Skip to main content
Advertisement
Browse Subject Areas
?

Click through the PLOS taxonomy to find articles in your field.

For more information about PLOS Subject Areas, click here.

  • Loading metrics

Protease inhibition, in vitro antibacterial and IFD/MM-GBSA studies of ciprofloxacin-based acetanilides

  • Rabia Akhtar,

    Roles Investigation, Methodology, Writing – original draft

    Affiliations Department of Chemistry, Government College University Faisalabad, Faisalabad, Pakistan, Department of Chemistry, The Superior University Lahore, Faisalabad-Campus, Faisalabad, Pakistan

  • Ameer Fawad Zahoor ,

    Roles Conceptualization, Funding acquisition, Project administration, Supervision, Writing – review & editing

    fawad.zahoor@gcuf.edu.pk, fawad.zahoor@gmail.com

    Affiliation Department of Chemistry, Government College University Faisalabad, Faisalabad, Pakistan

  • Asim Mansha,

    Roles Data curation, Funding acquisition, Software

    Affiliation Department of Chemistry, Government College University Faisalabad, Faisalabad, Pakistan

  • Shagufta Kamal,

    Roles Data curation, Formal analysis, Methodology

    Affiliation Department of Biochemistry, Government College University Faisalabad, Faisalabad, Pakistan

  • Samreen Gul Khan,

    Roles Funding acquisition, Investigation

    Affiliation Department of Chemistry, Government College University Faisalabad, Faisalabad, Pakistan

  • Zohaib Raza,

    Roles Data curation, Formal analysis, Investigation, Software, Writing – original draft

    Affiliation Department of Pharmacology, Government College University Faisalabad, Faisalabad, Pakistan

  • Kulsoom Ghulam Ali

    Roles Formal analysis, Funding acquisition

    Affiliation Department of Chemistry, Government College University Faisalabad, Faisalabad, Pakistan

Abstract

In this study, we have investigated ciprofloxacin-based acetanilides for their in-vitro inhibitory study against gram +ve, -ve bacteria and serine protease activity. The compounds 4e and 4g showed excellent antibacterial activity against Bacillus subtilis with a zone of inhibition (ZI) values of 40 ± 0.9 mm, 37 ± 1.4 mm and with MIC values of 4.0 ± 0.78 mg/mL, 3.0 ± 0.98 mg/ML respectively, while 4a and 4i were found most active against Escherichia coli, with ZI values 38 ± 0.1 mm, 46 ± 1.8 mm and with MIC values of 1.0 ± 0.25 mg/mL, 1.0 ± 0.23 mg/mL respectively. All derivatives (4a-j) significantly inhibited the catalytic activity of serine protease, while 4a exhibited a maximum (100%) inhibitory effect at 96 minutes having 22.50 minutes , and non-competitive inhibition with 0.1±0.00μM Ki. The IFD/MM-GBSA studies highlighted the binding mode of 4a for protease inhibition and indicated improved binding affinity with –107.62 kcal/mol of ΔGbind.

Introduction

A new era of synthetic quinolone antibacterial agents started in 1962 with the discovery of nalidixic (a prototype of quinolone) by George Lesher as a byproduct during the commercial preparation of chloroquine (an antimalarial) (Fig 1). Nalidixic acid on oral administration is rapidly absorbed and converted into active hydroxyl nalidixic acid by liver, mostly excreted by the kidneys act there as bactericidal. It is used for the treatment of urinary tract infections caused by Gram-negative bacteria. However, its selectivity only for Gram-negative bacteria, photosensitivity reactions, as well as the convulsive tendency in seizure disorders patients, limited its extensive use [16].

Fluoroquinolones constitute a group of quinolones having fluorine substituent at position 6 of their bicyclic rings, which has led to the development of a marvelous group of most frequently used synthetic antibiotics as well as protease inhibitors [7, 8]. Ciprofloxacin is one of them which was first patented in 1983 and approved for clinical use in 1987 and showed excellent potency against Gram-negative bacteria [9]. Later, other fluoroquinolones, such as levofloxacin, gatifloxacin, moxifloxacin, and gemifloxacin were developed with better activity against Gram-positive bacteria. They are currently the most commonly prescribed antibacterial agents in the world for the treatment of a wide variety of bacterial infections in human beings as well as in animal husbandry.

