Penicillins and other fl-lactam antibiotics (see the Focus On in this chapter) typically develop a resistance to
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Penicillin’s and other fl-lactam antibiotics (see the Focus On in this chapter) typically develop a resistance to bacteria due to bacterial synthesis of β-lactamase enzymes. Tazobactam, however, is able to Inhibit the activity of the -1actamasc by trapping it, (hereby preventing resistance from developing.
(a) The first step in trapping is reaction of a hydroxyl group on the p-lactamase to open the /3-lactam ring of Tazobactam. Show the mechanism.
(b) The second step is opening of the sulfur-containing ring in Tazobactam to give an acyclic iminium ion intermediate. Show the mechanism.
(c) Cyclization of the iminium ion intermediate gives the trapped β-lactamase product. Show the mechanism.
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