Tutorial:Basic Chemistry Topics

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This tutorial is designed for entry-level college students with some basic chemistry knowledge (Ages 18-22)

^[1]

Purpose of the Tutorial

This tutorial is intended as a beneficial learning/teaching aid for an entry-level chemistry college student with some basic chemistry knowledge. Various general chemistry concepts are explained using a research article as an example. Applying general chemistry to a research article will allow the students to see the impact they can have on the research world in the future by applying their knowledge.

Summary: Scientific Research Article

The molecule to left is from the article "Aminoglycoside 2'-N-acetyltransferase from Mycobacterium tuberculosis-Complex with Coenzyme A and Tobramycin" published in Nature Structural Biology.^[2]. The study focused on aminoglycoside 2’- N- acetyltransferase (AAC (2’)- Ic), an enzyme. This enzyme is a protein that speeds the rate of the reaction it catalyzes.

This study determined the structure of AAC (2’)-Ic from mycobacterium tuberculosis, a pathogen. This pathogen is a microorganism that causes tuberculosis (TB), which typically affects the lungs, but can affect other parts of the body as well. The specific structure/protein fold of AAC (2’)-Ic places it in the GCN5-related N-acetyltransferase (GNAT) superfamily. The GNAT superfamily is a group of enzymes that are similar in structure. The protein fold is important because it determines the function of the compound.^[2]

The GNAT family is a group of acetylating enzymes. Acetylation is the addition of CH3CO functional group onto a compound. Although the physiological function of AAC(2’)-Ic is not certain, the discovery of the GNAT fold allowed researchers to classify AAC (2’)-Ic as an acetylating enzyme. Mycothiol is catalyzed by AAC (2’)-Ic to acetylate the aminoglycoside antibiotic known as tobramycin. When this occurs the aminoglycoside antibiotic becomes inactive. The basis of this study is important because when pathogens become resistant to commonly used antibiotics, an infection that was easily cured can now become severe and life threatening.^[2]

1 Objectives
2 Periodic table
3 Amino acids
- 3.1 Classification of Amino Acids
4 Types of Bonds
5 Primary Structure
6 Secondary Structures
7 Active Site
8 Substrates
9 Ligand
10 Preventing Antibiotic Resistance

Objectives

1. Understand the organization of the periodic table

2. Know the amino acid basic structure

3. Know the classifications of amino acids and where each amino acids is placed

4. Define primary and secondary structure

5. Define active site

6. Define substrate

7. Define Ligand

The "element color code" drop down box maybe needed throughout the tutorial for identification of atoms.

Element Color Code
Carbon- Grey Nitrogen- Blue Sulfur- Yellow Oxygen- Red

Periodic table

^[3]

An atom is the smallest unit of matter. Protons, neutrons, and electrons, make up the composition of an atom providing its chemical properties. The common chemical properties of atoms are used to organize them in the periodic table. Electrons are negatively charged particles that surround the atom’s nucleus. Protons are positively charged particles and neutrons are uncharged. Both neutrons and protons are located in the central part of the atom known as the nucleus.

The image above displays Oxygen (O) in its periodic box. The atomic number of oxygen is 8, centered above the single-letter abbreviation of Oxygen. “8” represents the number of protons in the atom’s nucleus. The atomic number is also used to arrange elements in the periodic table. Notice the increasing value of protons in the atoms from left to right. The atomic mass of an element is centered under the single-letter abbreviation of an atom and represents the total mass of the atom. In this case, oxygen has an atomic mass of ~16. The total weight of an atom is the sum of the masses of its protons, neutrons and electrons.

The periodic table is a collaboration of atoms that are arranged according to their common chemical features. Groups are the vertical columns of atoms, and the periods are the horizontal rows. When moving from left to right across the periods (horizontally), there is an increase in electronegativity. Electronegativity measures the attraction a bonded atom has for electrons. In other words, electronegativity refers a molecule's ability to pull other electrons towards it, increasing it’s density and providing itself with a negative charge. The concept of electronegativity contributes to the polarity of molecule. Polarity is caused by a difference in electronegativity between molecules in a compound or if the asymmetry of the compounds structure. A compound is nonpolar when the electronegativity of the molecules are close or even, the compound is symmetrical and the electrons are not being pulled more in one direction versus another.

