Is natural genetic mutation within a bacteria within an infected host the most likely origin of an antibiotic-resistant strain of bacteria?

As with all things biological, it depends. Some antibiotics, like rifampicin and chloramphenicol, readily give rise to spontaneous resistance mutations. These drugs target transcription and translation, respectively, and alterations of a single nucleotide in the bacterial genome can confer resistance. Since point mutations like these arise spontaneously at about one per million bacteria, there are Read More …

What are some good books on the founding of biotechs and pharmas?

The most well-known, and one that I can recommend, is “The Billion-Dollar Molecule” by Barry Werth. It describes the founding and early days of Vertex Pharmaceuticals, and their efforts to use rational drug design technologies to create a new immunosuppressant drug for transplant patients. Werth does a great job not only of explaining the science, but capturing the Read More …

What are antibiotics made of?

Most antibiotics are based on natural products synthesized by bacteria and fungi. Quinolones (like Cipro) and sulfa drugs (like sulfamethoxazole) are the major exceptions to this rule. Antibiotics belong to a class of natural compounds called secondary metabolites. These are molecules that are not essential to normal growth and metabolism (like sugars, amino acids and nucleic Read More …

Can CRISPR technology reduce inequality by eliminating the advantage that attractive people have? Shouldn’t we have that choice?

There’s a good chance that we will never be able to use CRISPR in otherwise healthy human beings. Not safely and ethically, anyway. Let’s assume that all the obvious technical problems are solved – that we learn which genes to modify and how, and that we learn how to deliver CRISPR-Cas complexes safely and efficiently to Read More …

Genius MIT researchers propose feeding bacteria to fight infections

No, this is not a joke. Well, the “genius” part is, but the “feeding bacteria to fight infections” is not. I saw this press release in IDSA’s Twitter feed. I read it and wondered anew at the reality disconnect between academic research and clinical application. The gist of the story is that non-growing bacteria are Read More …

How long does it take your body to recover after taking antibiotics?

The time required to recover from antibiotics is somewhere between zero and infinity. Antibiotics target bacterial proteins and (for the most part) have no direct effect on human proteins, cells or tissues. Antibiotics in general, and ß-lactams and cephalosporins in particular, are so free of acute adverse effects (the “zero” scenario) that physicians often hand Read More …