The threat of carbapenem resistant Gram-negative pathogens e.g. Enterobacterales,
P. aeruginosa and
A. baumannii is expanding worldwide. One strategy to discover a new antibacterial to be active against these resistant pathogens is to utilize the bacterial iron acquisition system by attaching a siderophore-mimicking molecule to the parent molecule. In 1980’s, our team identified a siderophore cephalosporin A-2, which displayed a potent activity against
P. aeruginosa. We restarted the SAR study of siderophore cephalosporin to increase the
in vitro and
in vivo antimicrobial activity against various carbapenemase-producing resistant strains by the modification of the C-3 and C-7 side chains of A-2. Here, we report the SAR results about the several siderophore cephalosporins that led to the discovery of Cefiderocol.
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