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Possible Antibiotic for MRSA Superbug

darkmeridian writes "Merck has discovered a possible treatment for methicillin-resistant staphylococcus aureus, or MRSA, a virulent superbug resistant to many current antibiotics. The new compound, platensimycin, was found in a sample of South African soil and works by preventing the bacteria from assembling fatty acids into its cell membrane. This mechanism of action is novel among antibiotics, most of which currently block DNA assembly or protein assembly. Of course, this product still has to undergo human testing, but apparently looks promising."

210 comments

  1. Superbug vaccine... by crazyjeremy · · Score: 5, Funny
    For some reason when I read this I thought it said there was an Antibiotic for the MPAA Superbug (I know it doesn't quite make sense). Sheesh, what a let down. If there was a RIAA/MPAA vaccine, I bet someone could sell millions.

    Oh well... I guess it's good that they may actually get some treatment options for this disease. It sounds horrible. According to http://citypaper.net/articles/2005-03-03/cb2.shtml
    It usually first appears in a warm, moist section of the body, like an armpit or the crotch. Initially, it is a small, red bump, similar to a spider bite. Within days, it develops into a boil the size of a grapefruit with the potential to spread fatal poisons into the bloodstream. In other strains, it gradually eats away at a victim's flesh. Methicillin-resistant staphylococcus aureus (MRSA) is a highly contagious skin infection that is resistant to the most commonly used antibiotics.

    So if some stranger in the supermarket asks you to look at their rash and wonders if it's contagious... don't hesitate to punch them. Or maybe you guys don't live in quite the redneck neighborhood that I do...
    1. Re:Superbug vaccine... by Abcd1234 · · Score: 4, Informative

      Antibiotic resistant staph is definitely no joke. Once it gets into a hospital, it can be exceedingly difficult to eradicate, and spreads from patient to doctor to patient very easily. Heck, doctors themselves can transmit it from hospital to hospital if they work in multiple facilities. In my case, I had a close family friend who got in a serious motorcycle accident and, among other things, had to get pins placed in his spine. After the surgery, they discovered he had contracted staph, and it was probably brought in by the doctor who performed his surgery (this particular hospital hadn't had a case in a very long time, prior to this).

      As a result, they weren't able to close the wound immediately, and in fact had to debride it a number of times. Eventually, they had to put him on vancomycin (once it was clear he had an antibiotic resistant strain), which is a very powerful antibiotic with a number of side-effects.

    2. Re:Superbug vaccine... by Anonymous Coward · · Score: 1, Funny

      "So if some stranger in the supermarket asks you to look at their rash and wonders if it's contagious... don't hesitate to punch them. Or maybe you guys don't live in quite the redneck neighborhood that I do..."

      Great idea...bad-mouth the redneck (in the area you choose to live in no less), then pull a redneck move and punch the offender, thus vastly increasing the chance of you picking said infection up (by your initial contact, and more likely with the resulting scuffle).

      How about this--politely decline and walk away.

    3. Re:Superbug vaccine... by MrNixon · · Score: 1

      I am getting sick and tired of these lame "When I read that line I though it said 'blah', oh well, wouldn't that be great?"

      Know what I think when I read those? "Wow, that person can't read!"

      They're not funny.

      Stop it.

    4. Re:Superbug vaccine... by ozmanjusri · · Score: 1
      Antibiotic resistant staph is definitely no joke.

      We can fix that!

      Why did the Antibiotic resistant staph fail the math test?

      It thought multiplication was the same as division.

      --
      "I've got more toys than Teruhisa Kitahara."
    5. Re:Superbug vaccine... by Errtu76 · · Score: 1

      I can relate to that. I work in a hospital and earlier this year we had to shut down an entire section of the hospital because of this. It's very contagious (correct spelling?) and it involves alot of work, because you have to see who the patient had contact with, inform those people about the situation and, if deemed necessary, invite these persons back to the hospital to check them too. All kinds of institutions will need to be informed too.

    6. Re:Superbug vaccine... by Fred_A · · Score: 1

      Yes, the correct move would of course be to shoot him. Much more hygienic.

      --

      May contain traces of nut.
      Made from the freshest electrons.
    7. Re:Superbug vaccine... by drgonzo59 · · Score: 5, Interesting
      MRSA is already here and is bad enough, but there is already fear of the vancomycin resistant staph. Vancomycin, as it is clear from your story, is a last resort antibiotic, when all others have failed. There is evidence that there could be a super-super-bug that would be resistant to vancomycin as well. The common mechanism of action of these antibiotics is to provent the assembly of the cell wall. It so happens that only prokariotic cells (which staph. aureus is) have this external cell wall structure to prevent them from "exploding" due to high internal osmotic pressure. So this cell wall has been and is a good target for antiobiotics.

      It is interesting how most of the antibiotics -- this new one and including the first one -- penicillin, are sythesized and produced by fungi. There is a constant battle for nutrition and space between the bacteria and the fungi -- some kind of an evolutionary yin and yang. One will always try to overtake the other and will develop new mechanisms for resistance or attack.

    8. Re:Superbug vaccine... by maxume · · Score: 1

      I some stranger in a supermarket asks you to look at their rash, walk away. If they follow, run!

      Punching them in the wrong spot might get you infected.

      --
      Nerd rage is the funniest rage.
    9. Re:Superbug vaccine... by skam240 · · Score: 1

      I'd just like to say that those doctors and nurses wearing scrubs in public outside of the hospital are horribly negligent of the health risks they are posing to others around them. These are individuals working with people sick enough to be in a hospital for christ's sake. Who knows what horrible germs have been coughed onto their scrubs or what pestulant ooze has leaked out over them. These people could literally be walking around with the MRSA bug (that they picked up from a patient) on their scrubs while they stand next to you in the sandwich line for lunch.

      I had never thought of this prior to a conversation with my mother (who is a former nurse and now teaches nursing). Now I shy away from anyone out in public wearing those things.

      --
      I ignore Anonymous Coward posts. If you want to discuss something, that's awesome. Log in.
    10. Re:Superbug vaccine... by x2A · · Score: 1

      No, that could spray infectious blood everywhere, torching is probably better.

      --
      The revolution will not be televised... but it will have a page on Wikipedia
    11. Re:Superbug vaccine... by Anonymous Coward · · Score: 0

      Vancomycin is not the last resort. Linezolid (Zyvox) is the next agent used when Vanc fails. However, its price makes it somewhat prohibitive except in very severe cases.

    12. Re:Superbug vaccine... by wizardofodd · · Score: 5, Interesting
      Talk about timing... 4 weeks ago I was diagnosed with MRSA. They kept me in the hospital in isolation for the first week. The MRSA was located in my right foot. It was so severe that the had to amputate it to in order to save my life. The worst part of the ordeal was spending 2 weeks without Slashdot. The best part was the spongebath with 3 of the nurses. :-)

      Now I'm at home taking a antobiotic called cefazolin every 8 hours until the remainder of the infection clears up. But now I get to spend all day reading Slashdot. I guess somepeople would give their right foot to be able to do that. ;-)

      Hey, what do you expect me to do, cry about it? Just keeping my spirits up.

    13. Re:Superbug vaccine... by defile39 · · Score: 1

      Vancomycin is, sadly, a first line agent for MRSA. It is becoming less and less effective as resistance is mounting. Drugs like linezolid (zyvox), and this new potential agent are quite necessary to treat this emerging threat. Unfortunately, there is little money to be made in developing new antibiotic agents. Most antibiotics recently developed have lost money for the companies developing them. Then, when companies in accordance with FDA and medical society recommendations limit hospital pathway use, they get harshly criticized for charging an accordingly high price. Do we need an outright epidemic to get people to realize the threat of emerging infectious diseases?

    14. Re:Superbug vaccine... by drdone · · Score: 1

      Staph. aureus is a ubiquitous bug. Most humans are carriers of Staph mainly in the nostrils and moist areas of the body. It usually causes skin infections in the immunocompetent host, which the body is able to fend off. But in the immunocompromised population especially, patients who are hospitalised Staph aureus can enter the blood stream and can cause fatal infections. In the good old days, staph was sensitive to quite a good number of antibiotics. For various reasons over the last two decades some strains of staph have attained resistance to all(including Methicillin which used to be the final line of defence) except VANCOMYCIN. Hence the name MRSA(methicillin resitant). Contrary to popular belief, the most diffcult to eradicate infections of MRSA are of the hardware put in the body, viz. prosthetic hips, valves, etc and open wounds. MRSA pneumonia is another big problem too. Skin boils like the one you had described are uncommon in the general population albeit there is a brand new strain of MRSA which was recently in the news for causing severe skin infections. It gained publicity when one of the Boston red sox palyers contracted it. Apparently, unclean habits of sharing towels in the palyers room was a postulated cause. The person did have deep skin infections!!

    15. Re:Superbug vaccine... by Znork · · Score: 2, Insightful

      "Do we need an outright epidemic to get people to realize the threat of emerging infectious diseases?"

      Nah. We need to redesign the financing structure of pharmaceutical development so research is profitable by itself, and the production/marketing/administration of the pharmaceuticals has to play by competetive market rules. Funding models comparable to other public-interest development would be far more appropriate than the current monopoly incentive.

    16. Re:Superbug vaccine... by Chrispy1000000+the+2 · · Score: 1

      "It could only multiply." is a better answer.

      --
      Sig
    17. Re:Superbug vaccine... by Anonymous Coward · · Score: 0

      I'd give me left foot for a sponge bath by three nurses.

      But not my right foot.

    18. Re:Superbug vaccine... by JimBobJoe · · Score: 1

      May I ask...do you know how it was contracted?

    19. Re:Superbug vaccine... by bostonguy · · Score: 1

      I still recall how frightening it was when I was suspected of having a Vancomycin resistant Staph infection a few years ago.

      "Why is everybody wearing the gowns and masks?"
      "Why can't I leave my room?"

    20. Re:Superbug vaccine... by LWATCDR · · Score: 2, Informative

      Part of the problem is that they never retire older antibiotics. I think penicillin is still being used in cattle feed or some such silliness.

      If the drug companies "benched" and old drug for say 10 or 20 years then there is a very good chance that it would become effective again.
      The same evolutionary pressures that allow bacteria to gain resistance so quickly should help them loose it as well.

      --
      See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
    21. Re:Superbug vaccine... by grandgator · · Score: 1

      MRSA is worth paying attention to, yes, but it's not some kind of crazy superbug like it's often portrayed in the media.

      It's not any harder to kill than any of the other staph species, it just happens to be resistant to certain antibiotics. Vancomycin is not becoming "less effective" at killing MRSA. And there are a host of antibiotics that kill MRSA very effectively. The reason that vancomycin is a "first line" antibiotic for MRSA is because 1. We know it works 2. It's actually a pretty well tolerated drug.

      The fact is that there are several "bigger, badder" antibiotics after vancomycin, but more than that, MRSA is vulnerable to cheap, old antibiotics like Tetracycline. We don't use those older drugs to routinely treat MRSA for a variety of reasons (side effect profiles being one of them) but I have seen it done a number of times.

      A growing % of MRSA is also what is called "community aquired MRSA" and is sensitive to a variety of antibiotics, and can actually be treated on an outpatient basis.

      I think the next big wave of treatment options for resistant strains of bacteria will not be newer and better antibiotics, but rather a reexamination of drugs that are already within our toolkit, but have fallen out of favor as newer drugs were introduced and heavily marketed by drug companies because of their higher cost and better margins.

    22. Re:Superbug vaccine... by menacing_cheese · · Score: 1

      Wow that seems like a bit of an overstated response for MRSA. I worked in a children's hospital for the past 2 years and it wouldn't be unusual for us to have 3 or 4 kids in a 13 bed unit that were on contact precautions for MRSA. But we would never notify people they had been in contact with or shut down a whole unit. And MRSA isn't really any more virulent than regular S. aureus which is part of the normal skin flora. Its just that when an infection does occur its harder to treat due to the antibiotic resistance.

    23. Re:Superbug vaccine... by ChrisMaple · · Score: 1

      I've thought of this idea of "benching" old drugs, but how do you prevent "third world" countries from continuing to produce penicillin? A few years ago, when I visited Tijuana occasionally, penicillin was quite popular as a legal over-the-counter purchase which was then brought back to the U.S..

      --
      Contribute to civilization: ari.aynrand.org/donate
    24. Re:Superbug vaccine... by ScrewMaster · · Score: 1

      May I ask...do you know how it was contracted?

      Probably it was outsourced.

      --
      The higher the technology, the sharper that two-edged sword.
    25. Re:Superbug vaccine... by Stachybotris · · Score: 1

      Don't forget that fungi and plants also have cells walls and are both eukaryotic. Granted, the composition of the wall is different, but they've still got them. This is actually problematic when it comes to treating fungal infections, since the only viable target is the cell wall.

      You'd think by now that we'd have found some compounds to inhibit other metabolic processes as well - perhaps protein synthesis at either the transcription or translation stage, or possibly DNA synthesis. Clearly it's easiest to attack the cell wall, but there have to be other targets...

      Anyway, I pretty much have to agree with you on the whole bacteria vs. fungi war. Both have basically the same range of energy sources in the environment, with factors such as humidity and temperature biasing any given area towards one or the other. Of course there are some fungi that produce antifungals as well, so the chemical warfare gets even more complicated.

    26. Re:Superbug vaccine... by LWATCDR · · Score: 1

      Well if I how to pull it off I would be solving one of the biggest problems we have right now.
      If I could pull that off I would be a happy man. It would be something to be proud off. Maybe a better people than you and I will figure out how to do that.

      --
      See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
    27. Re:Superbug vaccine... by SeeMyNuts! · · Score: 1


      Unless you went up to them and started gnawing on a mysterious stain on the scrubs, the odds of you getting anything off of them is practically nil. You'd be much more likely to contract a nasty flesh eating infection from getting a cut while gardening, stepping on a nail, etc. Even then, it simply isn't common for people to drop dead from gardening. Our immune system takes care of most of these things, and, beyond that, it's all just a game of dice.

    28. Re:Superbug vaccine... by Anonymous Coward · · Score: 0

      First of all it is already vancomycin-resistant.

    29. Re:Superbug vaccine... by skam240 · · Score: 1

      I reject your claim that it would be more likely to get a flesh eating infection from getting a cut while gardening. Furthermore, given the rise in antibiotic resistance staff infection (especially in hospitals) I don't need an increased level of exposure to this kind of stuff.

      I wash my hands after I take a dump and before shaking someones hand. Likewise, hospital workers should change their clothes after working and before going out into public. It's just sanitary.

