Saturday, February 14, 2009

A medical breakthrough?


I've long been fascinated by the way in which bacteria, microbes and viruses behave. I'm no doctor or biologist, but the way in which these menaces evolve, so that we've no sooner come up with a cure for one form of them than they're mutating into something else equally dangerous to health, is pretty amazing.

Having had some (rather nasty) personal experience with MRSA and other antibiotic-resistant infections, I was astonished to read this article.

A compound from a sea sponge was able to reverse antibiotic resistance in several strains of bacteria, making once-resistant strains succumb to readily available antibiotics, U.S. researchers said on Friday.

"We can resensitize these pathogenic bacteria to standard, current-generation antibiotics," said Peter Moeller of the National Oceanic and Atmospheric Administration's Hollings Marine Laboratory in Charleston, South Carolina.

Drug-resistant bacteria are a growing problem in hospitals worldwide, marked by the rise of superbugs such as methicillin-resistant Staphyloccus aureus, or MRSA. Such infections kill about 19,000 people a year in the United States.

Moeller, who is working with researchers at the Medical University of South Carolina and North Carolina State University, said the team noticed a sponge thriving in what was an otherwise dead coral reef.

"It begged the question how is it surviving when everything else is dying?" Moeller told reporters at the American Association for the Advancement of Science meeting in Chicago. "This opened up a whole new arena for us."

The researchers began chopping the sponge into smaller and smaller bits to isolate the properties that helped the sponge thrive in hostile marine conditions.

The team found that these bits of sponge were able to repel bacterial biofilms -- a slimy substance bacteria form to help stick to surfaces.

"What we found is these (sponge) derivatives actually dispersed existing bacterial biofilms as well as inhibited production of subsequent bacterial biofilms," Moeller said.

"This is a very exciting result when you realize that 65 to 80 percent of all human pathogenic infections are based on biofilms," he added.

Moeller said the team tested the substance on some of the toughest pathogens, including MRSA.

They found when they mixed this sponge material in with an antibiotic, they were able to make several types of once-resistant bacteria sensitive to antibiotics.

Since the compounds are non-toxic, Moeller said the team is now working with a number of medical device companies to incorporate it into the plastic materials used to make devices like stents used to prop open diseased arteries or in intravenous lines used in critically ill patients. He declined to name the companies.

"The idea is that we could get rid of bacterial infections that are so common to them," Moeller said.

Eventually, he foresees a new class of "helper drugs" that could restore the potency of antibiotics that have lost the war to superbugs. "Getting it through FDA (U.S. Food and Drug Administration) approval will take awhile," he said.


Elementary though it sounds, it's really a pretty dramatic example of 'thinking outside the box': instead of developing a whole new class of antibiotics to attack resistant bacteria, simply switch off their resistance, so they're no longer immune to existing drugs. Lateral thinking at its best - and it'll save a whole potload of money!

Kudos to whoever first thought of that approach. I hope he receives appropriate recognition and reward.

Peter

2 comments:

Anonymous said...

THIS is why a solid grounding in evolutionary theory should be part of the education of any biologist or doctor, no matter how "irrelevant" it might seem.

We found antibiotics in the long-time natural predators of bacteria, and it should have been no great surprise that the material for resistance would already be present in the gene pools of their prey. Now we're finding tools to fight the resistance in another predator, which relies on a completely new mechanism- which we shouldn't take for granted any more than we did the antibiotics...

Anonymous said...

I can second that notion about MRSA being nasty. I picked up MRSA (during an umbilical hernia repair). A hair at my belt line became infected. I felt like I was in a scene from Alien/s where something was growing inside of me. I spent a weekend in the hospital have IV antibiotic cocktails, two weeks off from work, and another month on light duty.