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The Oxazolidinones

Chapter
Part of the Topics in Medicinal Chemistry book series (TMC, volume 26)

Abstract

The oxazolidinones, exemplified by linezolid and now tedizolid phosphate, are established as successful clinical agents for the treatment of a variety of serious infections caused by Gram-positive pathogens. Out of more than one dozen oxazolidinone drug candidates tested in clinical trials over the last 20+ years, only these two agents have exhibited the optimal balance of potency, pharmacokinetic behavior, and safety to become marketed antibacterial agents. The reason for this situation is discussed in the context of a new wave of emerging candidate drugs. An assessment of these nascent oxazolidinones is provided. Progress in the areas of structure-activity relationships (SAR), mechanism of action (MOA), safety characteristics, and resistance development is discussed. Finally, we speculate on the future of the oxazolidinones as a class of antibacterial agents with continuing therapeutic utility.

Keywords

Chloramphenicol Peptidyl transfer center Protein synthesis inhibitor Ribosome Sutezolid 

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© Springer International Publishing AG, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of Chemistry and BiochemistryCalvin CollegeGrand RapidsUSA

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