Mini-Reviews in Medicinal Chemistry

Back

β-Lactamase Inhibitors: An Update

Author(s): Jiao Chen, Xiaohui Shang, Feng Hu, Xingzhen Lao, Xiangdong Gao, Heng Zheng and Wenbing Yao

Affiliation: School of Life Science and Technology, China Pharmaceutical University, Nanjing 210009, P.R. China.

Abstract:

β-lactamase-mediated resistance to β-lactam antibiotics is an increasing threat to clinical antimicrobial chemotherapy. The combinations of β-lactam antibiotics and β-lactamase inhibitors (such as sulbactam, tazobactam and clavulanic acid) have been successfully used for overcoming class A β-lactamase-mediated resistance. However, none of the inhibitors effective against class B, C or D β-lactamases are available in the clinic, which alarms an urgent need to discover/design broad-spectrum β-lactamase inhibitors or new β-lactam antibiotics capable of evading bacterial enzymatic inactivation. In recent years, inhibitors targeted to serine β-lactamases have been developed rapidly with a few of them under clinical trials. In contrast, none promising class B β-lactamase (metallo-β-lactamase) inhibitors with good druggability have been discovered, despite the increasing number of active molecules reported. In this review, we summarized the potential β-lactamase inhibitors reported in recent years and updated the current status of β-lactamase inhibitor discovery.

Keywords: Antibiotic resistance, β-lactam antibiotics, β-lactamases, inhibitors, broad spectrum, drug discovery.

Order Reprints Order Eprints Rights & PermissionsPrintExport

Article Details

VOLUME: 13
ISSUE: 13
Page: [1846 - 1861]
Pages: 16
DOI: 10.2174/13895575113139990074
Price: $58