They have been widely used to inhibit HIV-1 integrase enzyme [10] and also act as DNA topoisomerases I and II inhibitors [11] (Fig 2). A large number of pharmaceutical chemists are involved in structural modifications of the core fluoroquinolone to develop new potent antitumor, anti-HIV, as well as antimycobacterial agents with a broader spectrum, improved efficacy and less chance of developing resistance. Apart from the above applications, anti-inflammatory [12] and antifungal [13] properties have also been exhibited by these motifs [1416].

thumbnail
Fig 2. Fluoroquinolones as HIV-1 integrase, topoisomerase I and II inhibitors.

https://doi.org/10.1371/journal.pone.0281044.g002

Resistance to existing pharmaceutical agents is a major health problem that can be combated by creating a new generation of antibiotics having a different mechanism of action. As a part of our study attempting to further optimize the fluoroquinolones’ antibacterial activity, we have investigated the effect of N-4-piperazinyl ciprofloxacin-aniline derivatives [17] on Bacillus subtilis and Escherichia coli. The results revealed that the introduction of different substituents at phenyl ring significantly influenced their antibacterial activity against the targeted bacterial cultures. Moreover, we evaluated the serine protease inhibition potential of the designed ciprofloxacin derivatives with significant results. As per our knowledge, no study before this work involved the evaluation of in vitro inhibitory effect of ciprofloxacin derivatives against serine protease.

Materials and methods

Chemistry

The synthesis of N-4-piperazinyl ciprofloxacin derivatives 4a-j was carried out by refluxing ciprofloxacin hydrochloride in methanol using a catalytic amount of sulfuric acid, resultantly carboxylic acid moiety was converted into methyl ester 2. 1.45 mM of this ester (2) were treated with a series of substituted anilides 3a-j (2.17 mM) in the presence of pyridine (9 mM) and dichloromethane (20 mL) to obtain targeted compounds within 72–96 h. N-hexane was used in the workup procedure to get precipitates which were purified by recrystallization/column chromatographic techniques [17].

Antibacterial activity

Antibacterial activity of ciprofloxacin derivatives was evaluated by the disc diffusion method as reported earlier against Bacillus subtilis and Escherichia coli [18]. 100 μL of suspension made up of 108 colony-forming units of bacteria was spread on nutrient agar media. A compound solution having 5mg/100μL concentration in DMSO was imbedded on discs while ciprofloxacin as a positive control was carefully deposited in the discs on the agar culture plates (already immunized with bacterial cells). Later cultured plates were incubated at 4°C for 1 hour followed by 37°C for 24 hours. All the results were compared with the control by calculating zone of inhibition (ZI) values of bacterial growth as an average diameter around the discs in mm.

Minimum inhibitory concentration (MIC)

Resazurin microtiter-plate assay was used to determine the minimum inhibitory concentration (MIC) values of all the compounds against the same microorganism. To fill the well plates, 10 mg/mL solution of standard antibacterial drug in 10% DMSO, 100 μL solution of compounds (made up by mixing 100 mg/mL (w/v) concentration of compounds in 10% DMSO), and nutrient broth were used. A multichannel pipette was employed to dilute the solutions up to two folds (50 μL of compounds in descending concentrations in each plate). The next step was the preparation of the resazurin indicator (resazurin tablets (270 mg) + 40 mL distilled water), of which 10 μL quantity was poured into each well along with 30 μL iso-sensitized broth. 10 μL of bacterial suspension was transferred into each well to attain a 5 x 105 cfu/mL concentration. Each plate (containing positive and negative controls) was incubated at 37°C for 24 h followed by 25°C for 48 h.

Determination of inhibitory rate of serine protease

500 μL of purified serine protease solution (indigenously isolated from B. subtilis sp.) was incubated at 37°C for 30 minutes with 950 μL of 2% casein solution (10 mM tris-HCl at pH 8.0) and 500 μL of the synthesized compounds. The reaction was terminated by adding 10% trichloroacetic acid (TCA) and the Optical Density (O.D.) was monitored at λ600 in UV-Vis spectrophotometer (UV-1800, Shimadzu, Kyoto, Japan).

