IB Biology SL Topic 3 — Disease & Immunity Paper 1 & 2 Core idea ~9 min read

Antibiotics

An antibiotic has to do something quite difficult: destroy a bacterium sitting inside your body without touching any of your own cells. The way it manages that also explains, in one step, why antibiotics are useless against a cold.

📘 What you need to know

Hitting the bacterium and missing you

This is called selective toxicity, and it is the entire design problem of an antibiotic. The solution is to attack something that only prokaryotes do, or that prokaryotes do differently.

What an antibiotic attacks, and what it leaves alone the difference between the two cell types is the whole trick BACTERIAL CELL YOUR CELLprokaryotic — targeted eukaryotic — unaffectedcell wall formation no cell wall to blockribosome function different ribosomestranscription and translation the drug does not bind hereDNA replication replication proteins differgrowth stops or cell dies carries on as normalPenicillin blocks cell wall building, so the cell bursts when it tries to grow. You have no cell wall at all, which is why penicillin does nothing to your cells.
Cell wall formation is the ideal target: it is essential to the bacterium and completely absent from animal cells.

Penicillin in particular

Penicillin interferes with the building of the bacterial cell wall. A bacterium that cannot maintain its wall ruptures and dies when it tries to grow, because there is nothing to resist the pressure of the cell contents.

Penicillin is produced naturally by certain fungi in the genus Penicillium. Out in the wild, secreting antimicrobial chemicals helps the fungus compete, by killing nearby saprotrophic bacteria that would otherwise take its food. We simply borrowed a weapon that was already in use.

Not every bacterium is vulnerable. Penicillin does not work on all species — tuberculosis is a classic example. Some bacteria have thicker cell walls that reduce permeability so the drug cannot get in, and some produce enzymes that break penicillin down.

Why antibiotics do nothing to a virus

This comes up constantly, and the reasoning is worth learning as a chain rather than a fact.

Three reasons antibiotics cannot touch a virus an antibiotic needs something cell-like to disrupt, and a virus offers nothing 1. NOT A CELL a virus is a particle no cell wall, no ribosomes and no metabolism at all2. IT BORROWS YOURS it uses host machinery for transcription and translation antibiotics do not bind to it3. NO SAFE TARGET a drug that blocked those processes would damage your own cells too THE ANSWER: ANTIVIRALS drugs that target viral enzymes without harming the host cellReverse transcriptase is a viral enzyme, which is why HIV can be treated. Find something the virus brings with it, and you have found a target.
Antivirals exist precisely because a few viruses carry their own enzymes. Where a virus brings nothing of its own, it is very hard to treat.
If a doctor refuses to prescribe antibiotics for a sore throat, this is why. Most sore throats are viral, so the antibiotic could not possibly help — and, as the next page explains, taking it anyway makes things worse for everyone.

Worked examples

WORKED EXAMPLE

Explain how antibiotics can kill bacteria inside a patient without damaging the patient’s own cells. [3]

The principle Antibiotics block specific processes that occur in prokaryotic cells. Give an example Penicillin interferes with cell wall formation, so the bacterium ruptures and dies when it tries to grow. Why the host is safe Human cells are eukaryotic and have no cell wall, and their ribosomes and enzymes differ, so the drug has no effect on them. Target something prokaryote-only a named example is almost always worth one of the three marks
WORKED EXAMPLE

A patient with influenza is prescribed antibiotics. Explain why this will not help. [3]

What influenza is Influenza is caused by a virus, which is a particle rather than a cell. Why the drug has nothing to attack Viruses have no cell wall, no ribosomes and no metabolism, so none of the processes antibiotics block are present. And the host machinery point The virus replicates using the host cell’s own machinery, which antibiotics do not bind to. No prokaryotic processes present, so no effect mention antivirals as the alternative if the question asks what would help

💡 Exam tip

⚠ Common mix-up

Up next: Antibiotic Resistance — natural selection happening fast enough to watch, and why it is one of the biggest problems in modern medicine.

Want this explained one-to-one?

Book a free session with an experienced IB Biology tutor and get your trickiest topics made simple.

Book a Free Session →