ANTIMICROBIALS
AmbashRiazAdeelaHussainSohailSamual
Overview
What are Antimicrobials? Classification of Antimicrobials What are Antibiotics? Classification of Antibiotics Example of Penicillin What are Antivirals? What are Antifungals? What are Ant parasites? Antimicrobial Therapy Antimicrobial Resistance Side Effects of Antimicrobials Modern research about Antimicrobials Case Study
Anti-microbial
An anti-microbial is a substance that kills or inhibits the growth of microorganisms.
Bacteria Fungi Protozoans
Anti-microbial
Natural Fungi- Penicillin, Griseofulvin Bacteria- Polymixin, Bacitracin (Bacillus) - Tetracycline, Chloramphenicol streptomycin (Actinomycetes) Synthetic
Mode of Action
Inhibit the cell wall synthesis Cause leakage from cell membrane Inhibit protein synthesis Cause misreading of mRNA code and
affect permeability Interfere with DNA Interfere with metabolism
Classification
Antibiotics Antifungals Antiviruls Antiprasitics
ANTIBIOTICS
Antibiotics
Antibiotics are also known as antibacterials Antibiotics are medicinal products that have
an anti-bacterial effect. Antibiotics are widely used in the prevention
and treatment of infectious diseases. The most widely known antibiotic is perhaps
penicillin
What are antibiotics for?
An antibiotic is given for the treatment of an infection caused by bacteria.
They are not effective against viruses. Important to know whether it is caused by
bacteria or a virus
Classification of antibiotics
The antibiotics are classified according to three criteria
According to spectrum According to mode of action
According to spectrum
The spectrum means the number of the organisms affected by the same drug
There are two type of spectrum Narrow spectrum antibiotics Wide spectrum antibiotics
According to mode of action
Bactericidal Bacteriostatic
PENICILLIN
History
1896- Ernest Duchesne- first discover penicillin
1928- Alexander Fleming- rediscover it accidentally
Howard Florey and Ernst Chain- isolated the bacteria-killing substance
1941- Charles Fletcher- first applied on a patient
Mechanism
Structurally, penicillins are β-lactam antibiotics
Which directly hit cell wall of bacteria
Mechanism
Bacterial cell wall Bacterial cell walls are consisting of a
protective peptidoglycan layer. peptidoglycan layer: N-acetylmuramic acid (NAM) N-acetylglucosamine (NAG)Two enzymes are involved: autolycinetranspeptidase
Mechanism
Autolysine: break the cross link of peptides Transpeptidase: cross link the peptidase Remodeling of cell wall maintain the rigidity
of cell wall
Mechanism
The penicillins act by inhibiting transpeptidase enzyme.
This enzyme has a site to bind with penicillin – penicilline binding protein.
Unable it to do its function Loss of integrity of bacterial cell wall Leak its celluler component Bacterial cell perish
Beta-lactam ring
very unstable and therefore it participates Transpeptidase attacks the beta-lactam ring
which opens up to give a more stable compound
This compund remains bound to the transpeptidase via covalent linkage and thereby inhibits the enzyme by acylation of the active site.
Resistance to penicillin
Mutations in the active site of the transpeptidase enzyme.
use of newer penicillin antibiotics Many bacteriassysthesise an enzyme named
Beta- Lactamase
Video ……………….
ANTIVIRALS
Antivirals
Antivirals are drugs that kill or prevent the growth of viruses
Viral infections are much harder to treat than bacterial infections
Acyclovir is an antiviral drug that targets the herpes virus
Viral life cycle
Attachment to a host cell. Release of viral genes and possibly enzymes
into the host cell. Replication of viral components using host-
cell machinery. Assembly of viral components into complete
viral particles. Release of viral particles to infect new host
cells.
Anti-viral targeting
antiviral drug design is to identify viral proteins, or parts of proteins, that can be disabled
targets should be unlike any proteins or parts of proteins in humans
The targets should also be common across many strains of a virus, or even among different species of virus in the same family, so a single drug will have broad effectiveness
Key characteristics of Antivirals
Able to enter the cell infected with virus Interfere with viral nucleic acid synthesis or
regulation Some agents interfere with ability of virus to
bind to cells Some agents stimulates the body’s immune
system
Interferons
Protein- made and released by host cells belong to the large class
of glycoproteins known as cytokines
Functions
activate immune cells natural killer cells macrophages increase recognition of infection or tumor cells increase the ability of uninfected host cells to
resist new infection by virus
Mode of action
An infected cell releases interferons the infected cell can warn neighboring cells of
a viral presence by releasing interferon The neighboring cells, in response to
interferon, produce large amounts of an enzymes
Several different types of interferon are now approved for use in humans.
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