Antibacterials: MOAs Flashcards
Penicillins (class)
Structural analogs of D-Ala D-Ala that bind penicillin binding proteins–> blocking transpeptidase linking of peptidoglycans.
Also activate autolytic enzymes
Penicillin G
Regular ole penicillin
Penicillin V
Regular ole penicillin
Ampicillin
Aminopenicillin/penicillinase-sensitive penicillin
Amoxicillin
Aminopenicillin/penicillinase-sensitive penicillin
Oxacillin
Penicillinase-resistant penicillin
Nafcillin
Penicillinase-resistant penicillin
Dicloxacillin
Penicillinase-resistant penicillin
Ticarcillin
Anti-pseudomonal penicllin
Piperacillin
Anti-pseudomonal penicllin
Clavulanic acid
Beta-lactamase inhibitor
Sulbactam
Beta-lactamase inhibitor
Tazobactam
Beta-lactamase inhibitor
Cephalosporins (class)
Beta-lactams that inhibit cell wall synth but are les susceptible to penicillinases
Cefazolin
1st gen cephalosporin
Cephalexin
1st gen cephalosporin
Cefoxitin
2nd gen cephalosporin
Cefaclor
2nd gen cephalosporin
Cefuroxime
2nd gen cephalosporin
Ceftriaxone
3rd gen cephalosporin
Cefotaxime
3rd gen cephalosporin
Ceftazidime
3rd gen cephalosporin
Cefepime
4th gen cephalosporin
Ceftaroline
5th gen cephalosporin
Monobactams (class)
Bind penicillin-binding protein 3–> prevents peptidoglycan X-linking.
Aztreonam
Monobactam
Binds penicillin-binding protein 3–> prevents peptidoglycan X-linking
Carbapenem (class)
Beta-lactamase
Imipenem
Carbapenem
beta-lactamase
Meropenem
Carbapenem
beta-lactamase
Ertapenem
Carbapenem
beta-lactamase
Doripenem
Carbapenem
beta-lactamase
Cilastatin
Inhibits renal dehydropeptidase I, leading to decreased inactivation of imipenem
Vancomycin
Binds D-ala D-ala portion of cell wall precursors–> inhibits cell wall peptidoglycan formation
Aminoglycosides (class)
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Gentamicin
Aminoglycoside
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Neomycin
Aminoglycoside
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Amikacin
Aminoglycoside
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Tobramycin
Aminoglycoside
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Streptomycin
Aminoglycoside
30S inhibitors: Inhibit formation of the initiation complex–> mRNA misreading; also block translocation.
Tetracyclines (class)
30S inhibitors: bind 30S–> prevent attachment of aminoacyl-tRNA
Tetracycline
Tetracycline
30S inhibitors: bind 30S–> prevent attachment of aminoacyl-tRNA
Doxycycline
Tetracycline
30S inhibitors: bind 30S–> prevent attachment of aminoacyl-tRNA
Minocycline
Tetracycline
30S inhibitors: bind 30S–> prevent attachment of aminoacyl-tRNA
Macrolides (class)
50S inhibitors: Bind 23S rRNA of 50S and block translocation.
Azithromycin
Macrolide
50S inhibitors: Bind 23S rRNA of 50S and block translocation.
Clarithromycin
Macrolide
50S inhibitors: Bind 23S rRNA of 50S and block translocation.
Erythromycin
Macrolide
50S inhibitors: Bind 23S rRNA of 50S and block translocation.
Chloramphenicol
50S inhibitor: Blocks peptidyltransferase at 50S
Clindamycin
50S inhibitor: Blocks translocation (peptide transfer) at 50S
Sulfonamides (class)
PABA antimetabolites that inhibit dihydropteroate synthase–> inhibit folate synth
Sulfamethoxazole (SMX)
Sulfonamide
PABA antimetabolite that inhibit dihydropteroate synthase–> inhibit folate synth
Sulfisoxazole
Sulfonamide
PABA antimetabolite that inhibit dihydropteroate synthase–> inhibit folate synth
Sulfadiazine
Sulfonamide
PABA antimetabolite that inhibit dihydropteroate synthase–> inhibit folate synth
Trimethoprim
Inhibits bacterial DHFR
Fluoroquinolones
Inhibit DNA gyrase (topo II) and topo IV
Ciprofloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Norfloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Levofloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Ofloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Sparfloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Moxifloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Gemifloxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Enoxacin
Fluoroquinolone
Inhibit DNA gyrase (topo II) and topo IV
Nalidixic acid
Quinolone
Metronidazole
Forms FR toxic metabolites–> damage DNA
INH
Decreases synth of mycolic acid
Rifampin
Inhibits DNA-dependent RNA polymerase
Rifabutin
Inhibits DNA-dependent RNA polymerase
Pyrazinamide
Unknown MOA; acidified intracellular environment when it’s converted to pyrazinoic acid
Ethambutol
Inhibits arabinosyltransferase–> decreases carbohydrate polymerization of mycobacterial cell wall
Daptomycin
Depolymerizes bacterial cell membrane