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