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Erm, does anyone have any new antibitoics?

The golden age of antibiotics is drawing gradually but definitively to an end.

Since Alexander Flemming revoloutionised the way we view diseases with his discovery of penicillin in 1928, we have stopped worryingabout ailments like whooping cough and tuberculosis. It's worth remembering though that pre-1920s these kind of bacterial infections were rife, and wiped out large numbers of people, regularly. Plague epidemics, for example, have occurred several times in the last ten thousand years, with notably widespread outbreaks in the mid 1300s, 1665 ('the great plague of London') and again just before the beginning of the 20th century. There were also localised bouts constantly happening all over the world up until Flemmings' breakthrough.

So we've seemed to have the upper hand on bacteria for the last 100 years or so - but bugs that we can't beat are coming back. For instance, MRSA [1] has been thwarting the efforts of hospital staff to disinfect-it-out-of-existence for a number of years now. Although they're not bactrial (but rather viral) in nature, the SARS [2] and swine flu epidemics are two other examples - rather more immediate and frightening ones - of why we need to sit up and start thinking about whether we are too comfortable with the ways we treat disease.

The problem is that bacteria are very quick to develop resistance to antibiotics. Drugs like penicillin, great 40 or so years ago, quickly became no good at treating a whole host of bacterial infections. So called wide-spectrum antibiotics have been a big problem; they act upon just about any bacteria they meet, so even if all the bacteria which are the source of the problem are destroyed, lots of others will inevitably remain which have had a chance to build up resistance. Up until now we've had reserve drugs, which we only use in emegencies, so bacteria don't have a chnace to develop resistence. Even these though, are beginning to become less effective. It may only be a matter of decades before we no longer have a last line of antibiotic defence. We need new drugs, and quickly.

In science, researchers often look to nature for inspiration, and for this reason it turns out that the majority of the antibiotics in clinical use today are what are called 'natural products'. These are complicated chemicals which float around in all living organisms. Especially interesting ones can be found in single-celled organisms. Typically scientists take one of these cells, (a type known as streptomyces is very popular) and extract some of its bodily fluids and try and identify the various compounds contained in them. This kind of process led to the identification of some of the most powerful antibiotics we know of, such as Vancomycin and Chloramphenicol.

Now its getting progressively more difficult to identify new, useful antibiotics. One way some scientists think we should move forward is to, again, take a quick look at nature and see what we can learn. But this time we need to look in new places.

Recently sceintists have begun to explore in depth a fact which we have known in essence for many years. That is that many species of insect actually use docile bacteria as a protection against the more vicious ones [3]. Storing the organisms in their skin or intestines, or even farming them in the open, insects appear to grow the good bacteria as a protection against the bad. The question is, what compounds are responsible for keeping the bad guys at bay?

Take for example the european Beewolf. Not a bee at all, but an insect which paralyses bees and transports them back, alive, to their sand-burrow nests. There, the imobilised bees are a welcome food source for little beewolf larvae.

The Beewolf - not a bee

The hot sandy burrows are warm and moist - perfect conditions for all types of life, including bacteria. So how is it that the beewolf larvae do so well, apparently immune to the presence of the microorganisms? Researchers have now found that the mature Beewolves smear a sticky white broth containing a previously unencountered type of Streptomyces bacteria all over the cocoons of the developing larvae [4]. The insects and the streptomyces live in a symbiant relationship - the bacteria keep the larvae safe by fighting off infections with their antibiotics, and in return they live off a diet of nice, juicy Bee. Scientists don't yet know what the active compounds the bacteria produce are, but they could prove to be potent antibacterials for human use, too.

Another symbiant partnership exists between leafcutter ants and the common fungus they feed on. The ants carefully farm the fungus, which they use as food. In many parts of the world a highly competitive fungus called Escovopsis out-competes it's fungal enemies. This never happens in ant-farmed funus patches though - why? Again, scientists have been on the trail and have found the ants have been growing bacteria alongside the fungus.

