2019
DOI: 10.1021/acsinfecdis.9b00217
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Design of Next Generation Polymyxins with Lower Toxicity: The Discovery of SPR206

Abstract: Polymyxins are an important class of antibiotics for the treatment of bacterial infections due to multidrug resistant Gram-negative pathogens. However, their clinical utility is limited by nephrotoxicity. Here, we report a series of promising next generation polymyxin nonapeptides identified on the basis of our understanding of the relationship of structure with activity, cytotoxicity, and kidney compartment accumulation. We demonstrate that nonapeptides with an amine-containing N-terminal moiety of specific r… Show more

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Cited by 58 publications
(79 citation statements)
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“…These compounds demonstrated superior in vitro activity and inferior cytotoxicity compared to polymyxin B. A subgroup of these compounds having a β-branched aminobutyrate N-terminus with an aryl substituent also offered low cytotoxicity, and candidates were selected for additional development [ 221 ]. The future holds potential for these drug discovery and development programs to bring upgraded polymyxins or novel polymyxin-including combinations from the bench into the clinic.…”
Section: Future Implicationsmentioning
confidence: 99%
“…These compounds demonstrated superior in vitro activity and inferior cytotoxicity compared to polymyxin B. A subgroup of these compounds having a β-branched aminobutyrate N-terminus with an aryl substituent also offered low cytotoxicity, and candidates were selected for additional development [ 221 ]. The future holds potential for these drug discovery and development programs to bring upgraded polymyxins or novel polymyxin-including combinations from the bench into the clinic.…”
Section: Future Implicationsmentioning
confidence: 99%
“…Examples include polymyxins or lipodepsipeptide daptomycin, whose 'tail' aa and lipophilic groups were altered, or depsipeptides ramoplanin and telomycin, whose acylation patterns were modified. [356][357][358][359][360]…”
Section: Semi-synthetic Ampsmentioning
confidence: 99%
“…Therefore, researchers have attempted to develop derivatives of polymyxin to improve its properties. Analogs of polymyxin, SPR741, SPR1205, SPR206, and SPR946 have been designed by shortening the peptide chains, by modifying the acyl chains, and by substituting the amino acid residues to reduce nephrotoxicity and to improve potency [ 49 , 50 , 51 , 52 , 53 , 54 , 55 ]. SPR206 is a novel polymyxin B analog for the treatment of gram-negative infection that is undergoing a phase I clinical trial [ 56 ].…”
Section: Discussionmentioning
confidence: 99%