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Questions and Answers
What are the key targets in ribosomal RNA function?
What are the key targets in ribosomal RNA function?
What is the primary function of the 30S subunit in bacterial protein synthesis?
What is the primary function of the 30S subunit in bacterial protein synthesis?
What is the primary function of the 50S subunit in bacterial protein synthesis?
What is the primary function of the 50S subunit in bacterial protein synthesis?
What is unique about Chloramphenicol as compared to other antibacterial agents?
What is unique about Chloramphenicol as compared to other antibacterial agents?
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What is the mechanism of action of Fluoroquinolones?
What is the mechanism of action of Fluoroquinolones?
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What is the key structural component of Fluoroquinolones?
What is the key structural component of Fluoroquinolones?
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What is the role of Topoisomerase II (DNA gyrase) in bacterial cells?
What is the role of Topoisomerase II (DNA gyrase) in bacterial cells?
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What is the result of inhibiting Topoisomerase II (DNA gyrase) in bacterial cells?
What is the result of inhibiting Topoisomerase II (DNA gyrase) in bacterial cells?
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What is the primary function of ATP in the process of DNA segment joining?
What is the primary function of ATP in the process of DNA segment joining?
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What is the primary mechanism of resistance to folic acid antagonists in bacteria?
What is the primary mechanism of resistance to folic acid antagonists in bacteria?
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What is the effect of PABA analogues on folic acid formation in bacteria?
What is the effect of PABA analogues on folic acid formation in bacteria?
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What is the primary difference between the mechanism of action of PABA analogues and folate analogues?
What is the primary difference between the mechanism of action of PABA analogues and folate analogues?
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What is the result of the second DNA segment passing through the enzyme?
What is the result of the second DNA segment passing through the enzyme?
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What is the general effect of chromosomal mutations in the genes that encode one or both enzymes on antibiotic resistance?
What is the general effect of chromosomal mutations in the genes that encode one or both enzymes on antibiotic resistance?
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In bacterial protein synthesis, which site contains the growing peptide chain?
In bacterial protein synthesis, which site contains the growing peptide chain?
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Which antibacterial agent is an exception in terms of having activity against protozoa and parasites?
Which antibacterial agent is an exception in terms of having activity against protozoa and parasites?
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What is the result of inhibiting Topoisomerase IV in bacterial cells?
What is the result of inhibiting Topoisomerase IV in bacterial cells?
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What is the mechanism of action of Fluoroquinolones in terms of DNA synthesis?
What is the mechanism of action of Fluoroquinolones in terms of DNA synthesis?
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What is unique about the mechanism of action of Fluoroquinolones compared to other antibacterial agents?
What is unique about the mechanism of action of Fluoroquinolones compared to other antibacterial agents?
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What is the role of Topoisomerase II (DNA gyrase) in bacterial cells?
What is the role of Topoisomerase II (DNA gyrase) in bacterial cells?
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What is the general effect of inhibiting bacterial protein synthesis?
What is the general effect of inhibiting bacterial protein synthesis?
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What is the common feature among most antibacterial agents that target ribosomal RNA function?
What is the common feature among most antibacterial agents that target ribosomal RNA function?
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What is the consequence of the second DNA segment passing through the enzyme?
What is the consequence of the second DNA segment passing through the enzyme?
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Which alteration leads to antibiotic resistance in bacteria?
Which alteration leads to antibiotic resistance in bacteria?
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What is the target of Folate analogues in bacterial cells?
What is the target of Folate analogues in bacterial cells?
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What is the result of PABA analogues on folic acid formation in bacterial cells?
What is the result of PABA analogues on folic acid formation in bacterial cells?
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What is the mechanism of action of Sulfonamides?
What is the mechanism of action of Sulfonamides?
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What is the consequence of enzyme cutting both strands of the first DNA segment?
What is the consequence of enzyme cutting both strands of the first DNA segment?
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What is the role of ATP in the process of DNA segment joining?
What is the role of ATP in the process of DNA segment joining?
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Which type of mutation can lead to antibiotic resistance in bacteria?
Which type of mutation can lead to antibiotic resistance in bacteria?
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How do PABA analogues prevent folic acid formation in bacteria?
How do PABA analogues prevent folic acid formation in bacteria?
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What is the effect of the second DNA segment passing through the enzyme?
What is the effect of the second DNA segment passing through the enzyme?
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How do Folate analogues prevent the conversion of dihydrofolate to tetrahydrofolate?
How do Folate analogues prevent the conversion of dihydrofolate to tetrahydrofolate?
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What is the general effect of alterating the expression of membrane porins on antibiotic resistance?
What is the general effect of alterating the expression of membrane porins on antibiotic resistance?
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Which subunit is responsible for decoding of mRNA in bacterial protein synthesis?
Which subunit is responsible for decoding of mRNA in bacterial protein synthesis?
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What is the primary role of Topoisomerase IV in bacterial cells?
What is the primary role of Topoisomerase IV in bacterial cells?
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What is the result of complete inhibition of protein synthesis in bacteria?
What is the result of complete inhibition of protein synthesis in bacteria?
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What is the key difference between Fluoroquinolones and other antibacterial agents?
What is the key difference between Fluoroquinolones and other antibacterial agents?
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Which antibacterial agent has activity against both bacteria and protozoa?
Which antibacterial agent has activity against both bacteria and protozoa?
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What is the result of inhibition of DNA gyrase in bacterial cells?
What is the result of inhibition of DNA gyrase in bacterial cells?
