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Group 3 - Antimicrobial and Antiviral Agents - Penicillin
Group 3 - Antimicrobial and Antiviral Agents - Penicillin
04 05
Physicochemical SAR
Properties Drug-receptor interaction, drug design
Lipinski’s Rule of Five strategies, QSAR & CADD study
01
Introduction
Drug name, classification, indication, MoA, ADME
Penicillin G
Generic Name :
Penicillin G / Benzylpenicillin /
Medical usage
benzylpenicillinc acid
IUPAC :
(2S,5R,6R)-3,3-dimethyl-7-oxo-6-[(2-phenyl Drug Classification → Beta lactam antimicrobial
acetyl)amino]-4-thia-1-azabicyclo[3.2.0]hep ● Used for treat several types of microbial
tane-2-carboxylic acid infection from both gram positive and gram
negative, as well as, most anaerobes
Brand and Company : bacteria
Procaine Penicllin G - PT. Meiji Indonesia ● Resistance → Enterococci
● Administration →IV and IM injection in 4-6
doses apart
Hypersensitivity Hematologic
Immediate onset and High dose may lead
delayed onset (rare) to coombs positive
hemolytic anemia
and neutropenia
Metabolic Nervous Urogenital
Salt from penicillin G Hyperreflexia, Urological
may cause electrolyte myoclonic twitches, manifestations with
imbalance seizure, and coma large IV dose include
after IV doses renal tubular damage
Indication
Pneumonia Streptococcal
infection
dose 600,000 - dose 600,000 -
1,000.000 units/day 1,000.000 units/day
Staphylococcal Bacterial
infection endocarditis Rat bite fever
dose 600,000 - dose 600,000 - dose 600,000 -
1,000.000 units/day 1,000.000 units/day 1,000.000 units/day
Metabolism Elimination
16-30% → penicilloic acid Eliminated by kidney
Small amount → hydoxylated Non renal clearance include
into 1 or more active hepatic metabolism
metabolite
Semi-synthetic preparation of
penicillin analogues starts from
6-APA.
(Sahoo & Banik, 2020)
TRANSGLYCOSYLASE TRANSPEPTIDASE
(TGase) (TPase)
in charge of lengthening create cross-links
the glycan strands between glycan strands
(Cho et al., 2016). (Cho et al., 2016).
Computational
Approaches
Side Chain Optimization
Overcoming β-Lactamase
Resistance
Modification of ß-Lactamase Ring
● Examples of modification
○ variations in the side chain, ring
size, or ring substitutions →
enhance stability with PBPs
● Examples of modification
○ incorporating a hydrophobic group,
such as an ethyl or isopropyl group →
strengthen hydrophobic interactions
& ↑lipophilicity of molecule
Overcoming ß-Lactamase Resistance
● Examples of modification
○ Adding large groups, such as
tert-butyl or phenyl, to the
β-lactam ring to increase steric
hindrance.
Computational Approaches
Ligand based drug design
● Used in absence of the receptor 3D information
● Relies on knowledge of molecules that bind to the biological target of interest
● Examples: 3D QSAR and ligand based pharmacophore mapping
Functional
length branching
group
Heterocyclic Steric
Substitution hindrance
● Introduce hetero-atoms or ● Incorporate bulky
dierent heterocyclic rings substituent on the
in the 𝛽-lactam structure 𝛽-lactam ring → hinder
𝛽-lactamase access
1. Substitute the S
3) Pharmacokinetic considerations
● Factors such as oral bioavailability, distribution to target tissues, metabolism,
and elimination →impact the overall eicacy and therapeutic potential of the
drugs