Antibiotics Overview

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Questions and Answers

What is the primary function of antibiotics?

  • Promote bacterial growth
  • Enhance immune system responses
  • Increase metabolism in cells
  • Inhibit the growth of microorganisms (correct)

Bacteriostatic antibiotics can be used effectively in patients with poor immune systems.

False (B)

Name one type of bacteria that produces antibiotics.

Streptomyces

Antibiotics produced by fungi such as Penicillium include __________.

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

Match the types of antibiotics with their classification:

<p>Penicillins = Inhibit cell wall synthesis Tetracycline = Inhibit protein synthesis Polymyxin = Damage cell membrane Erythromycin = Inhibit growth and reproduction of bacteria</p> Signup and view all the answers

Which of the following antibiotics is known to act as a bactericidal?

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

The five main mechanisms of antibacterial action include inhibition of metabolic processes.

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

What enzyme do penicillins and cephalosporins inhibit to affect bacterial cell wall synthesis?

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

Which group of antibiotics is considered bactericidal?

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

Tetracyclines inhibit protein synthesis by disrupting codon-anticodon interactions.

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

Name one example of an aminoglycoside antibiotic.

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

Chloramphenicol is classified as a ____________ antibiotic.

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

Match the following antibiotics with their mechanism of action:

<p>Aminoglycosides = Interfere with protein production at the 30S ribosomal subunit Tetracyclines = Disrupt codon-anticodon interactions Chloramphenicol = Block peptide elongation at the 50S ribosomal subunit Macrolides = Block assembly of 50S subunits and peptide elongation</p> Signup and view all the answers

Which antibiotic binds to the 50S ribosome and is considered narrow spectrum?

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

Macrolides bind irreversibly to the 50S ribosomal subunit.

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

What is one of the key actions of aminoglycosides during protein synthesis inhibition?

<p>Causing misreading</p> Signup and view all the answers

What is the primary target of Vancomycin in bacteria?

<p>D-alanyl-D-alanine groups in peptidoglycan (D)</p> Signup and view all the answers

Cycloserine is effective against gram-negative bacteria.

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

What class of antibiotics causes disruption in bacterial cell wall synthesis?

<p>Bacteriocidal antibiotics</p> Signup and view all the answers

Polymyxin B and colistin are primarily used as _____ antibiotics.

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

Which of the following antibiotics is known to be toxic to kidneys?

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

Inhibitors of protein synthesis can lead to the death of bacterial organisms.

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

What are the two subunits of the bacterial ribosome that are targeted by protein synthesis inhibitors?

<p>30s and 50s subunits</p> Signup and view all the answers

Which of the following antibiotics inhibit protein synthesis at the 50S subunit?

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

Nitrofurantoin disrupts codon-anticodon interactions at the 30S subunit of ribosomes.

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

What is the primary action of sulfonamides in bacteria?

<p>Inhibit the synthesis of folic acid</p> Signup and view all the answers

Rifampin disrupts ______________ synthesis by blocking RNA polymerase.

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

Which of these is a common example of a fluoroquinolone?

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

Match the antibiotic to its mechanism of action:

<p>Nitrofurantoin = Disrupts codon-anticodon interactions Lincosamides = Inhibits initiation of peptide chain formation Fluoroquinolones = Inhibit DNA gyrases Rifampin = Blocks RNA synthesis</p> Signup and view all the answers

Bactericidal effects of sulfonamides require the presence of trimethoprim.

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

Broad-spectrum antimicrobial agents that include furazolidone and nitrofurazone are known as __________.

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

Flashcards

Antibiotic

A substance, often produced by microorganisms, that at low concentrations inhibits the growth of other microorganisms.

Antimicrobial agent

A chemical that kills or inhibits the growth of microorganisms.

Bactericidal antibiotic

A type of antibiotic that directly kills bacteria.

Bacteriostatic antibiotic

A type of antibiotic that prevents bacteria from multiplying.

