Binary fission
or transverse fission: Bacteria multiply in a manner that each cell produces two new cells (binary) by splitting in half (fission)
steps in binary fission.
Parent cell
Chromosome replication and cell enlargement
Chromosome and ribosome are divided and separated,
Septum and cell membrane is created
Daughter cells created
Generation time
(doubling time) time required for one cell to become two, around 30 min
Exponential growth
2^generation to calculate cell population size
calculate the size of a population over time.
Nf=(Ni)2^n
Nf = Final number of cells
Ni = Initial number of cells
n = number of generations
So, if E. coli have a generation time of twenty minutes at room temperature, starting with ten cells, how many are there in three hours
3 hours (180 min),
# generation= 180/20= 9
Nf=(10)(2^9)
5120
what a growth curve measures
change in population over time
Growth curve: lag, log, stationary and death phases.
Lag- adjusting to the environment, growing
Exponential (log)- no limit on growth with good nutrient and environment
Stationary- new cell=dead cell (lack oxygen, nutrients, build-up of waste)
Death- new cell produced slowly, cell dying/dormant
Spectrophotometer pro and con
Pro- estimate of population
Con -Live and dead cells are counted. But only a relative amount
Clear sample: high light transmitted, low absorbency
Turbid sample- low light transmitted, high absorbency
Direct cell counting pro and con
grid count
pro- easy, cheap
con- live and dead both counted
viable plate counts-pro and con
Incubated culture is sampled every interval and place in petri disk,
Pro: live cell only.
Con: takes long time and material.
flow cytometry pro and con
cells with fluorescent dye, illuminated by laser,
Pro: can distinguish live and dead.
Con: cost $$$
anabolism and catabolism differ.
Catabolism- big molecule(Carb protein lipid) broken into small, energy released, CO2 and H20 released
Anabolism (biosynthesis)- small molecule(amino acid & sugar) become large(carb, protein, lipid) need energy from catabolism
They work together for cell metabolism
why cells require enzymes.
need to to function
(heat, pH, chemicals)
How enzymes work in terms of the energy of activation of a reaction.
Enzyme provide physical site which substrate can fit
Enzymes lower activation energy
enzyme characteristics
•Organic catalysts
•Lower the activation energy
•Speed up reactions
•Usually made of protein
•Active site: where catalysis occurs
•Not used up during a reaction (can reuse)
•Greatly affected by temperature and pH
2 enzymes based on structure
Simple enzyme: Protein only, no cofactors or coenzymes needed
Conjugated enzyme: Require a coenzyme /cofactor for activity
•Apoenzyme—protein only (cofactor is needed but not present)
•Holoenzyme—protein + cofactor
2 enzymes based on Location
Exoenzyme act outside the cell
•Endoenzymes act within the cell
2 enzymes based Regularity of function
Constitutive enzymes always present within the cell
•DNA replication
•Anabolic functions
•
•Inducible (regulated) enzymes produced when needed
•Digestion of lactose
•Catabolic functions
size of plasmid in bacteria and eukaryotic genomes
Bacteria- chromosome is ⅓ of cell
Eukaryotic genomes - located in nucleus
DNA structure
repeating nucleotide
phosphate, deoxyribose,
4 nitrogen bases Adenine, Guanine, Thymine, cytosine
hygrogen bond
Double helix
RNA structure
single strand
Uracil replace thymine
sugar is ribose
base pairing rules of DNA
Adenine- Thymine
Guanine- cytosine
antiparallel arrangement
strands run in opposite directions
Helix runs from
5 to 3
order of bond between cabon on deoxyribose and phosphate
DNA to DNA, DNA to RNA, and RNA to protein called
Replication- one strand needed to create other strand DNA
transcription - DNA synthesize to RNA
Translation- RNA use to produce protein
function of helicase, primase
Helicase- uncoil DNA helix
Primase- laydown RNA primer
function of DNA polymerase III
add base to new DNA chain in 5-3 direction
function of DNA polymerase I-
Remove RNA primers and replace gaps between okazaki with correct nucleotide
function of Ligase and Gyrase-
Ligase- connect all dna pieces into 1 long one
Gyrase- super coiling
RNA polymerase
creates RNA molecule from DNA
leading and lagging strand DNA differ.
