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Drugs used in Inflammation and their Mechanisms of Action
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Christiane Riedinger
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Drugs used in Inflammation and their Mechanisms of Action
1.
Agonist Drugs
used in Inflammation Antagonist Enzyme Adelimumab lipocortin-1 PLA2 Infliximab IL-2 Aspirin arachidonic acid TNF-a, IL-1, ... Celecoxib LOX Ibuprofen COX IL-1R Paracetamol Zileuton antagonist 5 12 15 PGD-F TXA PGI 5-HPETE 12-HETE lipoxins Cromoloyn sodium/ Sodium cromoglycate Rapamycin Anakinra Sirolimus LTA-E IL-1 R mTOR growth, proliferation Zafirlukast LT R Cyclosporin, Tacrolimus Ca2+ calcineurin Alem- tuzumab CD52 Hsp90 Corticosteroids GCR-a Y Omali- zumab IgE MHCII Theophylline phosphodiesterase b2-adreno R Gs cAmp Salbutamol Gq Ca2+ contraction DNA precursors mACh R Methotrexate, Azathiprine, Ipratropium Mycophenolate Sodium
2.
Antibiotics
membrane b-lactams ionophores glycopeptides wall fluoroquinolones rifampicin ribosome DNA related tetracyclins enzymes aminoglycosides macrolides fusidic acid chloramphenicol daunomycin bleomycin aziridines: mitomycin C DNA sulfa drugs/ sulfonamides DNA precursors trimethoprim
3.
antibiotics that inhibit
cell wall synthesis b-lactams: penicillins, carbapenems, cephalosporins, monobactams glycopeptides: vancomycin • Fosfomycin - inhibits pyruvyl transferase • D-cycloserine - inhibits L-Ala racemase, DADA synthase and ligase • Bacitracin - inhibits bactoprenol • Penicillin, Amp, Amox, Meth - inhibits peptidoglycan transpeptidase • Vancomycin - complexes D-Ala peptide side-chains • Clavulanate - inhibits b-lactamase • Augmentin - mix of amoxicillin and clavulanate • Isoniazid - inhibits mycolic acid synthesis antibiotics that inhibit protein synthesis tetracyclines: tetracycline, spectinomycin aminoglycosides: streptomycin, gentamycin macrolides: erythromycin amphenicols: chloramphenicol • tetracycline, tetracycline - binds 30S, blocks rotation of tRNA in A-site • spectinomycin, tetracycline - binds 30S and inhibits EF-G during translocation • streptomycin, aminoglycoside - binds 30S near A-site, decreases fidelity • gentamycin, aminoglycoside - binds 30S near A-site, decreases fideliy • erythromycin, macrolide - binds 50S exit tunnel • chloramphenicol, amphenicol - binds 50S blocks translocation • fusidic acid - inhibits EF-G
4.
antibiotics that inhibit
DNA replication and transcription Binding to DNA-related enzymes Fluoroquinolones: Ciprofloxacin Rifampicin • ciprofloxacin - fluoroquinolone, bactTPII inhibitor, broad spectrum • rifampicin - DNA-dep RNA polymerase, blocks RNA exit tunnel, mycobacteria Binding to DNA itself: Anthracycline: Daunomycin Chelators: Bleomycin Aziridines: Mitomycin C • daunomycin - anthracycline, chelates and blocks hTPII • bleomycin - glycopeptide, chelates to cause ds and ss breaks, toxic • mitomycin C - aziridine, alkylates at G-c, used in chemotherapy antibiotics that inhibit precursor formation Sulfa-drugs Trimethoprim • sulfamethoxazole - inhibits dihydropteroate synthase • trimethoprim - inhibits dihydrofolate reductase • co-trimoxazole antibiotics that inhibit membrane formation (in bacteria) ionophores • valinomycin - ring-shaped K+ uniporter • gramicidin A - polypeptide dimer • polymixin - micelles
5.
Anti-protozoal drugs
membrane amphotericin B miconazole heme degradation chloroquine ribosome tetracycline ATP synthesis arsenicals: melarsen suramin sulfadoxin DNA precursors pyrimethamine fansidar
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