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 (C)</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 (D)</p> Signup and view all the answers

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

<p>HSV (D)</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 (B)</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 (D)</p> Signup and view all the answers

Which immune cells are primarily infected by HIV?

<p>CD4+ helper T lymphocytes (C)</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 (B)</p> Signup and view all the answers

What is the primary target of topical acyclovir application?

<p>Herpes simplex and varicella zoster (B)</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 (C)</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 (D)</p> Signup and view all the answers

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

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

Which of the following HIV treatments disrupts new capsid assembly?

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

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

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

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

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

What is the potential side effect of timpranavir?

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

Bacitracin is primarily used for treating deep tissue infections.

<p>False (B)</p> Signup and view all the answers

All viruses are composed of DNA in a protein coat.

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

Polymixins are absorbed by the GI tract when administered topically.

<p>False (B)</p> Signup and view all the answers

Vancomycin is primarily used for treating superficial infections.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

Interferons are used to inhibit viral DNA synthesis.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

Enfurvitide prevents the conversion of RNA into cDNA.

<p>False (B)</p> Signup and view all the answers

Abacavir is a non-nucleoside reverse transcriptase inhibitor.

<p>False (B)</p> Signup and view all the answers

Efavirenz is used to prevent viral entry into the cell.

<p>False (B)</p> Signup and view all the answers

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

<p>True (A)</p> Signup and view all the answers

Protease inhibition prevents the conversion of RNA into cDNA.

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</p> Signup and view all the answers

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

<p>False (B)</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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