4.7 Article

Current Landscape and Future Perspective of Oxazolidinone Scaffolds Containing Antibacterial Drugs

Journal

JOURNAL OF MEDICINAL CHEMISTRY
Volume 64, Issue 15, Pages 10557-10580

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acs.jmedchem.1c00480

Keywords

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Funding

  1. National Natural Science Foundation of China [81602967, 82003699, 81803784]
  2. Xinjiang Tianshan Innovation Team Foundation [2020D14029]
  3. Basic Research Program of Natural Science of Shaanxi Province [2020CGXNG-044, 2019JQ-252, 2019JQ-779, 2019JQ-484]
  4. Basic Research Plan of the Education Department of Shaanxi Province [19JC006]
  5. China Postdoctoral Science Foundation [2016M592898XB, 2019M663921XB]

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The widespread use of antibiotics has led to a serious problem of bacterial resistance, making the study of new drug-resistant bacteria the main focus of antibacterial drug research. Oxazolidinone antibacterial drugs, such as linezolid and tedizolid, have good pharmacokinetic and pharmacodynamic characteristics, unique antibacterial mechanisms, and sensitivity to resistant bacteria.
The widespread use of antibiotics has made the problem of bacterial resistance increasingly serious, and the study of new drug-resistant bacteria has become the main direction of antibacterial drug research. Among antibiotics, the fully synthetic oxazolidinone antibacterial drugs linezolid and tedizolid have been successfully marketed and have achieved good clinical treatment effects. Oxazolidinone antibacterial drugs have good pharmacokinetic and pharmacodynamic characteristics and unique antibacterial mechanisms, and resistant bacteria are sensitive to them. This Perspective focuses on reviewing oxazolidinones based on the structural modification of linezolid and new potential oxazolidinone drugs in the past 10 years, mainly describing their structure, antibacterial activity, safety, druggability, and so on, and discusses their structure-activity relationships, providing insight into the reasonable design of safer and more potent oxazolidinone antibacterial drugs.

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