(1)

Where,

Vn = Rate of reaction

V0 = Rate of casein free-protease reaction system (control)

In-silico molecular modelling

The binding of compounds was further simulated by in-silico Induced Fit docking and Prime/MM-GBSA protocol in Schrӧdinger 2018–4 molecular modelling software using Maestro 11.8 interface [19].

a. Ligands preparation.

The three-dimensional (3D) conformer of ciprofloxacin (CID: 2764) was retrieved from the PubChem database. The synthetic compound 4a was sketched in Maestro 11.8, and low-energy 3D conformations were produced in LigPrep module using OPLS 2005 forcefield. The tautomeric and ionization states were generated using EpiK at 7.0 ± 2.0 pH. While stereoisomeric chirality was retained in original state, and up to 32 conformations were generated for each ligand.

b. Protein preparation.

The X-ray crystalized 3D structure of serine protease (PDB ID: 3TT7, 2.56 Å resolution) was retrieved from RSCB Protein Data Bank (http://rscb.org/). The macromolecule was prepared in Protein Preparation Wizard using OPLS 2005 forcefield. The structure was preprocessed to assign bond orders, zero-order bond to metals, disulfide bridging, protonation, removal of water molecules beyond 5 Å of HET group, and HET states were generated using Epik at 7.0 ± 2.0 pH. The macromolecule structure was optimized for H-bonds assignment by sampling water orientations with PROPKA at 7.0 pH. The restrained minimization was performed to set convergence of heavy atoms up to 3 Å.

c. Induced fit docking.

Standard IFD protocol was followed to produce 20 poses for each ligand. The binding site was specified to the centroid of co-crystalized ligand. Initially, Rigid Receptor Glide Docking (RRD) of each ligand was performed, using softened van der waals radii scaling <0.5, to produce 20 conformations with Coulomb-vdW <100 and H-bond score <-0.05. These RRD complexes were further processed in the Prime refinement, and induced fit receptor structure was produced by conformational sampling and optimization of side chains of receptor’ residues within 5 Å of docked-ligand conformation. The Prime refinement was followed by Extra-Precision (XP) Glide re-docking of ligands into induced fit receptor’ conformations within 30 kcal/mol energy of lowest energy structure, and poses (or IFD complex) were scored/ranked by combination of Prime energy and Glide XP scoring functions.

d. Prime/MM-GBSA free energy estimation.

The IFD complex was further employed in Prime/Molecular Mechanics Generalized Born Surface Area (Prime/MM-GBSA) simulation to calculate the accurate binding free energy (ΔGbind) using the following equation: (2)

Where,

ΔEMM = Difference in minimized IFD complex energy and Σ energies of unbounded receptor and ligand;

ΔGsolv = Difference in GBSA solvation energy of IFD complex and Σ solvation energies of unbounded receptor and ligand;

ΔGSA = Difference in surface area energy of IFD complex and Σ surface area energies of unbounded receptor and ligand.

Statistical tests

All the experiments were conducted in triplicates to obtain the mean value. To verify the experimental results, a statistical test (ANOVA) was accomplished by considering a probability value of 0.05.

Results and discussion

Chemistry

The synthesis of N-4-piperazinyl ciprofloxacin derivatives 4a-j has been demonstrated in the synthetic route as shown in Scheme 1 and Table 1 [17]. Esterification of ciprofloxacin was carried out by refluxing ciprofloxacin hydrochloride in methanol using a catalytic amount of sulfuric acid [20]. The resulting methyl ester 2 was treated with a series of variously substituted anilides 3a-j (prepared by the reaction of the corresponding amine with bromoacetyl bromide [2123]) in the presence of pyridine (as base) and dichloromethane (as solvent) to obtain the targeted compounds 4a-j in good yields (67–77%) [17].

thumbnail
Scheme 1. Synthesis of analogues of N-4-piperazinyl ciprofloxacin derivatives 4a-j.

