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Questions and Answers

What year was Prontosil first discovered as an effective treatment for streptococcal infections in mice?

  • 1932 (correct)
  • 1935
  • 1925
  • 1940
  • What is the primary reason sulfonamides have largely been replaced by antibiotics?

  • They only work in vitro and not in vivo.
  • Their use leads to rapid development of resistant strains. (correct)
  • They are too expensive to produce.
  • They are ineffective against gram-positive bacteria.
  • What active ingredient is released from the metabolic breakdown of Prontosil?

  • Sulfanilamide (correct)
  • Azo dye
  • Folate reductase
  • Prodrug
  • Who was awarded the Nobel Prize for their discovery of Prontosil?

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

    What characteristics does sulfanilamide possess as an antibacterial agent?

    <p>Acts as a prodrug. (A)</p> Signup and view all the answers

    What is the primary reason why sulfonamide resistance can be transferred between bacterial species?

    <p>It involves the transfer of an R factor. (A)</p> Signup and view all the answers

    Which of the following measures can help decrease the side effects associated with sulphanilamide usage?

    <p>Raising the pH of urine using oral NaHCO3. (C)</p> Signup and view all the answers

    What is the historical significance of sulfanilamides in antibacterial treatment?

    <p>They were the primary choice before the advent of penicillins. (A)</p> Signup and view all the answers

    What is the impact of urine pH on sulfonamide solubility?

    <p>A pH above the sulfonamide pKa increases their solubility. (B)</p> Signup and view all the answers

    Which of the following is a potential side effect of sulphanilamide treatment?

    <p>Formation of kidney crystals causing severe damage. (A)</p> Signup and view all the answers

    Flashcards

    Prontosil's discovery

    Prontosil, a red dye, was found to effectively treat streptococcal infections in mice in 1932.

    Sulfonamides' activity

    Sulfonamides work against both gram-positive and gram-negative bacteria.

    Prontosil's inactive nature in vitro

    Prontosil, though effective in treating infections in living organisms (in vivo), showed no antibacterial effect in lab tests.

    Sulfonamides' prodrug role

    Sulfonamides in their initial form (e.g. Prontosil) are inactive, but the body converts them into active compounds (e.g., sulfanilamide).

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    Sulfanilamide

    The active form of Prontosil in the body; the first synthetic antibacterial agent effective against various infections.

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    Sulfonamide Resistance Mechanism

    Resistance to sulfonamides spreads from resistant strains to sensitive ones through a transferable substance called an R factor.

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    Sulfonamide Solubility and pH

    Sulfonamides are poorly water-soluble at the typical acidic pH of urine (below 10.4). Increasing urine pH (with bicarbonate) increases solubility, preventing crystal formation.

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    Sulfonamide Side Effect

    Crystals of sulphonamide in the kidneys can lead to kidney damage.

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    Sulfonamide Application

    Sulfonamides were once important antibacterial drugs, but now are often superseded by penicillin .

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    Improving Sulfonamide Solubility

    Increasing urine flow (by drinking lots of water) and raising urine pH (oral bicarbonate) improve sulfonamide solubility, reducing side effects.

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    Study Notes

    Discovery of Sulfonamides

    • Sulfonamides are synthetic compounds active against gram-positive and gram-negative bacteria.
    • Initially synthesized as azo dyes in Germany, aiming to create antimicrobial dyes.
    • Gerhard Domagk (1895-1964) discovered the antibacterial effects of Prontosil, a precursor to sulfanilamide, winning a Nobel Prize in 1939.

    Folic Acid Inhibitors

    • Prontosil, initially, is inactive in vitro, but highly active in vivo.
    • Prontosil breaks down to release the active ingredient, sulfanilamide.
    • Sulfanilamide is a first synthetic antibacterial agent.
    • Sulfonamides are competitive inhibitors of dihydropteroate synthetase.
    • They inhibit the bacterial enzyme that produces folic acid.
    • This is crucial because bacteria, unlike humans, must synthesize folic acid for vital metabolic processes.

    Mechanism of Action

    • Sulfonamides resemble the structure of a substrate called para-aminobenzoic acid (PABA).
    • They compete with PABA for an enzyme’s active site.
    • Bacteria can't use the sulfonamide, instead it inhibits the bacterial enzyme which prevents bacteria from using folic acid.
    • Resistance can emerge by bacteria producing more PABA.

    Structure-Activity Relationships (SAR)

    • Aromatic rings are crucial for activity.
    • Changes in the structure of the aromatic rings and aromatic groups can affect the potency of the compound.
    • The para position on the aminobenzoic acid is critical.
    • Substituents in the para-position affect the compounds activity.
    • The group at the 4 position of the structure is critical for solubility and potency.
    • Sulfonamide nitrogen must be primary or secondary for activity.

    Prodrugs

    • Some sulfonamides are prodrugs, meaning they are inactive in their original form but are converted into active metabolites inside the body.
    • N-acetylation is a common metabolic step that increases the hydrophobic nature of some sulfonamide analogs.

    Side Effects

    • Sulfonamides can cause kidney damage as they form crystals in the urine.
    • To reduce side effects, patients should drink a lot of water, and the pH of the urine can be adjusted.

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