IB Biology HL Disease & Immunity Paper 1 & 2 ~9 min read

Antibiotics

An antibiotic works because bacteria are built differently from you. It attacks something a prokaryotic cell has and a eukaryotic cell does not. Once you see that, both big exam questions answer themselves: why antibiotics are safe for us, and why they are useless against viruses.

📘 What you need to know

Why antibiotics do not hurt you

This is the central idea of the whole page. An antibiotic is not a general poison. It jams a specific process, and that process either does not exist in your cells or works differently enough that the drug does not affect it.

Same drug, two very different cells Antibiotics attack what only prokaryotes have BACTERIAL CELL HUMAN CELL Thick green line = cell wall Blue loop = DNA replication Brown dots = prokaryotic ribosomes Every one of these can be blockedNo cell wall at all Ribosomes are a different type So the drug does not bind to them Your cells carry on as normalThe difference between the cells IS the treatment No difference, no safe drug — which is exactly the problem with viruses.
Notice how much of this is revision from cell biology. Prokaryotic cells have a cell wall, a loop of DNA and their own type of ribosome, and each of those is a target.

What an antibiotic can block

If a question asks why antibiotics do not damage human cells, do not answer “because they only target bacteria”. That just restates the question. Name a structural difference — no cell wall, or a different type of ribosome — and you have the mark.

Where antibiotics come from

Some antibiotics are made by living organisms, particularly saprotrophic fungi. Penicillin is produced by certain fungi in the genus Penicillium.

This is not charity on the fungus’s part. A saprotrophic fungus feeds on dead material, and so do plenty of bacteria. Releasing antimicrobial secretions kills nearby saprotrophic bacteria, which means less competition for the same food. We simply borrowed a weapon from a turf war.

Antibiotics can also be made synthetically in a laboratory.

Penicillin and the cell wall

How penicillin kills a growing bacterium It interferes with the building of the bacterial cell wall 1. WALL INTACT the wall holds its shape2. WALL NOT BUILT penicillin blocks the building3. CELL BURSTS it ruptures as it tries to growPenicillin only kills bacteria that are actively growing A cell that is not building new wall has nothing to interfere with.
The bacterium is not poisoned. It is left unable to build a wall strong enough to hold it together, so it ruptures when it next tries to grow.

Why penicillin does not work on every bacterium

Penicillin is not effective against all bacteria — tuberculosis is the standard example. There are two reasons the syllabus wants:

This is why there are many different antibiotics rather than one. Each is effective against a different range of bacterial diseases.

Antibiotics and viruses

Antibiotics do nothing to a virus, and the reasoning is worth writing out carefully because it is a very common exam question.

The reasonWhat it means
Viruses are non–livingThey are particles, not cells, so there is no bacterial–style structure to attack
No metabolismThere are no metabolic reactions of their own to block, and no cell wall or ribosomes
They borrow your machineryWhen a virus replicates it uses the host cell’s mechanisms for transcription, translation and other metabolic pathways
So those cannot be targetedAntibiotics do not bind to the proteins host cells use in these processes, and a drug that did would damage your own cells
What is used insteadAntivirals, which target viral enzymes without harming the host cell
Why this matters beyond the exam. Every antibiotic prescribed for a cold or flu does nothing for the patient, because those are viral. It still applies selective pressure to the bacteria living in them — which is the subject of the next page.

Worked examples

WE 1

Explain why antibiotics do not harm human cells

Explain how antibiotics can kill bacteria inside the body without damaging human cells. (3 marks)

Point 1: what they target Antibiotics block specific processes that occur in prokaryotic cells, such as cell wall formation or ribosome function. Point 2: the difference Human cells are eukaryotic. They have no cell wall, and their ribosomes are a different type, so the drug does not bind to them. Point 3: the outcome The same processes are therefore not affected in human cells, so the bacteria are killed or stopped from growing while the patient’s cells are unharmed. Target a structure prokaryotes have and we do not name at least one specific target — a general “they are different” is not enough
WE 2

Explain why antibiotics are useless against viruses

A patient with influenza is told that antibiotics will not help. Explain why. (3 marks)

Point 1: what a virus is Viruses are non–living particles, not cells, so they have no cell wall, no ribosomes and no metabolism of their own to block. Point 2: replication When a virus replicates it uses the host cell’s mechanisms for transcription and translation. Point 3: why we cannot target that Antibiotics do not bind to the proteins host cells use, and a drug that did would damage the patient’s own cells. Antivirals are used instead, targeting viral enzymes. Nothing bacterial to attack, and attacking the host would cause harm finish with antivirals — it shows you know there is an alternative treatment
WE 3

Suggest why a fungus produces an antibiotic

Suggest why saprotrophic fungi such as Penicillium produce antimicrobial secretions in the wild. (2 marks)

Point 1: the shared resource Saprotrophic fungi feed on dead organic material, and saprotrophic bacteria growing nearby feed on the same material. Point 2: the advantage Killing those bacteria reduces competition, so the fungus obtains more nutrients and grows better. It is a competitive advantage, not a defence against disease. Kill the competition, keep the food “suggest” questions reward reasoning — explicitly use the word competition

💡 Exam tips

⚠ Common mistakes

Up next: Antibiotic Resistance. We have just described a perfect weapon. The next page explains how bacteria are steadily taking it away from us, and why the mechanism is pure natural selection.

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