      --
      I ignore Anonymous Coward posts. If you want to discuss something, that's awesome. Log in.
    30. Re:Superbug vaccine... by Errtu76 · · Score: 1

      I'm working in the IT dept. so i'm not too familiar with the procedures. I only pick up what i hear ;) But yes, an entire section was off-limits to most of the employees. And there are certain organisations that have to be notified when this occurs. I don't know the english equivalent for the organisations here, but it's one that also reports if there are outbreaks of a virus, if there was a problem in the nearby industry that could affect health. All these kind of things.

    31. Re:Superbug vaccine... by Anonymous Coward · · Score: 0


      bacteria laden dirt embedded in bloody open wound VS. being near someone with dirty clothes...

      Perhaps you watch too many Sunday night made-for-TV movies?

  2. Testing on humans :( by MarkByers · · Score: 0, Flamebait

    It's immoral to test on humans and it should be banned. Can't they use guinea pigs instead? That's what they were invented for.

    http://uncyclopedia.org/wiki/Guinea_pig (karma whoring link)

    --
    I'll probably be modded down for this...
    1. Re:Testing on humans :( by ScrewMaster · · Score: 1

      It's immoral to test on humans and it should be banned. Can't they use guinea pigs instead? That's what they were invented for.

      There are some people who might disagree with you.

      PETA

      OF course, they are also very confused on this subject.

      --
      The higher the technology, the sharper that two-edged sword.
  3. Source...code. by Anonymous Coward · · Score: 5, Insightful

    "The new compound, platensimycin, was found in a sample of South African soil and works by preventing the bacteria from assembling fatty acids into its cell membrane."

    Just one more reason for us to not destroy our environment.

    1. Re:Source...code. by Tiro · · Score: 1
      Just one more reason for us to not destroy our environment.
      Exactly... It reduces out ability to go into the third world, find new wonder chemicals, and patent them!!

      At any rate, it looks like these researchers' business plan will procede as follows:

      0. Find new superdrug in African soil;
      1. Patent new superdrug;
      2. Get held up in clinical trials;
      3. Discover that new antibiotics have little demand;
      4. Lose money!
      If only the US help system wasn't based on maximizing profit endlessly.
    2. Re:Source...code. by martinX · · Score: 1

      It takes a little more work than just stumbling across the new wonder chemical. These things are usually found in soil fungi, it takes a lot of work to find them, identify them, re-create them, test them, modify them, test them again, etc.

      Anyone can do it. If they have the time, the patience, the drive and the money.

      --
      When they came for the communists, I said "He's next door. Take him away. Goddam commies."
    3. Re:Source...code. by Anonymous Coward · · Score: 0

      Easy solution: start "Hippie Pharmaceutical", do all the research and clinical trials out of your own pocket, and then donate the result to mankind.

      I'm sure you'll be getting right on it, right?

    4. Re:Source...code. by mojojojoe · · Score: 5, Informative

      South Africa isn't quite third world. It has a dual economy, which our government is doing its best to merge. Needless to say most of the pharmaceutical companies there have learnt to behave well. Some of them go out of their way to assist indigenous communities, especially if they have assisted in finding useful plants and that sort of thing. Also, finding a soil bacteria that produces any antibiotic is not so simple. You have to take thousands and thousands of soil samples and eventually, if you are lucky, you might get one sample that is kinda useful. As a South African, you can regard this as our gift to you, if you think that it is our gift. We all live in the world, South Africans benefit from antibiotics found in other countries soils, so why shouldn't you benefit from stuff found in our soils. The pharmaceuticals companies did the grunt here, so they deserve the payoff.

    5. Re:Source...code. by jacen_sunstrider · · Score: 1

      You forgot the ??? and the Profit! lines, friend.

    6. Re:Source...code. by somersault · · Score: 1

      "3. Discover that new antibiotics have little demand;"

      Do you have any clue about MRSA at all? Something that kills this would be incredibly useful, and profitable

      --
      which is totally what she said
    7. Re:Source...code. by Atzanteol · · Score: 1

      If only the US help system wasn't based on maximizing profit endlessly.

      So you're telling me other countries have cures for these things? I figure they *must* if their health system is *so* much better... And it must be my imagination that they are clamoring for US made drugs.

      --
      "Ignorance more frequently begets confidence than does knowledge"

      - Charles Darwin
  4. Coming Soon by Anonymous Coward · · Score: 2, Insightful

    ...platensimycin-resistant staphylococcus aureus, or PRSA, a virulent superbug.

    1. Re:Coming Soon by Firehed · · Score: 2, Informative

      Super-duper-bug, you mean.

      --
      How are sites slashdotted when nobody reads TFAs?
    2. Re:Coming Soon by ketamine-bp · · Score: 1

      excuse me, but PRSA(tm) is already taken by penicillin-resistant staphylococcus auerus(R), for the matteer.

    3. Re:Coming Soon by arivanov · · Score: 3, Interesting

      I would not bet on that.

      Most Staph strains with antibiotic immunity gain it from a phague infection. While bacteriophagues are very large and complex there is not that much spare room for carry an extra resistance gene on top of what they drag around at the moment. It will most likely have to lose either the penicillin resistance gene or the tissue necrosis toxin gene to accommodate an extra antibiotic group resistance.

      In the first case it can be smacked on the head using conventional penicillin derivatives.

      In the second case the normal immunity mechanisms will take care of it. By the way, it is the necrosis toxins produced by MRSA which make it so dangerous, not the antibiotic resistance as such. They kill tissue around the infected zone before it actually gets infected creating the environment in which staph can trhive. In addition to that none of the immune system cells can traverse this dead zone and get to the staph either.

      This is all IIRC of course, as it has been very long time since I have done something with mol biol and microbiol.

      --
      Baker's Law: Misery no longer loves company. Nowadays it insists on it
      http://www.sigsegv.cx/
    4. Re:Coming Soon by crc32 · · Score: 1

      Wrong. Phage infection is merely one vector of introducing resistance to a bug. They can also do it through plasmid exchange. Additionally, even if you're correct, you're still wrong, as the bacteria doesn't have to lose the resistances it has acquired, only the virus would. The genetic space of a bacteria is so large it can easily add a new resistance gene, especially if selected for.

      --
      "In order to make an apple pie from scratch, you must first create the universe." -- Carl Sagan, Cosmos
    5. Re:Coming Soon by aswang · · Score: 3, Informative
      Actually, it's more likely that these bacteria have been exchanging plasmids rather than getting indepedently infected by bacteriophages, but it amounts to the same thing.

      All forms of Staph aureus carry the toxin you mention, though, so there's really nothing to prevent you from getting MSSA necrotizing fasciitis.

      And, yes, you pretty much need an intact immune system to successfully fight off infection. We can pump you full of every antibiotic known to man and cause every single bacteria in your system to explode, but without neutrophils and macrophages to clean up the resultant toxic mess, you're likely to eventually go into septic shock, which frequently means an eventual trip to the morgue.

    6. Re:Coming Soon by arivanov · · Score: 1

      Staph is gramm-positive. So plasmids as an exchange vector are less prominent compared to gramm-negatives like good ole E. Coli.

      IIRC, at least some varieties the necrosis toxin show statistically significant correlation with M12 phage infected populations and M12 has been shown to transfer it.

      I may be wrong of course as I am remembering this more or less off the top of my head at the mo.

      --
      Baker's Law: Misery no longer loves company. Nowadays it insists on it
      http://www.sigsegv.cx/
    7. Re:Coming Soon by Anonymous Coward · · Score: 0

      First, it's phage, not phague. I don't think that's some weird British spelling either.

      Second, you can shove all sorts of things into bacteriophage, it has long been a tool of bacterial genetics research and is widely used for search for novel peptide interactions.

      Third, as pointed out by another response, resistant strains usually aren't relying on actively being infected with phage to acquire new genes, they picked them up in a past infection, so the antibiotic resistance and toxin genes are already in there and don't need to get picked up fresh each time. The new transfer can bring whatever it wants, the old ones aren't relevant. Also, the worry is not so much phage mediated gene mixing, but strong selection pressures from antibiotics tends to encourage bacteria to try and find a solution. It has happened MANY times before, it will happen again. Look up the history of penicillin and its derivatives at some point. Most of the battles in that war have been won by bugs using small mutations, not newly acquired traits. I recently learned the history of the tetracyclin derivatives and it is exactly the same phenomenon. It is just a race before the bugs find another solution to our best antibiotics. This is why overprescription of antibiotics is such a problem. Totally new antibiotics don't have that problem, YET... hence all the worry about the slow discovery of new antibiotic classes (less than one per decade).

      At this point we're a step ahead of MRSA, but only one step, when the race is even, people will start routinely dying of bacterial infections again (in the western world, where it has recently been pretty rare). If this new class works out, we may have a next step (no doubt at $30000 or more per treatment course) to keep that from happening.

      -sk

    8. Re:Coming Soon by frank_adrian314159 · · Score: 1
      We can pump you full of every antibiotic known to man and cause every single bacteria in your system to explode, but without neutrophils and macrophages to clean up the resultant toxic mess, you're likely to eventually go into septic shock, which frequently means an eventual trip to the morgue.

      Dude. You're like... so cheery today.

      --
      That is all.
    9. Re:Coming Soon by Mab_Mass · · Score: 1
      Some further elaboration here.

      Some of the more recent work around S. aureus seems to indicate that although antibiotic resistance is carried through plasmids, most of the toxicity is coming through islands that are incorporated into the genome. (Sorry, I don't have a reference handy.)

      Or, to put it another way (in more layman's terms), something like antibiotic resistance is a more dynamic element and is easily exhanged, whereas the core pathogenicity and toxin manufacture is a more stable, core part of what characterizes any given strain.

    10. Re:Coming Soon by arivanov · · Score: 1

      Why not. That is cheerfull compared to the reality.

      An example of a recent Nobel laureate comes to mind. The poor chap had to be pumped with antibiotics, have an arm chopped all the way up to a bit of a shoulder and put in a coma until his organism produced at least some antibodies http://www.nist.gov/public_affairs/newsfromnist_Co rnell_mediaevent.htm.

      The necrosis toxins produced by cocci are as scary as anything can get. Thanks god noone has managed to make a biological weapon from them just yet.

      --
      Baker's Law: Misery no longer loves company. Nowadays it insists on it
      http://www.sigsegv.cx/
  5. "Scientific American" Reports on New Antibiotic by reporter · · Score: 3, Insightful
    For another perspective on this new antibiotic, read the article by "Scientific American".

    Of course, a new antibiotic is never the final word in the war on bacteria. The introduction of this new antibiotic, platensimycin, provides yet another opportunity for bacteria to mutate and to develop defenses against it. Eventually, the bacteria will become resistant to platensimycin.

    What is not known is whether we can continuously develop new antibiotics that kill new antibiotic-resistant strains of germs and that will not kill human cells. As each successive generation of new antibiotics bombards the bacteria and as it adapts to the new medicines, will the bacteria become so powerful that it cannot be killed?

    When will Washington ban the feeding of antibiotics to cattle? I am referring to the use of antibiotics as a food supplement. It is insane.

    1. Re:"Scientific American" Reports on New Antibiotic by Baddas · · Score: 1, Funny
      What is not known is whether we can continuously develop new antibiotics that kill new antibiotic-resistant strains of germs and that will not kill human cells. As each successive generation of new antibiotics bombards the bacteria and as it adapts to the new medicines, will the bacteria become so powerful that it cannot be killed?


      Simple: the bacteria will evolve into human cells. After all, if we can continue to make drugs which kill everything except human cells, they'll just have to evolve into human cells.
    2. Re:"Scientific American" Reports on New Antibiotic by chriso11 · · Score: 2, Informative

      That's my view - I think they should use this only in conjunction with one of the few other effective antibiotics. When you use two, then it is much harder for bacteria to develop an immunity to it.

      --
      No, I don't trust in god. He'll have to pay up front, like everybody else.
    3. Re:"Scientific American" Reports on New Antibiotic by NitsujTPU · · Score: 2, Interesting

      I've heard mixed reviews on that one, but I'm inclined to agree. It doesn't sound like a good long-term strategy for anything.

    4. Re:"Scientific American" Reports on New Antibiotic by Anonymous Coward · · Score: 0

      Human knowledge as a resource may be finite, but would you care to calculate it? We have consistently found remedies for common maladies. The immediate timeline may not prove my theory, but step back and take a look. Hindsight as well as history will show that once we have identified the cause we have developed a cure shortly afterwards. Do not underestimate knowledge as a resource.

    5. Re:"Scientific American" Reports on New Antibiotic by jeff4747 · · Score: 1, Interesting
      When will Washington ban the feeding of antibiotics to cattle? I am referring to the use of antibiotics as a food supplement. It is insane.

      Well, at this point the antibiotics they are feeding animals is already resisted by a great many bacteria, such as the original penicillin. You won't be getting that from your doctor because so many things are already resistant to it. Instead, you'll get something like amoxicillin, which is quite different despite the similar name.

      Since resistance to these antibiotics is so prevalent, feeding them to cattle really doesn't matter. Resistance to one antibiotic does not trigger resistance to another.

    6. Re:"Scientific American" Reports on New Antibiotic by Cyberax · · Score: 4, Interesting

      There's "bacteriophage therapy" ( http://en.wikipedia.org/wiki/Bacteriophage_therapy ) which really works (it was successfully used BEFORE the invention of antibiotics) and doesn't produce resistant bacteria.

      Sadly, there's almost no research on this topic.

    7. Re:"Scientific American" Reports on New Antibiotic by Decker-Mage · · Score: 4, Informative
      Actually this has already been covered in medical research done in the late '90's. I was part of the project (statistical model and lab sides) and the team (Dr. Guzek, et. al) discovered that if you use any two of three big guns on MRSA it kills it dead. Apparently those particular sub-strains that are resistant to one antibiotic are not to one of the other two. It didn't matter which of the two you chose, just that you used any two in combination.

      One nice side benefit was I got immunized against this sucker although that did carry some risk as well (experimental vaccine and all). Not that I ever expect to need it, but you never know.

      --
      "[I]t is a wise man who admits the limits of his knowledge or skill, and that pretending either causes harm." --Terry Go
    8. Re:"Scientific American" Reports on New Antibiotic by Bob+Cat+-+NYMPHS · · Score: 1

      Sadly, there's almost no research on this topic.

      Wasn't there a Dr. Martin Arrowsmith doing a study on the efficacy phages in the treatment of bubonic plague sometime back in the 1920s? What was the result of that?