Leading strand- Created by DNA polymerase III
Lagging strand- after leading strand
what occurs during transcription and translation
transcription
DNA->RNA
No T, replace with Uracil
translation
RNA -> protein
difference between RNA and DNA
RNA
•Single stranded
•Ribose
•Uracil
DNA
Double stranded
Deoxyribose
Thymine
three major types of RNA
tRNA- clover shape with amino acid and anticodon
mRNA- use uracil instead of thymine
rRNA- structure of ribosome
steps how transcription occurs
Carried out by RNA polymerase (RNAP)
1.Initiation: RNAP binds to promoter region of DNA
2.Elongation: RNAP synthesizes RNA in the 5'→3’ direction
3.Transcription stops when a termination sequence in the DNA is encountered.
steps how Translation
Large and small ribosomal subunit look for AUG codon on mRNA
tRNA with anticodon corries “methionine” specific amino acid to P site. next codon to A site
Peptide bond is formed between 2 amino acids
Empty tRNA kicked out of ribosome
Stop codon UAA, UAG, and UGA reached
DNA turn to protein: TAC and ACT
TAC ACT DNA
AUG UGA mRNA (U replaces T)
mRNA and tRNA codon creates amino acid
Methionine Typtophane
Transcription and translation eukaryotes
Intron splicing
•Eukaryotic genes: exons (expressed sequences) and introns (intervening sequences)
•After transcription, intron are removed (loop), and exons connected together for translation
•Vastly increases genetic variability
inducible and repressible operon
•Inducible operons, lactose operon, normally turned off (not transcribed)
•Transcription is blocked by the repressor protein
•When lactose is present, the repressor falls off of the DNA and RNA polymerase can transcribe the three genes
catabolic processes
•Repressible operons, arginine synthesis operon, are normally turned on (transcribed)
•As long as arginine is needed, the arginine synthesis operon is transcribed
•If arginine can be found in the environment (for free) or the cell becomes less active, it will bind to the repressor protein and the activated repressor protein will bind to the DNA, blocking transcription
anabolic processes
Mutation
henotypic alternation in genotype caused by error in replication or mutagens
Point mutation
addition, deletion or substitution of no more than a few bases
Substitution mutation, Missense, Nonsense, Silent
Substitution- One nucleotide is substituted for another. ex.
Missense mutation: different amino acid, may not change protein
CCA-> Proline ACA->Threonine
Nonsense- creation of stop condon, short nonfunction protein
UAG->STOP
Silent- same amino acid produced, no change to protein function
UUG-> Leucine CUG -> Leucine
Back and frameshift mutation
Back- undergone mutation reverses. Mutates back to its original base composition
Frameshift- addition/deletion of letter change reading frame of mRNA, non functioning protein
The big ABC ATA
how mutations may be repaired
DNA pol I and DNA pol III both have proofreading activity and will replace mismatched nucleotides (while it is made)
•Excision repair will remove segments of damaged or mismatched nucleotides, allowing DNA polymerase to replace them
types of mutations are most serious
Nonsense- creation of stop condon, short nonfunction protein
UAG->STOP
Frameshift- addition/deletion of letter change reading frame of mRNA, non functioning protein
The big ABC ATA
Genetic recombination-
moving genes between organisms
Conjugation
genetic recombination
dna transfer along pilus, direct, drug resistance
transferred along the pilus is the F plasmid
Conjugation-
genetic recombination
dna transfer along pilus, direct, drug resistance
transferred along the pilus is the F plasmid
Transformation-
genetic recombination
free dna from the environment, Indirect,
•Rare, but common
•Used in lab, add genes to bacteria so they will produce proteins we desire
Transduction-
genetic recombination
dna spread by virus, indirect, exotoxin
•Occurs when a phage accidentally packages a small bit of host DNA into a virus
•Only occurs between closely related bacteria because both must serve as a host for the virus
purpose of genetic engineering.
