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Spoonful of Sugar Helps the Persistent Bacteria Go Down

Doctors have discovered that adding sugar to antibiotics increases their ability to knock out persistent staph infections (abstract). Certain types of bacteria called persisters shut down their metabolic processes when exposed to antibiotics. Adding sugar keeps the bacteria feeding, making them more susceptible to drugs. From the article: "Adding such a simple and widely available compound to existing antibiotics enhances their effectiveness against persisters, and fast. One test showed that a sugared up antibiotic could eliminate 99.9 percent of persisters in two hours, while a regular antibiotic did nothing. Doctors believe that this discovery will help treat urinary tract infections, staph infections, and strep throat, but its most life-saving application may be against the age-old disease tuberculosis. This infection of the lungs kills many people, and is hard to fight off. A little sugar could help save a lot of lives."

46 of 166 comments (clear)

  1. Let me be the first to say it... by Rie+Beam · · Score: 4, Funny

    I'm taking this with a grain of salt.

    1. Re:Let me be the first to say it... by TheLink · · Score: 4, Interesting

      Just wondering how long it would take for the bacteria to become resistant to this technique.

      Is there a reason why it would remain hard for the bacteria to stay dormant in the presence of antibiotics as long as there is sugar around?

      Might be trivial enough for the bacteria to evolve around this by next month ;).

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    2. Re:Let me be the first to say it... by Anonymous Coward · · Score: 2, Funny

      Yes. The joke was made in the TITLE!

    3. Re:Let me be the first to say it... by cripkd · · Score: 3, Insightful

      Well, wouldn't that mean the bacteria would have to learn NOT to feed on sugars? How would it know when is it safe to consume it ? Or it would have to learn to not feed on sugars as long as antibiotics are present.

      --
      Curiously yours, crip.
    4. Re:Let me be the first to say it... by jittles · · Score: 4, Insightful

      All I have to say is this: It looks like Mary Poppins was right.

    5. Re:Let me be the first to say it... by nospam007 · · Score: 2

      Was there a line missing in the article?
      "This study was brought to you by the corn-syrup industry."

    6. Re:Let me be the first to say it... by TheRaven64 · · Score: 5, Insightful

      Is there a reason why it would remain hard for the bacteria to stay dormant in the presence of antibiotics as long as there is sugar around?

      Yes. Bacteria are simple. Feed in presence of food, dormant in absence of food is simple behaviour that can be trivially implemented using some chemical signals. Feed in presence of food and absence of antibiotic, dormant in presence of antibiotic is harder. You have to process two signals, do some weighting, and then select the correct behaviour.

      You also need to think about the intermediate steps. A bacterium on the way to evolving this behaviour would almost certainly not get it right first time. If it doesn't feed in the presence of sugar and the presence of non-fatal doses of antibiotics (or the absence of antibiotics), then it will be selected against in favour of ones that do. If it does feed in the presence of antibiotics, then it will die.

      Remember, evolution is only good at selecting local maxima, not global maxima, and the path to this involves jumping from one local maximum to another. If someone were intelligently designing bacteria, then it would be a lot easier...

      --
      I am TheRaven on Soylent News
    7. Re:Let me be the first to say it... by Anonymous Coward · · Score: 2, Funny

      If someone were intelligently designing bacteria, then it would be a lot easier...

      Many a fundies head would explode, as this would simultaneously prove that there is a creator and that she's malevolent.

    8. Re:Let me be the first to say it... by _0xd0ad · · Score: 3, Interesting

      Personally I'm wondering just exactly how much sugar they were planning on adding to the typical American diet.

      It's not like antibiotic prescriptions always used to come with strict instructions to not eat any sugar...

    9. Re:Let me be the first to say it... by JoeMerchant · · Score: 3, Informative

      A bacterium on the way to evolving this behaviour would almost certainly not get it right first time.

      You need to get a grasp of Carl Sagan's "Billions and Billions" when thinking about bacterial evolution.