      Will I get modded down for the joke, by illiterates? We'll see.

    9. Re:"Scientific American" Reports on New Antibiotic by salec · · Score: 1

      The problem is in process of obtaining new antibiotics.

      The Big Piture is: there is some (micro)organism out there which fights bacteria by producing some substance which bacteria don't seem to stand very well. The researchers come along, behold the successfulness of said organism fighting the bacteria, takes the snapshot of said substance and analyse its structure and principle of "work". Then, the chemical process is designed to synthetise that substance and adapt it for administering it to ill humans.

      What is wrong with that? Well, we have a moving target, while using our weapons aimed at some fixed point where it incdentally was at the moment of discovery. The "bacteriophage therapy" works because you attack "moving target" with "homing missile". Like with antibiotics, every now and then you need to get "current" phages that adapted to the adapted bacteria.

      So, we need to change a bit our method of finding new cures. Current research practice is equivalent of stone age foraging for food - it may happen as well that there will be days when you find nothing to eat. Instead, we need to farm our natural sources of antibiotics and introduce to them new "superbug" bacteria strains, select subset of producer organisms that survived and put up a good resistance to superbugs, saw and raise them, repeat, ... The best thing would be to have "antibug farms" in hospitals, right in the trenches. Perhaps even the maintained high sterility of hospitals is part of the problem - as every competing or predator microorganism is wiped right out. Maybe hospitals should saw the spores of benign, nonpathogenic fast spreading microorganisms thru the ventilation system, so that every microscopic spot of possible breeding substrate is taken by known and "friendly" domestic bacteria (or mold).

    10. Re:"Scientific American" Reports on New Antibiotic by Anonymous Coward · · Score: 0

      I saw a documentary on Phages in Russia about 10 years ago, and I was amazed then that we dont use it. Even more amazed now!

    11. Re:"Scientific American" Reports on New Antibiotic by vidarh · · Score: 3, Interesting
      The problem with bacteriophages is that they are extremely specific - for the most part you need to determine the precise strain of a disease, which requires more expensive tests. You then need to fine a bacteriophage that fits that specific strain of bacteria.

      So until we start seeing much more significant resistance to antibiotics they're not likely to be cost effective.

    12. Re:"Scientific American" Reports on New Antibiotic by Stephen+H-B · · Score: 3, Interesting
      Since resistance to these antibiotics is so prevalent, feeding them to cattle really doesn't matter. Resistance to one antibiotic does not trigger resistance to another.

      I beg to differ. Many families of antibiotics share the same core mode of action, with only a few side-chains different. E.g. the original Penicillin and modern Methicillin are both beta-lactam antibiotics, which attack bacterial cell walls (more specifically, the enzyme that assembles them). Penicillin resistance is due to the bacteria producing a new enzyme (beta-lactamase) which safely inactivates the antibiotic. Current Methicillin resistance has developed gradually, as each new variant of Penicillin is introduced, the enzyme mutates to accomodate it.

      If two antibiotics are similar enough, resistance developed against one can confer resistance against the other. Agricultural use of Avoparcin is widely believed to have led to the development of Vancomycin Resistant Enterrococcus (VRE),

      --
      Sick of WoW? Try the thinking man's MMORPG: EVE Online
    13. Re:"Scientific American" Reports on New Antibiotic by Stephen+H-B · · Score: 3, Informative

      To clarify, this is why a new antibiotic 'family' is so sought after. A new mode of action can completely step around existing resistance. PS. I believe Vancomycin (the current drug of last resort for MRSA) attacks bacterial protein synthesis. It also causes renal cytotoxicity (kidney damage) and has a narrow theraputic range (the difference between the minimum effective and maximum safe dose).

      --
      Sick of WoW? Try the thinking man's MMORPG: EVE Online
    14. Re:"Scientific American" Reports on New Antibiotic by apraetor · · Score: 1

      Well, if you're immune.. when is this immunization coming to market? Clearly it works.

    15. Re:"Scientific American" Reports on New Antibiotic by apraetor · · Score: 1

      Well, if not for your ending comment I wouldn't have used google to get the joke. Now I'll have to check the book out.

    16. Re:"Scientific American" Reports on New Antibiotic by Anonymous Coward · · Score: 1, Insightful

      You can't patent a bacteriophage - ergo, no research.

    17. Re:"Scientific American" Reports on New Antibiotic by Decker-Mage · · Score: 1

      With the FDA the way it is? Probably never. There is a risk involved, albeit very slight, so that's one show-stopper right there both with the FDA and with our blessed litigation system. That also happens to be why I firmly believe that if an AIDS vaccine were ever to break out of trials, it'd also never get to your nearest friendly doctor/hospital/health agency.

      --
      "[I]t is a wise man who admits the limits of his knowledge or skill, and that pretending either causes harm." --Terry Go
    18. Re:"Scientific American" Reports on New Antibiotic by Cyberax · · Score: 1

      Actually, you can patent DNA sequences (in genetic modified products, bacteria, etc). See Monsato, for example.

    19. Re:"Scientific American" Reports on New Antibiotic by Jesus_666 · · Score: 1

      Or you take the shotgun approach: You "manufacture" phages for all known strains and just administer them all in one combined shot. If that doesn't prove useful (the phages would probably trigger an immune reaction, with the useless phages increasing the strength of the reaction but not the effectiveness of the shot) you could take a blood sample and use that to test against multiple phage variants at once. That's still more effort than just administering a generic antibiotic, but for certain bacteria (those with multiple resistances) it might be feasible.

      --
      USE HOT GRITS WITH STATUE OF NATALIE PORTMAN (NAKED AND PETRIFIED)
    20. Re:"Scientific American" Reports on New Antibiotic by aswang · · Score: 1
      There are two drugs of last resort against Gram positive cocci, the group of bacteria that includes MRSA. These drugs, however, are usually used against vancomycin-resistant strains of Enterococcus. One is linezolid (Zyvox) and the other is dalfopristin/quinupristin (Synercid) There have been a few case reports of VISA (vancomycin-intermediate Staph aureus) and one or two case reports of VRSA (vancomycin-resistant Staph aureus), the most recent coming from Japan, but given how often we give vancomycin, it's a wonder that these strains aren't more widespread.

      While hospital-acquired MRSA is typically resistant to everything except vancomycin, the community-acquired strain is actually quite sensitive to many older antibiotics like clindamycin, the tetracyclines, and sulfa antibiotics, so vancomycin resistance can be mitigated by using these as the first line against community-acquired skin infections, instead of using beta-lactams which are prone to failure and instead of admitting everyone to the hospital with suspected MRSA and immediately starting them on vancomycin.

      Oh, and vancomycin actually acts quite similarly to the beta-lactams in that it interferes with bacterial cell wall synthesis by binding at an enzymatically targeted location (the D-Ala-D-Ala terminal of peptidoglycans), except that the specific mechanism which they intefere is slightly different.

      Since vancomycin can only be given intravenously, it is typically only given in the hospital setting (or at home under the auspices of a home care nurse), and blood levels are closely monitored, making vancomycin actually a rather safe drug, although, like all drugs, it can have serious side effects (as you mention) that can be idiosyncratic.

    21. Re:"Scientific American" Reports on New Antibiotic by pla · · Score: 1

      Apparently those particular sub-strains that are resistant to one antibiotic are not to one of the other two. It didn't matter which of the two you chose, just that you used any two in combination.

      Yup, that works in some situations. But also explains why we now have poly-drug-resistant strains (such as M/V/ORSA, with "O" referring to ofloxacin rather than oxacillin, though the "M" tends to include the latter anyway).

      Unfortunately, bacteria have a SERIOUS evolutionary advantage over humans, and this topic has counted as a personal peeve for quite a while. We need to STOP giving antibiotics in animal feed, STOP giving whiny mothers placebo antibiotics for kids with minor ear infections, STOP giving any unknown infection a blind multi-drug mix without first doing an antibiotic sensitivity culture. But of course, all of those require more effort than "take two and call me in the morning". And as a result, we've almost gone back to the situation we had before 1928, when a diagnosis of pneumonia meant a death sentence, and people die from minor cuts while shaving. We've already returned to the days of TB or malaria as fatal if you can't afford two years of intensive multi-drug IV treatment.

      Pathetic. We as a species don't deserve antibiotics. If we ever actually had something as useful as a babel fish on this planet, I have little doubt they've gone extinct because they taste good.

    22. Re:"Scientific American" Reports on New Antibiotic by neersign · · Score: 1
      I believe Vancomycin (the current drug of last resort for MRSA) attacks bacterial protein synthesis

      My girlfriend (yes, all of you should be jealous) pointed this out to me as being wrong. from wikipedia:

      Vancomycin acts by inhibiting proper cell wall synthesis

      I really don't know if protein synthesis has anything to do with cell wall syntehsis, but since she's in med school, I'm more likely to trust her.

    23. Re:"Scientific American" Reports on New Antibiotic by Lehk228 · · Score: 1

      yes sparky, cell walls, much like your shorts, have protein in them.

      --
      Snowden and Manning are heroes.
    24. Re:"Scientific American" Reports on New Antibiotic by Anonymous Coward · · Score: 0

      Actually, Cubicin (Daptomycin) is also an option for the treatment of MRSA (and VRSA to a lesser extent). Of course, Cubicin is much more expensive for a typical course of therapy than Synercid (and moderately more expensive than Zyvox), but it also hasn't shown any signs of resistence yet--that I'm aware of, anyways.

    25. Re:"Scientific American" Reports on New Antibiotic by multiplexo · · Score: 1

      Wasn't there a Dr. Martin Arrowsmith doing a study on the efficacy phages in the treatment of bubonic plague sometime back in the 1920s? What was the result of that?

      Yes, but he had to stop when the funding ran out because everyone believed that "It Can't Happen Here".

      --
      cheap labor conservatives - they want to keep you hungry enough to be thankful for minimum wage.
  6. sweet! by Anonymous Coward · · Score: 0

    this could be huge.

    MRSA and other bacteria are increasingly becoming resistant to this beta-lactam drugs and or these dna inhibiting drugs. MRSA is a huge problem in hospital. A big reason for nosocomial infections.

    Many people dont realize how bad this bacteria can be. None of the other drug families cover this methicillin resitant organism. Most people get Vitamin L (levaquin) or the z-pax, etc.

    There is 1 drug which is reserved for MRSA which is vancomycin. I've heard rumors that some are developing resistance to this drug since a lot of docs are giving it to patients now.

    1. Re:sweet! by ketamine-bp · · Score: 1

      not rumors, indeed. just search in pubmed.

  7. Won't last long.. by zcat_NZ · · Score: 4, Insightful

    The first humans to start using this drug will probably take half of the prescribed course and stop as soon as they're feeling better, thus helping to evolve a new generation of superbug resistant to this 'superantibiotic'

    --
    455fe10422ca29c4933f95052b792ab2
    1. Re:Won't last long.. by Idarubicin · · Score: 4, Insightful
      The first humans to start using this drug will probably take half of the prescribed course and stop as soon as they're feeling better...

      I'm actually hoping that the first humans to start using this drug will be receiving it from an IV bag and will remain anchored to their hospital beds.

      If a patient is carrying a bug that's resistant to all other commonly-used antibiotics, I don't really want them walking about on the street.

      --
      ~Idarubicin
    2. Re:Won't last long.. by maxume · · Score: 1

      They don't just 'send you home' with this shit.

      --
      Nerd rage is the funniest rage.
    3. Re:Won't last long.. by aswang · · Score: 4, Insightful
      The thing is, most of us do harbor extremely resistant organisms in our gut and on our skin. For one thing, community-acquired MRSA has a prevalence of upwards of 30% in some communities. But most of us are loaded with things like Actinobacter and Stenotrophomonas which usually aren't bad actors until we get pumped full of antibiotics that wipe out the rest of our normal flora that keep them in check, so that these multi-drug resistant organisms are all that are left floating around in our bloodstream, free to frolic and play.

      Because hospitals are nothing but incubators for antibiotic resistance, physicians actually do their best to try to get their patient out of there as fast as humanly possible, and sometimes this means sending people home with home nursing to get their 14 or 21 or 28 day course of vancomycin instead of sitting around on the ward letting their bacteria exchange plasmids with the bacteria on the other patients, in the walls, crawling all over the equipment, and (probably in the highest concentrations) in the computer keyboards that the hospital staff use.

      But the biggest lesson: don't rely on antibiotics to kill virulent bacteria. The best defense is washing your hands frequently.

  8. A cure you say? by racecarj · · Score: 1, Redundant

    This post is a little too late. The cure for MRSA is vancomycin, which you'll find in every hospital everywhere. Nowadays, in some areas, up to 70% of s. aureus is resistant to methicillin, and vanco is used impirically. 10 years from now everything will be MRSA. That's no problem... it's VRSA that you've got to worry about.

    1. Re:A cure you say? by Abcd1234 · · Score: 1

      Yes, but another class of antibiotic will give us a recourse should a strain of VRSA be encountered. Not only does this save lives, it also makes it less likely that resistant strains can spread, since you can destroy them earlier.

    2. Re:A cure you say? by 6th+time+lucky · · Score: 2, Informative

      Well actually there is vancomycin resistance out there already... VRE is not normally a problem, but has been shown i am pretty sure to transfer its resistance to MRSA in the lab (ie your VRSA), but it hasnt been seen in the wild (thank $Deity) yet.

      and as with most things in nature, if it can, it will... (or someone will do it for it...)

    3. Re:A cure you say? by protobion · · Score: 2, Informative

      Well, since Platensimycin inhibits FabF, which is 3-oxo-[acyl carrier protein] synthase II, and vancomycin prevents incorporation of N-acetylmuramic acid and N-acetylglucosamine - peptide subunits from being incorporated into the peptidoglycan matrix; their mechanisms are exclusive. Theoretically, Platensimycin will therefore work on both MRSA and VRSA strains. Practically, strain sensitivities vary , but with the current level of information, one would expect the new drug to be just as effective on VRSA strains.

      --
      Essentia non sunt multiplicanda praeter necessitatem.
    4. Re:A cure you say? by Rand0m1 · · Score: 2, Funny
      While Vancomycin is a wonderful drug and quite successful against MRSA, it is not a panacea, nor applicable for all people. Just as some people are allergic to Penicillin, some are allergic to vanco and don't have the ability to partake in its protection.

      For people with chronic lung disease, like cystic fibrosis, who experience repeated pneumonias and infection with the like of MRSA and Pseudomonas aeruginosa, the addition of another antibiotic to the team of vanco and linezolid can literally be a life saver.

