Antibiotic Resistance & Drugs of Interest
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Questions and Answers

Which of the following polymixins is characterized by high systemic toxicity and topical application?

  • Bacitracin
  • Colistin
  • Polymyxin (correct)
  • Penicillin
  • What is the primary mode of action of amantadine?

  • Preventing the entry of virus via endocytosis
  • Inhibiting the release of viral genome
  • Preventing the budding of new virions
  • Inhibiting the M2 ion channel and raising the pH of endosome (correct)
  • Which of the following antibiotics is primarily used against multiresistant Staphylococci (MRSA) infections?

  • Colistin
  • Vancomycin (correct)
  • Polymyxin
  • Bacitracin
  • What is the main mode of action of oseltamivir (Tamiflu)?

    <p>Inhibiting the activity of viral neuraminidase enzyme</p> Signup and view all the answers

    What is the primary characteristic of viruses?

    <p>They are composed of DNA or RNA in a protein coat</p> Signup and view all the answers

    What is the name of the virus that is an example of an RNA virus?

    <p>HSV</p> Signup and view all the answers

    What is the primary mechanism of action of acyclovir, valomaciclovir, and valacyclovir?

    <p>Inhibition of viral DNA polymerase</p> Signup and view all the answers

    What is the common side effect of zidovudine (AZT) treatment?

    <p>Nausea, insomnia, bone marrow depression, and migraines</p> Signup and view all the answers

    Which immune cells are primarily infected by HIV?

    <p>CD4+ helper T lymphocytes</p> Signup and view all the answers

    What is the role of interferons in anti-viral therapy?

    <p>Induction of enzymes that inhibit viral mRNA translation</p> Signup and view all the answers

    What is the primary target of topical acyclovir application?

    <p>Herpes simplex and varicella zoster</p> Signup and view all the answers

    What is the mechanism of action of zidovudine (AZT) in HIV treatment?

    <p>Inhibition of viral reverse transcriptase</p> Signup and view all the answers

    What is the primary mechanism of action of Enfuvirtide in HIV treatment?

    <p>Prevention of fusion of viral capsid with plasma membrane</p> Signup and view all the answers

    Which of the following side effects is NOT associated with Enfuvirtide treatment?

    <p>Blood disorders</p> Signup and view all the answers

    What is the target of HIV treatment that prevents the conversion of RNA into cDNA?

    <p>Reverse transcriptase</p> Signup and view all the answers

    Which of the following HIV treatments disrupts new capsid assembly?

    <p>Protease inhibitors</p> Signup and view all the answers

    What is the primary mechanism of action of Abacavir in HIV treatment?

    <p>Inhibition of reverse transcriptase</p> Signup and view all the answers

    What is the primary mechanism of action of Efavirenz in HIV treatment?

    <p>Inhibition of reverse transcriptase</p> Signup and view all the answers

    What is the potential side effect of timpranavir?

    <p>GI disturbances</p> Signup and view all the answers

    Bacitracin is primarily used for treating deep tissue infections.

    <p>False</p> Signup and view all the answers

    All viruses are composed of DNA in a protein coat.

    <p>False</p> Signup and view all the answers

    Oseltamivir (Tamiflu) inhibits the activity of viral reverse transcriptase.

    <p>False</p> Signup and view all the answers

    Polymixins are absorbed by the GI tract when administered topically.

    <p>False</p> Signup and view all the answers

    Vancomycin is primarily used for treating superficial infections.

    <p>False</p> Signup and view all the answers

    Amantadine prevents the release of vRNA genome by inhibiting M2 ion channel.

    <p>True</p> Signup and view all the answers

    Valacyclovir is used to treat Epstein Barr-Virus through topical application.

    <p>False</p> Signup and view all the answers

    Ganciclovir is used to treat Herpes simplex/zoster through oral administration.

    <p>False</p> Signup and view all the answers

    Zidovudine (AZT) is a thymidine analogue that inhibits viral DNA polymerase.

    <p>False</p> Signup and view all the answers

    Interferons are used to inhibit viral DNA synthesis.

    <p>False</p> Signup and view all the answers

    CD4+ T lymphocytes are primarily infected by HIV due to the CXCR5/CD4 complex.

    <p>True</p> Signup and view all the answers

    HIV is a DNA virus that requires reverse transcription to integrate into the host genome.

    <p>False</p> Signup and view all the answers

    Enfurvitide prevents the conversion of RNA into cDNA.

    <p>False</p> Signup and view all the answers

    Abacavir is a non-nucleoside reverse transcriptase inhibitor.

    <p>False</p> Signup and view all the answers

    Efavirenz is used to prevent viral entry into the cell.

    <p>False</p> Signup and view all the answers

    HIV treatment targeting CXCR5/4 receptors prevents fusion of viral capsid with plasma membrane.

    <p>True</p> Signup and view all the answers

    Protease inhibition prevents the conversion of RNA into cDNA.

    <p>False</p> Signup and view all the answers

    Enfurvitide is used to prevent the integration of HIV genome into host genome.

    <p>False</p> Signup and view all the answers

    Timpranavir is a drug that is used to treat multiresistant Staphylococci (MRSA) infections.

    <p>False</p> Signup and view all the answers

    Study Notes

    Influenza Clinical Trial Drugs

    • Inhibition of DNA synthesis: acyclovir, valomaciclovir, and valacyclovir inhibit viral DNA polymerase.
    • Topical application (acyclovir) against herpes simplex/zoster, varicella zoster.
    • Oral administration (valaciclovir and ganciclovir) against Epstein-Barr virus.
    • Minimal side effects.

    HIV Treatment

    • Blocking entry: targeting cell surface receptors CXCR5/4, which is required for virus entry.
    • Preventing fusion of viral capsid with plasma membrane: e.g. enfurvitide.
    • SIDE EFFECTS: CNS, metabolic, and GI effects.
    • Preventing hostile take-over: preventing conversion of RNA into cDNA through inhibition of reverse transcriptase.
      • Examples: abacavir (nucleoside) or efavirenz (non-nucleoside).
      • SIDE EFFECTS: GI disturbances, musculoskeletal and dermatological effects, blood disorders, liver damage.
    • Inhibition of integration into host genome.
    • Preventing further transmission: disrupting new capsid assembly through protease inhibition.
      • Examples: tipranavir.
      • SIDE EFFECTS: GI disturbances, musculoskeletal and dermatological effects, blood disorders, liver damage.

    Anti-Viral Therapy

    • VIRUSES: originally described as ‘mobile genes’ consisting of DNA or RNA in a protein coat.
    • Examples: DNA virus (Herpes Simplex Virus - HSV), RNA virus (Human Immunodeficiency Virus - HIV).
    • Parasitic mode of action.
    • Preventing entry: preventing viral “uncoating” and release of vRNA genome.
      • Examples: amantadine.
    • Preventing budding of new virions: inhibiting activity of viral neuraminidase enzyme.
      • Examples: oseltamivir (Tamiflu).

    Antibiotic Resistance

    • POLYMIXINS: topical application, not absorbed by GI tract, high systemic toxicity.
    • BACITRACIN: topical application, mainly used for superficial infections.
    • VANCOMYCIN: oral and injection, bacteriocidal, main use is against multiresistant Staphylococci (MRSA) infection.
    • Antibiotic resistance is a major threat, comparable to climate change.
    • WHO Essential Medicines List.

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    Description

    Learn about Polymixins, Bacitracin, and Vancomycin, their applications, and uses in treating multiresistant infections. Understand the basics of antibiotic resistance and its implications.

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