Background Information
Normal Mechanisms
Chromosomal and Plasmid Resistance
100

What class of drug is penicillin?

Beta-lactam


100

What cell structure does penicillin target?

Cell wall/peptidoglycan

100

When did Alexander Fleming discover penicillin?

1928

200

In what kind of conditions is the ring susceptible to being broken?

Acidic

200

Why are bacterial cell walls so stable?

Highly cross-linked structure

200

What is the function of the efflux pumps?

Export toxic compounds from bacterial cells

300

What are the 2 rings in the penicillin structure called?

Beta lactam and thiazolidine

300

How many stages are there in peptidoglycan synthesis?

3 stages

300

What enzyme do penicillin resistance plasmids encode for?

Beta lactamase

400

What is the difference between Penicillin G and V?

An extra oxygen atom

400

What enzyme is involved in UDP-G synthesis?

Glm enzymes

400

Name either of the gene mutations responsible for PBP-mediated resistance

PenA and PonA

500

What dipeptide does penicillin resemble?

D-alanine-alanine

500

What protein enables polymerization of Lipid 2 units?

Penicillin Binding Proteins (PBPs)

500

Name one potential mechanism through which the porin protein and efflux pump can work together

PIB variants may interact directly with the Mtr efflux pump and work cooperatively to decrease the periplasmic concentrations of antibiotic. In this scenario, mutant PIB proteins may form a complex with the MtrC-MtrD-MtrE efflux pump