      Given the life and death reality of our reliance on antibiotics, I'd never classify any bacteria as "no problem." That perspective more than whispers at a superiority complex that could be demolished by the mutation of a tiny little bug. As for me, I'll continue to use them only when necessary and appropriate, and will always finish my prescription!

    5. Re:A cure you say? by ketamine-bp · · Score: 1

      i don't think it's seen in the wild, but there's quite a bit of patients died of VRSA already. check http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?DB=p ubmed&term=VRSA

  9. Links by MarkByers · · Score: 3, Informative

    Whilst your comment seems to be factually correct, more people will read it and take it seriously if you supply a source:

    "Vancomycin and teicoplanin are glycopeptide antibiotics used to treat MRSA infections."

    http://en.wikipedia.org/wiki/MRSA

    http://en.wikipedia.org/wiki/Vancomycin

    Plus you get some free karma for doing it. Always works! :)

    --
    I'll probably be modded down for this...
    1. Re:Links by mapkinase · · Score: 1

      From the other side, "people are reading it and learning how to always google the fish instead of eating what they are given in the fashion not very different from watching the Fox news channel all the time".

      --
      I do not believe in karma. "Funny"=-6. Do good and forbid evil. Yours, Oft-Offtopic Flamebaiting Troll.
    2. Re:Links by MarkByers · · Score: 1

      There isn't really much point repeating info here that is already explained in much more detail on Wikipedia, apart from to give a quick summary to get people interested and then link to the rest of the information.

      If people want to do further reading on the topic, Wikipedia is also a great starting point for some useful links. I have often followed a Wikipedia link from here and ended up following links to other pages.

      Google is good too. Both have their strengths and weaknesses.

      --
      I'll probably be modded down for this...
  10. Nature article: antibiotic may never be used by tehanu · · Score: 4, Insightful

    An article in the most recent issue of Nature discusses this new antibiotic in more detail - the process by which it was discovered, its nature etc. The article however ends with a discussion that the chances of this antibiotic making it to the market is pretty low. First of all, it has to be tested to make sure it is stable (this apparently is a concern that has already risen in animal tests of the new antibiotic) and non-toxic to humans. However, even if the technical problems are resolved, financial problems - antibiotics are simply not profitable for pharmaceutical companies - may kill it. The reasons for the financial problems apply to antibiotics in general:

    - It is likely that this antibiotic if released into common use will "meet the fate of its predecessors" as bacteria rapidly require resistance to it. So the time span when it will under heavy demand will be short.
    - Regulatory hurdles. "the US Food and Drug Administration (FDA) does not have clear guidelines for approving new antibiotics" meaning the process is even more long and tedious than for normal drugs.
    - Antibiotics are only used for sparingly and only for a week or two.

    A quote:

    But "the next steps are fraught with danger", warns microbiologist Carl Nathan of Weill Medical College of Cornell University in New York. "The obstacles are truly formidable."

    1. Re:Nature article: antibiotic may never be used by thrice+rocks! · · Score: 1

      I don't have the Nature article, so I don't know what it discusses...it might mention this, and the costs presented in this particular case might outweigh it, but I felt it was worth mentioning.

      I suspect the antibiotic's fate depends on what all it can be used to treat. If it proves useful for a wide variety of illnesses, especially illnesses that require a longer course of treatment, then it might become more common. Immunodeficiency diseases make antibiotics significantly more important now than, say, 25 years ago, and if HIV/AIDS organizations decide that this antibiotic is important for some opportunistic infection striking those patients, it becomes increasingly likely that the drug will be produced. They have played a huge role in drug production over the last 20 years or so.

      If it's only helpful for one disease already treatable with a different medication and a few diseases prevalent only in Africa, then it's unlikely to be produced. There needs to be a clear market in the United States first - but depending on how effective it is, the possibility exists.

    2. Re:Nature article: antibiotic may never be used by darkmeridian · · Score: 1

      The money would be there for an anti-MRSA antibiotic. An ameliorative treatment for colon cancer that prolonged life was priced at $100,000 a year. Instead of reciting the trite tripe about recouping R&D costs, the president of the company said something like, "It lets them live." A MRSA treatment would be a blockbuster because it'll probably work against lots of stuff.

      Furthermore, this substance is just the first of its class. In this age of genetic engineering, it wouldn't be far-fetched to say that scientists will get the novel mechanism of action more and more efficient. Look at the evolution of all the current antibiotics, which work in basically the same way but vary in effectiveness.

      Of course, it'll be a longshot that the drug will make it to market, but that does not mean other drugs based on it will not. Nor does it mean that the money will not be there to attract investment.

      --
      A NYC lawyer blogs. http://www.chuangblog.com/
    3. Re:Nature article: antibiotic may never be used by ketamine-bp · · Score: 1

      i for one do not think that economics is a non-issue here. it's definitely important. if there's no money to aid research then it's almost impossible to get drugs done.

      people who have $100000 to spend with colon cancer = a lot
      people whose MRSA infection can't be cured with vancomycin = very limited

      it's not difficult to understand, isn't it?

    4. Re:Nature article: antibiotic may never be used by ec_hack · · Score: 1

      financial problems - antibiotics are simply not profitable for pharmaceutical companies - may kill it.

      There has been at least one bill in Congress that would have helped: If you bring a new antibiotic type to market, the company would get to:
        - extended patent protection on it. IIRC, one proposal was for the patent clock to start ticking at the time it passed FDA approval.
        - you could pick any other drug in your patent portfolio and extend it's patent two years

    5. Re:Nature article: antibiotic may never be used by LunaticTippy · · Score: 1
      Gulp, is this how things started out with Endless Copyrights?

      I'm quite wary of extending patents, especially the way pharmaceutical companies are already extending through repackaging, age groups, etc.

      We should encourage antibiotic development, but it isn't hard to imagine abuse of this proposal.

      --
      Man, you really need that seminar!
    6. Re:Nature article: antibiotic may never be used by epine · · Score: 1


      That smacks of the same cleverness that exempted light trucks and SUVs from mandated fuel economy guidelines, and we all know where that went: the automakers went to town pushing demand into a more profitable vehicle category simultaneously driving net fuel consumption upward. Not to worry. We've since sent a crack team of negotiators to the middle east to ensure our supply. A few of them come home in boxes. Small price to pay.

      Big pharma is going to love these terms. Choice is a powerful weapon in highly contested spheres. Do you ever see a major sports league offer the team finishing first in the regular season the choice to pick their first round opponent of the other teams making the cut? Of course not. It would open up a gaping wound for manipulation. Side deals to rig which teams end up matched together.

      I could see this working if the choice of patent extension were restricted to the cosmetic/vanity drugs (hair restoration creams, erectile aids, wrinkle creams, etc.) Applied to the only drug in existence that treats a certain form of cancer, or cures childhood malaria? That's giving up far too much.

      Easy to offer that now, because few people are clever enough to recognize the end game. How many people saw the California fuel-economy act as a way to upsell consumers into a pricier vehicle class?

      Twenty years later the legacy of that loophole has become painfully obvious.

  11. Re:No need. by MagicDude · · Score: 4, Interesting

    Viagara was an accident. They were testing phosphodiesterase inhibitors as a therapy for keeping heart vessels open. It didn't work so well, but they discovered the unexpected side effect of opening vessels in the penis when the subjects were reluctant to return their unused pills.

  12. Travel Time by Solokron · · Score: 3, Funny

    Many flock to Africa to eat soil. Contract Malaria.

    --
    30% off web hosting. Coupon code "SLASHDOT".
  13. MRSA is a big deal... by Bushwuly · · Score: 5, Interesting

    I used to work in a residential facility for disabled children with severe/profound mental retardation, and those who had the hardest time were the ones that contracted MRSA. Because these kids had such significant physical problems, they were often in and out of hospitals and would contract the virus while admitted there. Besides the scary fact that this bug is prevalent in hospitals of all places, it is so dangerous and contageous to children that those who contract it have to be kept in isolation.

    Every day I would walk by the isolation ward and look in, just to let the kids know that someone was concerned for them. These children already had the odds stacked against them, and to top it off with the fact those who attended to them had to avoid all physical contact cut me to the heart. How sad is it to be a kid who can never be hugged, having to live without anyone touching them?

    If someone can isolate and develop an antibiotic that can cure MRSA, I'll be one of the first in line to shake their hand.

    --
    Get over yourself.
    1. Re:MRSA is a big deal... by x2A · · Score: 1

      have you ever felt for anyone???

      --
      The revolution will not be televised... but it will have a page on Wikipedia
    2. Re:MRSA is a big deal... by Khyber · · Score: 1

      What even more interesting (to those that modded this story interesting) is how you confuse a bacterium like MRSA by calling it a virus, then saying near the end that you hope an antibiotic will come out to kill what you called a virus. :)

      Just making sure you check up on some of your terminology ;)

      --
      Still waiting on Serviscope_minor to wake up to fucking reality and realize that Jessica Price isn't going to fuck him.
    3. Re:MRSA is a big deal... by Bushwuly · · Score: 1

      Sorry; I wasn't thinking about the details when writing. I did call my old job to check up on some of the kids, though.

      --
      Get over yourself.
  14. And just how...? by Nom+du+Keyboard · · Score: 1

    And just how did this thing become drug resistant in the first place?

    --
    "It's the height of ridiculousness to say for those 9 lines you get hundreds of millions."
    1. Re:And just how...? by Anonymous Coward · · Score: 0

      Mutation.

      Insufficient treatment - such as not taking the complete dose of antibiotics - can lead to the propagation of those strains with random mutations that happen to be resistant to the antibiotics.

    2. Re:And just how...? by Blakey+Rat · · Score: 1

      Two main causes:

      1) "Well, I know the doctor said to take these antibiotics for two weeks, but I feel better now... I'll just skip the rest."

      2) "Welcome to Russian black market. How many antibiotics do you want? $4 a barrel!"

  15. MRSA treatment already exists by ParanoidCowboy · · Score: 5, Insightful

    It's called Vancomycin, and it's been around for a while. If the pharmacy doesn't stock that, Teicoplanin will also work. Quite honestly, the MRSA is not exactly a superbug. For the most part, these organisms are caught in the hospital - proper handwashing and isolation should prevent most people from evening catching these bugs. The real "superbug" these days is Vancomycin Insensitive Staph Aureus (VISA) - organisms that require concentrations of vancomycin that come close to causing neprotoxicity (kidneys) and ototoxicity (ears) and who knows what else.

    1. Re:MRSA treatment already exists by MarkByers · · Score: 1

      organisms that require concentrations of vancomycin that come close to causing neprotoxicity (kidneys) and ototoxicity (ears) and who knows what else.

      It causes kidneys and ears? On the patient? Eww.

      Or do you mean that the bacteria grow ears and kidneys? That would be sort of cool.

      --
      I'll probably be modded down for this...
    2. Re:MRSA treatment already exists by martinX · · Score: 2, Funny

      Or do you mean that the bacteria grow ears and kidneys? That would be sort of cool.

      it's for this reason that it is known as "the mister potato head of the microbial world".

      --
      When they came for the communists, I said "He's next door. Take him away. Goddam commies."
    3. Re:MRSA treatment already exists by Anonymous Coward · · Score: 0

      The problem with Vanco is that it must be administered with an IV, you can't get a script for the stuff and go home.

    4. Re:MRSA treatment already exists by Wickedpygmy · · Score: 1

      exactly!! While it's all very well spending millions of dollars on a MRSA vaccine, hospitals continue to neglect that washing their hands would do the same thing. "£2.99 handwash kills MRSA"

    5. Re:MRSA treatment already exists by senatorpjt · · Score: 1

      The problem with Vanco is that it must be administered with an IV, you can't get a script for the stuff and go home.

      That's not a problem at all... It just keeps idiots from stopping as soon as they feel better, and developing resistant strains.

    6. Re:MRSA treatment already exists by Tim+C · · Score: 2, Funny

      Believe me, I speak from experience - VISA can be a real killer. You should see my credit card balance...

    7. Re:MRSA treatment already exists by x2A · · Score: 1

      Contracting VISA in a hospital after a drunken accident? Priceless! For everything else, there's mastercard.

      --
      The revolution will not be televised... but it will have a page on Wikipedia
    8. Re:MRSA treatment already exists by aswang · · Score: 1
      Interestingly (most likely due simply to the laws of thermodynamics), it seems that antibiotics-resistant strains are actually less virulent than their non-resistant brethren. The theory is that it takes extra energy to replicate the genes that confer resistance, so these organisms tend not to replicate as quickly. So I find it no accident that most cases of "flesh-eating bacteria" (necrotizing fasciitis) that I've seen are actually caused by MSSA (methicillin-sensitive Staph aureus), although it may simply be that MSSA far outnumbers the amount of MRSA floating around in the environment, and likely MRSA can probably do the same thing. Still, I find that most patients with VRE (vancomycin-resistant enterococcus) aren't necessarily any sicker than patients with vanc sensitive enterococcus.

      Nonetheless, I think it demonstrates the importance of keeping your normal flora intact, and that means not demanding antibiotics when you don't need them.

      As long as vancomycin can keep Staph aureus at bay, and as long as linezolid (which is available as a pill, and as such, is unfortunately being given out like candy) and dalfopristin/quinupristin (which is hardly ever used except in the sickest of patients and which is only available as IV) can keep VRE in check, we're actually in pretty good shape when it comes to Gram positive cocci. And this may last at least until the decade is out as long as we remain judicious with antibiotic use.

      The bacterial pathogens that tend to be more virulent and cause us the most grief in the hospital are Gram negative rods such as E. coli, Pseudomonas, Actinobacter, and Stenotrophomonas, but I think a lot of this lies in the fact that we really haven't had any new drug classes that target GNRs in a really long time. Our drugs of last resort for these puppies are the carbapenems (imipenem, meropenem) and these are basically still based on the same mechanism as penicillin is, except they're more resistant to enzymatic degradation. I know there are new macrolides like telithromycin that are supposed to be better at taking care of GNRs, but macrolides are ridiculously easy for bacteria to figure out, and there is some theoretical concern that macrolide resistance can also confer resistance against our best anti-Gram postive cocci drugs (as above, linezolid and dalfopristin/quinupristin)

      So if you want a Nobel Prize, get cracking on some new anti-Gram negative rod antibiotics.

    9. Re:MRSA treatment already exists by Anonymous Coward · · Score: 0
      Vancomycin resistant SA already exists. Just google for VRSA and be dismayed at the many hits.

