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Mar. Drugs 2014, 12(1), 317-351; doi:10.3390/md12010317
Abstract: Thiopeptides, or thiazolyl peptides, are a relatively new family of antibiotics that already counts with more than one hundred different entities. Although they are mainly isolated from soil bacteria, during the last decade, new members have been isolated from marine samples. Far from being limited to their innate antibacterial activity, thiopeptides have been found to possess a wide range of biological properties, including anticancer, antiplasmodial, immunosuppressive, etc. In spite of their ribosomal origin, these highly posttranslationally processed peptides have posed a fascinating synthetic challenge, prompting the development of various methodologies and strategies. Regardless of their limited solubility, intensive investigations are bringing thiopeptide derivatives closer to the clinic, where they are likely to show their veritable therapeutic potential.
Since the discovery of the first antibiotics and their golden age in mid 20th century, there has been a dramatic change in the way we face the development of new antimicrobials [1,2]. At first, it seemed that the many classes of naturally occurring antibiotics could be sufficient to fight against bacterial infections, whereas, for the last few decades it was thought that semi-synthetic modifications of those natural products would be enough to overcome pathogen resistance. However, we are now facing a new age, where the discovery of novel scaffolds and new modes of action is required to fight against the emergence of resistances and cross-resistances that make previously treatable infections a new threat.
Most of the antibacterial scaffolds known to date were discovered from late 1930s to early 1960s. After that period, almost forty years followed without new bactericide architectures appearing in the market. During those years, semi-synthetic modifications of the already known compounds were used to fight antibacterial resistance. However, with the new century, a batch of new antibiotic scaffolds got closer to the clinic (Figure 1). These include oxazolidinones (linezolid, 2000), lipopeptides (daptomycin, 2003) and mutilins (retapamulin, 2007). In parallel, other types of antibiotics, such as lantibiotics  (NVB302) and thiopeptides  (LFF571) , are under study and some members of these groups are already in clinical trials for the treatment of human infections.
Among these new families of antibiotics, thiopeptides have gathered much attention due to their potent in vitro activity against Gram-positive bacteria and their intriguing structures. During the last two decades, intensive investigations on known thiopeptides, their semisynthetic modification and the discovery of new members of this class of antibiotics have been the focus of the efforts of many research groups.
Thiopeptides, or thiazolyl peptides , are highly modified sulfur-rich peptides of ribosomal origin. They all share a series of common motifs that differentiate them from other peptide-derived and/or azole-containing natural products. Their most characteristic feature is the central nitrogen-containing six-membered ring, which can be found in many different oxidation states. This central ring serves as scaffold to at least one macrocycle and a tail, and both can be decorated with various dehydroamino acids and azoles, such as thiazoles, oxazoles, and thiazolines. All these moieties are formed though dehydration/dehydrosulfanylation of Ser, Thr, and Cys residues. Their impressive in vitro profile against Gram-positive bacteria, and their new mechanisms of action, have gathered the attention of many groups, both in academia and industry, as they pose an alternative to other antibiotics presently facing resistance by old pathogens. To date, more than one hundred members of this family of natural products have been identified; however, their very large molecular size and their poor aqueous solubility have been a major drawback to introduce them into the clinic. This has become their major limitation and has restricted their use to topic treatments, and so far only for pet skin infections (thiostrepton, Panolog).
Given the different oxidation state the central ring of thiopeptides can be found in, they have been classified into different series (Figure 2) . Thus, the a series presents a totally reduced central piperidine, whereas the b series is oxidized further and contains a 1,2-dehydropiperidine ring. Only one thiopeptide of the c series has been isolated to date and its core moiety is somewhat unexpected, as it displays a piperidine ring fused with imidazoline. All members of series a, b, and c have a second macrocycle, which contains a quinaldic acid moiety. The d series goes further on the oxidation state rank and shows a trisubstituted pyridine ring, which is the landmark of this subgroup, the most numerous among thiopeptides. In a sense, the e series is even more oxidized and is easily differentiated for the hydroxyl group in the central pyridine, which is now tetrasubstituted. The e series also presents a very characteristic second macrocycle appending from the main one and formed by a modified 3,4-dimethylindolic acid moiety.