https://doi.org/10.1371/journal.pone.0281044.g003

thumbnail
Table 1. Synthesized N-4-piperazinyl ciprofloxacin derivatives 4a-j [17].

https://doi.org/10.1371/journal.pone.0281044.t001

Antibacterial activity

Antibacterial activity of the synthesized derivatives 4a-j has been examined against drug-susceptible Gram-positive (Bacillus subtilis) and Gram-negative (Escherichia coli) bacteria. The zone of inhibition (ZI) and minimum inhibitory concentration (MIC) values against the aforementioned bacterial cultures have been presented in Table 2. The results were compared with standard drug ampicillin, ibuprofen and positive control ciprofloxacin. At a glance, most of the derivatives showed higher antibacterial values than the parent drug (ciprofloxacin). Compounds 4e and 4g exhibited excellent antibacterial activity against Bacillus subtilis, as compared to the standard drugs and positive control (ciprofloxacin) having ZI values 40 mm and 37 mm, respectively. While, results of compounds 4d, 4h and 4i were in close range to unmodified ciprofloxacin. The antibacterial activity of compound 4j was somewhat lower than that of the parent compound. In case of Escherichia coli, compounds 4a, 4e and 4i were the most active ones depicting zone of inhibition values 38 mm, 34 mm and 46 mm, respectively. However, compounds 4b, 4f and 4h exhibited lower antibacterial activity in case of above mentioned bacteria as compared to the reference antibiotics, while compound 4c remained inactive at all against E. coli.

thumbnail
Table 2. Zone of inhibition values (millimeters) of compounds 4a-j.

https://doi.org/10.1371/journal.pone.0281044.t002

Structure-activity relationship (SAR)

The SAR analysis indicated the difference in the activity of these compounds because of their electron-donating and electron-withdrawing groups present at the anilide ring. It was observed that chloro and fluoro substituents at anilide ring imparted a vital role in enhancing the antibacterial activity against Bacillus subtilis. As two compounds, 4e having electron-withdrawing chloro functionality at para position and 4g having electron-withdrawing F functionality at ortho position of the anilide ring showed notable contribution towards the antibacterial activity of 40 ± 0.9 mm and 37 ± 1.4 mm, respectively (Fig 3).

thumbnail
Fig 3. Structures of compounds 4e and 4g active against Bacillus subtilis.

https://doi.org/10.1371/journal.pone.0281044.g004

However, an arbitrary behavior was observed in the case of Escherichia coli. It was found that 4e having electron-withdrawing Cl group at 4- and 4i having Cl group at 3,4-positions of the anilide ring exhibited higher activity as compared to 4f with 3-Cl, 4g with 2-F and 4h with 4-F groups at anilide ring (Table 2 & Fig 4). Besides this, compound 4a displayed promising activity against Escherichia coli with larger diameter of zone of inhibition (38 ± 0.1 mm). In conclusion, in vitro antibacterial study of the synthesized N-alkylated ciprofloxacin derivatives, 4a-j revealed that these hybrid structures comprising electron-withdrawing groups at anilide moiety strongly inhibited the growth of B. subtilis as compared to E. coli.

thumbnail
Fig 4. Structures of compounds 4a and 4i active against Escherichia coli.

https://doi.org/10.1371/journal.pone.0281044.g005

Effect of N-alkylated ciprofloxacin derivatives 4a-j on the activity of serine protease

