A general synthetic route to conjoint molecules of cephalosporins and amino
glycosides is described. These molecules were designed as potential substra
tes for bacterial beta -lactamases, enzymes that hydrolyze the beta -lactam
bond of cephalosporins. Hydrolysis of the beta -lactam bond was expected t
o release the Clo-appended aminoglycoside. Since beta -lactamases are seque
stered in the periplasmic space of gram-negative bacteria, this sequence of
events would liberate aminoglycoside inside such bacteria. It is expected
that such local delivery of aminoglycosides would circumvent the inherent t
oxicity of aminoglycosides that occurs during systemic exposure within the
mammalian host.