title: Synthesis and evaluation of tylosin-related macrolides modified at the aldehyde function: a new series of orally effective antibiotics.
abstract: Modification of the aldehyde group in tylosin and related macrolide antibiotics dramatically enhanced the oral efficacy of the derivatives against experimental infections caused by susceptible bacteria in laboratory animals. A large number and wide variety of aldehyde-modified macrolide derivatives were prepared, utilizing the Mitsunobu reaction and other chemical transformations. Evaluation of in vitro and in vivo antimicrobial activity indicated that derivatives of demycarosyltylosin (desmycosin) combined the broadest spectrum of antimicrobial activity with the best efficacy and bioavailability after oral administration.
authors.affiliation: Lilly Research Laboratories, Eli Lilly Corporate Center, Indianapolis, Indiana 46285.
authors.forename: H A
authors.initials: HA
authors.lastname: Kirst
authors.forename: J E
authors.initials: JE
authors.lastname: Toth
authors.forename: M
authors.initials: M
authors.lastname: Debono
authors.forename: K E
authors.initials: KE
authors.lastname: Willard
authors.forename: B A
authors.initials: BA
authors.lastname: Truedell
authors.forename: J L
authors.initials: JL
authors.lastname: Ott
authors.forename: F T
authors.initials: FT
authors.lastname: Counter
authors.forename: A M
authors.initials: AM
authors.lastname: Felty-Duckworth
authors.forename: R S
authors.initials: RS
authors.lastname: Pekarek
mesh_terms: D000284:Administration, Oral; D000447:Aldehydes / Q000138:chemical synthesis / Q000493:pharmacokinetics / Q000494:pharmacology; D000818:Animals; D001421:Bacteria, Anaerobic / Q000187:drug effects; D001682:Biological Availability; D055598:Chemical Phenomena; D002621:Chemistry; D007933:Leucomycins / Q000138:chemical synthesis* / Q000493:pharmacokinetics; D051379:Mice; D008826:Microbial Sensitivity Tests; D013210:Staphylococcus / Q000187:drug effects; D013291:Streptococcus / Q000187:drug effects; D013329:Structure-Activity Relationship
chemical_list: D000447:Aldehydes; D007933:Leucomycins