Which Chemical is the Best Antibiotic? (Antibiotic Lore)

00:20:50
https://www.youtube.com/watch?v=M4jYisMugWk

摘要

TLDRThe video delves into the world of antibiotics, exploring their importance, mechanisms, and issues such as antibiotic resistance. The discovery of penicillin by Alexander Fleming in 1928 marked the beginning of modern antibiotics. It works by disrupting bacterial cell wall synthesis. Other antibiotics mentioned include cephalosporins, nitrofurantoin, metronidazole, erythromycin, clindamycin, doxycycline, and more. Key takeaways include the necessity of completing antibiotic courses to prevent resistance and the varied mechanisms by which these drugs combat bacterial infections. It stresses careful prescription and use to preserve antibiotic efficacy for future generations. Side effects are also discussed for each antibiotic presented.

心得

  • 💊 Antibiotics are crucial in fighting bacterial infections.
  • ⚠️ Misuse of antibiotics can lead to resistance.
  • 🧬 Each antibiotic targets bacteria differently.
  • 🔬 Penicillin was a revolutionary medical discovery.
  • 🧪 Side effects vary among different antibiotics.
  • 📜 The history of antibiotics is vital to medicine.
  • 🧱 Most work by disrupting bacterial cell walls or protein synthesis.
  • 🚫 Complete antibiotic courses to prevent resistance.
  • 👩‍⚕️ Doctors choose based on infection type and patient needs.
  • 🦠 Antibiotic resistance poses a significant threat to health.

时间轴

  • 00:00:00 - 00:05:00

    Antibiotics are crucial for treating bacterial infections but pose challenges like antibiotic resistance. They work by targeting bacterial functions to kill or disrupt their life cycle. The video begins with a historical overview of penicillin, discovered by Alexander Fleming in 1928, and its development into a widely-used antibiotic by the 1940s through the work of Howard Flory and Ernst Chain. Penicillin targets bacterial cell wall synthesis, leading to cell death. Despite potential side effects, penicillin remains a cornerstone of bacterial infection treatment, setting a standard for effective antibiotics.

  • 00:05:00 - 00:10:00

    Cephalexin, a prominent cephalosporin, shares structural similarities with penicillins but contains a six-membered ring. It also targets bacterial cell walls, treating infections like pneumonia and UTIs. Despite structural similarities, allergic reactions to cephalexin aren't strongly linked to penicillin allergies. Nitrofurantoin, used for UTIs, is effective when metabolized to bactericidal agents within the urine. Metronidazole, also an antiprotozoan, damages DNA in anaerobic bacteria and protozoans but poses potential carcinogenic risks. Erythromycin, a macrolide, disrupts bacterial ribosomal function, is used for respiratory infections, and is rated highly for effectiveness despite typical side effects.

  • 00:10:00 - 00:15:00

    Clavulanic acid, not an antibiotic alone, enhances beta-lactam antibiotics by inhibiting bacterial enzymes that resist penicillins and cephalosporins. It’s often paired with amoxicillin to increase effectiveness. Vancomycin, a complex glycopeptide, disrupts the bacterial cell wall synthesis and treats resistant infections like MRSA but can cause a flushing reaction if administered too rapidly. Ciprofloxacin, a fluoroquinolone, inhibits bacterial DNA processes and treats infections from pneumonia to meningitis, though it carries risks like tendon damage in the elderly. Clindamycin, a lincosamide, effectively treats infections even in penicillin-allergic patients, although its structure causes some concern.

  • 00:15:00 - 00:20:50

    Doxycycline, a tetracycline antibiotic, targets bacterial ribosomal function to inhibit protein synthesis and also acts against parasites indirectly. Sulfamethoxazole targets folate synthesis in bacteria, sparing human pathways, and has historical significance in treating infections effectively but can cause allergies. Trimethoprim, often paired with sulfamethoxazole, inhibits a different step in folate synthesis in bacteria. Streptomycin, an aminoglycoside, treats serious infections but poses risks of kidney and ear damage. The video emphasizes responsible antibiotic use to prevent resistance development, encouraging viewers to complete prescribed courses to eliminate all harmful bacteria.

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思维导图

Mind Map

常见问题

  • What is the main concern with antibiotics?

    The main concern with antibiotics is the emergence of antibiotic resistance.

  • How do antibiotics generally work?

    Antibiotics target bacteria by disrupting their life cycle or killing them outright.

  • Which antibiotic was discovered first?

    Penicillin was the first antibiotic to be discovered, initially found by Alexander Fleming in 1928.

  • What are common side effects of antibiotics?

    Common side effects include nausea, vomiting, and diarrhea.

  • Why might a doctor choose one antibiotic over another?

    Doctors may choose different antibiotics based on specific bacteria, infection type, or patient allergies.

  • What is the significance of penicillin?

    Penicillin was a breakthrough antibiotic first used widely during World War II and has saved countless lives.

  • Why is the misuse of antibiotics a problem?

    Misuse of antibiotics can lead to increased antibiotic resistance, making future infections harder to treat.

