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They have a high specificity because the main target with regard to bacterial cell wall synthesis is peptidoglycan. This is not endogenous to humans and thus drugs which interfere with cell wall synthesis in bacteria are rather specific. The normal types of drugs that act in this way are penicillins or beta lactam drugs. They are bacteriocidal as they break down cell walls of existing bacteria. There exact mechanism of action is; they bind to the binding sites on bacterium and inhibit the transpeptidation enzyme that cross links the peptide chains attached to the backbone of the peptidoglycan. Penicillins can however cause some side effects and are not completely without toxicity (n.b. anaphalatic shock). Resistance caused by beta lactamase enzymes is of great prevalance nowadays and to get around this combination drugs which incorporate beta lactamase inhibitors as well as penicllin are used. e.g. augmentin = amoxycillin + clavulamic acid

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Q: Why do antibiotics that interfere with cell wall synthesis have a high specificity and are more likely to be low in toxicity to host organisms?
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