What are Narrow-Spectrum Antibiotics?

Sept. 5, 2024

Scientists recently found that FP 100 (Hygromycin A), a first-in-class, small molecule, narrow-spectrum antibiotic, successfully eradicates Fusobacterium nucleatum without harming the oral or gut microbiomes.

About Narrow-Spectrum Antibiotics:

  • Antibiotics are classified as “narrow-spectrum” or “broad-spectrum” depending on the range of bacterial types they affect. 
  • Narrow-spectrum antibiotics are active against a selected group of bacterial types.
  • They can act on either gram +ve or gram –ve but not both.
  • They are used for the specific infection when the causative organism is known. 
  • They will not kill as many of the normal microorganisms in the body as the broad-spectrum antibiotics. 
  • Because they target very specific bacteria, they don't cause an increase in bacterial resistance and avoid the spread of drug-resistant infections.
  • Examples include Azithromycin, Clarithromycin, Erythromycin, etc.

Gram-Positive vs. Gram-Negative Bacteria:

  • Gram-negative bacteria are surrounded by a thin peptidoglycan cell wall, which itself is surrounded by an outer membrane containing lipopolysaccharide.
  • Gram-positive bacteria lack an outer membrane but are surrounded by layers of peptidoglycan many times thicker than is found in the Gram-negative. 
  • Gram staining is a technique that uses violet dye to distinguish between gram-positive and gram-negative bacteria.
  • If the bacteria are gram-positive, the thick peptidoglycan layer in their cell walls will retain the dye and they will stain violet.
  • If the bacteria are gram-negative, the dye will leak out of the thin peptidoglycan layer, and the bacteria will stain red.
  • Gram-positive infections include Methicillin-Resistant Staphylococcus Aureus (MRSA) infections, strep infections, and toxic shock syndrome.
  • Gram-negative infections include salmonella infections, pneumonia,urinary tract infections, bacterial meningitis, and gonorrhea.
  • Knowing whether bacteria is gram-positive or gram-negative can help your health care provider identify the type of infection you have and which antibiotics will be most effective in treating it.

What is Fusobacterium nucleatum?

  • It is a common oral opportunistic bacterium which exists in the oral cavity and gastrointestinal tract of humans.
  • It causes different infectious diseases in the oropharynx and other parts of the oral cavity.