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TWiM regularly receives listener email with corrections, comments, suggestions for show topics, requests for clarification, and additional information. A selection of these is archived on this page.
long time listener, first time writer. I was just wondering, am I missing something really crucial? I've been reading in the news about Europe's "E.coli virus" everywhere. I have to assume that people are just mis-speaking and they mean illness not virus, but maybe there is a virus of E.coli that is released from the bacteria and are causing some sort of double whammy illness in folks.
Do you happen to know any more about this than I do?
Those of us who teach (undergraduate) diagnostic microbiology are sometimes caught in a dilemma.
On one hand, we need to teach students to process cultures (urines, throats, sputums, blood, stool, etc) and identify organisms that are commonly associated with those specimens..and we all know there are some potential pathogens in the mix.
On the other, we don't want to any kind of exposure incidences.
What recommendations can you guys make about how to handle this situation. We want to keep it "real." We feel the student will work with the organisms on an internship and then once they graduate so we want to make sure they are well prepared. We all wear PPE (gowns, gloves), practice good hand hygiene, and have a Class IIA safety cabinet. I haven't had (knock, knock, knock) any incidences, but I still worry.
I wanted to ask about a comment made by Cliff regarding Salmonella and potato salads. Working from memory, which I apologize if I am wrong, he talked about performing a fun experiment with Salmonella and potato salad. From my understanding, food poisoning from potato salad is not Salmonella sp. at all. Instead, food poisoning from potato salad is typically Staphylococcus aureus exotoxin B. So saying that Salmonella is not typically found in potato salad is true, but it can be misleading because you can still get food poisoning from potato salad with S. aureus. I guess that is not really a question, but truly more of a comment.
Hello TWiM team,
It was great seeing some of you at ASM last week in Boston either in passing between sessions or at the live TWiV episode. I have a few questions about the ASM meeting:
What was something that you all took away from ASM that was particularly interesting, inspiring, or changed your views about a topic?
Second, from episode 78 (a bacterium grows in Brooklyn). There was discussion at some point about the hypoxic environment of the hemolymph impacting the growth of the fungus. That raises a question: I thought that the hemolymph was the ‘blood’ equivalent for insects and I presumed it would be oxygen rich. That made me think about oxygen utilization by bacteria in an animal’s blood stream: blood in animals is oxygen rich, but is mostly bound by hemoglobin. Are bacteria that end up going septic able to utilize that oxygen bound by hemoglobin or must they be able to survive in a ‘hypoxic’ state?
I can’t remember talking about this in my bacteriology classes and my notes and a quick search around the web didn’t turn up a clear answer.
As always, it is a pleasure to listen and learn from all of the TWiX podcasts.
Washington State University
Washington/Idaho/Utah Regional Program
College of Veterinary Medicine
Class of 2016
Dear recently evolved hosts:
It is 28 degrees C in Grand Junction, Colorado.
At episode 75 time 1:18:10 Vincent suggests that icky stuff that came
out of us probably can't hurt us because it was already in us.
Coincidentally, one of my oldest memories is watching a baby trying to
eat the contents of its diaper and asking my father what happened if
you did that. I suggest listening to an interesting podcast called
"This Week In Parasitism" where the hosts describe parasite life
cycles that depend on recycling waste.
I have two comments on episode 74 time 8:00-10:00.
1. I was confused by the discussion of which species have
endosymbionts. I don't think you were using a consistent definition.
Both cows and humans depend on symbiotic gut bacteria. Those bacteria
like their hosts, but remain potentially free living forms. They are
not obligate symbionts. (Is facultative symbiont a proper term?) In
contrast, mitochondria are obligate endosymbionts.
2. Youth as a species is not an excuse for not having symbionts or
other characteristics. Each of us, human, insect, or microbe,
belongs to a billion year old lineage, but not a billion year old
species. Individual insect species are of comparable age to humans as
a species. We could (and almost certainly did) inherit gut bacteria
from our ancestors, the same way extant termite species inherited
their bacteria from extinct ancestors.
I mention termites because coevolution of termites and their symbiotic
bacteria has been studied and parallel phylogenies reconstructed. I
am far away from my book collection but I recall this was explained in
_Evolution of the Insects_ by David Grimaldi and Michael Engel, which
is worth a read in any case.
