Outline how penicillin acts on bacteria, describe the main groups of antibiotics and their targets, and explain why antibacterial agents have no effect on viruses.
Penicillin belongs to the β‑lactam class of antibiotics. Its bactericidal activity results from inhibition of cell‑wall synthesis.
| Resistance mechanism | How it works | Typical counter‑measure |
|---|---|---|
| β‑lactamase production | Enzyme hydrolyses the β‑lactam ring, destroying activity. | Co‑administration of β‑lactamase inhibitors (e.g., clavulanic acid, sulbactam). |
| Altered PBPs (low‑affinity) | Mutations change the binding site, reducing affinity for penicillin. | Use of newer β‑lactams (e.g., cephalosporins) or non‑β‑lactam antibiotics. |
| Reduced permeability (Gram‑negative outer membrane) | Loss or modification of porin channels limits drug entry. | Combination therapy with agents that increase membrane permeability. |
| Bacterial group | Cell‑wall features | Penicillin effectiveness |
|---|---|---|
| Gram‑positive cocci (e.g., Streptococcus, Staphylococcus aureus) | Thick peptidoglycan layer, no outer membrane. | Highly susceptible – drug reaches PBPs easily. |
| Gram‑negative rods (e.g., Escherichia coli) | Thin peptidoglycan + outer lipopolysaccharide membrane. | Less susceptible; many produce β‑lactamases and limit drug entry. |
The Cambridge syllabus expects knowledge of the main groups of antibacterial agents, their primary targets and typical spectra.
| Class | Primary bacterial target | Representative drug(s) | Typical spectrum | Common resistance mechanisms |
|---|---|---|---|---|
| β‑lactams (penicillins, cephalosporins, carbapenems, monobactams) | PBPs – cell‑wall synthesis | Penicillin G, Ceftriaxone, Imipenem | Gram‑positive; some Gram‑negative (especially later‑generation cephalosporins) | β‑lactamases, altered PBPs, reduced permeability |
| Aminoglycosides | 30 S ribosomal subunit – protein synthesis (mis‑reading of mRNA) | Gentamicin, Amikacin | Obligate aerobic Gram‑negative rods | Enzymatic modification, reduced uptake, methylation of ribosomal binding site |
| Tetracyclines | 30 S ribosomal subunit – block attachment of tRNA | Doxycycline, Tetracycline | Broad‑spectrum (Gram‑+, Gram‑‑, intracellular) | Efflux pumps, ribosomal protection proteins |
| Quinolones (fluoroquinolones) | DNA gyrase / topoisomerase IV – DNA replication | Ciprofloxacin, Levofloxacin | Gram‑negative (especially urinary pathogens); some Gram‑positive | Mutations in gyrA/gyrB, efflux, plasmid‑mediated protection |
| Sulfonamides (often combined with trimethoprim) | Folate synthesis – inhibition of dihydropteroate synthase (DHPS) | Trimethoprim‑sulfamethoxazole | Broad‑spectrum (bacteriostatic) | Overproduction of PABA, mutated DHPS |
Antibiotics target structures or metabolic pathways that are unique to bacteria. Viruses lack these features, so antibacterial agents are ineffective.
| Feature | Bacteria | Viruses | Relevance to antibiotics |
|---|---|---|---|
| Cellular organization | Prokaryotic cell with membrane, cytoplasm, ribosomes, and cell wall. | Acellular particle consisting of nucleic acid + protein coat (± lipid envelope). | Antibiotics act on cell‑wall synthesis, bacterial ribosomes, or bacterial enzymes – none exist in viruses. |
| Genetic material | Single circular DNA chromosome (or linear in some). | DNA or RNA (single‑ or double‑stranded) packaged in a capsid. | Drugs that inhibit bacterial DNA gyrase or DHPS have no viral target. |
| Metabolism | Independent metabolism; synthesises proteins, nucleotides, lipids. | Metabolically inert; relies entirely on host cell machinery. | Metabolic inhibitors (e.g., sulfonamides) cannot act on a virus. |
| Reproduction | Binary fission requiring cell‑wall synthesis. | Replication inside a host cell using host enzymes. | Agents that disrupt bacterial cell division (penicillin, vancomycin) are irrelevant to viruses. |
Objective: Demonstrate the bactericidal effect of penicillin and relate the results to bacterial cell‑wall structure.
| Organism | Zone diameter (mm) | Interpretation |
|---|---|---|
| Streptococcus pyogenes | ||
| Escherichia coli |
| Class | Primary target | Example(s) | Typical spectrum |
|---|---|---|---|
| β‑lactams (penicillins, cephalosporins, carbapenems) | PBPs – cell‑wall synthesis | Penicillin G, Ceftriaxone, Imipenem | Gram‑positive; some Gram‑negative (esp. later‑generation cephalosporins) |
| Aminoglycosides | 30 S ribosomal subunit – protein synthesis | Gentamicin, Amikacin | Obligate aerobic Gram‑negative rods |
| Tetracyclines | 30 S ribosomal subunit – block tRNA attachment | Doxycycline, Tetracycline | Broad‑spectrum (Gram‑+, Gram‑‑, intracellular) |
| Quinolones (fluoroquinolones) | DNA gyrase / topoisomerase IV – DNA replication | Ciprofloxacin, Levofloxacin | Gram‑negative urinary pathogens; some Gram‑positive |
| Sulfonamides (often with trimethoprim) | Folate synthesis – DHPS inhibition | Trimethoprim‑sulfamethoxazole | Broad‑spectrum (bacteriostatic) |
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