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                                                                Synonyms: IBX | OPP-3
                                 Compound class: 
                                                            Synthetic organic
                                 
                                    
                                        Comment: Iboxamycin (OPP-3) is an orally bioavailable, synthetic antibacterial compound, discovered through a collaboration between the University of Illinois at Chicago and Harvard University [1]. Structurally, IBX is built on a oxepanoproline scaffold that is linked to the aminooctose residue of clindamycin.  X-ray crystallography shows that IBX binds to the large ribosomal subunit in the bacteria (more effectively than clindamycin) and disrupts translation initiation. Iboxamycin is a novel broad-spectrum agent that is active against Gram-positive and Gram-negative bacteria including ESKAPE pathogens that express resistance-conferring Erm and Cfr ribosomal RNA methyltransferase enzymes.
                                    
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