Recent Developments to Cope the Antibacterial Resistance via beta-Lactamase Inhibition

文献类型： 外文期刊

第一作者： Iqbal, Zafar

作者： Iqbal, Zafar;Sun, Jian;Yang, Haikang;Ji, Jingwen;He, Lili;Zhai, Lijuan;Ji, Jinbo;Zhou, Pengjuan;Tang, Dong;Mu, Yangxiu;Wang, Lin;Yang, Zhixiang

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关键词： antibacterial resistance; beta-lactamase inhibitor; diazabicyclooctane; boronic acids; avibactam; relebactam; vaborbactam

期刊名称：MOLECULES （ 影响因子：4.927； 五年影响因子：5.11 ）

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年卷期： 2022 年 27 卷 12 期

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收录情况： SCI

摘要： Antibacterial resistance towards the beta-lactam (BL) drugs is now ubiquitous, and there is a major global health concern associated with the emergence of new beta-lactamases (BLAs) as the primary cause of resistance. In addition to the development of new antibacterial drugs, beta-lactamase inhibition is an alternative modality that can be implemented to tackle this resistance channel. This strategy has successfully revitalized the efficacy of a number of otherwise obsolete BLs since the discovery of the first beta-lactamase inhibitor (BLI), clavulanic acid. Over the years, beta-lactamase inhibition research has grown, leading to the introduction of new synthetic inhibitors, and a few are currently in clinical trials. Of note, the 1, 6-diazabicyclo [3,2,1]octan-7-one (DBO) scaffold gained the attention of researchers around the world, which finally culminated in the approval of two BLIs, avibactam and relebactam, which can successfully inhibit Ambler class A, C, and D beta-lactamases. Boronic acids have shown promise in coping with Ambler class B beta-lactamases in recent research, in addition to classes A, C, and D with the clinical use of vaborbactam. This review focuses on the further developments in the synthetic strategies using DBO as well as boronic acid derivatives. In addition, various other potential serine- and metallo- beta-lactamases inhibitors that have been developed in last few years are discussed briefly as well. Furthermore, binding interactions of the representative inhibitors have been discussed based on the crystal structure data of inhibitor-enzyme complex, published in the literature.

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