2.1. Isolation and Structure Elucidation
Thiopeptides have been isolated from diverse sources. In 1948, the first known member of the family, micrococcin , was isolated from a sample of Oxford’s sewage waters. Accounting for the highly diverse origin of thiopeptides, micrococcin P1 was more recently isolated from a completely different source, a French cheese . However, more conventional samples, such as from soil are the main source of most thiopeptides. In fact, thiostrepton, the most famous member of the family, has been isolated from different soil samples [8,9,10], including one from Hawaii in 1955 , shortly after it was first discovered in 1954 [8,9,10]. Although a few more thiopeptides were isolated during the following years, it was from the 1980s, especially during the 1990s, that most of the known members were discovered. Nonetheless, many novel entities have also been described during the last decade. Remarkably, the first thiopeptide antibiotics isolated from a marine source were YM-266183 and YM-266184, discovered as late as 2003, in Japan . During the last few years some more thiopeptides have been isolated and characterized; these include the thiazomycins (2007) [13,14,15,16], philipimycin (2008) , thiomuracins (2009) , TP-1161 (2010) [19,20], baringolin (2012) , and kocurin (2013)  (Figure 3).
The assignment of thiopeptide structures can be a very complex task, as exemplified by thiostrepton, of which structure elucidation was originally addressed by degradation studies and structure determination of fragments . However, the later use of X-ray diffraction was essential to elucidate both connectivity and stereochemistry [24,25]. Although the development of NMR spectroscopy techniques has permitted the elucidation of many structures of thiopeptides, a high degree of uncertainty remains until further evidence is provided. This was clearly the case of micrococcin P1 . Early studies on its constitution by hydrolysis [27,28,29] of the natural extract permitted the identification of most moieties present in micrococcin; however, there was no clear evidence of its connectivity. Later on, NMR studies [30,31,32] and synthesis of proposed structures [33,34,35,36] of the natural compound resulted in better hypotheses for its constitution and stereochemistry, although none of the synthesized products was identical to the natural one. It was not until its total synthesis was achieved by Ciufolini in 2009, 51 years after its discovery, that micrococcin P1 structure and stereochemistry were finally confirmed .
The structure of most thiopeptides has been investigated by a combination of degradation, mass spectrometry and NMR studies. The impossibility to obtain crystals for the vast majority of them prompted the assignment of their structure without a clear evidence of their stereochemistry. In spite of this limitation, in many cases their configuration has been proposed by analogy with similar isolates [38,39], via amino acid analysis [40,41,42] or via isotopic labeling through feeding with labeled amino acids [43,44]. In some cases, less conventional techniques have been chosen. Such are the cases of promoinducin and thiotipin, where chiral TLC was used to determine the configuration of l-Thr from an acidic hydrolysate [45,46]. Absolute configurations have also been reported after NMR spectroscopy studies and chiral capillary electrophoresis .
As exemplified by micrococcin P1, a synthetic approach to the problem can serve as the ultimate confirmation for both connectivity and stereochemistry. This strategy also includes the comparison of fragments with their synthetic counterparts; such was the case of GE2270A . Synthesis of thiopeptides polyheterocyclic cores has been used to confirm the structure of the corresponding degradation products, while, at the same time, it has also permitted the development of the necessary synthetic methodology .
The biosynthetic pathway of thiopeptides has been very elusive for a long time; however, recent discoveries have put light on the synthesis of these highly modified peptides. Peptide-based natural products can have two distinct origins depending on how their amino acids are condensed together to form the parent peptides. These can be either synthesized on the ribosome as product of mRNA translation or can be assembled by nonribosomal peptide synthases (NRPSs). Though most highly modified peptide-derived natural products are synthesized by NRPSs, there was no evidence of such origin for thiopeptides. Surprisingly, very recent discoveries by four different groups have demonstrated that parent pre-peptide of thiopeptide is ribosomally synthesized and, thus, is genetically encoded [19,50,51,52].