When these new-to-science bacteria were grown in a laboratory, scientists identified a new compound - dentigerumycin - and sure enough, when applied to some Escovopsis it was a potent fungicide.

There are lots more symbiotic insect-microorganism relationships out there which we haven't yet discovered. I'm not suggesting we start coating our young in sticky bacterial broths, but if we continue studying these relationships closely it is easy to imagine a whole host of potential new drugs waiting to be harvested. Then we can keep one step ahead of those pesky mutating bacteria.

Notes and references

[1] MRSA = Methicllin-resistant staphylococcus aureus
[2] SARS = Severe, acute respiratory syndrome
[3] H. B. Bode, Angew. Chem. Int. Ed., 2009, 48, 2 - 5.
[4] M. Kaltenpoth, W. Gttler, G. Herzner, E. Strohm, Curr. Biol. 2005, 15, 475 – 479

Homeopathy

Last week it was climate change, this week alternative medicines threatening developing countries. Is it me, or is benchtwentyone developing a sentimental side?

I sincerely hope not. None the less I think it's important people know a little bit about homeopathy and how dangerous it can be if approached from a naive standpoint. Homeopathy is a form of alternative medicine which claims to be able to treat various illness by presenting the patient with highly dilute 'preparations'. Sometimes the disease-causing item itself is used in the preparation, sometimes not. The important criterion for homeopathic preparations is that the substance used in them causes the symptoms the patient presents - whether it is the real cause or not is irrelevant. For example to treat a runny nose (caused by a virus, say) a homeopath might employ onion essence, as this induces the same symptoms.

And what do I mean by highly dilute? Well, for a patient suffering from hayfever, the homeopathic practitioner might take a grain of pollen and dilute it in 100 ml of water. He would then take a drop of this and dilute it again with a further 100 ml of water. If he repeats this action 30 times he ends up with what homeopaths call a 30C preparation, which would be administered to the patient. The general idea is that by presenting the sufferer with an extremely small amount of a substance which causes their symptoms, they will some how become acclimatised to it.

You might be thinking this seems a little rubbish. Would onion extract really cure me of my cold? Well, benchtwentyone (and many others around the globe) is here to point out that these astute individuals are 100% right. Once you have carried out dilution to that extent, you end up with essentially a jar of water. In point of fact, the chance of there being even a single molecule of the active ingredient in a 30C preparation is less than the chance of winning the lottery five weeks in a row [1].

When charged with this fact, homeopaths sometimes respond by stating that water has a 'memory' which somehow transfers an impression of the active ingredient (what little there is of it) to the body. I don't want to skirt the issue on benchtwentyone, so let's be frank - this is utterly unsubstantiated nonsense. Water doesn't have a memory, and once a substance is taken out of it there is no impression left on the water molecules. No serious scientist has ever presented a shred of evidence that anything like this is possible

So homeopathy is scientifically on very dodgy ground. If we are rating this treatment by how sure we are that it works based on pharmacological trials and scientific proof it scores a rather fat zero. In a recent report by premier medical journal The Lancet, researchers found that there is absolutely no evidence that homeopathy works at all on a biological basis [2].

It seems clear that in cases where homeopathy appears to do some good in patients (and believe it or not there are some patients who claim it does) it is merely a placebo effect. That is, the patient believes that they have been given a cure or treatment and thus something in their mentality makes them feel better even though there is no physiological change.

I was disturbed to learn this week then, that Homeopathy, while at least not life-threatening in developed countries, is now being advertised in the developing world as an alternative therapy for conditions such as HIV/AIDS, TB and diarrhoea. Homeopathic clinics offer pricey treatments for vunerable people - and are making fairly big sums of money off the back of it. This is serious stuff, as people are being given false hope in the face of life-threatening conditions. What is more there are perfectly safe and - importantly - scientifically proven treatments which can treat and help control the spread of these conditions.

