Important resistance patterns in Gram-negative pathogens include active eff
lux of antibiotics out of the cell via, a cellular pump and decreased membr
ane permeability. A 3-arylpiperidine derivative (1) has been identified by
high-throughput assay as a potentiator with an IC50 similar to 90 muM This
report details the evaluation of the tether Length, aryl substitution and t
he importance of the fluorine on antibiotic accumulation. Evaluation of var
ious tether lengths demonstrated that the two-carbon tethered analogues are
optimal. Removal of the fluorine has a modest effect on antibiotic accumul
ation and the defluorinated analogue 17 is equally potent to the original l
ead 1. (C) 2001 Elsevier Science Ltd. All rights reserved.