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Microbiology Pharmacology
Protein Synthesis Inhibitors
10
Astronomy
Undergraduate 2
05/17/2012

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Term
Protein Synthesis inhibitors
Definition
30:
Aminoglycosides
Tetracycline

50:
Chloramphenicol
Clindamycin
Erythrocyclin (macrolide)
Linezolid

"Buy AT 30, CELL at 50"
Term
Binds 23S RNA and interacts with bacterial initiation complex

Used for MRSA and VRE
Definition
Linezolid
Term
Aminoglycoside options
Definition
Gentamycin
Neomycin
Amikacin
Tobramycin
Streptomycin

MOA:bactericidal and inhibits formation of initation complex

Ineffective against anaerobes because it needs Oxygen "amean-O-glycosides"
Term
Aminoglycoside toxicity
Definition
Toxicity:
Nephrotoxicity - worse when combined with Cephalosporins
Ototoxicity - worse with Loop diuretics
Term
Binds to 30S and attaches to aminoacyl-tRNA
Definition
Tetracyclines:
tetracycline
doxycycline
demeclocycline
minocycline

Vibrio cholera, acne, chlamydia, ureaplasma, urealyticum, mycoplasma pneumoniae, tularemia, H. Pylori, borrelia burgdorferi
Term
What should you never take with tetracyclines? What are the potential side effects?
Definition
Milk, antacids, divalent cations (divalent cations inhibits absorption)

Causes tooth discoloration
Term
Drugs that inhibit protein synthesis by blocking translocation; bind to the 23S rRNA of the 50S ribosome
Definition
Macrolides:
Erythromycin
Azithromycin
Clarithromycin

Uses (PUS): Pneumonia, atypical pneumonia, URIs, STDs

Toxicity: Prolonged QT interval
Term
Inhibits 50S peptidyltransferase activity. Bacteriostatic
Definition
Chloramphenicol

Use: Meningitis (H flu, N meningitidis, s. pneumo)

Toxicity: anemia, aplastic anemia, gray baby syndrome (because they lack UDP glucuronyl transferase)
Term
Blocks peptide bond formation in 50S. Causes pseudomembranous colitis
Definition
Clindamycin

Treatment: for anaerobic infections
Lung abcesses, aspiration pneumonias, skin infections (bacterioids fragilis, clostridium perfringens)

Toxicity: Pseudomembranous colitis
Term
Forms toxic metabolites in bacterial cell that damage DNA. Used for protozoa and and anaerobes
Definition
Metronidazole

Has disulfiram like effects

GET GAP on the metro
(giardia, entamoeba, Trichomonas, gardernella, anaerobes, h. pylori)
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