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Flashcards in Principles of antimicrobial chemotherapy Deck (21)
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1

Define chemotherapy

The use of chemicals to inhibit the growth or replication of invading organisms or cancerous cells within the body

2

What is selective toxicity?

The concept of drugs being toxic to invading organisms or cancerous cells but relatively harmless to host/normal cells

3

Give some examples that explain selective toxicity

Penicillins (in the absence of allergy) have a very low toxicity can can be used at high doses.
Aminoglycosides have a very narrow theraputic index meaning the dose that causes a toxic effect is very close to that which causes the theraputic effect.
For a number of anti-tuberculosis drugs (isoniazid and pyrazinamide) , patients will develop hepatotoxicity which is not dose related, meaning treatment may have to be stoped.

4

What are the drug classes of the antibiotics active against the cell wall?

Beta-lactam and cephalosporin.
Glycopeptide.
Cyclic peptide.
Phosphonic acids.
Lipopeptides

5

Describe some of the features of beta lactam and cephalosporin

They target penicillin binding proteins which prevents peptidoglycan cross linking. Some examples include penicillin G, Flucloxacillin and Tazobactam

6

Describe some of the features of the glycopeptide drug class

They target the C-terminal of the D-Ala-D-Ala dipeptide (component for peptidoglycans) and this prevents the transglycolation and transpeptidation. Examples include vancomysin and teicoplanin.

7

Describe some of the features of the cyclic peptide drug class

They target the 55th carbon of the isopropyl pyrophosphate chain. It prevents the carriage of building blocks for peptidoglycans from inside the cell.
Examples include Bacitracin and polymyxin

8

Describe some of the features of the phosphonic acid drug class

Targets murA protein and therefore inhibits the first stage of peptidoglycan synthesis.
An example is Fosphomycin

9

Describe some of the features of the drug class Lipopeptide

Targets cell wall stress stimulon which affects the calcium dependant membrane depolarisation.
An example is Daptomycin.

10

What are some examples Beta-lactamase resistant penicillins?

Methicillin, Oxacillin, Nafcillin, Cloxacillin and Dicloxacillin

11

Give two examples of broad spectrum penicillin

Ampicillin and Amoxiciilin

12

Give four examples of extended spectrum penicillin

Carbenicillin, Ticaracillin, Alzocillin and Piperacillin

13

What are some of the features of cephalosprons

They work in the same way as penicillins. Classified in the generations they were developed in.
Now are termed by means of administation. Examples are Cephalexin (oral) and Cefuroxime and Cefotaxime (parenteral)

14

Name some bacterial folate antagonists?

Sulphonamines and Trimethoprim.

15

Describe some of the features of aminoglycosides

They form ionic bonds with the cell surface and penetrate the cell wall by a transport mechanism then diffuse into the cytoplasm and bind to the bacterial ribosomes. Some examples are;
Streptomycin, Kanamycin, Neomycin and Gentamicin

16

Describe the inhibition of bacterial protein synthesis?

The antibiotics bind to the ribosome at the interface between the 30S and 50S subunits. It inhibits protein synthesis by misreading mRNA.

17

Describe some of the features of tetracyclins

The prevent attachment of tRNA to the acceptor site on the mRNA-ribosome complex. This prevents the addition of amino acids to the peptide chain. They are only weakly bound to ribosomes and their activity depends on their solubility.

18

Describe how chloramphenicol, erythromycin and clindamycin work

They prevent the addition of new amino acids to a growing peptide chain by binding to the ribosome. This prevents association of the peptidyl-transferase with the amino acid and no peptide bond is formed.
Only in the case of erythromycin, can they prevent translocation of the ribosome on the mRNA strand

19

Describe some of the features of Fluoroquinolones

These are synthetic antibiotics that act by inhibiting bacteral DNA topoisomerase II also know as DNA gyrase. This enzyme catalyses the production of DNA into a supercoil therefore these antibiotics means that the DNA does not coil up properly.

20

Name some broad spectrum fluoroquinolones

Ciprofloxacin, ofloxacin and norfloxacin

21

Name the narrower- spectrum fluoroquinolone

Nalidixic acid