A group of scientists from the VoYS (Voice of young science) wrote to the World Health Organisation last week calling for them to issue a strong statement to condemn homeopathy as the fraudulent and dangerous thing it really is. You can read the letter, which was reported on in the guardian, here. Hopefully this will signify the begining of the end for homeopathy clinics in the developing world.

References

[1] Sense about Homeopathy, a briefing document from Sense about science, published online here.

[2] A. Shang et al., The Lancet, 2005, 366, 726 - 732.

Beyond Petroleum

When I was last at my parents house in Suffolk I picked up a few DVDs to watch during my spare time in Bristol. On my way to digging out 'Withnail and I' from this pile last week I stumbled upon Al Gore's An Inconvenient truth. I'd obviously picked this up by mistake, but I must have been in the mood for science, as I quickly forgot any desire I'd had to see Richard E. Grant getting utterly drongoed for 80 minutes, and instead slipped the Gore disc into the set.

Whilst I didn't really warm to the Americanism of the whole thing, I really think you have to give credit where it's is due. Gore performs his slideshow excellently (as well he might, since, as he says repeatedly [insert American drawl here] 'I must have given this slideshow a thousand times') and certainly leaves the viewer with no doubt that climate change is real and that CO2 causes it.

It was with mixed feelings then that I strolled down a corridor in the University of Bristol this week to listen to a lecture by BPs chief Chemist, Vernon Gibson FRS [1]. Gore's film had temporarily filled me with a zeal to 'do the right thing' although I wasn't quite sure what that could be. Being British, I had some vague idea that a good way to start would be to write to my MP and tell him how exceedingly strongly I felt about the issues..

'Vern'

He's read ALL those books, you know.

Well, perhaps Vernon's lecture would provide some more concrete ideas about how we can stop killing the planet. Well, maybe. I had no idea what to expect.

In the event the talk was great. What I liked about listening to Vernon was that it was clear he wasn't making anything up - which is refreshing when the media is a minefield of outrageous environmental claims at the moment. BP has employed him to study climate change data in depth and he has a very accurate idea of what can realistically be done about it.

Bearing this in mind I felt like it might be useful to relate some of the more interesting points - the gems, if you will - that he brought up here on benchtwentyone. For once we can listen to some views on climate change policy and be sure they're scientifically sound.

The gems:

We don't need to worry about running out of fossil fuels.

This was a big surprise to me as I was always taught by my teachers at high school that we would have run out of oil by about 2015. This is decidedly not the case. BP estimates that we have enough oil left on the planet for another 42 years and enough coal for about 133 years. What we do need to worry about are issues like security of supply - the North sea is just about out of oil, and in the future we will depend on oil from the Former Soviet Union or the Middle East. This means oil will become extremely expensive within a decade or so.

Renewable energy introduction can't happen quickly.

At the moment energy production from renewable sources is growing by around 8% a year which is actually pretty quick. Unfortunately, since the demand for energy is also increasing in strides it will be impossible for us to become completely secure in these sources in the forseeable future. BP forcasts that by 2030 around 30% of our energy will come from renewables - this won't cut it. What we need instead is a decisive change in government policy to make us change and more importantly make businesses change.

Realsitically, this won't happen. In fact vernon advocates building more coal power stations. He actually stated that due to the depletion of North Sea oil and nuclear power stations like Sizewell B reaching the end of their safe working lifetimes 'the lights will go out if we don't build them'. To remedy this it is absolutely vital that we start capturing the carbon emitted from these behemoths using carbon capture and storage (CCS) technology. Companies won't invest in these systems (which cost billions of pounds) without incentives though, so governments should start legislating to put these in place.

We need new infrastructure.

At the moment we have oil pipelines which provide a relatively cheap and secure way of getting fuel to where it's needed. Any switch to different forms of fuel will entail new infrastructure. BP have calculated various different options and most come out at costing $3 trillion a year to implement.

Windfarms - a lot of hot air.

