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ATI-1503 is a synthetic version of the naturally-occurring antibiotic Negamycin, developed by **Appili Therapeutics**. It is a novel antibiotic designed to treat drug-resistant Gram-negative bacterial infections. The compound exhibits broad-spectrum activity against some of the most deadly Gram-negative bacteria, including *Klebsiella pneumoniae*, *Acinetobacter baumannii*, and *Pseudomonas aeruginosa*. These pathogens are classified as high-priority threats by both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) due to limited effective antibiotic treatment options. ATI-1503 works by penetrating the double exterior membranes characteristic of Gram-negative bacteria and attacking their protein-generating machinery (ribosomal protein synthesis). The drug development program has been supported by funding from the National Research Council of Canada Industrial Research Assistance Program (NRC-IRAP) and the U.S. Department of Defense Peer Reviewed Medical Research Program (PRMRP). Appili's development strategy includes using advanced X-ray crystallography to visualize the exact structure of ATI-1503 binding to bacterial targets, allowing for systematic optimization of the compound's potency.
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