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上海交通大学:《药理学 Pharmacology》课程教学资源(讲义课件)β-lactams and other antibiotics acting upon cell wall

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B -lactams and other antibiotics acting upon cell wall

β-lactams and other antibiotics acting upon cell wall

Ten molecules of 20th century ·1900-1910:aspirin ·1910-1920:isooctane(异辛烷,car related) 1920-1930:penicillin G 1930-1940:polyethene (ICI obtained occasionally,used for radar cable insulation 1940-1950:nylon 6,6 (replacing silk textile) ·1950-1960:DNA 0 1960-1970:progestin(黄体激素, contraceptives) 1970-1980:DDT (harmful to birds and animal) ·1980-1990:fluoxetine(氟西汀) 1990-2000:carbon nanotubes

Ten molecules of 20th century • 1900-1910: aspirin • 1910-1920: isooctane (异辛烷,car related ) • 1920-1930: penicillin G • 1930-1940: polyethene (ICI obtained occasionally ,used for radar cable insulation ) • 1940-1950: nylon 6,6 (replacing silk textile) • 1950-1960: DNA • 1960-1970: progestin (黄体激素, contraceptives ) • 1970-1980: DDT (harmful to birds and animal ) • 1980-1990: fluoxetine (氟西汀) • 1990-2000: carbon nanotubes

B-Lactam Antibiotics

β–Lactam Antibiotics

B-Lactam Antibiotics X H X H RCONH- A COOH COOH X=-H,-OCHg X=-H,-OCH3 Carbapenem Penicillins Cephalosporins NH Penem Oxypenam Monobactam

β–Lactam Antibiotics N S O X H RCONH COOH X= -H, -OCH3 Penicillins N O X H RCONH S COOH A X= -H, -OCH3 Cephalosporins N O Monobactam NH O Carbapenem N O S Penem N O O Oxypenam

H CH3 CH3 COOH Penicillin nucleus. B-lactam is the square at the center

Penicillin nucleus. β- lactam is the square at the center

Natural penicillins ·Penicillin G ·Pharmacokinetics: Easily destroyed by gastric acid Wide distribution and 5%across BBB when in meningitis Renal tubular excretion in prototype

Natural penicillins • Penicillin G • Pharmacokinetics: Easily destroyed by gastric acid Wide distribution and 5% across BBB when in meningitis Renal tubular excretion in prototype

Penicillin G HC CH OH 111H N Thiazolidine Acyl side-chain ring H-11I B-lactam ring H O H Thiazolidine:噻唑烷;acy小:酰基

Thiazolidine: 噻唑烷; acyl: 酰基

A Afferent arteriole Bowman's capsule Efferent arteriole Parietal wall Bowman's capsule Visceral wall podocytes. Distal convoluted tubule B Glomerular capillaries (fenestrated endothellum) Collecting tubule Proximal tubule (convoluted and -Collecting duct straight portions) CORTEX MEDULLA Loop of Henle Thick ascending limb◆ Papillary duct Loop of Henle Thin segments Note:The renal corpuscle is Bowman's capsule (A) and the glomerulus(B) The nephron and collecting duct system of the kidney

Antibacterial spectrum G+cocci:Staphylococcus infections G cocci:Staphylococcus pneumoniae infection √G*bacilli:diphtheria(白喉),tetanus (破伤风) √Leptospira(螺旋体):leptospirosis(钩 端螺旋体病 ) √Actinomycetes(放线菌): actinomycosis(放线菌病)

Antibacterial spectrum  G+ cocci : Staphylococcus infections  G- cocci: Staphylococcus pneumoniae infection  G+ bacilli: diphtheria(白喉),tetanus (破伤风) Leptospira(螺旋体): leptospirosis(钩 端螺旋体病) Actinomycetes(放线菌): actinomycosis(放线菌病)

Neisseria gonorrhoeae 淋病奈瑟菌

淋病奈瑟菌

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