Greetings Micro Monarchs:
Here in Vancouver, it is a wonderful spring afternoon; partially cloudy and 16 C.
I know Dr. R is a bit sensitive about sensationalizing science to scare the public but I must respond with a listener pick , based on the horror scenario of TWIM #78's fatal insect fungus sprouting out of human heads.
My pick is the audio play FUNGUS AMOUNG US by Steve Nubie & narrated by the supremely sinister sounding actor, Malcolm McDowell, and available at audible.com
This gem is right on target, mixing a mad scientist with bad science for some good clean fungus.
Still waiting for the first episode of TWIF.
Dear microbial incubators,
It is 40 C in Death Valley and I confess to writing from here in an attempt to win the weather report. I am listening to TWiM during a long road trip. Understanding takes some effort but I haven't crashed yet.
Regarding recent discussion of supplementing antibiotics with bacteria: Is it possible to engineer strains of E. coli and other gut bacteria that are resistant to standard antibiotics? Then ones microflora could survive antibiotics. The resistance would have to be a kind that is rare in the wild but that hospitals are accustomed to dealing with. This would reduce the consequences of trading resistance genes with pathogens.
Follow-up on TWiM #81:
Friends, please forgive brevity of pleasantry; sleep is overdue (internet Player FM re-podcast excellent soporific).
Fear presumptuous correction of trivia you already know, but, re: stress and arterial plaques, some points. Stress is not just perceptual/emotive response to psychological irritants like commuting. The popular usage has been misleading us. It is bodily response to stressors including many non-psychological events, including physical exercise. Therefore, sudden BP changes in even "moderate" exercise, at least when not begun with modulated warmup, is a stressor to arteries and their plaques. Regular exercise benefits longevity in many documented ways, but burst of exercise can also rupture (burst) plaque deposits (as well as initiating arterial damage for initiation of plaque site), releasing gruel into circulation and setting off the big trouble as it clogs the smaller vessels. (With bad luck, even well modulated exercise might do it.)
Arterial plaques, Vinnie, unless my ignorance has overtaken me, are distinctly macroscopic. You can definitely see them. Resident bacteria and biofilms are fascinating news to ignorant self, certainly microscopic, and must have distinct role in plaque derived sudden circulatory injuries. The whole topic sounds thrillingly promising.
So maybe Vince doesn't need a driver, and Michelle had better watch out how she exercises. And we should all hope for fortunate expression of our genes. And for magical cold iron transport, or whatever.
PS Re: pre-, proto-, or prokaryotes vis a vis eukaryotes -- awhile back, in a perverse moment, I skimmed an interview with a Bible literal believer who is biology professor (Dept. Chair? !) at Regency or Liberty University (who can keep em straight), arguing for a 6000 y/o earth and denying evolution "dogma", which he illustrated by nonsense about pro-evolution bias being built into modern bio by sly usages of language such as "pro" and "eu". Since "pro" means "before," he said, the bias is a built in acceptance that they came before "true" cells, thus adding years to the story of life and denying the Biblical true age of life, the earth, and everything, including the evolution of species in any meaningful way..
I betcha the pre and proto discussion mentioned by the letter writer has some place in this teapot tempestuousness. I'd guess "protokaryotes" protects against the suggestion that those cells may have temporal precedence, but are merely simpler versions of the fully formed thing. Or something.
On which note, as long as PhD candidates aren't misled about jobs, the more educated the better. Staff scientist is one good idea. So is Forest Ranger. So is RN. So is high school teacher, or teaching college. Etc. Besides, faculty need students.
As always thanks for the podcasts.
Weather jumping between 20 / 30 (celsius, depending if I'm in San Francisco or Palo Alto).
Very quick idea / question. Do you think there could be a link between hypoferremia (anemia) and defence against bacteria in relation to it being a conserved trait in humans?
Rick writes (re:zombie plants): Interesting that you focused more on the behavior of the zombie more than that of the vampire.
My question is: what is the mechanism providing the awareness that you would assume would be necessary to comprehend the behavior of the creature being influenced or zombificated.
