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MCB 3020, Spring 2005 Microbial Growth Control and Antibiotic Resistance 93 3 93 4 Chapter 18 Microbial Growth Control: I. Microbial growth control II. Measuring antimicrobial activity III. Food preservation IV. Antimicrobial drugs V. Antibiotic Resistance I. Microbial Growth Control 93 5 A. uses B. autoclave C. radiation D. filters E. chemical agents TB I. Microbial Growth Control 93 6 Sterilization Killing or removal of all living organisms and their viruses Inhibition limiting microbial growth TB A. Uses Food preservation Laboratory work Disease prevention Disease treatment 93 7 TB B. Autoclave Machine that uses steam under pressure for sterilization. 93 Autoclave 8 Items are heated to 121°C for 10-15 minutes. kills endospores TB 93 9 C. Radiation 1. Ultraviolet (220 to 300 nm) used to disinfect surfaces and air poor penetrating power 2. Gamma and X-rays ionizing radiation used for food preservation and sterilization of surgical supplies good penetration TB D. Filters 94 0 Used to sterilize heat-sensitive solutions and gasses A pore size of 0.22 micron will remove most bacteria. Will it remove most viruses? TB E. Chemical Agents Antimicrobial agents Chemicals that kill or inhibit the growth of microorganisms Cidal agents Chemicals that kill (bacteriocidal, fungicidal, viricidal) 94 1 Bacteriostatic agents chemicals that inhibit growth, but do not kill frequently are inhibitors of protein synthesis Bacteriolytic agents kill cells by lysis eg. penicillin 94 2 1. Disinfectants Chemicals used to kill microbes on inanimate objects. 94 3 Chlorine Phenolic compounds TB 94 4 2. Antiseptics Chemicals used to kill microbes on living tissue. Alcohol (70% on skin) Hydrogen peroxide TB II. Measuring antimicrobial activity 94 5 A.Tube dilution assay B. Agar diffusion assay TB A. Tube dilution assay 94 6 1. inoculate tubes containing several concentrations of test compound with test organism and incubate. TB 94 7 bacterial growth 10 1 .1 .01 .001 MIC MIC (minimum inhibitory concentration) The lowest concentration of a substance that inhibits growth of a test organism TB B. Agar diffusion assay 94 8 lawn of test bacteria filter paper soaked with test compound agar plate zones of inhibition (no growth) TB III. Food preservation A. Common spoilage organisms B. Preservation methods 94 9 TB A. Common food spoilage organisms Meat enteric bacteria Escherichia coli Salmonella Milk products lactic acid bacteria Fruits and vegetables Erwinia Pseudomonas 95 0 TB 95 B. Preservation methods 1 1. Pasteurization Heat treatment to reduce the number of viable organisms. 71°C, 15 sec., or 63-66°C, 30 min Used on foods the would be ruined by higher temperatures. milk juice wine etc. TB 2. Temperature control refrigeration and freezing 95 2 3. Sterilization canning 4. Controlling water availability adding salt (eg. ham) adding sugar (eg. jelly) TB 5. pH control pickling fermented foods 95 3 6. Chemical preservatives Na propionate Na benzoate TB IV. Antimicrobial drugs A. Selective toxicity B. Growth factor analogs C. Antibiotics D. Antivirals and antifungals 95 4 A. Selective toxicity 95 5 Toxicity for the pathogen, but not for the host. Something to think about: What is the basis for selective toxicity? TB B. Growth factor analogs A substance structurally related to a growth factor that blocks its use. 95 6 TB 1. Sulfanilamide 95 7 Growth factor analog structurally related to p-aminobenzoic acid (PABA) Inhibits microbial growth by inhibiting folate synthesis TB H2N SO2NH2 H2N PABA sulfanilamide HN H2N COOH 95 8 N N N CH2 H N O C R folate TB Sulfanilamide is nontoxic to humans because we take up folate from our diet. 95 9 TB C. Antibiotics Substances produced by microbes that kill or inhibit the growth of microbes 96 0 bacteriocidal agents kill bacteriostatic agents inhibit growth TB 1. inhibitors of cell wall synthesis penicillin vancomycin 96 1 2. inhibitors protein synthesis erythromycin (50S ribosomal subunit) tetracycline (30S ribosomal subunit) streptomycin (30S ribosomal subunit) TB R H N S CH3 H O 96 2 CH3 N COOH beta-lactam ring natural penicillin R = CH2-CO- Prevents transpeptidation in cell wall Erythromycin (macrolide) CH3 H3C O HO H3C H3C H2C H2C CH3 OH HO HO O O CH3 O O macrolide ring N O CH3 O H3C 96 3 CH3 CH3 CH3 OH OCH3 50S ribosomal subunit R4 OH H3C R2 R3 R1 H O OH OH N CH3 96 4 OH