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What is the mechanism by which Fluoroquinolones inhibit DNA synthesis?
What is the mechanism by which Fluoroquinolones inhibit DNA synthesis?
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What is the general effect of inhibiting bacterial protein synthesis?
What is the general effect of inhibiting bacterial protein synthesis?
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What is the role of ATP in the process of DNA segment joining?
What is the role of ATP in the process of DNA segment joining?
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What is the mechanism of action of PABA analogues?
What is the mechanism of action of PABA analogues?
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What is a mechanism of resistance to Folic Acid Antagonists?
What is a mechanism of resistance to Folic Acid Antagonists?
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What is the effect of the second DNA segment passing through the enzyme?
What is the effect of the second DNA segment passing through the enzyme?
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What is the target of Folate analogues?
What is the target of Folate analogues?
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What is a mechanism of resistance to antibiotics?
What is a mechanism of resistance to antibiotics?
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What is the primary function of the 50S ribosomal subunit in bacterial protein synthesis?
What is the primary function of the 50S ribosomal subunit in bacterial protein synthesis?
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Which of the following antibacterial agents has activity against both bacteria and protozoa?
Which of the following antibacterial agents has activity against both bacteria and protozoa?
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What is the result of inhibition of Topoisomerase II (DNA gyrase) in bacterial cells?
What is the result of inhibition of Topoisomerase II (DNA gyrase) in bacterial cells?
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What is the primary mechanism of action of Fluoroquinolones?
What is the primary mechanism of action of Fluoroquinolones?
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What is the common feature among most antibacterial agents that target ribosomal RNA function?
What is the common feature among most antibacterial agents that target ribosomal RNA function?
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What is the result of complete inhibition of protein synthesis in bacteria?
What is the result of complete inhibition of protein synthesis in bacteria?
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What is the key difference between Fluoroquinolones and other antibacterial agents?
What is the key difference between Fluoroquinolones and other antibacterial agents?
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Which of the following is a characteristic of Fluoroquinolones?
Which of the following is a characteristic of Fluoroquinolones?
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What is the primary function of the ribosomal RNA in bacterial protein synthesis?
What is the primary function of the ribosomal RNA in bacterial protein synthesis?
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What is the role of the P site in bacterial protein synthesis?
What is the role of the P site in bacterial protein synthesis?
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What is the role of the 30S subunit in bacterial protein synthesis?
What is the role of the 30S subunit in bacterial protein synthesis?
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What is the function of the A site in bacterial protein synthesis?
What is the function of the A site in bacterial protein synthesis?
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What is the role of the 50S subunit in bacterial protein synthesis?
What is the role of the 50S subunit in bacterial protein synthesis?
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What is the primary function of the ribosomal RNA in bacterial protein synthesis?
What is the primary function of the ribosomal RNA in bacterial protein synthesis?
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What is the function of the P site in bacterial protein synthesis?
What is the function of the P site in bacterial protein synthesis?
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What is the function of the A site in bacterial protein synthesis?
What is the function of the A site in bacterial protein synthesis?
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What is the result of the interaction between the 30S and 50S subunits in bacterial protein synthesis?
What is the result of the interaction between the 30S and 50S subunits in bacterial protein synthesis?
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What is the role of the 30S subunit in bacterial protein synthesis?
What is the role of the 30S subunit in bacterial protein synthesis?
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Which antibacterial agent is an exception in terms of having activity against protozoa and parasites?
Which antibacterial agent is an exception in terms of having activity against protozoa and parasites?
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What is the effect of complete inhibition of protein synthesis in bacteria?
What is the effect of complete inhibition of protein synthesis in bacteria?
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What is a common characteristic of most antibacterial agents that target ribosomal RNA function?
What is a common characteristic of most antibacterial agents that target ribosomal RNA function?
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What is the primary mechanism of action of antibacterial agents that target ribosomal RNA function?
What is the primary mechanism of action of antibacterial agents that target ribosomal RNA function?
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Which type of antibacterial agent is an exception in terms of being bactericidal?
Which type of antibacterial agent is an exception in terms of being bactericidal?
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What is the significance of the fluorine at position 6 in the quinolone structure of Fluoroquinolones?
What is the significance of the fluorine at position 6 in the quinolone structure of Fluoroquinolones?
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What type of structural changes can occur in Fluoroquinolones at positions 1, 5, 7, and 8?
What type of structural changes can occur in Fluoroquinolones at positions 1, 5, 7, and 8?
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What is the consequence of altering the quinolone structure of Fluoroquinolones?
What is the consequence of altering the quinolone structure of Fluoroquinolones?
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What is the role of the quinolone structure in the mechanism of action of Fluoroquinolones?
What is the role of the quinolone structure in the mechanism of action of Fluoroquinolones?
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How do changes in the quinolone structure of Fluoroquinolones affect their antibacterial activity?
How do changes in the quinolone structure of Fluoroquinolones affect their antibacterial activity?
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What is unique about the quinolone structure of Fluoroquinolones?
What is unique about the quinolone structure of Fluoroquinolones?
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What structural changes can occur at which positions in Fluoroquinolones?
What structural changes can occur at which positions in Fluoroquinolones?
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What is the significance of the quinolone structure of Fluoroquinolones?
What is the significance of the quinolone structure of Fluoroquinolones?
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What is the effect of structural changes at positions 1, 5, 7, and 8 in Fluoroquinolones?
What is the effect of structural changes at positions 1, 5, 7, and 8 in Fluoroquinolones?
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What is the relationship between the quinolone structure and the antibacterial activity of Fluoroquinolones?
