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Gram +
Simple, thick peptidoglycan, has teichoic acids **NO OUTER MEMBRANE OR LPS**
Gram-
More complex than gram+, thin peptidoglycan layer, no teichoic acid **Has an outer membrane and LPS (responsible for toxicity)
Peptidoglycan made up of..
Alternating NAG & NAM, as well as cross-linking transpeptides
Peptidoglycan functions: (3)
Shape Protection Diffusion
LPS made of
Lipid A --responsible for toxicity Core oligosaccharide O polysaccharide antigen
Ribosomes
Site of protein synth
Inclusion
reserve energy molecules contain phosphate, polysaccharide, ipid, sulfer etc. Most are energy reserves Helpful in diagnosis
Corynebacterium diptheriae
Metachromatic phosphate containing granules (INCLUSIONS)
Catabolism
The process of substrate breakdown GENERATES ATP
Anabolism
the process of synthesis of cellular elements **REQUIRES ATP**
3 Important electron carriers
NAD NADP FAD
Coenzymes
organic by nature many are synth from vitamins --NAD is made from niacin
Cofactors
Inorganic by nature Improve fit Ions of Mg, Zn, Mn
Factors that influence rate of enzymatic reactions (4)
Temp pH enzyme and substrate concentrations presence of inhibitors
Competitive inhibitors
similar in structure to substrate competes for active site
Noncompetitive inhibition
bind to a site other than active site pushes on it which changes the shape of the active site
Feedback inhibition
end product of reaction binds to and inactivates enzyme reversible noncompetitive
Neisseria meningitidis *Is it aerobic or anaerobic?/What does it utilize
obligate aerobe utilizes glucose/maltose
Escherichia coli *Aerobic or anaerobic/what does it utilize?
faculative anaerobes utilizes glucose & lactose
Clostridium Tetani *Aerobic or anaerobic
obligate anaerobe,
Neisseria gonorrhoeae utilizes__
glucose
Shigella sonnei utilizes__
glucose
S. Aureus utilizes__
mannitol
Clostridium perfringens utilizes__
glucose produces butyric acid which causes tissue damage
Lipid catabolism
bacteria produce lipase that breaks down fats produces fatty acids cause inflammation & redness **cause of acne**
Major sites of antibiotic targeting (5)
cell wall cell membrane ribosomes metabolic pathway DNA
bactericidal
kill bacteria used when host defense mechanisms are impaired required in endocarditis, kidney infections
bacteriostatic
inhibit bacteria used when hosts defense mech are intact
Vancomycin
interferes with aline-aline bridges in gram + bacteria
Penicillin
effective primarily against gram + organisms beta lactam antibiotic
Ampicillin & Amoxicillin
effective against both gram + and - Used in UTI, salmonella, mono & strep A Adverse effects : allergic rxns, anaphalactic shock
1st gen cephalosporin
cephalexin
2nd gen cephalosporin
cefuroxime
3rd gen cephalosporin
ceftazidime
4th gen cephalosporin
cefepime
Amphotericin B
attaches to ergosterol in fungal membranes **ANTIFUNGAL MED** humans somewhat susceptible b/c cholesterol is similar to ergosterol -- leads to nephrotoxicity
Chloramphenicol 4 adverse effects
INHIBITS 50s SUBUNIT RIBOSOME crosses blood brain barrier 1st choice in brain abscess caused by staph aureus Adverse effects: bone marrow supression, aplastic anemia, grey baby syndrome, leukemia
Lincomycin
INHIBITS 50S used in anaerobic and severe aerobic infections Adverse effect: pseudomembranous colitis (clostridium difficile
Erythromycin
effective against gram + bacteria, mycoplasma pneumoniae, Legionella pneumophilia adverse effects: GI disturbances
Tetracycline
INHIBITS 30S used to treat acne vulgaris, rocky mtn spotted fever, lyme disease, non-gonococcal urethritis is a broad spectrum antibiotic adverse effects: stains teeth, inactivated by calcium, photosensitivity, drug induced lupus and hepatitis
Amnioglycosides
INHIBITS 30S used to treat severe gram - infections and TB adverse effects: nephrotoxicity &ototoxicity
Lopinavir & Ritonavir
inhibit HIV specific protease *type of drug used in inhibition of metabolic pathways
Trimethoprim/Sulfamethoxazole
used to treat otitis media, UTI adverse effects: rash, stevens-johnson syndrome, toxic epidermal necrolysis
Acyclovir, AZT, Lamivudine
inhibits viral nucleic acid synth also effective against rapidly dividing cancer cells
Quinolones & Floroquinolones
inhibit prokaryotic DNA gyrase
Rifampin
inhibit action of RNA polymerase during transcription
Quinolones used for: (4 adverse effects)
treatment of pneumonia, UTI, gastroenteritis, atypical pneumonia adverse effects = peripheral neuropathy, stevens johnson syndrome, pseudomembranous colitis(c. difficile), seizures
Chromosome mediated genetic resistance
spontaneous mutation in target molecule or in drug uptake system
Plasmid mediated resistance
common in gram - rods transferred via conjugation thru pilli *cause of multi drug resistance
Pathogenicity
ability of a microorganism to cause disease
virulence
degree of pathogenicity
virulence factors: (4)
adhesion factors, extracellular enzymes, toxins, antiphagocytic factors

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