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Peptidoglycan

A protective layer in bacterial cell walls made of chains of N-acetylmuramic acid (NAM) and N-acetylglucosamine (NAG).

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Autolysine

An enzyme that breaks down the cross-links in peptidoglycan, weakening the cell wall.

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Transpeptidase

An important bacterial enzyme that builds cross-links in peptidoglycan.

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Beta-lactam

A chemical group found in many antibiotics, including penicillin and cephalosporins.

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Aminoglycosides

A group of antibiotics that kill bacteria by interfering with protein production.

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Aminoglycoside binding

Aminoglycosides bind to the 16S rRNA site on the 30S subunit of the ribosome.

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Effect on protein synthesis

Aminoglycosides block translation by causing misreading or hindering translocation.

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Tetracyclines

A group of broad-spectrum antibiotics that inhibit bacterial growth by preventing protein synthesis.

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Tetracycline mechanism

Tetracyclines interfere with codon-anticodon interactions between tRNA and mRNA.

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Chloramphenicol

A broad-spectrum antibiotic that inhibits bacterial growth by blocking peptide elongation.

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Chloramphenicol binding

Chloramphenicol binds to the peptidyl transferase component of the 50S ribosome.

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Macrolides

A group of antibiotics that inhibit bacterial growth by blocking peptide elongation.

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How do penicillins work?

Penicillins target a crucial step in bacterial cell wall formation, preventing the formation of cross-links between peptidoglycan chains. This disruption weakens the bacterial cell wall, making it vulnerable and leading to the bacterial cell's demise.

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How does Vancomycin work?

Vancomycin directly targets and binds to D-Ala-D-Ala, a critical building block for peptidoglycans. This binding prevents the formation of new peptidoglycan units, effectively halting bacterial cell wall growth and leading to cell death.

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What is the mechanism of action of Cycloserine?

Cycloserine interferes with the synthesis of D-Ala-D-Ala, an essential ingredient for peptidoglycan construction. By blocking this early step in peptidoglycan creation, cycloserine disrupts the formation of new bacterial cell walls.

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How does Bacitracin work?

Bacitracin disrupts the transport of key components needed for bacterial cell wall formation. This disruption prevents the assembly of peptidoglycans, leading to cell wall instability and bacterial death.

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Explain the mechanism of action of cell membrane inhibitors like Polymixin B.

The bacterial cell membrane is a crucial barrier regulating the flow of substances in and out of the cell. Antibacterial agents like Polymixin B and Colistin directly attack the cell membrane, disrupting its integrity and causing leakage of essential cellular components, leading to cell death.

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How do antibiotics work by inhibiting protein synthesis?

Protein synthesis is fundamental for bacterial survival. Many antibacterial agents target the bacterial ribosomes, which are crucial for protein production. By binding to either the 30S or 50S ribosomal subunits, these agents interfere with protein synthesis, disrupting cellular processes and leading to cell death or growth inhibition.

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How do antibiotics target the bacterial ribosome?

Antibiotics that target protein synthesis often bind to specific ribosomal subunits, either the 30S or 50S subunit. This binding disrupts the normal function of the ribosome, preventing or altering protein production, ultimately leading to cell death or inhibition of bacterial growth.

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Azolides, Lincosamides, Ketolides, and Streptogramins

A group of antibiotics that inhibit protein synthesis by targeting the 50S subunit of the bacterial ribosome.

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Lincosamides

These antibiotics inhibit protein synthesis by interfering with the 50S subunit of the bacterial ribosome and also inhibit the initiation of peptide chain formation.

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Nitrofurantoin

This antibiotic inhibits protein synthesis by interfering with the 30S subunit of bacterial ribosomes.

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Sulfonamides

A broad-spectrum bacteriostatic antibiotic that inhibits folic acid synthesis, essential for bacterial growth.

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Fluoroquinolones

A group of antibacterial agents that inhibit DNA gyrase, an enzyme essential for DNA replication in bacteria.

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Rifampin

A broad-spectrum antibiotic that inhibits RNA synthesis by binding to the β subunit of bacterial RNA polymerase.