What is the relationship between the quinolone structure and the antibacterial activity of Fluoroquinolones?
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What is the effect of inhibiting DNA synthesis on the DNA's primary sequence?
What is the effect of inhibiting DNA synthesis on the DNA's primary sequence?
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What is the result of inhibiting DNA synthesis on the DNA's configuration?
What is the result of inhibiting DNA synthesis on the DNA's configuration?
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What is the primary mechanism of action of antibacterial agents that inhibit DNA synthesis?
What is the primary mechanism of action of antibacterial agents that inhibit DNA synthesis?
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What is the consequence of inhibiting DNA synthesis on bacterial growth?
What is the consequence of inhibiting DNA synthesis on bacterial growth?
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What is the target of antibacterial agents that inhibit DNA synthesis?
What is the target of antibacterial agents that inhibit DNA synthesis?
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What is the effect of the inhibition of DNA synthesis on the DNA's primary sequence?
What is the effect of the inhibition of DNA synthesis on the DNA's primary sequence?
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How does the inhibition of DNA synthesis affect the DNA's configuration?
How does the inhibition of DNA synthesis affect the DNA's configuration?
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What is the result of altering the DNA's primary sequence?
What is the result of altering the DNA's primary sequence?
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What is the mechanism of action of DNA synthesis inhibitors?
What is the mechanism of action of DNA synthesis inhibitors?
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What is the effect of changing the DNA's configuration on DNA synthesis?
What is the effect of changing the DNA's configuration on DNA synthesis?
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In Gram-negative bacteria, Topoisomerase II (DNA gyrase) is responsible for:
In Gram-negative bacteria, Topoisomerase II (DNA gyrase) is responsible for:
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What is the result of inhibiting Topoisomerase II (DNA gyrase) in bacterial cells?
What is the result of inhibiting Topoisomerase II (DNA gyrase) in bacterial cells?
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Which of the following is a target site for antibacterial agents?
Which of the following is a target site for antibacterial agents?
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Topoisomerase II (DNA gyrase) is essential for:
Topoisomerase II (DNA gyrase) is essential for:
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What is the consequence of Topoisomerase II (DNA gyrase) inhibition in Gram-negative bacteria?
What is the consequence of Topoisomerase II (DNA gyrase) inhibition in Gram-negative bacteria?
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What is the role of Topoisomerase IV in Gram positive bacteria?
What is the role of Topoisomerase IV in Gram positive bacteria?
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What happens when Topoisomerase IV is inhibited in Gram positive bacteria?
What happens when Topoisomerase IV is inhibited in Gram positive bacteria?
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What is the effect of Topoisomerase IV on DNA in Gram positive bacteria?
What is the effect of Topoisomerase IV on DNA in Gram positive bacteria?
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What is the role of Topoisomerase IV in cell division?
What is the role of Topoisomerase IV in cell division?
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What is the result of Topoisomerase IV inhibition in Gram positive bacteria?
What is the result of Topoisomerase IV inhibition in Gram positive bacteria?
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What is the primary function of Topoisomerase IV in Gram positive bacteria?
What is the primary function of Topoisomerase IV in Gram positive bacteria?
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What is the consequence of inhibiting Topoisomerase IV in Gram positive bacteria?
What is the consequence of inhibiting Topoisomerase IV in Gram positive bacteria?
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In which type of bacteria does Topoisomerase IV play a crucial role in cell division?
In which type of bacteria does Topoisomerase IV play a crucial role in cell division?
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What is the role of Topoisomerase IV in the process of DNA replication?
What is the role of Topoisomerase IV in the process of DNA replication?
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What would be the result of Topoisomerase IV inhibition in terms of bacterial growth?
What would be the result of Topoisomerase IV inhibition in terms of bacterial growth?
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What is the purpose of the conformational change in the enzyme during the DNA gyrase process?
What is the purpose of the conformational change in the enzyme during the DNA gyrase process?
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What is required for the 'locking' of the second DNA segment in place?
What is required for the 'locking' of the second DNA segment in place?
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What is the net result of one cycle of the DNA gyrase process?
What is the net result of one cycle of the DNA gyrase process?
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What happens to the first DNA segment after it is cut by the enzyme?
What happens to the first DNA segment after it is cut by the enzyme?
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What is the role of the enzyme in the DNA gyrase process?
What is the role of the enzyme in the DNA gyrase process?
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What is the function of ATP in the DNA gyrase process?
What is the function of ATP in the DNA gyrase process?
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What happens to the first DNA segment after the enzyme cuts both strands?
What happens to the first DNA segment after the enzyme cuts both strands?
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What is the result of the second DNA segment passing through the enzyme?
What is the result of the second DNA segment passing through the enzyme?
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What is the role of the enzyme in the DNA gyrase process?
What is the role of the enzyme in the DNA gyrase process?
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What is the order of the DNA gyrase process?
What is the order of the DNA gyrase process?
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Which mechanism of resistance in bacteria involves changes in the genes that encode enzymes?
Which mechanism of resistance in bacteria involves changes in the genes that encode enzymes?
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What is the result of the alteration in the expression of membrane porins in bacteria?
What is the result of the alteration in the expression of membrane porins in bacteria?
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What is the effect of altering efflux pumps in bacteria?
What is the effect of altering efflux pumps in bacteria?
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What is the general effect of chromosomal mutations in the genes that encode one or both enzymes?
What is the general effect of chromosomal mutations in the genes that encode one or both enzymes?
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What is the general effect of alteration in the expression of membrane porins?
