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Senior Citizen Health & Medicine

Discovery May Revive Penicillin to Battle Antibiotic-Resistant Pneumonia, Staph that Kill Millions

Streptococcus pneumoniae strikes one million a year of U.S. elderly, 7% die

March 12, 2008 – Senior citizens, by far the most often requiring hospitalization or other confined care, have been the most alarmed by the antibiotic-resistant infections festering in health care institutions. There is welcomed news today that researchers have learned what makes Streptococcus pneumoniae resistant to antibiotic penicillin, which could lead to new drugs that can stop this killer, as well as Methicillin-resistant Staphylococcus aureus (MRSA).

The research, led by University of Warwick, Coventry, England, could help create a library of designer antibiotics to use against a range of dangerous bacteria. The report is published in the March issue of The Journal of Biological Chemistry.

 

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Read the latest news on Senior Health & Medicine

 

In the U.S., Streptococcus pneumoniae causes one million cases a year of pneumococcal pneumonia in the elderly of which up to 7% are fatal. Worldwide, it causes five million fatal pneumonia infections a year in children.

This new research has completely exposed how Streptococcus pneumoniae builds its penicillin immunity and opens up many ways to disrupt that mechanism and restore penicillin as a weapon against these bacteria, according to the report.

The research was led by Dr Adrian Lloyd of the University of Warwick’s Department of Biological Sciences along with other colleagues from the University of Warwick, the Universitι Laval, Ste-Foy in Quebec, and The Rockefeller University in New York. The research was funded by Welcome Trust and the MRC.

Penicillin normally acts by preventing the construction of an essential component of the bacterial cell wall: the Peptidoglycan. This component provides a protective mesh around the otherwise fragile bacterial cell, providing the mechanical support and stability required for the integrity and viability of cells of Streptococcus pneumoniae and other bacteria including MRSA.

The researchers targeted a protein called MurM that is essential for clinically observed penicillin resistance and has also been linked to changes in the chemical makeup of the peptidoglycan that appear in penicillin resistant Streptococcus pneumoniae isolated from patients with pneumococcal infections.

The researchers found that MurM acted as an enzyme that was key to the formation of particular structures within the S. pneumonia peptidoglycan called dipeptide bridges that link together strands of the peptidoglycan mesh that contributes to the bacterial cell wall.

The presence of high levels of these dipeptide bridges in the peptidoglycan of Streptococcus pneumoniae is a pre-requisite for high level penicillin resistance.

The Warwick team was able to replicate the activity of MurM in a test tube, allowing them to define the chemistry of the MurM reaction in detail and understand every key step of how Streptococcus pneumoniae deploys MurM to gain this resistance.

The results will allow the Warwick team, and any interested pharmaceutical researchers, to target the MurM reaction in Streptococcus pneumoniae in a way which will lead to the development of drugs which will disrupt the resistance of Streptococcus pneumoniae to penicillin.

Disrupting MRSA

The same research also offers exciting possibilities to disrupt the antibiotic resistance of MRSA which uses similarly constructed peptide bridges in the construction of the peptidoglycan component of its cell wall. Therefore, thanks to this research, even MRSA could now be opened up to treatment by penicillin.

A further spin-off from this new MurM research, is that the Warwick led researchers are also able to readily reproduce every precursor step the bacterial cell uses to create its peptidoglycan. The tools developed at Warwick open up each step of the creation of the peptidoglycan (MurA, MurB, MurC etc, etc) used by an array of dangerous bacteria. This provides a valuable collection of targets for pharmaceutical companies seeking ways of disrupting antibiotic resistance in such bacteria.

The University of Warwick part of the research team have now established a new network of academics from the fields of chemistry, biology and medicine, as well as pharmaceutical companies to share and exploit this new treasure trove of targets which could help create a range of new designer antibiotic based treatments targeted at a range of bacteria that can cause significant health problems.

This network is the UK Bacterial Cell Wall Biosynthesis Network or UK-BaCWAN and it is supported by the Medical Research Council of the UK. The network web site is http://www.warwick.ac.uk/go/bacwan

What is antibiotic-resistant Streptococcus pneumoniae?

In the 1940s, penicillin antibiotics became available and were used effectively to treat pneumococcal infections. During the 1960s, however, the first pneumococcal bacteria that were not susceptible ("resistant") to penicillin were discovered in humans. Since then, penicillin resistant pneumococcal bacteria have been reported all over the world. By the late 1970s, pneumococci that were resistant to other types of antibiotics in addition to penicillins were reported. These "multidrug resistant" pneumococci have now been reported all over the world.

>> Read more at National Center for Infectious Disease

Further information about antibiotic-resistant S. pneumoniae can be found at CDC Get Smart - General Information about Antibiotic Resistance

Further information on the mechanisms of acquired resistance among pneumococcal organisms can be found by searching CDC database.

 

“Every day, fifty Americans die from MRSA because hospitals aren’t doing enough to protect patients from these deadly infections,” - Lisa McGiffert, Director of Consumers Union’s Stop Hospital Infections campaign

 

About MRSA by Mayo Clinic

Methicillin-resistant Staphylococcus aureus (MRSA) infection is caused by Staphylococcus aureus bacteria — often called "staph." Decades ago, a strain of staph emerged in hospitals that was resistant to the broad-spectrum antibiotics commonly used to treat it. Dubbed methicillin-resistant Staphylococcus aureus (MRSA), it was one of the first germs to outwit all but the most powerful drugs. MRSA infection can be fatal.

>> Read more at Mayo Clinic

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