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Monday, 17 June 2019

Scientists discover compound that tackles antibiotic resistant bugs

Scientists have discovered a new compound that could pave the way for new treatments to tackle superbugs.


A technician transfers samples of bacteria into a tray of test tubes
A technician transfers samples of bacteria into a tray of test tubes CREDIT:SAMYUKTA LAKSHMI/BLOOMBERG

Researchers from Sheffield University’s department of chemistry are testing the new compound on gram negative bacteria – the most difficult to treat of all infections.

There have been no new treatments for gram negative infections in the last 50 years and they are top of the World Health Organization’s list of priority pathogens for which new medicines are urgently needed.

Gram negative bacteria are multi-drug resistant bugs that pose a particular threat in hospitals and nursing homes, and among patients who need devices such as ventilators and catheters.

They can cause severe and often deadly illnesses such as urinary tract infections, bloodstream infections and pneumonia. And they are particularly difficult to treat because their cell wall is hard to penetrate.

Writing in the journal ACS Nano, the Sheffield University researchers described how they studied the structures of anti-cancer drugs based on ruthenium, a rare metal.

Jim Thomas, professor of bio-inorganic chemistry at Sheffield University, said that the team tweaked the structure of the metal-based compounds to see if they had antimicrobial properties.

“We played about with the structure and tried to make it so it would be preferentially taken up by the bacteria. We ended up with something that was toxic towards bacteria, particularly gram negative bacteria, and not toxic towards humans,” he said.

The researchers tested the compound on wax moth larvae, which have a primitive immune system and are particularly useful to study because they become darker when they are ill.

The compound is luminescent so it glows when exposed to light.

“This means the uptake and effect on bacteria can be followed by the advanced microscope techniques available [here]. This breakthrough could lead to vital new treatments to life-threatening superbugs and the growing risk posed by antimicrobial resistance,” said Prof Thomas.

The team now has to look at how the compound fares in mammals before embarking on human studies.

This is not the first time that researchers have used metals to develop antimicrobials. Silver’s antimicrobial properties have long been recognised and a team in Australia developed a topical antibiotic treatment in the 1950s, whose structure is related to the compound developed by the Sheffield team.



However, because there were so many other antibiotics being developed at the time and this was a fairly complex process the work was not taken any further.

But the growing global emergency of antimicrobial resistance, as highlighted by the United Nations last month, means scientists are revisiting previous work, said Prof Thomas.

“There’s literally nothing in the pipeline for gram negative bacteria and it’s decades since the last antimicrobial for gram negative bacteria was developed,” he said.

A class of antibiotic called carbepenems are often used for the treatment of gram negative bacteria.

“However, worryingly infections that are resistant to these therapeutics are beginning to emerge and they’re the last line of defence,” he said.

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https://www.telegraph.co.uk/news/0/scientists-discover-compound-tackles-antibiotic-resistant-bugs/

Flour to be fortified with folic acid under Government plans


Flour will be fortified with folic acid under government plans to prevent birth defects.

bread 
Ministers said the measures could spare hundreds of families from suffering 

Ministers said they hope the measures will spare hundreds of families from suffering, by cutting incidence of congenital conditions such as spina bifida and other neural tube defects.
The Government today launches a consultation on whether folic acid should be added to flour, meaning it would automatically be included in foodstuffs such as bread.
Public health minister Seema Kennedy said: "We all want to give our children the best start in life and a birth defect diagnosis is devastating for parents.
"The simple measure of adding folic acid to flour would help spare hundreds of families from such a life-changing event.
"Women from the poorest areas are less likely to take folic acid supplements and it is right that we do all we can to protect the most vulnerable in society."
Around 1,000 pregnancies are affected by neural tube defects each year in the UK and more than 40 per cent of cases are fatal. Under the plans to fortify flour, experts predict that around 200 birth defects a year could be prevented.
The 12-week consultation follows years of campaigning by charities including Shine, which represents people with spina bifida.
Pregnant women are currently advised to take a folic acid supplement before conceiving and for the first 12 weeks of pregnancy to cut the risk of their baby developing spina bifida or anencephaly, where the majority of the brain never develops.
But some women forget to take the supplement, do not heed the advice or do not discover they are pregnant until it is too late.
Folic acid fortification has been adopted in more than 60 countries worldwide, including Australia, Canada and the US.
In Australia, neural tube defects fell 14 per cent following the mandatory fortification of bread with folic acid.
Shine chief executive Kate Steele said: "Shine is delighted that the consultation on how mandatory fortification of flour with folic acid will be introduced in the UK has now been launched.
"After more than 25 years of campaigning for this, we look forward to the day that mandatory fortification with folic acid finally becomes a reality.
"Its introduction will change many lives for the better by reducing the incidence of anencephaly and spina bifida.
"This relatively simple step will give new babies and children, and their families, the chance of happier, healthier lives."
Professor Louis Levy, head of nutrition science at Public Health England, said: "Nine in 10 UK women aged 16 to 49 have blood folate levels associated with increased risk of neural tube defect-affected pregnancy.
"With so many women at increased risk, mandatory fortification of flour is a safe and effective way of reducing this number."
Dr Alison Wright, Vice President of the Royal College of Obstetricians and Gynaecologists:
“We are delighted with the Government’s announcement to consult on fortifying flour with folic acid to prevent neural tube defects in babies.
"In the UK, there are around 1,000 diagnoses of neural tube defects, such as anencephaly and spina bifida every year. Current evidence indicates that fortification will prevent around half of these neural tube defects.
“Fortifying flour with folic acid is simple, safe and evidence-based and will ensure all women receive adequate folic acid through their diet.”

