Microbiology Final- Chapter 20 (Viruses) – Micro Final – Cha – Flashcards
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            | Chemotherapy: | 
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        | using chemical substances to treat diseases. | 
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            | What two ways can chemical substances be made? | 
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        | 1.made in the lab 2.maid by microbes  | 
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            | what type of drugs are made in the lab and what is an example of one? | 
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        | -SYNTHETIC DRUGS ex) Sulfanilamide (sulf drug)  | 
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            | what type of drug is made by microbes? | 
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        | -ANTIBIOTICS ex)Penicillin (Fleming 1928)  | 
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            | what is the main source of antibiotics? | 
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        | BACTERIA! | 
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            | what is it called when an antibiotic is modified in a lab? | 
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        | semi-synthestic | 
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            | what is it called when an antibiotic is modified in a lab? | 
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        | semi-synthestic | 
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            | antimicrobic: | 
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        | microbe-made or man-made agent | 
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            | Selective toxicity: | 
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        | Drug is (selectively) more toxic to microbe than to host | 
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            | Narrow Spectrum Drug: | 
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        | Narrow range; natural penicillin (penicillin G) affects only gram POSITIVE bacteria. | 
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            | Broad spectrum drug: | 
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        | wide range; semi-synthetic penicillin (ex: Ampicillin); affects gram positive and gram negative bacteria. | 
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            | suffix-end-cidal or static=? | 
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        | cidal means to kill and static means to stop growth. | 
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            | Antimicrobial Drugs: Drugs that inhibit cell wall synthesis-  | 
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        | Are bactericidal- ex) Penicillin's, bacitracin, vanomycin and others. *exceptions: isoniazid, and ethambutol (which blocks mycolic acid insertion in cell wall of Mycobacterium tuberculosis) are bacteriostatic  | 
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            | Antimicrobial Drugs: Drugs that inhibit protein synthesis- what size ribosomes does mitochondria have?  | 
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        | Eukaryotic mitochondria has 70S ribosomes | 
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            | Antimicrobial Drugs: Drugs that inhibit protein synthesis  | 
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        | -are bacteristatic examples) tetracycline's (broad spectrum), chloramphenicol (very broad spectrum, erythromycin  | 
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            | Antimicrobial Drugs: What is the exception to the bacteriostatic drugs?  | 
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        | strptomycin group (the aminoflycosides) are bactericidal | 
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            | Antimicrobial Drugs: Drugs that damage plasma membrane  | 
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        | are bactericidal  ex) polymyxin B- makes cell permeable=increase water uptake=cell lysis!  | 
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            | Antimicrobial Drugs: Drugs that inhibit nucleic acid synthesis:  | 
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        | -are bactericidal  ex) Rifampin- inhibits RNA synthesis and cyprofloxacin inhibits DNA synthesis.  | 
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            | Antimicrobial Drugs: Drugs that inhibit synthesis of essential metabolites. ex) Sulfa drugs  | 
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        | are bacteriostatic-inhibits growth ex) TMP(Trimethoprim-mainly used in the prophylaxis and treatment of urinary tract infections), SMZ (used to treat UTIs and strep most commonly), sulfanilamide  | 
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            | Antifungal Drugs: Antibiotics- Griseofulvin:  | 
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        | fungistatic, interfers with mitosis (for ringworm infection) | 
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            | Antifungal Drugs: Antibiotics-Amphotericin B:(a polyene compound)  | 
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        | fungicidal, binds sterols in plasma membrane (for systemic infections-toxic side effects) | 
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            | Antifungal Drugs: Synthetics- Clotrimazole: (an azole compound)  | 
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        | -fungicidal, blocks synthesis of plasma membrane sterols -for jock itch, and ringworm  | 
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            | Antifungal Drugs: Synthetics: Flucytosine  | 
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        | -fungicidal -inhibits RNA synthesis and therefore protein synthesis -systemic use -toxic side effect  | 
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            | Antifungal Drugs: Synthetics: Tolnaftate  | 
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        | -fungicidal (for treating athletes foot) | 
