Evidence map›Paper›PMID 31009558›Full record

ArticleJournal of medicinal chemistry2019

Exploitation of Antibiotic Resistance as a Novel Drug Target: Development of a β-Lactamase-Activated Antibacterial Prodrug.

Lindsay E Evans, Aishwarya Krishna, Yajing Ma, Thomas E Webb, Dominic C Marshall, Catherine L Tooke, James Spencer, Thomas B Clarke, Alan Armstrong, Andrew M Edwards

Open access · hybridAbstract read
In one paragraph

Article in Journal of medicinal chemistry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 69 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Prodrug activation in malaria parasites mediated by an imported erythrocyte esterase, acylpeptide hydrolase (APEH).Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Strategic re-engineering of antibiotics.Nature reviews bioengineering · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. The landscape of small-molecule prodrugs.Nature reviews. Drug discovery · 2024
    Review
  12. Staph wars: the antibiotic pipeline strikes back.Microbiology (Reading, England) · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Design and Synthesis of Novel Antimicrobial Agents.Antibiotics (Basel, Switzerland) · 2023
    Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Lindsay E EvansMRC Centre for Molecular Bacteriology and Infection , Imperial College London , SW7 2AZ London , United Kingdom.ORCID 0000-0002-6950-9329
Aishwarya KrishnaMRC Centre for Molecular Bacteriology and Infection , Imperial College London , SW7 2AZ London , United Kingdom.
Yajing MaDepartment of Chemistry, Molecular Sciences Research Hub , Imperial College London , W12 0BZ London , United Kingdom.
Thomas E WebbDepartment of Medicine , Imperial College London , SW7 2AZ London , United Kingdom.
Dominic C MarshallDepartment of Medicine , Imperial College London , SW7 2AZ London , United Kingdom.
Catherine L TookeSchool of Cellular and Molecular Medicine , University of Bristol , Biomedical Sciences Building, University Walk , BS8 1TD Bristol , United Kingdom.
James SpencerSchool of Cellular and Molecular Medicine , University of Bristol , Biomedical Sciences Building, University Walk , BS8 1TD Bristol , United Kingdom.ORCID 0000-0002-4602-0571
Thomas B ClarkeMRC Centre for Molecular Bacteriology and Infection , Imperial College London , SW7 2AZ London , United Kingdom.
Alan ArmstrongDepartment of Chemistry, Molecular Sciences Research Hub , Imperial College London , W12 0BZ London , United Kingdom.ORCID 0000-0002-3692-3099
Andrew M EdwardsMRC Centre for Molecular Bacteriology and Infection , Imperial College London , SW7 2AZ London , United Kingdom.
Imperial College London · GBUniversity of Bristol · GB

Funding

Biotechnology and Biological Sciences Research Council BB/J014400/1Biotechnology and Biological Sciences Research Council BB/L01386X/1Medical Research Council MR/P028225/1Wellcome TrustWellcome Trust 107660/Z/15ZWellcome Trust 204337/Z/16/Z
6 · The paper itself

Abstract

Expression of β-lactamase is the single most prevalent determinant of antibiotic resistance, rendering bacteria resistant to β-lactam antibiotics. In this article, we describe the development of an antibiotic prodrug that combines ciprofloxacin with a β-lactamase-cleavable motif. The prodrug is only bactericidal after activation by β-lactamase. Bactericidal activity comparable to ciprofloxacin is demonstrated against clinically relevant E. coli isolates expressing diverse β-lactamases; bactericidal activity was not observed in strains without β-lactamase. These findings demonstrate that it is possible to exploit antibiotic resistance to selectively target β-lactamase-producing bacteria using our prodrug approach, without adversely affecting bacteria that do not produce β-lactamase. This paves the way for selective targeting of drug-resistant pathogens without disrupting or selecting for resistance within the microbiota, reducing the rate of secondary infections and subsequent antibiotic use.

Indexed as

Anti-Bacterial Agentsbeta-LactamasesCephalosporinsCiprofloxacinDrug Resistance, MicrobialEscherichia coliHydrolysisMicrobial Sensitivity TestsMolecular StructureProdrugsStructure-Activity RelationshipTopoisomerase II InhibitorsAnti-Bacterial Agentsbeta-Lactamasesbeta-lactamase TEM-3CephalosporinsCiprofloxacinProdrugsTopoisomerase II Inhibitors

Identifiers

PMID31009558
PMCPMC6511942
OpenAlexW2941134700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.