Create drugs
Compare dna
restriction endonucleases (restriction enzymes)
Restriction enzymes are produced by bacteria, which use them to cut the DNA of invading viruses
recognition sequence
palindromic
GAATTC
CTTAAG
how DNA can be cut and separated by size (using gel electrophoresis),
•DNA fragments can be separated using agarose gel electrophoresis.
•Smaller fragments move more quickly through the gel than large.
DNA sequencing.
determining the order and type of base pairs in genes and genome
•PCR, what is in it?
Amplifies the presence of a single small piece of DNA many millions of times so that it stands out from the background. determine COVID-19 in their bloodstream
1.Template DNA (your sample)
2.Two sets of DNA primers
3.A, G, T, C
4.Taq DNA polymerase
What DNA polymerase needed for PCR?
•Taq DNA polymerase from bacterium Thermus aquaticus. hot water, obligate thermophile and is used to growing at very high temperatures (inactive at cooler temps). Keep dna separated at high temp
Denature (94OC)
Anneal (60OC)
Extend (72OC)
30-35 cycles of PCR = several million DNA sequence
DNA Fingerprinting is? and how is it constructed?
DNA Fingerprinting is a Combination of Restriction Enzyme Digestion of DNA and Agarose Gel Electrophoresis.
Recognition endonuclease used to cut DNA at recognition site then loaded into agarose gel electrophoresis. Small Negative DNA is attracted to positive gel. PCR is used to increase amount of dna
Cloning vector and cloning host
Cloning vector- carries doner DNA and be accepted by cloning host (plasmid used)
Cloning host- usually ecoli, coning vector is inserted
major parts of a plasmid
Plasmid: A Small, Self Replicating, Circular Piece of DNA
ORI- origin of replication, dna start to replicate
Drug resistance
Multiple cloning site- insert gene here
size of a plasmid relative to the bacterial chromosome.
1000X smaller than bacterial chromosome
EX 2000 bq
how to isolate a gene.
Recombinant plasmid-
Restriction enzyme cut plasmid and foreign dna.
Transformation: Join together in recombinant plasmid. Placed inside host
Selected for grow on antibiotic containing media
Bacteria cell will transcribe gene on plasmid to produce protein
genetically modified organism
or transgenic organisms
Recombinant organisms produced through the introduction of foreign genes
CRISPR/Cas-9
•CRISPR•system that bacterial cells can use to remove integrated viral DNA
•CAS-9 (CRISPR associated protein-9) is an endonuclease (restriction enzyme) that cuts DNA wherever CRISPR binds, allowing viral DNA to be removed
-can remove harmful gene in body of all cell
gene therapy
•Healthy gene is inserted into a virus, then infect patient DNA to produce protein
correct specific genetic defects
Zolgensma cures spinal muscular atrophy
•Decontamination:
Destruction, removal, or reduction of undesirable microbe
resistance of various microbial organisms
•Highest resistance
•Bacterial Endospores, Prions (Creutzfeld-Jakob, Bacillus, Clostridium)
•Mid-level resistance
•Protozoan cysts
•Fungal Zygospores
•Naked viruses (Polio, hepatitis A) no envelop
•Some bacteria
•Mycobacterium tuberculosis
•Staphylococcus aureus
•Pseudomonas
•Lowest resistance: Everything else
•E. coli
•Coronavirus
organisms that are especially hard to kill
•Bacterial Endospores, Prions (Creutzfeld-Jakob, Bacillus, Clostridium)
Sepsis:
Growth of microorganisms in tissues
•infection
•Asepsis:
Techniques that prevent the entry of microbes into sterile tissues
•Sterile needles, Cleaning the skin before surgery
•Antiseptic:
Chemical applied to the skin to inhibit vegetative pathogens
•Antibacterial soap
things used on living surfaces and those used only on inanimate surfaces.
