novobiocin and Gonorrhea

Gonorrhea has become a serious problem because the number of infected people is increasing and the multi-drug resistance of the causative bacteria, Neisseria gonorrhoeae, is progressing. To develop novel drugs against resistant N. gonorrhoeae, we focused on the antibiotic novobiocin (1). This natural product has a different mechanism of action from existing drugs for gonorrhea, which may make it effective against resistant strains. Actually, it was applied to resistant N. gonorrhoeae, and moderate antibacterial activity was confirmed. Based on this result, we investigated the development of an antigonococcal drug with 1 as the lead compound. The pharmacophore is thought to be the noviose sugar moiety, especially around the 3'-position, so we derivatized this part in order to improve antibacterial activity. As a result, we found that 5 with an methylpyrrole ester structure have a very potent antibacterial activity. This derivative also showed excellent antigonococcal activity against resistant strains in vitro, however it has poor water solubility and pharmacokinetics because it is the acidic lipid-soluble compound. Therefore, we considered introduction of a basic substituent into the molecule would result in an amphoteric compound with improved water solubility, and we investigated further derivatization. As a result of synthesizing various derivatives, we found 47 containing imidazole with strong antigonococcal activity and greatly improved water solubility. This derivative has also improved metabolism and blood concentration in vivo, and is expected to be orally absorbed. Based on these results, we believe that 47 is a very promising anti-gonococcal lead compound and has great potential for further development.

Topics: Anti-Bacterial Agents; Gonorrhea; Humans; Microbial Sensitivity Tests; Neisseria gonorrhoeae; Novobiocin; Water

Topics: Anti-Bacterial Agents; Cephalothin; Colistin; Female; Germany, West; Gonorrhea; Humans; Male; Microbial Sensitivity Tests; Neisseria gonorrhoeae; Novobiocin; Penicillin G; Penicillin Resistance; Penicillins; Tetracycline

Topics: Adolescent; Adult; Gonorrhea; Humans; Inositol; Male; Middle Aged; Novobiocin; Tetracycline; Urethritis

Topics: Anti-Bacterial Agents; Antibiotics, Antitubercular; Chloramphenicol; Erythromycin; Gonorrhea; Novobiocin; Nystatin; Oleandomycin; Penicillins; Protein Synthesis Inhibitors; Spiramycin; Streptomycin; Sulfonamides; Syphilis; Tetracycline; United Kingdom; Venereology

Topics: Anti-Bacterial Agents; Antibiotics, Antitubercular; Dermatologic Agents; Gonorrhea; Novobiocin