https://www.telegraph.co.uk/news/2019/06/13/flour-fortified-folic-acid-government-plans/

New prostate cancer test will give men 'peace of mind' that they will never develop the disease, scientists say



science

The 10-minute scan, which could be rolled out in supermarkets and shopping centres, detects dangerous cancers years before they cause any harm while ignoring growths that do not pose a threat.
Subject to a government-funded trial beginning this summer, the new MRI (magnetic resonance imaging) technique should enable the world’s first universal screening programme for prostate cancer.
The disease currently kills more than 11,600 men in the UK each year.
All women in England are invited for a mammogram to check for breast cancer every three years from the age of 50 to 70.
However, the current screening test for prostate cancer is so unreliable that applying it to symptomless men across the board would do more harm than good.
The prostate-specific antigen (PSA) blood test is thought to miss around 15 per cent of cancers, while flagging up many which will never pose a risk.
By contrast, the new MRI test, which involves no injection or radiation and does not require a doctor, has been honed to diagnose only cancers which will affect “quantity or quality of life”, according to Professor Mark Emberton, from University College London (UCL), who is co-leading the project.
He believes that around 90 per cent of men who take the test before they reach retirement age can be told with confidence they need never worry about the disease.
“Prostate cancer is pretty slow-growing, so if you’re prostate comes back looking very clean at 55, 60 - I don’t know what age we’ll chose yet - you’re probably very unlikely to get prostate cancer,” he said.
“What’s beautiful about MRI is it overlooks the many, many cancers which don’t need to be diagnosed.
“That’s the revolution.”
Professor Emberton described the test as “pretty close” to perfect, although conceded that policy makers may opt for screening once a decade out of an abundance of caution.
Results of the scans will be classified on a traffic light basis: green indicating all clear, yellow suggesting a need for further tests, and red meaning an urgent referral to a cancer specialist.
Professor Emberton said the scans should cost less than £150 each.
It is intended that, in time, artificial intelligence machines will “learn” to analyse the scans, enabling same-day results for patients.
Survival for men who develop prostate cancer has barely changed in recent decades, although the side-effects of surgery and other treatment, such as impotence and incontinence, are becoming less devastating as techniques improve.
Around 84 per cent of all prostate cancer patients survive for more than 10 years following diagnosis.
Karen Stalbow from Prostate Cancer UK said: “This trial could provide an exciting step towards our ambition for a national screening programme that enables men to get the early prostate cancer diagnosis that can save more lives.”
The Institute of Cancer Research (ICR), the UK’s leading research body, said currently it does not support the introduction of universal screening.
However, a spokesman said the ICR may change its position depending on the results of the upcoming trial, which is part of a £6 million REIMAGINE programme funded by the Medical Research Council.
The technical efficacy of the MRI scanning technique has already been “proved” in two previous studies by UCL.
The new trial will seek to establish what proportion of apparently healthy men invited for a scan will take up the opportunity, and the age at which universal screening should be offered.
The National Institute for Health and Care Excellence, which decides what treatments the NHS must offer, has recently approved a more complex, 30-minute MRI scan for patients about to undergo a biopsy for suspected prostate cancer.
A spokesman for NHS England said: 'NHS England is already rolling out some of the latest developments in MRI scanning for prostate cancer diagnosis and care as part of the NHS Long Term Plan's ambitions to catch more cancers earlier and save lives.
“This new test is potentially an exciting development that the NHS will look at as more evidence becomes available.”

https://www.telegraph.co.uk/science/2019/06/09/new-prostate-cancer-test-will-give-men-peace-mind-will-never/