Living surface- ascepsis, antiseptic, degermation
Inanimate- sterilization, disinfection, sanitization
microbial death and the factors which influence it.
Microbial Death: The permanent loss of reproductive capacity, even under optimal conditions for growth
•Not all cells die at the same time
•Microbial load- # of microb
•Nature of microbes in population (type of microb)
•Temperature and pH of environment (and how much it can be changed)
•Presence of solvents, organics, inhibitors
‘common sense’ concerns when choosing a method of decontamination.
•Is sterilization needed (disinfection enough)? Clothing no need
• reused?-
•Can item to be sterilized resist heat, acid, chemicals?
•Is control method suitable for application (stains, bad taste)? bleach on clothes
•Cost, safety?
four targets of microbial control
1.Cell Wall: Bacterial and fungal cells
Lysozyme, detergents, alcohol
2.Cell Membrane:
Detergents and alcohols can cause a loss of selective permeability
3.Protein and nucleic acid synthesis
x-rays, formaldehyde
Inhibit replication or reading of DNA
4.Protein function
Heat, pH, heavy metals
Denature enzyme or block active site
why moist heat is more effective than dry heat.
Water transfers heat better than air
steam under pressure ex
.Intermittent sterilization (Tyndallization)
•Used rarely for biologicals that can’t stand high temps (seeds)
•Free flowing steam 1 hour
•Incubate at 25C 24 hours (allows spores to germinate)
•Free flowing steam 1 hour
•Cycle is repeated a total of three times
•Vegetative cell to die
Boiling water
•Disinfection, used routinely for water
pasteurization.
•Exposing liquids to temperatures below boiling to kill some microorganisms while not altering the taste
two types of pasteurization.
•Flash pasteurization: 71.6C for 15 seconds
•Ultra high temperature pasteurization 134C for 2-5 seconds
Dry heat examples
•Incineration 800-6500°C Medical waste
•Bunsen burner 1870°C Laboratory
•Dry oven 180°C Waxes, oils, are not penetrated by water
Things that can withstand heat
why cold and desiccation are not reliable methods of microbial control.
•Cold (and desiccation)
•Removal of energy or water
•Both typically microbistatic
•Used to store microbes
Ionizing and nonionizing radiation in terms of their uses, mode of action, and limitations.
Ionizing radiation: Gamma rays, X-rays, Cathode rays. Deep penetration. Works by causing breaks in DNA
Use- vegetable, fruit meat,
Limitation- people don’t like radiation
•Ultraviolet light (nonionizing radiation). Works by creating abnormal bonds (thymine dimers) in DNA
•Used for: bakery, surfaces, disinfect water
Limitation-•Very little penetrating power
filtration in removing microbes.
•Can be used for gases or liquids (mask)
heat sensitive liquid like serum, blood product, vaccine, beer
four factors which influence the germicidal activity of chemical agents.
# and kind of microb
Materials that are being treated
Time of exposure required
Strength and mode of agent
Chlorine- action, uses and weakness
halogens
•Exists as a gas but usually used as a liquid for safety (hypochlorite, chloramines)
•Mode of action: Forms hypochlorous acid which denatures specific amino acid in proteins. Kills endospores if given enough time.
•Uses: water, restaurant equipment, household cleaning
•Drawbacks: Breaks down quickly in light
Iodine: action, drawback, uses and weakness
halogens
Iodine:
•Mode of action: Binds to proteins, nucleotides, and fatty acids.
