Identification
Name Latamoxef
Accession Number DB04570
Type small molecule
Description Broad- spectrum beta-lactam antibiotic similar in structure to the cephalosporins except for the substitution of an oxaazabicyclo moiety for the thiaazabicyclo moiety of certain cephalosporins. It has been proposed especially for the meningitides because it passes the blood-brain barrier and for anaerobic infections. [PubChem]
Structure
Categories (*)
Molecular Weight 520.473
Groups approved
Monoisotopic Weight 520.101246958
Pharmacology
Indication Latamoxef is an oxacephem antibiotic usually grouped with the cephalosporins. It is used to treat bacterial infections. Latamoxef is primarily indicated in conditions like Bone and joint infection, GI infections, Gynecological infections, Meningitis, Respiratory tract infections, Septicaemia, Skin infections, Soft tissue infections, UTI.
Mechanism of action Penicillins acylate the penicillin-sensitive transpeptidase C-terminal domain (the penicillin-binding protein) by opening the lactam ring. This inactivation of the enzyme prevents the formation of a cross-link of two linear peptidoglycan strands, inhibiting the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that amoxicllin interferes with an autolysin inhibitor.
Absorption Rapidly absorbed after oral administration.
Protein binding 40%
Biotransformation Not Available
Route of elimination Renal Excretion accounts for 75 %
Toxicity Latamoxef produces potentially life-threatening effects which include Bleeding, Hypothrombinemia, Platelet dysfunctioning. which are responsible for the discontinuation of Latamoxef therapy. The symptomatic adverse reactions produced by Latamoxef are more or less tolerable and if they become severe, they can be treated symptomatically, these include Diarrhea, Skin rashes, Hematuria, Hyperuricemia, Pyuria, Raised serum creatinine.
Affected organisms Not Available
Interactions
Drug Interactions Not Available
Food Interactions Not Available
Penicillin-binding protein 3
Name Penicillin-binding protein 3
Gene Name pbpC
Pharmacological action yes
Actions inhibitor
References
  • Ishikawa M, Miyauchi T, Yagi K, Chikaishi H, Fukuta Y, Miyake H, Harada M, Yogita S, Tashiro S: Clinical relevance of antibiotic-induced endotoxin release in patients undergoing hepatic resection. World J Surg. 1999 Jan;23(1):75-9. - Pubmed
  • Labia R, Baron P, Masson JM: Binding of latamoxef (moxalactam) and its decarboxylated derivative to Escherichia coli and Pseudomonas aeruginosa penicillin-binding proteins. J Antimicrob Chemother. 1985 Jan;15(1):9-15. - Pubmed
DTHybrid score 0.575
Penicillin-binding protein 1A
Name Penicillin-binding protein 1A
Gene Name mrcA
Pharmacological action unknown
Actions inhibitor
References
  • Labia R, Baron P, Masson JM: Binding of latamoxef (moxalactam) and its decarboxylated derivative to Escherichia coli and Pseudomonas aeruginosa penicillin-binding proteins. J Antimicrob Chemother. 1985 Jan;15(1):9-15. - Pubmed
DTHybrid score 0.6505
Penicillin-binding protein 1B
Name Penicillin-binding protein 1B
Gene Name mrcB
Pharmacological action unknown
Actions inhibitor
References
  • Labia R, Baron P, Masson JM: Binding of latamoxef (moxalactam) and its decarboxylated derivative to Escherichia coli and Pseudomonas aeruginosa penicillin-binding proteins. J Antimicrob Chemother. 1985 Jan;15(1):9-15. - Pubmed
DTHybrid score 0.644
Penicillin-binding protein 4
Name Penicillin-binding protein 4
Gene Name dacB
Pharmacological action unknown
Actions inhibitor
References
  • Labia R, Baron P, Masson JM: Binding of latamoxef (moxalactam) and its decarboxylated derivative to Escherichia coli and Pseudomonas aeruginosa penicillin-binding proteins. J Antimicrob Chemother. 1985 Jan;15(1):9-15. - Pubmed
DTHybrid score 0.5365
Id Partner name Gene Name Score
5805 Penicillin-binding protein 1A ponA 0.6505
6185 Penicillin-binding protein 1A mrcA 0.6505
6799 Penicillin-binding protein 1A pbpA 0.6505
6186 Penicillin-binding protein 1B ponB 0.644
6822 Penicillin-binding protein 1b pbp1b 0.644
6844 Penicillin-binding protein 1b pbp1b 0.644
6119 Penicillin-binding protein 3 pbp3 0.575
7154 Penicillin-binding protein 3 pbp3 0.575
7157 Penicillin-binding protein 3 LMHCC_2184 0.575
7162 Penicillin-binding protein 3 pbpB 0.575
7172 Penicillin-binding protein 3 pbp3 0.575
6184 D-alanyl-D-alanine carboxypeptidase dacC dacC 0.1819
332 Beta-lactamase blaZ 0.106
2478 Beta-lactamase ampC 0.106
2613 Beta-lactamase ampC 0.106
2635 Beta-lactamase ampC 0.106
2700 Beta-lactamase penP 0.106
5445 Beta-lactamase blaB 0.106
6019 Beta-lactamase SHV-7 0.106
6701 Beta-lactamase cphA 0.106
1539 Oligopeptide transporter, small intestine isoform SLC15A1 0.1039
3760 Penicillin-binding protein 5 precursor dacA 0.1019
2340 Beta-lactamase PSE-2 bla 0.0976
6113 MecA PBP2' (penicillin binding protein 2') mecA 0.0873
1729 Solute carrier family 22 member 6 SLC22A6 0.0828
1974 Oligopeptide transporter, kidney isoform SLC15A2 0.0815
587 Serum albumin ALB 0.0779
1 Peptidoglycan synthetase ftsI ftsI 0.0699
4155 Peptidoglycan synthetase ftsI ftsI 0.0699
6142 Solute carrier family 22 member 8 SLC22A8 0.0693
115 Penicillin-binding protein 2 mrdA 0.0612
6069 Penicillin-binding protein 2 mrdA 0.0612
6118 Penicillin-binding protein 2 penA 0.0612
6187 Penicillin-binding protein 2 pbpA 0.0612
6686 Penicillin-binding protein 2 pbp2 0.0612
6939 Penicillin-binding protein 2 mrdA 0.0612
7163 Penicillin-binding protein 2 pbpA 0.0612
6067 Penicillin binding protein 2a mecA 0.0551
159 Penicillin-binding protein 2B penA 0.0541
6121 Penicillin-binding protein 2B penA 0.0541
1024 Solute carrier family 22 member 11 SLC22A11 0.0469
2385 Penicillin acylase Not Available 0.0391
6143 Solute carrier family 22 member 7 SLC22A7 0.0346
633 Penicillin-binding proteins 1A/1B pbpA 0.0278
1198 Serum paraoxonase/arylesterase 1 PON1 0.027
6223 Penicillin-binding protein 1C pbpC 0.027
118 Organic cation/carnitine transporter 2 SLC22A5 0.0225
1405 Thiopurine S-methyltransferase TPMT 0.0157
2164 Multidrug resistance-associated protein 4 ABCC4 0.0106
4512 Cytochrome P450 3A4 CYP3A4 0.0061