Antibiotics MOA and Selective Toxicity Exam 2 Flashcards

(36 cards)

1
Q

β-lactams MOA

A
  • Inhibiting Cell Wall Synthesis

- Binding to CWT (irreversible)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Glycopeptides MOA

A
  • Inhibiting Cell Wall Synthesis
  • Targets peptide on peptidoglycans forming the wall (targeting the A-A)
  • Lipoglycopeptide: Improved antimicrobial activity, dual mode of action involving both inhibition of cell wall synthesis and disruption of the bacterial cell membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lipopeptides MOA

A
  • Targeting the Cell Membrane
  • Targets membrane phospholipids present in Gram+
  • Binds to phospholipids that are specific for Gram +, create holes in the membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Polypeptide MOA

A
  • Targeting the Cell Membrane
  • Targets membrane lipopolysaccharides and LPS present in Gram-
  • Act as “detergent” solubilizing the membrane, form pores in membranes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Oxazolidionones MOA

A
  • Targeting Protein Synthesis
  • Cross membrane to enter bacteria and bind to ribosome (cannot target gram-)
  • binds subunit 50S on bacterial ribosome, inhibits binding of tRNA, inhibits protein synthesis
  • no cross resistance with other classes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Streptrogramins MOA

A
  • Targeting Protein Synthesis

- binds MLS(b) on bacterial ribosome 50S subunit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lincosamides MOA

A
  • Targeting Protein Synthesis

- binds MLS(b) on bacterial ribosome 50S subunit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Macrolides MOA

A
  • Targeting Protein Synthesis

- binds MLS(b) on bacterial ribosome 50S subunit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Tetracyclines MOA

A
  • Targeting Protein Synthesis

- Reversible binding to the 30S ribosomal subunit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Aminoglycosides MOA

A
  • Targeting Protein Synthesis

- Irreversible Binding to 30S and to 50S to a lesser extent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sulfonamides MOA

A
  • Targeting Nucleic Acid Synthesis

- Targets synthesis of folic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ansamycins MOA

A
  • Targeting Nucleic Acid Synthesis

- Targets RNA polymerase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Quinolones / fluoroquinolones MOA

A
  • Targeting Nucleic Acid Synthesis

- Irreversible binding to bacterial DNA gyrase, topoisimerase II or topoisomerase IV, which uncoil DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Nitromidazole MOA

A
  • Targeting Nucleic Acid Synthesis

- Target DNA and causes DNA fragmentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

β-lactams Selective Toxicity

A

Bactericidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Glycopeptides Selective Toxicity

17
Q

Lipopeptides Selective Toxicity

18
Q

Polypeptide Selective Toxicity

19
Q

Oxazolidionones Selective Toxicity

A

Bacteriostatic

20
Q

Streptrogramins Selective Toxicity

A

Bacteriostatic

21
Q

Lincosamides Selective Toxicity

A

Bacteriostatic

22
Q

Macrolides Selective Toxicity

A

Bacteriostatic

23
Q

Tetracyclines Selective Toxicity

A

Bacteriostatic

24
Q

Aminoglycosides Selective Toxicity

A
  • Bacteriostatic

- Bactericidal effect at high concentrations

25
Sulfonamides Selective Toxicity
Bacteriostatic
26
Ansamycins Selective Toxicity
Bacteriostatic
27
Quinolones / fluoroquinolones Selective Toxicity
Bacteriostatic
28
Nitromidazole Selective Toxicity
- Bacteriostatic | - Bactericidal activity on Gram + and Gram - anaerobes
29
What is the mechanism of resistance with beta lactams?
- beta lactamase - altered CWT (G+) - altered activity of bacterial influx / efflux transporters (G-)
30
What is the mechanism of resistance with oxazolidionones?
Modified binding site
31
What is the mechanism of resistance with streptrogramins, lincosamides, and macrolides?
- mutations in MLS(b) | - pumping out the drug
32
What is the mechanism of resistance with Ansamycins?
single amino acid change in the bacterial DNAdependent RNA polymerase
33
Mechanism of action for resistance against Quinolones / fluoroquinolones
mutations on binding sites or efflux pumps. These drugs enter the cells through porins by passive diffusion
34
Mechanism of action for resistance against Tetracycline
- Mutation of this binding site leads to resistant bacteria | - Horizontal gene transfer, production of a “ribosomal protective protein” or an efflux pump.
35
Mechanism of action for resistance against Aminoglycosides
Production of aminoglycoside modifying enzymes, mutations of binding site or influx pump
36
Mechanism of action for resistance against nitromidazoles
* ↘ Influx or ↗ Efflux * ↘ Reduction or ↗ Oxidation * ↗ Activity of DNA repair enzymes