July 25th, 2024

Dual action antibiotic could make bacterial resistance nearly impossible

Researchers at the University of Illinois Chicago developed macrolones, a new antibiotic class that targets protein production and DNA structure, significantly reducing bacterial resistance and showing promise for further development.

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Dual action antibiotic could make bacterial resistance nearly impossible

Researchers at the University of Illinois Chicago have developed a new class of antibiotics called macrolones, which could significantly reduce the likelihood of bacterial resistance. Published in Nature Chemical Biology, the study reveals that these synthetic drugs disrupt bacterial cell function by targeting two different cellular mechanisms: protein production and DNA structure. This dual action makes it 100 million times more difficult for bacteria to evolve resistance, as they would need to simultaneously defend against both attacks. The macrolones combine features of two existing antibiotic classes—macrolides, which inhibit ribosome function, and fluoroquinolones, which target DNA gyrase.

The research team, led by professors Alexander Mankin and Yury Polikanov, found that macrolones bind more tightly to ribosomes than traditional macrolides and can inhibit strains resistant to these older antibiotics without triggering resistance genes. Their experiments indicated that one particular macrolone was effective at low doses against both targets, making it a promising candidate for further development. The interdisciplinary collaboration at UIC facilitated this research, emphasizing the need for chemists to optimize macrolones to effectively target both mechanisms. The findings suggest a new direction in antibiotic development that could help combat the growing issue of antibiotic resistance.

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By @didgeoridoo - 5 months
It’s unclear why the same benefit couldn’t be achieved by mixing two traditional antibiotics with different mechanisms of action. Maybe the combined dosage would stress the liver too much?
By @jncfhnb - 5 months
I’ve heard for years that antibiotic resistant bacteria don’t really seem to be a threat because they tend not be very successful in the wild. Like it’s going to be, at best, a very localized outbreak because competitive pressures don’t reward the trade offs. That’s still true?
By @pulkitsh1234 - 5 months
Don't know much about microbiology, but saw this ( https://www.youtube.com/watch?v=VPSm9gJkPxU ) video about biological "motors" which allow for movement in the organisms (chemotaxis). In the end, they speculate that future antibiotics could target a bacteria's motors to disrupt its movement. Not sure how difficult will it be for the bacteria to gain resistance to this approach.
By @ninetyninenine - 5 months
In the future they may find two antagonistic vulnerabilities. Evolving resistance to one vulnerability makes you more vulnerable to the other.
By @pfdietz - 5 months
Well, aside from the generic defense mechanism of pumping unwanted chemicals out of the bacterial cell, or an enzyme for degrading the antibiotic.

Multiple mutations could also occur if the cells are being exposed to sublethal amounts of the antibiotic, say in sewers (which would also be an environment for evolution of enzymes to degrade the chemical.)

By @kylehotchkiss - 5 months
Step 1: We are overconfident that bacteria won't become resistant to this formula

Step 2: Formula sold to developing countries pharmaceutical industry

Step 3: Antibiotic given to every man, woman, and child with even the most trivial of symptoms

Step 4: Widespread bacterial resistance to dual action antibiotic.

Step 5: rinse, repeat

We need better antibiotic distribution practices before we unleash more formulas on the world. Anything this strong should never be given to farm animals and should not be given to any developing country not willing to implement strong access control on a patient by patient basis (ie verified infection with bacteria that can be controlled with the formula and verified completion of course)

By @m3kw9 - 5 months
sounds like they are underestimating nature here
By @hughdbrown - 5 months
Humans: Dual action antibiotic could make bacterial resistance nearly impossible.

Bacteria: Hold my beer.

By @elzbardico - 5 months
Never understimate what armies of over-prescribing GPs can do.
By @zabzonk - 5 months
> 100 million times

do you know how many bacteria, all mutating and swapping genes, there are out there?

also, dual therapy, particularly for TB has been used for years, but TB is still with us.