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Metallo-β-Lactamases:A Major Threat to Human Health 被引量:1
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作者 Emer K.Phelan Manfredi Miraula +3 位作者 Christopher Selleck David L.Ollis Gerhard Schenk Natasa Mitic 《American Journal of Molecular Biology》 2014年第3期89-104,共16页
Antibiotic resistance is one of the most significant challenges facing global healthcare. Since the 1940s, antibiotics have been used to fight infections, initially with penicillin and subsequently with various deriva... Antibiotic resistance is one of the most significant challenges facing global healthcare. Since the 1940s, antibiotics have been used to fight infections, initially with penicillin and subsequently with various derivatives including cephalosporins, carbapenams and monobactams. A common characteristic of these antibiotics is the four-memberedβ-lactam ring. Alarmingly, in recent years an increasing number of bacteria have become resistant to these antibiotics. A major strategy employed by these pathogens is to use Zn(II)-dependent enzymes, the metallo-β-lactamases (MBLs), which hydrolyse theβ-lactam ring. Clinically useful MBL inhibitors are not yet available. Consequently, MBLs remain a major threat to human health. In this review biochemical properties of MBLs are discussed, focusing in particular on the interactions between the enzymes and the functionally essential metal ions. The precise role(s) of these metal ions is still debated and may differ between different MBLs. However, since they are required for catalysis, their binding site may present an alternative target for inhibitor design. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Reaction Mechanism Metal Ion Binding
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Identification and preliminary characterization of novel B3-type metallo-β-lactamases
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作者 Manfredi Miraula Conor SBrunton +1 位作者 Gerhard Schenk Natasa Mitić 《American Journal of Molecular Biology》 2013年第4期198-203,共6页
Antibiotic resistance has emerged as a major global threat to human health. Among the strategies employed by pathogens to acquire resistance the use of metallo-β-lactamases (MBLs), a family of dinuclear metalloenzyme... Antibiotic resistance has emerged as a major global threat to human health. Among the strategies employed by pathogens to acquire resistance the use of metallo-β-lactamases (MBLs), a family of dinuclear metalloenzymes, is among the most potent. MBLs are subdivided into three groups (i.e. B1, B2 and B3) with most of the virulence factors belonging to the B1 group. The recent discovery of AIM-1, a B3-type MBL, however, has illustrated the potential health threat of this group of MBLs. Here, we employed a bioinformatics approach to identify and characterize novel B3-type MBLs from Novosphingobium pentaromativorans and Simiduia agarivorans. These enzymes may not yet pose a direct risk to human health, but their structures and function may provide important insight into the design and synthesis of a still elusive universal MBL inhibitor. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Sequence Homology Novosphingobium Pentaromativorans Simiduia Agarivorans
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Unusual metallo-β-lactamases may constitute a new subgroup in this family of enzymes
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作者 Chun-Feng D.Hou Emer K.Phelan +3 位作者 Manfredi Miraula David L.Ollis Gerhard Schenk Natasa Mitic 《American Journal of Molecular Biology》 2014年第1期11-15,共5页
