McGraw Homework CHP 8-9

Created by nerdychick

Which of the following microbial systems are most commonly exploited to control the growth of microorganisms?
Microbial nutrition

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TermDefinition
Which of the following microbial systems are most commonly exploited to control the growth of microorganisms?
Microbial nutrition
What are biocides?
Antimicrobials that can be used to control microbes.
What makes up a good chemical disinfectants?
-Hydrophilic -Effective against multiple various infectious agents. -Not toxic to people/animals -Has viricidal properties
What biocide is effective over a range of 4-80 Celsius?
Vaporized hydrogen peroxide (VPH).
Which US Government body dictates over antiseptics guidelines?
FDA (Food and Drug Administration).
What are 2 effective ways of preventing/stopping growth of microorganisms?
-Starvation -Poisoning
Is higher or lower ethanol count more effective at killing bacteria?
Lower ethanol percentage in water is more effective. The more alcohol present will cause proteins to denature and aggregate together. This will actually form a more protective coat around the bacteria. BAD!
What chemical control agents work best against bacterial endospores?
-Formaldehyde -Ethylene oxide
Which US government body dictates on disinfectants' effectiveness?
EPA (Environmental Protection Agency).
Who discovered that bacteriophage could be helpful against dysentery?
Felix d'Herelle
Which biocide is effective over a pH range of 4-10.
Chlorine dioxide (ClO2)
Which biocide is known for its sporicidal activity and instability of an active solution?
Glutaraldehyde
Which biocide is known for being rapidly microbicidal and corrosive?
Iodine
Which pathogens can bacteriophage lyse?
-Listeria -Salmonella -E. coli
What are forms of biological control against microbes?
-Bacterial predation -Virus infection
What are bacteriocins?
Microbial toxins that can be used to control unwanted microbial populations.
When were bacteriophages first used to treat humans?
Early 1900s
What term includes both natural and chemically synthesized compounds?
Antimicrobial agent
A successful antimicrobial agent has what property?
Selective toxicity.
What is the therapeutic index?
The ratio of the toxic dose to the therapeutic dose.
What is a good therapeutic index number/ratio?
A higher therapeutic index is better as it means a dose that can harm a person is way higher than the dose needed to desist the infection.
What is the therapeutic dose?
The drug level require to treat a specific infection.
What is the toxic dose?
The drug level required to harm the host.
What do bacterial depolymerases do?
Hydrolyze biofilm matrixes and microbial toxins like bacteriocins.
What is selective toxicity?
The ability to kill/inhibit a pathogen while not harming the host.
Why does penicillin have a high therapeutic index?
Penicillin has peptidoglycan as its cellular target. Host/Humans cells do not have peptidoglycan as it's a feature of bacteria cells only. So, eukaryotes cannot be harmed from penicillin, causing a high therapeutic index.
What has made major contributions to antimicrobials in current use?
-Soil bacteria -Fungi -Synthetic compounds -Chemical modifications of antibiotics
What is the term for naturally occurring antibiotics modified with additional chemical groups?
Semi-synthetic antibiotics.
What are narrow-spectrum drugs?
Drugs only effective to a limited number of pathogens.
What are typical sources of antimicrobial agents?
-Soil bacteria -Fungus -Synthetic agents -Semisynthetic agents
What are broad-spectrum drugs?
Drugs that are effective against multiple pathogens.
What does penicillin have selective toxicity for?
Peptidoglycan
What does bactericidal mean?
Kills bacteria
What does bacteriostatic mean?
Inhibits bacterial growth
Vancomycin is what kind of spectrum drug?
Narrow
What is vancomycin effective against?
Gram-positive bacteria
Which host system eliminates pathogens targeted by static antimicrobial agents?
Immune system
What is the minimal inhibitory concentration (MIC)?
The concentration of drug necessary to prevent bacterial/pathogen growth.
What is the Etest?
An antibiotic susceptibility test that uses small strips containing an antibiotic gradient to determine MIC.
Sulfonamides are what kind of spectrum drugs?
Broad.
On Etest strips, what does the intersection between the inhibition zone and the MIC scale indicate?
