By use of pro-dual-drug concept the synthesis of 6-β-[( R)-2-(clavaminio-9- N-yl)-2-(4-hydroxyphenylacetamido)]penicillanic acid ( 10), 6-β-[( R)-2-(amino)-2-(4-(clavulano-9- O-yl)phenylacetamido)]penicillanic acid ( 13), ( Z)-4-[2-(amoxycillin-4- O-yl)ethylidene]-2-(clavulano-9- O-yl)-3-methoxy-Δ α,β-butenolide ( 19), and 3-[(amoxicillin-4- O-yl)methyl]-7-(phenoxyacetamido)-(1-oxo)-3-cephem-4-carboxylic acid ( 23) was accomplished. Unlike penicillin G, ampicillin, or amoxicillin, these four heretofore undescribed compounds 10, 13, 19, and 23 showed notable activity against β-lactamase (βL) producing microorganisms, Staphylococcus aureus A9606, S. aureus A15091, S. aureus A20309, S. aureus 95, Escherichia coli A9675, E. coli A21223, E. coli 27C7, Pseudomonas aeruginosa 18S-H, and Klebsiella pneumoniae A20634 TEM. In comparison with amoxicillin ( 9), α-amino-substituted compound 10 and butenolide derivative 19 showed a broadened spectrum of antibacterial activity; yet they were found to be less active than 13 and 23. Like clavulanic acid ( 7) or cephalosporin-1-oxide ( 21), the newly synthesized compounds 10, 13, 15, 16, 19, or 23 functioned as potent inhibitors of various bacterial βLs.
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