  • What should you do when prescribed an antibiotic?

    Complete the full course of antibiotics as prescribed to prevent the development of antibiotic-resistant bacteria.

  • What is a potential side effect unique to Vancomycin?

    Vancomycin can cause a condition known as 'red man syndrome' if administered too quickly.

  • Why is Clavulanic acid important?

    Clavulanic acid enhances the effectiveness of other beta-lactam antibiotics.

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  • 00:00:00
    have you ever got an infection before
  • 00:00:02
    what did your doctor prescribe did they
  • 00:00:03
    take a sample to test for the presence
  • 00:00:05
    of a specific bacteria or did they just
  • 00:00:07
    prescribe you something based on the
  • 00:00:08
    symptoms that you are experiencing
  • 00:00:10
    antibiotics play an important role in
  • 00:00:12
    the treatment of bacterial infections
  • 00:00:14
    one of the main concerns that you've
  • 00:00:15
    likely heard of before is the emergence
  • 00:00:17
    of antibiotic resistance how much of a
  • 00:00:19
    concern is this how many different
  • 00:00:21
    antibiotics are there how do they work
  • 00:00:24
    why would a doctor prescribe one
  • 00:00:25
    antibiotic instead of another now
  • 00:00:28
    antibiotics Target bacteria to Destro
  • 00:00:30
    upt their natural life cycle or kill
  • 00:00:31
    them outright while simpler than humans
  • 00:00:33
    and most higher ukar bacterias
  • 00:00:35
    themselves are still incredibly complex
  • 00:00:37
    creatures this complexity is in some
  • 00:00:39
    sense their downfall as if one component
  • 00:00:41
    of bacteria is thrown out of whack the
  • 00:00:43
    whole bacterium is in Jeopardy to that
  • 00:00:46
    end antibiotics all work by targeting
  • 00:00:48
    some function of a bacterium differing
  • 00:00:50
    primarily in their exact target within a
  • 00:00:52
    bacterium furthermore while antibiotics
  • 00:00:55
    are a genuinely incredible form of
  • 00:00:57
    medicine they can also lead to a number
  • 00:00:58
    of side effects the potential and
  • 00:01:00
    noteworthy side effects of these various
  • 00:01:02
    antibiotics will of course be discussed
  • 00:01:04
    but should not be considered
  • 00:01:05
    particularly common or guaranteed if you
  • 00:01:07
    take these meds they wouldn't be given
  • 00:01:09
    as a medication if they were after
  • 00:01:11
    all with that being said let's take a
  • 00:01:13
    look at our first antibiotic and the one
  • 00:01:15
    that started at all penicillin
  • 00:01:17
    penicillin initially referred to the
  • 00:01:19
    antibacterial substance produced by
  • 00:01:21
    penicillum fungi in solution but as
  • 00:01:23
    further analysis was done on said
  • 00:01:24
    substances an exact class of molecules
  • 00:01:27
    was discovered and described penicillin
  • 00:01:30
    has this penam ring which contains this
  • 00:01:32
    beta lactam Ring The penam Ring includes
  • 00:01:35
    both the DI hydrothol as well as the
  • 00:01:37
    beta lactam ring which is a four
  • 00:01:39
    membered ring cyclic amide which we call
  • 00:01:41
    a lactam it's called a beta lactam
  • 00:01:44
    because the nitrogen is connected to the
  • 00:01:45
    beta position hence it's a beta lactam
  • 00:01:49
    penicillin was first discovered in 1928
  • 00:01:51
    by biologist Alexander Fleming due to an
  • 00:01:53
    accidental contamination of a bacterial
  • 00:01:55
    sample in his lab Fleming was known to
  • 00:01:57
    go on extended vacations all the time so
  • 00:02:00
    his colleagues lamented a colony of
  • 00:02:02
    staus orius was contaminated with
  • 00:02:04
    penicilium fungus leading to the massive
  • 00:02:06
    death of bacteria surrounding the fungus
  • 00:02:08
    Fleming published his discovery of penic
  • 00:02:10
    helium's antibacterial properties but
  • 00:02:12
    didn't actually pursue further research
  • 00:02:14
    with the fungus however in 1939 a
  • 00:02:16
    research team headed by chemists Howard
  • 00:02:18
    Flory and erns chain began looking
  • 00:02:20
    further into penicilium antibacterial
  • 00:02:22
    effect due to the world war going on at
  • 00:02:25
    the moment the group attracted ample
  • 00:02:26
    funding specifically to upscale
  • 00:02:28
    penicillin production for medical use
  • 00:02:30
    flori and Chain's efforts quickly bore
  • 00:02:32
    fruit penicillin would first be used to
  • 00:02:34
    treat illness in 1941 and see mass
  • 00:02:36
    production by mid decade penicillin was
  • 00:02:38
    seen as a genuine wonder drug and
  • 00:02:40
    Fleming Flor and chain would be given
