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A Dangerous Antibiotic-Resistant Gene Has Spread The World. We Now Know Where It
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We did this.
DAVID NIELD 31 MAR 2018
The mcr-1 gene, which helps bacteria resist colistin – one of the few remaining antibiotic drugs of last resort that still work – has now reached hospitals all across the world.
And thanks to new research, we now have more evidence of where it came from – pig farms in China.
While experts had previously thought the gene developed on Chinese pig farms, due to their extensive use of colistin on the animals, the latest study offers more evidence to back this idea up.
It pinpoints the start of the spread to sometime in 2005.
Although there's nothing good about the rise of mcr-1 and antibiotic resistance in general, the genetic analysis techniques used in this research could help scientists get a better handle on the spread of superbugs in the future.
"The speed at which mcr-1 spread globally is indeed shocking," says lead researcher Francois Balloux, from University College London (UCL) in the UK.
By sequencing the genomes of 110 bacterial strains and comparing them to existing genomic data, the team identified a large dataset of 457 mcr-1 positive genome sequences, taken from humans and farm animals spread across five continents.
That enabled them to show exactly where mcr-1 had emerged from, and how it spread globally – attaching itself to various bacterial pathogens by "hitchhiking" on different mobile genetic elements.
"By deciphering the genetic code of these bacteria we found it was possible to predict not only how and where but also when mcr-1 started to spread," says one of the researchers, Lucy van Dorp from UCL.
"This is so important as the presence of mcr-1 across the globe, in many different bacteria species, all within only a decade highlights the ease and speed with which these resistant genes can be disseminated."
Now we've been able to track how mcr-1 spreads, we might be able to better prepare ourselves for the next antimicrobial resistance gene (AMG) to emerge. That's going to take a worldwide effort and a lot of cooperation between countries, the researchers say.
Because of its potentially severe side effects, colistin is only used as an antibiotic of last resort for infections such as E. coli, but the spread of mcr-1 is rendering it ineffective.
The gene can hop between bacteria of different species, making it very difficult to stop.
As hospitals continue to struggle against the rise of the superbugs, and experts warn that the situation is gradually going to get worse, scientists are scrambling for ways to upgrade our medications to meet the challenge. DNA sequencing could be one way to do that.
"Given the dearth of new antibiotics in the pipeline, our best hope to avert the current public health crisis is to improve stewardship of existing drugs, by harnessing the potential of bacterial genome sequencing and translate it into improved surveillance and diagnostics tools," says Balloux.
The findings have been published in Nature Communications.
Links
- https://www.nature.com/articles/s41467-018-03205-z
- https://iris.ucl.ac.uk/iris/browse/profile?upi=FBALL82
- https://www.ucl.ac.uk/biosciences/departments/gee
- https://www.ucl.ac.uk/lifesciences-faculty/
- https://www.ucl.ac.uk/news/headlines2/0318/260318-antibiotic-resistance-gene/
[Source: http://www.ucl.ac.uk/news/news-articles/0318/260318-antibiotic-resistance-gene]
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"A serious and good philosophical work could be written consisting entirely of jokes" - Wittgenstein
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http://www.bbc.com/news/health-43571120
He had a regular partner in the UK, but picked up the superbug after a sexual encounter with a woman in South East Asia.
Public Health England says it is the first time the infection cannot be cured with first choice antibiotics.
Health officials are now tracing any other sexual partners of the man, who has not been identified, in an attempt to contain the infection's spread.
He picked up the infection earlier in the year.
The main antibiotic treatment - a combination of azithromycin and ceftriaxone - has failed to treat the disease.
Dr Gwenda Hughes, from Public Health England, said: "This is the first time a case has displayed such high-level resistance to both of these drugs and to most other commonly used antibiotics."
Discussions with the World Health Organization and the European Centres for Disease Control agree this is a world first.
What is gonorrhoea?
The disease is caused by the bacterium called Neisseria gonorrhoeae.
The infection is spread by unprotected vaginal, oral and anal sex.
