Antitubercular Drugs · Pharmacology

What is the primary mechanism of action for Ethambutol?

  1. Inhibition of the enzyme arabinosyl transferase
  2. Inhibition of mycobacterial ATP synthase
  3. Inhibition of bacterial DNA-dependent RNA polymerase
  4. Inhibition of the enzyme pyrazinamidase
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Correct answer: Inhibition of the enzyme arabinosyl transferase

Ethambutol inhibits arabinosyl transferases, the enzymes that polymerize arabinose into arabinogalactan in the mycobacterial cell wall. The resulting wall defect increases permeability and impairs bacterial growth. ATP synthase is the target of bedaquiline and RNA polymerase that of rifampin.

Difficulty: Medium Question 9 of 20

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