Does the virus have a telescope to see what's going on at our human scale of existence?
Another great show. Thanks.
An interesting study regarding the development of the microbiome of infants - would be a fascinating discussion, I think, following your discussions of evidence for bacterial species in brain and urine.
Might be a good pair with the lung data.
I believe that you missed the most important question in this episode. Can the N-formylated peptides that were found to induce pain in some bacterial infections be used in cooking? I smell a whole host of potential patents in the spicy foods marketplace.
Thanks, as always, for the show.
Hi TWiM hosts,
I have been a long time listener to TWIM, TWIP and TWIV, but have never written to TWIM before.
I really enjoyed your episode Twim #79, in particular the story about using Listeria as an immunotherapy for Cancer. I am not very familiar with Listeria and my knowledge of the immune system is limited to what I have heard on TWIV and Vincent's Coursera course so this story prompted me for clarification on a few points.
1. If you can use the surface antigen from the tumor to stimulate an immune response against the tumors why don't the tumors themselves already stimulate the required immune response. If the immune system isn't responding to the antigen on the tumor why would it respond to the antigen secreted by the listeria, does the antigen have to be in the cytosol of a cell to be detected?
2. If the listeria has a mutated internalin which won't allow it to attach and get into cells, how is it getting into the cytosol to stimulate the immune response or is it just secreting the antigen in the extra-cellular space? Or is it only picked up and eaten by macrophages?
3. If the the listeria is using these Actin rockets to propel itself from cell to cell, how does it get out of the existing cell, does the actin propel it through the membrane to it just breaks through the both the current cell and the destination cells membrane, or does it use the actin to get to the cell membrane and then use the internalin to get out of the cell and get into the next cell?
Thanks for your amazing efforts on the best science podcasts on the internet, keep up the great work.
TWiM & TWiV team,
Keep up the excellent work! I am an electronics engineer who has never studied biological sciences, but now in my 50's, I find your podcasts fascinating. I listen to episodes while working out - a good combination of mental & physical exercise ... thank you!
If you haven't already, please read this article in Scientific American, Dec 2013:
What I found interesting:
(1) Fungi have much larger genomes than bacteria or viruses, and this combined with sexual reproduction, gives them a larger arsenal for rapid adaptation.
(2) In the wild, the biggest predators for this fungus are amoebas, therefore it has developed protection mechanisms. If fungus ends up in humans, marcophages look very much like amoebas, and the fungus hitches a ride inside the macrophage, protected from the immune system until it can replicate and do damage.
Maybe you can do a show on virulent fungi? TWiF? Elio should be interested …
Here's an article which describes a TB drug that can be tweaked to target multiple disease-causing bacteria, and also ward off resistance by targeting multiple pathways in organisms.
[here is the paper: http://www.ncbi.nlm.nih.gov/pubmed/24568559]
I have a suggestion for a slightly out-of-the-way article that would be interesting to hear you analyze. I may be wrong but this article seems a little "primitive" and almost designed to continue an "alien origin" scenario. Despite that, this appears to be a genuine phenomenon in need of some specificity.
Personally, I'd love to learn that it is a stratospheric life form that got swept down to earth but I suspect that it is much more likely to be an oceanic life form swept up by a typhoon.
"Morphological and Molecular Analysis Calls for a Reappraisal of the Red Rain Cells of Kerala", Rajkumar Ganagappa, Mark J. Burchell, Stuart I Hogg, Current Microbiology (2014) 68: 192-198.
Regarding episode 72, I have to confess that it was one of those episodes that went, mostly, right over my head. Fortunately, I was saved by a listener's question regarding using beer as a vaccine medium against yeast infections. At least I know a little about beer.
First of all, I don't have any set answers for your querent. I do have some information that might help set the stage.
Yeasts are indeed used in the production of beer but comparing the basic beer yeast (Saccharomyces) with an infectious yeast like, say, Candida is lot like comparing the stomping power of the hyrax versus an elephant. They may be related but they're different beasts. That said, it might be possible and even practical to infect a beer wort with infectious yeasts and have them proliferate. If you could figure out some way to engineer a non-infectious version of that yeast, then I suppose that it might be possible to prime the immune system against infectious strains of that yeast. My guess is that the process is a lot tricker than with, say, polio or people would already be doing it. In addition, it would likely change the taste of the beer which might or might not be a good thing. Fermentation with non-Saccharomyces yeasts is being studied and does have some beneficial properties.
