Ha. Kirst et al., ANTIMICROBIAL CHARACTERIZATION AND INTERRELATIONSHIPS OF DIRITHROMYCIN AND EPIDIRITHROMYCIN, Antimicrobial agents and chemotherapy, 39(7), 1995, pp. 1436-1441
Dirithromycin is the 9-N,11-O-oxazine adduct formed from 9(S)-erythrom
ycylamine and 2-(2-methoxyethoxy)acetaldehyde in which the methoxyetho
xymethyl substituent on the oxazine ring possesses the R configuration
. Epidirithromycin is its isomer in which the methoxyethoxymethyl subs
tituent has the opposite (S) configuration. Both compounds readily epi
merize in solution, reaching an equilibrium ratio of 85:15 in favor of
dirithromycin, given sufficient time. The rate of interconversion is
dependent upon pH, temperature, and solvent, An enriched sample of epi
dirithromycin (95% purity) was synthesized by condensing erythromycyla
mine and 2-(2-methoxyethoxy)acetaldehyde in diethyl ether as the react
ion solvent, and the product was fully characterized by nuclear magnet
ic resonance spectroscopy and high-pressure liquid chromatographic (HP
LC) analysis. Both oxazine derivatives readily hydrolyze to erythromyc
ylamine, so ail three compounds exhibit the same antibiotic activity i
n vitro. In order to determine whether dirithromycin itself possesses
significant antimicrobial activity without initial hydrolysis to eryth
romycylamine, inhibition of cell-free ribosomal protein synthesis was
measured under conditions which were adapted to minimize hydrolysis, a
s measured by ana lytical HPLC in parallel experiments. Under these pa
rticular conditions, inhibition of ribosomal protein synthesis by diri
thromycin was <10% of the value measured for erythromycylamine.