Metallo-β-lactamases (MBLs) are a family of Zn2+-dependent enzymes that have contributed strongly to the emergence and spread of antibiotic resistance. Novel members as well as variants of existing members of this fa... Metallo-β-lactamases (MBLs) are a family of Zn2+-dependent enzymes that have contributed strongly to the emergence and spread of antibiotic resistance. Novel members as well as variants of existing members of this family are discovered continuously, compounding their threat to global health care. MBLs are divided into three subgroups, i.e. B1, B2 and B3. The recent discovery of an unusual MBL from Serratia proteamaculans (SPR-1) suggests the presence of an additional subgroup, i.e. B4. A database search reveals that SPR-1 has only one homologue from Cronobacter sakazakii, CSA-1.These two MBLs have a unique active site and may employ a mechanism distinct from other MBLs, but reminiscent of some organophosphate-degrading hydrolases. 展开更多
关键词 Antibiotic Resistance β-lactam Antibiotics Metallo-β-lactamases Sequence Homology Serratia proteamaculans Cronobacter sakazakii
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Simultaneous determination of 14β-lactam antibiotics in cosmetic products by liquid chromatography tandem mass spectrometry method 被引量:10
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作者 Cai Sheng Wu Jin Lan Zhang Yan Ling Qiao Yi Lin Wang Zhi Rong Chen 《Chinese Chemical Letters》 SCIE CAS CSCD 2011年第3期334-337,共4页
In this study,a simple and rapid high-performance liquid chromatography-tandem mass spectrometry(HPLC-MS/MS) method was established and validated to determine the 14β-lactam antibiotics in cosmetic products,includi... In this study,a simple and rapid high-performance liquid chromatography-tandem mass spectrometry(HPLC-MS/MS) method was established and validated to determine the 14β-lactam antibiotics in cosmetic products,including 1(ceftazidime),2(cefaclor), 3(cefdinir),4(ampicillin),5(cefalexin),6(ceftezole),7(cefotaxim),8(cefradine),9(cefuroxime),10(cephazoline),11 (cefathiamidine),12(cefoperazone),13(cafalotin),14(piperacillin). 展开更多
关键词 High-performance liquid chromatography-tandem mass spectrometry(HPLC-MS/MS) COSMETIC β-lactam antibiotics
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Optimal mode of capillary electrophoresis for the impurity analysis of β-lactam antibiotics
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作者 朱建平 张慧文 胡昌勤 《Journal of Chinese Pharmaceutical Sciences》 CAS 2010年第4期285-292,共8页
In order to determine the optimal mode of capillary electrophoresis for the impurity control of β-lactam antibiotics, different modes and various electrophoresis conditions for the separation of impurities were compa... In order to determine the optimal mode of capillary electrophoresis for the impurity control of β-lactam antibiotics, different modes and various electrophoresis conditions for the separation of impurities were compared.The results showed that micellar electrokinetic capillary chromatography(MEKC) was the optimal separation mode for the impurity profiling of β-lactam antibiotics.In MEKC,not only the common R and S isomers,Δ-2 andΔ-3 isomers,and Z and E isomers,but also the impurities of β-lactam antibiotics could be well separated compared with the capillary zone electrophoresis.Therefore,MECK is the first choice for the separation of impurities of β-lactam antibiotics with capillary electrophoresis(CE).The optimal separation could be achieved in MEKC by optimizing the pH and the concentrations of buffered saline,micelles and organic solvent(methanol) in running buffer. 展开更多
关键词 β-lactam antibiotics IMPURITY CZE MEKC Optimal separation mode
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Correlation analysis of gene polymorphisms and β-lactam allergy 被引量:3
