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现阶段,活跃在国内抗真菌药物市场上的主要品种仍为唑类抗真菌药,包括氟康唑、伊曲康唑和两性霉素B(amphotericinB,AmB)等。根据全国16大重点城市样本医院的统计数据显示,2005年进入医院统计的抗真菌药共有12种,仅前3个品种就占了九成多的市场,只剩不足3%的市场供其余产品分食。其中,氟康唑一枝独秀,以1.3亿元的用药金额占了抗真菌药65%的市场份额;其次为伊曲康唑,拥有26.5%的份额;两性霉素B排第三位,所占比例为6%;而棘球白素类抗真菌药卡泊芬净的用药金额为205万元,占有份额仅为1%;伏立康唑占0.5%;咪康唑和酮康唑各占0.3%。下面就简单介绍一下排名前几种的药物进展及市场情况。 相似文献
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Structural Optimization of Berberine as a Synergist to Restore Antifungal Activity of Fluconazole against Drug‐Resistant Candida albicans
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Hong Liu Liang Wang Yan Li Jiang Liu Maomao An Shaolong Zhu Yongbing Cao Zhihui Jiang Mingzhu Zhao Zhan Cai Li Dai Tingjunhong Ni Wei Liu Simin Chen Changqing Wei Chengxu Zang Shujuan Tian Prof. Jingyu Yang Prof. Dr. Chunfu Wu Prof. Dr. Dazhi Zhang Prof. Dr. Hua Liu Prof. Yuanying Jiang 《ChemMedChem》2014,9(1):207-216
We have conducted systematic structural modification, deconstruction, and reconstruction of the berberine core with the aim of lowering its cytotoxicity, investigating its pharmacophore, and ultimately, seeking novel synergistic agents to restore the effectiveness of fluconazole against fluconazole‐resistant Candida albicans. A structure–activity relationship study of 95 analogues led us to identify the novel scaffold of N‐(2‐(benzo[d][1,3]dioxol‐5‐yl)ethyl)‐2‐(substituted phenyl)acetamides 7 a – l , which exhibited remarkable levels of in vitro synergistic antifungal activity. Compound 7 d (N‐(2‐(benzo[d][1,3]dioxol‐5‐yl)ethyl)‐2‐(2‐fluorophenyl)acetamide) significantly decreased the MIC80 values of fluconazole from 128.0 μg mL?1 to 0.5 μg mL?1 against fluconazole‐resistant C. albicans and exhibited much lower levels of cytotoxicity than berberine toward human umbilical vein endothelial cells. 相似文献
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《Inorganic chemistry communications》2007,10(5):575-579
Two Cu(II)–fluconazole supramolecular isomers 1 and 2 formulated as (flu)2Cu(SCN)2 (flu = fluconazole) have been synthesized and structurally characterized by single crystal X-ray diffraction. Different solvent media lead to the different binding modes of anion SCN− and the flexible C–C chain of fluconazole has been rotated in the two isomers. Complex 1 exhibits a two dimensional square grid-like layer and complex 2 exhibits a two dimensional framework with a parquet motif. Different H-bonds and stacking modes are observed in the two isomers. Complex 1 is nonemissive, whereas complex 2 exhibits photoluminescence property. 相似文献
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A series of cylindrical brushes with poly(methyl methacrylate) (PMMA) and poly(n-butyl acrylate) (PBA) side chains of different lengths was studied to understand the grafting density of brush molecules prepared by the ‘grafting from’ approach. Molecules with PMMA side chains were prepared by grafting MMA from a multifunctional macroinitiator, poly(2-(2-bromoisobutyryloxy)ethyl methacrylate). Molecules with PBA side chains were prepared with poly(2-(2-bromopropionyloxy)ethyl methacrylate) as a macroinitiator. Analysis of the detached side chains showed an incomplete initiation process resulting in longer side chains than expected for complete initiation. Limited initiation (40-80%) was also observed for short PMMA chains using a low molar mass initiator ethyl 2-bromoisobutyrate with CuCl catalyst systems. The lower initiation efficiency was confirmed via visualization of individual molecules by atomic force microscopy. The larger distance between adsorbed brush molecules was consistent with <50% initiation efficiency. 相似文献
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Bernd Zaschke Willy Frank Hartmut Fischer Klaus Schmutzler Manfred Arnold 《Polymer Bulletin》1991,27(1):1-8
Summary The synthesis of liquid crystalline side chain A-B blockcopolymers, prepared by living anionic polymerization in combination with a polymeranalogous reaction is reported. Thereby the A-block was formed from a non mesogenic monomer (styrene, butadiene and n-butylmethacrylate) and the B-block from a monomer with a lateral active group (2-(trimethylsiloxy)-ethylmethacrylate), used for introduction of the side chain mesogens (cholesterylformyl- and 2-(4-[5-hexylpyrimidin-2-yl]-benzoyloxy)-groups). The obtained copolymers show mostly phase separation phenomenons. In dependence of the content of LC side groups a mesomorphic behaviour was observed. 相似文献
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Potent Synergy between Spirocyclic Pyrrolidinoindolinones and Fluconazole against Candida albicans
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Ilandari Dewage Udara Anulal Premachandra Kevin A. Scott Chengtian Shen Dr. Fuqiang Wang Shelley Lane Prof. Dr. Haoping Liu Prof. Dr. David L. Van Vranken 《ChemMedChem》2015,10(10):1672-1686