Amino acids

Amino acids are the building blocks of proteins. There are about 500 amino acids, but the 20 more common amino acids will be referenced. Polymer chains (peptides) join amino acids together to form proteins.

20 More Common Animo Acids

Alanine (ala)(A)
Glycine (gly)(G)
Isoleucine (ile)(I)
Leucine (leu)(L)
Methionine (met) (M)
Phenylalanine (phe)(F)
Proline (pro)(P)
Valine (val) (V)
Arginine (arg)(R)
Asparagine (asn)

Aspartic acid (asp)(D)
Cysteine (cys)
Glutamic Acid (glu)(E)
Glutamine (gln) (Q)
Histidine (his)(H)
Lysine (lys) (K)
Serine (ser) (S)
Threonine (thr)(T)
Tryptophan (trp) (W)
Tyrosine (tyr)(Y)

The process of protein formation is known as translation. During translation, a complex known as the ribosome is responsible for adding amino acids to a peptide chain to form a complete protein.

An amino acid structure consists of an amine group (-NH2), a carboxylic acid (-COOH), hydrogen (H), and a functional group (R). The functional group is what varies between amino acids and determines how it is categorized. Amino acids are categorized as either essential/nonessential, polar/non-polar, or acidic/basic.

Classification of Amino Acids

Essential vs. Nonessentail Amino Aicds

An amino acid is considered essential when the human body is not capable of synthesizing/producing it. These amino acids need to be obtained from our diet. If the body is capable of producing an amino acid through metabolism or another method, the amino acid is classified as nonessential.

Essential Amino Acids

Histidine (his)
Isoleucine (ile)
Leucine (leu)
Lysine (lys)
Methionine (met)
Phenylalanine (phe)
Threonine (thr)
Tryptophan (trp)
Valine (val)

Nonessential Amino Acids

Alanine(ala)
Arginine (arg)
Asparagine (asn)
Aspartic acid, (asp)
Cysteine (cys)
Glutamic acid (glu)
Glutamine (gln)
Proline (pro)
Serine (ser)
Tyrosine (tyr)

Polar vs. Nonpolar Amino Acids

The polarity of an amino acid depends on the difference in electronegativity and the asymmetry of the compound's structure, discussed previously. For example, Arginine is a polar amino acid and Glycine is a nonpolar amino acid. Described earlier, an amino acid’s structure consists of a carboxylic acid, an amine, hydrogen, and a functional group. Look at the structure of . Arginine has the amine group, carboxylic acid and hydrogen located towards the bottom of the representation, and the functional group is the large extension of atoms upward. You can see from this image that the functional group has a greater density/electronegativity compared to the core of the amino acid (carboxylic acid, amine and hydrogen), hence making this amino acid polar. In contrast the structure of glycine, located next to arginine, has little polarity. The functional group attached to glycine is only a methyl group (CH3). A methyl group has low density/electronegativity compared to the rest of the structure, making glycine a nonpolar amino acid. Neutral amino acids have functional groups that are similar in electronegativity compared to the core, so the electrons are not pulled in one direction more dominantly than another. In other words, there is no increase in density to one side. When an amino acid is neutral, it is less reactive than a polar amino acid. It is less reactive because the structure is stable. A polar amino acid is pulling electrons, yielding a slight positive and negative charge within the amino acid structure. This makes the compound less stable. The charges increase the molecules reactivity with other substances.

Nonpolar amino acids

Alanine (ala)
Glycine (gly)
Isoleucine (ile)
Leucine (leu)
Methionine (met)
Phenylalanine (phe)
Proline (pro)
Valine (val)

Polar Amino Acids

Arginine (arg)
Asparagine (asn)
Aspartic acid (asp)
Cysteine (cyc)
Glutamic Acid (glu)
Glutamine (gln)
Histidine (his)
Lysine (lys)
Serine (ser)
Threonine (thr)
Tryptophan (trp)
Tyrosine (tyr)

Neutral Amino Acids

Alanine (ala)
Asparagine (asn)
Cysteine (cyc)
Glutamine (gln)
Glycine (gly)
Isoleucine (ile)
Leucine (leu)
Methionine (met)
Phenylalanine (phe)
Proline (pro)
Serine (ser)
Threonine (thr)
Tryptophan (trp)
Tyrosine (tyr)
Valine (val)

