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Mupirocin

From Wikipedia
mupirocin
type of chemical entity
Subclass ofepoxide, triol, tetrahydropyran, carboxylate ester, monocarboxylic acid Edit
Get useMedication Edit
Stereoisomer of9-[4-[(2S,3R,4R,5S)-3,4-dihydroxy-5-[[(2S,3S)-3-[(2S,3S)-3-hydroxybutan-2-yl]-2-oxiranyl]methyl]-2-oxanyl]-3-methyl-1-oxobut-2-enoxy]nonanoic acid Edit
Chemical formulaC₂₆H₄₄O₉ Edit
Canonical SMILESCC(C1C(O1)CC2COC(C(C2O)O)CC(=CC(=O)OCCCCCCCCC(=O)O)C)C(C)O Edit
Isomeric SMILESC[C@H]([C@H]1[C@@H](O1)C[C@H]2CO[C@H]([C@@H]([C@@H]2O)O)C/C(=C/C(=O)OCCCCCCCCC(=O)O)/C)[C@H](C)O Edit
Active ingredient inBactroban, Centany, Muricin Edit
World Health Organisation international non-proprietary namemupirocin Edit
Found insyd taxonPseudomonas fluorescens Edit
Medical condition treatedimpetigo, staphylococcal infection Edit
Pregnancy categoryUS pregnancy category B Edit
Subject has roleantibiotic, protein synthesis inhibitor, essential medicine, bactericide Edit

Mupirocin, dem sell under de brand name Bactroban among odas, be a topical antibiotic useful against superficial skin infections such as impetigo anaa folliculitis.[1][2][3] E sanso fi be used to get rid of methicillin-resistant S. aureus (MRSA) wen present insyd de nose widout symptoms.[2] Out of concerns of developing resistance, use for greater dan ten days no be recommended.[3] Dem dey use am as a cream anaa ointment dem apply to de skin.[2]

Common side effects dey include itchiness den rash at de site of application, headache, den nausea.[2] Long-term use fi result in increased growth of fungi.[2] Use during pregnancy den breastfeeding appear to be safe.[2] Mupirocin chemically be a carboxylic acid.[4] E dey work by blocking a bacterium ein ability to make protein, wich usually dey result in bacterial death.[2]

Na dem initially isolate mupirocin insyd 1971 from Pseudomonas fluorescens.[5] E dey on de World Health Organization's List of Essential Medicines.[6] Insyd 2023, na e be de 171st most commonly prescribed medication insyd de United States, plus more dan 2 million prescriptions.[7][8] E be available as a generic medication.[9]

Biosynthesis

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Biosynthesis of pseudomonic acid A

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Table 1: De biosynthetic gene cluster of mupirocin
Gene Function
mupA FMNH2 dependent oxygenase
mmpA KS ACP KS KR ACP KS ACP ACP
mupB 3-oxoacyl-ACP synthase
mmpB KS DH KR ACP ACP ACP TE
mmpC AT AT
mmpD KS DH KR MeT ACP KS DH KR ACP KS DH KR MeT ACP KS KR ACP
mupC NADH/NADPH oxidoreductase
macpA ACP
mupD 3-oxoacyl-ACP reductase
mupE enoyl reductase
macpB ACP
mupF KR
macpC ACP
mupG 3-oxoacyl-ACP synthase I
mupH HMG-CoA synthase
mupJ enoyl-CoA hydratase
mupK enoyl-CoA hydratase
mmpE KS hydrolase
mupL putative hydrolase
mupM isoleucyl-tRNA synthase
mupN phosphopantetheinyl transferase
mupO cytochrome P450
mupP unknown
mupQ acyl-CoA synthase
mupS 3-oxoacyl-ACP reductase
macpD ACP
mmpF KS
macpE ACP
mupT ferredoxin dioxygenase
mupU acyl-CoA synthase
mupV oxidoreductase
mupW dioxygenase
mupR N-AHL-responsive transcriptional activator
mupX amidase/hydrolase
mupI N-AHL synthase

References

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  1. AlHoufie ST, Foster HA (August 2016). "Effects of sub-lethal concentrations of mupirocin on global transcription in Staphylococcus aureus 8325-4 and a model for the escape from inhibition". Journal of Medical Microbiology. 65 (8): 858–866. doi:10.1099/jmm.0.000270. PMID 27184545.
  2. 1 2 3 4 5 6 7 "Mupirocin". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. Retrieved 8 December 2016.
  3. 1 2 World Health Organization (2009). Stuart MC, Kouimtzi M, Hill SR (eds.). WHO Model Formulary 2008. World Health Organization. p. 298. hdl:10665/44053. ISBN 9789241547659.
  4. Khanna R, Krediet RT (2009). Nolph and Gokal's Textbook of Peritoneal Dialysis (in English) (3rd ed.). Springer Science & Business Media. p. 421. ISBN 9780387789408. Archived from the original on 10 September 2017.
  5. Heggers JP, Robson MC, Phillips LG (1990). Quantitative Bacteriology: Its Role in the Armamentarium of the Surgeon (in English). CRC Press. p. 118. ISBN 9780849351297. Archived from the original on 10 September 2017.
  6. World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  7. "Top 300 of 2023". ClinCalc. Archived from the original on 12 August 2025. Retrieved 12 August 2025.
  8. "Mupirocin Drug Usage Statistics, United States, 2013 - 2023". ClinCalc. Retrieved 19 August 2025.
  9. "Competitive Generic Therapy Approvals". U.S. Food and Drug Administration (FDA). 29 June 2023. Archived from the original on 29 June 2023. Retrieved 29 June 2023.
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