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MIT and New York University researchers have identified a weakness in the defences of the anthrax bacterium that could be exploited to produce new antibiotics.
The researchers found that nitric oxide (NO) is a critical part of Bacillus anthracis's defence against the immune response launched by cells infected with the bacterium. Anthrax bacteria unable to produce NO succumb to the immune system's attack.
Stephen Lippard, the Arthur Amos Noyes Professor of Chemistry at MIT and an author of a paper on the work, said antibiotics developed to capitalize on this vulnerability could be effective against other bacteria that employ the same defence system. Those bacteria include Staphylococcus aureus, which commonly causes infections in hospitals and can be extremely drug-resistant.
Anthrax occurs naturally around the world and can infect all warm-blooded animals including humans. Treatment usually includes large doses of intravenous and oral antibiotics, but the disease can often be fatal - especially if treatment is not started right away.
In the human immune system, specialized cells called macrophages are the first line of defence against anthrax infection. Macrophages engulf the bacteria and bombard them with reactive oxygen and nitrogen species, which create chemical reactions toxic to the bacteria.
The research team found that NO produced by the bacteria pre-emptively defends against attack by reactive oxygen species produced by the macrophages soon after infection. Twelve hours later, when the macrophages release NO to join in the attack, it is too late-by then the bacteria have taken over and eventually destroy the macrophages.
When the gene for the enzyme that synthesizes NO is knocked out in the bacteria, they cannot defend against early attack by the macrophages, which can then survive the infection.
"With the aid of an intracellular probe developed in our laboratory, which fluoresces in the presence of NO, our collaborators Evgeny Nudler and his group discovered a completely new target for the next generation of antibiotics," said Lippard.
With this knowledge in hand, the researchers are now using the fluorescent probe to screen libraries of chemicals for compounds that could potentially interfere with the bacterium's ability to synthesize NO, said Lippard. Such compounds could eventually be developed into new antibiotics.