Acyl amino acid that inhibits active transport of carbapenem antibiotics in the renal cortex. See also panipenem. Prepn: F. H. Holm, Arch. Pharm. 242, 590 (1904); C. C. Barker, J. Chem. Soc. 1954, 317; J. Barluenga et al., Tetrahedron 45, 2183 (1989). Use as renal protectant: T. Shiokari et al., EP 226304; eidem, US 4757066 (1987, 1988 both to Sankyo). Crystal structure: N. Feeder, W. Jones, Acta Crystallogr. C50, 813 (1994). Nephroprotective effect: Y. Hirouchi et al., Jpn. J. Pharmacol. 63, 487 (1993). Mode of action: eidem, ibid. 66, 1 (1994). Pharmacokinetics: A. Kurihara et al., Antimicrob. Agents Chemother. 36, 1810 (1992).
Antibacterial adjunct (renal protectant).
Antibacterial Adjuncts; Renal Protectant