Medical Pharmacology Chapter 35  Antibacterial Drugs

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  • Penicillin G and Penicillin V

    Penicillin G and Penicillin V Audio Overview
    • Penicillin overview

      • Penicillin Structural Elements
        • Penicillin is classified as a β-lactam antibiotic.

        • The structure features a ß-lactam ring characterized by a cyclic amide in which the nitrogen atom is bonded to the carbonyl group's β-carbon atom.

        • In the case of penicillin the nitrogen atom is a constituent of the thiazolidine ring (See below)

        • The combined structure (above) is a "penam ring." Penicillin, independent of the form, will contain a penam ring. The difference between one penicillin in another type resides in differing R groups.

         

      • Penicillin Mechanism of Antibiotic Action
        • "All but two types of bacteria (Mycoplasma and L-form bacteria) have a cell wall.

        • The cell wall, in bacteria that have it, is reinforced by an outer membrane made of peptidoglycan.

        • Each peptidoglycan monomer consists of two sugars: N-acetylmuramic acid (NAM), which is also attached to a tetrapeptide, and N-acetylglucosamine (NAG).

        • The four peptides within the tetrapeptide are diverse across different bacterial species.

        •  Tetrapeptide chains of individual monomers cross-link to form a mesh-like crystal lattice around the exterior of the bacterial cell." 13 (See figure below)

        Peptidoglycan monomer in which the R group (red) represents a tetrapeptide.13

        • "The peptidoglycan polymer, with the monomer highlighted in red.

        • Note the tetrapeptides (multicolored circles) attached to the NAM in each monomer.

          • The tetrapeptides chains of parallel monomers are cross-linked (green), forming the lattice."13

        • NAM: N-acetyl muramic acid

        • NAG: N-acetylglucosamine

        • The NAG monomers link to NAM, creating the disaccharide unit.

          • These units alternate, forming long chains utilizing beta-1, 4-glycosidic bonds.

      • How Penicillin Disrupts the Bacterial Cell Outer Membrane
        • Peptidoglycans maintain bacterial cell structure by surrounding the bacterial cell with a scaffolding-like structure.

        • Bacterial cell survival requires stability of this structure which depends on cross-linking the tetrapeptides to form the peptidoglycan layer.13 

        • This cross-linking specifically depends on the activity of an enzyme, DD-transpeptidase, and penicillins inhibit the activity of this enzyme by forming a stable penicilloyl-enzyme intermediate.13,14

          • DD transpeptidase may be referred to as serine-typeD-Ala-D-Ala carboxypeptidase.

            • In recognition of the interaction between the transpeptidase and penicillin, DD-transpeptidase is commonly referred to as PBP or Penicillin-Binding Protein.14

       

      • Structure of Steptomyces K15 DD-Transpeptidase
      •  

        Penicillin G (2D)

      •  

        Penicillin G (3D)

         

      • Penicillin V (2D)
      •  

        Penicillin V (3D)

       

      • Penicillins, and all β-lactam antibiotics, are defined by their unique chemical architecture.

        • The core of the penicillin molecule is a bicyclic system known as the penam nucleus. 1,2  This structure consists of a highly strained, four-membered ring called a β-lactam ring, which is fused to a five-membered thiazolidine ring. 1,2  

        • The β-lactam ring, a cyclic amide where the nitrogen atom is attached to the β-carbon relative to the carbonyl group, is the critical functional moiety responsible for the antibiotic's bactericidal activity.3

          • The inherent ring strain of this structure makes it chemically reactive and susceptible to nucleophilic attack, a property that is central to its mechanism of action.4

          • Penicillin Structure4
            • Attribution
              • The beta-lactam ring is essential for penicillin activity.4 

                • The carbon atom C of the lactam C=O is very susceptible to nucleophilic attack.

                • The carboxylic acid moiety contributes to the binding of penicillin to the active site of the transpeptidase enzyme.

              • The reactivity of the beta-lactam ring results in penicillin being susceptible to inactivation following nucleophilic acyl substitution reactions, forming a penicilloic acid.

                • This form does not exhibit antibiotic activity.

              • Enhancement of penicillin stability may be accomplished by electron-withdrawing substituents at the side chain.

                • The effect of the substitution is to make the amide carbonyl less reactive.4

              • An example of this effect can be illustrated using the to antibiotics under present consideration, Penicillin G and Penicillin V.

               

            Penicillin G and Penicillin V: Basis of Differences in Drug Stability when exposed to Stomach Acid4
            • Note the additional oxygen associated with Penicillin V (green).

              • This oxygen has the effect of decreasing nucleophilicity of the amide carbonyl group, reducing its reactivity with the internal beta-lactam ring.