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            | Antiviral Drugs: General non-nucleoside agents: Interferon (IFN)  | 
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        | ex) alpha IFN -inhibits virus spread (for viral hepatitis)  | 
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            | Antiviral Drugs: General non-nucleoside agents: Amantadine and Rimantadine:  | 
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        | -These block uncoating of influenza  -Rimantadine-less toxic -A third drug-Oseltamivir (Tamiflu) -inhibits neuaminidase (N spike on influenza cell) of flu virus  | 
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            | Antiviral drugs: Nucleoside analogs:  | 
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        | -most antivirals are in this group -are purine (A or G) or pyrimidine (T, C or U) analogs -interfere with DNA or RNA synthesis  | 
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            | Antiviral Drugs: Purine Analogs: Vidarabine, Acyclovir, Ganciclovir  | 
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        | -for herpesviral infections (acyclovir-> genital herpes-no cure) | 
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            | Antiviral Drugs: Purine Analogs: Ribavirin  | 
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        | for viral pneumonia (aerosol spray) | 
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            | Antiviral Drugs: Pyrimidine Analogs:  | 
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        | A- AZT (zidovudine) B- DDL C- ddC -a, b, c all interfere with dviral reverse transcriptase -all for HIV treatment  | 
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            | Antiviral Drugs: Enzyme inhibitors: (anti-HIV)  | 
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        | -inhibits viral protease (for HIV treatment) -ex) Indinavir, and Saquinavir  | 
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            | Antiprotozoan Drugs: Chloroquine:  | 
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        | -inhibits DNA synthesis (for Malaria disease) | 
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            | Antiprozoan Drugs: metronidazole:  | 
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        | -Causes DNA damage -Broad spectrum against: -Trichomonas vaginitis -Entamedba diarrhea -Anaerobic bacteria  | 
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            | Anthelmintic Drugs (Worms) Helminth=  | 
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        | worm (flat or round) -tapeworm and flukes are flatworms  | 
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            | Anthelmintic Drugs: (Worms) Niclosamide  | 
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        | -prevents ATP generation for tapeworms | 
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            | Anthelmintic Drugs: (Worms) Praziquantel:  | 
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        | -Disrupts plasma membrane permeability -for tapeworm and flukes  | 
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            | Anthelmintic Drugs: (Worms) Mebendazole:  | 
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        | -disrupts nutrient absorption -for intestinal roundworms  | 
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            | Drug Resistance: Drug Resistance=  | 
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        | microbial resistance to a drug (not host resistance)D | 
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            | Drug Resistance: Heredity drug resistance  | 
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        | -passed from one bacterium to another -via plasmids called Resistance factors (R-factors  | 
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            | Drug Resistance: Mechanisms involved:  | 
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        | a) drug can't penetrate microbe to reach target site b) target site is altered by mutation c)microbial enzyme ex-Penicillinase (or beta lactamase) breaks down drug  | 
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            | Drug Resistance:  To minimize drug resistance:  | 
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        | 1-use drug only when absolutely needed 2-follow doctor's orders (dosage, freq) 3-use combination therapy  | 
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            | Drug Resistance: Why is it good to use combination therapy?  | 
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        | a) for synergistic effect-ex) Penicillin-streptomycin (penicillin-tetracycline-> antagonistic-do not mix penicillin and tetracycline) b) to decrease toxicity of individual drug c)to decrease emergence of resistant strains  | 
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            | Tests to guide chemotherapy: 1. Disk Diffusion Method---agar diffusion:  | 
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        | -kirby-Bauer method tests microbial susceptibility to drugs -the E test can determine "MIC"-defined below -Agar solid  | 
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            | Tests to guide chemotherapy: 2.Broth Dilution Test:  | 
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        | -Agar liquid -uses serial dilutions of a drug to determine a) MIC=minimal inhibitory concentration that INHIBITS growth of microbes b)MBC=minimal bactericidal concentration, lowest concentration that KILLS the microbes  | 
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            | New/future drugs: -new drugs (Under development):  | 
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        | Target: drug-resistant microbes Sources: plandts, animals (ex Antimicrobial peptides from frog skin), and synthetic compounds -synthetic compounds=example: -synthesize DNA--called Triplex agent and antisense agent -these neutralize the genes and mRNA's that code for microbial pathogenic proteins  | 
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            | How fly is Stuart? | 
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        | Super fly! |