vancomycin   Click here for help

GtoPdb Ligand ID: 10932

Synonyms: Vancocin® | Vancor®
Approved drug
vancomycin is an approved drug (FDA (1964), UK (1990))
Comment: Vancomycin is a complex glycopeptide antibacterial that was originally isolated from Streptomyces orientalis. It has bactericidal activity against most organisms and is bacteriostatic vs. enterococci. Semisynthetic derivatives such as telavancin, dalbavancin and oritavancin are now available for clinical use.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 27
Hydrogen bond donors 19
Rotatable bonds 14
Topological polar surface area 530.49
Molecular weight 1447.43
XLogP 0.52
No. Lipinski's rules broken 3
SMILES / InChI / InChIKey
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Canonical SMILES OC[C@H]1O[C@@H](Oc2c3cc4cc2Oc2ccc(cc2Cl)[C@@H](O)[C@@H]2NC(=O)[C@H](NC(=O)[C@@H]4NC(=O)[C@H](CC(=O)N)NC(=O)[C@@H]([C@@H](c4ccc(O3)c(Cl)c4)O)NC(=O)[C@@H](CC(C)C)NC)c3ccc(c(c3)c3c(O)cc(cc3[C@H](NC2=O)C(=O)O)O)O)[C@@H]([C@H]([C@@H]1O)O)O[C@@H]1O[C@@H](C)[C@H]([C@@](C1)(C)N)O
Isomeric SMILES OC[C@H]1O[C@@H](Oc2c3cc4cc2Oc2ccc(cc2Cl)[C@@H](O)[C@@H]2NC(=O)[C@H](NC(=O)[C@@H]4NC(=O)[C@H](CC(=O)N)NC(=O)[C@@H]([C@@H](c4ccc(O3)c(Cl)c4)O)NC(=O)[C@@H](CC(C)C)NC)c3ccc(c(c3)c3c(O)cc(cc3[C@H](NC2=O)C(=O)O)O)O)[C@@H]([C@H]([C@@H]1O)O)O[C@@H]1O[C@@H](C)[C@H]([C@@](C1)(C)N)O
InChI InChI=1S/C66H75Cl2N9O24/c1-23(2)12-34(71-5)58(88)76-49-51(83)26-7-10-38(32(67)14-26)97-40-16-28-17-41(55(40)101-65-56(54(86)53(85)42(22-78)99-65)100-44-21-66(4,70)57(87)24(3)96-44)98-39-11-8-27(15-33(39)68)52(84)50-63(93)75-48(64(94)95)31-18-29(79)19-37(81)45(31)30-13-25(6-9-36(30)80)46(60(90)77-50)74-61(91)47(28)73-59(89)35(20-43(69)82)72-62(49)92/h6-11,13-19,23-24,34-35,42,44,46-54,56-57,65,71,78-81,83-87H,12,20-22,70H2,1-5H3,(H2,69,82)(H,72,92)(H,73,89)(H,74,91)(H,75,93)(H,76,88)(H,77,90)(H,94,95)/t24-,34+,35-,42+,44-,46+,47+,48-,49+,50-,51+,52+,53+,54-,56+,57+,65-,66-/m0/s1
InChI Key MYPYJXKWCTUITO-LYRMYLQWSA-N
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Summary of Clinical Use Click here for help
Oral vancomycin is indicated as a treatment for Clostridium difficile colitis and Staphylococcal infections of the colon and small intestines. Orally delivered vancomycin is not absorbed systemically. A parenteral formulation is available to treat serious infections outside of the intestines.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Vancomycin inhibits cell wall biosynthesis in susceptible bacteria, preventing N-acetylmuramic acid- and N-acetylglucosamine-peptide subunits being incorporated into the peptidoglycan matrix. The compound also alters cell membrane permeability and RNA synthesis, this halts the bacterial cell cycle.
Pharmacokinetics Click here for help
Biotransformation/Metabolism
Vancomycin appears to not be metabolised in humans.
Elimination
Vancomycin is eliminated in the urine following glomerular filtration. It is excreted largely unchanged, with 75-80% of the unaltered drug eliminated in the first 24 hours after administration.
Organ function impairment
Early studies reported that vancomycin use was associated with a risk of nephrotoxicty, however other factors such as
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