Joint efforts of bio-informatics and genome mining have been essential for the identification of genes that encode the precursor peptide and the enzymatic machinery necessary for its subsequent tailoring [18,20,50,51,52,53,54,55,56,57,58,59]. The gene encoding the precursor peptide has been identified for many thiopeptides and, in all cases, there is a perfect agreement with the expected amino acid sequence. This precursor peptide is divided in two different regions, a structural peptide of 12 to 17 residues at the C-terminus, which contains the amino acids that will constitute the thiopeptide itself, and a leading peptide of 34 to 55 residues at the N-terminus, which is cleaved during the bio-synthetic process. In some cases, the C-terminal structural peptide contains one or two extra residues that are cleaved during the tailoring to confer each thiopeptide its characteristic C-terminus [60,61]. All necessary enzymes for pre-peptide tailoring are encoded in genes surrounding that of the precursor peptide, forming a gene cluster (see Figure 4 for an example on thiomuracins’ gene cluster (tdp) and precursor peptide ; in the gene cluster, genes appear as arrows and are named with letters. Each gene (tdpX) codes a gene product, a protein/enzyme (TdpX)).
The role of most enzymes present in some thiopeptides gene clusters has been already discovered. Similarity with known enzymes of the same function, gene deletions, and characterization of products that result from transformations with isolated enzymes, have permitted to establish which transformations and in which order they take place [51,58,59,62,63,64,65,66,67,68]. Apparently, oxazole, thiazole, and thiazoline rings are formed first through cyclization, dehydration, and, if required, oxidation of Ser, Thr, and Cys residues. In a second step, Ser and Thr phosphorylation and elimination yields the corresponding dehydroalanine (Dha) and dehydrobutyrine (Dhb) residues, respectively. Finally, intramolecular aza-Diels-Alder-like cycloaddition between distant Dha residues occurs, followed by dehydration, and, when required, elimination to constitute the central six-membered ring. Further side-chain modifications, such as oxidations, cyclizations, methylations, and incorporation of indolic or quinaldic acid moieties seem to occur in later stages of the bio-synthetic pathway (see Scheme 1 for an example on thiomuracin I biosynthesis ).
Both quinaldic and indolic acid moieties found in a–c and e series thiopeptides are synthesized from l-Trp and are part of the second macrocycle found in these compounds. This was first demonstrated by labeling [69,70,71,72] and enzyme function [73,74] experiments and, more recently, also using genetic engineering methods [63,65,66,67].
In the case of indolic acid formation, Trp undergoes a radical-mediated rearrangement and Cα migrates to position 2 of indole (Scheme 2). Subsequently, S-adenosylmethionine-dependent 4-methylation of the aromatic scaffold after condensation with the structural peptide yields an advanced intermediate of the mature thiopeptide [65,75].
Alternatively, quinaldic acid synthesis starts with S-adenosylmethionine-mediated methylation of Trp (Scheme 3) [52,66]. Deamination/oxidation steps follow and after ring opening, recyclization yields the quinaldic acid moiety. This is then reduced, attached to the structural peptide, and epoxidized. Upon epoxide opening, the second macrocycle of thiostrepton is formed.
C-terminal tailoring is one of the last steps in thiopeptides maturation. In those cases where a C-terminal amide is present, two distinct mechanisms have been described for its formation (Scheme 4). Nosiheptide structural peptide contains an extra C-terminal Ser residue, which is lost during tail maturation, giving rise to a C-terminal amide . By contrast, structural peptide of thiostrepton does not contain any extra amino acids and its C-terminal Ser residue can be methylated to form the corresponding ester (Scheme 4). The C-terminal amide is formed by deesterification and subsequent amidation using Gln as nitrogen donor .
2.3. Biological Activity
Thiopeptides are best regarded as antibacterial agents, however, their therapeutic potential is surprisingly broad and have been found to posses anticancer [76,77,78,79,80,81,82], antiplasmodial [83,84,85,86,87,88], immunosuppressive , renin inhibitory , RNA polymerase inhibitory , and antifungal  activities. This wide variety of biological functions has resulted in a very prolific literature outcome, positioning the macrocyclic scaffold of thiopeptides as a veritable privileged structure.