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作者 Jing LI Xin-yue LIU +7 位作者 Lin-jing LI Chong-ge YOU Lei SHI Shang-di ZHANG Qian LIU Jun WANG Ze-jing LIU Ting-hong LV 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2015年第7期632-639,共8页
A total of 64 patients with β-lactam allergy and 30 control subjects were enrolled in a case-control study. This study is aimed to analyze the relationship between β-lactam allergy and 10 single nucleotide polymorph... A total of 64 patients with β-lactam allergy and 30 control subjects were enrolled in a case-control study. This study is aimed to analyze the relationship between β-lactam allergy and 10 single nucleotide polymorphisms(SNPs) in interleukin-10(IL-10), IL-13, IL-4Rα, high-affinity immunoglobulin E-receptor β chain(FcεRIβ), interferon γ receptor 2(IFNGR2), and CYP3A4, and within the Han Chinese population of Northwest China. Genotyping for the SNPs was conducted using the Sequenom Mass ARRAY platform. SPSS 17.0 was employed to analyze the statistical data and SHEsis was used to perform the haplotype reconstruction and analyze linkage disequilibrium of SNPs of IL-10 and IL-13. The results showed that the genotype distribution of CYP3A4 rs2242480/CT differed significantly between case and control groups of males(P=0.022; odds ratio(OR)=0.167, 95% confidence interval(CI): 0.032–0.867). Further analysis showed that CCA, CCG, and TAA haplotypes of IL-10 had no significant correlation in patients with β-lactam allergy. The correlation between CCT and CAC haplotypes of IL-13 and β-lactam allergy needs to be further studied. The analysis did not reveal any differences in the distribution of others gene polymorphisms between cases and controls. 展开更多
关键词 ALLERGY β-lactam Interleukin(IL) PHARMACOGENOMICS Single nucleotide polymorphism(SNP)
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Synthesis and Steric Structure of β-Lactam Derivatives of 2,4-Diaryl-2,3-dihydro-1,5-benzothiazepines 被引量:1
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作者 Qi Yi XING Yuan LI +1 位作者 Cat Yun DU Qiu Qing YANGNa SUN, Sheng JIN(Bioorganic Molecular Engineering Laboratory, Institute of Chemistry and Molecular Engineering, Peking University, Beijing 100871 Department of Chemistry, Experiment Center, Hebei Normal Unive 《Chinese Chemical Letters》 SCIE CAS CSCD 1998年第10期919-921,共3页
This paper reports the primary results of the study on β-lactam derivatives of 2,4-diaryl-2, 3-di hydro-1, 5 -benzothiazepines. Five titie compounds have been synthesized, and their configUration and conformation wer... This paper reports the primary results of the study on β-lactam derivatives of 2,4-diaryl-2, 3-di hydro-1, 5 -benzothiazepines. Five titie compounds have been synthesized, and their configUration and conformation were detendned by X-ray crystallographic analysis. 展开更多
关键词 1 5-benzothiazopine β-lactam CYCLOADDITION
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Synthesis, Crystal Structure and Antitumor Activities of 2-Acyl-β-lactam-2-carboxamides 被引量:1
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作者 GAO Hai-Tao WANG Hong-Mei +3 位作者 HOU Na GUO Xing-Rong ZENG Xiao-Hua HU Yang-Gen 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2019年第3期416-421,共6页
A series of 2-acyl-β-lactam-2-carboxamides was prepared through a tandem Ugi 4 CC/SN cyclization of bromoacetic acid, primary amine, arylglyoxal, and isocyanide. All of them were characterized by NMR, IR, MS and elem... A series of 2-acyl-β-lactam-2-carboxamides was prepared through a tandem Ugi 4 CC/SN cyclization of bromoacetic acid, primary amine, arylglyoxal, and isocyanide. All of them were characterized by NMR, IR, MS and elemental analysis. Meanwhile, the single crystal of compound 5 a, C_(19)H_(25)ClN_2 O_3, was also obtained and determined by X-ray crystallography. Crystal data: triclinic system, space group P_1, a = 