Then there is the question of actually getting the non-infectious infectious yeast or some significant immune-response-inducing part of it into the final product. If you lysed the yeasts and the appropriate vaccinating portions were soluble and smaller than the filter size, then that could work if you didn't denature it with the heating process first.
There might, however, be a simpler way. Europeans and Americans prefer their beer clear and non-yeasty so they heat it up and filter it. There is, however, a class of ancient beers called opaque or sour beers. These are simple beers which are not filtered (hence both yeasty and carbohydraty - a full meal at lunch time). They are also produced by the combined actions of yeasts and lactic acid bacteria (hence the sourness). For the most part, these beer are living beers, made in the home, and drunk within a day or two. They are best-known in Africa.
If the non-infectious infectious yeast could be supplied in a dormant state able to withstand, for instance, the hot african sun, (perhaps in a spray-dried sugar-yeast mix) then the yeast could be added to this sour beer, proliferate, and be drunk live to induce the immune response. Any taste differences would be much less noticeable in this product and it would fit in well and easily with the daily food consumption of some areas of the world.
Of course, if you could get it into a dormant state in sugar, then it might just be easier to distribute it in lollipops.
Interesting idea that probably won't work but it does lead to some interesting possibilities for integrating other medicinal microbes into diets.
Heard you mention that you had a competitor by the name of Goggles Optional, so being obsessive about science, I looked them up and tried listening to a few of their podcasts. It's reminiscent of TWIS and no real competition to your in depth science podcasting! Actually, it's a bit aggravating.
Hi, I have some comments regarding your dislike of some choice of words in the microbiology and molecular fields. This discussion should be able to fit both twiv and twim.
First you say that the term prokaryote is wrong, but i think the meaning that it has widely attached to the word is wrong. Usually people think of the word to mean without nucleus, and usually we think of these organisms coming before the eukaryotes (that is another discussion altogether) but i don't find this is correct.
there are two stems pre- and pro- , both of them can be meant to mean before, but in a different way. pre- would mean to me something that happens before the appearance of anything, so cells that appeared before eukaryotes would be prekaryotes. Now, prokaryote would mean to me protokaryote, which people may have chosen to shorten to prokaryote. This fits best with the description of these organisms, since they have a nucleiod or protonucleus, some sort of organization that is not quite a nucleus but it is there. so I think prokaryote fits best if it is explained right.
The other is your dislike to the expression "a protein is expressed in the X", you say that we shouldn't say this but instead the protein is translated and that a only a gene can be expressed, and i think this is wrong as well. A gene is transcribed, a protein is translated. What i mean by wrong is that the word expressed according to (http://dictionary.reference.com/browse/express) can signify to manifest. Following this, a gene is expressed when the DNA is copied and the specific bases of the gene are put together, an mRNA is expressed when the gene is transcribed by RNAPol, and a protein can be expressed when it is translated and when it has reached its final destination.
One other comment is how we are thought about bacteria. It is regarding the fact that bacteria are thought of archaic life forms, and while the first lifeforms might have resembled more single celled organisms, both the lineage that gave rise to humans is as old as that of bacteria since we should have the same primordial ancestor, unless there were independent primordial life forms formations. Everyone should be taught that any extant organism is as "modern" as any since all organisms have to adapt to the changing and current environment. So we can say that current bacteria are the best expression of their lineage, and not that being unicellular organisms they chose to not continue to innovate biologically.
A latest topic of discussion has been the state of science, and it occurred to me that while most people in science say that cutting down the number of PhDs and restructuring, it seems contradictory the fact that there are very active programs of highschoolers and minorities into science with the excuse that we need more scientists, what are your thoughts on this?
Thanks for your discussions, I'm always looking forward for each episode of the Twimvps and also urban agriculture.
