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Synthetic optimization of a biologically labile class of dipeptides that fu
nction as efflux pump inhibitors to potentiate the antibacterial agent levo
floxacin in Pseudomonas aeruginosa has led to the discovery of a related se
ries of compounds that are completely stable in a variety of biological mat
rices. Other than the stability profile, the in vitro profile of the new se
ries is essentially identical to that observed with the original one. A pro
totypical compound from the new series demonstrates potentiation in an in v
ivo model of infection. (C) 2001 Elsevier Science Ltd. All rights reserved.