Bioorg Med Chem Lett. 2009 Jun 13; Xu P, Liu L, Chen XZ, Li Y, Liu J, Jin ZP, Wang GQ, Lei PSIn an effort to find new antibiotics, a novel series of 14-membered macrolides with imidazo[4,5-b]pyridinyl sulfur contained alkyl side chains has been synthesized based on commercially available clarithromycin. Chemical transformation of hydroxy group at position C-3 afforded range of ketolides and acylides. Compared to telithromycin, compound 15a demonstrated improved in vitro activity against erythromycin-susceptible and -resistant strains.