In order to investigate structure-activity relationships between antimycobacterial activities and basic substituents at the C-10 position of levofloxacin (LVFX), we synthesized a series of pyridobenzoxazine derivatives by replacement of the N-methylpiperazinyl group of LVFX with various basic substituents. A compound with a 3-aminopyrrolidinyl group had one-half the activity of LVFX against Mycobacterium avium, M. intracellulare, and M. tuberculosis. Mono-and dimethylation of the 3-amino moiety of the pyrrolidinyl group increased the activities against M. avium and M. intracellulare but not those against M. tuberculosis. On the other hand, dialkylation at the C-4 position of the 3-aminopyrrolidinyl group enhanced the activities against M. avium, M. intracellulare, and M. tuberculosis. Thus, introduction of an N-alkyl or a C-alkyl group(s) into the 3-aminopyrrolidinyl group may contribute to an increase in potency against M. avium, M. intracellulare, and/or M. tuberculosis, probably through elevation of the lipophilicity. However, among the compounds synthesized, compound VII, which was a 2,8-diazabicyclo[4.3.0]nonanyl derivative with relatively low lipophilicity, showed the most potent activity against mycobacterial species: the activity was 4-to 32-fold more potent than that of LVFX and two to four times as potent as that of gatifloxacin. These results suggested that an increase in the lipophilicity of LVFX analogues in part contributed to enhancement of antimycobacterial activities but that lipophilicity of the compound was not a critical factor affecting the potency.During the past decade, an increase in the number of patients with tuberculosis has been one of the most serious health problems in many countries (2, 27). In particular, the now pandemic combination of tuberculosis with human immunodeficiency syndrome (2,3,20) and the appearance of multidrug-resistant Mycobacterium tuberculosis (6, 10, 32) have aggravated attempts to treat these patients. In addition, the number of patients infected with Mycobacterium avium-M. intracellulare complex (MAC) is on the increase (5, 9). However, an effective therapy for MAC infection has not yet been established. Given these observations, the development of effective drugs for the mycobacterial infections described above has been keenly desired.Recently, new quinolone antibacterial agents have been developed and marketed and are widely used clinically. They have potent and broad activities against both gram-negative and gram-positive pathogens. These agents also have been evaluated and shown to have potent activities against certain types of mycobacterial species in in vitro tests and in experimental animals (ofloxacin [26,29,31] LVFX is a representative new quinolone which is characterized by its potency, safety, and good pharmacokinetic profiles in humans. This agent has a unique pyridobenzoxazine structure. In the previous paper, members of our group reported the synthesis of pyridobenzoxazines bearing a series of 3-aminopyrrolidinyl substituents at the C-10 posito...