Antibiotics Flashcards

1
Q

What is selective toxicity

A

The aim to kill the microbe but not the host

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2
Q

Outline Paul Ehrlich discovery that supported selective toxicity

A

He noted that some dyes (such as methylene blue) stain microbes better host cells, leading to the idea of a chemical “magic bullet” to kill microbial cells but not the hosts cells.

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3
Q

What was the first selective antibiotic

A

1909, Salvarsan/compound 606

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4
Q

Outline penicillin

A

1928 alaxander Fleming observed that colonies of the bacterium staphylococcus bacteria could be destroyed by the mole penicillium notatum (also known as penicillium chrysogenum). This caused a region of inhibition for cell growth around the mole/fungi

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5
Q

How does penicillin work

A

Interfering with the normal formation of bacterial cell wall by inhibiting the formation of peptide cross bridges.
Bacteria mistake penicillin for amino acid, incorporating it in bacterial all, resulting in leaky cell wall that falls apart.

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6
Q

What targets various bacterial cell components

A

Various different bacterial cell components are targeted by different classes of antibiotics

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7
Q

What causes antibiotic resistance

A

Mutations - the most important cause of genetic diversity in microbial populations

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8
Q

What are some causes of mutations

A

Spontaneous mutations
Environmental causes: Radiation, certain chemicals…

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9
Q

Outline how mutations can select for antibiotic resistance

A

Antibiotic kills all bacteria, except bacteria displaying antibiotic resistance. Antibiotic resistant bacteria reproduces, all progeny inherit same mutation. All bacteria deriving from single mutated will now be antibiotic. Passed on by horizontal or vertical gene transfer

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10
Q

Outline the enzyme involved in bacterial antibiotic resistance

A

Beta lactaamase: destroys beta lactation ring of penicillin, rendering antibiotic useless. Is located on a plasmid - can undergo horizontal gene transfer.

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11
Q

Outline plasmids containing antibiotic/resistance genes in bacteria

A

Plasmids can contain many genes which code for resistance against multiple antibiotics.

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12
Q

Outline vertical gene transfer of antibiotic resistance gene

A

Proportion of bacteria gains resistance mutation, and these select few survive exposure to antibiotic. Bacteria with resistance then multiply, passing on resistant trait. Resistant bacterial populations survive subsequent encounters with antibiotic.

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13
Q

Outline horizontal gene transfer of antibiotic resistance gene

A

Some bacteria gene resistance through external source (transformation, transduction, conjugation).
Bacteria with resistance survive antibiotic, and multiply in numbers. Resistant bacterial populations survive subsequent encounters with antibiotic.

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14
Q

Outline the inter/intro specific transmission of antibiotic resistance

A

Antibiotic resistance can be both intra specific and inter specific

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15
Q

How do you reduce the development of antibiotic resistance

A

Decrease antibiotic resistance
Improve diagnostics
Identify new targets
Combination of therapies

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16
Q

Outline the decrease of antibiotic utilisation

A

Reduce infections and outbreaks through improved hygiene and infrastructure, restrict use in agriculture

17
Q

Outline improving diagnostics

A

New methods to identify resistant bacteria can make treatment more effective, and reduce outbreaks

18
Q

Outline identifying new targets

A

Some cellular pathways are harder for bacteria to bypass or modify, making them ideal targets for antibiotics

19
Q

Outline combination therapies

A

Traditional antibiotics can be combined with molecules that block resistance mechanics