Monday 12 December 2016

Enzyme Inhabitors At a Glance


An enzyme inhabitor is a molecule that binds to the enzyme and decreases its activity. Since blocking an enzyme’s activity can kill a pathogen or correct a metabolic imbalance, many drugs are enzyme inhabitors. They are also used in pesticides (Wikipedia)
Example:
1.       Alcohol consumed (beginners)  
2.       Antibiotics-
a.       Isoniazide
b.       Erythromycin
c.       Sulphonamide / Disulfirum
d.       Metronidazole
e.       Chloramphenicol
f.        Ketoconazole
g.       Ciprofloxacin
3.       Anti convalsant –Sodium valporate
4.       Cimetidine
5.       Allopurinol
6.       Chlorpromazine
7.       Imipramine
8.       Propranolol
9.       Metoprolol
10.   Interferone
11.   MAO inhabitors










Collected & Concise

Only for postgraduate students.

Wednesday 16 November 2016

Enzyme inducer at a Glance



Is a type of drug that increase the metabolic  activity of  an enzyme either by binding to the enzyme and activating it or by increasing the  expression of the gene coding for the enzyme.(Wikipedia)

Example:
1.       Antihistamines
2.       Amilobarbitone
3.       Carbamazepine
4.       Cholestyramines
5.       Grisofulvine
6.       Long term alcohol use
7.       Oxcarbazepine
8.       Phenylbutazone
9.       Phenytoin
10.   Phenobarbitone
11.   Primidone
12.   Rifampicin
13.   Spironolactone







Only for postgraduate students.

Friday 5 August 2016

Mechanism of Action of Antimicrobial Agents at a Glance



Mechanism of Action of Penicillins: β-Lactam antibiotics,Bactericidal.
1. The Penicillin interferes with the last steps of bacterial cell wall synthesis by inhabiting transpeptidation enzyme which required for Peptidoglycan synthesis. it acts by a receptors name Penicillin Binding Proteins(PBPs).
     2. Penicillin inactivates the inhibitors of autolytic enzymes in the bacterial cell wall.

Mechanism of Action of Cephalosporins: β-Lactam antibiotics, Bactericidal
1.   As like Penicillin, Cephalosporin also interferes with bacterial cell wall synthesis by inhabiting transpeptidation enzyme which required for Peptidoglycan synthesis. It acts by a receptors name Penicillin Binding Proteins (PBPs).

 Mechanism of Action of Vancomycin: Bactericidal
1.   As like Penicillin,Vancomycin also inhabit bacterial cell wall synthesis by preventing peptydoglycan elongation and cross linking.

Mechanism of Action of Tetracyclin: Having four partially unsaturated cyclo-hexane radicals on its nephthacene nucleus, Bacteriostatic
1.   Its reversibly binds with 30S subunit of bacterial ribosome and blocking the binding the Aminoacyl-tRNA to the acceptor site on the mRNA-ribosome complex. Thus inhabits bacterial protein synthesis.

Mechanism of Action of Aminoglycosides: contain two or more aminosuger linked to an aminocyclital ring by glycosidic bond. Bactericidal
1.   Its binds with 30S subunit of bacterial ribosome and interference with initiation complex of peptide formation, causing misreading of mRNA which results in incorrect amino acid incorporation. So promotion of polysomal dissociation into nonfunctional monosome. Thus inhabits bacterial protein synthesis.

Mechanism of Action of Macrolide: Bactericidal + Bacteriostatic
1.   Its binds with 50S subunit of bacterial ribosome and  block movement of peptidyl tRNA from acceptor to donor site,as a result the next incoming tRNA  can not bind to the still occupied acceptor site. Thus inhabits bacterial protein synthesis.

Mechanism of Action of Chloramphenicol: Bacteriostatic
1.   It’s reversibly binds with 50S subunit of bacterial ribosome and inhabits transpeptidation reaction by inhibition of ribosomal peptidyle transferase. So elongation of protein chain blocks. Thus inhabits bacterial protein synthesis.

Mechanism of action of Fluroquinolones: Bactericidal
1.   It inhibits DNA gyrase (topoisomerase ll and topoisomerase lV that inhibit the helical twist in DNA) and interfere with the supercoiling of DNA.

