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ATA, Paris, 25/09/2012 The co-evolution of antibiotics and their resistance Transmissible fluoroquinolone Antibiotic resistance plasmids resistance THE LEAN YEARS Penicillinase ? discovery Increasing Antibiotic Resistance * ** 1940


  1. ATA, Paris, 25/09/2012

  2. The co-evolution of antibiotics and their resistance Transmissible fluoroquinolone Antibiotic resistance plasmids resistance THE LEAN YEARS Penicillinase ? discovery Increasing Antibiotic Resistance * ** 1940 1950 1960 1970 1980 1990 2000 Primordial Golden Biochemical Target Genomic HTS Pharmacologic Disenchantment The Dark Ages (Semmelweis) (Semmelweis) FDA Office of (again!) New Drugs MRSA: UK*, US** Production: 50kg……………………………………………………………………………>10 6 tons

  3. 1000 Evolution of ß-lactamases 900 FIFTY YEARS OF MRSA! 800 700 NDM-1,etc. 600 500 CA-MRSA 400 300 VRE 200 MRSA 100 CTX (ESBL) 0 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 Information provided by Karen Bush

  4. The most expensive hydrolytic reaction in history!

  5. Fifty years of “Industrial Research” on Antibiotics Environmental Production Doubling time: Doubling time: months hours Aeration: low Aeration: high Nutrients: variable *Nutrients: high and Carbohydrate: constant limited Carbohydrate: high Water: variable Water: unlimited Temperature: 0-40 Temperature: 25-30 pH: 2-10 pH: 6-7 Yield: µgrams Yield: grams * Typical substrates for fermentation Molasses (blackstrap ) Fish Meal (herring, anchovy) Citrus pulp Asparagus juice Cottonseed oil Malt extract Beef extract Bovine blood Pork liver Distillers solubles Hydrolysed rabbit fur

  6. We Live In A Microbial World Microbial viruses on the Earth: 1x10 31 Microbes on the Earth: 5x10 30 Stars in the Universe: 7x10 21 Humans on the Earth: 6x10 9 Human genes in one person: 2.5x10 4 Human cells in one person: 1x10 13 Microbial genes in human gut: 3x10 6 Microbial cells in human gut: 1x10 14 Bubbles in one bottle of champagne: 1x10 5 We are less than 10% of what we think we are!

  7. Inter-Kingdom Signalling The Parvome (Rumbaugh, 2007)

  8. Signaling Interactions between Cells in Nature ( Communication, Cues, Competition, Cooperation) Duan et al, 2009

  9. Prospects for natural product drug discovery • Bioactivity-based screens • Combinatorial synthesis and biosynthesis • Chemical library screening by “docking” • Co-culturing producing strains: pathway activation • Genomic identification of biosynthetic pathways • Heterologous expression of pathways • Drug combinations • New approaches to vaccines • A “new” look at plants and other sources • Personalized treatments

  10. Genomics and Drug Discovery (A new paradigm) Genome or Metagenome sequence Bioinformatic scanning for biosynthetic gene clusters Prediction of structure or molecule class Virtual docking for target identification Compound production by cluster expression in “designer” host

  11. Analysis of molecular interactions in bacterial cell networks, using high-resolution MS with nanoDesi probe (Watrous et al 2012)

  12. THE OTHER OPTION?

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