An Advanced Apralog with Increased in vitro and in vivo Activity toward Gram‐negative Pathogens and Reduced ex vivo Cochleotoxicity

A Sonousi, JCK Quirke, P Waduge, T Janusic… - …, 2021 - Wiley Online Library
A Sonousi, JCK Quirke, P Waduge, T Janusic, M Gysin, K Haldimann, S Xu, SN Hobbie…
ChemMedChem, 2021Wiley Online Library
We describe the convergent synthesis of a 5‐O‐β‐D‐ribofuranosyl‐based apramycin
derivative (apralog) that displays significantly improved antibacterial activity over the parent
apramycin against wild‐type ESKAPE pathogens. In addition, the new apralog retains
excellent antibacterial activity in the presence of the only aminoglycoside modifying enzyme
(AAC (3)‐IV) acting on the parent, without incurring susceptibility to the APH (3') mechanism
that disables other 5‐O‐β‐D‐ribofuranosyl 2‐deoxystreptamine type aminoglycosides by …
Abstract
We describe the convergent synthesis of a 5‐O‐β‐D‐ribofuranosyl‐based apramycin derivative (apralog) that displays significantly improved antibacterial activity over the parent apramycin against wild‐type ESKAPE pathogens. In addition, the new apralog retains excellent antibacterial activity in the presence of the only aminoglycoside modifying enzyme (AAC(3)‐IV) acting on the parent, without incurring susceptibility to the APH(3’) mechanism that disables other 5‐O‐β‐D‐ribofuranosyl 2‐deoxystreptamine type aminoglycosides by phosphorylation at the ribose 5‐position. Consistent with this antibacterial activity, the new apralog has excellent 30 nM activity (IC50) for the inhibition of protein synthesis by the bacterial ribosome in a cell‐free translation assay, while retaining the excellent across‐the‐board selectivity of the parent for inhibition of bacterial over eukaryotic ribosomes. Overall, these characteristics translate into excellent in vivo efficacy against E. coli in a mouse thigh infection model and reduced ototoxicity vis à vis the parent in mouse cochlear explants.
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