    10. Re:Let me be the first to say it... by kevinNCSU · · Score: 2

      Was there a line missing in the article? "This study was brought to you by the corn-syrup industry."

      I just can't wait until the giant "fluids and rest" industry finally lets go their stranglehold and releases the common cold cure.

    11. Re:Let me be the first to say it... by DontBlameCanada · · Score: 3, Interesting

      The wild card here is the immune system. If the presence of antibiotics switches bacteria to dormant mode - that may give the immune system time to create sufficient antibodies to wipe them out.

    12. Re:Let me be the first to say it... by TheLink · · Score: 2

      That's only assuming the Creator is solely on our side ;).

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    13. Re:Let me be the first to say it... by aristotle-dude · · Score: 2

      If someone were intelligently designing bacteria, then it would be a lot easier...

      Many a fundies head would explode, as this would simultaneously prove that there is a creator and that she's malevolent.

      You are assuming that creation exists as it was intended. Many Christians believe that man's fall from grace also caused the corruption of creation around him. For example, with the right genes turned on, humanity could live forever because the signal to induce Telomere shortening would never trigger and you would see virtually unlimited cell repair and regeneration. The reason why we grow old and die is because the telomeres eventually wears out and your cells stop dividing. Google for "immortal cells" and you will find stories of cultures of cancer cells that can live indefinitely.

      --
      Jesus was a compassionate social conservative who called individuals to sin no more.
    14. Re:Let me be the first to say it... by SleazyRidr · · Score: 2

      Yeah, but once you get to the point where (s)he's intelligently 'designing' (more like modifying) bacteria to be more resistant to our attempts to keep ourselves alive, you've definitely crossed the line into malevolence.

  2. Re:Hunting by Rie+Beam · · Score: 3, Insightful

    Yes, but we've yet to develop nano-sized shotguns, so that'll have to wait.

  3. Discovered? by Dunbal · · Score: 4, Interesting

    Discovered? No, we've known this and used this for years. It's a typical procedure to treat difficult wounds that are failing to close by 2nd or 3rd intention with sugar or honey. We also grind up fenitoin pills (used to treat epileptics) and add them to the wound, since fenitoin stimulates fibroblasts and helps with would healing. Of course this is not an FDA approved use of the drug, but it works.

    --
    Seven puppies were harmed during the making of this post.
    1. Re:Discovered? by Anonymous Coward · · Score: 5, Informative

      We use honey because it's antibiotic(kills bacteria) and it's contains sugar that just kill everything by osmotic pressure.

      The part about bacteria keeping their metabolism going untill they die if you add sugar to the antibiotic is new.

    2. Re:Discovered? by Shadow+of+Eternity · · Score: 3, Interesting

      Blood sugar levels != physical sugar present, doesn't quite work that way.

      --
      A bullet may have your name on it but splash damage is addressed "To whom it may concern."
    3. Re:Discovered? by woolpert · · Score: 4, Informative

      Diabetics have higher infection rates because they have worse circulation and lower-functioning immune systems. Neither of which have anything whatsoever to do with this discovery.

    4. Re:Discovered? by Mr+Z · · Score: 2

      They also don't normally have antibiotics in their bloodstream. It's not the sugar that's killing the bacteria, it's the fact that the sugar tricks bacteria into letting the antibiotics in. Even if elevated blood sugar could help this process, you still need an antibiotic.

  4. Re:time to stop the black coffee. by Dunbal · · Score: 2, Interesting

    If it was that simple then it would fail to account for the fact that diabetics (who go around with high blood sugar levels almost all the time) are more prone to all types of infection than non diabetics.

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    Seven puppies were harmed during the making of this post.
  5. xylitol might be even better by swell · · Score: 2

    Xylitol is another form of sugar that in addition to low calories and insulin response, kills bacteria and the evil Helicobacter pylori that causes cavities and ulcers. Stay tuned for the 2027 study that will prove it effective!

    --
    ...omphaloskepsis often...
    1. Re:xylitol might be even better by erroneus · · Score: 2

      Not sure you are understanding what this is about.