The concentration of antibiotic required to inhibit bacterial growth
The most selective antibiotics in common use target what?
Bacterial cell walls synthesis
What are the tests of the Etest?
1. Inoculate surface of agar plate with bacteria 2. Place Etest strips on the plate surface 3. Incubate plates for 24-48 hours 4. Determine MIC = find point of intersectionality.
Which component of penicillin's structure is most important for its antimicrobial activity?
Beta-lactam ring
How does pencillin target peptidoglycan?
It blocks the enzymes trying to form cross-links with peptidoglycan in the cell wall.
What does penicillin do?
-Inhibit transpeptidase rxn in cell wall synthesis -Activates bacterial autolytic enzymes
How does penicillin kill pathogen cells?
Osmotic lysis
What are examples of narrow spectrum antibiotics?
-Penicillin G -Penicillin V -Methicillin
Why are semisynthetic penicillins harder for beta-lactamase enzymes to degrade?
They have bulkier side chains compared to natural penicillin.
Which semisynthetic penicillins are known to be difficult for beta-lactamase enzymes to degrade?
-Nafcillin -Oxacillin -Methicillin
What are beta-lactamases enzymes?
Enzymes bacteria produce to resist penicillin
What is another name for beta-lactamase?
Penicillinases
What are examples of broad spectrum antibiotics?
-Amoxicillin -Ampicillin
What are the chemical functional groups of the beta-lactam ring?
A ketone, an ether, and a nitrogen
What can beta-lactamases destroy?
Synthetic penicillin and certain semisynthetic penicillin.
What are the 2 new classes of beta-lactam drugs?
-Carbapenems -Monobactams
What is vaborbactam?
A beta-lactamase inhibitor.
How does vaborbactum inhibit beta-lactamase enzymes?
It will bind noncompetitively to the beta-lactamase active site.
What is vancomycin?
A glycopeptide antibiotic produce by Amycolatopsis orientalis.
What does vancomycin do?
It will block transpeptidase activity by binding to the enzyme's substrate instead of the enzyme itself.
What is the most critical component in vancomycin's structure?
Pentapeptide portion.
What antiobiotic inhibits transpeptidation reaction of cell wall synthesis but does NOT have a beta-lactam ring?
Vancomycin
What type of spectrum does vancomycin affect.
Narrow
What is important for patients to know about carbapenems and monobactams?
These drugs can not be taken orally.
Which antibiotic is considered to be a last resort?
Vancomycin
What is vancomycin considered to be a last resort drug for?
Staphylococcus aureus
What does combination therapy do for beta-lactam antibiotic treatment?
It prevents bacteria to produce beta-lactamase enzyme that can destroy the beta-lactam antibiotics.
What do aminoglycosides target?
30S ribosomal DNA
What do macrolides target?
50S ribosomal subunits
What do oxazolidinones target?
70S initiation complex synthesis.
What do all aminoglycosides have structurally?
A cyclohexane ring and amino sugars.
Aminoglycosides and macrolides disrupt _____.
Protein synthesis.
Why do aminoglycosides have toxic effects on human cells?
Human mitochondrial ribosomes share binding sites with bacterial ribosomes.
What are tetracylines?
Antibiotics with 4 ring structure with a variety of different side chains.
What do tetracyclines target?
The protein synthesis of 30S subunits.
What kind of drugs are tetracyclines?
Semisynthetic
What are potential side effects of using aminoglycosides?
Oto toxicity (affects hearing) Renal toxicity (affects kidneys)
Aminoglycosides cause ____ of peptide synthesis.
Early termination
What are macrolides known for structurally?
A lactone ring linked to 1+ sugars.
What is an example of macrolide antibiotics?
Erythromycin
What are examples of bacteriostatic antibiotics?
-Macrolides -Tetracyclines -Aminoglycosides
What are ketolides?
Semisynthetic derivatives of macrolides.
What is a negative cost of using lincosamides?
Can support an overgrowth of C. difficile, a pathogen that causes a diarrheal infection.
What can lincosamides be effective against?
