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Aztreonam is mainly used for infections caused by sensitive gram-negative bacteria, including pneumonia, pleurisy, abdominal infections, biliary tract infections, bone and joint infections, skin and soft tissue inflammation, especially for urinary tract infections.
Aztreonam rapidly passes through the outer membrane wall of gram-negative aerobes and has a high affinity for penicillin-binding protein 3 (PBP-3). By acting on PBP-3, it inhibits the synthesis of bacterial cell walls, leading to cell lysis and death. Aztreonam is a fully synthetic monocyclic β lactam antibiotic. The antibacterial spectrum mainly includes gram-negative bacteria, such as Escherichia coli, Klebsiella, Serratia, Proteus mirabilis, Haemophilus influenzae, Citrus citrus, Pseudomonas aeruginosa, gonococcus, etc.
| Item | Specifications | Results |
| Appearance | White, odorless crystalline powder | Conforms |
| Identification | Positive | Conforms |
| Water | ≤2.0% | 0.2% |
| Residue on ignition | ≤0.1% | 0.08% |
| Heavy Metals | ≤0.003% | Conforms |
| Assay | 90.0 -105.0 % | 95.8% |
| Product parameters | |
| Cas number: | 78110-38-0 |
| Appearance: | White, odorless crystalline powder |
| Purity: | 90.0 -105.0 % |
| Package details: | 1kg/bag;25kg/drum |
| Brand: | Fortunachem |
Aztreonam is a monocyclic beta-lactam antibiotic belonging to the monobactam class. It is a fully synthetic antibiotic designed to be resistant to beta-lactamase enzymes produced by many Gram-negative bacteria.
Chemical Class: Monobactam (a monocyclic beta-lactam, unlike penicillins/cephalosporins which are bicyclic).
Core Structure: Contains a β-lactam ring but lacks the fused thiazolidine or dihydrothiazine rings of penicillins/cephalosporins.
Key Functional Groups:
Sulfonic acid group (SO₃H) at the N1 position of the ring → enhances stability against β-lactamases.
Side chain mimics that of ceftazidime (aminothiazole oxime) → improves Gram-negative penetration & affinity for penicillin-binding proteins (PBPs).
Stereochemistry: The β-lactam ring and side chain are specifically configured for binding to bacterial PBPs.
Aztreonam is used clinically to treat Gram-negative aerobic bacterial infections, including:
Pseudomonas aeruginosa (notable for respiratory infections in cystic fibrosis patients).
E. coli, Klebsiella, Proteus, Serratia, Haemophilus influenzae.
Hospital-acquired infections (e.g., pneumonia, urinary tract infections, septicemia).
It has no activity against Gram-positive bacteria or anaerobes.
In a chemical context, aztreonam is notable for:
Beta-Lactamase Stability Studies:
Used as a probe to study β-lactamase enzyme mechanisms due to its resistance to many (but not all) β-lactamases.
Helps classify β-lactamases (e.g., inhibited by clavulanic acid? Active against monobactams?).
Medicinal Chemistry & Drug Design:
Serves as a template for designing narrow-spectrum antibiotics (targets only Gram-negative bacteria).
Used to study structure-activity relationships (SAR) of β-lactam rings and side chains.
Chemical Synthesis:
Its synthesis involves stereoselective formation of the β-lactam ring (e.g., using cyclization of linear precursors).
Key intermediates: L-threonine-derived side chain, introduction of the sulfonate group.
Biochemical Probes:
Binds specifically to PBP3 (penicillin-binding protein 3) in Gram-negative bacteria → useful in studying cell division and peptidoglycan synthesis.
Combination Studies:
Studied in combination with other β-lactams or β-lactamase inhibitors (e.g., avibactam) to extend spectrum.
Unlike most β-lactams, aztreonam is not derived from natural products; it is purely synthetic.
Its monobactam structure avoids cross-reactivity in patients allergic to penicillins/cephalosporins (different immune recognition).
| Chemical/Research Use | Medical Use |
|---|---|
| β-Lactamase mechanism studies | Treat Gram-negative bacterial infections |
| SAR studies for antibiotic design | Targeted therapy for Pseudomonas spp. |
| Probe for PBP3 binding | Hospital-acquired pneumonia/UTI |
| Synthetic intermediate for analogs | Cystic fibrosis respiratory infections |
In summary, aztreonam is both a clinically important narrow-spectrum antibiotic and a valuable chemical tool for studying bacterial resistance, enzyme mechanisms, and antibiotic design.




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