Anti-Microbial Chemotherapy is the foundation of treating infectious diseases. It involves using drugs that are selectively toxic—meaning they are highly toxic to the invading microorganism but have minimal effect on the host (human body).
The “Father of Chemotherapy,” Paul Ehrlich, coined the term and originally described the use of drugs that were “Toxic to the Invading micro-organism”.
The Target: Key Differences in Bacterial Structure
Bacteria are prokaryotic cells, which means they have distinct structures that drug therapies can exploit.
>No Nuclear Membrane: All genetic material is suspended in the cytosol within a single chromosome.
>Cell Wall: A key characteristic is the presence of peptidoglycan in the cell wall.
>Gram-positive bacteria have about 40 layers of peptidoglycan.
>Gram-negative bacteria have only 1 layer of peptidoglycan. (Note: Many serious diseases are caused by Gram-negative bacteria ).
>No Mitochondria: Bacteria generate energy (ATP) using enzyme systems present in their plasma membrane.
>Plasma Membrane: The bacterial plasma membrane is a phospholipid bilayer, just like in eukaryotic cells, but it does not contain sterols.
Drug Action: Targeting Bacterial Metabolism
Bacterial metabolism can be divided into three classes of reactions, which act as primary drug targets:
1. Targeting Cell Wall Synthesis
This involves drugs that affect peptidoglycan synthesis. The main components of peptidoglycan are N-Acetyl Muramic Acid (NAMA) and N-Acetyl Glucosamine (NAG). Because peptidoglycan is outside the plasma membrane, its building blocks are brought from the cytoplasm by a special lipid carrier.
2. Targeting Nucleic Acid and Protein Synthesis (Class II & III Reactions)
Drugs target the formation of:
Nucleic Acids (DNA/RNA) and Proteins (Amino Acids).
Class II reactions use precursors (from Class I) to form nucleotides and amino acids.
Class III reactions use nucleotides to form DNA and RNA, and amino acids to form proteins.
A Closer Look: Targeting Folate Synthesis
A powerful strategy is targeting folate synthesis because:
***Humans get folate from their diet.
***Bacteria must produce folate on their own within the cell.
Anti-Folate Drugs work in two primary ways:
>>Sulfonamides: These drugs compete with PABA (a precursor) for the enzyme responsible for folate synthesis.
>>Trimethoprim: This drug inhibits the enzyme Di-hydro folate Reductase.
**Combining a Sulfonamide + Trimethoprim (known as co-Trimoxazole) is often more effective than using one drug alone.
Takeaway
The unique structure and metabolic pathways of bacteria—especially the presence of peptidoglycan and their independent need to synthesize folate—provide critical, selective targets for effective antimicrobial chemotherapy.
MBH/AB