Windfarms are not ideal as a long term solution. An area the size of a football pitch can hold 2 windturbines - this may not sound too bad, but when we consider that 1 coal-fired power station produces the same amount of energy as 350 windturbines operating at full power (and they don't do this very often) we begin to see that we would need to cover Belgium in windturbines to supply all of France, say. (I'm not sure I see the problem Vernon?)

Medium and long term solutions are not the same thing.

We don't have the know-how, political will or capital to work out all of the solutions tomorrow, that much is clear. So while wind turbines aren't realsitic long-term, they are great for the time being, especially in countries where there's lots of wind and offshore. The same goes for bioethanol - ideally we'd like our vechiles to run from super-efficient batteries charged from solar power stations. We don't yet have the technology to make this happen, so it makes sense to let Bioethanol work for us in the mean time.

Solar energy seems like the most likely answer to our problems, long term.

We're begining to have the technology to utilise the sun's energy and Gibson says this is very much where he sees our future, long term. We have technologies in the making which should lead to us being able to efficiently heat our homes, produce electricity and prodcue hydrogen for use a clean fuel (figure 1). Great.

Figure 1

Energy from the sun can help us heat our homes and be captured and stored as energy. We can also generate electricity using photovoltaic cells and use this to split water split water into oxygen and hydrogen gas. Hydrogen is super high in energy and could be a clean, powerful fuel for the future.

Hope you enjoyed the gems.

Notes

[1] FRS stands for 'Fellow of the Royal Society'. The Royal Society is a prestigious club for scientists of high renown. Originally the club served as forum for an early form of peer review (see the benchtwentyone article on the subject for more information), in that scientists could meet with each other to openly discuss ideas and receive feedback. Voicing one's ideas in this elite club meant that scientists could give each other advice and share ideas without fear of being copied before they could get their theories perfected.

Ur-ine trouble if you've been eating asparagus

I was reading last week in Hugh Fearnley-Whittingstall's delightful food column that asparagus is in season again. I really enjoy this whole eating in-season produce and being eco-responsible lark (despite it being so fashionable it almost makes you cringe). It's great; you get to eat really fresh food which is also quite cheap, since there's loads of it around.

Asparagus stalks in the wild

So I've been tucking in to the zingy spears all week and have been loving it. I was surprised to learn from a friend who had been similarly glutting-out on asparagus, that he also always enjoys eating asparagus, since 'it always makes my wee smell all mental.' I was surprised by this as I had experienced no real bathroom shocks, asparagus-related or otherwise, over the past few days.

But enough of this cheap toilet humour. As usual I needed to quench my insatiable thirst for scientific knowledge (or something) so I set about finding out what causes these magic odours which some people can smell and some can't.

First off, it is clear that a chemical of some sort is responsible. Scientists generally agree the one causing the grievance in this case is methyl mercaptan.

As an interesting aside though, unlike our other senses, smell is not really that well understood by scientists. We know how things like vision, touch and hearing work in quite a lot of detail, but smell remains something of an enigma.

We do know that there are various receptors in our noses, and it seems obvious that these mediate smell in some way. So far though, it has proved difficult for scientists to work out their exact structures. (Conversely, we do know the structures of lots of other proteins, for example opsin, as shown in the recent benchtwentyone article on retinal). To add to the confusion several molecules which have similar structures have wildly different scents. Conversely, molecules of vastly different sizes and shapes can sometimes smell very similar (figure 1). As a result of this confusion, there have been several not-widely-accepted theories of smelling even relatively lately [1].

Most receptors in the body are large proteins. These mediate everything from the digestion of food to the degradation of neurotransmitters and work on the theory of 'lock and key'. This means the cleft in the center of the protein has a specific shape and size which binds only a particular guest. But if this is the case for odourants, we would expect similar molecules to smell the same - which is not always the case.

Figure 1

Methyl mercaptan (the guilty party derrived from asparagus) and ethane dithiol are both sulfurous compounds which smell awful; like rotten eggs. Acetophenone has a relatively small methyl group compared to benzophenone which is much larger. They both smell similar though - people tend to describe the odour as a lot like burnt almonds.

