We had a very serious problem with our resistance to antibiotics. Now we are closer to solving it

One of the great threats that humanity faces today is without a doubt the antibiotic resistancewhich leads to emergence of bacteria that are resistant to all pharmacological weapons that we have. This forces science to have to look for new antibiotics and new ways to ‘attack’ a bacteria. And at the moment it seems that we are approaching this great milestone with a new antibiotic that was hidden in plain sight. The problem. Having bacteria that you cannot compete against is undoubtedly a death sentence for the person who is unlucky enough to be its host. Something that responds to the mechanisms that these microorganisms have to evolve and develop ‘tactics’ that allow them to escape our antibiotics. A very typical situation in a hospital, especially where a bacteria that has been exposed to a treatment, but has survived, will adapt to that environment. This makes the WHO categorize antimicrobial resistance as “one of the top 10 threats to global public health.” Put another way: we are running out of antibiotics that work, since bacteria are evolving faster than we are discovering new drugs. And this is something that is also magnified by our own fault by taking antibiotics uncontrollably or not complete treatment guidelines appropriately. That is why the discovery just made by a team from the University of Warwick and Monash University is so spectacular: have found a “silver bullet” that had been hidden in plain sight for 50 years. The discovery. Published in it Journal of the American Chemical Societywe are talking about an antibiotic that, in early tests, has been shown to be up to 100 times more powerful than existing drugs against high-priority resistant bacteria, such as feared Staphylococcus aureus methicillin resistant (MRSA). The molecule in question is called pre-methylenemycin C lactone (compound 5), and it has arrived to try to save humanity from this pandemic we are experiencing. But the most surprising thing is where they found it: in the Streptomyces coelicolora soil bacteria that is literally the “model organism” for the production of antibiotics and which has been studied endlessly since the 1950s. That is to say, we had a possible solution before our eyes and we had not realized it until now. This bacteria produces a well-known antibiotic called methylenemycin A that is low potency and is not used clinically. However, scientists decided to investigate not only the final product, but the intermediate steps of its biological “assembly line.” This is where it was seen that it intermediately produced methylenemycin C, which has much more powerful antimicrobial effects. And this is a lesson for science: we are always left with the result of the reactions (that is, the final product). But now what should be done is analyze everything that happens between the first substrate and the final product. Because we are seeing how methylenemycin A was discovered 50 years ago and it was not until now that one of its intermediate products has been a protagonist in this fight. As. To achieve this, the team used genetic engineering. Basically, they “sabotaged” the bacteria’s production chain by creating a mutation that eliminated the gene. mmyE. When this piece is missingthe bacteria could no longer complete the process and began to accumulate the “intermediate steps.” Something similar to when in a production line we remove one of the tapes and an intermediate version of what we were manufacturing begins to accumulate. The tests. When they tested the activity of the new molecule, the results were astonishing. Compound 5 (pre-methylenemycin C lactone) was “one to two orders of magnitude more active” (i.e., 10- to 100-fold) than methylenemycins A and C (the final products). In this way, it was finally possible to see that the result was up to 256 times more powerful than even some drugs. Something that is revolutionary. The great hope. Being powerful is all well and good, but the real battle is against resistance. That is, when the bacteria come into contact with this antibiotic, they can develop a system to get rid of its lethal effect. And this is where there is good news, since after subjecting the bacteria E. faecium At increasing concentrations of the new antibiotic for 28 consecutive days, a standard method for forcing the emergence of resistance, no resistance was detected. A new way to search. Until now, the intermediate products generated in the production of different medicines had been ignored. Now this study puts an end to this custom, since it has become clear that the identification and testing of the intermediate elements of biosynthesis can lead to a great revolution. Now with this new treatment, preclinical tests with animals remain to assess its safety with the aim of subsequently moving on to tests in humans and the evaluation of its side effects. Images | CDC Myriam Zilles In Xataka | AI has opened a chest that had been closed for almost 4 billion years: the salvation of antibiotics

Humanity has a serious problem with antibiotics. A Spanish researcher has used AI to solve it

