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Substituted salicylic acid analogs offer improved potency against multidrug-resistant Neisseria gonorrhoeae and good selectivity against commensal vaginal bacteria
Drug-resistant
Neisseria gonorrhoeae
represents a major threat to public health; without new effective antibiotics, untreatable gonococcal infections loom as a real possibility. In a previous drug-repurposing study, we reported that salicylic acid had good potency against azithromycin-resistant
N. gonorrhoeae
. We now report that the anti-gonococcal activity in this scaffold is easily lost by inopportune substitution, but that select substituted naphthyl analogs (
3b
,
3o
and
3p
) have superior activity to salicylic acid itself. Furthermore, these compounds retained potency against multiple ceftriaxone- and azithromycin-resistant strains, exhibited rapid bactericidal activity against
N. gonorrhoeae
, and showed high tolerability to mammalian cells (CC
50
> 128 µg/mL). Promisingly, these compounds also show very weak growth inhibition of commensal vaginal bacteria.