What is the general effect of alteration in the expression of membrane porins?
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What is a mechanism of resistance to antibiotics that involves a genetic change?
What is a mechanism of resistance to antibiotics that involves a genetic change?
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Which mechanism of resistance can confer cross-resistance to a class of antibiotics?
Which mechanism of resistance can confer cross-resistance to a class of antibiotics?
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What is the result of an alteration in the expression of membrane porins?
What is the result of an alteration in the expression of membrane porins?
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What is a mechanism of antibiotic resistance that involves the active transport of antibiotics out of the bacterial cell?
What is a mechanism of antibiotic resistance that involves the active transport of antibiotics out of the bacterial cell?
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What is the consequence of chromosomal mutations in the genes that encode one or both enzymes involved in antibiotic resistance?
What is the consequence of chromosomal mutations in the genes that encode one or both enzymes involved in antibiotic resistance?
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What is the primary target of PABA analogues in bacterial cells?
What is the primary target of PABA analogues in bacterial cells?
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How do Folate analogues prevent the conversion of dihydrofolate to tetrahydrofolate?
How do Folate analogues prevent the conversion of dihydrofolate to tetrahydrofolate?
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What is the mechanism of action of PABA analogues?
What is the mechanism of action of PABA analogues?
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What is the result of the inhibition of dihydropteroate synthetase by PABA analogues?
What is the result of the inhibition of dihydropteroate synthetase by PABA analogues?
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What is the key difference between the mechanism of action of PABA analogues and Folate analogues?
What is the key difference between the mechanism of action of PABA analogues and Folate analogues?
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Which of the following mechanisms of resistance to sulfonamides involves the modification of an enzyme?
Which of the following mechanisms of resistance to sulfonamides involves the modification of an enzyme?
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What is the result of enhanced production of PABA in bacteria?
What is the result of enhanced production of PABA in bacteria?
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Which of the following mechanisms of resistance to sulfonamides involves the increased production of an enzyme?
Which of the following mechanisms of resistance to sulfonamides involves the increased production of an enzyme?
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What is the result of plasmid transfer or random mutations in bacteria?
What is the result of plasmid transfer or random mutations in bacteria?
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Which of the following mechanisms of resistance to sulfonamides involves the reduction of the permeability of the bacterial cell membrane?
Which of the following mechanisms of resistance to sulfonamides involves the reduction of the permeability of the bacterial cell membrane?
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What is a mechanism of resistance to sulfonamide antibiotics in bacteria?
What is a mechanism of resistance to sulfonamide antibiotics in bacteria?
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How do bacteria develop resistance to folic acid antagonists?
How do bacteria develop resistance to folic acid antagonists?
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What is the effect of plasmid transfer or random mutations on bacterial resistance to antibiotics?
What is the effect of plasmid transfer or random mutations on bacterial resistance to antibiotics?
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What is the mechanism of resistance to sulfonamide antibiotics that involves altered enzyme activity?
What is the mechanism of resistance to sulfonamide antibiotics that involves altered enzyme activity?
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Which of the following mechanisms of resistance to antibiotics is specific to sulfonamide antibiotics?
Which of the following mechanisms of resistance to antibiotics is specific to sulfonamide antibiotics?
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What is a mechanism of resistance to sulfonamide antibiotics?
What is a mechanism of resistance to sulfonamide antibiotics?
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How do bacteria develop resistance to folic acid antagonists?
How do bacteria develop resistance to folic acid antagonists?
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What is a mechanism of sulfonamide resistance in bacteria?
What is a mechanism of sulfonamide resistance in bacteria?
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How do PABA analogues prevent folic acid formation in bacteria?
How do PABA analogues prevent folic acid formation in bacteria?
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What is a mechanism of resistance to sulfonamide antibiotics in bacteria?
What is a mechanism of resistance to sulfonamide antibiotics in bacteria?
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What is a mechanism of resistance to Folic Acid Antagonists in bacteria?
What is a mechanism of resistance to Folic Acid Antagonists in bacteria?
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How do bacteria resist the effects of sulfonamides?
How do bacteria resist the effects of sulfonamides?
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What is the result of plasmid transfer or random mutations in bacteria?
What is the result of plasmid transfer or random mutations in bacteria?
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What is another mechanism of resistance to folic acid antagonists in bacteria?
What is another mechanism of resistance to folic acid antagonists in bacteria?
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What is the role of PABA in folic acid synthesis?
What is the role of PABA in folic acid synthesis?