8.1318(15), b = 11.931(2), c = 12.027(2) ?, α = 67.361(3)°, β = 73.009(3)°, γ = 85.663(3)°, V = 1029.1(3) ?3, Z = 2, F(000) = 388, Dc = 1.178 g/cm3, μ = 0.204 mm^(-1), R = 0.0786 and w R = 0.2212 for 3585 independent reflections(Rint = 0.0214) and 2960 observed ones(I > 2σ(I)). Intermolecular N–H···O stacking interactions contributed to the stability of the structure. The antitumor abilities of 5 were analyzed with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazo-liumbromide(MTT) standard method; 5 c stood out as the most potent showing an IC_(50) of 1.70 μmol/L against human tumor cell lines(HepG2). 展开更多
关键词 crystal structure 2-acyl-β-lactam-2-carboxamides SYNTHESIS CYTOTOXIC activity
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探讨肺炎克雷伯菌临床感染的护理方式及对β-lactams药物耐药性的主决定因素 被引量:2
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作者 黄妙娟 《北方药学》 2013年第8期78-79,共2页
目的:研究探讨肺炎克雷伯菌(本文以下使用英文简称"KNP")临床感染的护理方式及对药物耐药性的主决定因素。方法:2011年1月~2013年1月,于我院共选择110例患者作为研究对象。首先对患者实施积极的护理干预,以防止院内感染。之... 目的:研究探讨肺炎克雷伯菌(本文以下使用英文简称"KNP")临床感染的护理方式及对药物耐药性的主决定因素。方法:2011年1月~2013年1月,于我院共选择110例患者作为研究对象。首先对患者实施积极的护理干预,以防止院内感染。之后对患者送检物实施β-lactams的活性测定以及细胞膜的通透性测定。结果:和敏感菌株比较,泛耐药菌株以及多重耐药的菌株β-内酰胺酶(本文以下使用英文简称"β-lactamase")的活性显著增多,差异具有统计学意义(P<0.05)。泛耐药菌株以及多重耐药的菌株两者的外膜的通透性相对于敏感菌株而言,具有显著的阻碍作用,差异具有统计学意义(P<0.05)。结论:合理护理,可有效防止医院院内感染。且β-lactamase的活性以及细胞外膜的通透性是KNP对β-lactams耐药性的主决定性因素,对抗生素药物的筛选具有一定的指导意义。 展开更多
关键词 肺炎克雷伯菌 临床感染 护理方式 β-lactamS 耐药性 主决定因素
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Open tubular capillary electrochromatography with block co-polymer coating for separation of β-lactam antibiotics
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作者 Liping Zhao Juan Qiao +2 位作者 Hongyi Zhang Fangnan Xie Li Qi 《Chinese Chemical Letters》 SCIE CAS CSCD 2019年第2期349-352,共4页
A new open-tubular capillary electrochromatography (OT-CEC) method for analysis of β-lactam antibiotics has been developed with unique block co-polymer coating. To obtain the highly ordered block polymer chains, reve... A new open-tubular capillary electrochromatography (OT-CEC) method for analysis of β-lactam antibiotics has been developed with unique block co-polymer coating. To obtain the highly ordered block polymer chains, reversible addition fragmentation chain transfer radical polymerization method was used to synthesize poly (maleic anhydride-styrene-N-isopropylacrylamide). The prepared block copolymer coating was characterized with NMR, fourier transform infrared spectroscopy and scanning electron microscope. Several key separation factors of OT-CEC, which including polymer amount,stability of the coating, temperature, species of organic additives, buffer pH and concentration, were investigated in detail. Our results indicated that the separation efficiency was improved greatly with the coating capillary and the three test analytes could be baseline separated. Then, the separation mechanism was briefly explored. Moreover, the proposed OT-CEC method displayed promising quantitative analysis property of the three test analytes with good linearity (R2>0.99), repeatability (relative standard deviations <0.9%) and high recovery (95.4%-106.2%). Further, the assay was applied in monitoring the three test β-lactam antibiotics (cephradine, cephalexin and amoxicillin) in serum samples, providing a useful platform for construction of novel polymer coatings in OT-CEC system and for analysis of drugs in real bio-samples. 展开更多
关键词 OPEN-TUBULAR capillary Electrochromatography β-lactam antibiotics BLOCK CO-POLYMER COATING Serum drugs SEPARATION
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Highly Stereoselective Synthesis of trans-3-Chloro-β-lactams from Imines and Mixed Chloroacetyl and Nitroacetyl Chlorides