Mechanism of action of Sulfonamides: Bacteriostatic
1.   It competes with PABA for the enzyme dihydropterate synthetase.thus inhibit folate synthesis. Folate is necessary for synthesis of bacterial DNA or RNA.

Mechanism of action of Trimethoprim: Bacteriostatic
1.   It inhibits the reduction of dihydrofolic acid (DHFA) to tetrahydrofolic acid (THFA).




Collected and concise only for postgraduate students


Friday 17 June 2016

Autosomal dominant Diseases at a glance

Autosomal Dominant diseases at a glance

Autosomal dominant disorders are manifested in the heterozygous state ,so that at least one parent of an index case is usually affected ;both males and females are affected ,and both can transmit the condition .When an affected person marries an unaffected one ,every child has one chance in two of having diseases.,


In autosomal dominant diseases both sex are equally affected and risk remains the same for each successive pregnancy. 50% offspring’s are affected if one heterogygus parent and one unaffected parent. 75% offspring’s are affected if two heterogygus parents And 100^ offspring’s are affected if one homogygus affected parents.


Example: There are about 1500 autosomal dominant disorder,here some important are given
1.    Achondroplasia
2.    Adult polycystic kidney diseases
3.    Acute intermittent porphyria
4.    Ehelers-Danlos syndrome
5.    Erythropoitic protoporphyria
6.    Facio-scapulo-humeral muscular dystrophy
7.    Familial adenometous polyposis coli
8.    Familial hypercholesterolaemia
9.    Gardner’s syndrome
10.  Hepatic porphyrias
11.  Hereditary  haemorrhagic telangiectasia  (OslerWeber-Rendu Diseases)
12.  Hereditary sensory and motor neuropathy
13.  Hereditary spherocytosis
14.   Hutingtong chorea
15.  Hypertrophic obstructive cardiomyopathy
16.  Myotonic dystrophy / Distrophia myotonica
17.  Marfan’s syndrome
18.  Neurofibromatosis type 1 & 2
19.  Noonan syndrome
20.  Neurohypophysial Diabetes  incipidus
21.  Osteogenesis imperfecta
22.  Pseudo hypoparathyroidism
23.  Retinitis pigmentosa
24.  Retinoblastoma
25.  Tuberous sclerosis
26.  Von Hippel –Lindau disease
27.  Von Willebrand’s diseases etc.















Collected and concise only for postgraduate students, Pictures are collected from Google.
Some data are collected from Robbins and Cotran pathologic basis of disease (8th edition)




For more information please visit...
https://en.m.wikipedia.org/wiki/Category:Autosomal_dominant_disorders

http://www.gpnotebook.co.uk/simplepage.cfm?ID=1248526374

Wednesday 15 June 2016

Microbial Infections associated with Autoimmune diseases at a glance

Autoimmune diseases are often multi-organ diseases if unknown etiology. Although we do not know exactly what causes autoimmune diseases but there is increasing evidence that in many patients of chronic infections particularly bacteria and viruses play a important role in these diseases along with genetic predisposition and immune dysfunction.

Here some infectious microbial agents associated with Autoimmune diseases
Diseases
Infectious agents
1.Rheumatic Fever
Streptococcus pyogenes
2.Rheumatic Arthritis
Ebstein Barr virus
Hepatitis C virus
Escherichia Coli
Mycobacteria sp.
3.Reiter’s Syndrome
Chalamydia trachomatis
Shigella spe.
4.Guillain-Barre Syndrome
Campylobacter jejuni
Cytomegalo virus
Ebstein Barr virus
5.Multiple sclerosis
Ebstein Barr virus
Hepatitis B virus
Human herpes virus-6
Influenza A virus
Measles virus
6.Myocarditis
Coxsacki virus B3
Cytomegalo virus
Chalamydia trachomatis
7.Mysthenia Gravis
Hepatitis C virus
8.Primary Billiary cirrhosis
Escherichia Coli (Bacteria)
9.Greave Diseases
Yersinia enterocolitica (Bacteria)
10.Lupus
Ebstein Barr virus
11.Mixed Cryoglobulinaemia
Hepatitis C virus
12.Type 1 Diabetes Mellitus
Coxsacki virus B4
Cytomegalo virus
Mumps
Rubella
13.Allergetic Encephalitis
Measles virus
14.Scleroderma
Cytomegalo virus
15.HTLV associated Myopathy
Human T cell leukemia virus (HTLV)
16.Lyme Arthritis
Borrelia bugdorferi


Of course, not everyone who gets these infections will developed an autoimmune disease, since it seems that in addition to the infection, some sort of genetic predisposition is involved in the development of such conditions .



