Evidence map›Paper›PMID 35215272›Full record

ArticlePharmaceuticals (Basel, Switzerland)2022

Impact of Linker Modification and PEGylation of Vancomycin Conjugates on Structure-Activity Relationships and Pharmacokinetics.

Florian Umstätter, Julia Werner, Leah Zerlin, Eric Mühlberg, Christian Kleist, Karel D Klika, Tobias Hertlein, Barbro Beijer, Cornelius Domhan, Stefan Zimmermann and 4 more

Abstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

14 authors.

Florian UmstätterDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Julia WernerDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Leah ZerlinDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Eric MühlbergDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0002-0294-3120
Christian KleistDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Karel D KlikaNMR Spectroscopy Analysis Unit, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany.
Tobias HertleinInstitute for Molecular Infection Biology, University of Würzburg, 97080 Würzburg, Germany.
Barbro BeijerDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Cornelius DomhanInstitute of Pharmacy and Molecular Biotechnology, Heidelberg University, 69120 Heidelberg, Germany.
Stefan ZimmermannDepartment of Infectious Diseases, Medical Microbiology and Hygiene, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Knut OhlsenInstitute for Molecular Infection Biology, University of Würzburg, 97080 Würzburg, Germany.
Uwe HaberkornDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Walter MierDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Philipp UhlDepartment of Nuclear Medicine, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0002-8616-5599

Funding

Deutsche Forschungsgemeinschaft GZ MI 684/7-1 and GZ OH 97/8-1
6 · The paper itself

Abstract

As multidrug-resistant bacteria represent a concerning burden, experts insist on the need for a dramatic rethinking on antibiotic use and development in order to avoid a post-antibiotic era. New and rapidly developable strategies for antimicrobial substances, in particular substances highly potent against multidrug-resistant bacteria, are urgently required. Some of the treatment options currently available for multidrug-resistant bacteria are considerably limited by side effects and unfavorable pharmacokinetics. The glycopeptide vancomycin is considered an antibiotic of last resort. Its use is challenged by bacterial strains exhibiting various types of resistance. Therefore, in this study, highly active polycationic peptide-vancomycin conjugates with varying linker characteristics or the addition of PEG moieties were synthesized to optimize pharmacokinetics while retaining or even increasing antimicrobial activity in comparison to vancomycin. The antimicrobial activity of the novel conjugates was determined by microdilution assays on susceptible and vancomycin-resistant bacterial strains. VAN1 and VAN2, the most promising linker-modified derivatives, were further characterized in vivo with molecular imaging and biodistribution studies in rodents, showing that the linker moiety influences both antimicrobial activity and pharmacokinetics. Encouragingly, VAN2 was able to undercut the resistance breakpoint in microdilution assays on

Indexed as

antimicrobial resistanceglycopeptide antibioticslinker influencePEGylationpharmacokineticspolycationic peptidesvancomycin

Identifiers

PMID35215272
PMCPMC8880691

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Registered trials

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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.