Synonyms
Tazidime Fortaz Ceftazidime anhydrous
Molecular Formula
C22H22N6O7S2
Smiles
CC(C)(O\N=C(/C(=O)N[C@H]1[C@H]2SCC(C[n+]3ccccc3)=C(N2C1=O)C(O)=O)c1csc(=N)[nH]1)C([O-])=O
Appearance
White to off-white crystalline powder
pKa
2.42 (strongest acid), 4.02 (strongest base)
General Description
Ceftazidime is a broad-spectrum parenteral cephalosporin antibiotic belonging to the third-generation class of the cephalosporin family. It is a β-lactam antibacterial agent characterized by its enhanced activity against Gram-negative bacteria, particularly Pseudomonas aeruginosa, while maintaining moderate activity against Gram-positive organisms. Ceftazidime exhibits high stability against a wide range of β-lactamases, including many extended-spectrum β-lactamases (ESBLs), which contributes to its reliable performance against resistant strains.
Mechanism of Action
Ceftazidime exerts potent bactericidal effects by inhibiting bacterial cell wall synthesis. It achieves this by covalently binding to and inactivating penicillin-binding proteins (PBPs), which are essential transpeptidase enzymes located on the inner membrane of the bacterial cell wall. This binding disrupts the cross-linking of peptidoglycan chains, a critical component of the cell wall that provides structural integrity. As a result, the bacterial cell wall becomes weakened and unable to withstand osmotic pressure, ultimately leading to cell lysis and rapid bacterial death. This mechanism of action is time-dependent and accounts for its efficacy against a broad spectrum of susceptible pathogens.
Application
Ceftazidime is clinically indicated for the treatment of a variety of serious bacterial infections. Its primary applications encompass:
• Nosocomial and Lower Respiratory Tract Infections, including pneumonia and complicated intra-abdominal infections.
• Urinary Tract Infections, treating both complicated and uncomplicated cases, including acute pyelonephritis.
• Skin and Skin Structure Infections, addressing complicated bacterial presentations.
• Other Key Uses, including the management of septicemia, bacterial meningitis, and infections in neutropenic patients. It is also a key agent in the empirical treatment of febrile neutropenia in combination with other antibiotics.
Bacterial cell wall synthesis is essential for maintaining bacterial structural integrity and viability. Penicillin-binding protein 3 (PBP3) is a key transpeptidase that catalyzes the cross-linking of peptidoglycan strands, a critical step in cell wall assembly. Disruption of this process compromises the cell wall, leading to osmotic imbalance and bacterial lysis.
Ceftazidime acts as a mechanism-based inhibitor that covalently binds to the active site of PBP3. As shown in the crystal structur, ceftazidime forms an irreversible covalent linkage with Ser294 in the PBP3 active site, permanently blocking its transpeptidase activity. This covalent modification prevents peptidoglycan cross-linking, resulting in the loss of cell wall integrity and ultimately bacterial cell death. This structural evidence provides a molecular basis for the potent antibacterial activity of ceftazidime against susceptible Gram-negative pathogens.
The mechanism of its antibacterial effect is:
• Covalently binding to Ser294 in the active site of PBP3
• Irreversibly inhibiting transpeptidase activity
• Blocking peptidoglycan cross-linking and cell wall synthesis
• Disrupting cell wall integrity, leading to osmotic lysis and bacterial death
Fig. 1 Ribbon representation of PBP3 bound to ceftazidime.(Sainsbury S.; et al. 2011)
References
- Sainsbury S, et al. Crystal structures of penicillin-binding protein 3 from Pseudomonas aeruginosa: comparison of native and antibiotic-bound forms. J Mol Biol, 2011, 405(1): 173-184.
Hu X et al. developed a photochromic glycomicelle system loaded with ceftazidime to enable superresolution imaging of antibiotic-induced bacterial structural disruption. The targeted adhesion of glycomicelles to Pseudomonas aeruginosa through multivalent galactose–Lec A interactions and the subsequent light-triggered release of the payload were investigated in vitro. This system allows for the on-demand release of ceftazidime via UV irradiation, facilitating the in situ visualization of its antibacterial action at the single-cell level. Using STORM superresolution microscopy, this approach can track the dynamic morphological changes of bacteria in response to ceftazidime treatment. Compared with conventional genomic and proteomic methods that require cell lysis, this imaging system permits the real-time observation of how ceftazidime disrupts bacterial structural integrity. This research provides a high-precision chemical tool for studying antibiotic mechanisms of action in situ and offers a theoretical basis for the potential application of photochromic glycomicelles in antibacterial drug evaluation.
Fig. 2 Schematic illustration of the photochromic glycomicelle-based system for superresolution imaging of ceftazidime-induced bacterial structural disruption (Hu X.; et al. 2024)
References
- Hu X, et al. Superresolution imaging of antibiotic-induced structural disruption of bacteria enabled by photochromic glycomicelles. Proc Natl Acad Sci U S A, 2024, 121(37): e2408716121.
What are the primary applications of Ceftazidime?
Ceftazidime is a third-generation cephalosporin antibiotic used for the treatment of severe bacterial infections, including lower respiratory tract infections, urinary tract infections, skin and soft tissue infections, and intra-abdominal infections. It is also indicated for febrile neutropenia and empiric therapy in immunocompromised patients.
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