Collected and concise only for postgraduate students .

Tuesday 14 June 2016

Metabolic syndrome at a glance


       Now a days metabolic syndrome is also a very common and notorious condition as like Malignancy.About 32% population of USA suffering from these condition.Near about 60% obease have Metabolic syndrome where the healthy are only 2%.So preaventing metabolic syndrome really means having a healthy lifestyle......

for details about metabolic syndrome easily please visite...

http://www.medicinenet.com/script/main/mobileart.asp?articlekey=46853



collected and concise only for postgraduate students.

Monday 13 June 2016

Pharyngeal Pouches Derivatives at a glance


Mesenchyme for formation of the head region is derived from paraxial mesoderm and lateral plate mesoderm, neural creast and thickened region of ectoderm known as ectodermal placodes.




The most typical feature in development of the hea and neck is formed by the pharyngeal or branchial arches.These arches appear in the fourth and fifth weeks of development and contribute to the characteristic external appearance of the embryo.Initialy they consist of bars of mesenchymal tissue separated by deep cleafts known as pharyngeal ( branchial ) cleft.Simultaneously ,with development of the arches and clefts ,a number of outpocketing ,the pharyngeal gut ,the pharyngeal pouch,appears along the lateral walls of the pharyngeal gut,the most cranial part of the foregut.
The pouch penetrate the surrounding the mesenchyme, but do not establish an open communication with the external clefts. Therefore the term pharyngeal (arch, cleft, and pouch) has been adopted for the human embryo.




The human embryo has five pairs of pharyngeal pouches . The last one of these is atypical and considered as a part of the fourth. Since the epithelial endoderm lining of the pouch gives rise to a number of important organs. the fate of each pouch is given bellow :




Structures developed from pharyngeal pouch

Pouch
Derivatives
1st  pouch
1.       Middle ear cavity(primitive tympanic)
2.      Auditory tube ( from tuubotympanic recess)
3.       Endodermal lining of tympanic membrane
2nd pouch
1.       Palatine tonsil
3rd pouch
1.       Inferior parathyroid gland
2.      Thymus
4th pouch
1.       Superior parathyroid gland
2.      Lateral thyroid element
5th pouch
1.       Ultimobranchial body which later forms the parafollicular cells or C cell of thyroid gland





For more,please visit

*Data are collected and concise only for post graduate student. Pictures are  collected from Google.






*Data are collected from Langman's Medical Embryology

Friday 10 June 2016

Autosoml Recessive diseases at a glance

       Some important and common autosomal recessive diseases are:








  • 1.       Blood or RBC related (Haemoglobinopathies ):

a.       Sickle cell anaemia
b.      Thalassaemia
  • 2.       Lungs related :

a.       Cystic fibrosis
b.      α  1 antitrypsin deficiency
  • 3.       Ataxia related :

a.       Friedreich ataxia
b.      Wilson’s ataxia
  • 4.       Atrophy related :

a.       Neurogenic mascular atrophy
b.      Spinal muscular atrophy



  • 5.       Urea (only name)related:

a.       Phenylketonuria
b.      Alkaptonuria
c.       Homocystenuria
  • 6.       Storage diseases related :

a.       Glycogen storage diseases
b.      Lysosomal storage diseases
  • 7.       Congenital related :

a.       Congenital adrenal hyperplasia
b.      Congenital erythropoietic porphyria
  • 8.       Others related :

a.       Infantile polycystic kidney diseases
b.      Haemochromatosis
c.       Albinism
(Just for easy memories)


Collected and concise only for post graduate students,Pictures are collected from Google.



for more,please visit 

1. http://www.buzzle.com/articles/genetic-diseases-list-disorders.html#autosomal-recessive-single-gene-disorders

2. http://www.medicinenet.com/script/main/mobileart.asp?articlekey=15971&page=3