Acidic vs. Basic Amino Acids

An Example of a pH scale is located above. A pH scale ranges from 1-14, 1 being the most acidic and 14 being the most basic. An acidic pH has a value below 7, a basic pH is greater than 7, and a pH of 7 is considered neutral (ex: water). Some common acidic functional groups are alcohols (OH) and carboxylic acids (-COOH). Amines (-NH2) and ketones (-CH2OCH3) are considered basic functional groups.

You can predict if an amino acid will be acidic or basic according to its structure. For example, contains a carboxylic acid functional group, which was stated previously to be an acidic functional group that lowers the pH of the amino acid. On the other hand, is classified as a basic amino acid. The functional group of arginine contains a guanidine group. A guanidine group contains amine groups, which increase the pH of the amino acid.

Acidic Amino Acids

Aspartic acid (asp)
Glutamic acid (glu)

Basic Amino Acids

Arginine (arg)
Histidine (his)
Lysine (lys)

Types of Bonds

There are many different types of bonds that occur physiologically. Ionic, covalent, and hydrogen bonds are some of the most abundantly seen. The strongest of these is the covalent bond, followed by the ionic bond, which leaves the weakest bond to be the hydrogen bond. Knowing where these bonds are utilized will aid in your understanding of why a structure is in a certain conformation.

Covalent Bonds

The strongest of these bonds is the covalent bond. Covalent bonds involve sharing pairs of electrons between two atoms. These bonds are very stable. The figure shown below represents Coenzyme A (CoA) with the addition of an acyl group to the sulfur atom. The introduction mentioned that the addition of the acetyl group is important to the study, because when it is transferred to Tobramycin the antibiotic becomes inactive. The solid connections between the atoms are representation of the covalent bonds.

Covalent bonding

^[4]

Ionic Bonds

Ionic Bonding^[5]

An ionic bond occurs when an electron(s) is transferred from one atom to another to become more stable with a full electron shell. The charges result from the transfer of an electron. The positively charged cation is attracted to the negatively charged anion. In the image to the right, you see an anion Fluoride (F-), and the cation Sodium (Na+). The double-sided arrow between them is representation of their attractive force. Fluorine has a higher electronegativity than sodium. As we discussed previously, when an atom has higher electronegativity it pulls electrons from the lower electronegative atom; in this case sodium. The transfer of the sodium electron (blue) is shown using an arrow.

Tobramycin and aspartic acid form an in this representation. The nitrogen on tobramycin has a (+) positive charge and aspartic acid has a (-) negative charge. The opposing charges are attracted to each other forming an ionic bond, holding the compounds in close proximity.

Hydrogen Bonds

Hydrogen Bonding^[6]

The weakest bond discussed here, the hydrogen bond is an attractive intermolecular attraction between an electronegative atom and hydrogen. When the electronegative atom pulls the electrons, it leaves the other atom with a slightly positive charge. A common example of this is water. The image to the left demonstrates the hydrogen bonding of water. The highly electronegative oxygen pulls hydrogen's electrons closer. When oxygen pulls the electrons, it leaves hydrogen with a slight positive charge. In this representation the are represented as yellow-dashed lines. The hydrogen bonds are important to the compound used by the study because they offer stability to the secondary structures.

Primary Structure

The primary sequence is the amino acid linear sequence of a protein. For example the linear sequence of the protein enzyme AAC (2’)-Ic is shown below.

The letters in the primary structure are the single-letter abbreviations of the amino acids. The single-letter abbreviations are provided in the amino acid portion of this tutorial. The primary sequence of AAC (2’)-Ic, a protein enzyme, was an important discovery to the study because it revealed the cause of the tobramycin acetylation, leading to its inactivity.

