Tetracyclines

Historical Background of Tetracyclines

  • Discovered in 1948 from Streptomyces aureofaciens.
  • Broad-spectrum antibiotic class.

Nomenclature of Tetracyclines

Stereochemistry

  • Four fused rings (hydronaphthacene nucleus).
  • α-stereochemistry at C-4 is crucial for activity.

Structure-Activity Relationship (SAR)

  • Hydroxyl and amine groups: Affect bacterial ribosome binding.
  • Modifications at C-5, C-6, and C-7 influence:
    • Lipophilicity (affecting oral absorption).
    • Resistance to efflux pumps.
    • Protein binding.

Chemical Degradation Classification

  • Epimerization at C-4: Leads to inactive 4-epitetracycline.
  • Oxidative degradation: Produces toxic degradation products.
  • Photodegradation: Especially in doxycycline (causes skin photosensitivity).

Important Products

  • Tetracycline (prototype drug).
  • Doxycycline (longer half-life, fewer GI effects).
  • Minocycline (highly lipophilic, effective for acne).
  • Tigecycline (glycylcycline, overcomes resistance).

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