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Gramicidin, also called gramicidin D, is a mix of , gramicidin A, B and C, which make up about 80%, 5%, and 15% of the mix, respectively. Each has 2 , so the mix has 6 different types of gramicidin molecules. They can be extracted from Brevibacillus brevis soil bacteria. Gramicidins are linear with 15 . This is in contrast to unrelated , which is a cyclic peptide.


Medical uses
Gramicidins work as antibiotics against bacteria like Bacillus subtilis and Staphylococcus aureus, but not well against gram-negative ones like E. coli.

Gramicidins are used in medicinal for sore throat and in topical medicines to treat infected wounds. Gramicidins are often mixed with other antibiotics like and . Gramicidins are also used in for bacterial eye infections. In drops, they are often mixed with other antibiotics like or . Multiple antibiotics increase efficiency against various strains of bacteria. Such eye-drops are also used to treat eye infections of animals, like horses.

(2025). 9781437708462, Elsevier Saunders.


History
In 1939, René Dubos isolated the substance . Later this was shown to be a mix of gramicidin and . These were the first antibiotics to be manufactured commercially. Letter "D" in gramicidin D is short for "Dubos", and was invented to differentiate the mix from .

In 1964, the sequence of gramicidin A was determined by Reinhard Sarges and Bernhad Witkop.

In 1971, the dimeric head-to-head structure of gramicidins was proposed by D. W. Urry.

In 1993, the structure of the gramicidin head-to-head dimer in and was determined by solution and .


Structure and chemistry
Gramicidins A, B and C are nonribosomal peptides, thus they have no . They consist of 15 L- and D-amino acids. Their amino acid sequence is:
-L- X-Gly-L-Ala-D-Leu-L-Ala-D-Val-L-Val-D-Val-L-Trp-D-Leu-L- Y-D-Leu-L-Trp-D-Leu-L-Trp-
Y is L- in gramicidin A, L- in B and L- in C. X determines . X is L- or L- – in natural gramicidin mixes of A, B and C, about 5% of the total gramicidins are isoleucine isoforms. Gramicidins form helices. The alternating pattern of D- and L-amino acids is important for the formation of these structures. Helices occur most often as head-to-head dimers. 2 gramicidins can also form antiparallel or parallel double helices, especially in organic solvents. Dimers are long enough to span cellular lipid bilayers and thus function as -type of .

Gramicidin mixture is a crystalline solid. Its solubility in water is minimal, 6 mg/L, and it may form suspensions. It is soluble in small alcohols, , , poorly soluble in and , and practically insoluble in and .

(1996). 9780911910124, Merck.


Pharmacological effect
Gramicidins are . Their dimers form -like pores in and cellular organelles of bacteria and animal cells. , such as (K+) and (Na+), can travel through these pores freely via . This destroys vital ion concentration differences, i.e. , between membranes thereby killing the cell via various effects. For example, ion leak in halts mitochondrial ATP production in cells with mitochondria.

Gramicidins can be used as topical antibiotic medications in low doses, even though they are potentially lethal for human cells. Bacteria die at lower gramicidin concentrations than human cells. Gramicidins are not used internally, as their significant intake may cause and be toxic to the liver, kidney, and among other effects.

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