Secondary Structures

Secondary structures are . The helices and sheets provide stability to the compound as a whole. The alpha helices are represented with pink arrows and the beta sheets are represented with yellow arrows. This molecule has approximately eight alpha helices and four beta sheets. have a cylinder-like structure with a parallel formation. In this representation you can see the parallel formation within the cylinder structure. The parallel alpha helices are held in its cylinder structure by hydrogen bonds. are often anti-parallel. The folding of a protein, alpha helices and beta sheets, gives the compound its function. When there is a change in protein folding, the function will change. As previously stated, the study discovered ACC(2’)-Ic to have a GNAT fold, and the GNAT family are enzymes capable of acetylation.

Active Site

The active site can be described as a pocket where an interaction between complexes produces a chemical reaction. The chemical reaction can be physiological or pathological. Referring back to the article, the active site is where the acetylation is going to occur. In this depiction of the you can see the pocket where coenzyme A (CoA) will aid the enzyme in the acetylation of tobramycin (Toy), the aminoglycoside antibiotic. The enzyme is the "blob" surrounding the antibiotic and CoA. The enzyme is holding these compounds in a conformation forcing them to react. The acetylation at the active site will cause the antibiotic to be inactive, hence inhibiting the active site. When tobramycin becomes inactivated it is no longer able to aid in the destruction of bacteria. This is what we call "antibiotic resistance".

Substrates

A substrate is a compound that is acted upon by an enzyme. The substrate binds the active site of the enzyme. Once bound, the enzyme uses the substrate to produce a chemical response that produces the product. After the chemical response, the substrate is released from the active site and you are left with the enzyme and the product. ^[3]

This equation is a representation of the interaction between a substrate and an enzyme. The enzyme (E) and substrate (S) join together at the enzyme’s active site to form an enzyme-substrate (ES) complex. Once the enzyme releases the substrate you are left with the final product (P) and the enzyme (E).

Acetylation Reaction ^[2]

As discussed in the introduction, AAC(2’) Ic has a similar fold to that of the GNAT superfamily. The GNAT fold has the function of acetylation, the addition of an acetyl group. An acetyl functional group is composed of CH3CO. It is important to note that the discovery of the GNAT fold led to the understanding of the function of AAC(2’). The reaction above shows the acetylation of the aminoglycoside antibiotic, causing its inactivity. From the reaction centered above you see the aminoglycoside antibiotic (Ribostamycin) being acted upon by the enzyme AAC(2’). AAC(2’) is adding an acetyl group to the antibiotic using the substrate CoA. On the right side of the arrow you can see the final product of the acetylation, the antibiotic and acyl group bound. The acetyl group is circled, so you are able to locate it throughout the reaction. ^[2]

Ligand

are molecules or complexes located within the secondary structures. The ligands are held in a certain conformation by the secondary structure. This conformation contributes to the function of the compound, as mentioned earlier. The amino acids located throughout the protein will react with components of the ligands based on the polarity/nonpolarity and basicity/acidity of the ligand components. The ligands present in the research article complex are , and Phosphate-Adenosine-5'-Diphosphate. The ligands in this complex are present as a . A dimer is a chemical structure formed with two identical subunits, connected along their axis. The dimer conformation is sometimes favored over the monomer due to an increase in stability. The drop-down boxes below provide more information about the ligands present in the study article for those who are interested.

Coenzyme A (CoA)
Coenzyme A (CoA) is involved in many physiological processes such as, synthesizing and oxidizing fatty acids. This process is essential for the utilization of fatty acids for energy. Coenzyme A is used as a substrate in the citric acid cycle. The citric acid cycle is also known as the Krebs cycle or tricarboxylic acid cycle (TCA). This process is important to the production of ATP, which is an energy source used by the body.

