Chapter 13. Antibiotics and Resistant Bacteria

Antibiotics and Resistant Bacteria

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Due in part to over-use of antibiotics, resistant strains of bacteria are on the rise, like the methicillin-resistant Staphylococcus aureus (MRSA), which is shown plated here.

Read the article below. Then answer the questions that follow.

Outsmarting bacteria

Because antibiotics sometimes are over-prescribed and also fed to the animals we eat, resistant strains of bacteria are developing faster than we can outsmart them. This is why researchers are exploring new kinds of antibiotics that contain peptides—short chains of amino acids that fight bacteria.

But before we examine these new disease fighters, let’s find out why antibiotics are so hard to develop.

An accidental discovery

Historically, the search for antibiotics always has been a game of chance. The British microbiologist Alexander Flemming made no progress in his search for a disease-fighter until an unknown mold took over a petri dish plated with Staphylococcus aureus, a bacteria that causes staph infections. Flemming named the unknown mold penicillin and demonstrated its ability to kill many different types of bacteria yet was largely non-toxic to humans. Even so, Flemming couldn’t isolate the antibiotic so that it remained active long enough for practical use. It would be another decade before Oxford University scientists Howard Florey, Norman Heatley, and Ernst Chain made a powder that kept its antibacterial power for longer than a few days.

Penicillin was an accidental discovery that opened new doors to fighting disease in the mid-20th century.

After penicillin proved its value during World War II, a global search for new antibiotics erupted. Researchers tested the microorganisms found in soils and even fruit. This flurry of research led to the discovery of antibiotics like cephalosporin, which is produced by Cephalosporium molds, and tetracyclines, which are produced by Streptomyces bacterium.

Since then, the well of soil microorganisms has dried up.

Researchers screening soil continue to find the same antibiotic-producing microbes, over-and-over again. Only two new classes of antibiotics have been introduced since the 1960s. Most new antibiotic drugs are modifications of existing compounds and fight drug-resistant bacteria with little success.

From a business perspective, antibiotics aren’t as lucrative as some other drugs. For one, they are taken for a short period of time. Pharmaceutical companies often choose to spend money developing drugs for chronic disease, as these illnesses usually require life-long medication.

Unfortunately, bacteria don’t stop evolving in response to market factors, and resistant strains are on the rise. For example, 100,000 people die every year from infections acquired in hospitals. Many of these deaths have been attributed to a methicillin-resistant Staphylococcus aureus (MRSA).

Looking to gators and fungi for bacterial defense

Alligators' immune systems may hold the key to fighting resistant strains of bacteria and other germs.

Luckily, a few chance discoveries may be opening new doors. It turns out that leukocytes (white blood cells) culled from the American alligator (Alligator mississippiensis) produce small peptides capable of killing MRSA and other resistant germs. The discovery was made at Lake Charles, Louisiana-based McNeese State University by Dr. Mark Merchant, who says he never intended to study antibiotics. Instead, Merchant wanted to know why gators get so few infections after fighting each other in swampy, bacteria-filled waters.

“The gator immune system is strong because it has to respond to a broad spectrum of microbial assault,” says Merchant.

Another surprising discovery was made by the Denmark-based biotechnology company Novozymes. While searching for industrial enzymes, scientists at Novozymes discovered defensins in pine forest fungi. Defensins are short antibiotic peptides that poke holes in bacterial membranes. Although they have been found in many kinds of plants and animals, most defensins aren’t easily produced in pure concentrations—at least not with the biotechnology typically used to develop antibiotics.

The discovery of defensins in pine forest fungi was a breakthrough. Novozyme’s defensin, called plectasin, comes from the Pseudoplectania nigrella fungi. Plectasin is the first defensin discovered in fungi. Because many antibiotics came from soil molds, the biotechnology used to study and produce new drugs already existed. So far, plectasin has been easily integrated into fungal-based protein expression systems.

Researchers also are screening libraries of peptides for other drug candidates, but this process is a gamble. There is no way of knowing whether or not a compound will be toxic to humans, or if it will even work in “real life.”

Like gator peptides and plectasin, a lot of work needs to be done before these candidates are ready for the market.

© 2015 WH Freeman and Company.

13.1 Comprehension Questions

Answer the following questions to demonstrate your understanding of the article.

Question 13.1

Fill in the Blank:

Alexander Flemming discovered antibiotics by accident after he noticed an unknown mold, which he named lf5gjqWyVcQ8PbWBoJdekA==, taking over a petri dish plated with Staphylococcus aureus bacteria.

2
Correct. Flemming discovered penicillin by accident. However, he was unsuccessful at isolating the antibiotic for practical use.
Try again. You have one attempt remaining.
The correct answer is penicillin. Flemming discovered penicillin by accident. However, he was unsuccessful at isolating the antibiotic for practical use.

Question 13.2

True/False:

To be successful, an antibiotic must harm bacteria but not be toxic to humans.

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Correct. As with any medication, more benefit should be gained than harm. This is a major challenge and the reason why so much testing is conducted prior to the Food and Drug Administration (FDA) approving new drugs for use in this country.
Incorrect. As with any medication, more benefit should be gained than harm. This is a major challenge and the reason why so much testing is conducted prior to the Food and Drug Administration (FDA) approving new drugs for use in this country.

