Antibiotics-33 Flashcards

- Explain what is meant by the term “selective toxicity”. - Identify bacterial cell components targeted by different classes of antibiotics (with a special focus on penicillin and its action on bacterial cell walls). - Describe some of the mechanisms of the development of antibiotic resistance. - Outline how to reduce the spread of antibiotic resistance.

1
Q

Selective toxicity

A

Chemical ‘magic bullet’ to kill microbial cells but not the host cells.

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2
Q

Bacterial cell components targeted by different classes of antibiotics are

A
  1. Inhibition of cell wall synthesis
  2. Inhibition of Protein synthesis
  3. Disruption of cytoplasmic membrane
  4. Inhibition of general metabolic pathway
  5. Inhibition of DNA or RNA synthesis
    Special case-Inhibition of pathogens attachment or entry into host cell
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3
Q
  1. Inhibition of cell wall synthesis

Draw

A

Penicillins,

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4
Q
  1. Inhibition of Protein synthesis

Draw

A

Aminoglycosides,

Tetracyclines,

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5
Q
  1. Disruption of cytoplasmic membrane

Draw

A

Polymyxins

Polyenes (Antifungal)

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6
Q
  1. Inhibition of general metabolic pathway

Draw

A

Sulfonamides,
Trimethoprim,
Dapsone

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7
Q
  1. Inhibition of DNA or RNA synthesis

Draw

A
Actinomycin, 
Nucleotide, 
Analogs, 
Quinolones, 
Rifampin
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8
Q

Special case
Inhibition of pathogens attachment or entry into host cell

Draw

A

Arildone,
Pleconaril,
Enfuvirtide

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9
Q

Vertical gene transfer

mechanisms of antibiotic resistance development

A

Mutation

Proportion of bacteria gains resistance to antibiotic X by mutation.
Some bacteria with resistance survives.
Recessive bacteria multiplies passing on recessive trait. Resistant bacterial populations survive encounters with Antibiotic X.

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10
Q

Horizontal Gene transfer

mechanisms of antibiotic resistance development

A

Acquires genes through external sources eg transformation, transduction, conjugation.

Bacteria gains resistance by acquiring genes from external sources that occur through either transformation, transduction, conjugation.
Bacteria with resistance survive Antibiotic X.
Resistant bacteria multiplies passing on the resistant trait. Resistant bacterial populations survive encounters with Antibiotic X.

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11
Q

Ways To reduce antibiotic resistance are

A

Decrease antibiotic utilization
Improve diagnostics
Identify new targets
Combination therapies

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12
Q

Decrease antibiotic utilization

A

reduce infections and outbreaks through improved hygiene and infrastructure; restrict use in agriculture.

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13
Q

Improve diagnostics

A

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

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14
Q

Identify new targets

A

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

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15
Q

Combination therapies

A

Traditional antibiotics can combine with molecules that block resistance mechanisms.

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