Abstract

Taking palmatine (PMT) as the lead, 20 new PMT derivatives were synthesized and examined for their antibacterial activities against six tested metronidazole (MTZ)-resistant Helicobacter pylori (H. pylori) strains. The structure–activity relationship (SAR) indicated that the introduction of a suitable secondary amine substituent at the 9-position might be beneficial for potency. Among them, compound 1c exhibited the most potent activities against MTZ-resistant strains, with minimum inhibitory concentration (MIC) values of 4–16 μg/mL, better than that of the lead. It also exhibited a good safety profile with a half-lethal dose (LD50) of over 1000 mg/kg. Meanwhile, 1c might exert its antimicrobial activity through targeting H. pylori urease. These results suggested that PMT derivatives might be a new family of anti-H. pylori components.

Highlights

  • Helicobacter pylori (H. pylori), spiral shaped gram-negative bacteria, has infected more than 50% of humans globally

  • The synthetic route used for the preparations of all amine and amide derivatives of PMT is presented in Scheme wasthe firstpreparations heated withofamines, which used as the nucleophilic

  • The mixture was cooled and filtered, and the resulting residue was washed with CH2 Cl2 and 80% EtOH to acquired desired compounds 4a–i (Figure S1–S20)

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Summary

Introduction

Helicobacter pylori (H. pylori), spiral shaped gram-negative bacteria, has infected more than 50% of humans globally. It is believed that gastrointestinal diseases, such as gastritis and peptic ulcer, were highly related to H. pylori infections [1]. The damage to gastric structure and function might lead to the development of gastric cancer, which becomes a major cause of morbidity and mortality worldwide [2,3]. H. pylori has been classified as a class I carcinogen by the World Health. Triple therapy regimens comprising amoxicillin and metronidazole (MTZ) or clarithromycin, as well as proton pump inhibitor, are recommended as first-line treatment for H. pylori infections [5,6]. The prevalence of antibiotic resistance, including MTZ and clarithromycin [3], decreased the efficacy and has become a great challenge to the clinical treatment

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