The antibacterial activities of three new penems with 4-hydroxyprolina
mide, L-prolinamide and N-methyl-N-2-propionamide subsituents, respect
ively, in position 2 and of their stereoisomers were examined against
Staphylococcus aureus, Enterococcus faecalis, Enterococcus faecium. Es
cherichia coil and Pseudomonas aeruginosa, All substituents conferred
a broad antibacterial spectrum on the penem moiety. Changes in stereoi
somerism selectively improved the activity against E. coli, S. aureus
or enterococci. The structure-activity relationships of each compound
were discussed in relation to minimum inhibitory concentrations, penic
illin-binding protein (PBP) affinity and outer membrane permeability c
oefficient in E coli. In this microorganism, PBP 2 was the target for
all compounds. Changes in stereoisomerism influenced the affinity for
PBPs 1A/B and 2. All antibiotics easily permeated the outer membrane o
f E. coli and, within each group of compounds, the penetration rate co
rrelated with the antibacterial activity.