Lecture 13: Antibiotic production Flashcards
What are the two main modes of antibiotic action?
Bacteriostatic: inhibits bacterial growth
Bactericidal: kills bacteria
What is a broad-spectrum antibiotic?
active against a wide range of pathogenic bacteria
What is narrow-spectrum antibiotic?
Active against a specific family (or limited number) of pathogenic bacteria
What is minimum inhibitory concentration (MIC)?
Lowest concetration of a drug that will inhibit visible growth of an organism after overnight incubation
MIC <4ug/mL usually desirable
What is considered the golden age of antibiotic discovery?
1940-60
What are different classes of clinically used antibiotics
- Actinomycetes: Gram+, non-motile, found in soil
- Other bacteria
- Fungal
- Synthetic
What is the traditional approach to antibiotic discovery?
- Environmental (traditionally soil) sample
- Plated to identify bacteria and fungi
- Individual organisms screened for ability to prod. antibiotics
- fermentation and subsequent purification to isolate pure antibiotic
- Testing, etc
- New clinically useful antibiotic
What are important classes of natural antibiotics
- Beta-lactams: penicillins (eg. amoxicillin), cephalosporins (eg. cefacetrile)
- Aminoglycosides (eg. Kanamycin A)
- Macrolides (eg. Erythromycin)
- Glycopeptides (eg. vancomycin)
- Polymyxins (eg. colistin)
- Tetracyclines (eg. tetracycline)
- Ansamycins (eg. Rifampicin)
What are important classes of synthetic antibiotics
Generally simpler than natural compounds, as easier to produce
- Oxazolidinones (Linezolid)
- (Fluoro)quinolones (Ciprofloxacin)
- Azoles (metronidazole)
- Sulfonamides (mafenide)
What are the targets of antibiotics?
- Cell wall biosynthesis
a. Beta-lactams (penicillin, cephalosporins, carbapenems, etc) - Protein synthesis
a. 50S subunit of ribsome (Macrolides, chloramphenicol, etc)
b. 30S subunit (aminoglycosides, tetracyclines, etc - Nucleic acid synthesis
a. RNA synth (Rifampicin)
b. DNA synth (Quinolones)
c. DNA damage (Metronidazole, Nitrofurantoin) - Folate synthesis (Sulphonamides, trimethoprim)
What are Beta-lactams?
E.g., Penicillin G
1. most widely used class of antibiotic
2. Broad spectrum B-lactam antibiotics active against both gram+ and gram- bacteria
TARGET: peptidoglycan
Mechanism of action (MOA):
1. penicillin binding protein (PBP) is transpeptidase, that catalyses peptidoglycan cross-linking
2. Nromal crosslinking catalyses by the PBP
3. Inhibition of penicillins
What is carbapenase?
An enzyme which degrades carbapenems, a beta-lactam which is used for treatment of serious infections causes by multi-drug resistant bacteria
How can bacteria be antibiotic resistant?
- DESTRUCTION: enzymatically degrade or modify antibiotic
a. e.g., B-lactamases degrade B-lactams by hydrolytically breaking the
B-lactam ring in penicillin and other B-lactams
b. e.g., enzymatic modification of aminoglycosides (N-
acetyltransferases; AAC, O-adenyltransferases; ANT, O-
phosphotransferases; APH) - EXCLUSION: prevent the antibiotic from entering the cell, or remove it
from the cell before it can do damage
a. e.g., the tetracycline TetA efflux pump - TARGET MODIFICATION: modify so antibiotic can no longer bind
a. Point mutation to target
b. Modificaiton of target
How does resistance develop
Random mutagenesis
HGT
How much does it cost to take a drug to the market and how long?
800-1000 million
10-15 years
Discovery, preclinical trials, clinical trials, FDA