Dear TWIM hosts,
I enjoyed episode 76, "Genetic biopixels and a pathogenic sweet tooth". I really enjoyed hearing about the course that Dr. Schaechter teaches and in particular the work his students did in developing the biosensor. I would like to recommend a couple of papers that a classmate in my differential equations class told me about. They can be found at Biomed Central and are open source which is great. The first is "Solving a Hamiltonian Path Problem with a bacterial computer", Jordan Baumgardner et al, J Biol. Engineering 2009, 3:11. The second was also published in the same journal, "Engineering bacteria to solve the Burnt Pancake Problem", Karmella A. Haynes et al, J. Biol. Engineering 2008,2:8.
A Hamiltonian Path Problem involves finding a route in a directed graph that starts at a node ( the beginning node) and visits all of the nodes in the graph exactly one time. Companies like FedEx solve these kinds of problems daily in determining the most economical and efficient routes for their delivery persons. Solutions to these types of problems are very complex and computationally intensive. The authors used E. coli that contained a Hin/hixC recombination system from S. typhimurium to randomly shuffle DNA segments as the computing system. They represented nodes in the graph as linked halves of two different genes encoding red or green fluorescent proteins. The bacterial populations displayed phenotypes that reflected random ordering of the edges of the graph. A Hamiltonian path was reported by fluorescing both red and green, resulting in yellow colonies. The Burnt Pancake Problem involves sorting a stack of distinct objects into proper order and orientation using the minimum number of manipulations. This paper describes a proof-of-concept of "in vivo" computation. volunteer
I enjoy so much listening to all of the TWIV, TWIM and TWIP podcasts. Since I've been working on my math degree I don't really have anyone to talk biology, biochemistry, etc with and I miss it. I'm down to the last 2 course before I'm finished, "Real Analysis" and "Probability". I'm hoping that I can find a lab to volunteer to help out in and I've been looking but so far no one has been too keen on having a 70 year old guy hanging out in the lab. Oh well, I have had been able to take some interesting breadth classes and just finished BIoInformatics. It was a trip to actually do sequence analysis and construct heat maps and run blasts! Anyone working on a machine to reverse aging I'm a willing volunteer.
Weather in Orange CA this week has been hot and dry. Today was 98 F, 37 C, 4% humidity, dew point 4 F, winds 20 - 30 mph. We have more of the same predicted for tomorrow and into the weekend. To windy to sail, to hot to just lay around at the beach, and with the winds the surf sucks. So good time to hole up inside in the air-conditioning and enjoy some episodes of TWIM.
Dr. Robert Kelley (Bob)
Dear TWiM team,
I am currently studying for my Biology degree second year exams in the UK and have listened to my first TWiM podcast today. Id like to quickly thank you as the zombie plant topic made perfect outside reading for my plant exam in a few days! I’m about to tackle the paper now.
I will continue listening for more interesting topics!
Thanks so much,
I'm giving a final exam right now, then flying out to Boston for ASMCUE/ASM. Maybe I will see some of you there!
I adore this concept of parasites/pathogens/symbionts altering the behavior of their hosts. Sounds like you all do, too!
Elio had some interesting ideas about viruses and behavior.
I know that folks are short on time, but the SF writer David Brin has an old story about this, called "The Giving Plague." It's online here:
Here you have a virus that causes altruistic behavior! It reminds me of the story (I'm sure it's not true) about the fellow who survives rabies. After he recovers, he is asked why he tried to bite people. He thinks for a moment and replies "It seemed like a good idea at the time."
Even though the virology may make you wince (I love SF, but the authors sometimes...well...play a little fast and loose with the actual world of science), I think you and your readers might enjoy Dave Brin's story.
I will be teaching a freshman writing course on symbioses and parasitism this Fall at my small liberal arts college, and you can rest assured I will be discussing this and related issues with them (including TWiP!). Happy for any suggestions or assistance out there!
As always, I so enjoy listening to your podcasts.
Mark O. Martin, Ph.D.
Department of Biology
University of Puget Sound
Dear Drs. Racaniello, Schaecter and Schmidt,
Thanks for the great episode on swabbing the environment around hospitals to check for prevalence of antibiotic resistant microbes. The idea of resistance spreading out from health care facilities seems very intuitive after hearing about it but I'd never thought of this before. It got me thinking about the number of other livestock farmers I know who have a family member that works in health care as well as helping on the farm. Could this be leading to increases in antibiotic resistant organisms in livestock or obviously vice versa?
