“…Despite the large number and efficacy of b-lactam compounds on the market, the increasing drug resistance among pathogenic bacteria claims the need for new antibiotic compounds. Besides their most notable use as antibiotics, substitutions on the pharmacophore groups make them versatile molecules with a broad range of medicinal uses, 94 such as thrombin inhibitors, anti-hyperglycemic agents, anti-cancer agents, anti-proliferative agents, anti-HIV agents, uorescent probes, 95 antimalarial agents, 96 antifungal agents, anti-tubercular agents, antioxidants, antimalarial agents and anti-fungal agents. A further development of blactams is their conversion to spirocyclic nuclei that show antidiabetic, anti-inammatory, analgesic, anticancer and peptidomimetic properties.…”