“…Modifications include acylation of hydroxy groups, deacylation, aldehyde or ketone reduction, double bond reduction, and N-demethylation . More fundamental structural changes require synthesis of macrolide analogues from simple building blocks, and over the past few years four general approaches have been developed to control the critical stereochemistry: (i) ring-cleavage, where the appropriate stereorelationship of the asymmetric centers is first secured by using the conformational bias of a small or medium sized ring, which is then opened to give an acyclic fragment with the stereocenters correctly related, (ii) exploitation of the existing asymmetric centers and functionalities of a carbohydrate precursor, (iii) stereoselective introduction of new asymmetric centers on an acyclic precursor, and (iv) stereoselective introduction of new asymmetric centers onto an intact macrocyclic precursor, using the conformational bias of the macrocycle . Additional problems in the total synthesis of macrolide analogues are the macrolactonization step and the stereo- and regiocontrolled attachment of the appropriate basic or neutral deoxysugars.…”