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IzAMINOGLYCOSIDE ANTIBIOTIC
The aminoglycoside antibiotics are broad spectrum antibacterial compound that are used extensively
for the treatment of many bacterial infections.
Aminoglycoside antibiotics are the secondary metabolites that posses the ability to kill bacteria and
Jungi to gain desired effect and lessens or cure the disease their ability against human pathogens has
great affinity that allowed broad clinical application against microbial infection in humans.
There are lot of species of aminoglycoside is developed to avoid the harmful effect of antimicrobial
‘metabolites the first aminoglycoside were isolated from bacteria species Streptomyces and
‘micromonospora . Streptomycin is the initial species of AGA that is isolated in 1943 from bacteria
species Streptomyces griseus. It was the first drug used to treat the tuberculosis and then other
species was discovered slowly and gradually.
At the time of their discover they show good efficacy against gram negative and some selected gram
positive pathogens
As the use of AGA is increased the resistance of antibiotics are observed more frequently and its
adverse effect are also observed like ototoxicity and nephrotoxicity that are most common.
After then their semisynthetic derivatives are prepared DIBEKACIN(1971) AMIKACIN(1972)
ARBEKACIN(1973) AND NETILMICIN (1976).
AFTER that the new launching of other broad spectrum antibiotics having less side effect got
importance over the AGA in market e.g. Flouroquinolone carbapenemes cephalosporins..
As resistance increased to all other antibiotics specially for nosocomial infection AGA got the focus
one again in clinical area particularly their use in serious gram negative infections. On the basis of
chemical structure and biosynthesis AGA is divided into different classes .
Structure of AGA determines its susceptibility to various aminoglycoside modifying enzyme hence the
development of resistance . The general structure consist of inositol derivative linked to at least one
amino sugar the whole structure containing a number of free hydroxyl and at least 2 amino group
The hydroxyl and amino group which can also contain substituents that interact with RNA of 30s
subunit of ribosome where they interfere with protein translation
First streptomycin which is made-up of disaccharide unit linked to 4portion of guanidinylated
‘streptomycin . A large no of AGA contain 2-hydroxy streptamine which are ingredient and are
biosynthetically isolated from paromamide
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The kanamycin consist of 4- 5 substituted and 2-DOS derivatives with 3 aminoglucose as ring C. And 2
amino or 2-6 diamimoglucose as ring B.
The other class that are not derivative of paromamine are hygromycin and apramycin contain the 2-
DOS unit as central core with substitution in the 5 and 4 position.
UPTAKE AND MODE OF ACTION OF AMINOGLYCOSIDE.
UPTAKE;
Aminoglycoside penetrate in the cytoplasm of bacteria to reach their target site . Gram
negative bacteria remains elusive but the way of uptake in cell has been described in three different
stages.
‘According to the way 1" stage through which AGA is uptaked is generation of electrostatic interaction
between positive charged AGA and negative charge lipopolysaccharide of outer bacterial
‘membrane .there are two stages energy dependent phase1 and energy dependent phase 2
EDP1: having slow rate energy dependent uptake that is correlated with AGA concentration that can
be inhibited by oxidative phosphorylation or electron transport inhibitors.
EDP2: involves rapid energy dependent accumulation of AGA that is followed by (EDP1) that is
consuming energy from electron transport and ATP hydrolysis
MODE OF ACTION;
AGA is basically protein synthesis biochemical inhibitor in the molecular basis of translation . The
accuracy in which translation occurs give an indication that more the codon-anticodon between the
‘mRNA and stem loop of tRNA was at heart of protein translation the essential part in the 30s
ribosomal subunit consist of an asymetric internal loop made of three adenines recent study shows
allosteric binding sites within ribosomes that affect the movement of ribosomal subunits which leads
to inhibition off translation factor and ribosome recycling is also reduced.
MECHANISM OF RESISTANCE;
165 rRNA is the main target of All AGA there are three different types of aminoglycoside modifying
enzymes (AME) that modify AGAs these ATP dependent aminoglycoside phosphotransferase .
The acetyl CoA dependent aminoglycoside acetyl transferase and the ATP dependent aminoglycoside
nucleotidyltransferase .
Improving therapeutic drug monitoring have made the AGA( aminoglycoside antibiotic) much safer
for empirical and directed therapy
FORTIMICIN AS NEW AMINOGLYCOSIDE.
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https://www.scanwritr.com/A culture broth of micromonospora MK-70 produced two new antibiotics . Fortimicin A and 8 that is
obtained on antimicrobial and paper chromatographic data with 50 treatment of fermentation beers
that indicated Fortimicin A and B are new antibiotics with broad spectrum basic and water soluble .
Fortimicin A produce potent unique broad spectrum antibacterial activity against gram + ve and gram
-ve bacteria.
Fortimicin is unstable under alkaline condition losing glycine and changes into Fortimicin 81 it is
weakly active as compare to Fortimicin A.
AMINOGLYCOSIDE ANTIBIOTICS
INDUCES BACTERIAL
BIOFILM FORMATION
Biofilms are adherent aggregates of bacterial cells that forms as biotic
and abiotic surfaces including human tissue. biofilms resist antibiotic
treatment contribute to bacterial persistence in chronic infection.
Sub inhibitory concentration of aminoglycoside antibiotics include film
formation in auroginosa and escherachia coli . Which aminoglycoside
response regulator was essential for this induction and contributed to
bispecific AGA resistance .
Tobramycin is class of aminoglycoside so tobramycin inducible biofilms
formation was inhibited by exogenous GTP.
There is main observation that biofilm formation can be specific ,
defensive reaction to the presence of antibiotics and indicates the
molecular basis of this response includes alteration in the level of c-di
GMP
Most antibiotics of clinical use are derivatives of naturally occurring
microbial products that probably function in microbial competition within
environment .
SPECIFIC BINDING OF
AMINOGLYCOSIDE
ANTIBIOTICS TO RNA
Aminoglycoside antibiotics interfere with ribosomal protein synthesis with
intron splicing, many observation reveals That RNA is the main target for
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ribosomal RNA rather than ribosomal protein
Resistance to many antibiotics mostly that involves methylation at
specific site in rRNA
The antibiotics thiotreptone binds very strongly to 60 nucleotide sequence
from rRNA.
Aminoglycosides inhibits group 1 intron splicing by binding to specific
region of RNA.
The EnD.
EDUCATION IS THE KEY TO BRIGHT
FUTURE...
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