  • 00:02:42
    the Nobel Prize in medicine in 1945 for
  • 00:02:44
    its development since then the original
  • 00:02:47
    penicillin treatments along with a
  • 00:02:48
    number of modern penicillin based drugs
  • 00:02:50
    have saved countless lives and the
  • 00:02:52
    research field of antibiotics has become
  • 00:02:54
    as important as it is robust penicillin
  • 00:02:57
    the class of molecules that is works by
  • 00:02:59
    affecting the form of form of the
  • 00:03:00
    bacterial cell wall the betal lactam
  • 00:03:02
    Ring of penicillin binds to and
  • 00:03:04
    inactivates the bacterial proteins that
  • 00:03:06
    assemble their cell wall this prevents
  • 00:03:08
    the formation of a proper cell wall and
  • 00:03:10
    leads to the eventual liis and cell
  • 00:03:12
    death of affected bacteria penicillin
  • 00:03:14
    itself is used to treat a variety of
  • 00:03:16
    bacterial infections ranging from simple
  • 00:03:18
    throat infections to
  • 00:03:20
    syphilis while side effects of
  • 00:03:22
    penicillin are uncommon by virtue of
  • 00:03:23
    being one of the first prominent
  • 00:03:25
    antibiotics said side effects are
  • 00:03:27
    wellknown and well documented so these
  • 00:03:29
    were one of the first antibiotics and
  • 00:03:31
    they're quite effective so for that
  • 00:03:32
    reason I'm going to put them into s tier
  • 00:03:34
    cuz they've saved a lot of lives next
  • 00:03:37
    molecule that we have is sexin sexin is
  • 00:03:40
    one of the most prominent medications in
  • 00:03:42
    the sephos sporin class of antibiotics
  • 00:03:44
    sephos sporin have a similar structure
  • 00:03:46
    to the penicillins except instead of
  • 00:03:48
    having this five-membered ring for the
  • 00:03:50
    penam they instead have this
  • 00:03:51
    six-membered ring which still has a
  • 00:03:53
    sulfur in it sephos sporin as a class
  • 00:03:55
    are derived from the fungi genus
  • 00:03:57
    acrimonium and get their name from the
  • 00:03:59
    genus's previous previous name seos
  • 00:04:01
    sporium given the similar structure of
  • 00:04:03
    sephos sporin and cilexin to penicillins
  • 00:04:05
    you might think that they function in a
  • 00:04:07
    similar Manner and you'd be right the
  • 00:04:09
    betal lactam Ring of sephos sporin binds
  • 00:04:11
    to the same active sites of the same
  • 00:04:13
    proteins as penicillin again
  • 00:04:15
    interrupting cell wall formation and
  • 00:04:16
    leading to bacterial cell death sexin
  • 00:04:19
    itself is used to treat various
  • 00:04:20
    infections and diseases such as
  • 00:04:22
    pneumonia skin infections and urinary
  • 00:04:24
    tract infections and is also one of the
  • 00:04:26
    most highly prescribed medications in
  • 00:04:27
    the world sexin side effects are mostly
  • 00:04:31
    gastrointestinal nausea vomiting and
  • 00:04:33
    diarrhea for example actual allergic
  • 00:04:36
    reactions to sexin are uncommon and
  • 00:04:38
    interestingly not strongly correlated
  • 00:04:40
    with Penicillin allergies in spite of
  • 00:04:41
    their similar structures so this one has
  • 00:04:44
    fewer allergies than penicilin it's also
  • 00:04:46
    saved a lot of lives so for that reason
  • 00:04:49
    I think we're going to have to put it
  • 00:04:50
    right into s tier which is still
  • 00:04:52
    appropriate cuz there's a sulfur in it
  • 00:04:55
    next we have
  • 00:04:56
    nitrofurantoin nitrofurantoin is a
  • 00:04:58
    synthetic antibiotic and used used
  • 00:04:59
    primarily for the treatment of UTI or
  • 00:05:01
    urinary tract infections nitrofurantoin
  • 00:05:04
    has this really curs looking hydren
  • 00:05:06
    Group which is connected to this
  • 00:05:08
    hydantoin group a hydantoin group is
  • 00:05:11
    often seen in chemistry in the context
  • 00:05:13
    of NN di bromo dimethyl hydantoin or
  • 00:05:16
    chloro bromo dimethyl hydantoin which is
  • 00:05:18
    often used in spas or hot tubs
  • 00:05:22
    nitrofurantoin also has a furan ring and
  • 00:05:24
    a Nitro group hence this name is fairly
  • 00:05:26
    apt it's a Nitro furan toin cuz it has a
  • 00:05:29
    hydantoin and there's a Nitro and a
  • 00:05:31
    furan once in the body around 75% of
  • 00:05:34
    nitrofurantoin is metabolized by the
  • 00:05:36
    liver with the remaining finding its way
  • 00:05:38
    into your urine and reaching
  • 00:05:39
    concentrations high enough to kill
  • 00:05:41
    bacteria once within a bacterium
  • 00:05:43
    nitrofurantoin is decomposed by
  • 00:05:45
    bacterial enzymes into a number of
  • 00:05:46
