Lincomycin


Lincomycin
Lincomycin
Systematic (IUPAC) name
(2S,4R)-N-[(1R,2R)-2-hydroxy-1-[(2R,3R,4S,5R,6R)-3,4,5-trihydroxy-6-(methylsulfanyl)oxan-2-yl]propyl]-1-methyl-4-propylpyrrolidine-2-carboxamide
Clinical data
AHFS/Drugs.com monograph
MedlinePlus a609005
Pregnancy cat. C(US)
Legal status -only (US)
Routes IM/IV
Pharmacokinetic data
Bioavailability 100% (IM or IV)
Half-life 5.4 ± 1.0 hours after IM or IV administration
Excretion renal and biliary
Identifiers
CAS number 154-21-2 YesY
ATC code J01FF02
PubChem CID 3000540
DrugBank DB01627
ChemSpider 2272112 YesY
UNII BOD072YW0F YesY
KEGG D00223 YesY
ChEMBL CHEMBL1447 YesY
Chemical data
Formula C18H34N2O6S 
Mol. mass 406.538 g/mol
SMILES eMolecules & PubChem
 N(what is this?)  (verify)

Lincomycin is a lincosamide antibiotic that comes from the actinomyces Streptomyces lincolnensis. It has been structurally modified by thionyl chloride to its more commonly known 7-chloro-7-deoxy derivative, clindamycin. It is available with the brand name of Lincobect in Pakistan market.

Contents

Uses

Although similar in structure, antibacterial spectrum, and in mechanism of action to macrolides, they are also effective against other species as well, i.e., actinomycetes, mycoplasma, and some species of Plasmodium.

However, because of its adverse effects and toxicity, it is rarely used today and reserved for patients allergic to penicillin or where bacteria has developed resistance.

Clinical pharmacology

Intramuscular administration of a single dose of 600 mg of Lincomycin produces average peak serum levels of 11.6 micrograms/ml at 60 minutes, and maintains therapeutic levels for 17 to 20 hours, for most susceptible gram-positive organisms. Urinary excretion after this dose ranges from 1.8 to 24.8 percent (mean: 17.3 percent).

A two-hour intravenous infusion of 600 mg of Lincomycin achieves average peak serum levels of 15.9 micrograms/ml and yields therapeutic levels for 14 hours for most susceptible gram-positive organisms. Urinary excretion ranges from 4.9 to 30.3 percent (mean: 13.8 percent).

The biological half-life after IM or IV administration is 5.4 ± 1.0 hours. The serum half-life of lincomycin may be prolonged in patients with severe impairment of renal function, compared to patients with normal renal function. In patients with abnormal hepatic function, serum half-life may be twofold longer than in patients with normal hepatic function. Hemodialysis and peritoneal dialysis are not effective in removing lincomycin from the serum.

Tissue level studies indicate that bile is an important route of excretion. Significant levels have been demonstrated in the majority of body tissues. Although lincomycin appears to diffuse in the cerebrospinal fluid (CSF), levels of lincomycin in the CSF appear inadequate for the treatment of meningitis.

Biosynthesis

Lincomycin is an antibiotic classified as a constituent of the lincosamide group, which typically feature a 6,8-dideoxy-6-aminooctose lincosamine.[1] In Lincomycin A, this sugar moiety (referred to as methylthiolincosamide) is linked via an amide bond to an amino acid derivative (referred to as propylhygric acid). Lincomycin biosynthesis occurs via a biphasic pathway producing propylproline and methylthiolincosamide followed by condensation of these subunits to N-demethyllincomycin and methyllation by S-adenosylmethionine to produce the antibiotic lincomycin.

