Week 14.2 Antibiotic Resistance Flashcards
Affect of mutations on antibiotic resistance
Antibiotic resistance can result from mutations in genes that are associated w/ the antibiotic mechanism
Ex: a mutation to the binding site of rifampicin creates resistance to rifampicin
Why do bacteria sometimes lose resistance genes if the antibiotic disappears?
Expressing and replicating antibiotic resistance genes cost energy and resources
4 common mechanisms of antibiotic resistance
- Antibiotic Modification
- Antibiotic Target Modification
- Reduced Permeability
- Efflux Pumps
Antibiotic Modification
Destruction or modification of an antibiotic removes its activity
-Ex: beta-lactamases are enzymes that cleave the beta-lactam ring of penicillin, so destroying the beta-lactam ring inhibits its ability to bind to PBPs
Antibiotic Target Modification
Mutations in penicillin binding proteins can decrease the binding affinity of penicillin by changing associated amino acids
-these mutations decrease the effectiveness of penicillin
Minimum inhibitory concentration (MIC)
lowest concentration of antibiotic that inhibits visible growth of bacteria
Reduced Permeability
Mutations can change the structure of a porin and prevent antibiotics from reaching their target
-porins: protein pores in the outer membrane of gram (-) cells
Efflux pumps
Move antibiotics out of a cell
-substrate-specific or broad activity
Would reduced permeability or efflux pumps be more effective against penicillin?
Efflux pumps because its overexpression can decrease the concentration of penicillin in the periplasmic space