Powerpoint 23 Flashcards
proteins are synthesized on
ribosome-inhibition of protein synthesis
differences in prokaryotic *(70s) and eukaryotic (80s) ribosomes are responsible for
selective toxicity
Drugs of the class of inhibition of protein synthesis include
Aminoglycosides Tetecyclines Macrolides Chloramphenicol Lincosamides Oxazolidinones Streptogramins
block the initiation of translation and cause the misreading of mRNA
Aminoglucosides
Block the attachment of tRNA to the ribosome
Tetracyclines
Each interferes with a distinct step of protein synthesis
Streptogramins
Prevent the continuation of protein synthesis
Macrolides & Lincosamides
Prevents peptide bonds from being formed
Chloramphenicol
Interfere with the initiation of protein synthesis
Oxazolidinones
Reversibly bind to the 30s ribosomal subunit
Tetracyclines
Blocks attatchment of tRNA to ribosome
-prevents continuation of protein synthesis
Tetracyclines
effective against certain gram -and gram +
Tetracyclines
Newer one such as doxycycline have a longer half life
Tetracyclines
resistance in these is due to decreased accumulation by bacterial cells
Tetracyclines
reversibly binds to 50s ribosome
Macrolides
effective against a variey of gram + organisms and those responsible for atypical pneumonia
Macrolides
often drug of choice for patients allergic to penicillin
Macrolides
macrolides include - erythromycin, clarithromycin and azithromycin
Macrolides
resistance can occur via modification of RNA target
-also production of enzyme that chemically modifies drug as well as alterations that result in decreased uptake of drug
Macrolides
Inhibition of nucleic acid synthesis
-target bacterial DNA replication enzyme
Flouroquinolones
Inhibition of nucleic acid synthesis
-RNA synthesis
Rifamycins
most useful to use in inhibition of metabolic pathways
folate inhibitors
mode of actions to inhibit the production of folic acid
folate inhibitors
antimicrobials in the class of folate inhibitors include
-sulfonamides and Trimethoprim
inhibit growth of gram + and gram -
Sulfonamides
structularily similar to amnibenzoic acids
Sulfonamides
human cells lack specific enzyme in folic acid pathway
Sulfonamides
resistance can be acquired from plasmid
Sulfonamides
plasmid has gene that encodes an enzyme that has mutations that lower affinity to drug
Sulfonamides
- damage cell membrane
- polymyxin B most common
- common ingredient in first aid skin ointment
Sulfonamides
Binds to membrane of Gram - cells
- alters permeability
- leads to leakage of cell and cell death
Sulfonamides
also bind eukaryotic cells but to lesser extent
-limits use to topical application
Sulfonamides