Multidrug (MDR) resistances against various classes of antibiotics used in S. aureus and MRSA infections have emerged. With limited options for novel antibacterial compounds, there is a strong focus on finding agents against MDR phenomenon, namely causative efflux pumps. We synthesised novel benzo-annelated 1,4-dihydropyridines with various substitution patterns both at the 4- and N-alkyl substituents and, additionally, at the annelated aromatic residues. MDR efflux pump-inhibiting activity was evaluated in S. aureus strains including MRSA and was measured in a fluorescent assay system using ethidium bromide as the overall substrate of S. aureus efflux pumps. Favourable substituents for inhibiting efflux pump activity in S. aureus have been 4-methoxy and 4- and 3-chloro at the 4-phenyl position of the 1,4-dihydropyridine ring combined with an N-benzyl residue. The most favourable substituents for the activity inMRSA strains have been those 4-phenyl chloro substituents combined with additional pyrido residues attached to the benzo substituent at the 1,4-dihydropyridine core. Benzo-annelated 1,4-dihydropyridines are a novel class of inhibitors of MDR relevant efflux pumps in S. aureus strains including MRSA.
Werner et al. (Thu,) studied this question.