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.
Selective toxicity
Chemical ‘magic bullet’ to kill microbial cells but not the host cells.
Bacterial cell components targeted by different classes of antibiotics are
- Inhibition of cell wall synthesis
- Inhibition of Protein synthesis
- Disruption of cytoplasmic membrane
- Inhibition of general metabolic pathway
- Inhibition of DNA or RNA synthesis
Special case-Inhibition of pathogens attachment or entry into host cell
- Inhibition of cell wall synthesis
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Penicillins,
- Inhibition of Protein synthesis
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Aminoglycosides,
Tetracyclines,
- Disruption of cytoplasmic membrane
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Polymyxins
Polyenes (Antifungal)
- Inhibition of general metabolic pathway
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Sulfonamides,
Trimethoprim,
Dapsone
- Inhibition of DNA or RNA synthesis
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Actinomycin, Nucleotide, Analogs, Quinolones, Rifampin
Special case
Inhibition of pathogens attachment or entry into host cell
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Arildone,
Pleconaril,
Enfuvirtide
Vertical gene transfer
mechanisms of antibiotic resistance development
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.
Horizontal Gene transfer
mechanisms of antibiotic resistance development
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.
Ways To reduce antibiotic resistance are
Decrease antibiotic utilization
Improve diagnostics
Identify new targets
Combination therapies
Decrease antibiotic utilization
reduce infections and outbreaks through improved hygiene and infrastructure; restrict use in agriculture.
Improve diagnostics
Methods to identify resistant bacteria can make treatment more effective, and reduce outbreaks
Identify new targets
Some cellular pathways are hard for bacteria to bypass or modify, making them ideal targets for new antibiotics
Combination therapies
Traditional antibiotics can combine with molecules that block resistance mechanisms.