      A friend of mine nearly died from MRSA. Ended up with pretty severe permanent brain damage instead.

    10. Re:MRSA treatment already exists by millerbrad · · Score: 1

      Teicoplanin is actually pretty tough to come by in the US. But, yes, vancomycin will kill off any MRSA strain (assuming you're not dealing with VISA -- or one of these days... VRSA).

      So, for a dose or two, vanco/teico is usually the way to go, especially in hospitalized/instituionalized patients. But, what alot of medical practitioners seem to ignore is the fact that there are some effective older medications out there that won't cost thousands of dollars per course. Doxycycline and Bactrim/Septra are oral medications that cost mere pennies per day. Both of these drugs are nearly 100% effective against MRSA (at least in my geographical region).

    11. Re:MRSA treatment already exists by LockeOnLogic · · Score: 1

      VISA, it's everywhere you don't want to be

    12. Re:MRSA treatment already exists by Anonymous Coward · · Score: 0

      clindamycin and bactrim/rifampin often kill MRSA too, and can be taken as an outpatient (ie, not IV)

    13. Re:MRSA treatment already exists by hr+raattgift · · Score: 1

      Interestingly (most likely due simply to the laws of thermodynamics), it seems that antibiotics-resistant strains are actually less virulent than their non-resistant brethren. The theory is that it takes extra energy to replicate the genes that confer resistance, so these organisms tend not to replicate as quickly.

      It's not the DNA replication per se that requires extra energy, it's the additional cost of the peptidoglycolization process that the mutant (resistant) strains incur. The two most common classes of MRSA mutants either overexpress beta-lactamase or (most commonly) express a penicillin binding protein (PBP) with a lower affinity for beta-lactam rings than the wild type.

      Overproducing an enzyme which breaks open a beta-lactam ring (which inactivates antibiotics like Methicillin) is energy expensive, so in the absence of beta-lactam, the resistant type is at a disadvantage -- there is less energy available for reproduction. In the presence of such antibiotics, this is a favourable mutation.

      Producing a PBP that has less affinity for beta-lactam rings also comes at a cost, in that they are less efficient at producing peptidoglycans. As the final crosslinking of peptidoglycan chains is a vital part of constructing a cell wall, and this is essential in binary fission, this also puts such resistant species at a disadvantage to the wild type, by increasing the energy cost of reproduction. Again, in the presence of beta-lactams (from antibiotics), this is a favourable mutation.

      So I find it no accident that most cases of "flesh-eating bacteria" (necrotizing fasciitis) that I've seen are actually caused by MSSA (methicillin-sensitive Staph aureus), although it may simply be that MSSA far outnumbers the amount of MRSA floating around in the environment, and likely MRSA can probably do the same thing.

      It's unlikely that there is any practical difference between MRSA and MSSA other than the gene conferring resistance.

      If you innoculate a host with both MRSA and MSSA, you can be fairly certain that MSSA will dominate in an untreated host, and MRSA will dominate in a host being treated with methicillin.

      There may be both resistant and non-resistant strains within the same host simultaneously; the ratio will likely vary with treatment. Since there is an energy cost associated with resistance, and since resistant S. aureus (and offspring) may revert to non-resistant forms, using methicillin may slow down the progress of infection enough to make the costs to the host worthwhile.

      Necrotizing fasciitis is mostly dangerous not because of beta-lactam (or even vancomycin) resistance but because human fascia are not well served by blood vessels, which has several awful side effects including reduced carriage of intravenous or oral antibiotics to the site of infection. The deeper fascial planes are alsoa nearly ideal bacterial growth medium. High quality food, little passive resistance to the spread of infection, and reduced delivery of active immune system components to the infected tissues, all contribute to potentially explosive spread rates.

      Necrotizing fasciitis is also complicated by the inflammation response -- not only does it further reduce the delivery of active immunse system components, it also releases pyrogenic exo- and endotoxins which unleases a cascade reaction which leads to the necrosis. Cytokines damage endothelial layers, increasing small-scale vascular permeability (i.e., smaller than neutrophils and platelets), which increases inflammation and edema and makes the lives of the infectious organisms easier. The body further responds by decreasing blood flow, which leads to tissue hypoxemia and cell death. The reduction in oxygen in the area impairs the phagocytic activity of neutrophils which have managed to arrive in the area, and further favours anaerobic growth of the infecting organisms. This in turn contributes to vasculitis and thrombosis in nearby tissues, s

  16. Plenty of Human Volunteers by bill_mcgonigle · · Score: 3, Insightful

    It seems to me if your flesh is being eaten away by an unstoppable bacteria, you're going to be pretty willing to test out a new antibiotic. Sometimes the FDA clinical trials process just isn't sensible.

    --
    My God, it's Full of Source!
    OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    1. Re:Plenty of Human Volunteers by Sky+Cry · · Score: 1

      And when there's a need to test a new antibiotic, you'll be told your infection can't be cured in any other way to make you agree to the treatment.

    2. Re:Plenty of Human Volunteers by Idarubicin · · Score: 2, Insightful
      It seems to me if your flesh is being eaten away by an unstoppable bacteria, you're going to be pretty willing to test out a new antibiotic. Sometimes the FDA clinical trials process just isn't sensible.

      The clinical trials process is there to protect people who are so desperate that they will try anything, sign anything, test anything. The alternative is to have a queue of snake-oil peddlers at the door of every dying person--"My pet theory is that weasel saliva contains powerful natural antimicrobials, so I'd like to put weasels down your pants and encourage them to bite you. It could be your only chance!"

      --
      ~Idarubicin
    3. Re:Plenty of Human Volunteers by osgeek · · Score: 1

      It's fine for the government to warn consumers, but the decision to try a specific remedy should ultimately be up to the individual.

      There are plenty of perfectly-good cures out there that aren't "approved" treatments.

      I had a fungal nail infection for 2 decades. When I went to a doctor about it, all he did was push Lamosil on me. I wasn't interested in taking a costly pill for 3 months that has been associated with liver damage. One day, I did a little online research and found several home remedies for fungal nail infection. I tried one out (Vicks Vapor Rub and vinegar, applied topically), and it worked!

      My point is that the FDA and "the medical establishment" don't have all the answers; and even though they may mean well in trying to protect us, true freedom necessitates that each individual be ultimately responsible for himself.

      Why are some people so eager to live in a nanny state?

    4. Re:Plenty of Human Volunteers by bill_mcgonigle · · Score: 1

      There are plenty of perfectly-good cures out there that aren't "approved" treatments.

      It's interesting, some of them are "real" drugs too. When a woman is having trouble lactating there are two drugs that are effective. One has mental illness as a side effect. It's FDA approved. The other (domperinone, sp?) doesn't but doesn't have FDA approval. It's been used in Canada and Europe for a couple decades with a fine track record. But at this point's it's gone generic so there's nobody to pay for a clinical trial so it doesn't get FDA approved. Meanwhile they feed this stuff to women who may already be at risk for post-pardum depression. Fortunately there are a few "compounding" pharmasists in the US who will import it if you know where to look, but it's generally not available to the public.

      So, the FDA system is at least broken for edge cases.

      --
      My God, it's Full of Source!
      OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    5. Re:Plenty of Human Volunteers by bill_mcgonigle · · Score: 1

      And when there's a need to test a new antibiotic, you'll be told your infection can't be cured in any other way to make you agree to the treatment.

      Why bother with conspiracy when reality suits? Or is MRSA otherwise curable?

      Or is it better to just let these people die content knowing they haven't possibly been mislead? It's easy when you're not dying, I guess.

      --
      My God, it's Full of Source!
      OUTSIDE_IP=$(dig +short my.ip @outsideip.net)
    6. Re:Plenty of Human Volunteers by LunaticTippy · · Score: 1
      Strangely, I tried vinegar, tried VapoRub - no help. I asked my doctor about Lamosil and he said that it was pricey, had a low chance of helping, and caused liver damage.

      I trust my doctor a lot more now, and swimming in a hyperchlorinated pool seems to help manage my toenail problem.

      --
      Man, you really need that seminar!
    7. Re:Plenty of Human Volunteers by osgeek · · Score: 1

      I also read that bleach could be used to cure the problem. It's caustic, so you'd want to dillute it (which is really what you're getting from a hyperchlorinated pool)... but I did read that it helped some people.

    8. Re:Plenty of Human Volunteers by ChrisMaple · · Score: 1
      Let's see, certain lingering painful death or weasels in my pants.

      I welcome my personal weasel overlord.

      --
      Contribute to civilization: ari.aynrand.org/donate
  17. Just say NO by OldPhlegm · · Score: 1

    Of course, a person could just inhale nitric oxide, which is bactericidal to VRE, MRSA, M. Tuberculosis, etc.

    1. Re:Just say NO by ParanoidCowboy · · Score: 1

      No. Nitric Oxide is neither bactericidal nor bacteriostatic in vivo. It might give you an erection or produce substantial vasodilation, but that's about it.

    2. Re:Just say NO by OldPhlegm · · Score: 1

      Actually, you may want to check your facts. NO is very bacteriCIDAL at concentrations of 160-200 ppm, although only on contact surfaces, obviously in the respiratory tract. Considering that most of the VRE/MRSA type bacteria are carried as a subclinical infection in the nasal cavity, the treatment modality is quite realistic.

      As for the erection or vasodilation comment, inhaled NO will do neither (well, ok, it causes local vasodilation in the pulmonary capillary bed, but that is considered local relative to the treatment site). It is converted rather quickly (200 msec?) to MetHgb, which is not biologically active. This would be the primary reason it has decent success in treating primary pulmonary hypertension of the newborn, in that it does not bottom out the BP like other systemic smooth muscle dilators do. I think perhaps you are getting confused between NO gas and NO donors such as sildenafil and nitroglycerin.

  18. Trust Merck? by maggard · · Score: 1, Insightful
    Frankly after the Vioxx debacle any science from Merck must be viewed with suspicion. The New England Journal of Medicine recently expressed, then re-expressed, well grounded serious concerns about ethics and veracity at Merck, concerns which continue to this day.

    There are many fine folks working at Merck. Unfortunately it is also obvious there are persons and practices, in research and management, that have compromised both good science and public health.

    Until there is a full accounting, and a house-cleaning, at Merck, I strongly urge everyone to regard statements from Merck with a greater degree of skepticism that they would regard other material from like businesses. Merck has an agenda, and that agenda has apparently not been one of honesty or integrity of late.

    --
    I don't read ACs: If a post isn't worth so much as a nom de plume to its author then I wont bother either.
    1. Re:Trust Merck? by Anonymous Coward · · Score: 0

      Merck was not negligent. They did nothing wrong; in fact, they did exactly what they were supposed to do. Drugs sometimes have bad side effects, and sometimes it takes a while to detect them. That's why the long-term studies are required even after approval, and every bit of the standard monitoring and response process that is supposed to have happen is just what has happened.

      And the public's ignorant outrage in response is going to kill a lot of people. Public opinion will force the FDA towards an overly conservative position on future approvals. The testing process will take longer, get even more expensive, and be an even higher risk investment. Good drugs with modest early phase results will get canceled rather than risk the money on further testing. Fewer development products will get into testing at all, and research priorities will become even more conservative and derivative.

      This is already a massive problem in the industry, and this is just going to make it much worse. Life-saving drugs won't be made because of this Vioxx "scandal".

      Drug prices are going up because it is too expensive and too high of a risk to make new drugs. The R&D costs, averaged over the number of approved drugs, has been rising exponentially for years. Companies respond by cutting the number of drugs in the pipeline and focusing the little remaining research effort on "sure bets": broad, safer, bigger, but trivial markets (Viagra vs. cancer) and lots of "sequel drugs" (tweak an existing product and fire off a new patent).

      Ambitious research and innovative techniques don't get tried because it's too risky -- and it just keeps getting worse -- and people die because of it.

      I imagine you are now thinking about the obscene spending on marketing as rebuttal argument. It's not a rebuttal; it's an unfortunate consequence. The company has to make money, and they can do that by making new drugs or by making more money off of existing drugs. Making new drugs is incredibly expensive and has a high probability of failure. They also have stockholders and lots of employees who expect stability and decent growth. If you put too much focus on making new drugs, then the company's revenue is too volatile (and over long periods). Hit even a modest run of bad luck and you are laying people off and your stuck is in the gutter.

      How can you balance the risk of development? Milk your current, approved products -- massive marketing, increased prices, and later, fighting generics. You have scalable, low risk investments there.

      There are probably less than a dozen pharma companies that could survive even a single failed full-length phase 3 development project. Spending a billion dollars over a decade, with constantly falling revenue (or dissipating fluid capital and likely signifcant equity loss) and ending up with nothing. All you have is your pipeline, and the next drug is still a hundred million or more dollars away from the very unsure bet of approval review.

      The Vioxx failure is unfortunate, but not just for the people that took the drug and had complications.

    2. Re:Trust Merck? by smellsofbikes · · Score: 1

      Vioxx worked really well for a lot of people. It was about the only thing that worked well for my mom, for instance. And for some people it was harmful. That's what drugs do. Merck was not doing a very good thing when they hid evidence of that aspect of Vioxx, but if they hadn't it might not have been approved in the first place. Maybe that would've been better, if it hadn't been approved. That's a hard call, when many people really appreciated what it did for them. It's unfortunate that there's no way in modern, litigatious society, to offer the option of signing waivers before getting treatment. Desperate people would sign the waivers, and because they're desperate, they could later claim they'd signed under duress and void them. Drug companies are in somewhat of a lose-lose situation (and given some of their behavior I can't say I'm entirely sorry about that) but the other people who lose from this are the people who can't get any help for their health problems, even though possible help exists.

      --
      Nostalgia's not what it used to be.
    3. Re:Trust Merck? by Anonymous Coward · · Score: 0

      This is a plant from the pfizer folks. I no longer work for any big pharma but Merck was the most ethical company out there (presumably still is)...

    4. Re:Trust Merck? by tgibbs · · Score: 1

      Frankly after the Vioxx debacle any science from Merck must be viewed with suspicion. The New England Journal of Medicine recently expressed, then re-expressed, well grounded serious concerns about ethics and veracity at Merck, concerns which continue to this day.

      It is now clear that the NEJM's "expression of concern" was designed by a public relations consultant to distract the public from the NEJM's own role. For example, it turns out that the NEJM had known for years about the later cases that Merck reported to the FDA, and even rejected a letter that wanted to raise this issue. What's more, the NEJM's implication that the authors of the VIGOR report deleted critical data from the manuscript turned out to be false.