I also found the practice of using antibiograms interesting. I had not known how doctors make decisions on which first course antibiotics to use. I will have to ask my veterinarian friends if there is an antibiogram equivalent in animal medicine.
Thanks again for another great episode and also for the TWIV bump for our AgSciToday podcast. It was much appreciated by Steph and I. Hope that nice late spring early summer weather has rolled in where you all are and that you have a few chances to get out and enjoy it. It's a balmy 18 C here in MN and finally not raining for once although it did just rain 1.25" the other day so we were due some decent weather. I'll also add a planting progress report despite that not being a typical feature on the show - we have around 60% of our hay fields seeded, 0% of our corn and 0% of our pasture ground interseeded. Usually those numbers would all be around 100% at this time. It's been another wet spring to say the least.
I first found TWiP, which led me to TWiV which led me here (Hey Vincent- get on Dickson for more TWiP episodes!). I love all three shows. I work as a research technician at a medical/veterinary entomology lab, and spend several hours of my day counting and identifying mosquitoes caught in traps in rice paddies (when I'm not sitting in a makeshift african hut...) Your podcasts have saved my sanity on multiple occasions! While I work closely with vectors of many of the parasites/pathogens you discuss, it is great to learn about the mechanisms of infection and disease, a subject which I feel I am slightly lacking in.
I just finished reading a couple books about the history and discovery of prions, and while I am not sure they can be classified as microbes, I would love to hear a show on the subject. I've become slightly obsessed! Keep up the great podcasting - I have several thousand more mosquitoes to go!
Look forward to all the TWi* discussions. Last months TWiM on Salmonella, with its reference to Typhoid Fever, reminded me of Bertolucci's twenty year old film masterpiece, The Sheltering Sky in which Port played by John Malkovich contracts Typhoid.
The story written by Paul Bowles, is interesting by itself in that Bowles lives in Tangiers - - where the story plays out - - and for his friendship with William Burroughs. Debra Winger is magnificent as Kit, Malkovich's wife. At the end of the film the viewer struggles with moral issues and whether or not Kit lost her sanity. Reading the book doesn't help.
The photography and the acting are superb. The progression of the Typhoid Fever in Port is accurately portrayed. The source of Port's infection is only hinted at. As one of the World's great films, the film was grossly underrated by film reviewers. Nevertheless, most people with a scientific background will appreciate the film and likely give it the highest ratings.
After listening to the second portion of TWiM 78, talking about the presence of gram-negative nosocomials around Brooklyn, I noticed a several people wearing scrubs while at lunch near a hospital in Houston, TX. Then a thought occured to me; disease! Disease everywhere! Might part of the problem, if these microbes are moving out from the hospital, be that they're carried from a day's worn clothes? I realize I'm asking to speculate, but think this might be a good consideration for hospital policy. Houston is currently 27 C at a low 50% humidity.
P.S. I finished my sandwich. It was a pastrami ruben.
"Ideas" with Paul Kennedy on the Canadian Broadcast Corp site recently ran a 54 min program about invasive species that included a short reference to rock snot. At the link find the title, "Bioinvasion: Attack of the Alien Species!," right-click (here or there) "Download Bioinvasion: Attack of the Alien Species!" to download it. I thought it, along with Prof Schmidt's comment about furry teeth, are a good intro to any program for kids about bio-films.
You have spoken before on TWiM about the potential risks of triclosan-resistant pathogens developing through its over use.
A recent open-access article from the the University of Michigan, published in mBio, looks like it may be worth a mention. The researchers conducted a study that examined the nasal passages of healthy adults, 41% of those sampled had traces of triclosan in their nasal secretions and the presence of triclosan in the secretions also correlated positively with nasal colonization by Staphylococcus aureus.
When grown in the presence of triclosan, Staphylococcus aureus was was found to be better able to attach to human proteins.
Additional experiments found that that rats exposed to triclosan were also more susceptible to nasal colonization by Staphylococcus aureus.