    highly reactive intermediates said
  • 00:05:48
    intermediates essentially attack the
  • 00:05:50
    internal structures of a bacterium
  • 00:05:52
    leading to its rapid death
  • 00:05:54
    nitrofurantoin has relatively few common
  • 00:05:56
    side effects namely headaches and nausea
  • 00:05:58
    and it also turns one's urine Brown
  • 00:06:00
    although this is completely harmless
  • 00:06:02
    this is able to go and prevent a urinary
  • 00:06:04
    tract infection even if you take it
  • 00:06:05
    orally I think that's pretty impressive
  • 00:06:08
    now 75% of it does get metabolized by
  • 00:06:10
    the liver so maybe that's pretty high
  • 00:06:12
    but overall I think it's still okay
  • 00:06:14
    we'll put it into C tier cuz you have to
  • 00:06:16
    see the doctor cuz you have an infection
  • 00:06:19
    next we have metronidazol metronidazol
  • 00:06:22
    is a synthetic antibiotic and also an
  • 00:06:24
    antiprotozoan metronidazol has an idol
  • 00:06:27
    hence the AOL and naida ol because it's
  • 00:06:30
    a Nitro idzo when metronidazol under go
  • 00:06:33
    partial reduction it releases the Nitro
  • 00:06:35
    group that you see here into the cell
  • 00:06:37
    which attacks and damages DNA in the
  • 00:06:39
    form of a nitroso radical leading to
  • 00:06:42
    cell death said partial reduction occurs
  • 00:06:44
    primarily in anerobic bacteria and
  • 00:06:46
    protozoans leaving human cells but also
  • 00:06:49
    aerobic bacteria largely unharmed
  • 00:06:52
    metronidazol is used as a cream for
  • 00:06:54
    treating various skin infections and as
  • 00:06:55
    an oral medication for gum infections
  • 00:06:57
    and dental abscesses in terms of side
  • 00:06:59
    effects you have your usual nausea
  • 00:07:01
    vomiting and diarrhea along with the
  • 00:07:03
    lingering metallic taste in the mouth in
  • 00:07:05
    addition there are some studies looking
  • 00:07:07
    into metronidazol which have
  • 00:07:09
    demonstrated potential carcinogenic and
  • 00:07:10
    mutogenic effects as such it's an IC
  • 00:07:13
    group 2B carcinogen which means that
  • 00:07:15
    it's possibly carcinogenic to humans so
  • 00:07:18
    metronidazol you have some nasty side
  • 00:07:20
    effects and you might be a carcinogen so
  • 00:07:21
    for that reason we're going to put you
  • 00:07:23
    right into D tier I'm pretty sure that
  • 00:07:25
    they also use this one for fish tanks
  • 00:07:28
    this massive looking molecule is aiyin
  • 00:07:31
    aiyin is one of the most prominent and
  • 00:07:33
    prescribed members of the macroy class
  • 00:07:35
    of antibiotics a macroy is this large
  • 00:07:37
    cyclic lactone which you often see in
  • 00:07:40
    fragrances and some bioactive molecules
  • 00:07:43
    they tend to have these sugar motifs
  • 00:07:44
    coming off which is an amino sugar in
  • 00:07:46
    the top case and a regular sugar in the
  • 00:07:48
    bottom case the first Maite discovered
  • 00:07:50
    and utilized as an antibiotic was arthy
  • 00:07:53
    a natural compound produced by the
  • 00:07:54
    bacteria saccharopolyspora
  • 00:07:57
    arthra aiyin here is based on the
  • 00:07:59
    original aryin it's just been modified
  • 00:08:02
    in a couple positions to make it a more
  • 00:08:03
    effective antibiotic aiyin works by
  • 00:08:07
    binding to the 50s ribosomal subunit a
  • 00:08:09
    component of ribosomes found in bacteria
  • 00:08:11
    and other procaryotes this blocks the
  • 00:08:13
    actual function of their ribosomes
  • 00:08:15
    preventing these bacteria from
  • 00:08:16
    functioning and leading to their
  • 00:08:18
    eventual death aiyin is used to treat
  • 00:08:20
    chest infections along with various
  • 00:08:22
    upper respiratory infections in terms of
  • 00:08:24
    side effects it's the usual nausea
  • 00:08:26
    vomiting and diarrhea so while this does
  • 00:08:29
    have some side effects this one's been
  • 00:08:31
    optimized a little bit and it also
  • 00:08:32
    starts with an A so why don't we put it
  • 00:08:34
    into a tier clavan acid is interesting
  • 00:08:37
    as it's not technically an antibiotic
  • 00:08:39
    but it helps in the function and
  • 00:08:40
    efficacy of various betal lactam
  • 00:08:42
    antibiotics we still have this betal
  • 00:08:44
    lactam we have this like dihydro oxisol
  • 00:08:48
    ring which has an exocyclic double bond
  • 00:08:50
    which is very atypical there is some
  • 00:08:52
    slight structural similarity to the
  • 00:08:54
    penam ring but instead of having the
  • 00:08:56
    sulfur we have an oxygen and instead of
  • 00:08:57
