Week 4 - Bacteria and Bacterial targets /drugs Flashcards

1
Q

Identify biochemical targets for antimicrobial activity

A
  1. Bacterial DNA (plasmids)
  2. Protein synthesis (ribosome)
  3. Metabolism
  4. Bacterial cell wall
  5. Bacterial cell membrane
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2
Q

How do antimicrobials i.e. antibiotics work?

A
  • Target specific features only found in bacteria cells = destroy bacteria selectively (selective inhibition)
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3
Q

Explain how bacterial DNA is targeted

A
  • Bacterial DNA is supercoiled by DNA gyrase (enzyme)
    (left handed super helix = -ive supercoiling, in hot environments DNA is right handed = +ive supercoiling = tighter coil = prevent denature)
  • DNA gyrase: breaks DNA strand, loops 2nd DNA through break, reseals break
  • Supercoiling makes DNA compact, easier for proteins to travel, DNA replication etc.
  1. DNA gyrase inhibitors
    - Stops gyrase process after DNA strand has been broken
    - Broken DNA strands are detected = apoptosis triggered
  2. DNA strand breaking drugs
    - Require anaerobic environment
    - Nitro group is reduce forming a imidazole radical which extracts H from DNA
    -Leads to DNA strand breaking + cell death
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4
Q

What drugs are used to target bacterial DNA?

A
  1. DNA gyrase inhibitors ~ Quinlones
    - Nalidixic acid: mainly active against gram -ive bacteria
    - Fluroquinlones: increased activity against gram -ive and +ive and were more potent
    - Levofloxacin: has broad spectrum, very potent + can target pneumonia, UTI
  2. DNA strand breaking drugs
    - Nitroimidazele: treats aerobic bacteria + protozoal infections e.g. BV, acute oral infections
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5
Q

Explain how proteins synthesis is targeted (in bacteria)

A
  • Bacteria ribosome is different shape + size (70S) compare to human ribosome (80S)
  • Bacteria = 50S and 30S and Human = 60S and 40S
  • Inhibiting synthesis = cell become bacteriostatic (growth slows down)

Transcription is targeted

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6
Q

What drugs are used to target protein synthesis?

A
  1. Oxyazoldinones
    - Binds to 50S subunit = stops it from binding to 30S subunit
    - Has chiral centre (important for anti-bacteria activity)
    - Has -e donating N = improves safety profile
    - Used against MRSA
  2. Tetracylines
    - Interfere with tRNA binding
    - bind to 30S + stop aminoacyl tRNA from binding to ribosome
    - Has broad spectrum BUT widespread resistance
  3. Macrolides
    - Binds to 50S subunit = stops growth of peptide chain
    - Active against gram +ive bacteria
    - e.g. erythromycin - binds + blocks exit tunnel for peptide chain = chain is pushed back in wrong direction = bond formation is ruined
    - e.g. chloramphenicol - binds to same region as eryth. + has broad spectrum, toxic effects on bone marrow (don’t us in infants)
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7
Q

Explain how metabolism is targeted (in bacteria)

A
  • Folate synthesises DNA bases
  • Dihydrofolate reductase (DHFR enzyme) = target
    - folate is in human + bacteria cells BUT have diff. structure + a.a sequence
  • Dihydropteroate synthase (DHPS)
    - humans don’t have DHPS
    - synthesises dihydrofolate by adding PABA to pteridine diphosphate

Targeting DNA Synthesis:
- Slows growth of bacteria
- Reduces folate

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8
Q

What drugs are used to target metabolism?

A
  1. Dihydrofolate Reductase (DHFR) Inhibitors
    - Mimic pteridine of folate
    - Potent against bacteria DHFR
    - Used for UTIs, cancer arthritis
  2. Sulfa Drugs
    - Mimic PABA = DHPS becomes full with drug
    - Sulfanilamide (not very acidic), sulfapyridine (more acidic, + aromatic ring), Sulfamethoxazole (treats UTI, have lower + safer doses due to sequential blocking)
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9
Q

Explain how synthesis of bacterial cell wall is targeted

A
  • Human cells don’t have cell wall = TARGET
    - Cell wall protects membrane from rupture (resitshigh osmotic pressure in cell)
    - Cell wall provides strength to cell (membrane is fragile)
    - Cell wall retains shape + volume of cell

Cell wall has cross linking between peptide chains (transpeptidase (enzyme) forms these links)o form networks

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10
Q

What are the differences in cell wall structure between Gram-positve and Gram-negative

A

Gram +ive:
- Have thick cell wall - thick peptidoglycan layer
- Cell wall is strong
- Porous cell wall = drugs can penetrate to membrane
- Stains purple

Gram -ive:
- Have 2 lipid cell membranes with peptidoglycan inbetween (in periplasm)
- Outer membrane (OM) = barrier to cell wall + inner membrane (IM)
- Porin protein channels (in periplasm) = drugs can penetrate across OM to IM

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11
Q

What drugs are used to target synthesis of bacterial cell wall?