2.3.1. Antibacterial Activity
It is already well established that thiopeptides exert their antibacterial function via the inhibition of ribosomal protein synthesis. However, this is the result of different mechanisms of action that depend on macrocycle size. Thiopeptides exhibit macrocycles of three different sizes, 26-, 29-, and 35-membered rings, depending on the number of residues present. On one hand, thiopeptides of 26-member macrocycles, such as that of micrococcin P1 and the siomycins (Figure 5), are known to bind the GTPase-associated region of the ribosome/L11 protein complex. By doing so, the thiopeptide blocks the binding region of elongation factor G (EF-G) and does not allow translocation of the growing-peptide/tRNA complex in the ribosome to occur [93,94,95]. On the other hand, those thiopeptides with a 29-membered ring, in the fashion of GE37468A, bind to elongation factor Tu (EF-Tu), blocking its tRNA/amino acyl complex binding site [96,97,98]. As a consequence, the complex cannot be delivered into the ribosome and peptide elongation does not take place. Compounds with the largest macrocycles, those with 35-membered rings, maintain potent antibacterial activity; however, their molecular target still remains unknown.
Somewhat related to antibacterial activity is tipA gene promotion, which encodes two thiostrepton-induced proteins (Tip), TipAL and TipAS . The latter, TipAS, serves as a mechanism of defense for bacteria, as it sequesters and covalently binds a thiopeptide molecule, which can no longer inhibit ribosomal protein synthesis. TipA promotion has been used to identify thiopeptides in a high-throughput screening program, which detected transcription of the promoter of tipA (ptipA) and led to the discovery of geninthiocin  (Figure 6). Other thiopeptides, such as thiotipin  and thioxamycin , and promothiocins  were also discovered thanks to their tipA promoting activity. Interestingly, the 35-membered thiopeptide radamycin is completely devoid of antibacterial activity, but is a very strong inducer of tipA gene expression (Figure 6). Various tipA promoting thiopeptides are depicted in Figure 6, where very preserved regions, associated with key interactions for binding with ribosome/L11 complex , are highlighted. Although those residues are different in radamycin, promothiocin B displays those same, not-preserved residues in a smaller 26-membered macrocycle and retains potent antibacterial activity. Apparently, tipA promotion activity is more dependent on the presence of a dehydroalanine-containing tail close to the six-membered central scaffold .
Thiopeptides known or presumed to bind to EF-Tu, those with 29-membered macrocycles, also possess a very preserved residue in their macrocycle, pointing to a key interaction required to exert their biological activity. The amythiamicins, baringolin, the GE2270 series, GE37468 A, and the thiomuracins, all belonging to the d series, preserve an Asn residue in the same position that is either methylated or not (Figure 7). Codon randomization experiments by Walsh et al.  produced various GE37468 A analogs that substituted Asn with Ala, Cys, His, and Ser; however, none of these analogs retained antibacterial activity, supporting the key role of this residue. Apart from providing a key contact with EF-Tu, the Asn residue participates in the stabilization of the bioactive conformation of the macrocycle, providing a transannular H-bond .
2.3.2. Other Activities
One of the biological properties of thiopeptides of major interest, apart from the antibacterial one, is anticancer activity. In this regard, thiostrepton was found to selectively kill cancer cells without showing any cytotoxicity against healthy tissues . Such a promising effect has been demonstrated to arise from selective inhibition of transcription factor forkhead box M1 (FOXM1) [78,81,82]. FOXM1 overexpression is associated with the development and progression of cancer and its selective targeting is a very large achievement, as transcription factors have been considered undruggable for a long time [107,108].
During synthetic efforts of Nicolaou’s group, it was discovered that the central core of thiostrepton (1) retained some antibacterial, but an increased potency against all cancer cell lines tested (Table 1) .
|Compound||LC50 (μM)||IC50 (μM)|
Many thiopeptides have been found to possess anti-malaria activity [83,84,85,86,87]. Although Plasmodium falciparum parasite cell is eukaryote, thiopeptides target apicoplast protein synthesis , which resembles that of prokaryotic organisms. Although it has been demonstrated that thiostrepton binds to the apicoplast 23S rRNA , thiopeptides of the d series, such as micrococcin P1 and amythiamicin A, are much more potent inhibitors of P. falciparum growth .