      Bacteria will essentially "turtle" in the presence of antibiotics. It lays dormant with its shell closed. But in the presence of food, it wants to open up to consume the food and perform cellular divisions. It is during this time that the bacteria are vulnerable. I get the feeling Xylitol won't be as effective.

    2. Re:xylitol might be even better by secondhand_Buddah · · Score: 4, Informative

      I was actually reading about this this morning. Sugars have 6 carbon atoms, while Xylitol has 5. Bacteria and yeasts only consume sugars that have 6 carbon atoms, so effectively Xylitol would not have the same effect.

      --
      Participatory Governance : The only feasible option for a real democracy, where everyone really does have a say.
    3. Re:xylitol might be even better by ChrisMaple · · Score: 2

      Sucrose is, in non-technical terms, a dual sugar. It is a combination of two simple sugars, fructose and glucose.

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  6. I'm a little confused... by man_of_mr_e · · Score: 2

    How exactly can this technique be used to fight tuberculosis, which lives in the lungs? The sugar in the antibiotic would be absorbed into the blood stream before the antibiotic could get to the infection. Unless they're talking about inhaling the antibiotic with the sugar.. which I suppose is a possibility.

    Maybe it's some kind of bonding process that bonds the sugar to the antibiotic? I suppose I could read the article if I was that curious.

  7. Re:Mary Poppins was right n/t by Neil+Boekend · · Score: 2

    I always thought n/t meant "no text", indicating the post itself was empty (which isn't possible with /.)
    Could you please enlighten me?

    --
    Well, I might have a way, but it only works on a semi spherical planet in a vacuum.
  8. Re:time to stop the black coffee. by DarwinSurvivor · · Score: 5, Interesting

    High blood sugar does not necessarily mean you ate a lot of sugar, in fact, the summary sounds like they are talking about white sugar. White sugar is far from the only sugar out there. The basic rule of thumb is: if the ingredient ends with "ose", it's a sugar (sucrose, dextrose, lactose, fructose, etc). Btw, I come from a family with a long history of Diabetes (both type 1 and 2).

  9. Re:time to stop the black coffee. by TheRaven64 · · Score: 2

    The sugar and the antibiotic have to be present at the same time. Hitting the bacterium with sugar and then antibiotic will have the opposite effect - it will feed, divide, and then go dormant, so you'll end up with more bacteria, not less.

    --
    I am TheRaven on Soylent News
  10. Let's patent it! by gte275e · · Score: 2, Insightful

    I can see it now. Drug companies will take their existing antibiotics, add a bit of sugar, and then upcharge $5 per fill for Sugarfukitol over normal Fukitol.

  11. Re:Sugar is going to cost $1000 per pound by icebraining · · Score: 4, Informative

    I wouldn't mind that, then maybe they wouldn't put sugar in every freaking thing. In many places one can't even find yoghourt without added sugar.

  12. Re:Placebo Effect? by Liam+Pomfret · · Score: 2

    Considering that the standard placebo is a sugar pill, it's certainly something that should be investigated.

  13. Re:Sing it together! by zippthorne · · Score: 4, Insightful

    Apparently, it also helps the poison go down...

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    Can you be Even More Awesome?!
  14. Re:Sing it together! by bytesex · · Score: 2

    And in Soviet Russia, the TITLE is made in the joke!

    --
    Religion is what happens when nature strikes and groupthink goes wrong.
  15. Re:test commenting by bytesex · · Score: 2

    No I won't!

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    Religion is what happens when nature strikes and groupthink goes wrong.
  16. Read the article itself not just the summary! by Boombox2003 · · Score: 3, Insightful

    Can people please read the article before making inane comments, we are talking about aminoglycosides here not glucose, fructose or sucrose. This is a amino-modified sugar that are not absorbed in the gut. They have been around for a long time but until now they had not been used in conjunction with specific metabolites. So this has nothing to do with diabetics or blood sugar.