Of those infected, about one in 10 heterosexual men and more than three-quarters of women, and gay men, have no easily recognisable symptoms.
But symptoms can include a thick green or yellow discharge from sexual organs, pain when urinating and bleeding between periods.
Untreated infection can lead to infertility, pelvic inflammatory disease and can be passed on to a child during pregnancy.
Analysis of the man's infection suggests one last antibiotic could work. He is currently being treated and doctors will see if it has been successful next month.
So far no other cases - including in the British partner - have been discovered, but the investigation is still under way.
Dr Hughes added: "We are following up this case to ensure that the infection was effectively treated with other options and the risk of any onward transmission is minimised."
Doctors have long been warning this could happen.
In 2015, there was an outbreak of azithromycin-resistant gonorrhoea centred on Leeds.
The fear is the bug could eventually become untreatable by any antibiotic.
Dr Olwen Williams, the president of the British Association for Sexual Health and HIV said: "The emergence of this new strain of highly resistant gonorrhoea is of huge concern and is a significant development.
"We are concerned that the problem will worsen due to the dramatic cuts that have been delivered to the public health budget.
"Worryingly this has left sexual health services at 'tipping point', with clinic closures coming at the worst possible time."
One of the most straightforward ways of preventing the rise of antibiotic resistance crossing over from animals is to first reduce the amount of antibiotics used in the growth stages when manufacturing animals, and when antibiotics are used, keep the ones used separate from the ones used to treat humans.
Additionally, get yourself checked and wear protection.
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https://docs.google.com/spreadsheets/d/1Tl1zqH4lsSmKOyCLU9sdOSAUig7Q38QW4okOwSz2V4c/edit
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It's a sort of prisoner's dilemma there, because if anyone overuses antibiotics (especially ones deemed last line of defense), it just adds to the probability of resistance to them. How would being grass-fed help in this context?Sven One wrote: If your concerned about antibiotic resistance. Spend a little more and buy grass fed, organic meats from the store. Your[sic] worth it.
Also Akkarin hit it on the head here:
Akkarin wrote: One of the most straightforward ways of preventing the rise of antibiotic resistance crossing over from animals is to first reduce the amount of antibiotics used in the growth stages when manufacturing animals, and when antibiotics are used, keep the ones used separate from the ones used to treat humans.
Additionally, get yourself checked and wear protection.
Knights Secretary's Secretary
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TM: Carlos Martinez
"A serious and good philosophical work could be written consisting entirely of jokes" - Wittgenstein
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https://docs.google.com/spreadsheets/d/1Tl1zqH4lsSmKOyCLU9sdOSAUig7Q38QW4okOwSz2V4c/edit
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Akkarin wrote: One of the most straightforward ways of preventing the rise of antibiotic resistance crossing over from animals is to first reduce the amount of antibiotics used in the growth stages when manufacturing animals, and when antibiotics are used, keep the ones used separate from the ones used to treat humans.
Additionally, get yourself checked and wear protection.
And... avoid Asia?
You can eat all the grass fed beef you like, but if the person next to you has a superbug... the superbug just doesn't screen your eating habits before deciding you'd be a good host.
The pessimist complains about the wind;
The optimist expects it to change;
The realist adjusts the sails.
- William Arthur Ward
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Because most meats a injected with Antibotics, steroids, and iodine and nitrates. When, consumption of these meats it makes Antibotics less or non effective. But, keep in mind I did read every last post.
U.S. Food & Drug Administration. (2017, October 12). Steroid hormone implants used for growth in food-producing animals. Retrieved from U.S. Department of Health and Human Services website: https://www.fda.gov/AnimalVeterinary/SafetyHealth/ProductSafetyInformation/ucm055436.htm
Haspel, T. (2015, February 23). Is grass-fed beef really better for you, the animal and the planet? Retrieved from the Washington Post website: https://www.washingtonpost.com/lifestyle/food/is-grass-fed-beef-really-better-for-you-the-animal-and-the-planet/2015/02/23/92733524-b6d1-11e4-9423-f3d0a1ec335c_story.html?utm_term=.3421dd2f8797
It is pretty sick that the animals that most eat endure the atrocious living conditions that require them to get routine antibiotics. I'll concede to that. Organic isn't necessarily better, nor safer, though.