A
  1. Penicillin G
    - Deactivates transpeptidase (enzyme)
    - Has a B-lactam ring (square ring)
    - transpeptidase attacks ring + adds acyl group to drug
    - transpeptidase becomes inactive = cross linking in cell wall can’t occur = cell weakens + dies
    - Allergy to drug is common
    - Active against gram +ive and -ive (limited)
    - NOT orally active
  2. Ampicillin (semi-synthetic penicillin)
    - Has an e- withdrawing side chain (= acid resistance in stomach = orally active)
    - deactivates carbonyl (decrease its nucleophilicity)
    - Made from 3 a.acids
  3. Cephalosporins
    - Have B-lactam ring = targets transpeptidase
    - Less likely to cause allergic reactions
    - Good activity against gram -ive
  4. Vancomycins
    - Is a cyclic glycopeptide
    - Is very rigid
    - Separate peptidoglycan (dimer inserts between peptidoglycan)
    = peptides unable to crosslink = cell burst + dies
    - Used in gram +ive infections

B-lactamases:
- Inactivate drugs with B-lactam ring (i.e. penicillin, ampicillin)
- they open B-lactam ring + inactivate drug
- larger side chain groups (i.e. amoxycillin) prevent B-lactamase binding + inactivating drug

Side Chain Groups:
- Hydrophobic groups favour gram +ive bacteria
- Hydrophilic groups favour gram -ive

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12
Q

Explain how cell membrane is targeted

A
  • Controls flow of ions, drugs and substance into / out of cell
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13
Q

What drugs are used to target cell membrane?

A
  1. Gramicidin A
    Is a peptide
    - Forms helix (pore) in membrane
    - Allows uncontrolled flow of ions = cell dies (bursts)
    - Also targets HUMAN cells (= non-selective)
    - Only used topically
    - Active against gram +ive bacteria
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14
Q

List extraction methods of medicinal products

A

Removing Solvent:
1. Rotary Evaporation
- Use vacuum + heat to evaporate solvent
- Solvent condenses + collected in diff. flask
= Left with dry, fully isolated drug

  1. Lyophilisation
    - Freeze mixture till its solid
    - Apply vacuum to sublimate solid to gas
    - Keep dreaming water vapour away
    = Solid product let in flask
    • Used for vaccines, viruses, proteins etc.
  2. Fractional Distillation
    - Separates compound from mixture
    - Diff. fractions have diff. BP
  3. Crystallisation
    - Dissolve compound in solvent
    - Non-soluble = undissolved solid
    - Soluble = dissolved + can be crystallised using vacuum
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15
Q

List techniques for analysis and purification of drugs

A

Chromatography
1. Reverse phase silica gel
- non-polar interactions of analyte + stationary phase
- gel contain porous beads which capture small molecules only i.e. impurities
2. Normal phase silica
3. Ion exchange
- electrostatic interaction of analyte + stationary phase

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16
Q

How does chromatography work

A
  • Column filled with stationary phase
  • Mobile phase (w/ components) flows through stationary phase
  • Diff. components travel at diff. rates depending on affinity to stationary phase
  • Components are separated (i.e. drug + impurities) and collected for identification (by UV)
    • collected component = analyte
17
Q

List techniques for characterisation & purity of medicinal products

A
  1. Infra-red Spectroscopy
    - Can identify + confirm presence of certain functional groups
    - Deals with changes in vibration energy levels (stretching ~ strong and bending)
    -
  2. UV-visible Spectroscopy
    - when UV absorbed = e- promoted to higher energy levels (excited states)
    - states contain layers due to stretching / bending of chemical bonds (vibrational energy levels)
    Uses:
    - Identify drugs
    - compare spectra BUT can’t 100% confirm
    - Measure reactions
    - Measure quantity of drug
  3. Mass Spectrometry
    - Identifies and confirms drug + purity
    - Identifies unknown drug metabolites
    - Confirms presence of particular drug
    - Ionised molecules are identified according to their mass