Very recently, the use of thiostrepton semi-synthetic analogs has demonstrated that it targets both the apicoplast ribosomes and the proteasome of P. falciparum . This dual mode of action could make thiostrepton and similar thiopeptides less prone to resistance development than single-target drugs.
A screening program in search of immune-suppressants identified siomycin as inhibitor of antibody production by murine B-cells . Comparison with thiostrepton showed the superior behavior of the structurally similar siomycin. Both thiopeptides are thought to possess a different mechanism of action than that of FK506, a common immunosuppressant drug, and would act directly on B-cells.
Clyclothiazomycin is a very unique thiopeptide that does not possess a tail (Figure 8). In fact, the azole-containing branch that would serve as tail is linked to the macrocycle, forming a second ring, different from those found in thiopeptides of series a–c and e. However, due to its central tri-substituted pyridine ring, it is still considered a member of the d series. Perhaps due to its peculiar structure, different activities have been found for it. The first one to be described was human plasma renin inhibitory activity . Renin is an enzyme associated with hypertension , diabetes , and Alzheimer’s disease  and is a rate-limiting enzyme in a cascade that starts with the cleavage of angiotensiogen and ends with the formation of angiotensin II. Due to this, renin is regarded as one of the most effective targets to treat hypertension.
Thiopeptides with a very similar structure to cyclothioazomycin were recently isolated and characterized and were named after the parent compound (Figure 8) . In particular, cyclothiazomycin B1 was found to inhibit transcription by bacteriophage RNA polymerase. Such result might serve to further understand transcription at the molecular level.
Saramycetin has also been described as an antifungal thiopeptide ; however, it was not fully characterized and might not fulfill the structural requirements to fall into this family of natural products.
2.4. Conformation and Binding
The structure of thiopeptides has been studied using different techniques, which have also been used to elucidate the active conformation and the key contacts required to exert their biological activity. Though thiopeptides are relatively large molecules with big macrocycles, they possess many azoles, dehydroamino acids and amide bonds that confer the required rigidity for efficient binding . First conformational studies were performed by NMR and provided solution structures of the promothiocins , nocathiacin I  and amythiamicin D . For amythiamicin D, an intramolecular H-bond was detected , which seems to favor the bioactive conformation. The same H-bond interaction can be observed between the equivalent positions of active GE2270A and thiomuracin A analogs [116,117]. NMR studies of the thiostrepton/L11/rRNA complex  identified key contacts in the 26-membered ring of thiostrepton that led to the design of small analogs that maintained their binding capability .
X-ray analysis of the L11/rRNA complex and superimposition with optimized thiopeptide structures have determined that compounds targeting this complex bind to a cleft between the ribosome and L11 protein [94,95,119]. This region, the so-called GTP associated center (GAC), is also the binding site of elongation factor G (EF-G), which is responsible for translocation during ribosomal protein synthesis.
Alternatively, mutation studies have been carried out to study the thiostrepton/L11/rRNA ternary complex. Site-directed mutation of L11 to introduce a Cys residue in a suitable surface position, permitted proximity induced covalent capture (PICC) experiments to be carried out (Figure 9) . In a PICC experiment, the newly introduced Cys should perform a 1,4-conjugated addition to a Dha residue of the thiopeptide tail. These experiments suggested a slightly different binding mode for thiostrepton, which would not sit right inside the cleft between L11 and the 23S rRNA, but closer to the ribosome surface. Further mutation studies of either L11 or 23S rRNA were in agreement with this alternative binding mode, demonstrating that mutations on L11 did not avoid thiostrepton binding, whereas mutations on the ribosome diminished affinity between the complex and the thiopeptide .
2.5. Chemical Synthesis
The complex architectures and challenging structures of thiopeptides have gathered the attention of many groups that have envisioned different strategies to accomplish their syntheses . Pioneering work by the groups of Kelly [121,122,123,124], Shin , Moody [125,126], Nicolaou [127,128], Ciufolini [36,37], and Bach [127,129,130] developed different methodologies that led to the total synthesis of various thiopeptides. However, most efforts have been devoted to the construction of the central polyheterocyclic core [121,122,123,124,131,132,133,134,135,136,137,138], which have been synthesized by two well-distinguished main strategies: modification of an existing pyridine and construction of the central ring.
