anti-microbials Flashcards

antibiotic classes: identify the main classes of antibiotic drugs and distinguish between them in terms of mechanism of action

1
Q

2 targets of bacterial synthesis

A

bacterial protein synthesis, bacterial cell wall synthesis

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2
Q

what are bacteria

A

single-celled microorganisms with a cell wall and membrane; entire phylogenetic domain, but only 1/3 are pathogenic

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3
Q

property of gram positive bacteria

A

prominent peptidoglycan cell wall

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4
Q

example of gram positive bacteria

A

Staph. aureus

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5
Q

property of gram negative bacteria

A

thin peptidoglycan cell wall with outer membrane with lipopolysaccharide (LPS)

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6
Q

example of gram negative bacteria

A

E. coli

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7
Q

property of mycolic bacteria

A

peptidoglycan layer with outer mycolic acid layer

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8
Q

example of mycolic bacteria

A

Mycobacterium tuberculosis

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9
Q

describe stages of prokaryotic protein synthesis

A

nucleic acid synthesis -> DNA replication -> RNA synthesis -> protein synthesis

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10
Q

small part of pathway of nucleic acid synthesis relevant to antibiotics

A

PABA -> (DHOp synthase) dihydropteroate (DHOp) -> DHF -> (DHF reductase) tetrahydofolate (THF)

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11
Q

describe what enzyme is used in DNA replication relevant to antibiotics, and what it does

A

DNA gyrase (same as topoisomerase), which releases tension

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12
Q

describe what enzyme is used in RNA synthesis, and what it does

A

RNA polymerase: produces RNA from DNA template; differs from eukaryotic RNA polymerase

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13
Q

describe what are used in protein synthesis, and what they do and how they differ between prokaryotes (bacteria) and eukaryotes

A

ribosomes: produce protein from RNA templates; differ from eukaryotic ribosomes (30s and 50s vs 40s and 60s)

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14
Q

anti-biotic class which inhibits DHOp synthase

A

sulphonamides (although most bacteria have developed resistance)

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15
Q

anti-biotic class which inhibits DNF reductase

A

trimethoprim (used in combination with sulphonamides - co-trimoxazole)

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16
Q

anti-biotic class which inhibits DNA gyrase (topoisomerase)

A

fluroquinolones

17
Q

anti-biotic class which inhibits bacterial RNA polymerase

A

rifamycins (used for Mycobacterium tuberculosis)

18
Q

anti-biotic class which inhibits ribosomes

A

macrolides (e.g. erythromycin)

19
Q

3 stages of bacerial wall synthesis (dynamic process)

A

peptidoglycan synthesis -> peptidoglycan transportation -> peptidoglycan incorporation

20
Q

describe what happens in peptidoglycan synthesis (in cytoplasm)

A

pentapeptide created on NAM -> NAG associates with NAM -> forms peptidoglycan

21
Q

what transports peptidoglycan across membrane into periplasm

A

bactoprenol

22
Q

when is peptidoglycan incorporated into cell wall, and what enzyme is involved

A

when transpeptidase enzyme cross-links peptidoglycan pentapeptides

23
Q

anti-biotic class which inhibits peptidoglycan synthesis by binding to pentapeptide

A

glycopeptides (e.g. vancomycin)

24
Q

anti-biotic which inhibits bactoprenol regeneration, preventing peptidoglycan transportation

A

bacitracin (not used anymore)

25
Q

anti-biotic class which inhibits peptidoglycan incorporation into cell wall by binding covalently to transpeptidase

A

B-lactams (most important bacterial wall inhibitors)

26
Q

3 examples of B-lactams (contain B-lactam ring)

A

carbapenems, cephalosporins, penicllins

27
Q

anti-biotic class which disrupts gram +ve cell membranes

A

lipopeptide

28
Q

anti-biotic class which disrupts gram -ve cell membranes by binding to LPS

A

polymyxins