To get back to asparagus though, it seems there are two possible explanations for the discrepancy between mine and my friend's post-asparagus wee. The first option is that one of us has a particular enzyme or bacteria in our intestinal tract which breaks down a compound present in asparagus to methyl mercaptan and the other doesn't. This might make quite good sense, as naturally occurring amino acids which contain sulfur (such as methionine) are known to be broken down in the mouth to methyl mercaptan by bacteria [2], causing bad breath. The alternative is that we both have the compound in our urine, but I don't have the correct receptors in my nose to smell it.

Stopping short of inviting my contact into a slightly too close for comfort wee smelling investigation, I consuted the British Medical Journal and found that the experiment had already been done by the professionals [3]. The researchers in question found that the chemical was present in the urine of all the 203 asparagus-fed volunteers they investigated. Also, when presented with samples of an 'unknown liquid' (the researchers obviously felt it wouldn't be proper to reveal it's true identity) the volunteers who could smell the guilty chemical in their own urine could smell it also in everyone else's.

So like it or not, if you're like me and have been chowing down on asparagus all week, you're going to have some seriously funky bathroom smells sometime soon.

[1] L. Turin, Chem. Senses., 1995, 773 - 790

[2] T. Koga etal., Infection and Immunity, 2000, 68 (12), 6912-6916.

[3] M. Lison, S. H. Blondheim and R. N. Melmed, British Medical Journal, 1980, 281, 20 - 27.

Paradigm shifts

Some scientists like to think that they pressume nothing, and have the cold pursuit of facts as their only rule. In fact this is largely nonsense. If we really stop to think about it we realise that all knowledge is based on certain assumptions and approximations. In lots of cases (most, even) these assumptions are reliable and good, but what happens when something occurs which contradicts all our percieved limitations?

A few years back a man called Thomas Kuhn demonstrated what can happen by cheekily constructing a deck of playing cards in which the suits of hearts and diamonds were coloured black and the clubs and spades were red - this of course going against the whole mind set you automatically take on as soon as you glimpse a pack of small cards with that characteristic pattern on their backs. Kuhn conducted an experiment where he quickly flashed random cards at his subjects, who he asked to try and identify them. He found most people identified the black cards as either spades or clubs automatically, even though they weren't, but displayed some degree of brow-furrowing. The second time round people were utterly confused and some even became angry. He even cited one of his subjects as crying and screaming hysterically, such was her distress at realising that somehow everything she thought she knew about cards was suddenly and inexplicably wrong with no apparent explanantion.

Kuhn conducted this experiment in order to try and illustrate his theory of 'paradigm shifts' and wrote it up in his 1962 book The Structure of Scientific Revoloutions. A historian by trade, Kuhn believed that scientists (like all of us) make a set of assumptions about their field of research. This could be based on the previous work done, where and by whom you have been taught or just on random prejudices. Generally this set of rules is shared by the majority of informed people in a field and forms what Kuhn dubbed a paradigm. A paradigm then, is like a window, the assumptions we make about things like the sills which frame the view. A paradigm shift is what happens when suddenly someone finds out something which they can't explain using the current scientifc theories - the window frame shifts to make room for new ideas.

Paradigm shifts have occured on a global scale lots of times in history as Kuhn expertly details in his book. For example it must have been one heck of a shock when one day a bloke called Nicolaus Copernicus came along and told everyone that in fact it was not the earth which was at the centre of the universe, but the sun (of course, we now know that's not exactly the full picture either). Equally, when scientists such as Bohr, Einstein and Planck started observing that the laws of nature which work for very large objects (like footballs and planets) didn't work for very small objects (like electrons and atoms) they found they needed new laws to explain what they were seeing. We now call that quantum mechanics.

Some argue that we are currently moving from a modern to a post-modern era and this is a form of cultural paradigm shift. Modernism was characterised by the formation of large, characterless conglomerations and as a result the making of large sums of money. Post-modernism is rather the opposite: a distrust of organised bodies of all kinds (especially the government and especially the financial systems) and a search for a more personal and resonant meaning and truth.

