Mechanism of Action of quinolones ?
**Core Concept**
Quinolones are a class of antibacterial agents that inhibit bacterial DNA replication and transcription by targeting the bacterial enzyme DNA gyrase and topoisomerase IV. This action ultimately leads to the inhibition of bacterial cell division and death.
**Why the Correct Answer is Right**
The correct answer is that quinolones inhibit bacterial DNA replication and transcription by targeting DNA gyrase and topoisomerase IV. This is achieved through the inhibition of the enzyme's ability to cut and rejoin DNA strands, which is essential for DNA replication and transcription. The mechanism of action of quinolones involves the binding of the drug to the enzyme, leading to a conformational change that prevents the enzyme from functioning properly. This ultimately results in the inhibition of DNA replication and transcription, and the subsequent death of the bacterial cell.
**Why Each Wrong Option is Incorrect**
* **Option A:** Quinolones act by inhibiting protein synthesis. This is incorrect because quinolones actually target DNA replication and transcription, not protein synthesis.
* **Option B:** Quinolones work by inhibiting cell wall synthesis. This is incorrect because quinolones target DNA replication and transcription, not cell wall synthesis.
* **Option C:** Quinolones act by inhibiting bacterial cell membrane function. This is incorrect because quinolones target DNA replication and transcription, not cell membrane function.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that quinolones have a narrow therapeutic window and can cause tendonitis and tendon rupture, particularly in older adults. This is a critical side effect to be aware of when prescribing quinolones.
**Correct Answer: C. Quinolones inhibit bacterial DNA replication and transcription by targeting DNA gyrase and topoisomerase IV.**