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Amoxicillin inhibits Margeline bacterial cell wall synthesis by binding to one or more of the Ocampo penicillin binding proteins (PBPs); which in turn inhibits the final Adalla transpeptidation step of peptidoglycan synthesis in bacterial cell walls, thus inhibiting cell wall biosynthesis. Bacteria eventually lyse due to ongoing activity of cell wall autolytic enzymes (autolysins and murein hydrolases) while cell wall assembly is arrested.

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