      In retrospect, Merck was clearly over optimistic in thinking that the lower incidence of cardiac effects in the naproxen group (in the VIGOR study that compared Vioxx to naproxen) could be entirely attributed to the protective effect of naproxen. Naproxen was known to be protective, but the protective effect would have had to be toward the upper end of plausibility. Nevertheless, it is clear that people at Merck sincerely believed in the safety of Vioxx, and in some cases were taking it themselves and giving it to their families.

      I think that some ethical questions may be raised with respect to the way Vioxx was marketed, even if Merck sincerely believed it to be safe. On the other hand, it is abundantly clear that the NEJM has behaved unethically in the affair.

      The question remains as to whether Vioxx is really more dangerous than other similar drugs (COX-2 inhibitors), or more dangerous than the older anti-inflammatory drugs such as aspirin, naproxen, and ibuprofen, which can cause dangerous bleeding.

  19. Vanco can be taken orally by Anonymous Coward · · Score: 1, Informative

    ...if you're using it to treat diarrhea. Seriously! If you look up the molecule's structure, you'll be astonished at the sheer SIZE of that thing. Works great to wipe out flora in the GI without passing into the bloodstream. This is also an advantage of Vanco as an IV drug, as in those cases you typically do not want to wipe out the patient's GI flora. That could lead to other problems...

  20. Another anti-MRSA agent: Mangosteen by rjamestaylor · · Score: 4, Interesting
    Doing research on a fruit, called mangosteen, out of southeast Asia I came across this article on PubMed (via NIH.gov) entitled Antibacterial activity of alpha-mangostin against vancomycin resistant Enterococci (VRE) and synergism with antibiotics . A natural fruit tree fights the toughest bacteria mankind faces; amazing.


    After learning about this fruit and its many documented benefits, I bought into the company that brought it to the market in the US.

    --
    -- @rjamestaylor on Ello
    1. Re:Another anti-MRSA agent: Mangosteen by Anonymous Coward · · Score: 0

      The parent is nothing more than comment spam. Please disregard.

    2. Re:Another anti-MRSA agent: Mangosteen by Anonymous Coward · · Score: 0

      Gotta love those natural fruit trees... because unnatural ones would be scary. Are the trees organic too?

    3. Re:Another anti-MRSA agent: Mangosteen by ortholattice · · Score: 1
      rjamestaylor wrote:

      After learning about this fruit and its many documented benefits, I bought into the company [goxan.net] that brought it to the market in the US.

      At first I thought you might have bought some of their stock, but now I see that you got sucked into their MLM scheme: "This site belongs to Robert & Kinin Taylor, Xango Independent Distributor." (goxan.net)

    4. Re:Another anti-MRSA agent: Mangosteen by dr_dank · · Score: 2, Funny

      Doing research on a fruit, called mangosteen

      Genetic engineering has gone too far this time. What kind of sicko crossbred a mango with Bruce Springsteen?

      --
      Where does the school board find them and why do they keep sending them to ME?
    5. Re:Another anti-MRSA agent: Mangosteen by Anonymous Coward · · Score: 0

      Mangosteens are ridiculously difficult to grow. They require constantly warm temperatures. It has been reported that temperatures of 40 degrees F, which is well above freezing, will kill the trees. Seedlings will die at 45 degrees F. It also requires a lot of humidity and water. There aren't a lot of places where it's even possible to grow them. To put this into perpective, the vast majority of tropical fruits can usually survive down to freezing temperatures and some can even go a few degrees below freezing.

      I have tasted them before, both in Hong Kong and Vancouver. Of course, they are imported to Vancouver, probably from Hong Kong. They are an excellent fruit. Fresh fruits can't be imported into the US because of fear that they might be harboring some unknown pests, similar to the Mediterrean fruit fly scare of some years ago. It is possible to import them as canned fruits in syrup though.

      They're one of my favorite fruits, but at almost $40 a bottle for some juice, I'm not sure how many you're going to be able to sell. Somewhat similar claims and prices are being advertised currently for the acai berry from the Amazon.

    6. Re:Another anti-MRSA agent: Mangosteen by Khyber · · Score: 1

      Brings to mind the old quote "Let your food be your medicine, and let your medicine be your food." Something us homeopaths take to heart every day.

      --
      Still waiting on Serviscope_minor to wake up to fucking reality and realize that Jessica Price isn't going to fuck him.
    7. Re:Another anti-MRSA agent: Mangosteen by Anonymous Coward · · Score: 0

      I figured out the ?????!!!!

      1. Give free stock tip on slashdot
      2. Sell when high
      2. PROFIT!!!!

    8. Re:Another anti-MRSA agent: Mangosteen by rjamestaylor · · Score: 1
      At first I thought you might have bought some of their stock, but now I see that you got sucked into their MLM scheme
      I gave up on getting sucked into stock schemes after March 2000 (besides, XanGo, the company, is privately held and doesn't have publicly available stock).
      --
      -- @rjamestaylor on Ello
    9. Re:Another anti-MRSA agent: Mangosteen by rjamestaylor · · Score: 1
      Like a wholesale club such as Costco or Sam, a membership gives one access to discounts off of retail pricing. After paying $35 for a wholesale license I buy my family's mangosteen juice at $25 per 25 ounce bottle.

      Actually, my net cost of buying the juice is "free" since the commission checks I get from sponsoring others more than covers my own consumption. Benefits of membership...

      My sponsor's commissions actually cover his mortgage and two car payments -- in fact he resigned his position as VP of Technology in a public company to pursue his juice distribution business full-time. So, it's a product I believe in and a business model that's compelling to me. Not a bad combination.

      --
      -- @rjamestaylor on Ello
  21. Re:Another anti-MRSA agent: Mangosteen (new link) by rjamestaylor · · Score: 2, Informative
    My bad, the MRSA article on PubMed is this one: Activity of medicinal plant extracts against hospital isolates of methicillin-resistant Staphylococcus aureus. The one I linked to in the parent post was for a similar problematic bacterial strain, but not specifically MRSA. Sorry for the confusion.


    For more information from PubMed on the mangosteen fruit and its benefits, see these articles at PubMed via NIH.gov. Or, go to my website.

    --
    -- @rjamestaylor on Ello
  22. The obligatory comment.... by Anonymous Coward · · Score: 0

    I, for one, hail our new Methicillin-resistant overlords!

  23. Luckily by Ulrich+Hobelmann · · Score: 1

    we know that "they" don't have to be too strict about human testing, so expect this to hit the market ... tomorrow.

    http://www.harpers.org/OutOfControl.html

  24. Everybody's got it... by Anonymous Coward · · Score: 0

    Staphylococcus aureus is very common, as a matter of fact, EVERYBODY has it. It's what is known as "normal flora", in other words, it's part of the normal coating of microbes we all carry on our skin. Generally, it's not a problem, but when someone is sick, and thier immune system is already compromised in some way, it can be dangerous. VRE, or Vancomycin Resistnant Enterococci is in the same category... normal flora that has become resistant to antibiotics. Fortunately, these bacteria are both relatively benign; They are the "complications" of other diseases... if someone dies from MRSA or VRE, they probably had one foot in the grave anyway.

  25. MRSA colonization. by Anonymous Coward · · Score: 5, Informative

    Not to put a monkey wrench into things, but a substantial proportion of the people reading this are colonized with Staph aureus, and depending upon what part of the world you hail from and your recent medical history, there's a good chance that it's MRSA. If you know a friendly microbiologist, get them to swab your nose. You'd be surprised.

    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd= Retrieve&db=pubmed&dopt=Abstract&list_uids=1653404 7&query_hl=6&itool=pubmed_docsum/

    MRSA is typically resistant to beta-lactam antibiotics, including penicillins and cephalosporins. Just because it's resistant does not mean that it's going to eat away at your flesh. Methicillin sensitive strains will do that just as happily, particularly if they produce leukocidins (eg: MRSA strain USA300).

    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd= Retrieve&db=pubmed&dopt=Abstract&list_uids=1644711 0&query_hl=9&itool=pubmed_docsum/

    Calling vancomycin a cure for MRSA is exceedingly short sighted. VRSA/VISA (the I stands for intermediate, not insensitive), is becoming increasingly common in some regions. Topical agents, such as mupirocin or chlorhexidine may help to attenuate nasal and skin carriage (groin, axilla etc), but reports of MuRSA are also beginning to surface. It's an uphill battle.

    My advice? (And yes, I hold a PhD in the field). Avoid contributing to the problem. Don't suck down antibiotics every time you get the sniffles, especially if you don't have to. More importantly, if your doctor insists upon it, don't stop taking the antibiotics the moment you feel better: finish the entire course, as prescribed. Data to associate feedlot/livestock antibiotic supplements and the transmission of resistant pathogens into human populations is scant. Worry first about the factors you can control. Your children will thank you for it.

    1. Re:MRSA colonization. by MadAhab · · Score: 1

      Oh, I'm sure I've got MRSA on me somewhere. My preemie daughter tested for it while in the NICU and was in an isolated part of the NICU (with a few other positives) for 4 months. She continued to test positive for it periodically. Despite gowning up and washing hands, I'm sure some transferred to me. It's just part of the ecosystem that is me now.

      --
      Expanding a vast wasteland since 1996.
  26. Re:Plenty of Human Volunteers [Count me out] by DavidV · · Score: 1

    (As someone who currently has the MRSA infection) With MRSA the flesh isn't always "being eaten away". I contracted it in hospital after being 90% burnt in '98 through an electrical accident and it slowed my healing considerably, even now grazes etc. take much longer to heal, but that's pretty much it. I just have to be hygienic to avoid passing it on. Maybe my immune system was more resistant than most, I don't know. I hear these stories of the superbug and the effects it can have, so I know I'm lucky, but I for one am not keen to get this stuff tested on me, tell me when the tests are done.

    --
    !sig
  27. Re:No need. by Anonymous Coward · · Score: 2, Funny

    How did you spell "phosphodiesterase" correctly and fail at "Viagra"?

  28. Vaccinations for Virulence by Baldrson · · Score: 4, Interesting
    The book Plague Time : How Stealth Infections Cause Cancer, Heart Disease, and Other Deadly Ailments by Paul W. Ewald outlines a number of interesting strategies for dealing more effectively with the battle against antibiotic resistance. Basically, if you insist on having a world where international transporters (jets, ships, cars, busses, etc) act like mosquitoes to facilitate human-to-human transmission of disease, you have to resort to some other public health measures so that viruses and bacteria (and parasites) are least capable of winning the evolutionary arms race.

    Among these measures is to target virulence rather than the pathogen itself. The reason is that a species of pathogen can have varying virulence and you want the last virulent to win the competition for the ecological niche (human body). Ewald gives an example of a particular protein used by a bacteria to convert human lung tissue to useful food -- a protein that costs the bacteria about 5% of its budget but has huge returns. Vaccinating against this protein can let the more benign variants beat out the virulent variants for the lungs of humans, and give the human immune system the kick it needs to construct antibodies to suppress further infection.

  29. Re:Plenty of Human Volunteers [Count me out] by kote-men-do · · Score: 1

    Forgive me asking, but how did you survive 90% burning? I thought there was no chance that you would survive the massive infection?

  30. There's another antibiotic also been discovered.. by dan+dan+the+dna+man · · Score: 1

    Part of this work was done by colleagues of mine at the Institute for Research into Environmental Sustainability part of Newcastle University, UK.

    The BBC report on this several month old story is here!

    --
    I don't read your sig, why do you read mine?
  31. Re:No need. by dan+dan+the+dna+man · · Score: 3, Funny

    Clearly he was trying to get it past your spam filters.

    --
    I don't read your sig, why do you read mine?
  32. So? by RandomPrecision · · Score: 4, Funny

    This isn't newsworthy to me. I don't get viruses - I use Linux.

    *ducks*

    1. Re:So? by Anonymous Coward · · Score: 0

      Well it's going to suck for you when you figure out that MRSA isn't a virus but instead is a kind of bacteria.

    2. Re:So? by RandomPrecision · · Score: 1

      Yeah, I know. But that wouldn't be funny. :P

  33. Don't hold your breath, though... by BrokenHalo · · Score: 1

    It's worth bearing in mind that of all the antibiotics that have been identified, the majority are of fungal origin. And of those which have been examined, only some twenty percent have been deemed sufficiently safe to be used therapeutically. Even some of the accepted ones can be pretty scary; one that comes to mind is vancomycin, a "last resort" antibiotic which in some cases can cause hearing loss and/or kidney failure.

  34. So true.... by DrYak · · Score: 3, Informative

    You don't imagine how close you're to the truth.

    The S. Aureus is a bacteria that lives on the skin and is harmless most of the time. I said "most", because the bugs is really nasty in some specific area :
    - intensive care : patients aren't in good shape, and the bug tries to enter into them. (Some strains are very good at crawling along needles of perfusion)
    - surgery : the few specimens that survived the disinfection may try to jump into the wound. Bones (like after an accident) are an example.of wound that aren't very well protected against infection (among other reasons : lower blood flow compared to other organs and thus harder to bring white blood cells and antibodies).

    Because it lives on the skin surface they can realy easily travel from one individual to another, just by plain skin contact (think handshaking or on object that everyone touch). And because they're harmless most of the time, there are no symptoms (the carrier isn't sick) and they can travel unnoticed until they reach one critical patient.

    So the only patient that is feeling realy bad is the one at the end of the chain (the one in critical care). Among the chain, there's a lot of people who aren't sick (and don't give a fuck about it) and (mostly healthy) people that may have minor skin wounds (requiring some treatement) but don't follow their treatment as they should (because they feel well).

    And that's one reason why bacteria are exposed to sub-lethal doses of antibiotics, some of them surviving better, and evolution (huh... sorry... Intelligent Design) doing it's job and making better superbugs.

    Note: other reasons appart from bad usage of antibiotics are :
    - Moronic prescrition / Pharmaceutical over-hyping : Doctor hears that superbugs are common. Doctors hears about (=gets brainwashed by marketing departement) new superdrug that kills superbug. Doctor start prescribing superdrug for *EVERY SINGLE CASE*, even when not needed. Superbugs become Hyperbugs. repeat ad nauseam.
    That's why method are developped to help determine when and what drug is needed. As a student a worked in such a lab.
    - Industrial agriculture : Some huge agricultural corporation do very stupid things which all end up with environnement becoming polluted with antibiotics and resistant bacteria appearing "in the wild" due to exposition to sub-lethal doses.

