What if there was an antibiotic that doesn't disrupt the gut microbiome? There is now. A discovery published at Nature today https://lnkd.in/g8D9hhTc
Thanks Eric Topol, MD. Yes, this is an exciting development but...let's not get too excited quite yet. How well is it understood how selective this drug is for pathogens ? Furthermore, how do we define 'pathogens' ? Bacteria can be harmless in one anatomical site, but can be potentially deadly when transferred to another, so the pathogen-commensal distinction is blurred to say the least. Furthermore, the authors were able to select mutated, drug-resistant bacteria, some of which reproduce as efficiently as drug-sensitive ones, so there is always a potential for resistance to develop and spread, if this drug ever gets to the clinic. This report is good very news but, unless we get a tighter grip on the use of antibiotics, I fear that every new one will have a limited use life because of the almost inevitable development of resistance, however encouraging results look at the beginning. Tina Lovleen Joshi
Why do beta-lactam antibiotics work so well? Given that bacteria have been throwing such poisons at each other for billions of years, why does Amoxicillin still work today? The main reason is that resistance mutations impose a fitness cost, which leads to re-emergence and dominance once the antibiotic selective pressure is gone. The key question about this new highly promising antibiotic is whether resistance mutations lead to a significant fitness cost.
This Cell publication shows our early work on our narrow-spectrum antibiotic (Hygromycin A). We’ve since demonstrated POC in Lyme at multiple institutions, against syphilis at the University of Washington and in oral health / periodontal disease with the The ADA Forsyth Institute team in Boston. Stay tuned. https://www.cell.com/cell/pdf/S0092-8674(21)01058-8.pdf
The discovery of an antibiotic that doesn't disrupt the gut microbiome, as published in Nature, represents a significant advancement in medical science. It offers a more targeted approach to treating infections without compromising the delicate balance of the gut microbiome, potentially reducing the side effects associated with traditional antibiotics.
Eric, We’ve been publishing on Hygromycin A for a while now and we’re in the clinic. https://finance.yahoo.com/news/flightpath-biosciences-begins-human-clinical-140000599.html
Am I the only one who found themselves singing The Kinks hit song Lola when reading this? “Lo lo lo lo Lola!” Great preliminary efficacy in rodents. Hopefully translates to humans and maintains effectiveness against drug resistant gram - strains for many years.
Great discovery, anyone interested in expanding, filtrating and lyophilizing for clinical trials?
This is fascinating. Would dearly like to see more effort put into antimicrobials that act on virulence mechanisms as an alternative approach to sparing the microbiome.
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1moWhat about making beneficial gut microbiome antibiotic resistant through microdosing?