2.5.1. Modification of Pyridine
Early efforts by Kelly’s group focused on the synthesis of different thiopeptide cores [121,122,123,124] (Scheme 5). One of his landmark achievements was the synthesis of dimethyl sulfomycinamate (2), a product of acidic methanolysis of sulfomycin . Selective bromination of 3 provided pyridine 4, which contained three well-differentiated positions. Stille cross-coupling with 5, oxazole formation using acrylamide 6 and an in situ stannation/cross-coupling protocol with bromothiazole 7 permitted the installment of the two azole rings present in 2.
Shin and co-workers developed their own strategies and synthesized many polyheterocyclic cores and fragments, such as GE2270 A central core (8) [140,141,142,143,144,145,146,147]. Most of their syntheses start from a pre-functionalized pyridine or pyridone of the like of 9 (Scheme 6). For the synthesis of 8, thiazoles were constructed using different methods, including Hantzsch syntheses with ethyl bromopyruvate and thioamide 10, followed by condensation of aldehyde 11 with Cys 12 and subsequent oxidation with activated manganese (II) oxide.
Bach’s group described a very convergent approach to the enantiomer of GE2270 A core (13), which started from 2,3,6-tribromopyridine (14), and was fully based on sequential cross-coupling reactions with thiazoles 15−17  (Scheme 7). This work served for confirmation of the polyheterocyclic core stereochemistry and also set the methodology for further syntheses of GE2270A  and amythiamicins A and D .
More recently, the group of Hoarau optimized conditions for the cross-coupling of thiazole-4-carboxylates (18) with pyridines using direct C-H activation on thiazole position 2  and also formation of pinacolboronic acid and in situ cross-coupling on thiazole position 4, which is limited to 2-acylthiazoles, such as 19 . Using, both, cross-coupling methodologies and Hantzsch thiazole synthesis with bromoketone 20, the synthesis of ethyl tert-butylmicrococcinate (21) was achieved  (Scheme 8).
The last example of cross-coupling-based construction of thiopeptide polyheterocyclic cores was reported by Álvarez’s group  and used the regioselective differentiation of the two α positions in 2,6-dichloronicotinic acid (22) . This strategy gave access to baringolin’s central core (23), facilitating its total synthesis  (Scheme 9). The carboxylic acid present in 24 was used to construct oxazole 25 and subsequent Stille cross-coupling with 26  provided methoxypyridine 27. After conversion of 27 to the corresponding triflate 28, Negishi cross-coupling with 29 yielded 23.
2.5.2. Construction of the Central Ring
One of the most appealing contributions and the first one to rely on construction of the pyridine ring was Ciufolini’s synthesis of micrococcin’s central polyheterocylic core (30)  (Scheme 10). With the required thiazole building blocks, 31 and 32, in hand, the pyridine ring is formed in two steps in almost quantitative yield. This led to the synthesis of the Bycroft-Gowland structure of micrococcin P1, which had been miss-assigned . It took ten more years to finally synthesize the true structure of micrococcin P1 and confirm its stereochemistry . Using the same strategy, thiocillin I has been recently synthesized .
Bagley, first in Moody’s group, and co-workers also described their own syntheses of the thiopeptide cores, such as the amythiamicins core (33), constructing the pyridine ring with advanced thiazole-containing building blocks 34−36. Using Bohlmann-Rahtz pyridine synthesis, various thiopeptide cores were obtained [134,154,155,156,157,158,159] (Scheme 11). In addition, a very early total synthesis of promothiocin A was achieved [125,160,161].
The first synthesis of a polyheterocyclic core from the a (37) and b (38) series was reported by the group of Hashimoto. Their approach was based on formation of a substituted central 1-pyrroline 39 that underwent ring-expansion to form a piperidine ring 37 (a series) that could be selectively oxidized for form the corresponding 2,3,4,5-tetrahydropyridine 38 (b series)  (Scheme 12). In further reports they described the synthesis of other fragments [163,164] of b series thiopeptides and finally achieved the total synthesis of siomycin A [165,166].
