| Names | |
|---|---|
| IUPAC name (E)-3-(7-amino-8-oxo-5,6,7,9-tetrahydropyrido[2,3-b]azepin-3-yl)-N-methyl-N-[(3-methyl-1-benzofuran-2-yl)methyl]prop-2-enamide | |
| Identifiers | |
3D model (JSmol) | |
| ChemSpider | |
PubChem CID | |
| |
| |
| Properties | |
| C23H24N4O3 | |
| Molar mass | 404.470 g·mol−1 |
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa). | |
Fabimycin is an newly developed antibiotic candidate which is effective against gram-negative bacterias, an unusually problematic class of bacteria that uses thicker cell walls and molecular efflux pumps to protect themselves by preventing the antibiotics reaching inside the cells. [1] [2]
Global deaths attributable to antimicrobial resistance (AMR) numbered 1.27 million in 2019. That year, AMR may have contributed to 5 million deaths and one in five people who died due to AMR were children under five years old. [3] The European Centre for Disease Prevention and Control calculated that in 2015 there were 671,689 infections in the EU and European Economic Area caused by antibiotic-resistant bacteria, resulting in 33,110 deaths. Most were acquired in healthcare settings. [4]
Researchers modified the structure of Debio-1452, [5] an under-development antibiotic that is active against gram positive bacteria, and its derivative, which is moderately effective against non-resistant gram-negative bacteria. [1] [6] The drug inhibits the bacterial enzyme enoyl-acyl carrier protein reductase (FabI), which is an important enzyme in bacterial fatty acid biosynthesis. Clinical trials targeting the enzyme for use in S. aureus (Gram +ve) infections have reached Phase 2 inhibitors. [2]
Fabimycin was tested in mice against more than 200 colonies of resistant bacteria, across 54 strains of E. coli, Klebsiella pneumoniae and Acinetobacter baumannii . It cleared up pneumonia and urinary tract infections, pushing bacteria levels lower than before infection in mouse models. [1]
Further, it did not affect some types of commensal bacteria present in the gut microbiome. [1]
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