The novel 6-O-methyl tricyclic ketolides, TE-802 and its analogs were synth
esized by two successive cyclization reactions, 11,12-cyclic carbamate form
ation by intramolecular Michael addition and 9,11-diazaheptene ring constru
ction by intramolecular dehydration reaction. These new tricyclic ketolides
exhibited good in vitro antibacterial activity against not only erythromyc
in-susceptible strains but also erythromycin-resistant Staphylococcus aureu
s and Streptococcus pneumoniae, which are problematic pathogens of nosocomi
al and community-acquired respiratory tract infections, respectively.