The affinity of N-4-piperazinyl ciprofloxacin-aniline derivatives with industrially important serine protease was also investigated. N-alkylated ciprofloxacin derivatives (4a-j) showed an effective inhibition profile against serine proteases. Results (Figs 57) clearly showed that the activity of bacterial serine protease (100% inhibition) was dramatically inhibited by methyl 1-cyclopropyl-6-fluoro-4-oxo-7-(4-(2-oxo-2-(phenylamino)ethyl)piperazin-1-yl)-1,4-dihydro-quinoline-3-carboxylate 4a at 96 minutes with half-life of 22.50 minutes. However, at 0 min. compound 4a displayed 68% inhibition which gradually increased to 100% by increasing time from 24 to 96 minutes with Ki value 0.1±0.00μM (Fig 8). Promising inhibitory activity of this compound might be due to the presence of substituent free anilide ring which gave significant results as compared to the substituted derivatives. Results showed that the relative activity of enzyme and its inhibition were time-dependent [2426]. Furthermore, half-life of compound 4b was found to be 20.8 minutes which showed maximum inhibition potential of 88% at 96 minutes. The results revealed that presence of electron-donating methyl groups at 2,4-positions of the anilide ring of compound 4b increased the protease inhibition activity as compared to 4a. Similarly, methyl 1-cyclopropyl-6-fluoro-7-(4-(2-((2-methoxyphenyl)amino)-2-oxoethyl)piperazin-1-yl)-4-oxo-1,4-dihydroquinoline-3-carboxylate 4c enhanced the protease inhibition activity at initial stage (40% inhibition at 0 min.) but later on, displayed maximum inhibition (90%) (at 96 minutes with half-life 21.3 minutes) which could be associated to methoxy group present at ortho position of the anilide ring of 4c. It is interesting to report that besides these electron donating groups (OMe, Me), the presence of the fluoro group at anilide ring increased the half-life to a greater extent as compound 4g displaying maximum half-life of 75.32 minutes with modest inhibitory activity (up to 65% at 96 minutes). While, ciprofloxacin derivatives 4e and 4i having chloro functionality at 4- and 3,4-postions of the anilide ring exhibited 70% and 41% inhibition potential at 96 minutes, respectively. As compared to the parent drug ciprofloxacin (15% inhibition at 0 min. and 55% at 96 min.), compound 4j proved to be the least active one (16% inhibition at 0 min. and 29% at 96 min.) having chloro substituent at ortho position of the anilide ring while compounds 4b, 4g and 4h were found to be competitive inhibitors. It is concluded that ciprofloxacin derivatives 4a-j have a positive contribution to inhibit the catalytic function of protease enzyme and anilide ring played a pivotal part in this regard. Ciprofloxacin derivative 4a with unsubstituted anilide ring significantly inhibited the catalytic activity of serine protease as compared to the other synthesized derivatives having alkyl, alkoxy and halogen groups at anilide ring. Finally molecular docking was performed to further investigate the ciprofloxacin derivative 4a-enzyme binding interaction detail.

thumbnail
Fig 5. Influence of ciprofloxacin derivatives 4a-j on the activity of protease.

https://doi.org/10.1371/journal.pone.0281044.g006

thumbnail
Fig 6. Determination of % inhibition of protease activity (μ/mL) 4a-j.

https://doi.org/10.1371/journal.pone.0281044.g007

thumbnail
Fig 7. Determination of half-life of ciprofloxacin derivatives 4a-j.

https://doi.org/10.1371/journal.pone.0281044.g008

thumbnail
Fig 8. Determination of inhibition type and kinetic parameter.

https://doi.org/10.1371/journal.pone.0281044.g009

In-silico molecular modelling

The induced fit docking was performed to further investigate the binding affinity, binding mode, and inhibitory mechanism of compound 4a for serine protease. It is a sophisticated approach to simulate flexibility of binding pocket upon ligand binding, thereby predicting the accurate binding mode and complexation of ligand with receptor. Herein, IFD highlighted ciprofloxacin and compound 4a conformed to energetically favorable poses with negative binding free energy (ΔGbind), reflecting the affinity of these ligands towards protease (Table 3). The binding affinity of ciprofloxacin served as a standard threshold. Ciprofloxacin was found to dock with -6.372 kcal/mol of Glide score, and induced fit structural optimization resulting into IFD complexation with -376.7 kcal/mol of IFD score. The Prime/MM-GBSA further approximated the thermodynamics of IFD complex, and indicated the binding of ciprofloxacin with -84.23 kcal/mol of ΔGbind. Intriguingly, compound 4a was found to significantly exceed the standard’s threshold. It was found to dock with -10.03 kcal/mol of Glide score, and induced fit structural optimization producing the IFD complex with -379.6 kcal/mol of IFD score. The Prime/MM-GBSA approximated the thermodynamics of compound 4a IFD complex with -107.62 of binding free energy (ΔGbind), thus highlighting the improved or superior binding affinity of compound 4a as compared to ciprofloxacin.

