Antibiotics Flashcards
What is an antibiotic
A chemical substance produced by microbes that inhibits the growth of and even destroy other microbes
Selman Waksman
Suggested the modern use of the term antibiotic
Location of action of cell wall antimicrobials
The peptidoglycan precursors are synthesized into lipid II in the cytoplasm.
This is “flipped” across the membrane by the transport lipid (undecaprenyl phosphate).
The glycosyltransferase (GT51) catalyses polymerization of the nascent peptidoglycan chain from lipid II.
Vancomycin and teicoplanin bind to the terminal D-alanyl-D-alanine moieties of the NAM/NAG-peptides preventing peptidoglycan formation.
Nisin and teixobactin interact with the pyrophosphate of lipid II
Bacitracin affects the phosphorylation of C55-isoprenyl pyrophosphate and related bactoprenol pyrophosphate by binding to the pyrophosphate of these molecules.
Structures of representative β-lactams
- Penicillin scaffold.
- Cephalosporin scaffold.
- (1-methyl) Carbapenem scaffold.
Can be broad spectrum
Which anti microbials work on the binding of lipid II
Vancomycin
Teicoplanin
Nisin
Teixobactin
Mechanism of action of penicillin
Stops formation of amide bond in peptidoglycan
Mechanism of penicillin
The square-shaped beta-lactam ring is under strain
The nitrogen and sulphur atoms draw electrons away, makes the carbonyl carbon on the beta-lactam ring electrophilic.
The electrophilicity makes the beta-lactam ring extremely susceptible to hydrolysis,
The penicillin molecule comes into contact with the hydroxyl active site of the serine residue on the transpeptidase enzyme
It binds covalently (irreversibly).
Beta lactamase inhibitors
Clavulanic acid.
Avibactam.
Relebactam.
Vaborbactam.
Bicyclic boronate.
Teixobactin mechanism
Teixobactin binds to the peptidoglycan precursors lipid II and lipid III.
Teixobactin binding motif may be the highly conserved pyrophosphate
why is it hard to develop de-novo resistance against Arg 10 teixobactin ?
The Lipid II / Lipid III substrate is highly conserved and essential for peptidoglycan cell wall biosynthesis
Lipid II / Lipid III substrate modification may be “difficult” to evolve
Other mechanisms may include evolved proteases that can process DL amino acids?
Other unknown mechanisms ?
No compound is resistance proof
Koch’s postulates
(1) The suspected pathogen must be found in every case of disease and not be found in healthy individuals.
(2) The suspected pathogen can be isolated and grown in pure culture.
(3) A healthy test subject infected with the suspected pathogen must develop the same signs and symptoms of disease as seen in postulate 1.
(4) The pathogen must be re-isolated from the new host and must be identical to the pathogen from postulate 2.
What are Koch’s postulates
He identified the specific causative agents of tuberculosis, cholera, and anthrax and also gave experimental support for the concept of infectious disease,
These postulates, outline a method for linking cause and effect of an infectious disease
Antimicrobial mechanisms
Inhibition of cell wall synthesis
Inhibition of protein synthesis
Inhibition of DNA/RNA precursor synthesis
Inhibition of DNA/RNA synthesis
Disruption of membrane function
Mechanisms of beta lactam resistance
Beta lactamase
Changes ring structure of beta lactam so that serine cannot bind
How are beta lactamases classified
Classes A, B, C and D
Peptide antimicrobials mechanisms
Changes in membrane permeability
Metabolic genes and regulators
Antibiotic inactivation
Target modifications
Role of vancomycin
Inhibition of cell wall synthesis by binding to lipid II
Which antibiotics work on the pyrophosphate of lipid II
Nisin
Teixobactin
MIC
lowest concentration of an antimicrobial that will inhibit the visible growth of a microorganism after overnight incubation (measure of antibacterial activity)
Moenomycin A
Enzyme inhibitor
Categories of antimicrobials based on action
Inhibition of cell wall synthesis (Ed)
Damaging cell membrane
Disruption of nucleic acid synthesis
Disruption of protein synthesis
Blocking key metabolic pathways
Sources of folate
Humans and most animals obtain folate from diet
Bacteria synthesise it