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作者 QI Heng-zhen MO Shan-yan XU Jia-xi 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2011年第6期958-962,共5页
A series of trans-3-chloro-β-lactams was synthesized stereospecifically from imines and chloroacetyl chloride or a mixture of chloroacetyl chloride and nitroacetyl chloride, prepared from vinylidene chloride and a mi... A series of trans-3-chloro-β-lactams was synthesized stereospecifically from imines and chloroacetyl chloride or a mixture of chloroacetyl chloride and nitroacetyl chloride, prepared from vinylidene chloride and a mixture of concentrated nitric acid and sulfuric acid, in the presence of triethylamine. The reaction of vinylidene chloride and the mixed acid was investigated. The formation mechanism of chloroacetyl chloride and nitroacetyl chloride and their reaction process with imines were proposed. 展开更多
关键词 β-lactam Chloroacetyl chloride Staudinger reaction STEREOSELECTIVITY
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Synthesis and Stereostructure of New β-Lactam Derivatives of1,5-Benzothiazepines
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作者 Yuan LI Na SUN Sheng JIN(Department of Chemistry Hebei University Shijiazhuang 050016 Institute of Chemistry and Molecular Engineering Peking University Beijing 100871) 《Chinese Chemical Letters》 SCIE CAS CSCD 1999年第6期447-448,共2页
Reaction of 1,5-benzothiazepine with N-protected glycine gives new a-amino-β-lactamderivatives of 1.5-benzothiazepine. The configuration and conformation of the products wereconfirmed by x-ray diffraction. The resu... Reaction of 1,5-benzothiazepine with N-protected glycine gives new a-amino-β-lactamderivatives of 1.5-benzothiazepine. The configuration and conformation of the products wereconfirmed by x-ray diffraction. The result further reveals that the reaction of 1.5-benzothiazepineswith derivatives of carboxylic acid stereospecific. 展开更多
关键词 1.5-Benzothiazepine β-lactam stereospecific reaction
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Synthesis and Steric Structure of 1, 5-Benzothiazepine-Phenyl-β-Lactams
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作者 Yuan LI Jian Dong SHI +3 位作者 Yuan Jing ZHANG Sheng JIN Qi Yi XING(Department of Chemistry, Hebei Normal University. Shijiazhuang 050016 ShijiazhuangTeachers College 050041)(Beliing institute of Radiation Medicine, Beijing 100850)(Institute of Chemistry and 《Chinese Chemical Letters》 SCIE CAS CSCD 1999年第1期23-26,共4页
1, 5-Benzothiazepines 1 react with phenylacetyl chloride to give the title compounds.The structures of these new compounds were confirmed by elemental analysis, ~1H NMR, ^(13)C NMRand MS spectroscopy, and their config... 1, 5-Benzothiazepines 1 react with phenylacetyl chloride to give the title compounds.The structures of these new compounds were confirmed by elemental analysis, ~1H NMR, ^(13)C NMRand MS spectroscopy, and their configuration (the mutual positions of the substituents relative to theβ-lactam ring) and conformation of the compounds were determined by X-ray crystal analysis. 展开更多
关键词 1 5-BENZOTHIAZEPINE β-lactam stereospecific reaction
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Rapid Detection of β-lactam Antibiotic Residue in Milk Using Biolayer Interferometry
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作者 Xiaojun LIU Hui FU +3 位作者 Feng XUE Tao MA Xiangxiang ZENG Hai ZHU 《Agricultural Biotechnology》 CAS 2014年第1期9-11,15,共4页