Tobramycin
Tobramycin is an antibiotic which is part of the aminoglycoside family. Aminoglycosides produce antibacterial effects by inhibiting protein synthesis and compromising the structure of the cell wall. By inhibiting protein synthesis of bacteria it prevents the bacteria from replicating. The cell wall is an important structure to bacteria, because it provides the structure and stability to the bacteria. By disrupting the cell wall, the stability of the bacteria is destroyed and ultimately causing bacteria cell death. Tobramycin targets a variety of bacteria, particularly gram(-) species. Just like all drugs there are side effects associated with tobramycin. Some of the more common side effects are ototoxicity and nephrotoxicity. Ototoxicity is hearing loss and nephrotoxicity is kidney damage. The kidney damage is due to tobramycin reabsorption through the renal tubules. This basically means that tobramycin may be toxic to the kidneys due to prolonged contact time in the kidneys. Tobramycin is a pregnancy category D. Pregnancy categories are assigned to all drugs. They are used to classify how likely the drug is to cause harm to the fetus. The pregnancy categories are A, B, C, D, and X. Pregnancy category A causes no harm to the fetus and pregnancy category X definitely causes harm to the fetus. Since Tobramycin is a pregnancy category D, this is not an optimal choice for a pregnant patient with a gram(-) bacterial infection. Tobramycin can be given intravenously, intramuscularly, as an inhalation or ophthalmically. Intravenously (IV) is a route of administration where the drug is administered directly to the vasculature or blood vessels. Intramuscular (IM) injection penetrates through the skin to the muscle. A common example of an intramuscular injection is a flu shot. An inhalation delivers the drug directly into the lungs. An example of inhalation drug administration is an inhaler used for asthmatics. Ophthalmic administration is drug administration directly to the eye, such as an eye drop. ^[7]

Preventing Antibiotic Resistance

Drug resistance occurs when microorganisms are no longer vulnerable to an antibiotic. Resistance occurs when a microorganism produces a spontaneous/genetic mutation that protects the bacteria from the drug. Antibiotic resistance to Tobramycin by mycobacterium tuberculosis is the basis of this study. Antibiotic resistance is a growing public health concern.

There are many causes of drug resistance, including antibiotic overuse and inappropriate antibiotic use. A preventable cause of drug resistance is premature discontinuation of a patient’s antibiotics. Patients tend to discontinue their antibiotics when they start to “feel better,” but sometimes the infection is not completely eradicated. In the beginning of an antibiotic regimen it begins by killing the most susceptible microorganisms first. As you complete the antibiotic course, the continuous exposure of the antibiotic is able to kill the few more resistant microorganisms. When the antibiotic is discontinued early, the more resistant bacteria are not eliminated. The resistant strain of bacteria will replicate/form resistance and the same antibiotic will not be as effective anymore.

When drug resistance occurs, the drug/antibiotic needs to be modified to prevent its inactivation. In this study tobramycin is acetylated, which causes it inactivation. If the acetylation of tobramycin can be prevented, tobramycin can remain active and continue its antibacterial effects. One possible theory for inhibiting tobramycin’s acetylation is the addition of a bulky substituent near the active site. Adding a bulky substituent to tobramycin would “block” the addition of the acetyl group, because the acetyl group cannot get to the site of action. The bulky substituent is too large and the acetyl group is not able to fit anymore. There are many things that can be accomplished with the understanding of basic chemistry; there will always be a demand for a brilliant chemist.

References

↑ Vetting, M. W., et al. "Aminoglycoside 2'-N-acetyltransferase from Mycobacterium tuberculosis-Complex with Coenzyme A and Tobramycin." RCSB Protien DataBase. N.p., 28 Aug.2002. Web. 13 July 2011. http://www.rcsb.org/pdb/explore/explore.do?structureId=1M4D
↑ ^2.0 ^2.1 ^2.2 ^2.3 ^2.4 Vetting, Matthew W., et al. "Aminoglycoside 2'-N-acetyltransferase from Mycobacterium tuberculosis-Complex with Coenzyme A and Tobramycin."Nature Structural Biology 9.9 (2002): 653-58. Print.
↑ ^3.0 ^3.1 Wikipedia. Wikipedia, 4 Nov. 2012. Web. 7 Nov. 2012. <http://en.wikipedia.org/wiki/Enzyme_substrate_(biology)
↑ User:Cepheus. "Periodic Table." Wikipedia. N.p., 26 Feb. 2007. Web. 26 Nov. 2012. <http://en.wikipedia.org/wiki/File:Periodic_table.svg>.
↑ . "File:NaF.gif." Wikipedia. Wikipedia, 17 June 2011. Web. 31 Oct. 2012.<http://en.wikipedia.org/wiki/File:NaF.gif.
↑ Maňas, Michal, trans. "File:3D model hydrogen bonds in water.jpg." Wikimedia Commons. Wikimedia Commons, 3 Dec. 2007. Web. 31 Oct. 2012 <http://commons.wikimedia.org/wiki/File:3D_model_hydrogen_bonds_in_water.jpg.
↑ "Tobramycin." Wikipedia. Wikipedia, n.d. Web. 26 Nov. 2012.<http://en.wikipedia.org/wiki/Tobramycin>.