CO O NH2 Tetracycline: R1=H, R2=OH, R3=CH3, R4=H • Broad spectrum • Target: 30s ribosomal subunit Kanamycin (aminoglycoside) H2C-NH2 O HO OH NH2 O NH2 OH O OH CH2OH O HO 96 5 NH2 OH O Target: 30 s ribosomal subunit 3. inhibitors of DNA gyrase naladixic acid novobiocin 96 6 4. inhibitors of RNA synthesis rifampin TB Antivirals and Antifungals 96 7 A. Antivirals Chemicals rifampin azidothymidine (AZT) Interferon inhibits viral RNA synthesis TB B. Antifungals Ergosterol inhibitors polyenes azoles 96 8 Important point Selective toxicity is more difficult to obtain with antivirals and antifungals Why? TB V. Antibiotic Resistance 96 9 A. the problem of resistance B. resistance mechanisms C. development of resistance D. enzymes that inactivate antibiotics A. The problem of resistance 97 0 Examples of drug-resistant bacteria • Vancomycin-resistant Staphlyococcus aureus • Penicillin-resistant Streptococcus pneumoniae • Quinolone-resistant Salmonella enterica Why so much resistance? • Overuse of antibiotics in inpatient and outpatient settings. • Increased use of quinolones, tetracyclines, and glycopeptides in agriculture, the poultry industry, veterinary practice, and marine biology. • Newer, implantable cardiovascular and orthopedic devices that necessitate prophylactic antibiotics. 97 1 B. Resistance mechanisms • lack of target site • impermeability • chemical modification of the antibiotic • pump antibiotic out of cell 97 2 C. Development of resistance 1. Mutation target site modification 2. Gene transfer R-plasmids 97 3 R-plasmids (resistance plasmids) Plasmids that carry antibiotic resistance genes. Antibiotic resistance genes usually encode enzymes that inactivate antibiotics 97 4 D. Enzymes that inactivate antibiotics 97 5 1. Chloramphenicol acetyltransferase acetylates chloramphenicol 2. beta-lactamase cleaves the beta-lactam ring 3. Tetracycline pump pumps tetracycline out of the cell Interactions of antibiotics with alcohol in humans • Antibiotics that are affected by alcohol are chloramphenicol, cephalosporins, metronidazole, and others. • These produce "disulfiram-like" reactions. 97 6 Disulfiram-like reactions 97 7 • Disulfiram is a drug to treat alcoholism. • Some antibiotics cause a reaction similar to disulfiram reactions. • Inactivates the enzyme aldehyde dehydrogenase. • Causing accumulation of acetaldehyde in blood. • Symptoms are flushed face, severe headaches, chest pains, shortness of breath, vomiting, and sweating. Ethanol Alcohol dehydrogenase NAD+ NADH Acetaldehyde NAD+ NADH X Aldehyde dehydrogenase Acetate Acetyl CoA Disulfiram 97 8 Study objectives 1. Know how the following are used to control microbial growth: autoclaves, 97 radiation, filters, disinfectants, antiseptics. Contrast cidal agents, 9 bacteriostatic agents,and lytic agents. Know the examples presented in class. 2. Compare and contrast the tube dilution assay and the agar diffusion assay. Understand how each is used to measure antimicrobial activity of chemicals. 3. What is MIC? How does it correlate with antimicrobial activity of an inhibitor? 4. Memorize the common food spoilage organisms covered in class. 5. Know what pasteurization is and what types of foods are pasteurized. 6. Memorize the food preservation methods and examples presented in class. 7. What is selective toxicity? Understand the basis of selective toxicity of growth factor analogs, antibiotics, azidothymidine, interferon, and antiviral agents. 8. What is a growth factor analog? 9. How does sulfanilamide inhibit the growth of some bacteria? 10. Know the names and targets of the antibiotics presented in lecture. 11. Know the following antiviral agents:rifampin, azidothymidine, interferon. Azidothymidine inhibits reverse transcriptase. What viruses are affected this? 12. Know the names and target of the antifungal agents (polyenes, azoles). 13. Why is selective toxicity more difficult to obtain with antivirals and antifungals? Study objectives 98 14. Give 3 examples of antibiotic-resistant bacteria. 0 What are the major causes of antibiotic resistance? 15. What are the mechanisms by which bacteria require antibiotic resistance? What is the role of R-plasmids in resistance? Understand how antibiotic-inactivating enzymes work. 16. Explain why alcohol should not be consumed while taking some antibiotics. Why do disulfiram-like antibiotics cause symptoms when consumed with alcohol?