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Study Notes
Ribosomal RNA Function
- 30S and 50S ribosomal subunits are key targets
- 30S subunit is involved in decoding of mRNA
- 50S subunit is involved in linking amino acids together
- Both subunits are involved in translocating the translation machine
Mechanism of Action
- Bacterial protein synthesis is the target
- Two sites involved: P site (peptidyl) and A site (aminoacyl)
- Most agents target either 50S or 30S subunits and are selective to bacteria
- Exceptions: Chloramphenicol has activity against protozoan parasites
- Inhibiting organellar protein synthesis
- Complete inhibition of protein synthesis is not necessary to kill bacteria
- Most agents are bacteriostatic, except Aminoglycosides
Mechanisms of Resistance
- Unique to each class of agents
- No specific details provided
Fluoroquinolones
- Quinolone structure with fluorine at position 6
- Structural changes at positions 1, 5, 7, and 8
- Inhibit DNA synthesis by changing DNA configuration, not primary sequence
- Targets topoisomerase II (DNA gyrase) and topoisomerase IV
- Topoisomerase II: relaxes supercoiled DNA in Gram-negative bacteria
- Topoisomerase IV: involved in cell division in Gram-positive bacteria
- Normal process: conformational change, ATP required, DNA segment "locked", and religated
Mechanisms of Resistance to Fluoroquinolones
- Chromosomal mutations in genes encoding topoisomerase II or IV
- Alterations in membrane porins
- Alterations in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Targets PABA analogues and folate analogues
- PABA analogues (Sulfonamides) competitively inhibit Dihydropteroate synthetase
- Folate analogues competitively inhibit dihydrofolate reductase
- Prevents folic acid formation and conversion to active coenzyme form
Mechanisms of Resistance to Folic Acid Antagonists
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Ribosomal RNA Function
- 30S and 50S ribosomal subunits are key targets
- 30S subunit is involved in decoding of mRNA
- 50S subunit is involved in linking amino acids together
- Both subunits are involved in translocating the translation machine
Mechanism of Action
- Bacterial protein synthesis is the target
- Two sites involved: P site (peptidyl) and A site (aminoacyl)
- Most agents target either 50S or 30S subunits and are selective to bacteria
- Exceptions: Chloramphenicol has activity against protozoan parasites
- Inhibiting organellar protein synthesis
- Complete inhibition of protein synthesis is not necessary to kill bacteria
- Most agents are bacteriostatic, except Aminoglycosides
Mechanisms of Resistance
- Unique to each class of agents
- No specific details provided
Fluoroquinolones
- Quinolone structure with fluorine at position 6
- Structural changes at positions 1, 5, 7, and 8
- Inhibit DNA synthesis by changing DNA configuration, not primary sequence
- Targets topoisomerase II (DNA gyrase) and topoisomerase IV
- Topoisomerase II: relaxes supercoiled DNA in Gram-negative bacteria
- Topoisomerase IV: involved in cell division in Gram-positive bacteria
- Normal process: conformational change, ATP required, DNA segment "locked", and religated
Mechanisms of Resistance to Fluoroquinolones
- Chromosomal mutations in genes encoding topoisomerase II or IV
- Alterations in membrane porins
- Alterations in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Targets PABA analogues and folate analogues
- PABA analogues (Sulfonamides) competitively inhibit Dihydropteroate synthetase
- Folate analogues competitively inhibit dihydrofolate reductase
- Prevents folic acid formation and conversion to active coenzyme form
Mechanisms of Resistance to Folic Acid Antagonists
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Ribosomal RNA Function
- 30S and 50S ribosomal subunits are key targets
- 30S subunit is involved in decoding of mRNA
- 50S subunit is involved in linking amino acids together
- Both subunits are involved in translocating the translation machine
Mechanism of Action
- Bacterial protein synthesis is the target
- Two sites involved: P site (peptidyl) and A site (aminoacyl)
- Most agents target either 50S or 30S subunits and are selective to bacteria
- Exceptions: Chloramphenicol has activity against protozoan parasites
- Inhibiting organellar protein synthesis
- Complete inhibition of protein synthesis is not necessary to kill bacteria
- Most agents are bacteriostatic, except Aminoglycosides
Mechanisms of Resistance
- Unique to each class of agents
- No specific details provided
Fluoroquinolones
- Quinolone structure with fluorine at position 6
- Structural changes at positions 1, 5, 7, and 8
- Inhibit DNA synthesis by changing DNA configuration, not primary sequence
- Targets topoisomerase II (DNA gyrase) and topoisomerase IV
- Topoisomerase II: relaxes supercoiled DNA in Gram-negative bacteria
- Topoisomerase IV: involved in cell division in Gram-positive bacteria
- Normal process: conformational change, ATP required, DNA segment "locked", and religated
Mechanisms of Resistance to Fluoroquinolones
- Chromosomal mutations in genes encoding topoisomerase II or IV
- Alterations in membrane porins
- Alterations in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Targets PABA analogues and folate analogues
- PABA analogues (Sulfonamides) competitively inhibit Dihydropteroate synthetase
- Folate analogues competitively inhibit dihydrofolate reductase
- Prevents folic acid formation and conversion to active coenzyme form
Mechanisms of Resistance to Folic Acid Antagonists
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Ribosomal RNA Function
- 30S and 50S ribosomal subunits are key targets
- 30S subunit is involved in decoding of mRNA
- 50S subunit is involved in linking amino acids together
- Both subunits are involved in translocating the translation machine
Mechanism of Action
- Bacterial protein synthesis is the target
- Two sites involved: P site (peptidyl) and A site (aminoacyl)
- Most agents target either 50S or 30S subunits and are selective to bacteria
- Exceptions: Chloramphenicol has activity against protozoan parasites
- Inhibiting organellar protein synthesis
- Complete inhibition of protein synthesis is not necessary to kill bacteria
- Most agents are bacteriostatic, except Aminoglycosides
Mechanisms of Resistance
- Unique to each class of agents
- No specific details provided
Fluoroquinolones
- Quinolone structure with fluorine at position 6
- Structural changes at positions 1, 5, 7, and 8
- Inhibit DNA synthesis by changing DNA configuration, not primary sequence
- Targets topoisomerase II (DNA gyrase) and topoisomerase IV
- Topoisomerase II: relaxes supercoiled DNA in Gram-negative bacteria
- Topoisomerase IV: involved in cell division in Gram-positive bacteria
- Normal process: conformational change, ATP required, DNA segment "locked", and religated
Mechanisms of Resistance to Fluoroquinolones
- Chromosomal mutations in genes encoding topoisomerase II or IV
- Alterations in membrane porins
- Alterations in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Targets PABA analogues and folate analogues
- PABA analogues (Sulfonamides) competitively inhibit Dihydropteroate synthetase
- Folate analogues competitively inhibit dihydrofolate reductase
- Prevents folic acid formation and conversion to active coenzyme form
Mechanisms of Resistance to Folic Acid Antagonists
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Mechanism of Action
- Bacterial protein synthesis involves Ribosomal RNA (rRNA) that differs from other organisms.
