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MOA
mechanism of action - pharm
26
Medical
Professional
07/09/2012

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Term
Inhibit bacterial protein synthesis by binding to 30S ribosomal subunit. Blocks tRNA binding to complex. Bacteriostatic.
Definition
Tetracyclines
Term
Irreversible inhibition of bacterial protein synthesis by binding to 30S ribosomal subunit blocking biding of mRNA to ribosome, causing misreading of mRNA. Bacteriocidal.
Definition
Aminoglycosides
Term
Inhibits bacterial protein syntehsis through binding to 50S RNA subunits. Inhibited due to inhibition of aminoacyl translocation reaction. Bacteriostatic, at high concentrations Bacteriocidal. Binds to one domain of 23S rRNA of 50S ribosomal subunit.
Definition
Macrolides
Term
Protein synthesis inhibited through interaction with 50S ribosomal RNA subunit and inhibiting aminoacyl translocation.
Binds to two separate domains (II and IV) of 23S rRNA of 50S ribosomal subunit.
Definition
Ketolide
Term
inhibits cross linkage of peptide side chains of bacterial cell wall. Transpeptidation step. Primarily Bactericidial.
Definition
Penicillins
Term
Interacts with b-lactamases destroying them.
Definition
B-lactamase inhibitors
Term
peptide antibiotic, inhibits bacterial cell wall synthesis
Definition
Bacitracin
Term
bactericidal glycoprotein. Inhibits bacterial cell wall synthesis by inhibiting synthesis of bacterial cell wall PHOSPHOLIPIDS. Also inhibits peptidoglycan cross linking or polymerization.
Definition
Vancomycin
Term
Unique mechanism of action. LIPOPEPTIDES interact with bacterial membranes inducing rapid polarization of membrane potential. Leads to cell death through indirection inhibition of DNA, protein, and RNA synthesis
Definition
Daptomycin
Term
Inhibits synthesis of bacterial cell walls. Effective vs. gram positive and negative. Resistance due to decreased permeability. Synergistic w/ aminoglycosides, B lactams, or fluoroquinolones.
Definition
Fosfomycin
Term
Inhibition of bacterial cell wall syntehsis. Active vs gram positive and negative. Orally effective second line agent.
Definition
Cycloserine
Term
Behaves similar to cationic detergents. Binds to and disrupts bacterial cell membranes
Definition
Polymyxin B.
Term
blocks binding of charged tRNA to acceptor site on 50S ribosome-mRNA complex. Therefore peptide @ donor site can't be transferred.
Definition
Chloramphenicol
Term
binds to 50S subunit of bacterial ribosome, thus inhibiting the translocation steps of protein synthesis
Definition
Clindamycin
Term
inhibits bacterial protein synthesis via a unique mechanism of action; therefore, it lacks cross resistance w/ other classes of antimicrobial agents
Definition
Mupirocin
Term
Similar MOA to aminoglycosides; inhibits bacterial protein synthesis by interferring with bacterial ribosome function.

Blocks 30S ribosomal subunit, blocking binding of mRNA to ribosome, causing misreading of mRNA
Definition
Spectinomycin
Term
antimetabolite; inhibits synthesis of bacterial folic acid
Definition
Sulfonamides
Term
antimetabolite; inhibits synthesis of bacterial folinic acid (tetrahydrofolate)

analog of dihydrofolic acid ; potent and selective inhibitor of dihydrofolate reductase (DHFR) which reduces dihydrofolate to THF. Bacterial DHFR has greater affinity for this than mammilian form of the enzyme accounting for its selective toxicity.
Definition
Trimethoprim
Term
antimetabolite; inhibits synthesis of folinic acid similar to trimethoprim
Definition
Pyrimethamine
Term
structural analogs of PABA; they compete with PABA for dihydropteroate synthetase inhibiting incorporation of PABA into bacterial folic acid
Definition
sulfonamides
Term
synergistic actions. first reduces production of folic acid from PABA, second inhibits conversion of dihydrofolate to tetrahydrofolate
Definition
SMX-TMP (Trimethoprim + sulfmethoxazole) Co-trimoxazole
Term
interfere with bacterial DNA replication, transcription, and repair through inhibition of DNA GYRASE (topoisomerase II) during bacterial proliferation.
Definition
Fluoroquinolones
Term
these also inhibit topoisomerase IV, essential for chromosomal DNA partitioning during bacterial cell division.
Definition
Fluroquinolones (third and fourth generation)
Term
inhibits bacterial protein synthesis by disrupting process necessary for protein synthesis. Interacts w/ 23S ribosomal RNA on 50S ribosome, thereby inhibiting formation of INITIATION COMPLEX and translation in G+ bacteria.
Definition
Linezolid
Term
synergistically inhibit bacterial protein synthesis through interaction w/ bacterial ribosome.
Definition
Quinupristin-Dalfopristin (Synercid)
Term
___ inhibits formation of initiation complexes, ___ inhibits aminoacyl translocation reactions
Definition
Dalfopristin, Quinupristin
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