Nosocomial infections, also known as hospital-acquired
infections, are a major threat particularly to immunocompromised patients. The
Centers for Disease Control and Prevention estimate that 1.7 million nosocomial
infections each year account for 99,000 deaths in the United States alone,[1] thus rendering them a major cause of death in the Western world.[2]
Gram-negative bacteria account for about 40% of all nosocomial infections. Legionella pneumophila
and Pseudomonas aeruginosa are both Gram-negative
bacteria that cause hospital-acquired pneumonia. Syntheses of the respective antigenic
surface oligosaccharides are crucial to explore biological interactions,
structure‑activity relationships, and eventually, for the development of
powerful drug candidates and vaccines. The O‑antigens
of L. pneumophila and P. aeruginosa consist of the
uncommon legionaminic acid monosaccharides. The latter are members of the
family of sialic acids, but although structurally related to sialic acid, they are exclusively
found in bacterial glycomes.[3]
Herein, we present the chemical synthesis of a structurally
complex monosaccharide ‑ legionaminic acid ‑ using a de novo strategy. The approach relies on an ex‑chiral-pool strategy starting from cheap and commercially
available amino acids, featuring a multi-component and an organometallic
addition reaction. A flexible and concise synthesis of the target was devised. This
synthetic strategy of the legionaminic acid building block opens new
possibility towards the assembly of bacterial oligosaccharides and thereby paves the way to the development of both
potential carbohydrate-vaccine candidates and biological probes.
References:
[1] A. Pollack, in New York Times, 2010.
[2] ECDC,
in Annual Epidemiological Report on
Communicable Diseases in Europe, 2007.
[3] Y. A.
Knirel, A. S. Shashkov, Y. E. Tsvetkov, P.-E. Jansson, U. Zähringer, in Adv. Carbohydr. Chem. Biochem., Vol. 58 (Ed.: D. Horton), Academic
Press, 2003, pp. 371-417.