Del writes: (re: episode 77)
I was looking forward to this discussion, after hearing you hint about it in a previous podcast. As a practicing ID doc, I have been fascinated by the difference in pain induced by cellulitis from presumed or proven Staph or Strep infections. I see some patients whose pain resolves in a day or so after antibiotics, and some fewer patients who have a much more protracted course of pain, with tenderness to minimal touch or change in position. I have suspected that different isolates produce different toxins to explain these clinical differences, as my clinical judgement and experience argues that patient personality differences or 'pain thresholds' are simply not enough explanation for the variation I see. It also seems to "be there, or not be there," more distinctly than a simple continuum would explain. I am grateful for the basic science work being done in the field at present, and for your discussion.
Thanks to you all for the work you put into this podcast. I am learning every week, and finding connections in areas I would have never before considered.
All the best,
Del DeHart MD FACP
Associate Professor of Medicine
Michigan State University
I realize that this is a bit behind the times but I have two questions related to beta-lactamase (hope I got that right) form episode 6 - "Antibacterial Therapy with Bacteriophage".
1) We all know that the proliferation of bacterial resistance to antibiotics has a direct influence on infection recovery in humans and animals. What I'm pretty sure most people forget is that most antibiotics began their "careers" as part of microbial defense systems. Are you folks aware of any studies looking at the effects of increasing antibiotic resistance in environmental microbiomes? I would think that this human-induced change has got to be skewing microbial populations and interactions. Indeed, I'm having trouble even imagining what the impacts on the microbial and, therefore macrobial world might be.
2) During your discussion of beta-lactamase gene development in the environment, I thought of a possible counter that might help us continue to use beta-lactam antibiotics a little longer. Are you aware of any groups who are researching anti-beta-lactamase drugs that could be added to antibiotics allowing the beta-lactams to retain some effectiveness against resistant microbes? If someone developed a low-toxicity drug that had a significantly higher and, one would like, non-reversible affinity for beta-lactamase than beta-lactam. then one could, presumably, administer it along with beta-lactam and it would inactivate the beta-lactamase while leaving the beta-lactam free to do it's work. Such a system probably wouldn't be effective within a microbe but it should be effective for running interference at cell membranes.
Thanks for the interesting shows,
Dr. Schmidt's viral illness would be quite serious if there was consolidation as was asserted.
Consolidation refers to the gross characteristics of the lung when it turns from fluffy and pliant into solid as the air spaces become filled with cellular and proteinaceous exudates in pneumonias. Bad enough with bacteria and the antibiotic resistance problem; if it is a viral pneumonia, the treatment modalities are mostly supportive care.
It's been found that nasal carriage of Staphylococcus aureus is associated with increased risk of infection due to dispersal of SA from the nose while breathing and by nose-picking and not washing your hands. Some individuals are colonized with SA and are more prone to infection. Now there's a lot of research on how best to decolonize the nose of SA, because it survives antibiotics and quickly recolonizes the body. Mupirocin is typically used, but results are not good and resistance is likely. Seems to me that the aim of decolonization is stupid, since it is impossible to kill every last cell in and on the body, and even if you could there's plenty more in an individual's environment (which can survive for months on surfaces) to recolonize them anyway. Surely a better aim is to find out why some people do not become colonized and reproduce whatever they have in colonized people. Presumably, there's something about uncolonized peoples' immune systems and/or microbiomes which makes it hard for SA to become a problem. Maybe it's like the problems some people have with gut bacteria, where gut bacteria (shit) transplants have been shown to be effective. Maybe similar transplants of bacteria from the skin and/or nose of uncolonized individuals would be as effective for SA depopulation? It's a revolting idea, but no more disgusting than a poo-transplant!
Didn't recognize "Speak friend and enter!" and "NIN" ?!? What kind of barbarians do you invite on this show?!
Just kidding. TWIM # 73 was another amazing and wonderful podcast. I am only a geologist, so I can sometimes only vaguely hum along with yours, Michele's, and Michael's biochemistry arias. Nonetheless, TWIM is one of my favorite podcasts. When I listen on my walking commute from my home to my office in Seattle, I arrive smarter!. And grateful. I am always grateful after listening. Thank you!