.
6. Paget, S.; Hlasta, D. US 02/0161029 A1, 2002, CAN
137:337913.
7. Paget, S.; Hlasta, D. WO 01/42242 A1, 2001, CAN
135:46182.
8. Paget, S.; Boggs, C.; Foleno, B.; Goldschmidt, R.; Grant,
E.; Hilliard, J.; Hlasta, D.; Weidner-Wells, M.; Werblood, H.;
Wira, E.; Bush, K.; Macielag, M. 41st Interscience Conference
on Antimicrobial Agents and Chemotherapy, Chicago, IL, 2001;
F-1048.
Adding another ring nitrogen, as in the pyrrolo[3,4-
d]pyrimidinyl analogue 10, decreased activity generally
2-fold relative to 8b and 8c. Compounds 11a, 11b, and
12, obtained from oxidation of 8b, 8c, and 10 respec-
tively, were generally 2- to 4-fold more potent than
linezolid against both susceptible and resistant strains.
The antibacterial activities of compounds 11a and 12
were slightly improved relative to their parent com-
pounds, while compound 11b was equivalent to or 2-
fold less potent than parent 8c.
9. Foleno, B.; Goldschmidt, R.; Licata, L.; Montenegro, D.;
Paget, S.; Weidner-Wells, M.; Wira, E.; Macielag, M.; Bush,
K. 41st Interscience Conference on Antimicrobial Agents and
Chemotherapy, Chicago, IL, 2001; F-1049.
10. Hilliard, J.; Goldschmidt, R.; Fernandez, J.; Melton, J.;
Paget, S.; Weidner-Wells, M.; Macielag, M.; Bush, K. 41st
Interscience Conference on Antimicrobial Agents and Chemo-
therapy, Chicago, IL, 2001; F-1050.
Introduction of carbonyl groups in the pyrrole ring, as
in the lactam and imide derivatives 14a, 14b, 15, 16a,
16b and 16c, raised MIC values against both susceptible
and resistant strains. Adetrimental effect on anti-
bacterial activity resulted upon incorporation of each
carbonyl group. The isoindoline series exemplifies this
additive effect, where 8a is generally 2- to 4-fold more
active than lactam 14a, which is in turn 4- to 8-fold
more active than imide 16a. The position of the car-
11. Paget, S.; Boggs, C.; Foleno, B.; Goldschmidt, R.; Hil-
liard, J.; Melton, J.; Stryker, S.; Wira, E.; Bush, K.; Macielag,