antibiotics Flashcards

1
Q

three modes of action of antibiotics

A

bacteriostatic, bactericidal, bacteriolytic

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2
Q

bacteriostatic

A

agents that stops bacteria from reproducing, while not necessarily killing them otherwise

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3
Q

bacteriocidal

A

bacteria killed directly

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4
Q

bacteriolytic

A

dissolution or destruction of bacteria

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5
Q

antibiotics which effect cell wall synthesis

A

cycloserine, vancomycin, bacitracin, penicillins, cephalosporins, monobactams, carbapenems

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6
Q

DNA gyrate ( decoils DNA)

A

Nalidixic acid, ciprofloxacom.. novobiocin

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7
Q

RNA eleongation

A

actinomycin

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8
Q

DNA directed RNA polymerase

A

Rifampin, Streptovaricins

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9
Q

Protein synthesis (50s inhibitor)

A

Erythromycin (macrocodes)
Chloramphenicol
Clindamycin
Lincomycin

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10
Q

Proteinsynthesis (30s)

A

tetracyclines, spectinomycin, streptomycin, gentamicin, kanamycin, amikacin, nitrofurans

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11
Q

protein synthesis (tRNA)

A

Mupirocin, puromycin

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12
Q

Lipid biosynthesis

A

platensimycin

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13
Q

Cytoplasmic membrane structure and function

A

Polymyxins, daptomycin

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14
Q

folic acid production

A

trimethoprim, sulfonamides

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15
Q

Macrolides

A

12-16 member macrolactone rings decorated with amino-sugars. Binding site is the large ribosomal subunit in the upper part of the nascent peptide exit tunnel

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16
Q

nascent peptide exit tunnel of macrolides

A

allows easy passage of the newly made protein through the tunnel- crucial for protein synthesis

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17
Q

How do macrocodes inhibit translation

A

binding of the macrolide in the tunnel impedes profession of the nascent peptide and results in a general inhibition of translation

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18
Q

target of fluorquinolones

A

target DNA gyrate (topoisomerase II and IV)

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19
Q

how to fluorquinolones enter bacteria

A

passive diffusion into gram +ve and via outer membrane prions in gram -ves

20
Q

newer fluoroquinonlines have a

A

broader spectrum and work best against gram +ve

21
Q

how common are fluoroquinolone

A

2nd most used

22
Q

how do fluoroquinolone work

A

topoisomerase IV carries out decatenation and relaxation of DNA, and assists the segregation of replicating chromosomes or plasmid in bacteria. Inhibition disrupts this process, contributing to bactericidal activity of fluoroquinolobnes.

23
Q

which bacteria have high levels of resistance to fluorquinolones

A

S pneumonia and staphylococcus aureus - have demonstrated that for ciprofloxacin-selected mutatantsm the first step involves a motion in parC- suggesting topoisomerase IV is the primary target in these bacteria.

24
Q

are fluorquinolones synthetic

25
name a broad spectrum, semi synthetic beta- lactic antibiotic
cephalosporins
26
cephalosporins are derived from the
mould, cephalosporium
27
cephalosporins are chemically related to
penicillins, same mechanism of action
28
how do cephalosporins and penicillins cause cell damage
by interfering with bacterial cell wall synthesis
29
new antibiotics are being discovered
semi- regularly, although not as frequently as in the past
30
alternative phage stratagies
uses phage to deliver a protein that interferes with an essential bacterial process rendering the bacteria more susceptible to antibiotic- causing bacterial cell lysis- very specific, will only attach to the pathogen and not the animal cell
31
anti-virulence strategies
inhibit specific mechanisms that promote infection and are essential to persistence in a pathogenic cascade and or cause of disease
32
anti-virulence strategies offer
a reduced selection pressure for drug resistant mutations
33
benefits of anti-virulence strategies
avoids undesirable dramatic alterations of the host microbiota that are associated with current antibiotics e.g. UPEC
34
UPEC
chemical structures of anti-adhesive carbohydrate ligans- ligand for the FmH adhesion and (D) PapG adhesion. e.g. if the bacteria cannot get into the cell it can not cause damage e.g. e.coli
35
anti-virulence strategies- inhibiting secretly systems
both type 3 and 6 secretory systems inject proteins (15-30). Many bacteria inject proteins which manipulates the actin cytoskeleton-herby forcing uptake. Gram negative bacteria have complex protein translocation mechanisms
36
it is thought that genes found in faecal extracts inhibit
salmonella rowth
37
faecal extracts inhibit the growth of salmoenlla
62 genes were unregulated during growth in the faecal extract, whereas 76 genes were downgrade. Of the 76 genes repressed by faecal extracts, 29 (38.2%) are involved in salmonella host invasion- demonstrating major effect of the gut micro biome in repression f invasion
38
problems with antibiotic usage
synergistic drugs suppress drug susceptible subpopulation more than single drug therapy, however this eliminates competitors of the drug resistant cells wo grow more rapidly than the non resistant cells would have done at weaker synergies- thus greater singer can increase population densities.
39
example of what new antimicrobial drugs are developing to beat B-lactam resistance
INACTIVATION OF B-LACTAMASE INHIBITORS
40
some phages develop
specific enzymes degrading exopolysaccharide structures (capsule, slime), masking or covering a targeted receptor.
41
phages as antimicrobials: advantages
specific and cheap
42
phages as antimicrobials: disadvantages
narrow spectrum/ bacterial resistance
43
phage as antimicrobials
where pages attach to certain active sites on the outside of human cells e.g. mannose receptors--> if an inhibitor is added that has a higher affinity to the phage, then they won't attach to the outside of the cell and inject their DNA- causing disease
44
Stages of phage infection
- adsorption to specific receprot- phage attachment is highly specific - DNA injection, after peptidoglycan degradation and pore formation in the bacterial cell - redirection of host metabolism to phage DNA replication and phage protein synths - assembly and packaging of phage particles - bacterial cell lysis and phage progeny release - virions burst into the environment
45
phages can be used to fight
bacterial infection