LAB EXAM #1 Flashcards
Paul Ehrlich:
Discovered chemotherapy and magic bullets- salvarsan to treat syphilis
Alexander Fleming:
Discovered abx- penicillin
Gerhard Domagk:
Discovered sulfanilamide- 1st practical antimicrobial
2 chemotherapeutic/antimicrobial agents:
Antibiotics- used as medicine against bacteria, protozoans, fungi
Antibacterials- soaps, disinfectants
How is an antimicrobial more toxic to pathogens than humans?
- Differences in structure or metabolism
- Different metabolic pathways in bacteria compared to human cells
- Protozoa, fungi, and worms are more similar to humans so they are more difficult to cure
Broad spectrum antibiotic:
Works against many types and good when the bug is unknown
Narrow spectrum antibiotic:
Good against a small number of germs and good when the bug is known
3 side effects to antibiotics:
- Toxicity
- Allergies
- Disruption of normal flora
Toxicity effect to abx:
-Possible damage to organs, kidney, liver, teeth
Allergic effect to abx:
Anaphylactic shock
Disruption of normal flora effect to abx:
Superinfections- commensals killed, replacement flora moves in
6 mechanisms of action:
Acronym
- Inhibition of cell wall synthesis
- Disruption of cell membranes
- Inhibition of protein synthesis
- Inhibition of nucleic acid synthesis
- Inhibition of metabolic pathways
- Inhibition of host recognition and attachment `
Inhibition of cell wall synthesis:
- Selective against some bacteria and fungi
- B-lactam ring
Disruption of cell membranes:
- Selective against some bacteria and fungi
- Binds phospholipids
Inhibition of protein synthesis: (abx that inhibit protein synthesis)
- Aminoglycosides
- Tetracyclines
- Macrolides
Inhibition of nucleus acid synthesis:
A.) Blocks DNA replication or prevents transcription to RNA, toxic to host
B.) Nucleotide analogs- non-functional molecules similar to A, T, C, G, or DNA
Inhibition of metabolic pathways:
A. Competitive inhibition of enzymes- Sulfanilamides
B. Molecular mimicry
Inhibition of host recognition and attachment:
Attachment antagonists
B-lactam ring:
Disrupts enzymes needed to cross-link peptidoglycans
2 ways microbes develop resistance:
- Chromosomal genes
2. Extra-chromosomal genes- plasmids
5 mechanisms of resistance:
- Producing new enzymes that deactivate abx
- Altering the cell membrane to prevent drug entry
- Altering drug’s target to prevent binding
- Altering cell’s metabolic pathways
- Pumping drug out of the cell