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Penicillin • 1928: Alexander Fleming noticed that a mould (penicillium notatum) produced a compound that inhibits bacterial growth. • 1940: Florey and Chain showed that an injection of extract cured infections in mice and later in humans. • 1945: Fleming, Florey and Chain were awarded a Nobel Prize for Medicine. CH CH HC CH CH2 C C CH O CH3 S NH HC HC C C N HC C O O Penicillin-G CH3 OH Penicillin works by inhibiting an enzyme involved in the building of bacterial cell walls. The mould extract was broken down if taken by mouth and effective only against a limited range of bacteria. In the 1950s it was shown that penicillin-G could be broken down to give 6-amino penicinillic acid from which a range of semisynthetic penicillins could be made. CH CH HC CH2 NH C C CH O HC HC C N C CH CH3 S HC C O O CH3 S H2N HC HC C C N CH3 HC C O 6-APA CH3 O OH OH O C R CH3 S H2N HC HC Cl C N C CH3 HC OH C O O O NH C CH3 S HC HC R C C N CH3 HC C O O OH Unfortunately penicillins are fragile O NH C CH3 S HC HC C N R CH3 HC C C O O What is the bond angle here ? What does it “want” to be ? How can it get there ? OH O NH C CH R HC C NH C O CH3 S CH3 HC OH C OH O Bacteria that have the enzyme β-lactamase can hydrolyse the strained amide group. These are resistant. Why does this resistance spread? Suggest 2 ways of overcoming this resistance. 1) Make a penicillin that does not fit into the active site of β-lactamase : Methacillin 2) Inhibit βlactamase by mixing the active penicillin with Clavulanic acid H O C H CH C H NH HC C HC CH3 HC C CH CH3 S C N HC C C O C O H O C HO H H CH2 O H2C HC C C CH N HC O C HO O OH O