Proteopedia Page Contributors and Editors (what is this?)

Alyssa Graham

Retrieved from "http://52.214.119.220/wiki/index.php/Tutorial:Basic_Chemistry_Topics"

@@ Line 262: / Line 262: @@
 ='''Active Site'''=
-The active site can be described as a pocket where an interaction between complexes produces a chemical reaction. The chemical reaction can be physiological or pathological. Referring back to the article, the active site is where the acetylation is going to occur. In this depiction of the <scene name='Tutorial:Basic_Chemistry_Topics/Active_site/2'>active site</scene> you can see the pocket where coenzyme A (CoA) will aid the enzyme in the acetylation of tobramycin (Toy), the aminoglycoside antibiotic. The enzyme is the "blob" surrounding the antibiotic and CoA. The enzyme is holding these compounds in a conformation forcing them to react. The acetylation at the active site will cause the antibiotic to be inactive, hence inhibiting the active site. When tobramycin becomes inactivated it is no longer able to aid in the destruction of bacteria. This is what we call antibiotic resistance.
+The active site can be described as a pocket where an interaction between complexes produces a chemical reaction. The chemical reaction can be physiological or pathological. Referring back to the article, the active site is where the acetylation is going to occur. In this depiction of the <scene name='Tutorial:Basic_Chemistry_Topics/Active_site/2'>active site</scene> you can see the pocket where coenzyme A (CoA) will aid the enzyme in the acetylation of tobramycin (Toy), the aminoglycoside antibiotic. The enzyme is the "blob" surrounding the antibiotic and CoA. The enzyme is holding these compounds in a conformation forcing them to react. The acetylation at the active site will cause the antibiotic to be inactive, hence inhibiting the active site. When tobramycin becomes inactivated it is no longer able to aid in the destruction of bacteria. This is what we call "antibiotic resistance".
@@ Line 295: / Line 295: @@
 |-
 | scope="col" width="5000px" |
-Tobramycin is an antibiotic which is part of the aminoglycoside family. Aminoglycosides produce antibacterial effects by inhibiting protein synthesis and compromising the structure of the cell wall. By inhibiting protein synthesis of bacteria, it prevents the bacteria from replicating. The cell wall is an important structure to bacteria because it provides the structure and stability to the bacteria. By disrupting the cell wall, the stability of the bacteria is destroyed and ultimately causing bacteria cell death.
+Tobramycin is an antibiotic which is part of the aminoglycoside family. Aminoglycosides produce antibacterial effects by inhibiting protein synthesis and compromising the structure of the cell wall. By inhibiting protein synthesis of bacteria it prevents the bacteria from replicating. The cell wall is an important structure to bacteria, because it provides the structure and stability to the bacteria. By disrupting the cell wall, the stability of the bacteria is destroyed and ultimately causing bacteria cell death.
 Tobramycin targets a variety of bacteria, particularly gram(-) species. Just like all drugs there are side effects associated with tobramycin. Some of the more common side effects are ototoxicity and nephrotoxicity. Ototoxicity is hearing loss and nephrotoxicity is kidney damage. The kidney damage is due to tobramycin reabsorption through the renal tubules. This basically means that tobramycin may be toxic to the kidneys due to prolonged contact time in the kidneys.
-Tobramycin is a pregnancy category D. Pregnancy categories are assigned to all drugs. They are used to classify how likely the drug is to cause harm to the fetus. The pregnancy categories are A, B, C, D, and X. Pregnancy category A causes no harm to the fetus and pregnancy category X indefinitely causes harm to the fetus. Since Tobramycin is a pregnancy category D, this is not an optimal choice for a pregnant patient with a gram(-) bacterial infection.
+Tobramycin is a pregnancy category D. Pregnancy categories are assigned to all drugs. They are used to classify how likely the drug is to cause harm to the fetus. The pregnancy categories are A, B, C, D, and X. Pregnancy category A causes no harm to the fetus and pregnancy category X definitely causes harm to the fetus. Since Tobramycin is a pregnancy category D, this is not an optimal choice for a pregnant patient with a gram(-) bacterial infection.
