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Overview
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Meropenem is a β-lactam antibiotic in the carbapenem class, and targets the bacterial cell wall. It has found utility against extended spectrum β-lactamase (ESBL) producing Enterobacteriaceae that are resistant to many first line β-lactam antibiotics and certain cephalosporins. Meropenem is sparingly soluble in aqueous solution.
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Background
β-lactams interfere with PBP (penicillin binding protein) activity involved in the final phase of peptidoglycan synthesis. PBP’s are enzymes which catalyze a pentaglycine crosslink between alanine and lysine residues providing additional strength to the cell wall. Without a pentaglycine crosslink, the integrity of the cell wall is severely compromised and ultimately leads to cell lysis and death. Resistance to β-lactams is commonly due to cells containing plasmid encoded β-lactamases. Like many carbapenems, Meropenem is highly resistant to the degradative effects of β-lactamases.
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- Properties
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Overview