    1. Re:Read the article itself not just the summary! by Anonymous Coward · · Score: 2, Insightful

      Can people please read the article before making inane comments, we are talking about aminoglycosides here not glucose, fructose or sucrose. ...
      So this has nothing to do with diabetics or blood sugar.

      Err, the antibiotic they tested with was gentamicin, which is an aminoglycoside. The metabolites they tested with it were sugars like glucose and fructose, as well as stuff like glycerol and pyruvate.

      So yes, they actually *are* talking about adding sugar.

  17. Re:Sugar is going to cost $1000 per pound by Rich0 · · Score: 2

    Well, they can't patent sugar itself - only this use at most (would Mary Poppins count as prior art?). However, it will need to be manufactured to GMP standards and the particular brand of sugar being administered would need to be shown to be bioequivalent to the sugar used in the trials. So, expect to pay a few bucks for your one-spoon measured dose.

    Of course, that is only required if the company making the sugar wants to sell it with advertising that indicates that it is medically useful. I doubt anybody will go to this level of trouble. However, with litigation being what it is, I wouldn't be surprised if somebody comes out with such a brand and doctors all flock to it (nobody ever got sued for prescribing Niaspan(TM)).

    What might be more likely is that somebody comes up with some kind of novel sugar analog that CAN be patented, and that would be expensive, but would likely have stronger clinical support (since with financial backing you can do more trials/etc).

    We really need more publicly-funded clinical trials. Right now most trials have huge conflicts of interest, and they are only run on expensive products, since those are the only ones where somebody has the financial interest to pay the cost of an expensive trial.

  18. combo by uncanny · · Score: 2, Interesting

    So apparently a placebo (sugar pill) actually CAN have real effect!

  19. Re:time to stop the black coffee. by Sulphur · · Score: 2

    If it was that simple then it would fail to account for the fact that diabetics (who go around with high blood sugar levels almost all the time) are more prone to all types of infection than non diabetics.

    With diabetes one could have a triple blind study.

  20. The aminoglycoside is the *antibiotic* by Anonymous Coward · · Score: 5, Informative

    The glucose is the metabolite and is used alongside an aminoglycoside antibiotic. It is aminoglycoside dependent because adding the sugar only works with aminoglycoside antibiotics: mannitol (the sugar) was tested with gentamicin (an aminoglycoside antibiotic), ofloxacin (a quinolone antibiotic) and ampicillin (a beta-lactam, specifically a penicillin antibiotic) and the only one which showed an improved response was the mannitol + gentamicin combination.

    Glucose, mannitol and fructose then showed the greatest response with gentamicin (ribose, glycerol etc were much lower).

    Have you read the article?

  21. Not quite by Anonymous Coward · · Score: 4, Interesting

    Studies have pointed to the fact that many bacteria still "eat" the Xylitol -- they just can't digest it, and starve, or are otherwise impaired. Not a bad thing in these cases.
    http://www.ncbi.nlm.nih.gov/pubmed/21037297 for one of many cromulent studies out there involving bacterial uptake of Xylitol.

  22. Re:time to stop the black coffee. by bsdaemonaut · · Score: 2

    It doesn't even need to be sugar really, just a simple carbohydrate. You could use vodka for the same effect, it's a somewhat popular, but controversial method of fighting algae in reef aquariums. Feed the bacteria so they outcompete the algae.

  23. Re:I've heard of this before... by phantomfive · · Score: 2

    I've tried that before (on a split lip, after consulting with a doctor, who said, "might as well try"). It seemed to work, the doctor was surprised how fast it was healing. My understanding is it creates an environment which largely prevents bacterial growth.

    Unfortunately I haven't gotten horribly injured lately, so I haven't been able to test it again. I am really looking forward to the next time I get a serious flesh wound so I can test that out.

    --
    "First they came for the slanderers and i said nothing."
  24. Re:time to stop the black coffee. by sean.peters · · Score: 2

    If you read the abstract, one of the ingredients they used was mannitol, which isn't strictly speaking a sugar at all - it's a sugar alcohol.