- The 30S subunit is responsible for decoding mRNA.
- The 50S subunit links together amino acids to form a peptide chain.
- Both subunits (30S and 50S) are involved in translocating the translation machine.
- The ribosome has two sites: P “peptidyl” site and A “aminoacyl” site.
- The P “peptidyl” site contains the growing peptide chain.
- The A “aminoacyl” site binds incoming tRNA containing amino acids.
Mechanism of Action
- Bacterial protein synthesis involves Ribosomal RNA (rRNA) that differs from other organisms.
- The 30S subunit is responsible for decoding mRNA.
- The 50S subunit links together amino acids to form a peptide chain.
- Both subunits (30S and 50S) are involved in translocating the translation machine.
- The ribosome has two sites: P “peptidyl” site and A “aminoacyl” site.
- The P “peptidyl” site contains the growing peptide chain.
- The A “aminoacyl” site binds incoming tRNA containing amino acids.
Sites of Action
- Antibiotics target either 50S or 30S ribosomal subunits
- Most antibiotics are selective to bacteria, but not chloramphenicol
- Some antibiotics also show activity against protozoan and parasites
Mechanism of Action
- Antibiotics inhibit organellar protein synthesis
- Complete inhibition of protein synthesis does not kill bacteria
- Most antibiotics are bacteriostatic, except for aminoglycosides
Quinolone Structure and Mechanism of Action
- Quinolone structure features a fluorine atom at position 6
- Structural modifications occur at positions 1, 5, 7, and 8
Quinolone Structure and Mechanism of Action
- Quinolone structure features a fluorine atom at position 6
- Structural modifications occur at positions 1, 5, 7, and 8
Bacterial Protein Synthesis
- Provides the machinery for:
- Decoding of mRNA (30S)
- Linking together of the amino acids (50S)
- Translocating of the translation machine (both subunits)
- Two sites:
- P "peptidyl" site – contains the growing peptide chain
- A "aminoacyl" site – binds incoming tRNA containing amino acids
- Sites of action:
- Most target either 50S or 30S
- Most are selective to bacteria
- Exception: Chloramphenicol, also has activity against protozoan, parasites
- Inhibits organellar protein synthesis
- Complete inhibition of protein synthesis will not kill bacteria
- Most agents are bacteriostatic, except for Aminoglycosides
Fluoroquinolones
- Structure and Mechanism of action:
- Bactericidal, Concentration-Dependent Killing, Post-antibiotic Effect
- Key structural components:
- Quinolone structure - Fluorine at position 6
- Structural changes at 1, 5, 7, and 8 positions
- Mechanism of action:
- Inhibition of DNA synthesis
- Change the configuration of the DNA
- Do not change the DNA’s primary sequence
- Sites of action:
- Topoisomerase II (DNA gyrase)
- Gram negatives, allows relaxation of supercoiled DNA
- Inhibition results in supercoiling, preventing DNA replication
- Topoisomerase IV – Role in cell division
- Gram positives, allows for decatenation of replicated DNA
- Inhibition prevents DNA replication
- Topoisomerase II (DNA gyrase)
- Mechanisms of Resistance:
- Chromosomal mutations in the genes that encode one or both enzymes
- Alteration in the expression of membrane porins
- Alteration in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Mechanism of action:
- Bacteriostatic, Time-Dependent Killing, Bactericidal when combined
- Drug action targets:
- Paraaminobenzoic Acid (PABA) analogues
- Folate analogues
- Mechanism of action:
- PABA analogues (Sulfonamides):
- Competitively inhibit Dihydropteroate synthetase
- Unique to bacteria
- Prevents folic acid formation
- Folate analogues:
- Competitively inhibit dihydrofolate reductase
- Higher affinity to bacterial reductase
- Prevents conversion to active coenzyme form (Tetrahydrofolic acid)
- PABA analogues (Sulfonamides):
- Mechanisms of Resistance:
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Sites of Action
- Topoisomerase II (DNA gyrase) is a site of action, specifically in Gram-negative bacteria
- It plays a crucial role in allowing the relaxation of supercoiled DNA, which is necessary for normal transcription and replication
- Inhibition of Topoisomerase II (DNA gyrase) results in supercoiling, which prevents DNA replication
Protein Synthesis Inhibitors
- Targets: 30S and 50S ribosomal subunits
- Mechanism of action:
- Provides machinery for decoding of mRNA (30S) and linking of amino acids (50S)
- Two sites: P "peptidyl" site (growing peptide chain) and A "aminoacyl" site (binds incoming tRNA containing amino acids)
- Sites of action:
- Most target either 50S or 30S
- Most are selective to bacteria
- Exception: Chloramphenicol (also active against protozoan, parasites)
- Inhibit organellar protein synthesis
- Complete inhibition of protein synthesis will not kill bacteria
- Most agents are bacteriostatic (Exception: Aminoglycosides)
Fluoroquinolones
- Structure:
- Quinolone structure with fluorine at position 6
- Structural changes at 1, 5, 7, and 8 positions
- Mechanism of action:
- Inhibition of DNA synthesis
- Change the configuration of the DNA
- Do not change the DNA's primary sequence
- Sites of action:
- Topoisomerase II (DNA gyrase)
- Gram negatives: allows relaxation of supercoiled DNA necessary for normal transcription and replication
- Inhibition results in supercoiling which prevents DNA replication
- Topoisomerase IV - Role in cell division
- Gram positives: allows for decatenation of replicated DNA into daughter cells