-Tobramycin can be given intravenously, intramuscularly, as an inhalation or ophthalmicly. Intravenously, is IV route of administration where the drug is administered directly to the vasculature or blood vessels. Intramuscular injection penetrates through the skin to the muscle. A common example of an intramuscular injection is a flu shot. An inhalation delivers the drug directly to the lungs. An example of inhalation drug administration is an inhaler used for asthmatics. Ophthalmic administration is drug administration directly to the eye, such as an eye drop. <ref name="Tobramycin">"Tobramycin." Wikipedia. Wikipedia, n.d. Web. 26 Nov. 2012.<http://en.wikipedia.org/wiki/Tobramycin>.</ref>
+Tobramycin can be given intravenously, intramuscularly, as an inhalation or ophthalmically. Intravenously (IV) is a route of administration where the drug is administered directly to the vasculature or blood vessels. Intramuscular (IM) injection penetrates through the skin to the muscle. A common example of an intramuscular injection is a flu shot. An inhalation delivers the drug directly into the lungs. An example of inhalation drug administration is an inhaler used for asthmatics. Ophthalmic administration is drug administration directly to the eye, such as an eye drop. <ref name="Tobramycin">"Tobramycin." Wikipedia. Wikipedia, n.d. Web. 26 Nov. 2012.<http://en.wikipedia.org/wiki/Tobramycin>.</ref>
 |}
@@ Line 308: / Line 308: @@
-Drug resistance occurs when microorganisms are no longer vulnerable to an antibiotic. Resistance occurs when a microorganism produces a spontaneous/genetic mutation that protects the bacteria from the drug. Antibiotic resistance to Tobramycin by ''mycobacterium tuberculosis'' is the basis of this study. Antibiotic resistance is a growing public health concern that needs to be addressed.
+Drug resistance occurs when microorganisms are no longer vulnerable to an antibiotic. Resistance occurs when a microorganism produces a spontaneous/genetic mutation that protects the bacteria from the drug. Antibiotic resistance to Tobramycin by ''mycobacterium tuberculosis'' is the basis of this study. Antibiotic resistance is a growing public health concern.
-There are many causes of drug resistance, including antibiotic overuse and inappropriate antibiotic use. A preventable cause of drug resistance is premature discontinuation of a patient’s antibiotics. Patients tend to discontinue their antibiotics when they start to “feel better”, but the infection is not completely eradicated. In the beginning of an antibiotic regimen, it begins by killing the most susceptible microorganisms first. As you complete the antibiotic course, the continuous exposure of the antibiotic is able to kill the few more resistant microorganisms. When the antibiotic is discontinued early, the more resistant bacteria are not eliminated. The resistant strain of bacteria will replicate and the same antibiotic will not be as effective anymore.
+There are many causes of drug resistance, including antibiotic overuse and inappropriate antibiotic use. A preventable cause of drug resistance is premature discontinuation of a patient’s antibiotics. Patients tend to discontinue their antibiotics when they start to “feel better,” but sometimes the infection is not completely eradicated. In the beginning of an antibiotic regimen it begins by killing the most susceptible microorganisms first. As you complete the antibiotic course, the continuous exposure of the antibiotic is able to kill the few more resistant microorganisms. When the antibiotic is discontinued early, the more resistant bacteria are not eliminated. The resistant strain of bacteria will replicate/form resistance and the same antibiotic will not be as effective anymore.
 When drug resistance occurs, the drug/antibiotic needs to be modified to prevent its inactivation. In this study tobramycin is acetylated, which causes it inactivation. If the acetylation of tobramycin can be prevented, tobramycin can remain active and continue its antibacterial effects. One possible theory for inhibiting tobramycin’s acetylation is the addition of a bulky substituent near the active site. Adding a bulky substituent to tobramycin would “block” the addition of the acetyl group, because the acetyl group cannot get to the site of action. The bulky substituent is too large and the acetyl group is not able to fit anymore. There are many things that can be accomplished with the understanding of basic chemistry; there will always be a demand for a brilliant chemist.