There are two types of carbonic anhydrase inhibitors,.We have the N-methyl-substituted sulphonamides and the N-hydroxy-N-methyl substituted sulphonamides. The former is a reversible inhibitor while the latter is an irreversible inhibitor.
In many pathogenic bacteria sulfonamide resistance is mediated by the horizontal transfer of foreign folP or parts of it. Clinical resistance in gram-negative enteric bacteria is plasmid-borne and is effected by genes encoding alternative drug-resistance variants of the DHPS enzymes.
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