    having the two methyl groups we have
  • 00:08:59
    have a different substitution pattern
  • 00:09:01
    claval anic acid is produced Naturally
  • 00:09:03
    by the bacterium streptomyces claval
  • 00:09:05
    liaras and works by interfering with
  • 00:09:07
    betal lactamases in the bacteria betal
  • 00:09:09
    lactamases are enzymes found in bacteria
  • 00:09:12
    that have evolved resistance to betal
  • 00:09:13
    lactam based antibiotics such as
  • 00:09:15
    penicillins or
  • 00:09:17
    cephalosporins these betal lactamases
  • 00:09:19
    inactivate betal lactam based
  • 00:09:21
    antibiotics preventing them from
  • 00:09:22
    actually functioning and killing the
  • 00:09:24
    target bacteria plavan acid however
  • 00:09:27
    permanently binds to the active site of
  • 00:09:28
    these betalactamases totally
  • 00:09:30
    inactivating them and thus allowing the
  • 00:09:32
    actual betal lactam antibiotics to do
  • 00:09:34
    their job claval enic acid is most often
  • 00:09:37
    paired with Amoxicillin a penicillin
  • 00:09:39
    type antibiotic and typically in the
  • 00:09:41
    form of its potassium salt potassium
  • 00:09:43
    clavane to that end claval anic acid
  • 00:09:45
    mostly treats and has side effects of
  • 00:09:47
    whatever antibiotic it's paired with as
  • 00:09:49
    on its own it has little effect on the
  • 00:09:50
    body so while this isn't technically an
  • 00:09:53
    antibiotic it is pretty awesome so even
  • 00:09:55
    though we're going to put it into F tier
  • 00:09:56
    you just have to remember that it's
  • 00:09:58
    because it's not an antibiotic iotic on
  • 00:09:59
    its own this one would not work without
  • 00:10:01
    another antibiotic as such it's got to
  • 00:10:03
    go into F tier venamy vamin is a type of
  • 00:10:07
    glycopeptide antibiotic and a big boy
  • 00:10:10
    I'm not even sure where to start on this
  • 00:10:12
    thing there's so many rings it's all
  • 00:10:15
    cycled this is like a protein had a
  • 00:10:17
    nightmare and then there's suddenly
  • 00:10:19
    random chlorinations on the ring there
  • 00:10:21
    is a lot going on to
  • 00:10:23
    vamy vamy is produced primarily by the
  • 00:10:26
    bacteria Amic colopsis Orient Talis and
  • 00:10:29
    works by disrupting the construction of
  • 00:10:31
    the bacterial cell wall bacterial cell
  • 00:10:33
    walls are comprised of peptidoglycan
  • 00:10:35
    subunits that coal bond with each other
  • 00:10:37
    to form a solid cell wall vamy
  • 00:10:40
    interferes with the formation of these
  • 00:10:41
    calent bonds leading to an improperly
  • 00:10:43
    formed and faulty bacterial cell wall
  • 00:10:45
    and eventually Lis that means they die
  • 00:10:49
    Vancomycin is used primarily to treat
  • 00:10:51
    methylosinus stacus orius or MRSA this
  • 00:10:55
    is essentially a staff infection with a
  • 00:10:57
    high resistance to numerous antibio
  • 00:10:59
    iotics vamy has the usual nausea
  • 00:11:02
    vomiting and diarrhea for side effects
  • 00:11:04
    but interestingly it has its own
  • 00:11:05
    condition associated with its us venamy
  • 00:11:08
    flushing reaction also known as red man
  • 00:11:10
    syndrome occurs when the drug is
  • 00:11:11
    administered too rapidly leading to the
  • 00:11:13
    release of large amounts of histamine in
  • 00:11:15
    the body resulting in rash redness and
  • 00:11:17
    discomfort throughout your body so this
  • 00:11:19
    one has some pretty harsh side effects
  • 00:11:21
    although it does have kind of a cool
  • 00:11:23
    structure it's a m so why don't we put
  • 00:11:25
    it into C tier I mean the effects are
  • 00:11:27
    pretty bad too so I think it's fair that
  • 00:11:29
    we put Vancomycin into C tier this is
  • 00:11:31
    cicin cicin is a fully synthetic
  • 00:11:34
    antibiotic hence the cyclopropane and
  • 00:11:36
    the Florine and a member of the floro
  • 00:11:38
    quinolone class this is a quinolone and
  • 00:11:41
    it's four because it's in the four
  • 00:11:42
    position rather than the two position
  • 00:11:44
    almost all quinolone based antibiotics
  • 00:11:46
    that exist tend to be
  • 00:11:49
    fluoroquinolones ciprofloxacin and other
  • 00:11:51
    fluoroquinolones work by interfering
  • 00:11:53
    with and inactivating bacterial DNA gy
  • 00:11:55
    raises this prevents proper cell
  • 00:11:57
    division for bacteria Le leading to the
  • 00:11:59
    eventual dying off of a bacterial Colony
  • 00:12:01
    ciprofloxacin is used to treat a variety
  • 00:12:03
    of infections ranging from pneumonia to
  • 00:12:05
    menitis the usual nausea vomiting and
  • 00:12:08
