Bacterial Cell Wall Synthesis Flashcards

1
Q

What bacterium has more PDC?

A

Gram positive

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2
Q

What does glycan consist of?

A

NAG + NAM

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3
Q

Function of PDC?

A

Maintains shape + mechanical strength of cell wall

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4
Q

What happens if cell wall is damaged?

A

Cell becomes leaky, swell + cell lysis occurs

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5
Q

Why is the cell wall a target for antibiotics?

A

Mammalian cells do not have a cell wall + antibiotics show excellent selective toxicity

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6
Q

D-Cycloserine

A

Antibiotic acts as a structural homologue for D-alanine inhibiting
- RACEMASE converts L-ala to D-ala
- LIGASE joins the D-alanyl-D-alanine dipeptide
D-cycloserine binds to pyroxidoxal phosphate enzyme cofactor
D-cycloserine is used as a SECOND LINE antibiotic in combo. with others

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7
Q

Glycopeptides

A

Block the binding of D-alanyl-D-alanine dipeptide which prevents binding + function of Transglycosylase

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8
Q

How does antibiotic resistance occur?

A

When bacteria are able to survive exposure of one or more antibiotics

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9
Q

2 types of antibiotic resistance

A

Intrinsic and Acquired

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10
Q

What is Intrinsic resistance + how does it occur?

A

Intrinsic resistance is natural resistance to bacterial species to antibiotics
It occurs naturally by:
(1) LACK OF TARGET - molecular target of the antibiotic are not present within microorganism
(2) LACK OF PERMEABILITY - LPS outer membrane of gram-negative bacterium can prevent antibiotics accessing intracellular target

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11
Q

How does Acquired resistance occur?

A

Acquired resistance occurs in previously sensitive cells following mutations and transfer of genetic information between cells.

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12
Q

What are the 4 resistance mechanism to antimicrobial agent include?

A

(1) Drug inactivation
(2) Alteration of the drug target
(3) Reduced cellular target
(4) Increased efflux

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13
Q

Pyogenic (Pus-forming) Toxins

A

Toxins that cause localised tissue destruction - infected wounds, boils, abscesses

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14
Q

What bacterial toxins cause food-poisoning?

A

Enterotoxins A-E of S-aureus
Enterotoxins SPE A, SPE, B SPE C of S.pyogenes
Enterotoxins of B.cereus

Enterotoxins tend to be heat stable toxins (resist damage when cooked and ingested) and produced by bacteria contaminating food stuffs

Can produce effects without the bacteria infecting the host i.e. it’s the toxin alone.

Tend to work as emetic toxins, being absorbed by the gut and travelling in the circulation to the ‘vomiting ‘centre in the brain

Onset is rapid (~ few hours)

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15
Q

What are Enterotoxins?

A

Enterotoxins tend to be heat stable toxins (resist damage when cooked + ingested) and produced by bacteria contaminating food-stuffs

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16
Q

What are Endocarditis?

A

Inflammation of the endocardial surface of the heart

17
Q

What bacteria causes endocarditis?

A

Staphylococcus aureus (Skin), Streptococci sp. (Mouth)

18
Q

What is the treatment for endocarditis?

A

Penicillin + Gentamicin

19
Q

What is the treatment for Staphylococcus aureus and Streptococci sp. in Septicaemia?

A

Broad-spectrum antipseudominal B-lactam antibiotic + Vancomycin

20
Q

What are systemic diseases?

A

Occur when bacteria enter deeper tissues of the body affecting Blood, Heart, Lungs, Bones

21
Q

Nosocomial (Hospital-acquired) disease

A

Accounts for 50% of cases caused by Catheters + Hip implants

22
Q

What do we use to treat Neisseria meningitidis + others?

A

Benzylpenicillin + Ceftaxime

23
Q

What is Sepsis?

A

Infection of blood + organs by bacterial, viral / fungal infection

24
Q

3 amino acids added to NAM in gram-positive bacteria

A

L-alanine
D-glutamic
L-lyscine

25
Q

3 amino acids added to NAM in gram-negative bacteria

A

L-alanine
D-glutamic acid
Meso-diaminopimelic acid

26
Q

What converts NAG to NAM in PDC biosynthesis

A

NAG plus the addition of lactic acid from phosphoenolpyruvate (PEP)

27
Q

What helps to transport NAG-NAM-pentapeptide across cell membrane to cell wall

A

Bactoprenol (undeprenylphosphate)

28
Q

What inserts the NAG-NAM-pentapeptide into cell wall

A

Transglycosylase (located on the outer face of cytoplasmic membrane)

29
Q

What catalyses the cross-linking of NAG-NAM-pentapeptide in cell wall

A

Transpeptidase (PBPs penicillin-binding proteins) - terminal D-alanine is removed

30
Q

How does Fosformycin inhibit PDC biosynthesis

A

Inhibiting synthesis (conversion) of NAM from NAG by inhibiting enzyme

31
Q

How does Beta-lactam inhibit PDC biosynthesis

A

Inhibit PBP enzymes involved in transpeptidation of PDC

32
Q

How does Bacitracin inhibit PDC biosynthesis

A

block regeneration of lipid carrier

33
Q

How do exotoxins cause toxicity

A

Its made by bacteria + secreted into local environment

34
Q

How do endotoxins cause toxicity

A

In cell wall + produce toxicity when bacterium is damaged

35
Q

What bacteria causes septicaemia

A

Neisseria Meningitidis + Staphylococcus aureus (skin) + Streptococci sp. (mouth)

36
Q

Fever/pyrogenic

A

Pyrotoxic/genic exotoxins of S.aureus and S.pyogenes

  • SPEs / StepPE
  • sometimes known as pyrotoxic superantigens

TSST (toxic shock syndrome toxin - pyrogenicity (fever)

Super-antigenicity
Over stimulation of T-cells / antigen-presenting cells
and production of cytokines ( often leading to sepsis)