[ Objective] This study aimed to establish a high-sensitivity method for rapid detection of^-lactam antibiotic residue in milk. [Method] Based on bio- layer interferometry technology, ampicillin-BSA conjugate was fixe... [ Objective] This study aimed to establish a high-sensitivity method for rapid detection of^-lactam antibiotic residue in milk. [Method] Based on bio- layer interferometry technology, ampicillin-BSA conjugate was fixed on the bottom of APS fiber optic biosensor probe through hydrophobic interaction and bound to 40 mn colloidal gold-labeled/3-1actam antibiotic receptor, to detect β-lactam antibiotics in milk. [ Result] The sensitivity of colloidal gold-labeled BLI method was twice as high as that of immunechromatographic test strip in detection of β-1actam antibiotic residue in milk. Colloidal gold-labeled BLI method exhibited good speci- ficity and had no cross-reaction with 1 000 ng/ml aflatoxin M1, gentamicin, kanamycin, streptomycin, tylosin, chloromycetin and melamine. [Condusion] The colloidal gold-labeled BLI method is not suitable for quantitative detection in actual production due to its small quantitative range in detection of β-lactam antibiot- ics, but it is a simple and rapid qualitative detection method that can be used in rapid detection of β-1actam antibiotic residue in milk. 展开更多
关键词 Bialayer interferometry β-lactam antibiotics Receptor-colloidal gold conjugate MILK RECEPTOR
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Novel Method for the Enantioselective Synthesis of β-Lactams
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作者 YUAN Qing JIAN Shan-zhong WANG Yan-guang 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2008年第1期58-64,共7页
A novel method for the enantioselective synthesis of β-lactams is described in this study. 2,3-Dihydrobenzooxazin-4-one derived from salicylamide and L-menthone was used as the chiral auxiliary, which reacted with a-... A novel method for the enantioselective synthesis of β-lactams is described in this study. 2,3-Dihydrobenzooxazin-4-one derived from salicylamide and L-menthone was used as the chiral auxiliary, which reacted with a-bromo-acyl bromides in the presence of pyridine to give carboximides 2. The stereo-controlled Reformatsky-type reactions of carboximides with imines yielded the corresponding trans β-lactams with high enantioselectivities(e.e. 75%-86%) and high chemical yields(63%-85%), meanwhile, the chiral auxiliary dihydrobenzooxazin-4-one was released and recovered. 展开更多
关键词 β-lactamS ENANTIOSELECTIVE Chiralauxiliary Reformatskyreaction
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Synthesis and Crystal Structure of α-( N-Protected a mino)β-lactam Derivative of 1 ,5-Benzothiazepine 被引量:2
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作者 李媛 金声 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 1999年第5期331-334,共4页
The crystal of the title compound C, C 30 H 30 N 2O 3S has been prepared by reaction of 1,5 benzothiazepine with N protected glycine and determined by X ray single crystal diffraction. Crystal data:... The crystal of the title compound C, C 30 H 30 N 2O 3S has been prepared by reaction of 1,5 benzothiazepine with N protected glycine and determined by X ray single crystal diffraction. Crystal data: M r =498.62, triclinic with P 1 space group, a=10.880(2), b=13.955(3), c=9.537(2), α=99.34(3)°, β=110.43(3)°, γ=88 56(3)°, V=1338.2(5) 3, F(000)=528, λ (Mo Kα)=0.71073, Z=2, D c =1 237g/cm 3, μ =0.154mm -1 . Final R=0.0453, wR =0.1256 for 3491 observed reflections 〔 I>2σ(I) 〕. Structure analysis reveals that the substituents at C(23) and C(7) in four membered ring are located on the same side. The conformation of seven membered ring is chair like. 展开更多
关键词 crystal structure cycloaddition reaction β lactam 1 5 benzothiazepine.
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Synthesis and Crystal Structure of a β-Lactam Derivative of 2,4-Diaryl-1,5-Benzothiazepine
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作者 LI Yuan DU Cai Yun YANG Qiu Qing 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 1999年第1期59-62,共4页