    diarrhea are associated with cxis in use
  • 00:12:11
    along with tendinitis and tendon
  • 00:12:12
    ruptures in elderly
  • 00:12:14
    users so I've never taken this one so I
  • 00:12:16
    won't be too harsh here it starts with a
  • 00:12:18
    C it's going right into C tier another
  • 00:12:21
    one starting with a c is Clint deyin
  • 00:12:23
    Clint deyin is a type of lincosamide
  • 00:12:25
    antibiotic and one of the most prominent
  • 00:12:27
    and prescribed members of this class
  • 00:12:29
    clindamycin has a paroline as well as
  • 00:12:31
    this amide Linker to a tho sugar
  • 00:12:34
    derivative there's also an alpha chloro
  • 00:12:36
    next to this NH which makes me a little
  • 00:12:37
    bit concerned because chloro alanes tend
  • 00:12:39
    to alcate stuff which is something you
  • 00:12:41
    usually don't want in your body
  • 00:12:43
    lincosamide is a semisynthetic
  • 00:12:44
    antibiotic derived from linyin a
  • 00:12:47
    compound produced by the bacteria
  • 00:12:48
    streptomyces lensis kendomycin and other
  • 00:12:52
    lincosamides work in a manner similar to
  • 00:12:53
    the macroides discussed earlier they
  • 00:12:55
    inactivate the 50s subunit of bacterial
  • 00:12:58
    ribosomes preventing proper cellular
  • 00:13:00
    function and leading to cell death I
  • 00:13:02
    wouldn't be surprised if this chloro
  • 00:13:03
    group results in the alation of that
  • 00:13:05
    subunit and if you know anything about
  • 00:13:07
    that I'd be interested to hear it down
  • 00:13:08
    in the comments cendy has a number of
  • 00:13:11
    uses it's useful in treating acne and
  • 00:13:13
    other skin infections can be used in Le
  • 00:13:15
    of penicillins if the patient is
  • 00:13:16
    allergic to penicillins and can be taken
  • 00:13:18
    in conjunction with quinine to treat
  • 00:13:19
    malaria as sometimes taking multiple
  • 00:13:21
    medications together can result in
  • 00:13:23
    adverse effects that you want to avoid
  • 00:13:26
    Lindy has the usual antibiotic side
  • 00:13:28
    effects not too much else to add there
  • 00:13:30
    so this one can be used when people are
  • 00:13:32
    allergic to penicillin that's pretty
  • 00:13:33
    based so why don't we put it right into
  • 00:13:35
    s TI I mean plus there's also an S here
  • 00:13:37
    so I think that makes sense but the
  • 00:13:38
    chlorine there the chlorine is
  • 00:13:40
    definitely a little bit sus oxy cycan
  • 00:13:43
    oxycline is a semisynthetic antibiotic
  • 00:13:45
    from the class of tetracyclines it's a
  • 00:13:48
    tetracycline because there's 1 2 3 four
  • 00:13:50
    rings and there's a number of different
  • 00:13:53
    functional groups decorating this ring
  • 00:13:54
    such as this phenol this Ketone this
  • 00:13:56
    dimethyl amine this amide and a couple
  • 00:13:58
    enols definitely a wild molecule and a
  • 00:14:01
    lot of interesting derivatives of these
  • 00:14:03
    have been prepared the namesake compound
  • 00:14:05
    tetracycline is naturally synthesized by
  • 00:14:07
    various species of Geno streptomyces and
  • 00:14:10
    doxycy is produced by removing one
  • 00:14:12
    hydroxy group then adding another one in
  • 00:14:14
    a different location on the overall
  • 00:14:16
    skeleton doxycycline Works in a similar
  • 00:14:18
    manner to the aforementioned macerates
  • 00:14:20
    and lincosamides only instead of
  • 00:14:22
    attaching to and deactivating the 50s
  • 00:14:24
    subunit of bacterial ribosomes it
  • 00:14:26
    instead attaches to the 30s subunit this
  • 00:14:28
    prevents proper protein synthesis of the
  • 00:14:30
    target bacteria which inhibits bacterial
  • 00:14:32
    Colony growth and eventually kills the
  • 00:14:34
    infection doxy cycling is used to treat
  • 00:14:37
    a wide variety of conditions and
  • 00:14:38
    infections and even has antiparasitic
  • 00:14:40
    properties as well though doxy cycling
  • 00:14:42
    doesn't actively Target parasites there
  • 00:14:44
    are numerous species of parasites that
  • 00:14:46
    have developed mutualistic relationships
  • 00:14:47
    with certain bacteria and need them for
  • 00:14:49
    proper reproduction so doxycycl is
  • 00:14:52
    basically able to take out their friends
  • 00:14:54
    and that stops them from growing toxy
  • 00:14:56
    cycling has no major or noteworthy side
  • 00:14:58
    effects aside from the typical nausea
  • 00:14:59
    and vomiting along with headaches so
  • 00:15:01
    doxy cyclan seems pretty awesome it also
  • 00:15:04
    has not only antibacterial effects but
  • 00:15:07
    it has implicit antiparasitic activities
