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Ch. 7 - Fundamentals of Microbial Growth
Chapter 7, Problem 15.15a

Why is it challenging to obtain selectively toxic drugs against fungi, protozoans, and viruses?

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1
Understand the concept of selective toxicity, which refers to the ability of a drug to target and kill or inhibit a pathogen without harming the host's cells.
Recognize that fungi and protozoans are eukaryotic organisms, like human cells, meaning they share many similar cellular structures and metabolic pathways, making it difficult to find drug targets unique to the pathogen.
Note that viruses are obligate intracellular parasites that use the host's cellular machinery to replicate, so targeting the virus without damaging host cells is inherently challenging.
Identify that the similarity between host and pathogen in fungi and protozoans reduces the number of unique biochemical pathways or structures that drugs can selectively target, increasing the risk of toxicity to the host.
Conclude that the challenge in developing selectively toxic drugs against these organisms lies in finding molecular differences significant enough to exploit without causing harm to the host.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Selective Toxicity

Selective toxicity refers to a drug's ability to target and kill pathogens without harming the host's cells. Achieving this requires exploiting differences between the pathogen and host, such as unique metabolic pathways or structural components.
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Similarity Between Pathogens and Host Cells

Fungi, protozoans, and viruses often share many cellular features or rely on host machinery, making it difficult to target them without damaging host cells. For example, fungi are eukaryotic like humans, and viruses use host cell processes to replicate.
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Challenges in Targeting Viruses

Viruses lack their own metabolism and depend entirely on host cells for replication, limiting drug targets. Antiviral drugs must interfere with viral-specific proteins or replication steps without disrupting host functions, complicating selective toxicity.
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Related Practice
Textbook Question

Assume a bacterium makes beta-lactamase. Could you still use a glycopeptide drug to treat an infection caused by this bacterium? Explain your reasoning.

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Textbook Question

If a gene encoding a bacterial transpeptidase enzyme undergoes mutation, which of the following antimicrobials may no longer be effective against the mutated bacterium?

a. Macrolides

b. Polypeptide drugs

c. Tetracyclines

d. Penicillins

e. Quinolones

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Textbook Question

Mark the following as true or false, and then correct the false statements so they are true.

a. Human cells make drug efflux pumps.

b. The minimum bactericidal concentration is the minimum concentration of the drug that kills at least 50 percent of the bacteria present.

c. The E-test can reveal if a drug is bactericidal or bacteriostatic.

d. A drug that is bactericidal at one dose may be bacteriostatic at another dose.

e. The antifolate combination therapy trimethoprim-sulfamethoxazole may be used to treat protozoan infections.

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Textbook Question

Choose the false statement(s). Select all that apply.

a. Antifungal drugs may target cholesterol in fungal cell membranes.

b. Azole and polyene drugs promote cell lysis by impacting fungal cell plasma membranes.

c. Echinocandin drugs inhibit fungal cell wall synthesis.

d. Antifungal drugs may target DNA replication.

e. Antifungal drugs may target protein synthesis.

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Textbook Question

Match the antimicrobial drug to its feature. Some features may be used more than once, and some may not be used at all.

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Textbook Question

Which sensitivity test is best for determining the minimum bactericidal concentration and the minimum inhibitory concentration of a drug?

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