anti-microbials Flashcards
antibiotic classes: identify the main classes of antibiotic drugs and distinguish between them in terms of mechanism of action
2 targets of bacterial synthesis
bacterial protein synthesis, bacterial cell wall synthesis
what are bacteria
single-celled microorganisms with a cell wall and membrane; entire phylogenetic domain, but only 1/3 are pathogenic
property of gram positive bacteria
prominent peptidoglycan cell wall
example of gram positive bacteria
Staph. aureus
property of gram negative bacteria
thin peptidoglycan cell wall with outer membrane with lipopolysaccharide (LPS)
example of gram negative bacteria
E. coli
property of mycolic bacteria
peptidoglycan layer with outer mycolic acid layer
example of mycolic bacteria
Mycobacterium tuberculosis
describe stages of prokaryotic protein synthesis
nucleic acid synthesis -> DNA replication -> RNA synthesis -> protein synthesis
small part of pathway of nucleic acid synthesis relevant to antibiotics
PABA -> (DHOp synthase) dihydropteroate (DHOp) -> DHF -> (DHF reductase) tetrahydofolate (THF)
describe what enzyme is used in DNA replication relevant to antibiotics, and what it does
DNA gyrase (same as topoisomerase), which releases tension
describe what enzyme is used in RNA synthesis, and what it does
RNA polymerase: produces RNA from DNA template; differs from eukaryotic RNA polymerase
describe what are used in protein synthesis, and what they do and how they differ between prokaryotes (bacteria) and eukaryotes
ribosomes: produce protein from RNA templates; differ from eukaryotic ribosomes (30s and 50s vs 40s and 60s)
anti-biotic class which inhibits DHOp synthase
sulphonamides (although most bacteria have developed resistance)
anti-biotic class which inhibits DNF reductase
trimethoprim (used in combination with sulphonamides - co-trimoxazole)
anti-biotic class which inhibits DNA gyrase (topoisomerase)
fluroquinolones
anti-biotic class which inhibits bacterial RNA polymerase
rifamycins (used for Mycobacterium tuberculosis)
anti-biotic class which inhibits ribosomes
macrolides (e.g. erythromycin)
3 stages of bacerial wall synthesis (dynamic process)
peptidoglycan synthesis -> peptidoglycan transportation -> peptidoglycan incorporation
describe what happens in peptidoglycan synthesis (in cytoplasm)
pentapeptide created on NAM -> NAG associates with NAM -> forms peptidoglycan
what transports peptidoglycan across membrane into periplasm
bactoprenol
when is peptidoglycan incorporated into cell wall, and what enzyme is involved
when transpeptidase enzyme cross-links peptidoglycan pentapeptides
anti-biotic class which inhibits peptidoglycan synthesis by binding to pentapeptide
glycopeptides (e.g. vancomycin)
anti-biotic which inhibits bactoprenol regeneration, preventing peptidoglycan transportation
bacitracin (not used anymore)
anti-biotic class which inhibits peptidoglycan incorporation into cell wall by binding covalently to transpeptidase
B-lactams (most important bacterial wall inhibitors)
3 examples of B-lactams (contain B-lactam ring)
carbapenems, cephalosporins, penicllins
anti-biotic class which disrupts gram +ve cell membranes
lipopeptide
anti-biotic class which disrupts gram -ve cell membranes by binding to LPS
polymyxins