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Luthien wrote: Organic isn't necessarily better, nor safer, though.
In the EU, though I can't speak for the safety of the food, the rules for organic are far stricter than even those for free-range classifications, necessitating much higher animal welfare. Further it's my understanding that many of the health concerns with animal manufacture are due to the squalid conditions they live in which foster bacterial infection hence the need for antibiotics, conditions which aren't present in organic farming models.
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Akkarin wrote: ... many of the health concerns with animal manufacture are due to the squalid conditions they live in which foster bacterial infection hence the need for antibiotics, conditions which aren't present in organic farming models.
Indeed, that is what I touched upon, there, when I said, "... animals that most eat endure the atrocious living conditions that require them to get routine antibiotics." When it comes to organic vegetables, it is more dangerous since pesticides are still used (the organic kind) and at higher amounts. The pesticides in conventional farming are much safer. The term, "organic," is much more a marketing tactic to get you to buy one item over one that doesn't use it. Same goes for "non-GMO."
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Our bodies consume the antibiotics from stuff like meat and when we get sick really bad our bodies don't react to the prescription pills the doctors prescribe and it gets worst even to the extreme of death. Say what you want, but I've done a lot of research on this...espically the fda and their sponsors.
https://docs.google.com/spreadsheets/d/1Tl1zqH4lsSmKOyCLU9sdOSAUig7Q38QW4okOwSz2V4c/edit
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https://docs.google.com/spreadsheets/d/1Tl1zqH4lsSmKOyCLU9sdOSAUig7Q38QW4okOwSz2V4c/edit
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- Carlos.Martinez3
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I myself don’t take the flu shot anymore after I got back from my last tour of war. Do I get sick - off and on. Do I eat meat - mmmmm on the grill or bbq pit I eat rich lobster and everything I like - in balance. I encourage all to ha e a balance in as much in their life’s as possible - here too. My pops ( not my biological) drinks windex when he’s sick. Works for him. I don’t. Some people soak in mud- goat poop- cow poop- buffalo poop- hot water cold water - this world is full of remedies and practices I don’t try myself. I may some day! Not sure about the pooo but I may have a leach or two some day on me .
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Build, not tear down.
Nosce te ipsum / Cerca trova
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https://docs.google.com/spreadsheets/d/1Tl1zqH4lsSmKOyCLU9sdOSAUig7Q38QW4okOwSz2V4c/edit
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Science isn't syncretic: there are things that are right and wrong. Scientific consensus is built off of tests surrounding specific conditions, creating a larger picture using inductive reasoning. Do a little research of your own from academic sources both from journals that agree with you and dissenting views. Try to understand the mechanisms of it before saying "eating grass fed meat will prevent all diseases" - sure it's probably healthier for you, but that doesn't make it disease resistant. Shutting yourself into an ideological echo chamber is suicide for your mind.
Luthien might've been a bit harsh, but makes valid points
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Do you think
With science
There are things proven
And there are things yet to be proven ? Rather than using common words like
Right and wrong?
Chaplain of the Temple of the Jedi Order
Build, not tear down.
Nosce te ipsum / Cerca trova
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This thread is in the science forum, so there are rules to play by. I wouldn't go into the abrahamic forum and talk Buddhism. I stand by what I said, because scientific tests have an outcome. Even a flawed experiment exhibits certain truths because the physical world acts in a given way i.e. incorrect inputs will lead to flawed outputs.
According to the body of scientific work I have encountered, I believe something. If you wish to speak in a scientific context, anecdotal evidence isn't worth much. I play by the rules, and am willing to be challenged by others on that level field
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Luthien wrote: When it comes to organic vegetables, it is more dangerous since pesticides are still used (the organic kind) and at higher amounts. The pesticides in conventional farming are much safer.
More dangerous!! Got links?? Curious minds are curious....
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