Avibactam is a covalent, reversible, non–β-lactam β-lactamase inhibitor

Autor: Haris Jahic, Stewart L. Fisher, Gunther Kern, David E. Ehmann, Rong-Fang Gu, Jun Hu, Philip L. Ross, Grant K. Walkup
Rok vydání: 2012
Předmět:
Zdroj: Proceedings of the National Academy of Sciences. 109:11663-11668
ISSN: 1091-6490
0027-8424
Popis: Avibactam is a β-lactamase inhibitor that is in clinical development, combined with β-lactam partners, for the treatment of bacterial infections comprising Gram-negative organisms. Avibactam is a structural class of inhibitor that does not contain a β-lactam core but maintains the capacity to covalently acylate its β-lactamase targets. Using the TEM-1 enzyme, we characterized avibactam inhibition by measuring the on-rate for acylation and the off-rate for deacylation. The deacylation off-rate was 0.045 min −1 , which allowed investigation of the deacylation route from TEM-1. Using NMR and MS, we showed that deacylation proceeds through regeneration of intact avibactam and not hydrolysis. Other than TEM-1, four additional clinically relevant β-lactamases were shown to release intact avibactam after being acylated. We showed that avibactam is a covalent, slowly reversible inhibitor, which is a unique mechanism of inhibition among β-lactamase inhibitors.
Databáze: OpenAIRE