In the biosynthesis of the amino acid moiety of lincomycin, tyrosine comprises seven of the nine carbons in the prophylhygric acid, while the remaining two carbons are added in reactions with S-adenosylmethionine.[2][3][4][5] Glucose is converted via glycolysis and the hexose monophosphate pathway to phosphoenolpyruvate and erythrose-4-phosphate, respectively, which are converted via the shikimate pathway to tyrosine and dihydroxyphenylalanine. Although the multistep conversion of dihydroxyphenylalanine to propylproline remains unknown, experiments involving accumulation of 1,2,3,6-tetradehydro-propylproline in mutants lacking a reductase requiring lincomycin cosynthetic factor suggests a biosynthetic scheme that Kuo and coworkers have modified from Brahme et al.[4][5] to accommodate the remaining steps leading to propylproline.[6][7]

Propylproline.png

The biosynthesis of the methythiolincosamide sugar moiety is still not entirely known, although two different pathways have been predicted.[5][8] One possible pathway proposes the C8 carbon framework of methythiolincosamide originates from the condensation of a pentose (C5) unit, stemming from either the hexose monophosphate or condensation through a transketolase reaction with glyceraldehyde-3-phosphate and sedoheptulose-7-phosphate, and a C3 unit, added through a transaldolase reaction with sedoheptulose-7-phosphate. Once condensed, an octose (C8) unit is formed that can undergo isomerization to octose, dephosphorylation and reduction of the C8 carbon, transamination of 6-ketooctose, and thiomethylation of C1 to finally convert the octose unit to the methylthiolincosamide. A substantially different pathway for the formation of the methythiolincosamide proposes that its biosynthesis involves nucleotide activation followed by a series of modifications of dNTP-activated sugar intermediates. Eight genes, lmb-LMNZPOSQ, have been found to form a "sugar subcluster" which might be involved in this sugar metabolism.[9]

MTL chem.png

Condensation of both the carboxyl group on the propylproline and the amine group of the methylthiolincosamide via an amide bond is catalyzed by N-Demethyllincomycin-synthetase and leads to the production of N-demethyllincomycin. N-Demethyllincomycin is then methylated by S-adenosylmethionine through N-Demethyllincomycin methyl transferase to form the final lincomycin product.[10]

Lincomycin synth.png

Dosage and administration

Adults

Serious infections - 600 mg (2 ml) IM every 24 hours. More severe infections - 600mg (2 ml) every 12 hours. The IV dose will be determined by the seriousness of the infection. For serious infections, doses of 600 mg to 1000 mg are given every 8 to 12 hours. Fore more severe infections, these doses may have to be increased. In life-threatening situations, daily IV administration of as much as 8000 mg have been given.

Pediatric Patients

Pediatric patients over one month of age: Serious infections—one IM injection of 10mg/kg every 24 hours. More severe infections—one IM injection of 10 mg/kg every 12 hours, or more often as indicated by susceptibility testing, renal and hepatic functioning. IV dosing is 10 to 20 mg/kg/day in divided doses every 8 to 12 hours.

Subconjunctival injections

An injection of 0.75 mg, given subconjuctivally, will result in ocular fluid levels of antibiotic (lasting for at least 5 hours) with Minimum Inhibitory Concentrations sufficient for most susceptible pathogens.

Patients with diminished renal function

When therapy with lincomycin is required in individuals with severe impairment of renal function, an appropriate dose is 25 to 30 percent of that recommended for patients with normally functioning kidneys.

