Antibiotics - 33 Flashcards

1
Q

What does ‘selective toxicity’ mean

A

A toxin that kills microbial cells but not the hosts cells

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2
Q

Why did selective toxicity come about

A

Early medicine used highly toxic ‘medicine’ to treat infectious diseases. These often turned out to me more harmful than the disease

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3
Q

What did methylene blue do

A

Stained microbes better than host cells

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4
Q

What is penicillin

A

Chemical produced by a fungus that inhibits bacterial growth. First important selective toxin (antibiotic)

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5
Q

How does penicillin work

A

It inhibits the formation of the bacterial wall by inhibiting the enzyme that binds it together (peptidoglycan crosslinks). Causes the cell to lyse (fall apart)

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6
Q

What kind of bacteria is penicillin most effective for

A

Gram positive (thick cell wall)

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7
Q

What are the 5 main bacterial cell components targeted by different antibiotics

A
Inhibition of cell wall synthesis
Inhibition of protein synthesis
Disruption of cytoplasmic membrane 
Inhibition of general metabolic pathways 
Inhibition of DNA or RNA synthesis
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8
Q

What is a special case of antibiotics targeting components of bacteria cells

A

Inhibition of pathogens attachment or entry into host cell

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9
Q

How does antibiotic resistance occur

A

Bacteria with certain mutations may be able to survive antibiotics. Due to natural selection these individuals reproduce more bacteria resistant to the antibiotic

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10
Q

What is an example of a bacterial mutation that leads to antibiotic resistance

A

Beta Lactamase - produces an enzyme that is used to destroy penicillin (breaks apart Beta lactam ring)

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11
Q

What happens when bacteria no longer under the pressure of the antibiotic

A

Sometimes mutated bacteria may revert back as selection pressure no longer needs that mutation to survive

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12
Q

What are the 2 types of antibiotic resistance gene transfer

A

Vertical - Producing daughter cells

Horizontal - Giving mutation to other bacteria

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13
Q

What are the 4 basic ways we can reduce the development of antibiotic resistance

A

Decrease antibiotic use
Improve diagnostics
Identify new targets
Combination therapies

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14
Q

How can we decrease antibiotic use

A

Improve hygiene to reduce infections

Restrict use in agriculture

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15
Q

How can improving diagnostics help

A

Identifying resistant bacteria can make treatment more effective and reduce outbreaks

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16
Q

How can identifying new targets help

A

Some cellular pathways are harder for bacteria to bypass - target these pathways for new antibiotics

17
Q

How do combination therapies help

A

Antibiotics combined with molecules that block resistance to mechanisms