•Uses: Iodophors (iodine plus soap or detergent) can be used to lessen irritation
Weakness- irritating in high concentration and stains
phenols action, uses and weakness
•Toxic by-product of oil refining
•Mode of action: Destroys cell walls and denatures proteins
•Uses: Phenolic derivatives (phenol plus soap or detergent)
•Old-school Lysol and Amphyl. Since discontinued due to toxicity
•Drawbacks: Toxicity, cancer,
Chlorhexidine, action, uses and weakness
•Chlorine plus phenol
•Mode of action: Destroys cell membranes and denatures proteins
•Uses: Used widely in hospitals (Hibiclens, Hibitane)
•Drawbacks: Very few. Not sporicidal
alcohols, action, uses and weakness
•Only ethanol and isopropyl alcohol are safely antimicrobial
•Mode of action: Destroys cell membranes and denatures proteins.
•Drawbacks: Not sporicidal
•Uses: Used widely in hospitals. Most effective at 70%
•Also removes oil and dirt from skin prior to injections
•Active ingredient in antibacterial soap and hand sanitizer
Hydrogen peroxide action, uses and weakness
•H2O2
•Mode of action: Hydroxyl free radicals (-OH) destroy cell walls
•Uses: Home as antiseptic (3% H2O2 )
•High concentrations(36% H2O2) of vaporized H2O2 used to sterilize large/reusable objects in sterilization cabinets
•Drawbacks: Very few. Also damages healthy cells so long-term use (chronic wounds) should be avoided
aldehydes, action, uses and weakness
Glutaraldehyde, ortho-phthalaldehyde, formaldehyde
•Mode of action: Carbonyl group (C=O) binds to (alkylates) amino acids, damaging them in cellular proteins
•Glutaraldehyde and formaldehyde are sporicidal
•Uses:
•Sterilization of medical equipment
•Preservation of tissue (formalin, 37% formaldehyde)
Drawbacks: Formaldehyde is toxic and irritating
ethylene oxide, propylene oxide, chlorine dioxide: action, uses and weakness
•Ethylene oxide (ETO), propylene oxide (PPO), chlorine dioxide
•Mode of action: Alkylating agents. Bind to proteins and DNA
•Drawbacks: ETO is explosive, carcinogenic
•Uses: •ETO and PPO Sterilization of food, nuts, grains, plastic items
•Chlorine dioxide: Sterilization of large spaces, space probes
Detergents (benzalkonium chloride): action, uses and weakness
•Cationic detergents are most effective
•Quaternary ammonium compounds eg. benzalkonium chloride
•Mode of action: Disrupt cell membranes
•Uses:• remove organic matter before more rigorous treatment
• home cleaners
•Drawbacks: •Low level disinfection.•Easily inactivated•Requires alkaline conditions
heavy metals, action, uses and weakness
•Mercury, Silver, Copper, Gold
•Mode of action: Bind to active sites, blocking enzyme action
•Uses: •Copper and silver added to (catheters, prostheses)
•Athletic clothing, braces
Drawbacks: •Toxic to humans•Allergenic•Neutralized by organic matter•Microbes develop resistance
Acid and bases ,action, uses and weakness
•Mode of action: Denature enzymes
•Uses:
•Organic acids (citric acid, acetic acid) used to prevent mold growth and spore germination
•Drawbacks:
•Most are too corrosive
•Bases have an unpleasant feel and flavor
Dye action, uses and weakness
•Mode of action: Cause DNA mutations
•Uses:
•select against Gram positive organisms
•e.g. EMB agar (Eosin methylene blue)
•Drawbacks:
•Narrow spectrum
•Stain surfaces (Duh…)
antimicrobial chemotherapy.
