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Antibiotics. Study aid

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Task 6. Match chemotherapy drugs to their point of application (A–E) and
type of action (a, b) depending on the mechanism of action (1–3).
Drugs
Application point
Mechanism of
action
Action type
Cefotaxime
A. Inhibits peptidyl translocase, disrupts the transfer of amino acids to a new polypeptide growing on the ribosome
1. Protein synthesis in a microbial cell is disrupted
a. Bacteriostatic
Azithromycin
B. Interacts with the aminoacyl part of the tRNA-amino acid complex, the interaction of the t­RNA-amino acid complex with the large subunit of the ribosome is disrupted
2. Violates the synthesis of the cell wall
b. Bactericidal
D А В
С
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Streptomycin
C. Inhibits transpeptidase, disrupts the closure of the polypeptide bridge between the heteropolymer chains in murein
3. Increases the permeability of the cell membrane of the microorganism for both intra- and extracellular components
Сhloramphenicol
D. Interacts with anionic sites of the cell membrane of the microorganism, the structure of the membrane is damaged (detergent-like action)
Polymyxin
E. Interacts with a region of the small subunit of the ribosome, the interaction of i-RNA with the ribosome in the microbial cell is disrupted
Task 7. Determine the compliance of drugs with the point of application
and establish the direction of action (+ or –).
Drugs
Enzymes
Lamivudine
Dihydropteroate synthetase
Azithromycin
Dihydrofolate reductase
Sulbactam
DNA gyrase
Terbinafine
Reverse transcriptase
Trimethoprim
Penicillinase
Sulfadimezin
Squalene epoxidase
Cefotaxime
Transpeptidase
Ciprofloxacin
Peptidyltranslocase
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BIBLIOGRAPHY
1. Kharkevitch D.A. Pharmacology : textbook for medical students / translation of Russian textbook «Pharmacology» (2017), 12th edition, revised and improved. 2nd edition. Moscow : GEOTAR Media, 2018. 680 p.
2. Венгеровский А.И. Фармакология : учебник. — Москва : ГЭОТАР- Медиа, 2020. 848 с.
3. Михайлов И.Б. Клиническая фармакология : учебник для студентов медицинских вузов. — 6-е изд., перераб. и доп. — Санкт-Петербург : СпецЛит,
2019. 637 с.
4. Аляутдин Р.Н., Преферанский Н.Г., Преферанская Н.Г. Фармакология /
под редакцией Р.Н. Аляутдина. — М.: ГЭОТАР-Медиа, 2020. — 441 с.