Cycloadditions have also been used for the synthesis of various central fragments. Almost simultaneously, the groups of Nicolaou  and Moody  developed two different bio-inspired strategies to obtain their target cores via an aza-Diels-Alder reaction. Nicolaou’s strategy was based on the silver-promoted formation of an aza-diene 40 from a precursor thiazolidine 41, which would dimerize in a [4 + 2] cycloaddition (Scheme 13). The 2,3,4,5-tetrahydropyridine 42 (b series) thus obtained after hydrolysis of the cycloaddition adduct could be oxidized to form the corresponding fully unsaturated d series core (43).
Using Nicolaou’s methodology various total syntheses were achieved, including the challenging thiostrepton [127,128,168], but also GE2270A and GE2270T , and various amythiamicins . On the other hand, the strategy by Moody relied on a previously formed aza-diene 44, formed from the condensation of thiazoles 45 and 46 that could react with a different dienophile (47), yielding the aromatized cycloaddition product 48 [126,171] (Scheme 14).
Alternatively, Arndt designed another aza-Diels-Alder strategy that was not based on the biosynthetic pathway, but used an alkyne 49 and a protected α,β-unsaturated oxime 50 as starting materials, giving access to 3-hydroxypyridines, such as 51. After a modified Hantzsch thiazole synthesis between 52 and 53, a precursor of the central core of nosiheptide (54) could be accessed  (Scheme 15). Using this strategy, the main macrocycle of nosiheptide could be synthesized .
Finally, one of the newest and most innovative contributions to the field is the synthesis of the central core of cyclothiazomycin hydrolysate 55 through a [2 + 2 + 2] ruthenium-catalyzed cyclotrimerization reaction between 56 and 57  (Scheme 16). This yielded a product identical to that previously described by Bagley, thus confirming its identity .
Future advances in the preparation of substituted pyridines will surely facilitate the total synthesis of thiopeptides that still pose a challenge, but most importantly, will give easy access to fragments and analogs for the development of thiopeptide-based drugs with an improved pharmacokinetic profile.
2.6. In the Market
To date, only two thiopeptides have hit the market, thiostrepton and nosiheptide. Although both are exclusively devoted to veterinary use, their applications are very different. The lack of thiopeptide formulations for human use stems from their low aqueous solubility, a limitation that also restricts their use in animals.
Thiostrepton is used as one of the ingredients of an ointment for the treatment of cats and dogs skin infections. This ointment always has the same formulation (nystatin, 100,000 units; neomycin sulfate, 2.5 mg; thiostrepton, 2500 units; triamcinolone acetonide, 1 mg) and is sold by different companies with a variety of brand names: Animax (Dechra), Resortin (Hannah), Panolog (Novartis), Dermalone (Vedco), etc.
Alternatively, nosiheptide, is used as an animal growth promoter. This application was first described shortly after this thiopeptide was first isolated . Nowadays, tons of pre-mixed animal food with the antibiotic are produced and commercialized.
Given the bad pharmacokinetic profile of thiopeptides, various analogs have been produced, mainly to improve their aqueous solubility. LFF571 (Figure 1), developed by Novartis, is a semi-synthetic analog of GE2270A currently under clinical trials for the treatment of Clostridium difficile intestinal infections in humans [9,175,176].
When considering the great therapeutic potential of thiopeptides and the efforts carried out by many research groups, it can be expected that their discoveries will lead to the development of analogs suitable for the treatment of more threatening systemic infections. The discovery of new thiopeptides might also hold the key to the future development of these natural products into suitable drugs. Moreover, the still vastly unexplored oceans are likely to become a fruitful source of the new thiopeptides to come.
A promising new family of antibacterial compounds, possessing other interesting bio-activities has been revised. Pioneering works from their isolation until the arrival to the marked though its biosynthesis, bio-activity and synthesis show that the thiopeptide are a wide range of investigation for scientists from different areas.
We gratefully acknowledge support from the Spanish Science and Innovation Ministry, CICYT (CTQ2012-30930) and the Generalitat de Catalunya (2009SGR 1024). XJ thanks ISCIII for a PFIS grant.
Conflicts of Interest
The authors declare no conflict of interest.
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