- Inhibition prevents DNA replication
- Topoisomerase II (DNA gyrase)
- Mechanisms of resistance:
- Chromosomal mutations in genes that encode one or both enzymes
- Alteration in expression of membrane porins
- Alteration in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Mechanism of action:
- PABA analogues (Sulfonamides)
- Competitively inhibit Dihydropteroate synthetase
- Unique to bacteria
- Prevents folic acid formation
- Folate analogues
- Competitively inhibit dihydrofolate reductase
- Higher affinity to bacterial reductase
- Prevents conversion to active coenzyme form (Tetrahydrofolic acid)
- PABA analogues (Sulfonamides)
- Mechanisms of resistance:
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Mechanism of Action
- Bacterial protein synthesis:
- Provides machinery for decoding of mRNA (30S) and linking together of amino acids (50S)
- Translocating of the translation machine (both subunits)
- Two sites:
- P "peptidyl" site – contains the growing peptide chain
- A "aminoacyl" site – binds incoming tRNA containing amino acids
Key Targets in Ribosomal RNA Function
- 30S ribosomal subunit
- 50S ribosomal subunit
Sites of Action
- Most target either 50S or 30S
- Most are selective to bacteria
- Exception: Chloramphenicol
- Also some activity against protozoan, parasites
- Inhibit organellar protein synthesis
- Complete inhibition of protein synthesis will not kill bacteria
- Most agents are bacteriostatic (Exception: Aminoglycosides)
Fluoroquinolones
- Quinolone structure - Fluorine at position 6
- Structural changes at 1, 5, 7, and 8 positions
- Mechanism of action:
- Inhibition of DNA synthesis
- Change the configuration of the DNA
- Do not change the DNA’s primary sequence
- Sites of action:
- Topoisomerase II (DNA gyrase) - Gram negatives
- Allows relaxation of supercoiled DNA necessary for normal transcription and replication
- Inhibition results in supercoiling which prevents DNA replication
- Topoisomerase IV - Gram positives
- Allows for decatenation of replicated DNA into daughter cells
- Inhibition prevents DNA replication
- Topoisomerase II (DNA gyrase) - Gram negatives
- Normal process for DNA gyrase:
- Type II topoisomerase enzymes engage DNA
- Conformational change in enzyme to “lock” DNA segment
- Second segment of DNA is “locked” into place (ATP required)
- Enzyme cuts both strands of the first DNA segment (nicking)
- Second DNA segment passes through the enzyme
- Changes the coiling of the DNA by 1
- Second segment is released and first segment is religated and released
Mechanisms of Resistance
- Chromosomal mutations in the genes that encode one or both enzymes
- Alteration in the expression of membrane porins
- Alteration in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Mechanism of action:
- PABA analogues (Sulfonamides) - competitively inhibit dihydropteroate synthetase
- Folate analogues - competitively inhibit dihydrofolate reductase
- Sites of action:
- PABA analogues (Sulfonamides) - unique to bacteria
- Folate analogues - higher affinity to bacterial reductase
- Mechanisms of Resistance:
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Mechanism of Action
- Bacterial protein synthesis:
- Provides machinery for decoding of mRNA (30S) and linking together of amino acids (50S)
- Translocating of the translation machine (both subunits)
- Two sites:
- P "peptidyl" site – contains the growing peptide chain
- A "aminoacyl" site – binds incoming tRNA containing amino acids
Key Targets in Ribosomal RNA Function
- 30S ribosomal subunit
- 50S ribosomal subunit
Sites of Action
- Most target either 50S or 30S
- Most are selective to bacteria
- Exception: Chloramphenicol
- Also some activity against protozoan, parasites
- Inhibit organellar protein synthesis
- Complete inhibition of protein synthesis will not kill bacteria
- Most agents are bacteriostatic (Exception: Aminoglycosides)
Fluoroquinolones
- Quinolone structure - Fluorine at position 6
- Structural changes at 1, 5, 7, and 8 positions
- Mechanism of action:
- Inhibition of DNA synthesis
- Change the configuration of the DNA
- Do not change the DNA’s primary sequence
- Sites of action:
- Topoisomerase II (DNA gyrase) - Gram negatives
- Allows relaxation of supercoiled DNA necessary for normal transcription and replication
- Inhibition results in supercoiling which prevents DNA replication
- Topoisomerase IV - Gram positives
- Allows for decatenation of replicated DNA into daughter cells
- Inhibition prevents DNA replication
- Topoisomerase II (DNA gyrase) - Gram negatives
- Normal process for DNA gyrase:
- Type II topoisomerase enzymes engage DNA
- Conformational change in enzyme to “lock” DNA segment
- Second segment of DNA is “locked” into place (ATP required)
- Enzyme cuts both strands of the first DNA segment (nicking)
- Second DNA segment passes through the enzyme
- Changes the coiling of the DNA by 1
- Second segment is released and first segment is religated and released
Mechanisms of Resistance
- Chromosomal mutations in the genes that encode one or both enzymes
- Alteration in the expression of membrane porins
- Alteration in efflux pumps
- Generally confers cross-resistance in class
Folic Acid Antagonists
- Mechanism of action:
- PABA analogues (Sulfonamides) - competitively inhibit dihydropteroate synthetase
- Folate analogues - competitively inhibit dihydrofolate reductase
- Sites of action:
- PABA analogues (Sulfonamides) - unique to bacteria
- Folate analogues - higher affinity to bacterial reductase
