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What is the main cause of bacterial sensitivity to antibiotics?
Antibiotics target essential bacterial processes such as cell wall synthesis, protein synthesis, or nucleic acid synthesis, leading to bacterial death or growth inhibition.
What region on an agar plate indicates bacterial sensitivity?
The zone of inhibition (clear area with no bacterial growth around the antibiotic).
What are the three major antibiotic target categories?
Cell wall synthesis, protein synthesis, nucleic acid synthesis.
What class does penicillin belong to?
β-lactams
What is the origin of penicillin?
Natural product from fermentation of Penicillium molds
What does penicillin target?
Cell wall synthesis
What is penicillin's mechanism of action?
Binds and inactivates PBPs (transpeptidases), blocking peptidoglycan cross-linking
What is the result of penicillin action?
Weak cell wall → osmotic lysis due to high internal pressure
What class does ampicillin belong to?
β-lactams
What type of antibiotic is ampicillin?
Semi-synthetic penicillin
What does ampicillin target?
Cell wall synthesis
What is ampicillin's mechanism?
Binds PBPs to inhibit cell wall synthesis (same as penicillin)
What class does cefoxitin belong to?
β-lactams (cephamycin, related to cephalosporins)
What does cefoxitin target?
Cell wall synthesis
What is cefoxitin's mechanism?
Inhibits PBP-mediated cell wall synthesis
What makes cefoxitin unique?
Contains a methoxy group that protects it from β-lactamase degradation
Why are bacteria sensitive to cefoxitin?
They cannot easily degrade it with β-lactamases
What class does streptomycin belong to?
Aminoglycosides
What is the origin of streptomycin?
Derived from Streptomyces griseus
What does streptomycin target?
Protein synthesis
What is streptomycin's mechanism?
Binds 16S rRNA of 30S subunit → misreading of mRNA
What is the result of streptomycin action?
Incorrect amino acids + premature protein termination → bactericidal
What class does gentamicin belong to?
Aminoglycosides
What does gentamicin target?
Protein synthesis
What is gentamicin's mechanism?
Irreversibly binds 30S subunit disrupting protein synthesis
What special condition is required for gentamicin entry?
Oxygen-dependent active transport
Why is gentamicin ineffective against anaerobes?
It requires oxygen for uptake
What class does erythromycin belong to?
Macrolides
What does erythromycin target?
Protein synthesis
What is erythromycin's mechanism?
Binds 50S subunit and blocks polypeptide elongation
What is the effect of erythromycin?
Bacteriostatic (stops growth)
What class does chloramphenicol belong to?
Amphenicols
What is the origin of chloramphenicol?
Produced by Streptomyces venezuelae
What does chloramphenicol target?
Protein synthesis
What is chloramphenicol's mechanism?
Inhibits peptidyl transferase on 50S subunit
What is the result of chloramphenicol action?
Blocks peptide bond formation → stops protein synthesis
What class does tetracycline belong to?
Tetracyclines
What is tetracycline's origin?
Polyketide antibiotic from Streptomyces species
What does tetracycline target?
Protein synthesis
What is tetracycline's mechanism?
Binds 30S subunit preventing aminoacyl-tRNA binding to A-site
What is the result of tetracycline action?
Inhibits protein synthesis
What class does doxycycline belong to?
Tetracyclines
What type of tetracycline is doxycycline?
Long-acting, lipophilic
What does doxycycline target?
Protein synthesis
What is doxycycline's mechanism?
Binds 30S subunit blocking tRNA binding
What is the result of doxycycline action?
Inhibits protein synthesis and bacterial growth
What class does rifampicin belong to?
Rifamycin
What does rifampicin target?
Nucleic acid synthesis
What is rifampicin's mechanism?
Binds DNA-dependent RNA polymerase → inhibits transcription
What is the result of rifampicin action?
Stops RNA and protein production
What class does nalidixic acid belong to?
Quinolones
What does nalidixic acid target?
Nucleic acid synthesis
What enzymes does nalidixic acid inhibit?
DNA gyrase (topoisomerase II) and topoisomerase IV
What is the result of nalidixic acid action?
Blocks DNA replication, transcription, repair → rapid cell death
Why are bacteria sensitive to cell wall inhibitors?
They target peptidoglycan, which is unique to bacteria → leads to osmotic lysis
Why are bacteria sensitive to protein synthesis inhibitors?
They target 70S ribosomes, which differ from eukaryotic 80S ribosomes
Why can protein synthesis inhibitors be toxic to humans?
Mitochondria have ribosomes similar to bacterial 70S ribosomes
Why are bacteria sensitive to nucleic acid inhibitors?
They target bacterial enzymes distinct from human enzymes
What region on an agar plate indicates bacterial resistance?
Areas where bacteria grow despite antibiotic presence
What is the antibiotic resistance crisis?
Loss of effective antibiotics makes infections harder to treat
Why do bacteria evolve resistance quickly?
Rapid mutations and gene transfer (conjugation, transduction, transformation)
What is the goal of studying resistance mechanisms?
Develop smarter antibiotics that bacteria cannot easily resist
How do Gram-positive bacteria resist antibiotics structurally?
Thick peptidoglycan layer blocks access to PBPs
What is peptidoglycan thickening?
Increased thickness acts as a physical barrier
What is target modification (D-Ala-D-Lac/D-Ser)?
Alters peptidoglycan precursors reducing antibiotic binding
What is increased cross-linking?
Reduces access to PBPs for β-lactams
What is O-acetylation (OatA)?
Addition of acetyl groups to peptidoglycan → resistance to lysozyme and antibiotics
Which bacteria use O-acetylation?
Staphylococcus aureus
How do Gram-negative bacteria resist antibiotics?
Outer membrane with LPS restricts drug entry
What role do porins play?
Selective channels that can be reduced or modified to limit entry
How do efflux pumps contribute?
Actively pump antibiotics out of the cell
How do mycobacteria resist antibiotics?
Mycolic acid-rich cell wall creates hydrophobic barrier
Why are endospores resistant?
Multi-layer structure + dormancy prevents antibiotic entry and action
Examples of endospore-forming bacteria
Clostridioides difficile, Bacillus anthracis
How do capsules contribute to resistance?
Polysaccharide layer blocks antibiotic access
What is a biofilm?
A structured bacterial community in an extracellular matrix
Why are biofilms resistant?
EPS matrix blocks antibiotics and slows penetration
What are persister cells?
Dormant cells resistant to antibiotics targeting active processes
What is VBNC state?
Viable but nonculturable deep dormancy state
How do biofilms increase resistance genetically?
Close proximity enhances gene transfer
What is target modification resistance?
Mutation alters antibiotic binding site
Example of target modification
DNA gyrase mutation → quinolone resistance
Example of RNA polymerase mutation
Leads to rifampicin resistance
Example of ribosomal mutation
16S rRNA mutation → streptomycin resistance
What is efflux pump resistance?
Mutations increase antibiotic removal from the cell
What is reduced permeability resistance?
Porin mutations decrease antibiotic entry
What are beta-lactamases?
Enzymes that degrade β-lactam antibiotics by cleaving the ring
What antibiotics are affected by beta-lactamases?
Penicillins, cephalosporins, carbapenems
What are aminoglycoside-modifying enzymes?
Enzymes that add chemical groups to aminoglycosides
Types of aminoglycoside-modifying enzymes
AAC, APH, ANT
What is the effect of aminoglycoside modification?
Prevents binding to 30S ribosome
What is chloramphenicol acetyltransferase?
Enzyme that acetylates chloramphenicol
What is the result of chloramphenicol acetylation?
Prevents binding to 50S subunit → drug inactive