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Enteric forms

These antibiotics are designed to stay in the gastrointestinal tract. Some are absorbed and penetrate tissues.

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Systemic forms

These antibiotics are absorbed by the gastrointestinal tract and penetrate tissues.

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Study Notes

Antibiotics

  • Antibiotics are products produced by microorganisms or similar substances with a molecular weight between 250-5000 Dalton. They inhibit the growth of other microorganisms in low concentrations. Alternatively, they are chemical substances produced by diverse microorganisms, capable of inhibiting the growth of other microorganisms in small concentrations.
  • Antimicrobial agents are chemicals that kill or inhibit the growth of microorganisms.

Production of Antibiotics

  • The production of antibiotics has been widespread since the pioneering work of Florey and Chain in 1938.
  • Actinomycetes and Streptomyces produce about 80% of antibiotics, including streptomycin, tetracycline, and erythromycin.
  • Fungi like penicillin and cephalosporium produce ampicillin and cephalothin.
  • Bacillus Polymyxa produces polypeptides like polymyxin and colistin.

Actions of Antibiotics

  • Bactericidal: Kills bacteria, reducing the bacterial load.
  • Bacteriostatic: Inhibits the growth and reproduction of bacteria.
  • All antibiotics rely on the immune system to function properly. Bactericidal antibiotics are appropriate for individuals with compromised immunity. Bacteriostatic antibiotics require an intact immune system to effectively function.

Mechanisms of Antibacterial Action

  • Antibiotics act through five key mechanisms:
    • Inhibition of cell wall synthesis
    • Inhibition of the cell membrane
    • Inhibition of protein synthesis
    • Interference with metabolic processes
    • Inhibition of nucleic acid synthesis (DNA & RNA)

Inhibition of Cell Wall Synthesis

  • Bacterial cell walls consist of a peptidoglycan layer, which is a polymer of acetylmuramic acid (NAM) and N-acetylglucosamine (NAG).
  • Autolysine and transpeptidase (also known as penicillin-binding proteins or PBPs) are important enzymes involved in maintaining the cell wall.
  • Penicillins and cephalosporins inhibit transpeptidase, causing bacterial cell death.
  • Vancomycin stops peptidoglycan elongation, effective against several resistant infections of Staphylococcus aureus.
  • Cycloserine inhibits the formation of basic peptidoglycan subunits.
  • Bacitracin disrupts the bacterial cell wall, effective against gram-positive bacteria. Toxic to kidneys.

Inhibition of Cell Membrane

  • Cell membranes are essential for regulating the flow of substances into and out of cells.
  • Disruption of the cell membrane can lead to leakage of crucial molecules, ultimately leading to cell death.
  • Examples of antibiotics targeting the cell membrane include polymyxin B and colistin. Used topically to target bacterial cell membranes.

Inhibition of Protein Synthesis

  • Protein synthesis is crucial for bacterial survival. Inhibition of this process disrupts cellular metabolism and growth, leading to bacterial death or growth inhibition.
  • Aminoglycosides (gentamicin, neomycin, amikacin, tobramycin, and streptomycin) target the 30S ribosomal subunit.
  • Tetracyclines inhibit protein synthesis at the ribosome level by disrupting codon-anticodon interactions.
  • Chloramphenicol, Clindamycin, and Macrolides (erythromycin, clarithromycin, azithromycin), act on 50S ribosomal subunit.

Interference with Metabolic Processes

  • Sulfonamides inhibit the synthesis of folic acid, a necessary component for the growth of many bacteria
  • Most are designed to stay in the GI tract, and some are absorbed systemically to penetrate tissues.

Inhibition of Nucleic Acid Synthesis

  • Fluoroquinolones inhibit DNA gyrases. Fluoroquinolones (enrofloxacin, ciprofloxacin, orbifloxacin, difloxacin, marbofloxacin, and sarafloxacin) interfere with DNA supercoiling.
  • Rifampin disrupts RNA synthesis.

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