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To my parents, sister and fiancée for their endless love and support and To all my teachers who taught from their hearts and not merely from the books iv
ACKNOWLEDGEMENTSThe daunting task of obtaining my Doctorate in Philosophy could not have come true without the tremendous support and encouragement from so many people. First and foremost, I would like to express my deepest gratitude and sincere appreciation to my mentor Dr. Bernd Meibohm for providing me with an opportunity to work in his lab and being my biggest advocate throughout this endeavor. I am thankful to him for instilling in me the qualities of being a good scientist. His co-operation and continued support have been major driving forces throughout my graduate career at the University of Tennessee. I would also like to thank my committee members, Dr. Richard Lee, Dr. Charles Ryan Yates, Dr. Phillip D. Rogers, Dr. James E. Bina and Dr. Terreia Jones for their invaluable suggestions, guidance and assistance over the years. I would like to thank the National Institutes of Health and the American Lebanese Syrian Associated Charities (ALSAC) for providing the financial support to my research work. My special thanks to Dr. Jack Cook, Dr. Sriram Krishnaswami and Dr. Pankaj Gupta for providing me an opportunity to work as an intern at Clinical Pharmacology, Pfizer Inc., New London, CT.A special thanks to my friends and colleagues, Nitin, Shailly, Nate, Maggie, Yi, Wararat, Satyendra, Karin, Chaela, Fei, Les, Faith, Lisa, Paras, Vinay, Puvi and Praveen for their support and wonderful company over all these years. I also extend my gratitude to the rest of my friends for all their friendship and for making my stay in Memphis a memorable experience.I would like to thank my parents, sister and my fiancée; no words would be enough to thank their support and patience during the completion of this dissertation. I would also like to thank all my teachers from the kindergarten to the graduate school for igniting in me the light of knowledge. Finally, I would like to thank Almighty for everything that I have today.v ABSTRACT Spectinamides are novel amide derivatives of the antibiotic spectinomycin that have emerged as a new class of agents to treat tuberculosis. These agents showed potent in vitro activity against Mycobacterium tuberculosis (MTB) compared to spectinomycin and in a preliminary in vivo study in interferon gamma (IFN-γ) knockout mice, spectinamide Lee1329 reduced the lung bacillary load of TB comparable to streptomycin. We hypothesized that the application of an iterative pharmacokinetics and pharmacodynamics (PK/PD) guided approach would facilitate the optimization of these lead compounds suitable for further development.A series of in vitro experiments including parallel artificial membrane permeability assay (PAMPA), microsomal metabolic stability using rat liver microsomes and protein binding assay were designed to characterize the in vivo biopharmaceutic and pharmacokinetic behavior. Drug uptake studies into Mycobacterium bovis BCG and into J774 ...