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Discovery of Azetidinyl Ketolides for the Treatment of Susceptible and Multidrug Resistant Community-Acquired Respiratory Tract Infections
Ist Teil von
Journal of medicinal chemistry, 2009-12, Vol.52 (23), p.7446-7457
Ort / Verlag
Columbus, OH: American Chemical Society
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
Respiratory tract bacterial strains are becoming increasingly resistant to currently marketed macrolide antibiotics. The current alternative telithromycin (1) from the newer ketolide class of macrolides addresses resistance but is hampered by serious safety concerns, hepatotoxicity in particular. We have discovered a novel series of azetidinyl ketolides that focus on mitigation of hepatotoxicity by minimizing hepatic turnover and time-dependent inactivation of CYP3A isoforms in the liver without compromising the potency and efficacy of 1.