The compound(2) (C 24 H 20 NO 2ClS)(see Scheme 1) has been synthesized by reaction of 1, 5 benzothiazepine with chloroacetyl chloride and crystallized in the monoclinic system, space group P2 1/c, a=12.54... The compound(2) (C 24 H 20 NO 2ClS)(see Scheme 1) has been synthesized by reaction of 1, 5 benzothiazepine with chloroacetyl chloride and crystallized in the monoclinic system, space group P2 1/c, a=12.547(3), b=10.614(2), c=15.881(3) , β=105.91(3)°, V=2034.1(10) 3, D c =1.378 g/cm 3, Z=4, F(000)=880, μ (Mo Kα) =0.311 mm -1 , R= 0.0510 and R w =0.0647 for 1953 observed reflections. Structure analysis reveals that the cycloaddition to β lactam is stereospecific reaction, the chloro and phenyl substituents in four membered ring are located on the same side of the nucleus. The conformation of seven membered ring in compound (2) is chair like. 展开更多
关键词 crystal structure cycloaddition reaction β lactam 1 5 benzothiazepine
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新型铁载体偶联头孢菌素——Cefiderocol
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作者 赵世峰 曹恒斌 +1 位作者 汪荣华 袁玉梅 《中国临床药理学与治疗学》 北大核心 2026年第1期133-144,共12页
Cefiderocol为全球首个铁载体偶联头孢菌素,凭借独特的作用机制和不依赖β-内酰胺酶抑制剂的高稳定性,Cefiderocol展现了对多重耐药革兰氏阴性菌或碳青霉烯类耐药革兰氏阴性菌的强大活性,是当前临床上治疗此类病原体的重要选择。本文对... Cefiderocol为全球首个铁载体偶联头孢菌素,凭借独特的作用机制和不依赖β-内酰胺酶抑制剂的高稳定性,Cefiderocol展现了对多重耐药革兰氏阴性菌或碳青霉烯类耐药革兰氏阴性菌的强大活性,是当前临床上治疗此类病原体的重要选择。本文对其作用机制、抗菌活性、药动学/药效学、临床研究、安全性及耐药机制等方面进行综述,以期为临床抗耐药革兰氏阴性菌感染提供参考。 展开更多
关键词 Cefiderocol 铁载体 Β-内酰胺类 多重耐药革兰氏阴性菌 碳青霉烯类耐药革兰氏阴性菌
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新型抗生素在实体器官移植耐药菌感染治疗中的应用
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作者 巨春蓉 徐骁 薛武军 《器官移植》 北大核心 2026年第2期182-191,共10页
实体器官移植(SOT)是多种终末期疾病的有效治疗手段。然而,由于术后需要长期使用免疫抑制药以预防排斥反应,SOT受者普遍处于免疫功能低下状态,导致感染风险显著增加。移植后感染,尤其是多重耐药菌引起的感染,是SOT受者常见并发症之一,... 实体器官移植(SOT)是多种终末期疾病的有效治疗手段。然而,由于术后需要长期使用免疫抑制药以预防排斥反应,SOT受者普遍处于免疫功能低下状态,导致感染风险显著增加。移植后感染,尤其是多重耐药菌引起的感染,是SOT受者常见并发症之一,也是导致移植物功能障碍、移植物丢失乃至受者死亡的主要原因。随着全球细菌耐药形势日益严峻,感染的疾病负担持续增加,严重威胁SOT受者的生存预后及移植物功能。全球范围内对新型抗生素的研发和合理应用策略的探索变得至关重要,多种新型抗生素的研发与上市为临床带来更多选择。因此,系统梳理新型抗生素的药物特性及其在SOT受者这一特殊人群中的应用现状,对于指导临床实践、改善患者预后具有重要意义。 展开更多
关键词 新型抗生素 器官移植 免疫抑制 新型β-内酰胺/β-内酰胺酶抑制剂复方制剂 新型氨基糖苷类 四环素类 噁唑烷酮类 铁载体头孢菌素
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Stereoselective synthesis of cis- and trans-4-acyl-β-lactams from vicinal diketones and ketoaldehydes
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作者 WANG ZhiXin XU JiaXi 《Science China Chemistry》 SCIE EI CAS 2011年第11期1711-1717,共7页
4-Acyl-β-lactams are important synthetic intermediates in both pharmaceutical and organic chemistry. Cis- and trans-4-acyl-β- lactams were synthesized stereoselectively from vicinal diketones via the formation of bu... 4-Acyl-β-lactams are important synthetic intermediates in both pharmaceutical and organic chemistry. Cis- and trans-4-acyl-β- lactams were synthesized stereoselectively from vicinal diketones via the formation of bulky and less bulky diimines as key intermediates, respectively. The diimines reacted with acyl chloride in the presence of triethylamine to give rise to the corre- sponding 4-imino-β-lactams, which were further hydrolyzed to afford 4-acyl-β-lactams. The cis- and trans selectivity is de- pended on the steric hindrance of the imine N-substituents. A series of cis-4-acyl-β-lactams were synthesized from vicinal ketoaldehydes via the formation of their monoimines and diimines as intermediates. Pyruvic aldehyde produced cis-4-acetyl-β- lactams and cis-4-formyl-β-lactams, respectively, through the reactions of its monoimine and diimine with acyl chlorides. Phenylglyoxal generated cis-4-benzoyl-β-lactams via its monoaldimine. 展开更多
关键词 4-acyl-β-lactam DIIMINE DIKETONE imine ketoaldehyde β-lactam stereoselectivity
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