B. Bai et al.
Bioorganic & Medicinal Chemistry Letters 43 (2021) 128110
thereby greatly reducing the binding force between them. On the other
hand, the efflux pump protein encoded by the mef gene on bacterial cell
membrane can recognize macrolides and expel them out of bacterial
produce an additional binding force with U790 in domain II of 23S rRNA
of ribosome of resistant bacteria, and eventually improved anti-resistant
bacteria activity.24
1
3
cells, which reduces the accumulation of drugs in bacterial cell and
puts them below the effective concentration. This also leads to bacterial
resistance. Therefore, it is urgent to develop new macrolide antibiotics
against resistant bacteria.
The synthetic method for 11-O-carbamoyl-3-O-descladinosyl-3-keto-
clarithromycin derivatives is shown in Scheme 1. CAM as the starting
material was treated with 36% hydrochloric acid to generate 3-descladi-
nosylclarithromycin 2.25 Then, the reaction of 2 with acetic anhydride
catalyzed by triethylamine gave acetyl product 3,26 which subsequently
reacted with bis(triehloromethyl)carbonate (BTC) to afford the 11,12-
cyclic carbonate 4 in the presence of pyridine.27 After that, 4 was con-
verted into 3-ketone product 5 under pyridinium chlorochromate (PCC)
The results of X-ray eutectic structure show that 3-O-cladinose of
macrolide antibiotics is not necessary for antibacterial activity, and the
C-3 position modification can enhance the activity against resistant
bacteria.14 Consequently, the third generation macrolide antibiotics
represented by telithromycin, cethromycin and solithromycin (Fig. 2)
have been designed and synthesized to respond to bacterial resistance.
Compared with the previous two generations of macrolides, this gen-
eration of macrolides is highly active to erythromycin-resistant patho-
gens. For example, telithromycin15 was approved by FDA in 2004 to
treat chronic bronchitis, pharyngitis and community acquired pneu-
monia. It has a strong inhibitory effect on erythromycin resistant
Streptococcus pneumoniae and Haemophilus influenzae. As a promising
clinical candidate drug, cethromycin16 and solithromycin are consid-
ered to be effective drugs in the treatment of community acquired
oxidation,28 which was treated with alkanolamine at 15 C to give key
◦
′
intermediate 2 -O-acetyl-11-O-(aminoethyl)carbamoyl-3-O-descladino-
syl-3-keto-clarithromycin 6a-6b. The terminal hydroxyl group on the C-
11 side chain of 6a-6b was esterified with methanesulfonyl chloride
(MsCl) to obtain mesylate intermediate 7a-7b. Intermediate 7a-7b was
treated with sodium azide (NaN
3
) in the mixed solvent of water and N,N-
◦
dimethylformamide (DMF) at 60 C to produce key intermediate 8a-8b.
After that, the click reaction of 8a-8b with the corresponding phenyl-
17
9
acetylene catalyzed by cuprous iodide (CuI) in toluene solution and
subsequent deprotection in methanol (MeOH)29 afford target com-
pounds 9a-9g. Their structures were confirmed by 1H NMR and MS
spectra.
B
pneumonia caused by MLS resistant bacteria, and display prominent
inhibitory effect on Staphylococcus and Enterococci as well as macrolides
resistant respiratory pathogens. The common structural features of these
drugs are the C-3 keto group and arylalkyl side chains on their skeleton.
′
The synthetic method for 2 ,9(S)-diaryl-3-O-descladinosyl-3-keto-
clarithromycin derivatives (19a–19t) is shown in Scheme 2. The C-9
Our previous1
8–20
studies showed that the combined modification of
carbonyl group of CAM was reduced with sodium borohydride to obtain
′
′
the C-3 and C-11 positions of CAM could significantly improve activity
against resistant bacteria and retain activity against sensitive bacteria.
On this basis, we designed and synthesized a series of novel 11-O-car-
bamoyl-3-O-descladinosyl-3-keto-clarithromycin derivatives in order to
overcome the erm gene or the mef gene-mediated bacterial resistance
and expand antibacterial specturm. On the one hand, the removal of C-3
position cladinose can suppress the active efflux of bacteria. On the
other hand, 11-O-carbamoyl side chain is favorable to combine with
the intermediate 10. The hydroxyl groups on the C-4 ’, C-2 and C-9-
positions of the intermediate 10 reacted with TESCl to give TES pro-
tected product 11. Subsequently, the hydroxyl groups on the C-11 and C-
12 positions were subjected to oxidative cracking and ring opening by
4
treating selectively with Pb(OAc) to obtain the key intermediate 12,
which was further treated with ethanolamine to produce the secondary
3
0
amine 13 through the first reductive amination reaction. The sec-
ondary amine of 13 and 37% HCHO undergo a second reductive ami-
nation reaction to obtain tertiary amine product 14.30 We prepared
crude tertiary amine 14 through a three-step reaction from 11 using the
“one-pot method” due to the instability of 12. Under the catalysis of
LiOH, 14 was hydrolyzed to afford the carboxylic acid 15, which was
further purified by column chromatography to give its pure product. The
intramolecular esterification of 15 completed the cyclization process to
A752 through hydrogen bond,
π
- stacking or van der waals interaction,
π
2
1
so as to improve anti-resistant activity. Furthermore, we previously
opened the 14-membered lactone ring of CAM by oxidation reaction,
and reconstructed the new 15-membered lactone ring by esterification
reaction, whose stereo conformation changed to some extent to facilitate
′
binding with bacterial ribosome. Its 2 -OH can combine with the A2058
and A2059 of ribosome of sensitive bacteria through hydrogen bonding
to exhibit anti-sensitive bacteria activity.22 However, the highly meth-
ylated A2058 residue of ribosome of resistant bacteria cannot serve as an
H-bond donor to participate in coordination of the water molecule on
bacterial ribosome,23 thereby exerting activity against resistant bacteria.
Thus, it is a feasible method that introduction of new aryl side chains
obtain cyclization product 16.31 The TES protecting groups on the C-2
′
and C-9 positions, and cladinose on the C-3 position were removed from
16 to give 17 under dilute hydrochloric acid.25 The condensation of 17
with various substituted benzoyl chloride gave condensation products
32
18a-18t, whose hydroxyl groups at the C-3 position were further
oxidized by Dess-Martin periodinane to produce the target compounds
′
1
into 2 -OH to establish strong binding force with new binding site in the
19a-19t. Their structures were confirmed by H NMR and MS spectra.
ribosome of resistant bacteria. For the purpose of improving the activity
The in vitro antibacterial activity of target compounds were deter-
mined by the standard broth microdilution procedures recommended by
NCCLS. The tested strains included three susceptible strains of S. aureus
ATCC25923 (erythromycin-susceptible strain), Bacillus subtilis
ATCC9372 (penicillin-susceptible strain) and Pseudomonas aeruginosa
of compounds against resistant bacteria, we designed and synthesized
′
2
,9(S)-diaryl-3-O-descladinosyl-3-keto-clarithromycin derivatives by
′
modifying the C-2 and C-9 positions of CAM. We hoped that the aryl
′
side chains introduced at the C-2 and C-9 positions of CAM could
Fig. 1. Structures of erythromycin, clarithromycin and azithromycin.
2