thumbnail
Table 3. Parameters for induced fit docking and Prime/MM-GBSA simulation of test ligands at binding pocket of protease.

https://doi.org/10.1371/journal.pone.0281044.t003

The catalytic activity of protease is regulated by the SER97-HIS122-ASP171 catalytic triad residing deep within the enzyme. The conformational analysis showed that ciprofloxacin and compound 4a conformed within the binding pocket for efficient access to the active sites establishing diverse interactions with vital residues (Fig 9). Though enlarged axial pore was observed upon ciprofloxacin binding, yet efficiently deep penetration into catalytic site was necessary to inhibit the enzymatic activity. Interestingly, compound 4a efficiently blocked the axial pore to inhibit the substrate entry, and resulted into extended and distorted conformation of protease. Moreover, on deep penetration towards catalytic site, it established vital interactions to disrupt the catalytic activity of protease, and thus exhibited superior binding affinity and inhibitory potential.

thumbnail
Fig 9. Conformational analysis of ligands at the active site of protease.

Simulated best binding mode of ciprofloxacin (A) and compound 4a (B) Induced Fit docked into binding pocket.

https://doi.org/10.1371/journal.pone.0281044.g010

Ciprofloxacin established its conformation mainly via hydrogen bonding. Its 3-carboxylate moiety formed a strong hydrogen bond with SER97, which is critical for the catalytic activity of serine protease, and may justify the penetration of ciprofloxacin towards catalytic triad (Fig 10). Moreover, carbonyl group of this moiety supported the conformation by hydrogen contact with hydrophobic LEU125 residue. The 4-keto and piperazinyl alkylamine groups further formed the hydrogen bond with ILE70 and ASP36, respectively. Collectively, these interactions highlighted the potential ciprofloxacin sites, which may be vital for its potency towards protease. Interestingly, compound 4a shared the majority of its conserved and vital interactions within the binding pocket of protease. Compound 4a established its conformation by diverse hydrophobic and hydrophilic interactions. It was noteworthy that anilide substitution at piperazinyl secondary amine significantly changed the interaction profile of ciprofloxacin, and resulted into more diverse interactions via this moiety. The secondary amine of this phenylamine substitution formed a strong hydrogen bond with SER97, and disrupted the catalytic triad of serine protease. Moreover, phenyl ring of this moiety along with cycloalkene benzene ring of quinoline established the pi-pi stacking and pi-cation interactions with HIS122 at the catalytic triad, respectively. These hydrophobic interactions formed the extended conformation of protease by increasing the distance between SER97 and HIS122, this may have severely inhibited its catalytic activity by corroborating the superior catalytic disruption as compared to the ciprofloxacin. Furthermore, 3-carboxylate moiety and N-4 piperazinyl tertiary amine established the hydrogen interactions with THR168 and ILE70, respectively. These interactions further disrupted the catalysis via blockade of substrate entry through axial pore. Therefore, these structural insights may provide plausible insights to explain that compound 4a possesses superior binding affinity and inhibitory potential for protease.

thumbnail
Fig 10. Ligands interaction profile within the active site of protease.

Two dimensional (2D) illustration of ciprofloxacin (A) and compound 4a (B) interacting with active site residues.

https://doi.org/10.1371/journal.pone.0281044.g011

Conclusions

In the present work, enzyme inhibition potential of designed series of N-alkylated ciprofloxacin hybrids exhibited satisfactory results by displaying the maximum inhibition potential of serine protease. Among the title compounds, 4a showed maximum inhibition (100%) at 96 minutes with a half-life of 22.50 minutes. The IFD/MM-GBSA studies highlighted the binding mode of 4a for protease inhibition and indicated improved binding affinity with– 107.62 kcal/mol of ΔGbind. In addition to this, antibacterial study of the synthesized derivatives revealed that the compounds 4e and 4g were the most potent against Bacillus subtilis with ZI values 40 mm and 37 mm, respectively. However, in case of Escherichia coli, compounds 4a and 4i displayed maximum ZIs values i.e. 38 mm and 46 mm, respectively. These results highlight the significance of N-alkylated ciprofloxacin derivatives for further in vivo evaluation and would be helpful for designing pharmacologically important safe and potent drugs in future.

