Antibiotics: Mechanism and Resistance

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Questions and Answers

Which of the following mechanisms allows bacteria to withstand the effects of antibiotics?

  • Modifying their cytoplasmic membrane to enhance interaction with antibiotics.
  • Decreasing the production of peptidoglycan, strengthening the cell wall.
  • Introducing transport proteins to facilitate antibiotic entry into the cell.
  • Producing enzymes such as beta-lactamase to inactivate antibiotics. (correct)

Considering the mechanisms by which bacteria develop resistance, what is a potential consequence of the overuse of antibiotics?

  • A reduction in the active efflux of antibiotics from bacterial cells.
  • A decrease in bacterial mutation rates, leading to slower adaptation.
  • An accelerated evolution of resistance mechanisms in bacterial populations. (correct)
  • An increase in the effectiveness of antibiotics due to bacterial sensitization.

Which of the following cellular processes is NOT typically targeted by antibiotics to inhibit bacterial growth or survival?

  • Synthesis of peptidoglycan.
  • Translation.
  • Bacterial DNA replication
  • Modification of the host cell's DNA. (correct)

What is the most likely outcome of a bacterial mutation that alters the ribosomal subunit targeted by an antibiotic?

<p>Prevention of effective drug binding, leading to antibiotic resistance. (B)</p> Signup and view all the answers

If a new bacterial strain exhibits resistance to multiple antibiotics and carries genes for several efflux pumps, what is the most concerning implication for treatment?

<p>The strain may exhibit cross-resistance to structurally unrelated antibiotics. (C)</p> Signup and view all the answers

Which of the following strategies would be least effective in combating antibiotic resistance?

<p>Prescribing broad-spectrum antibiotics as a prophylactic measure for viral infections. (C)</p> Signup and view all the answers

If a drug inhibits nucleic acid replication by blocking topoisomerases, which function would be directly affected?

<p>Supercoiling of bacterial DNA which is essential for replication. (D)</p> Signup and view all the answers

Which mechanism of antibiotic resistance is exemplified by a bacterium that modifies its transport proteins to prevent antibiotic entry?

<p>Decreased membrane permeability, reducing antibiotic uptake. (B)</p> Signup and view all the answers

How do bacteria commonly develop resistance to antibiotics that target protein synthesis?

<p>Through mutations in ribosomal RNA or ribosomal proteins that reduce drug binding. (D)</p> Signup and view all the answers

What is the primary significance of the CDC's 2019 report on antibiotic-resistant threats?

<p>It provides an assessment of the current state of antibiotic resistance and its impact on public health. (C)</p> Signup and view all the answers

Flashcards

Antibiotics

Drugs that kill bacteria or suppress their activity, targeting cell wall components unique to bacteria.

How Antibiotics Work

Stopping bacterial growth or killing bacteria without harming the human host.

Antibiotic Modes of Action

Inhibiting peptidoglycan synthesis, altering cytoplasmic membranes, altering translation, or inhibiting nucleic acid replication

Mechanisms of Antibiotic Resistance

Bacteria develop mutations, inactivate drugs, or pump out antibiotics.

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Three Basic Mechanisms of Vector Resistance

Enzyme production to inactivate antibiotics, mutations at the target site, and alterations preventing antibiotic entry or promoting efflux.

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Multiple-Drug-Resistant Microbes

Resistant to multiple, but not necessarily all, antimicrobial agents; frequently develop in hospitals.

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Beta-Lactam Ring

A core structure present in penicillins.

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Aminoglycosides

A class of antibiotics that interfere with protein synthesis in bacteria.

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Study Notes

  • Antibiotics function by either halting bacterial growth or eradicating bacteria without damaging human host.
  • Most antibiotics target cell wall compositions unique to bacteria.
  • Antibacterial medications are key in suppressing or killing bacteria due to antibiotic resistance evolution, and the development of new antibiotics is critical.
  • Antibiotics work by:
    • Inhibiting peptidoglycan synthesis.
    • Altering the microbial cytoplasmic membrane.
    • Altering translation.
    • Inhibiting nucleic acid replication by blocking topoisomerases which are essential for supercoiling, bacterial DNA replication, and separation of circular bacterial DNA or inhibiting transcription.
  • There is an urgent need for new strategies to develop effective antibiotic drugs to overcome widespread and growing antibiotic resistance.
  • Bacterial pathogens develop resistance to existing drugs, especially after excessive antibiotic use.
  • Bacteria develop mutations which increase the ability of the bacterium to withstand the specific antibiotic mode of action.
  • Some bacteria inactivate the drug and develop a pump mechanism to remove the antibiotic from the cell.
  • Over 2.8 million antibiotic resistant infections occur in the US each year.
  • More than 35,000 people die each year as a result of antibiotic resistant infections.
  • The CDC's 2019 report details antibiotic resistant threats.
  • Three basic mechanisms of vector resistance:
    • Production of an enzyme to inactivate antibiotic such as beta lactamase to hydrolase penicillin.
    • Mutations and the target site receptor of the enzyme, where the ribosomal subunit that leads to ineffective drug binding.
    • Alteration in transport proteins to prevent antibiotic entry or promote active efflux from the cell.
  • Multiple-drug-resistant microbes frequently develop in hospitals.
  • Penicillin is most closely associated with a beta-lactam ring.
  • Aminoglycosides act against protein synthesis.

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