A spiroindolinone, (1S,3R,3aR,6aS)‐1‐benzyl‐6′‐chloro‐5‐(4‐fluorophenyl)‐7′‐methylspiro[1,2,3a,6a‐tetrahydropyrrolo[3,4‐c]pyrrole‐3,3′‐1H‐indole]‐2′,4,6‐trione, was previously reported to enhance the antifungal effect of fluconazole against Candida albicans. A diastereomer of this compound was synthesized, along with various analogues. Many of the compounds were shown to enhance the antifungal effect of fluconazole against C. albicans, some with exquisite potency. One spirocyclic piperazine derivative, which we have named synazo‐1, was found to enhance the effect of fluconazole with an EC50 value of 300 pM against a susceptible strain of C. albicans and going as low as 2 nM against some resistant strains. Synazo‐1 exhibits true synergy with fluconazole, with an FIC index below 0.5 in the strains tested. Synazo‐1 exhibited low toxicity in mammalian cells relative to the concentrations required for antifungal synergy. 相似文献
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介绍了头孢呋辛酸的侧链——— (Z) 2 甲氧亚氨基 2 (呋喃 2 基 )乙酸铵的结构和性质 ,及以呋喃乙酰和 2 呋喃 (羰基 )乙酸为起始原料的 3条不同的合成路线 ,得知以乙酰呋喃与亚硝酸进行肟化反应的路线是适合工业化生产的。最后简介了头孢呋辛酯 (钠 )的市场现状。 相似文献
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Fang Yan Guo Prof. Chang Ji Zheng Meiyuan Wang Jiangping Ai Lan Ying Han Liu Yang Ye Fang Lu Yu Xuan Yang Prof. Ming Guan Piao Prof. Hu-Ri Piao Prof. Chun-Mei Jin Prof. Cheng Hua Jin 《ChemMedChem》2021,16(15):2354-2365
Three series of new imidazole-fused imidazo[2,1-b][1,3,4]thiadiazole analogues (compounds 20 a – g , 21 a – g , and 22 a – g ) have been synthesized, and their antibacterial and antifungal activities have been evaluated. All the target compounds showed strong antifungal activity and high selectivity for the test fungus Candida albicans over Gram-positive and -negative bacteria. N-((4-(2-Cyclopropyl-6-(4-fluorophenyl)imidazo[2,1-b][1,3,4]thiadiazol-5-yl)-5-(6-methyl-pyridin-2-yl)-1H-imidazol-2-yl)methyl)aniline ( 21 a ) showed the highest activity against C. albicans (MIC50=0.16 μg/mL), 13 and three times that of the positive control compounds gatifloxacin and fluconazole, respectively. Compounds 21 a and 20 e did not show cytotoxicity against human foreskin fibroblast-1 cells, and compound 21 a was as safe as the positive control compounds in hemolysis tests. These results strongly suggest that some of the compounds produced in this work have value for development as antifungal agents. 相似文献
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We recently reported the design and synthesis of azole antifungal agents with a focus on modifications to the side chain appended to the propanol group. Herein we have identified a series of new 1-[(biarylmethyl)methylamino] derivatives with broad-spectrum antifungal activities against the most prevalent human pathogenic fungi (Candida spp. and Aspergillus fumigatus). Compounds containing a flexible benzylamine moiety were clearly shown to yield the best antifungal activities, without the need for a hydrogen-bond acceptor substituent directly attached to the para position. We were also able to determine that selected compounds are able to overcome gene overexpression and point mutations that lead to reduced susceptibility or resistance against current treatments, such as fluconazole. As the minor differences observed with small structural modifications cannot be explain with only a three-dimensional model of CYP51, adequate physicochemical parameters must be evaluated in terms of antifungal potency, bioavailability, and toxicity. Therefore, structure-activity relationship studies such as these reveal new insights for the development of future antifungal therapies. 相似文献
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Yang Y Zhang S Wu B Ma M Chen X Qin X He M Hussain S Jing C Ma B Zhu C 《ChemMedChem》2012,7(5):823-835
A novel and facile synthesis of quinoxalinone derivatives was developed in which a wide range of 3-chloroquinoxalin-2(1H)-ones as key intermediates can be generated chemo- and regioselectively in good yields from corresponding quinoxaline-2,3(1H,4H)-diones. This new protocol is arguably superior, as it allows the design and preparation of a variety of bioactive quinoxaline-based compounds, which are particularly effective in the treatment of diabetes and its complications. Through this procedure, a new class of quinoxalinone-based aldose reductase inhibitors were synthesized successfully. Most of the inhibitors, with an N1-acetic acid head group and a substituted C3-phenoxy side chain, proved to be potent and selective. Their IC(50) values ranged from 11.4 to 74.8 nM. Among them, 2-(3-(4-bromophenoxy)-7-fluoro-2-oxoquinoxalin-1(2H)-yl)acetic acid and 2-(6-bromo-3-(4-bromophenoxy)-2-oxoquinoxalin-1(2H)-yl)acetic acid were the most active. Structure-activity relationship and molecular docking studies highlighted the importance of the ether spacer in the C3-phenoxy side chains, and provided clear guidance on the contribution of substitutions both at the core structure and the side chain to activity. 相似文献