There are paradigm shifts going on all over the place. Now you know what they are you can try and spot one and tell someone else. You'll make yourself look very intellectual. Either that or just appear wierd and alienate yourself a little.

The Hayfever Machine

Many, many, many of us in the UK suffer from hayfever and I, your intrepid science crusader, am one of them.

Hayfever (seasonal allergic rhinitis) occurs when an allergen such as pollen gets into our system and comes into contact with a white blood cell (specifically, mast cells). Usually this doesn't cause much of a problem, but in people with allergies these cells have become hypersenstised and go rather mental, releasing an awful lot of histamine.

Histamine - the cause of our collective misery

Histamine is an important chemical in our bodies. It regulates sleep to some degree (which is why when you take antihistamines the boxes always warns you not to use heavy machinery afterwards - there's a small chance you could fall asleep) and has been shown to be released during sex too. Great.

Unfortuantely for us snivellers, it has a much more obvious role which is to act as an inflammatory agent. In principle this is good as when something horrid gets into our bodies we generally need to have our noses run (so that all the bad stuff, er, flows out) and our blood vessels inflammed (so that more blood carrying bug-eating cells get to the danger zone).

It's just a shame for me and my fellow sufferers that our bodies have declared war on ice creams in the park, wimbledon, a sunday afternoon stroll by the river and genereally anything else that involes being vaguely near grass during the summer months.

Since I was a boy I have been dosed up to the eyeballs from the end of April 'til arond September with prescription antihistamine medicines. I then switched Pfizer's expensive wonder cure Benadryl (mainly captivated by the adverts involving SWAT teams in helicopters swooping to the rescue of an atishooing sufferer). I've now cottoned on that a cheap antihistamine plus some decongestants will get rid of most of my symptoms. This does still add up however.

I've now received in the post what I dub 'the hayfever machine' which claims to be able to relieve the horrors of this condition using nothing more than a red light bulb. Of course there is the slight issue that in order to use it you have to sacrifice any iota of cool you may have (in my situation as a PhD Chemist this is more or less irrelevant, but still there is a duty to report, I feel) and cram two bulb-encasing prongs into your nostrils. These two prongs have red LEDs on their ends. You sit, uncomfortably, for three minutes, up to four times a day with these fellows in your nose and the light pouring in. The manufacturers claim it's 'safe, quick and easy to use and some sufferers will notice an improvement after just a few treatments'.

I sacrifice my last iota of 'cool'

Is there any evidence that this contraption works? One study I peroused (1) stated that after following the recommended course of treatment with the machine 72% of subjects felt their symptoms had been reduced and the study coordinators even went to the lengths of conducting an endoscopy (that is, sticking a miniture camera up the patients noses) and managed to confirm pictorially that this was the case for 70% of them.

How does this treatment work? In two ways apparently and by emmitting light of two different wavelengths. One wavelength of around 635 nanometers interacts with a light-absorbing chromophore (see article on Rhodopsin) in the white blood cells which causes a complex biological cascade of reactions which have been found to stabilise the cells and reduce histamine release. The second wavelength induces a dilation of nasal blood vessels which helps bring our bodies back to their resting state (2, 3).

I'll be reporting my degree of hayfever-induced misery on benchtwentyone as I begin using the device and we'll soon see if there's any truth in these claims.

Roll on summer.

References

(1) I. Neuman and Y. Finkelstein, Narrow-band red light phototherapy in perrenial allergic rhinits and nasal polyposis, Ann. Allergy Asthma Immunol., April 1997, 78, (4), 399 - 406.

(2) E. N. Goncharenko et. al., Bull. Exp. Bio. Medicine, effect of middle wave ultra violet and red light on degranulation peritonial mast cells in rats, 2006, 129, (4), 357 - 358.

(3) http://www.lazrpulsr.com/files/How_does_light_therapy_work.htm