Acknowledgments

The authors acknowledge Government College University Faisalabad for providing support to carry out research activities.

References

  1. 1. Foroumadi A, Emami S, Hassanzadeh A, Rajaee M, Sokhanvar K, Moshafi MH et al. Synthesis and antibacterial activity of N-(5-benzylthio-1,3,4-thiadiazol-2-yl) and N-(5-benzylsulfonyl-1,3,4-thiadiazol-2-yl)piperazinyl quinolone derivatives. Bioorg Med Chem Lett. 2005;15(20): 4488–4492. pmid:16105736
  2. 2. Foroumadi A, Firoozpour L, Emami S, Mansouri S, Ebrahimabadi AH, Asadipour A, et al. Synthesis and antibacterial activity of N-[5-(chlorobenzylthio)-1,3,4-thiadiazol-2-yl] piperazinyl quinolone derivatives. Arch Pharm Res. 2007;30(2): 138–145. pmid:17366732
  3. 3. Debnath A, Mogha NK, Masram DT. Metal Complex of the first-generation quinolone antimicrobial drug nalidixic acid: Structure and its biological evaluation. Appl Biochem Biotechnol. 2015;175(5): 2659–2667. pmid:25547815
  4. 4. Ezelarab HAA, Abbas SH, Hassan HA, Abuo-Rahma GE-DA. Recent updates of fluoroquinolones as antibacterial agents. Arch Pharm. 2018;351(9), 1800141. pmid:30048015
  5. 5. Emami S, Ghafouri E, Faramarzi MA, Samadi N, Irannejad H, Foroumadi A. Mannich bases of 7-piperazinylquinolones and kojic acid derivatives: Synthesis, in vitro antibacterial activity and in silico study. Eur J Med Chem. 2013;68: 185–191.
  6. 6. Emmerson AM, Jones AM. The quinolones: Decades of development and use. J Antimicrob Chemother. 2003;51(1): 13–20.
  7. 7. Feng L-S, Liu M-L, Zhang S, Chai Y, Wang B, Zhang Y-B, et al. Synthesis and in vitro antimycobacterial activity of 8-OCH3 ciprofloxacin methylene and ethylene isatin derivatives. Eur J Med Chem. 2011;46(1): 341–348.
  8. 8. Saraiva MF, De Souza MVN, Dau METH, Araújo DP, De Carvalho GSG, De Almeida MV. Synthesis and antitubercular evaluation of new fluoroquinolone derivatives coupled with carbohydrates. Carbohydr Res. 2010;345(6): 761–767. pmid:20167309
  9. 9. Plech T, Wujec M, Kosikowska U, Malm A, Rajtar B, Polz-Dacewicz M. Synthesis and in vitro activity of 1,2,4-triazole-ciprofloxacin hybrids against drug-susceptible and drug-resistant bacteria. Eur J Med Chem. 2013;60: 128–134.
  10. 10. He Q-Q, Zhang X, Yang L-M, Zheng Y-T, Chen F. Synthesis and biological evaluation of 5-fluoroquinolone 3-carboxylic acids as potential HIV-1 integrase inhibitors. J Enzyme Inhib Med Chem. 2013;28(4): 671–676. pmid:22468749
  11. 11. Abdel-Aziz M, Park S-E, Abuo-Rahma GE-DAA, Sayed MA, Kwon Y. Novel N-4-piperazinyl-ciprofloxacin-chalcone hybrids: Synthesis, physicochemical properties, anticancer and topoisomerase I and II inhibitory activity. Eur J Med Chem. 2013;69: 427–438.
  12. 12. Sultana N, Arayne MS, Naz A, Mesaik MA. Identification of anti-inflammatory and other biological activities of 3-carboxamide, 3-carbohydrazide and ester derivatives of gatifloxacin. Chem Cent J. 2013;7. pmid:23316796
  13. 13. Sultana N, Naz A, Khan B, Arayne MS, Mesaik MA. Synthesis, characterization, antibacterial, antifungal, and immunomodulating activities of gatifloxacin derivatives. Med Chem Res. 2010;19(9): 1210–1221.