    --
    "Sufficiently advanced satire is indistinguishable from reality." - [Tips: 1DrYakQDKCQ6y52z6QbnkxHXAocMZJE61o ]
  35. Get a grip, people by ajs318 · · Score: 3, Insightful

    MRSA is a variant of common-or-garden Staph that is resistant to most antibiotics. It's not, however, resistant to soap and hot water.

    The problem is that antibiotics are being badly misused. After about three days on penicillin, with two days to go, you start feeling OK again. Now, at this point, you may be tempted to stop taking the stuff. That is the worst thing you can do. Your immune system has recovered a bit, and is now just about strong enough to fight off the bacteria. However, unless you can be sure that you have killed every last one of the germs, there is still a chance that they might breed. And the ones that survived the onslaught of penicillin are going to pass on the "double-hard bastard" gene to their own offspring. So you need to complete the course, using your own recovered immune system with penicillin as backup, in order to deal with the superbugs.

    People failing to finish courses of antibiotics are costing the National Health Service {and by extension the taxpayer} money. In fact, penicillin {or the artificially-manufactured equivalent, Amoxil} isn't used so much anymore because there are resistant strains of so many bacteria. My cruel side thinks it's a shame you can't ROLLBACK a medical treatment and leave people sick if they don't complete the treatment properly .....

    On the other side of the coin, if you keep taking penicillin for too long, your immune system will eventually stop trying so hard {and again you'll be breeding penicillin-resistant bugs}. Plus, the stuff isn't any respector of the essential bacteria in your body. Too many antibiotics passing through your system might even kill some of the essential bacteria in your septic tank, causing it to smell and making you unpopular with the neighbours.

    --
    Je fume. Tu fumes. Nous fûmes!
    1. Re:Get a grip, people by Lehk228 · · Score: 1

      if you are on that many antibiotics just flush a box of RidX once a week or every other week

      --
      Snowden and Manning are heroes.
  36. Re:Plenty of Human Volunteers [Count me out] by CrankyOldBastard · · Score: 2, Interesting
    I have to stress how lucky you are. I got a MRSA infection in 1997, following a Bankart Repair (shoulder surgery). Initial tests indicated that Ciproxin would work - but it didnt, as we found after trying it for a few weeks. I can't remember what the final antibiotic was - but it wasnt Vancomycin.

    A lot of ignorant people are saying "MRSA is no big deal, vancomycin cures it". Well in my case there was no way that a dose of vancomycin strong enough to get MRSA out of my clavicle, scapula and humerus wasn't going to do some pretty major damage to me. There was a shortage of beds in Intensive Care as well, so it was decided to treat me with some other drug - I was so sick by that time that it's kinda patchy (such as my not remembering exactly what antibiotic cured me), but I recall being told that they were going to treat me with this stuff for 10 days, and hopefully it would work, as it was the ONLY antiobiotic besides vancomycin that my strain would respond to. I was told that if I took this medicine for 14 days it would kill me by shutting down my liver.

    After 10 days I was a delightful dayglo yellow colour, but the bug had died. Meanwhile I have to live with the aftermath of septic arthritis, osteomyelitis and periperal neuritis. In practical terms this means my shoulder had the cartlidges (sp?) eaten away and the bone surfaces have an interesting "finish" where they grind together when I move my arm. The nerves that pass through my shoulder were damaged by both the infection and the antibiotic, and I have constant pain which feels kinda like a permanantly dislocating shoulder. I take a lot of oxycodone, and as a result dont crap real well. Every 6 weeks I get a nerve block which gives me a few days (typically 3 to 5) with much lower pain. Getting these injections into the brachial plexus so often carries a real risk of further infection or nerve damage though.

    It's the only time I've ever got a letter from a pathologist, as when they did the tests that finally found what antibiotics would work I got a letter in red ink from them saying "See your doctor NOW as you have a LETHAL INFECTION". By that time I had acquired the delightful aroma of rotting meat - leave a raw shoulder roast out in the sun for a few weeks - that was the smell 8 inches from my nose.

    I was having the wound scraped clean twice a day, with it being packed with all sorts of things to try to help the wound drain. There was a hole through my shoulder - it was possible to slide a 5mm diameter glass rod from the top of my shoulder, through the center of what used to be a synovial capsule and out the other hole in my armpit.

    So don't trivialise MRSA - it's really impacted on my life, apart from nearly killing me. And don't trivialise vancomycin, unless you consider potential organ failure as trivial. MRSA and vancomycin are both very nasty stuff.

  37. Soviet-era phage therapy by drgonzo59 · · Score: 1
    Quite interesting. I wonder why Merk and friends did not already do a more extensive research into this?

    The idea per se is not that revolutionary, phages have been known and used for sesearch purposes for a long time. I suspect there is a certain fear of injecting a virus (even one that supposedly hasn't been able to infect eukariotic cell) into a human patient. It is also concievable that bacteria could acquire resistance to phages. There are some bactera that cannot be infected with any known phages.

    The Wiki Article you pointed to, mentions how this therapy was used by the Soviets for many years. This makes it sound exotic and new, but from a personal point of view, growing up in the former Soviet Union I can say that there wasn't much emphasis on human life and safety. Everything was owned and operated by the state and all the research was tied somehow with politics, which probably explains why the West takes Soviet-era research with a grain of salt. There could have been a lower success rate than reported or some results could have been fudged up more so than here in the West. As it happened with genetics, the Soviets often would persue anything other than the West is doing, just for sake of being different -- see Lysenko's "vernalisation" for example.

    1. Re:Soviet-era phage therapy by Cyberax · · Score: 1

      Yes, USSR was not very attentive to human needs (I live in Russia, BTW). But it doesn't mean that medical science in USSR was not good.

      I know about phage therapy from a personal experience, it was used to save my cousin after he had suffered a massive chemical burn complicated by skin infection (his kidneys and liver were overstrained by the burn so antibiotics could not be used).

      Of course, phage therapy has many shortcomings (nothing is perfect, after all). But I think it could be possible to create a "gene-modified" phage to combat bacteria. And natural selection works in our favor this time (phages can mutate faster than bacteria).

    2. Re:Soviet-era phage therapy by bogado · · Score: 1
      As it happened with genetics, the Soviets often would persue anything other than the West is doing, just for sake of being different


      I think that is good that science should be divided in such a way, a "just to be diferent" could make the research into fields that do not seem atractive at first sight just to find out a incredible result hidding in a corner.

      With the amout of comunication we have today, in any givven area we end up having lot's of lot's of similar works in similar stuff. There is a "fashion subject" of the moment, everyone want's to study this for it's promisses of a new ground in whatever. If the fashion way is a dead end, we have a lot of people working for not much, if we had a diverging research, just to be different it would be better.

      Unfortunaly science is, in the end, a battle of egos. Everyone, with few exceptions, want's to be the next prize winner, or have their name up high in the relevant papers. We should work, that this egos are satisfied, because that's what is making we live as we live today.
      --
      []'s Victor Bogado da Silva Lins

      ^[:wq

  38. How about a WNV cure today! by Anonymous Coward · · Score: 0

    Man WNV sucks.
    Cracking neck, Cold Sweats, Nausia, Headaches, Double / Blurred Vision

    I got no medical (since 1981) I been like this for a year now.

    The Vision thing got better with Leutine, Lycopine, B1, Super Colon Cleanse--that $80 thing you hear on AM radio late at night, and Oil Of Oregano Straight in the mouth.

    The Cold Sweats went away after 6 months.

    The Headaches, and Cracking neck continue to this day.
    Motrin, Asprin, Flexeril(When I can get em) and beer is the only relief!!

    I hear there's some experimental WNV horse shots, I am tempted to aquire some.

    Stay away from the mosquitoes is my advise. Seriously!!

  39. grape shot by sckeener · · Score: 1

    To all the people saying, it won't take long for MRSA or other bacteria to get resistance to this, this is a big deal. This drug is not a derivative of earlier antibiotics. We're talking cocktail solutions and grape shot. Bacteria only have so many resources. To build a wall in one place bacteria have to take material away from some where else. Bacteria can not be resistant to everything. This is really good news.

    --
    "Only one thing, is impossible for god: to find any sense in any copyright law on the planet." Mark Twain
    1. Re:grape shot by Cheeze · · Score: 1

      Bacteria can not be resistant to everything.

      Fatal last words.

      --
      Why read the article when I can just make up a snap judgement?
  40. Re:Plenty of Human Volunteers [Count me out] by Anonymous Coward · · Score: 0

    Dear christ. No wonder you're cranky.

  41. Mr. SA Can Suck It by SkiifGeek · · Score: 1

    Your post touched a tender spot. When my eldest daughter (now 5) was born prem at 25 and a bit weeks, she was doing great for a couple of weeks (despite the hole in the heart, and brain haemorrhage common to prems), moving about and making noise in the humidicrib. Then it all changed. Two weeks into her 3.5 month stay in NICU (Neonatal Intensive Care Unit), MRSA swept the ward (14 infants). At least 3-4 infants died and half of the rest got significant infections, including our daughter.

    This wasn't some backwater hospital, but one of the leading Children's hospitals in the country, and her primary consultant was the head of the department, so there wasn't a whole lot more that could be done. Overnight she went from being active to effectively immobile and mute. For the next 3+ months for her hospital stay, and her first several months at home, she rarely moved, didn't cry, and made no sound.

    She was on Vancomycin, which risked her kidneys, but compared to what she faced it was the least of her problems. She was scheduled for an operation to close the hole in her heart, but she was too sick. It got to the point where she was drowning in her own fluid (you can't do any more than 100% Oxygen, with sats dropping rapidly) and they had to operate.

    While they were conducting routine X-Rays and scans a couple of weeks later they found that the MRSA had attacked her skeleton, leaving her without a hip or half of her right femur, and missing half of her left hip, and had somehow caused a cyst in her brain (the haemorrhage was long gone). While the bug was beaten, she and the other infected infants were isolated from the rest of the NICU and had their own equipment and caring material. It was more than 90 days from birth before she moved out of Intensive Care, into High Dependency, and almost 120 before she came home.

    Partly due to her prematurity (though mainly due to the MRSA) she has a number of issues. The high Oxygen dependency (she was drowning in her own fluid) led to deafness (only partial hearing when aided on one side only, no hearing other side) and chronic lung disease. The long term intubation and drugs meant that she had vocal cord palsy (only one half of the cords work, and barely at that). The Osteomyelitis (skeletal infection from the MRSA) means that she has a distinct shortness of one leg, a floating hip on that side (it actually feels like it is floating, resting on some scar tissue) and moderate mobility problems (needs to be aided to stand / lean, wheelchair bound), and took almost 2 years to learn to crawl and roll due to other mobility restrictions. Every time she gets a chest infection, she has to go to hospital for 2+ weeks, and when they find out she was MRSA, she goes into isolation.

    While she is a happy child, going into isolation in a strange place for 2+ weeks (on Oxygen) takes its toll, especially when she gets no audio cues from her surroundings and can not walk to the window or door to look out and at least look at something different. Having been in isolation in hospital as an adult for only a few days, I can only imagine how frustrating it is for a child.

    1. Re:Mr. SA Can Suck It by theskipper · · Score: 1

      Wow. Best of luck and hope everything works out ok for your daughter.

    2. Re:Mr. SA Can Suck It by r00t · · Score: 1

      Today we can animate the dead, so we do.

      Whatever happened to death with dignity? Take the newborn home, say some prayers for her soul if you're into that kind of thing, and make her comfy. That's a decent way to go. We all do eventually die. Why prolong the suffering?

      (been there too: wife insisted on resucitating the newborn daughter with the deformed head)

      I'm just waiting for the person who consists of a slightly-damaged brain in a life support machine.

      BTW, this is why health care costs are so high. We invent expensive ways to keep people alive, then insist on keeping the people alive. It seems people just can't accept death, no matter what the cost. Some of these "saved" people then kill themselves because their life really sucks. Many of them have no chance of fully supporting themselves, finding a normal spouse, and raising a normal family.

  42. Re:No need. by Andy+Dodd · · Score: 1

    Not initially, but every drug eventually has to undergo clinical trials in humans, usually multiple phases with increasing numbers of patients each phase. Clinical trials are a critical final step in FDA approval for any drug. (Of course, animal trials are the usual predecessor to this before the FDA will even allow a clinical trial in humans.)

    Some drugs do get shortcutted through the trials phases faster than others. These are usually the class of drugs where the drug may possibly kill you or injure you, but what the drug treats will definately kill you. This is one such case - Even if the new drug has some nasty side effects, they're better than the alternative (MRSA or VRSA), and it sounds like even initial animal trials have indicated fewer side effects than vancomycin, which is a nasty drug that was approved anyway because the alternative to using it is nastier.

    --
    retrorocket.o not found, launch anyway?
  43. This is great news, but... by BRSQUIRRL · · Score: 1

    ...the hard part is getting the big pharmaceutical companies to put time and money into the discovery and development of new antibiotics. It seems paradoxical, but it isn't a glamorous area of work, nor a particularly profitable one. The real money makers are those drugs that seemingly 99% of the population is taking at least one of (the ED, ADD/ADHD, hair loss, mild depression, insomnia, and allergy drugs). Drug companies are businesses first and many see little or no return on their investment in advanced antibiotics.

    1. Re:This is great news, but... by robertjw · · Score: 1

      The real money makers are those drugs that seemingly 99% of the population is taking at least one of...

      Which is exactly why we should revamp the patent system. If the government didn't allow the prices on these fashionable drugs to be overinflated there would be lower margins. Eliminating excessive patent terms, renewals and new patents granted on minimal changes would force pharmaceutical companies to search for new profitable products rather than capitalizing and advertising the latest Viagra type drug.

  44. /. modding can sometimes suck... by racecarj · · Score: 0, Offtopic

    so i was one of the first posters on this thread and originally was +3 insightful. then some guy comes and says i should use wikipedia as a source, i go down to 2 and he goes up to 5 even though he just regurgitated what i said with a few links to a web site that is dubious at best (although i love wikipedia).

    now i'm down to +1 redundant because more people came and replied to an earlier post, saying the same things i did... because they are listed earlier earlier even though i posted mine first.

    now this message will probably get modded -1 flamebait even though i'm not trying to flame. it should get modded +5 pity.

    1. Re:/. modding can sometimes suck... by LunaticTippy · · Score: 1
      It's only a website. Don't take it personally.

      Throw in some links, they get modded up for a reason.

      Hopefully you'll get bored once you're stuck at karma cap and can move on to the finer things in life (if any exist) than slashdot.

      Oh, and I suggest you don't whine about moderation. It's very tempting for mods to kick you when you're down.