- Mechanisms of Resistance:
- Plasmid transfer or random mutations
- Altered dihydropteroate synthetase or dihydrofolate reductase
- Decreased permeability to sulfonamide
- Enhanced production of PABA
- Overproduction of dihydrofolate reductase
Normal Process of DNA Gyrase
- Type II topoisomerase enzymes engage with DNA
- A conformational change occurs in the enzyme, enabling it to "lock" a DNA segment in place
- A second segment of DNA is "locked" into place, requiring ATP
- The enzyme cuts both strands of the first DNA segment through a process called nicking
- The second DNA segment passes through the enzyme, changing the coiling of the DNA by 1
- The second segment is released, and the first segment is religated and released
Normal Process of DNA Gyrase
- Type II topoisomerase enzymes engage with DNA
- A conformational change occurs in the enzyme, enabling it to "lock" a DNA segment in place
- A second segment of DNA is "locked" into place, requiring ATP
- The enzyme cuts both strands of the first DNA segment through a process called nicking
- The second DNA segment passes through the enzyme, changing the coiling of the DNA by 1
- The second segment is released, and the first segment is religated and released
Mechanisms of Resistance
- Chromosomal mutations occur in genes that encode one or both enzymes, leading to resistance.
- Alterations in the expression of membrane porins contribute to resistance.
- Alterations in efflux pumps also play a role in resistance.
- This type of resistance generally confers cross-resistance within a class.
Mechanisms of Resistance
- Chromosomal mutations occur in genes that encode one or both enzymes, leading to resistance.
- Alterations in the expression of membrane porins contribute to resistance.
- Alterations in efflux pumps also play a role in resistance.
- This type of resistance generally confers cross-resistance within a class.
Mechanism of Action
- Sulfonamides are bacteriostatic, but can be bactericidal when combined with other drugs
- They work by targeting two main drug action targets: Paraaminobenzoic Acid (PABA) analogues and Folate analogues
PABA Analogues (Sulfonamides)
- Competitively inhibit Dihydropteroate synthetase, a unique enzyme found only in bacteria
- Inhibition prevents folic acid formation, which is essential for bacterial growth and survival
Folate Analogues
- Competitively inhibit dihydrofolate reductase, an enzyme that plays a crucial role in folic acid synthesis
- Folate analogues have a higher affinity for bacterial dihydrofolate reductase compared to human enzymes
- Inhibition prevents the conversion of dihydrofolic acid to tetrahydrofolic acid, the active coenzyme form necessary for bacterial growth
Mechanisms of Resistance
- Bacteria acquire resistance to sulfonamides through plasmid transfer or random mutations.
- Altered dihydropteroate synthetase or dihydrofolate reductase enzymes reduce the effectiveness of sulfonamides.
- Decreased permeability to sulfonamides prevents the antibiotic from reaching its target site.
- Enhanced production of PABA (para-aminobenzoic acid) competes with sulfonamides, reducing their antibacterial activity.
- Overproduction of dihydrofolate reductase, an enzyme essential for bacterial metabolism, allows bacteria to counteract the effects of sulfonamides.
Mechanisms of Resistance
- Bacteria acquire resistance to sulfonamides through plasmid transfer or random mutations.
- Altered dihydropteroate synthetase or dihydrofolate reductase enzymes reduce the effectiveness of sulfonamides.
- Decreased permeability to sulfonamides prevents the antibiotic from reaching its target site.
- Enhanced production of PABA (para-aminobenzoic acid) competes with sulfonamides, reducing their antibacterial activity.
- Overproduction of dihydrofolate reductase, an enzyme essential for bacterial metabolism, allows bacteria to counteract the effects of sulfonamides.
Mechanisms of Resistance
- Bacteria acquire resistance to sulfonamides through plasmid transfer or random mutations.
- Altered dihydropteroate synthetase or dihydrofolate reductase enzymes reduce the effectiveness of sulfonamides.
- Decreased permeability to sulfonamides prevents the antibiotic from reaching its target site.
- Enhanced production of PABA (para-aminobenzoic acid) competes with sulfonamides, reducing their antibacterial activity.
- Overproduction of dihydrofolate reductase, an enzyme essential for bacterial metabolism, allows bacteria to counteract the effects of sulfonamides.
Mechanisms of Resistance
- Bacteria acquire resistance to sulfonamides through plasmid transfer or random mutations.
- Altered dihydropteroate synthetase or dihydrofolate reductase enzymes reduce the effectiveness of sulfonamides.
- Decreased permeability to sulfonamides prevents the antibiotic from reaching its target site.
- Enhanced production of PABA (para-aminobenzoic acid) competes with sulfonamides, reducing their antibacterial activity.
- Overproduction of dihydrofolate reductase, an enzyme essential for bacterial metabolism, allows bacteria to counteract the effects of sulfonamides.
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Description
This quiz covers the key targets in ribosomal RNA function, including the 30S and 50S ribosomal subunits, and their role in bacterial protein synthesis. It also explains the mechanism of action of ribosomal RNA in decoding mRNA, linking amino acids, and translocating the translation machine.