  • 00:15:09
    as well that's pretty awesome
  • 00:15:12
    sulfamethoxazol sulfamethoxazol is a
  • 00:15:14
    synthetic antibiotic and a sulfonamide
  • 00:15:17
    this is the sulfonamide group
  • 00:15:18
    sulfonamides are a class of compounds
  • 00:15:20
    that typically possess antibiotic
  • 00:15:22
    properties this is a derivative of
  • 00:15:24
    analine and we also have this methyl
  • 00:15:26
    isoxazole ring sulfamethoxazol is used
  • 00:15:29
    to treat a wide variety of conditions
  • 00:15:30
    such as urinary respiratory and
  • 00:15:32
    intestinal infections sulfamethoxazol
  • 00:15:35
    works by disrupting the synthesis of
  • 00:15:36
    folate also known as vitamin B9 as it
  • 00:15:39
    resembles and competes with the
  • 00:15:40
    precursor compound par aminobenzoic acid
  • 00:15:43
    by the way you can buy this from bulk
  • 00:15:44
    supplements and it can be made into
  • 00:15:46
    benzocaine using ethanol folate is
  • 00:15:49
    necessary for DNA synthesis and since
  • 00:15:51
    most bacteria produce their own folate
  • 00:15:53
    the disruption of this process prevents
  • 00:15:54
    these bacteria from properly functioning
  • 00:15:57
    sulfamethoxazol is safe in humans in
  • 00:15:59
    part due to the fact that we don't
  • 00:16:00
    produce vitamin B9 ourselves meaning
  • 00:16:03
    that the intended pharmacological effect
  • 00:16:05
    can't happen in our bodies side effects
  • 00:16:07
    nonetheless exist and are the usual
  • 00:16:09
    nausea vomiting along with appetite loss
  • 00:16:12
    this doesn't even Target people so
  • 00:16:14
    that's pretty awesome for that reason I
  • 00:16:15
    think we're going to have to put it into
  • 00:16:16
    s tier also if you want some TC lore my
  • 00:16:20
    great grandma was actually in the
  • 00:16:21
    hospital for many months when she was
  • 00:16:23
    quite young as she had a leg infection
  • 00:16:26
    and this was before antibiotics were
  • 00:16:27
    widely available but eventually
  • 00:16:29
    antibiotics reached western Canada and
  • 00:16:32
    she was able to get treated and made a
  • 00:16:33
    full recovery after this happened she
  • 00:16:36
    then gave birth to my grandma and so if
  • 00:16:38
    it weren't for sulfa drugs I wouldn't be
  • 00:16:39
    here the only downside with sulfa drugs
  • 00:16:42
    is people tend to get allergies to them
  • 00:16:44
    but I'm not sure if that's super common
  • 00:16:46
    I just know that they aren't typically
  • 00:16:47
    prescribed right away anymore but they
  • 00:16:49
    are prescribed in specific instances
  • 00:16:51
    saving my great- grandma's life though
  • 00:16:52
    is pretty based so that's going to have
  • 00:16:53
    to go right into s tier this structure
  • 00:16:56
    reminds me of a compound I've seen
  • 00:16:57
    before but I can't quite remember which
  • 00:16:59
    one it was trimethoprim is a fully
  • 00:17:01
    synthetic antibiotic it has this
  • 00:17:03
    interesting 123 trimethoxybenzene Motif
  • 00:17:06
    and it also has this pyodine ring
  • 00:17:09
    trimethoprim treats many of the same
  • 00:17:11
    conditions as sulfamethoxazol and both
  • 00:17:13
    compounds are frequently bundled
  • 00:17:15
    together in the same medication
  • 00:17:17
    similarly to sulfamethoxazol
  • 00:17:18
    trimethoprim works by interfering in
  • 00:17:20
    bacterial DNA synthesis in this case
  • 00:17:23
    disrupting the synthesis of dihydrofolic
  • 00:17:25
    acid to tetrahydrofolic acid this is a
  • 00:17:27
    vital step in producing the nucleoside
  • 00:17:29
    thyadine and its disruption prevents
  • 00:17:31
    proper function and reproduction of
  • 00:17:32
    bacteria unlike sulfamethoxazol
  • 00:17:35
    trimethoprim can interfere with proper
  • 00:17:37
    thymidine synthesis in humans but
  • 00:17:39
    fortunately its inhibitory effects on
  • 00:17:40
    human synthesis is only about 160,000 of
  • 00:17:43
    its effect in bacteria trimethoprim has
  • 00:17:46
    the usual antibiotic side effects you
  • 00:17:48
    know them all at this point so
  • 00:17:50
    trimethoprim pretty cool a little bit of
  • 00:17:52
    inhibition for human enzymes so for that
  • 00:17:54
    reason we're going to put it into like a
  • 00:17:56
    tier but it's still pretty awesome this
  • 00:17:58
    is the last antibiotic that we're going
  • 00:18:00
    to be talking about today streptomycin
  • 00:18:03
    streptomycin is a natural antibiotic
  • 00:18:05
    produced and isolated from streptomyces
  • 00:18:07
    Gus we have a tetrahydrofuran ring here
  • 00:18:10
    which is sugar derived we have another
  • 00:18:11