                • A consequence of addition of this oxygen (green) is that Penicillin G is sufficiently stable in the acidic stomach environment such that this medication may be orally administered.

                • By contrast, lacking this oxygen, Penicillin V can not maintain its structure in the acidic stomach environment and therefore must be administered by the intravenous route of administration.

            • The top figure is a slight modification of the first figure in reference 4; whereas the second figure above corresponds to the fourth figure in reference 4, Noted below.

          • Variations in the acyl side chain attached at the 6-position of this 6-aminopenicillanic acid core determine the specific characteristics of each penicillin, including its antimicrobial spectrum, stability, and susceptibility to bacterial resistance mechanisms.5,6  

      • Penicillin G: Structure

        • Chemically definition(2S,5R,6R)-3,3-dimethyl-7-oxo-6-[(2-phenylacetyl)amino]-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid.7,9  

          • Its empirical formula is C16H18N2O4S.7,8  

        • A defining feature is the benzyl (phenylacetyl) group that constitutes its side chain.9

          • Penicillin G (Benzylpenicillin)9
            • Attribution

              • Benzylpenicillinic (Molecule of the Week Archive; July 9, 2018)

              • American Chemical Society

              • https://www.acs.org/molecule-of-the-week/archive/b/benzylpenicillin.html

          • Penicillin G has also been known as benzylpenicillin or benzylpenicillinic acid.9

            • In its free acid form, penicillin G is a white crystalline powder that is only sparingly soluble in water and is chemically unstable, particularly in aqueous solutions.

              •  These physicochemical limitations render the free acid impractical for clinical use.9

            • To overcome limitations with the free acid form, penicillin G is formulated for example, as its potassium salts, which are much more water-soluble and stable, allowing for parenteral (intravenous or intramuscular) administration.10

              •  However, even in these salt forms, aqueous penicillin G is excreted by the kidneys with extreme rapidity, resulting in a very short therapeutic half-life that necessitates frequent dosing.10 

              • To address this pharmacokinetic challenge, long-acting "depot" or "repository" formulations were developed.

                • These involve creating salts with large organic bases, such as procaine or benzathine, which are far less soluble in water.11,12

                • When injected intramuscularly, these salts form a depot from which the active penicillin G is slowly hydrolyzed and absorbed into the circulation over an extended period.

                • Procaine penicillin G provides therapeutic concentrations for approximately 24 hours11, while benzathine penicillin G can maintain low but effective levels for two to four weeks.12

August, 2025

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References
  1. Martin J Ullan R Garcia-Estrada C Regulation and compartmentalization of beta-lactam biosynthesis. Microb Biotechnol. 2010 April 20;380 (3 285-299. https://pmc.ncbi.nlm.nih.gov/articles/PMC3815371/

  2. Penicillin. https://en.wikipedia.org/wiki/Penicillin

  3. β-Lactam. https://en.wikipedia.org/wiki/%CE%92-Lactam#

  4. Futurelearn Mode of Action of Penicillin. https://www.futurelearn.com/info/courses/everyday-chemistry/0/steps/22314

  5. 6-Aminopenicillanic Acid. PubChem. National Library of Medicine. https://pubchem.ncbi.nlm.nih.gov/compound/6-Aminopenicillanic-acid

  6. Mestrovic T Penicillin Variants News Medical Life Sciences (Reviewed Dec. 19, 2022) https://www.news-medical.net/health/Penicillin-Variants.aspx

  7. Penicillin G. PubChem. National Library of Medicine. https://pubchem.ncbi.nlm.nih.gov/compound/Penicillin-G

  8. Penicillin G. IUPHAR/BPS Guide to Pharmacology. IUPAC Name. https://www.guidetopharmacology.org/GRAC/LigandDisplayForward?ligandId=4796

  9. Benzylpenicillin. Molecule of the Week Archive. July 9, 2018. ACS (Chemistry for Life). https://www.acs.org/molecule-of-the-week/archive/b/benzylpenicillin.html

  10. Penicillin G Potassium Injection. FDA labeling. Revision: July 2016) https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/050638s019lbl.pdf

  11. Procaine Benzylpenicillin. https://en.wikipedia.org/wiki/Procaine_benzylpenicillin

  12. Benzathine benzylpenicillin. https://en.wikipedia.org/wiki/Benzathine_benzylpenicillin

  13. ChemTalk:  Penicillin: A Biochemical Perspective. https://chemistrytalk.org/penicillin-a-biochemical-perspective/

  14. DD transpeptidase.https://en.wikipedia.org/wiki/DD-Transpeptidase

 

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