      --
      Man, you really need that seminar!
  45. Re:No need. by Hal_Porter · · Score: 1

    sed "s/V1@gra/phosphod1esterase inhib1tors/g" spam_template_v109.txt > spam_template_v110.txt

    Hmm, and people say reading slashdot is a waste of time.

    --
    echo -e 'global _start\n _start:\n mov eax, 2\n int 80h\n jmp _start' > a.asm; nasm a.asm -f elf; ld a.o -o a;
  46. MRSA risk for circumcision (genitally mutilation) by Anonymous Coward · · Score: 0

    I thought this was interesting:

    http://www.doctorsopposingcircumcision.org/DOC/mrs a.html

    Of course, wether or not this risk exists, routine infant circumcision is still an appalling abuse of human and bodily integrity rights, and should be made illegal. It violates the infants bodily integrity rights be removing a normal, healthy part of their body. The body should be considered sacred, and especially in regards to infants and children who cannot give consent, we should not subject them to routine or elective removal of normal healthy body parts.

    Parents should not have jurisdiction over their children to remove normal , healthy parts of their bodies, permenantly altering their bodies. Parents should only have very limited proxy rights over their children to authorise a surgical practice, only if there is a clear, convincing, immediate medical necessity to do so to treat a present and current medical abnormal disease condition that severely threatens the well being of the infant, and where all lesser invasive options have been exhausted and where the procedure cannot be deferred to a time when the person is able to consent themselves (age of 18). The foreskin is a normal and healthy part of the human body that was put thier by nature and that we are all born with. Prevention or custom are not valid reasons to remove any part of the body. It is not a valid reason to remove a part of the body if a there is no life threatening disease that presently exists there that necessitates it. The foreskin is not a disease but a normal and healthy part of the human body.

    Children do have rights and are independant persons, not extensions of their parents. Parents do not have the absolute right to do whatever they want to their children as they please. As far as I am concerned, elective or routine circumcision should be a criminal assault.

    Leaving a child intact gives the child the right to decide for themselves on the issue when they turn 18 and to be able to fully inform themselves on the issue. Children are too easily coerced and may not be able to aware of all issues and understand the issue, routine, unnecesary or elective surgical alterations of their bodies should not be allowed by society.

    I could care less if someone over the age of 18 wants to be electively circumcised. Thats their choice and as long as they are doing so with informed consent free of coercion, i guess thats their right. They should be aware that they will probably regret it and they may lose 50%-90% of their sensitivity pleasure function.

  47. Queen Victoria & Mangosteen by mangu · · Score: 1
    OT, but when you mention mangosteens you should also mention the anecdote about queen Victoria.


    She is said to have offered a big sum, or maybe it was a knighthood, to anyone who could invent a method to bring an edible magosteen to England. She had heard about how delicious it was, but wasn't willing to travel to the places where it grows.

  48. Yea it's called... by plorqk · · Score: 1

    Death. The grand panacea.

    --
    When travelling, it's ok if the airlines lose your emotional baggage.
  49. Don't think so. by DancesWithBlowTorch · · Score: 1

    Methycillin is a standard antibiotic. Vancomycin and Oxacyllin (or however you want to spell it) are already restricted to resistant stems, that is you only get them once it has become clear that your bug is M-resistant. If your doctor is worth even half his salary, he will make sure you actually continue the treatment until full recovery has been achieved. It's not like you could just walk into Boot's around the corner and ask for "that new superantibiotic", you know.

  50. Tea Tree Oil by gjh · · Score: 1

    What happens when you have a profit-based medical system? Answer: natural cures are dismissed and nasty patentable drugs with serious side effects are invented instead and doctors are given one-sided information and incentive to prescribe them.

    http://www.nelh.nhs.uk/hth/tea_tree.asp

    Tea tree oil turns out to be effective against MRSA. No new cure is needed.

    1. Re:Tea Tree Oil by Anonymous Coward · · Score: 0
      Tea tree oil turns out to be effective against MRSA. No new cure is needed.


      gjh "What ! I have a MRSA infection! Doctor give me Tea Tree Oil IV every 6 hours for 14 days! STAT!"


      Maybe you could suggest an IV of hot soapy water as it would probably be cheaper. good luck with that.

    2. Re:Tea Tree Oil by Mab_Mass · · Score: 1
      Also, another extremely effective anti-biotic is bleach, but that is something that you don't want to take to treat a blood infection.

      The tea-tree oil is mentioned for "creams and washes," which also won't help in the case of blood infections.

      I don't disagree with your thought that we should spend some more time looking into existing remedies that don't require large drug companies. Unfortunately, tea-tree oil seems to be limited as a topical treatment and is not that cure.

    3. Re:Tea Tree Oil by CrankyOldBastard · · Score: 1
      Tea Tree Oil is amazing stuff. We had a melaleucca still when I was a kid, and we used Tea Tree Oil to treat all sorts of things, for both us humans and for our livestock. It's handy for fleas, ticks and lice as well - sprayed into the nooks and crannies of a henhouse it will help keep your fowl healthy.

      These days we use it to treat our kids for head lice when they bring them home from school. My wife uses it for fungal infections.

      But it would be a very nasty thing to use for deep wound or joint infections, or for septicemea.

      As a challenge, get your handy scalpel and open a wound about 5mm deep into the back of your hand. Now rub some tea tree oil into it...

  51. Im not a biologist but... by RobertKozak · · Score: 1

    How can a bacteria be described as virulent?

    --
    Bet this .sig looks familiar.
    1. Re:Im not a biologist but... by Mab_Mass · · Score: 1
      How can a bacteria be described as virulent?

      virulent, adj.

      1. Extremely infectious, malignant, or poisonous. Used of a disease or toxin.

      2. Capable of causing disease by breaking down protective mechanisms of the host. Used of a pathogen.

    2. Re:Im not a biologist but... by stevejobsjr · · Score: 1

      It's worth noting that among biologists, a virulent virus means a primarily lytic virus and not a particularly infectious or disease-causing virus.

  52. I can't stand it. by Fantastic+Lad · · Score: 2, Interesting
    I've met people who have held up bottles of pills and said stuff like, "Wow! These are great anti-biotics. They made me better so fast! I'm going to save the rest of these because they're so good. I want to have them around for when I get sick again. --Which I probably will in a few weeks. I hate the cold season."

    And similar.

    In that particular case, I sat the individual down and explained how anti-biotics work and the importance of finishing ALL the medication. He nodded and seemed to understand, and then said, "Yeah, well, I'm going to save the rest of these pills for when I get sick again in a few weeks. I hate the cold season."

    It's at times like those when I feel strongly compelled to get on a rocket ship and nuke the planet from orbit.


    -FL

  53. Re:MRSA risk for circumcision (genitally mutilatio by Anonymous Coward · · Score: 0

    I certianly agree whole heartedly with the parent post. What is interesting, in this case, the MRSA would not be a as much of a danger to these infants if they were not subjected to this bizzare, perverse, brutal, inhumane, and insidiously cruel practice. There have been in fact cases where infants have contracted flesh eating bacterial infections from a circumcision wound in the US. These infants are being unnecessarily jeopardised and threatened with the risks of a surgical procedure which has no use and for which the rationales (custom, religion, prevention) are invalid as the parent post described.

    These routine circumcisions do not treat current and present medical conditions which seriously threaten the child. There is no reason for them. They also permenantly alter and destroy a part of the childs body, and this damage is irreversible and cannot be undone later if the person decides when they are older and able to make decisions for themselves that they did not want this done to them. It astonoshes me that our society, which thinks of itself as being so concerned about human rights, would continue to allow what clearly is an assault and invasion of a childs bodily rights.

  54. Nature article fulltext by Anonymous Coward · · Score: 0

    Posted AC to avoid blatent copyright infringment... Bacterial infection remains a serious threat to human lives because of emerging resistance to existing antibiotics. Although the scientific community has avidly pursued the discovery of new antibiotics that interact with new targets, these efforts have met with limited success since the early 1960s1, 2. Here we report the discovery of platensimycin, a previously unknown class of antibiotics produced by Streptomyces platensis. Platensimycin demonstrates strong, broad-spectrum Gram-positive antibacterial activity by selectively inhibiting cellular lipid biosynthesis. We show that this anti-bacterial effect is exerted through the selective targeting of beta-ketoacyl-(acyl-carrier-protein (ACP)) synthase I/II (FabF/B) in the synthetic pathway of fatty acids. Direct binding assays show that platensimycin interacts specifically with the acyl-enzyme intermediate of the target protein, and X-ray crystallographic studies reveal that a specific conformational change that occurs on acylation must take place before the inhibitor can bind. Treatment with platensimycin eradicates Staphylococcus aureus infection in mice. Because of its unique mode of action, platensimycin shows no cross-resistance to other key antibiotic-resistant strains tested, including methicillin-resistant S. aureus, vancomycin-intermediate S. aureus and vancomycin-resistant enterococci. Platensimycin is the most potent inhibitor reported for the FabF/B condensing enzymes, and is the only inhibitor of these targets that shows broad-spectrum activity, in vivo efficacy and no observed toxicity. Bacterial type II fatty-acid synthesis (FASII) is an attractive target for antibacterial drug discovery3, 4, 5, 6, 7. The initiation condensing enzyme, FabH, and elongation condensing enzymes, FabF/B, are essential components of fatty-acid biosynthesis8, 9, 10, 11 and are highly conserved among key pathogens. Although no drugs targeting condensing enzymes are used clinically, cerulenin12 and thiolactomycin13 selectively inhibit the condensation enzymes FabF/B and FabH. Systematic screening of 250,000 natural product extracts (83,000 strains in three growth conditions), with the use of a combination of target-based whole-cell and biochemical assays, led to the identification of a potent and selective small molecule from a strain of Streptomyces platensis recovered from a soil sample collected in South Africa. This molecule, platensimycin (C24H27NO7, relative molecular mass 441.47), comprises two distinct structural elements connected by an amide bond (Fig. 1a). Platensimycin shows potent, broad-spectrum Gram-positive activity in vitro (Table 1; methods described in ref. 14) and exhibits no cross-resistance to other key antibiotic-resistant bacteria including methicillin-resistant S. aureus, vancomycin-intermediate S. aureus, vancomycin-resistant enterococci, and linezolid-resistant and macrolide-resistant pathogens. Platensimycin showed antibacterial activity against efflux-negative Escherichia coli (tolC), but not against wild-type E. coli, indicating that efflux mechanisms, and not compound specificity, limit the effectiveness of platensimycin in E. coli and possibly other Gram-negative bacteria. Low mammalian cell toxicity (50% inhibitory concentration (IC50) > 1,000 microg ml-1 in a HeLa cytotoxicity assay) and lack of antifungal activity (more than 64 microg ml-1) further suggests that platensimycin acts selectively. Platensimycin exhibited minimum inhibitory concentration (MIC) values of 0.5 and 1 microg ml-1 against S. aureus and S. pneumoniae, respectively. The efficacy of platensimycin in vivo was evaluated in a mouse model of a disseminated S. aureus infection. In this experiment, mice were cannulated in the jugular vein and drug was delivered with a continuous-delivery pump. The compound showed excellent efficacy with a 104-105 fold decrease (4-5 log reduction) of S. aureus infection over a 24-h treatment period (Fig. 1b) at 100 and 150 microg h-1 with no indication of toxicity. Monitoring of plasma concent

  55. Link and corrections by sharky611aol.com · · Score: 1
    Couple of things.

    One, here's the link to the Nature article abstract (http://www.nature.com/nature/journal/v441/n7091/a bs/nature04784.html). Submittors of scientific stories, please go through the trouble of at least finding a link to the primary source. I beg you...

    Two, Vancomycin does not interfere with protein synthesis. It inhibits cell wall formation by binding to the D-ala D-ala portion of the cell wall precursor peptides (it physically gets in the way). Resistance to vanco typically comes from staph picking up the resistance phage from enterococci, which have been resistant for years. This change causes the bacteria to produce D-ala D-lac, thus giving vanco nothing to bind to. This causes VRSA, which is completely resistant to vanco, as opposed to VISA, which is caused by a thickening of the cell wall in an attempt to keep vanco out of the cell and leads to partial resistance.

  56. Other new (possible) targets by NilesDonegan · · Score: 2, Interesting

    I do research on Staph. It's frustrating to everyone doing this work that in 50 years, we have really just a handful of targets in bacteria to attack. Here are our targets and some examples of the antibiotics we use

    1) DNA replication/Gyrase (cipro)
    2) RNA synthesis (rifampin)
    3) folate metabolism (sulfa drugs)
    4) Protein synthesis (erythromycin, chloramphenicol, linezolid)
    5) cell wall (penicillin, vancomycin)

    What's great about this this new drug from Merck is that it's target isn't on the list above. It's a new target (fatty acid metabolism) and it's well tolerated by mammals.

    But it's not the only new one out there. Check out these papers on:

    a) targeting the proteolytic machinery of bacteria, i.e. clp proteases
    Brötz-Oesterhelt, H. et al. Dysregulation of bacterial proteolytic machinery by a new class of antibiotics. Nature Med. 11, 1082-1087 (2005)
    http://www.nature.com/nm/journal/v11/n10/abs/nm130 6.html

    and

    b) targeting Holliday junctions, i.e. how DNA recombines
    Gunderson Carl and Segall Anca, 2006. DNA repair, a novel antibacterial target: Holliday junction-trapping peptides induce DNA damage and chromosome segregation defects. Mol. Micro. 59 (4), 1129-1148.
    http://segall-lab.com/PDF/Gunderson2006.pdf

    And don't forget to wash your hands! Make a researcher happy and save the drugs for another day!

  57. Unfortunately the bugs will develop resistance by RockDoctor · · Score: 1

    That's will, not might or could, but will.
    It's in their nature - as soon as something becomes a significant killer of organisms, then some will turn out to be more resistant and will be positively selected for. It's called evolution, folks, and it takes hundreds of generations to work. Which for a bacterium could be just a few months (the oft-cited "divide every 20 minutes" growth rate for bacteria is under ideal conditions ; average rates in non-ideal conditions are several times slower). But that's still faster than a human generation of 20-30 years.

    --
    Birds are not dinosaur descendants;birds are dinosaurs, for all useful meanings of "birds", "are" and "dinosaurs"
  58. not just that by r00t · · Score: 1

    When you are 18, you can decide how much:

    * piercing
    * lots of piercings with great big bolts going through
    * Australian aborigine style: sliced open vertically like unzipping a jacket
    * regular
    * glans too
    * a couple inches
    * whole thing
    * one testicle
    * two testicles
    * everything