Perimycin

From WikiMD's medical encyclopedia

An overview of the antibiotic Perimycin


Overview

Chemical structure of Perimycin A

Perimycin is a macrolide antibiotic known for its effectiveness against a variety of bacterial infections. It is derived from the bacterium Streptomyces and is primarily used in the treatment of infections caused by Gram-positive bacteria.

Mechanism of Action

Perimycin functions by inhibiting bacterial protein synthesis. It binds to the 50S subunit of the bacterial ribosome, thereby preventing the translocation of peptidyl tRNA from the A-site to the P-site. This action effectively halts the growth of the bacteria, allowing the immune system to eliminate the infection.

Clinical Uses

Perimycin is used in the treatment of various infections, including:

Side Effects

Common side effects of Perimycin include:

Pharmacokinetics

Perimycin is administered orally and is well absorbed from the gastrointestinal tract. It is metabolized in the liver and excreted primarily in the bile.

Resistance

Bacterial resistance to Perimycin can occur through various mechanisms, including:

  • Modification of the ribosomal binding site
  • Efflux pumps that expel the antibiotic from the bacterial cell
  • Enzymatic degradation of the antibiotic

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Contributors: Prab R. Tumpati, MD