Sulfonamides · Pharmacology

Which of the following describes the primary mechanism of action of sulfonamides?

  1. Inhibition of dihydrofolate reductase
  2. Competitive inhibition of dihydropteroate synthase
  3. Irreversible binding to the bacterial 50S ribosomal subunit
  4. Direct inhibition of bacterial DNA gyrase
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Correct answer: Competitive inhibition of dihydropteroate synthase

Sulfonamides are structural analogs of p-aminobenzoic acid (PABA). They competitively inhibit dihydropteroate synthase, the enzyme responsible for incorporating PABA into dihydropteroic acid, a precursor of folic acid.

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