Drug development process demands validation of specific
drug target impeding the Multi Drug Resistance (MDR).
DNA gyrase, as a bacterial target has been in trend for developing newer antibacterial candidates due to its absence in higher eukaryotes. The
fluoroquinolones are the leading molecules in the
drug discovery pipeline for gyrase inhibition due to its diversity. The
fluoroquinolones like
levofloxacin and
moxifloxacin have been listed in class A drugs for treating MDR.
Gatifloxacin and
ciprofloxacin also proved its efficacy against MDR TB and MDR
enteric fever in adults, whereas
nemonoxacin can induce anti-MDR activity of other
antibiotics already suggested by studies. Though
fluoroquinolones already proved its effectiveness against gyrase, other molecules viz., benzothiazinone, phenyl pyrrolamide, substituted
oxadiazoles, triazolopyrimidine, arylbenzothiazole, coumarinyl
amino alcohols and
ciprofloxacin uracil, can inhibit the target more precisely. The structure-activity-relationships of the different scaffolds along with their synthetic strategies have been deciphered in the current review. Also, the naturally occurring compounds along with their extraction procedure have also been highlighted as potent
DNA gyrase inhibitors. In addition to
fluoroquinolone, the natural compounds
novobiocin and simocyclinone could also inhibit the gyrase, impressively which has been designed with the gyrase structure for better understanding. Herein, ongoing clinical development of some novel drugs possessing triazaacenaphthylenes, spiropyrimidinetriones, and
oxazolidinone-
quinolone hybrids have been highlighted which could further assist the future generation
antibiotic development corroborating gyrase as a potential target against MDR pathogens.