administer drug to infected person that destroy infectious agent without harming host cell
where antibiotics come from
Fungi
•Penicillium, Cepahalosporium
Bacteria
•Bacillus, Streptomyces, Micromonospora, Chromobacterium
antimicrobial drugs that target cell wall
Cell wall, weak spots in the cell wall (eg. Penicillin, cephalosporin)
antimicrobial drugs that target cell membrane
cell membrane, selective permeability (eg. Polymixin, daptomycin)
antimicrobial drugs that target protein synthesis,
protein synthesis, • translation is a multistep
• broad spectrum
antimicrobial drugs that target DNA/RNA synthesis
DNA/RNA synthesis,•Quinalones prevent repair of DNA by the enzyme topoisomerase many lethal DNA mutations (eg. ciprofloxacin, moxifloxacin)
antimicrobial drugs that target metabolic reaction
metabolic reaction• several enzyme catalyzed reactions to produce nucleotides (purines and pyrimidines) and amino acids
•Sulfanilamide similar to PABA and ‘clog’ the enzymes
metabolic analog why such drugs are said to operate by competitive inhibition.
metabolic analog - drugs that mimick normal substrate of enzyme
competiive inhibition- drug and substrate try to fit into enzyme
cephalosporins, vancomycin, bacitracin: action, spectrum, weakness
-Cillin in name
cell walls
•beta-lactamases disrupt the beta-lactam ring and cause resistance to the drug
•Penicillin is narrow spectrum for sensitive Gram-positive cocci
•Other cillins have broader spectrums of action and can be used against Gram-negative bacteria
•Ampicillin, amoxicillin, ticaricillin, piperacillin
•Cillins two main problems
•Growing resistant species
•Allergies to penicillin
Cephalosporin drug: action, spectrum, weakness
Cef, ceph, or kef in the name
cell walls
•Broader spectrum and fewer allergic reactions than penicillin
Injected
Vancomycin drug action, spectrum, weakness
cell walls
Narrow spectrum for staphylococcal infection
Toxic, for serious disease only
Bacitracin drug action, spectrum, weakness
cell walls
Narrow spectrum
Block elongation of peptidoglycan in gram +
Neosporin
polymixins drug: action, spectrum, weakness
cell membranes
Detergent activity
Narrow spectrum peptide antibiotics
Toxic to kidney
Rifampin drug: action, spectrum, weakness
cell membranes
Targets RNA polymerase prevent transcription
•Narrow spectrum. Used to treat Mycobacterium tuberculosis
Aminoglycosides drug(eg. Steptomycin gentamycin, tobramycin, amikacin) action, spectrum, weakness
cin in the name
Protein synthesis
•Bind to the ribosome and stop translation
•Broad spectrum, but as more and more serious side effects have been noted it is prescribed less
Tetracyclines drug(eg. Doxycycline and minocycline) action, spectrum, weakness
Protein synthesis
Binds to ribosome, prevents entry of tRNA
•Broad spectrum but limited use (gastrointestinal problems and staining of teeth and bones)
chloramphenicol drug action, spectrum, weakness
Protein synthesis
Broad spectrum
Block peptide bone formation and protein synthesis
Toxic to human, use restricted because bone marrow damage
For brain abscesses
Erythromycin drug action, spectrum, weakness
macrolides
protein synthesis
Block protein synthesis by attaching to 50S subunit of ribosome
Moderate spectrum and low toxicity
Syphilis
Clindamycin drug action, spectrum, weakness
macrolides
protein synthesis
Broad spectrum
Adverse stomach issues
For serious large investing, infection with penicillin resistant, acne med
sulfonamides (sulfa drugs)
metabolic pathways
metabolic analogs.
They can block the active site of an enzyme, inhibiting enzyme-catalyzed reactions
•Often combined with trimethoprim to inhibit two successive enzymes in the same pathway (Bactrim)
Narrow spectrum
Synercid drug-
no other drugs are available to slow drug resistance
Contains quinupristin and dalfopristin
Effects against staphylococcus and enterococcus
Bind to 50S ribosome inhibit peptide transfer
Daptomycin drug
no other drugs are available to slow drug resistance
Mainly against gram +
Disrupt membrane function
ketolides drug
no other drugs are available to slow drug resistance
Telithromycin ketek for respiratory trect infection caused by macrolide resistant bacteria
Oxazolidinones drug
no other drugs are available to slow drug resistance
Stop Initiation of protein synthesis
For infections caused by staphlococcus aureus and enterococcus because not found in food
why eukaryotic infections are more difficult to treat than prokaryotic organisms.