  14. 14. Akhtar R, Yousaf M, Naqvi SAR, Irfan M, Zahoor AF, Hussain AI, et al. Synthesis of ciprofloxacin-based compounds: A review. Synth Commun. 2016;46(23): 1849–1879.
  15. 15. Zahoor AF, Yousaf M, Siddique R, Ahmad S, Naqvi SAR, Rizvi SMA. Synthetic strategies towards the synthesis of enoxacin, levofloxacin and gatifloxacin based compounds: A review. Synth Commun. 2017;47(11): 1021–1039.
  16. 16. Sharma PC, Jain A, Yar MS, Pahwa R, Singh J, Goel S. Synthesis and antibacterial evaluation of novel analogs of fluoroquinolones annulated with 6-substituted-2-aminobenzothiazoles. Arab J Chem. 2015;8(5): 671–677.
  17. 17. Akhtar R, Zahoor AF, Rasul A, Matloob A, Anjum MN, Ajmal M, et al. Design, synthesis, in-silico study and anticancer potential of novel n-4-piperazinyl-ciprofloxacin-aniline hybrids. Pak J Pharm Sci. 2019;32(5): 2215–2222.
  18. 18. Habiba A, Iqbal MA, Bhatti HN, Kamal A, Kamal S. Synthesis of alkyl/aryl linked binuclear silver(I)-N-heterocyclic carbene complexes and evaluation of their antimicrobial, hemolytic and thrombolytic potential. Inorg Chem Commun. 2020;111: 107670–107674.
  19. 19. Parasuraman S. Prediction of activity spectra for substances. J. Pharmacol. Pharmacother. 2011;2: 52–53. pmid:21701651
  20. 20. Li X, Zhang Y-K, Plattner JJ, Mao W, Alley MRK, Xia Y, et al. Synthesis and antibacterial evaluation of a novel tricyclic oxaborole-fused fluoroquinolone. Bioorg Med Chem Lett. 2013;23(4): 963–966. pmid:23312945
  21. 21. Cormier R, Burda WN, Harrington L, Edlinger J, Kodigepalli KM, Thomas J, et al. Studies on the antimicrobial properties of N-acylated ciprofloxacins. Bioorg Med Chem Lett. 2012;22(20): 6513–6520.
  22. 22. Faiz S, Zahoor AF, Ajmal M, Kamal S, Ahmad S, Abdelgawad AM, et al. Design, synthesis, antimicrobial evaluation, and laccase catalysis effect of novel benzofuran-oxadiazole and benzofuran-triazole hybrids. J Heterocycl Chem. 2019;56(10): 2839–2852.
  23. 23. Shahzadi I, Zahoor AF, Rasul A, Rasool N, Raza Z, Faisal S, et al. Synthesis, anticancer, and computational studies of 1,3,4-oxadiazole-purine derivatives. J Heterocycl Chem. 2020;57(7): 2782–2794.
  24. 24. Yeo KR, Jamei M, Yang J, Tucker GT, Rostami-Hodjegan A. Physiologically based mechanistic modelling to predict complex drug-drug interactions involving simultaneous competitive and time-dependent enzyme inhibition by parent compound and its metabolite in both liver and gut-The effect of diltiazem on the time-course of exposure to triazolam. Eur J Pharm Sci. 2010;39(5): 298–309. pmid:20025966
  25. 25. Frobius AC, Kanost MR, Gotz P, Vilcinskas A. Isolation and characterization of novel inducible serine protease inhibitors from larval hemolymph of the greater wax moth Galleria mellonella. Eur J Biochem. 2000;267(7): 2046–2053. pmid:10727944
  26. 26. Noreen R, Aziz H, Hafeez F, Kamal S, Zahoor AF, Haroon-ur-Rashid et al. Facile synthesis, antibacterial and protease inhibition studies of β-amino alcohols prepared via ring opening of epoxides. Pak J Pharm Sci. 2022;35(1): 177–182.