摘要
Β-内酰胺类抗生素已经彻底改变了现代医学,但这些药物的耐药性也成为了一个重大的公共卫生危机。传统上,C类β-内酰胺酶被称为头孢菌素酶,由于其酶作用物更青睐于这类独特的β内酰胺类。然而,具有广谱活性(广谱头孢菌素或ESACs)的AmpC酶的出现尤其令人担忧,尤其是考虑到大多数临床β内酰胺酶抑制剂对这些酶无效。本文总结了几种广谱C类β内酰胺酶的结构,并分析了所观察到的它们之间的构效关系。
关键词: Β-内酰胺酶;头孢菌素;广谱;构效;X射线晶体结构
图形摘要
Current Drug Targets
Title:Structural and Functional Aspects of Extended-Spectrum AmpC Cephalosporinases
Volume: 17 Issue: 9
Author(s): Rachel A. Powers
Affiliation:
关键词: Β-内酰胺酶;头孢菌素;广谱;构效;X射线晶体结构
摘要: β-lactam antibiotics have revolutionized modern medicine, but resistance to these drugs is a major public health crisis. Traditionally, class C β-lactamases were referred to as cephalosporinases due to their substrate preference for this particular class of β-lactams. However, the emergence of AmpC enzymes with extended-spectrum activity (extended-spectrum cephalosporinases or ESACs) is particularly worrisome, especially given that most clinical β-lactamase inhibitors are ineffective against these enzymes. This review summarizes structures of several extended spectrum class C β-lactamases and analyzes the structure-function relationship observed among them.
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Cite this article as:
Rachel A. Powers , Structural and Functional Aspects of Extended-Spectrum AmpC Cephalosporinases, Current Drug Targets 2016; 17 (9) . https://dx.doi.org/10.2174/1573399811666150615144707
DOI https://dx.doi.org/10.2174/1573399811666150615144707 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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