Slower metabolism,
•target and host become more similar in biology,
•Treatments is less selectively toxic (i.e more toxic to the host)
Polyenes drug:
Antifungal
Bind to ergesterol in fungal membranes
•Amphotericin B: Versatile but side effects include irregular heartbeat
Griseofulvin drug
Antifungal
Used for dermatophytic infections (hair, skin, nails). Hepatotoxic (really toxic liver, builds up in body). Athlete food
Azoles drug
Antifungal
eg. ketoconazole, fluconazole, clotrimazole. Broad spectrum/low toxicity
Flucytosine drug
Antifungal
An analog(1 hand) of cytosine. Interferes with DNA replication
Antimalarials drug
•Quinine derivatives (tree bark): Chloraquine, primaquine, meflaquine
•Coartem
Other protoazoan infections drug
•Metronidazole (Flagyl): Used for Giardia, Trichomonas, Entamoeba
•Antihelminthic drugs:
: Often work by paralyzing the worm, allowing it to be expelled
•Mebendazole, Thiabendazole, Praziquantel, Ivermectin
targets of antiviral chemotherapy.
Must block a step in the viral replication cycle
1.Prevent entry into the host
2.Prevent replication/transcription/ translation
3.Prevent assembly (maturation) or exit
drugs used to treat influenza
•Relenza and Tamiflu block release of the virus from the host cell
•Xofluva blocks replication of the virus (early)
drugs used to treat Herpes
Cyclovirs (acyclovir, famicyclovir, valacyclovir [Valtrex])
•Nucleotide analogs are inserted into the DNA of the virus, stopping replication
drugs used to Hepatitis C
•Two drug treatment (Harvoni)
•Sofosbuvir: nucleotide analog
•Ledipavir: Interferes with RNA polymerase
HIV Prevent Virus From Entering the Cell
1.Binding inhibitors (Maraviroc) blocks the CCR5 receptor on T cells that HIV needs to bind
2.Fusion inhibitors (Fuzeon) Prevents fusion of HIV with host cell membrane.
HIV Preventing Reverse Transcription
3.Nucleoside analog reverse transcriptase inhibitors [NRTIs] (zidovudine, stavudine, lamivudine). Get incorporated into the DNA molecule but prevent further incorporation of nucleotides
4.Nonnucleoside reverse transcriptase inhibitors [NNRTIs](Doravirine, Etravirine) inhibit the reverse transcriptase enzyme itself
HIV Preventing Maturation
5.Integrase inhibitors (raltegravir) prevent integration of viral DNA into host DNA
6.Protease inhibitors (saquinavir) inhibit HIV protease that is needed to produce infectious viral particles
PrEP
preexposure prophylaxis- anti HIV med given to person without hiv to prevent infection
five mechanisms of drug resistance.
Drug inactivation,
decrease permeability,
activation of drug pump,
change in drug binding site(ribosome alter)
, use of alternative metabolic pathway
3 side effect of drug and example
Toxicity- •EX. Deposition, stain into skin and bones (tetracycline)
Allergy- Penicillin and sulfa drugs most common
Suppression and Alteration of Microbiota•Broad-spectrum antibiotics ->Yeast infection
Kirby-Bauer pro and con
Pros:
•Cheap, fast, can test multiple drugs at once
Cons:
•Can’t determine MIC
Tube dilution test
Pros:
•Can determine MIC
Cons:
•Slow, test one drug at once
Etest
Pros:
•Can determine MIC
•Multiple drugs can be tested simultaneously
Cons:
•Cost $$
therapeutic index for a drug
toxic dose/ MIC
High # is better, low # is risky