K. Akahane et al., POSSIBLE INTERMOLECULAR INTERACTION BETWEEN QUINOLONES AND BIPHENYLACETIC ACID INHIBITS GAMMA-AMINOBUTYRIC-ACID RECEPTOR-SITES, Antimicrobial agents and chemotherapy, 38(10), 1994, pp. 2323-2329
The combination of some new quinolone antibacterial agents with 4-biph
enylacetic acid (BPAA), a metabolite of fenbufen, is known to specific
ally induce functional blockade of the gamma-aminobutyric acid (GABA)
receptors. The mechanisms of these drug interactions were further exam
ined. Scatchard analysis of [H-3] muscimol binding to rat brain plasma
membranes in the presence of enoxacin and BPAA revealed that a signif
icant decrease in the number of muscimol binding sites was produced wi
thout affecting the affinity of binding to the receptors. In the prese
nce of norfloxacin, BPAA inhibited muscimol binding the most potently
of the six BPAA-related compounds tested. Fenbufen and 9,10-dihydro-ga
mma-oxo-2-phenanthrenebutyric acid also inhibited the binding, and 4 b
iphenylcarboxylic acid and methyl 4-biphenylacetate inhibited it sligh
tly, but 3-benzoylpropionic acid exhibited no competitive inhibition.
Accordingly, hybrid molecules of norfloxacin and BPAA were synthesized
for stereochemical analysis of these drug interactions. A hybrid with
a -CONH(CH2)(3)- chain between norfloxacin and BPAA (flexible structu
re) inhibited muscimol binding, and intracisternal injection of this h
ybrid caused clonic convulsions in mice more potently than the combina
tion of norfloxacin and BPAA did. In contrast, a hybrid linked by -CON
H-(stretched structure) showed almost no such inhibitory effect. H-1 N
MR analysis indicated the presence of intramolecular attraction at the
quinoline ring of the hybrid exhibiting the antagonistic activity. Th
ese results suggest the possibility that quinolones and BPAA interact
with the GABA receptor at nearby sites and that the binding affinity o
f quinolones to the GABA receptors is largely enhanced by the intermol
ecular interaction with BPAA.