    sugar derivative here but instead this
  • 00:18:13
    is a six membered ring these Rings here
  • 00:18:15
    remind me a little bit of an ocl
  • 00:18:17
    probably because they're derived from
  • 00:18:18
    that but maybe not this other one here
  • 00:18:21
    kind of looks just like glucose but it's
  • 00:18:22
    an amino sugar instead of your typical
  • 00:18:24
    sugar in addition we have these two
  • 00:18:26
    guanine groups a little bit cursed
  • 00:18:28
    streptomycin is the most prominent and
  • 00:18:30
    prescribed aminoglycoside a broad class
  • 00:18:32
    of antibiotics targeting a broad variety
  • 00:18:34
    of bacterial conditions streptomycin and
  • 00:18:37
    other aminoglycosides work in a similar
  • 00:18:39
    manner to tetracyclines targeting the
  • 00:18:41
    30s subunit of bacterial ribosomes and
  • 00:18:43
    thus preventing protein synthesis in
  • 00:18:45
    bacteria streptomycin itself is used in
  • 00:18:47
    treating fairly serious conditions like
  • 00:18:49
    tuberculosis endocarditis and the plague
  • 00:18:52
    yes that plague interestingly
  • 00:18:55
    streptomycin is often used as a natural
  • 00:18:57
    pesticide as well preventing blight and
  • 00:18:59
    infections on various crops in terms of
  • 00:19:01
    side effects aside from the usual nausea
  • 00:19:03
    headaches and vomiting streptomycin has
  • 00:19:05
    been shown to be toxic to kidneys and
  • 00:19:07
    ears leading to kidney malfunction and
  • 00:19:09
    deafness in severe cases that's pretty
  • 00:19:11
    bad um bad starts with a b and we
  • 00:19:13
    haven't put anything in B tier yet so
  • 00:19:15
    we're going to put that into B tier cuz
  • 00:19:16
    you better be careful if you take that
  • 00:19:18
    one antibiotics have saved lots of lives
  • 00:19:22
    and appropriately using them is an
  • 00:19:23
    important way to make sure that they
  • 00:19:24
    stay effective for future Generations if
  • 00:19:27
    your doctor prescribes an antibio IC
  • 00:19:28
    make sure you take it to completion
  • 00:19:30
    because if you just take it for a couple
  • 00:19:32
    days and you start feeling better you'll
  • 00:19:33
    wipe out a couple of the bad bacteria
  • 00:19:36
    but the ones that remain will be more
  • 00:19:37
    resistant to the antibiotics that you're
  • 00:19:39
    taking and since you sto taking them
  • 00:19:40
    those ones can proliferate so if you
  • 00:19:42
    want to do your part to prevent
  • 00:19:44
    antibiotic resistance make sure you take
  • 00:19:45
    the full course of antibiotics that way
  • 00:19:48
    all of the bad bacteria get wiped out
  • 00:19:50
    and your immune system is able to deal
  • 00:19:51
    with the ones that are a little bit
  • 00:19:52
    resistant since they're not fending off
  • 00:19:54
    against all the other ones with that
  • 00:19:56
    being said antibiotics can be misused
  • 00:19:58
    used and the overuse of antibiotics has
  • 00:20:00
    lead to some resistance in hospitals and
  • 00:20:02
    other medical settings thanks for
  • 00:20:04
    watching if you like chemistry videos
  • 00:20:06
    like this and you want to see more you
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    should probably hit that subscribe
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    button if you want to learn more about
  • 00:20:10
    some unique antibiotics my editor for
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    this video recently made a video of his
  • 00:20:14
    own exploring just that which you should
  • 00:20:17
    totally check out hey I'm Siggy snake
  • 00:20:20
    well working on and researching this
  • 00:20:21
    video for TC I learned a lot about early
  • 00:20:24
    antibiotics and the interesting history
  • 00:20:25
    surrounding them I just put out a vid of
  • 00:20:27
    my own looking at Grandma saidin S one
  • 00:20:29
    of the first antibiotics developed along
  • 00:20:32
    with the unusual scientific climate that
  • 00:20:34
    led to its development in the Soviet
  • 00:20:35
    Union it's a really unique Topic in my
  • 00:20:37
    opinion and something you should check
  • 00:20:39
    out if you enjoyed this video make sure
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    you go and check out siggy's video I
  • 00:20:43
    really like the work that he's been
  • 00:20:44
    doing for this channel as well as for
  • 00:20:45
    his own with that thanks for watching
  • 00:20:48
    and I hope you have a great day
标签
  • antibiotics
  • penicillin
  • antibiotic resistance
  • bacterial infections
  • medicine
  • cephalosporins
  • clavulanic acid
  • erythromycin
  • metronidazole
  • vancomycin