-anaerobic bacteria -Gram-positive cocci
What are oxazolidinones?
Synthetic drugs made up of a heterocyclic five membered ring structure.
What do oxazolidinones target?
Protein synthesis of 23S rRNA within 50S subunits. They also prevent the assembly of the 70S initiation complex.
What are the benefits of ketolides?
-Better acid stability -Better Oral bioavailability
What is an antimetabolite?
A substance that blocks the function of a specific biochemical pathway?
What are antimetabolites similar in structure to?
The substrate of key enzymes
What kind of antibacterial drugs are antimetabolites considered to be?
Broad spectrum and bacteriostatic
What are sulfonamides?
Structural analogues of PABA; their structure is similar to p-aminobenzoic acid.
What do sulfonamides target?
Synthesis of folic acid
Folic acid is the precursor of what?
Purines
Why do sulfonamides have a high therapeutic index?
Bcuz sulfonamides target biochemical pathways that humans do not use
What is the relationship between antimetabolites and natural substrates?
They compete with one another to bind at the active site.
What are trimethoprims?
Synthetic antibiotics that target the synthesis of folic acid by binding to dihydrofolate reductase.
What is a synergistic effect?
A term to describe the dynamic drugs have when interactions between them enhance each other's effects.
Which antibiotic can be use to help treat UTIs?
Trimethoprim
What do antibacterial drugs that inhibit nucleic acid target?
DNA polymerase and Topoisomerase
What do fluoroquinolones target to disrupt DNA replication?
-Topoisomerase 4 -DNA gyrase
What is the least selectively toxic kind of antibiotic drugs?
Ones that inhibit nucleic acid synthesis
What are fluoroquinolones?
Antibacterial drugs that block nucleic acid synthesis
What do rifamycin class antibiotics inhibit?
Cell growth
What do rifamycin class antibiotics bind to?
RNA polymerase
What is rifampin useful against?
Mycobacterial infections.
Why do HIV infected individuals require life long drug therapy?
The virus remains dormant in immune cells.
What is the significance of lenacapavir in the fight against HIV?
It drastically reduced the risk of HIV infection with minimal dosing.
What do sofosbuvir, ledipasvir and velpatasvir all target?
-Viral RNA polymerase -Viral replication enzyme
How often do patients of HIV take lenacapavir doses?
2x per year
Why are there less antifungal drugs vs antibacterial?
Fungal cells are closer to human cells so its harder to make drugs with high selectively.
What do sofosbuvir, ledipasvir and velpatasvir drugs all used to cure?
Hepatitis C virus
What are azoles?
Antifungal drugs that block ergosterol synthesis.
What is Pneumocystis jirovecii?
An organism that can cause a life threatening systemic mycosis.
What do antiprotozoan drugs known to target?
Metabolic processes and nucleic acid synthesis
What do antifungal agents target?
Inhibit sterol synthesis and disrupt fungal membrane permeability
What does VRE stand for?
Vancomycin-resistant enterococci
What is approximate # of antimicrobial resistant infections reported in the US?
3 million
What is acquired resistance?
Antibiotic resistance that happens when a genome in bacterium changes from a sensitive cell to a resistant cell.
What does CRE stand for?
Carbapenem resistant Enterobacteriaceae
What antimicrobial resistant bacterial has raised concern due to its resistance to pan-drugs?
Candida auris
What are drug tolerant bacteria?
Ones that do not respond to antibiotics bcuz they are embedded in the biofilm matrix or they grow too slowly.
What is intrinsic resistance?
Resistance caused by a particular structural feature of the bacterial cell
What does MRSA stand for?
Methicillin resistant Staphylococcus aureus
What do efflux pumps do?
Run antiport channels for protons to enter the cell as the drug leaves
What is horizontal gene transfer?
Drug resistance when bacteria gain new properties by acquiring genes from bacteria
What resistance happens to antibiotics due to inactivation of a drug?
-Activity of beta-lactamase -Addition of acetyl-CoA to chloramphenicol
What has a significant contribution to the maintenance of drug resistant genes in a bacterial population?
Exposing bacteria to the drug