Artificial intelligence has opened a chest that had been closed almost 4,000 million years. Inside there was no gold, but something much more valuable: an arsenal of molecules capable of fighting superbacteria. This is the result of the team led by the Spanish biotechnologist César de la Fuente at the University of Pennsylvania, which has studied the genome of the arches, one of the oldest lineages of life on earth, to discover a family of antibiotics that has called archesasins. An invisible and increasingly strong enemy. WHO considers the resistance of antimicrobials (RAM) as One of the greatest threats to humanity. Only in 2019 almost 5 million deaths were associated worldwide Due to bacteria that cannot be eliminated with antibiotics because they have developed defenses against them. A threat that is increasing, and that forces us to look for new antibiotics to fight against them. The problem It is especially serious in vulnerable areas such as conflict environments or that have a very fragile health system where the misuse of antibiotics causes these ‘superbacteria’ to appear. And in Spain, something as simple as Take antibiotics to treat a virus or not finish the complete pattern prescribed can also contribute to this serious problem. Archaeas: Extreme rescue survivors. The Archaeas They are unicellular microorganisms that are really ‘strong’. They are evolutionary premiums of bacteria, but form their own life domain, together with bacteria and eukaryotes (the group where we find the cells we have in our body or in plants). They were born in the primitive earth, a hostile environment that forced them to adapt to live in conditions that would kill most living beings, with temperatures greater than 80 degrees, extreme acidity or the great pressures that were in the oceanic funds. Its resistance is our great advantage. Precisely seeing that these bacteria could survive the most inhospitable places, he gave rise to the research team to search among their defense mechanisms. And it was the key. César de la Fuente himself He explains it Thus to El País: Since the discovery of penicillin, the search for new antibiotics has been practically focused exclusively on bacteria and fungi. With our work, this paradigm changes because we find antibiotics in a domain of virtually unexplored life. An AI to look for molecular treasures. To be able to search among the more than 20,000 species of different arches, the team had to develop an AI with ‘Apexoracle‘To be able to find what they were looking for. And he did. The AI identified 90 candidate compounds that gathered the criteria they were looking for and of these, 93% were those that showed antimicrobial properties. In this way, a lot of time were saved. Archaeasins: The new artillery against superbacteria. Among the discovered compounds, one of them was the archeanine-73. This has demonstrated in models In vivo That has a power comparable to polymixin B, an antibiotic that is on the last step of antibiotic therapy when literally used as a last resort in a superbacteria. And here the future opens up to a new batch of antibiotics that allow us to continue surviving ultra -vertrassing bacteria. It is not the only way, but it is a revolutionary. This strategy of combining computational power with biology is a field in full boiling. We are seeing it with ia that are used to detect pancreatic cancer early, predict breast cancer either be a general help for any radiologist. And in the field of research, they also continue to support even to know why a superbacterial did not respond to a treatment. Images | Danilo.Alvesd Myriam Zilles In Xataka | Some engineers have simulated 500 million years of evolution with an AI. Now we have a fluorescent protein

CDC and Alabama investigate ‘adverse events’ caused by antibiotic

In Alabama, many doctors have decided to pause the use of ceftriaxone, an antibiotic widely used to treat bacterial infections, following a warning issued by the state Department of Public Health. The decision came after the appearance of eleven reports of possible adverse events related to this medication, known commercially as Rocephin, in different parts of the state in recent months. Ceftriaxone is one of the most widely used antibiotics in the treatment of bacterial infections such as pneumonia, meningitis and E. coli. Additionally, it is administered preventively in patients undergoing certain types of surgery. However, recent adverse events have raised concern among healthcare professionals, who seek to ensure the safety of their patients while continuing to use alternative treatments. According to the official statement from the Department of Health, some of the patients who experienced adverse reactions showed signs of anaphylaxis, a severe type of allergic reaction. Among the reported symptoms are hives, itching, hypotension and hypoxia, that is, dangerously low levels of oxygen in the blood. Fortunately, all affected people have received timely treatment and have recovered, as confirmed by the authorities. Although a direct connection between ceftriaxone and these reactions has not been established, the Department of Public Health has emphasized that the primary goal is to investigate any possible epidemiological link. This investigation includes the evaluation of factors such as the use of diluent substances, steroid medications administered in conjunction with the antibiotic, and other elements that could have contributed to the reported adverse events. “The people investigated had a variety of pre-existing medical conditions, and so far no specific causal link between ceftriaxone and these reactions has been identified,” the official statement says. Authorities have insisted that this pause in the use of the drug is a preventive approach, and that they will continue to work closely with health care providers to resolve any concerns. Although no specific information has been released about the locations where the incidents occurred, several clinics in northern Alabama have warned about the possibility of temporarily suspending use of the drug while the investigation is ongoing. The Department of Public Health stressed that, as with any injectable antibiotic, there is always a risk of allergic reactions, and emphasized the importance of monitoring patients and responding appropriately if complications occur. According to data from the department, cephalosporins, a category of antibiotics to which ceftriaxone belongs, can cause allergic reactions in between 0.5% and 2.5% of patients who receive them. While this percentage may seem low, the potential consequences of a severe reaction justify the implementation of precautionary measures and prompt medical attention in the event of an emergency. As part of preventive actions, the Department of Health has urged healthcare providers to report any adverse events associated with the administration of ceftriaxone to the Adverse Reaction Reporting System. This system allows essential data to be collected that could help clarify the causes of these incidents and ensure the safety of future treatments. The case highlights the challenges inherent in using medications, even those with a strong track record of effectiveness. In a medical environment where every decision can have critical implications for patients’ health, professionals continue to take rigorous measures to balance the benefits of treatments with managing the associated risks. Meanwhile, patients requiring treatment for bacterial infections are being redirected to therapeutic alternatives, as authorities advance research. Although this episode has raised concerns, it also highlights the commitment of health systems to proactively address any situation that may compromise patient safety. Keep reading:

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