Antimicrobial Chemotherapy Flashcards

1
Q

what are antimicrobial chemotherapeutics

A

chemicals we put in/on our body to treat disease

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2
Q

MLC vs MIC

A

MLC - minimum lethal concentration
= minimum amount of antibacterial required to kill a pathogen

MIC - minimum inhibitory concentration
= “ required to stop growth of a pathogen

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3
Q

narrow vs broad spectrum antimicrobials

A

narrow - target specific species

broad - targets larger classes of organisms ex. all bacteria / gram -

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4
Q

selective toxicity

A

trade off
toxic enough for bacteria but not human cells

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5
Q

etest strips

A

strip infused with a gradient and antibiotic along their length and placed on bacterial lawn

MIC is where the zone of inhibition ends

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6
Q

antibacteria ___ harm viruses. what should you use and what do they do

A

don’t harm viruses
- use antivirals which target enzymes involved in viral replication

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7
Q

what are in fungal cells that enable antifungals to be effective

A

have chitin in cell wall
& ergosterols in cell membranes

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8
Q

what is a chemical adjuvant

A

substance used in combination with an antigen (vaccine) to enhance the immune response

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9
Q

are archaea pathogenic?

A

no

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10
Q

what are the 4 options for microbial resistance mechanisms

A
  • prevent drug from entering cell
  • excrete drug before it takes effect
  • degrade/inactivate drug
  • change drugs target
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11
Q

how can microbes stop the drug from entering the cell
- what helps microbes do this

A
  • stop it AT the cell membrane/ cell wall
  • stop it from accessing the cell membrane/ cell wall
  • biofilms = thick slime layers
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12
Q

how can microbes excrete drugs before they take effect

A

efflux pumps
~need ATP

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13
Q

how can microbes degrade drugs

A

B-lactamase enzyme
- breaks open the B-lactam ring of the antibiotic structure so cannot damage bacterial cell wall now

*leaks into the enviro, gives neighbouring cells protection

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14
Q

what is a common antimicrobial that microbes became resistant to

A

Polymyxin B
- targets gram negative bacteria

~ binds to lipid A (component of LPS) and disrupts the outer membrane, making it leaky

microbes become resistant to polymyxin

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15
Q

2 mechanisms of microbial genetic variation

A
  1. vertical gene transfer
  2. horizontal gene transfer
    - transformation
    - conjugation
    - transduction
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16
Q

describe vertical gene transfer in microbes (mutations)

A
  • mutations
    ~from UV light/chemicals

bacteria are prone to mutations / helps them adapt quickly / have mutator genes

17
Q

VGT occurs in (3)

A

prokaryotes, eukaryotes and viruses

18
Q

what is transformation

A

uptake of naked DNA from the environment into its own genome

  • only competent cells can do this (have special surface receptors that bind and import the DNA)
19
Q

what is conjugation

A

bacteria sex
- direct contact between two cells

gram - attaches to recipient cell via a sex pilus
gram + forms a conjugation bridge with other cell
*plasmid is replicated via rolling circle replication

20
Q

generalized transcduction

A

can move ANY gene from the donor bacteria

  • during lytic cycle of a phage
  • random piece of bacterial DNA is packaged into phage head
  • infected bacteria and injects the bacterial DNA
21
Q

specialized transduction

A

can only move genes NEXT to the insertion site

  • happens during lysogenic cycle
  • during excision the phage sometimes takes nearby genes with its own & creates hybrid phages = carrying adjacent genes from the original host
22
Q

antibiotic (penicillin) arms race

A

antibiotic - resistance- countermeasure - new resistance - new countermeasure

-first antibiotic = penicillin
*B-lactamase can now break down penicillin

-countermeasure = B-lactamase inhibitor so penicillin can work again

-new resistance = some bacteria have BLI effluc pumps / able to break down penicillin again

23
Q

why should you always finish your antibiotics (3)

A
  • not all bacteria die at once
  • avoid getting infection again
  • prevent bacteria having the chance to adapt and become resistent to drug