Pharmacists propose ways to increase the activity of levofloxacin and overcome bacterial resistance

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The article discusses how pharmacists are proposing ways to increase the activity of levofloxacin and overcome bacterial resistance. Levofloxacin is a third-generation fluoroquinolone used to treat various infections and is included in the WHO Model List of Essential Medicines. Researchers at RUDN University studied derivatives of levofloxacin to identify potential candidates for new antibacterial drugs and understand which structural elements contribute to their biological activity. The study involved simulating the derivatives using molecular docking techniques to predict their biological activity. The research assessed antibacterial and antitumor effects, enzyme inhibition, and other activities of five derivatives and levofloxacin itself.

Scientia Pharmaceutica (2023). DOI: 10.3390/scipharm92010001″> 3D chemical structure depiction of levofloxacin hemihydrate. Credit: Scientia Pharmaceutica (2023). DOI: 10.3390/scipharm92010001

The antibacterial drug levofloxacin is used to treat pneumonia, sinusitis, genitourinary infections, and other diseases. It is included in the WHO Model List of Essential Medicines. In terms of its chemical structure, it is a third-generation fluoroquinolone—a completely synthetic substance of the quinolone type.

Generation refers to different modifications of quinolones that are used in different areas. Quinolones of different generations are widely used, but bacteria—for example, pneumococcus and Staphylococcus aureus—develop resistance to them. RUDN University pharmacists studied several derivatives of levofloxacin to find potential candidates for new antibacterial drugs and find out which structural elements are responsible for the of the substances.

“One of the approaches to improve the kinetic and dynamic characteristics of drugs is to study the properties of the products that are formed as a result of their transformation,” Elena Uspenskaya, Doctor of Pharmaceutical Sciences, Professor, Associate Professor of the Department of Pharmaceutical and Toxicological Chemistry of the RUDN University said.

For the experiment, scientists used the pharmaceutical substance levofloxacin. To predict what biological activity its derivatives will have, the authors simulated them, as well as molecular docking “poses” on a computer (in silico). A total of five derivatives and levofloxacin itself were studied. Biological activity was assessed using 7 different types of activity: antibacterial and antitumor effects, inhibition of specific enzymes, and so on.

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