Question 13.3

SrpbUaPLpjsgWkLu0G/l8xkn9WOVQWhxSWtO5ApXKbSW9uPn0Imvss2UGeySsW2+XB7GBfETCGJ6/4W30mFQVObo/lHCM8Dizfm4qlqMw7nn+ScWDdHzg5+koYSrdD9B2UUjFf/0oZiBc9pRAgEaKeJRN0AtOLB/AOImRlhvTgHsubPb/PslAmDecZhfo2XQoAJUiXAWuB58L+ai4x9rPuJ7cKwl+7nH6KXQBhMqrZyO2nw3D1T5F6JQH3akfaHCuztZ4zW8My7hxCnzcyFwGgcfP9Z7G0P9L3pDXrE3BHI4LT9OoMFotOjZcYVuyvyOoCexc47Mxc5XShhRD1vPhC3MtRCSrchEqf/tYxicLrUcBOq5Ylrf69i2SM5GQE5ldH34icYiqHD/ORSUo50BXFDhtgIrsSOFYu4HyWhUlsBsjE+nyfJDXnYuWm7i6IMon9OcSYwRjEQxarThS04dG3m5YTBz/00ao/YzHHzxcSbYT0jen5tvbRaRRLWPOphp
2
This is an alarming number of people that many health professionals worry will only increase over time. The most recent Centers for Disease Control and Prevention (CDC) study on the matter, “Estimating Healthcare-Associated Infection and Deaths in U.S. Hospitals, 2002,” estimates that there were 98,987 deaths from healthcare-related infections: 35,967 were for pneumonia, 30,665 for bloodstream infections, 13,088 for urinary tract infections, 8,205 for surgical site infections, and 11,062 for infections of other sites. To see this study, visit http://www.cdc.gov/HAI/pdfs/hai/infections_deaths.pdf
Try again. You have one attempt remaining.
Incorrect. It is 100,000. This is an alarming number of people that many health professionals worry will only increase over time. The most recent Centers for Disease Control and Prevention (CDC) study on the matter, “Estimating Healthcare-Associated Infection and Deaths in U.S. Hospitals, 2002,” estimates that there were 98,987 deaths from healthcare-related infections: 35,967 were for pneumonia, 30,665 for bloodstream infections, 13,088 for urinary tract infections, 8,205 for surgical site infections, and 11,062 for infections of other sites. To see this study, visit http://www.cdc.gov/HAI/pdfs/hai/infections_deaths.pdf

Question 13.4

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2
Correct. This is an important adaptation allowing alligators to survive in a bacteria-infested environment.
Try again. You have one attempt remaining.
Incorrect. This is an important adaptation allowing alligators to survive in a bacteria-infested environment.

Question 13.5

After World War II, there was a flurry of research activity that led to the discovery of new antibiotics, including cephalosporin, which is produced by Cephalosporium TfczIJTKU/9Faq0xahh0JlhB24oO6Hi9nSB6jAdvTkY=, and tetracyclines, which are produced by Streptomyces WG1D4mfB24/EDYnEOUjawIPuoRVD+uHAHp9/DF497zA=.

2
Correct. Cephalosporin is produced by Cephalosporium molds and tetracyclines are produced by Streptomyces bacteria.
Try again. You have one attempt remaining.
Not quite. Cephalosporin is produced by Cephalosporium molds and tetracyclines are produced by Streptomyces bacteria.

Question 13.6

True/False:

In recent years, scientists have found success screening soil for potential sources of new antibiotics.

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Correct. This is False. As the article points out, scientists have not made any significant discoveries screening soil microorganisms for new sources of antibiotics since the 1960s.
Incorrect. This is False. As the article points out, scientists have not made any significant discoveries screening soil microorganisms for new sources of antibiotics since the 1960s.

Question 13.7

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2
Correct. Antibiotics are not lucrative, therefore pharmaceutical companies aren’t spending a lot of money, looking for new types of antibiotics.
Try again. You have one attempt remaining.
Incorrect. Antibiotics are not lucrative, therefore pharmaceutical companies aren’t spending a lot of money, looking for new types of antibiotics.

Question 13.8

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2
Correct. Defensins interfere with the development of a bacteria’s cell wall. Bacteria cannot live without an intact cell wall.
Try again. You have one attempt remaining.
Incorrect. Defensins interfere with the development of a bacteria’s cell wall. Bacteria cannot live without an intact cell wall.

Question 13.9

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2
Correct. As the article states, over-prescribing antibiotics and use of antibiotics in livestock has allowed natural selection to work and antibiotic resistant strains of bacteria to gain a foothold.
Try again. You have one attempt remaining.
Incorrect. As the article states, over-prescribing antibiotics and use of antibiotics in livestock has allowed natural selection to work and antibiotic resistant strains of bacteria to gain a foothold.

Question 13.10

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2
Unfortunately, antibiotics are prescribed to many people who do not need them, creating an opportunity for bacteria with antibiotic resistance to survive and reproduce, thereby increasing the percentage of bacteria with antibiotic resistance in a population. If this is repeated many times, then an antibiotic can become less and less effective over time. Also, overuse of antibiotics can unintentionally harm good bacteria in the colon.
Try again.
Incorrect. Unfortunately, antibiotics are prescribed to many people who do not need them, creating an opportunity for bacteria with antibiotic resistance to survive and reproduce, thereby increasing the percentage of bacteria with antibiotic resistance in a population. If this is repeated many times, then an antibiotic can become less and less effective over time. Also, overuse of antibiotics can unintentionally harm good bacteria in the colon.

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