References

  1. ^ Spízek J, Rezanka T (February 2004). "Lincomycin, cultivation of producing strains and biosynthesis". Appl. Microbiol. Biotechnol. 63 (5): 510–9. doi:10.1007/s00253-003-1431-3. PMID 14593504. 
  2. ^ Argoudelis AD, Eble TE, Fox JA, Mason DJ (August 1969). "Studies on the biosynthesis of lincomycin. IV. The origin of methyl groups". Biochemistry 8 (8): 3408–11. doi:10.1021/bi00836a040. PMID 5809230. 
  3. ^ Witz DF, Hessler EJ, Miller TL (March 1971). "Bioconversion of tyrosine into the propylhygric acid moity of lincomycin". Biochemistry 10 (7): 1128–33. doi:10.1021/bi00783a005. PMID 5553319. 
  4. ^ a b Brahme NM, Gonzalez JE, Mizsak S, Rolls JR, Hessler EJ, Hurley LH (1984a) Biosynthesis of the lincomycins. 2. Studies using stable isotopes on the biosynthesis of methylthiolincosaminide moiety of lincomycin A. J Am Chem Soc 106:7878–7883.
  5. ^ a b c Brahme NM, Gonzalez JE, Rolls JR, Hessler EJ, Mizsak S, Hurley LH (1984b) Biosynthesis of the lincomycins. 1. Studies using stable isotopes on the biosynthesis of the propyl- and ethyl-Lhygric aci moieties of lincomycin A and B. J Am Chem Soc 106:7873–7878.
  6. ^ Kuo MS, Yurek DA, Coats JH, Li GP (March 1989). "Isolation and identification of 7,8-didemethyl-8-hydroxy-5-deazariboflavin, an unusual cosynthetic factor in streptomycetes, from Streptomyces lincolnensis". J. Antibiot. 42 (3): 475–8. PMID 2708143. 
  7. ^ Kuo MS, Yurek DA, Coats JH, Chung ST, Li GP (November 1992). "Isolation and identification of 3-propylidene-delta 1-pyrroline-5-carboxylic acid, a biosynthetic precursor of lincomycin". J. Antibiot. 45 (11): 1773–7. PMID 1468986. 
  8. ^ Peschke U, Schmidt H, Zhang HZ, Piepersberg W (June 1995). "Molecular characterization of the lincomycin-production gene cluster of Streptomyces lincolnensis 78-11". Mol. Microbiol. 16 (6): 1137–56. doi:10.1111/j.1365-2958.1995.tb02338.x. PMID 8577249. 
  9. ^ Pissowotzki K, Mansouri K, Piepersberg W (December 1991). "Genetics of streptomycin production in Streptomyces griseus: molecular structure and putative function of genes strELMB2N". Mol. Gen. Genet. 231 (1): 113–23. doi:10.1007/BF00293829. PMID 1661369. 
  10. ^ Patt TE, Horvath BA (1985) Isolation and characterization of Ndemethyllincomycin methyltransferase. In: Abstracts, 13th International Congress of Biochemistry, Amsterdam, The Netherlands, August 25–30 1985

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Look at other dictionaries:

  • lincomycin — n. An antibacterial antibiotic obtained from the bacterium {Streptomyces lincolnensis} and used in the treatment of certain penicillin resistant infections. [WordNet 1.5] …   The Collaborative International Dictionary of English

  • lincomycin — ☆ lincomycin [liŋ΄kō mī′sin ] n. [( Streptomyceslincoln(ensis), the bacteria from which derived (isolated from a soil sample collected near LINCOLN3, Nebr.) + MYC + IN1] an antibiotic drug, C18H34N2O6S, used in the treatment of various bacterial… …   English World dictionary

  • Lincomycin — Strukturformel Allgemeines Freiname Lincomycin Andere Namen …   Deutsch Wikipedia

  • lincomycin — Antibiotic active against Gram positive bacteria. Acts by blocking protein synthesis by binding to the 50S subunit of the ribosome and blocking peptidyl transferase reaction. Clindamycin, a derivative of lincomycin, is used as an antimalarial… …   Dictionary of molecular biology

  • lincomycin — noun Etymology: New Latin lincolnensis (specific epithet of Streptomyces lincolnensis) + English mycin Date: 1963 an antibiotic C18H34N2O6S obtained from an actinomycete (Streptomyces lincolnensis) and effective especially against gram positive… …   New Collegiate Dictionary

  • lincomycin — /ling keuh muy sin/, n. Pharm. a toxic antibiotic, C18H34N2O6S, isolated from Streptomyces lincolnensis, used in its hydrochloride form for the treatment of serious Gram positive penicillin resistant infections. [1960 65; < NL of the bacteria… …   Universalium

  • lincomycin — noun A lincosamide antibiotic derived from Streptomyces lincolnensis …   Wiktionary

  • lincomycin — An antibacterial substance, composed of substituted pyrrolidine and octapyranose moities, produced by Streptomyces lincolnensis; active against Gram positive organisms; used medicinally as l. hydrochloride. * * * lin·co·my·cin .liŋ kə mīs ən n an …   Medical dictionary

  • lincomycin — lin·co·my·cin …   English syllables

  • lincomycin — noun antibiotic (trade name Lincocin) obtained from a streptomyces bacterium and used in the treatment of certain penicillin resistant infections • Syn: ↑Lincocin • Usage Domain: ↑trade name (for: ↑Lincocin) • Hypernyms: ↑ …   Useful english dictionary


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