Bacteria Rule OK - So Boost Your Immune System!
Edited 2009
Bacteria
were here before we came - and they will be here
after we're
gone. They adapt rapidly to new circumstances, and can
live in the most inhospitable of climates. To help deal
with them - we must keep our Immune System strong to
fight them off.
Deep
Under The Sea For example, bacteria even support a
complete eco-system in the total absence of light!
Thousands of feet under the sea - at such a depth that no
light can penetrate - bacteria make it possible for other
micro-organisms and fish to exist.
How
do these bacteria live? They use the energy derived from
breaking down sulphur compounds, rather than by using
oxygen. Sulphur would kill the rest of us, but these
bacteria thrive.
You
Send Us Drugs - We'll Adapt! The cousins of these
adaptable bacteria find it fairly easy to live in another
hostile environment; in the body of a human being who has
been given antibiotics. Our immune system has the job of
fighting these bacteria off, and to enable them to do
this effectively we must keep the immune system
strong.
We
Think We Have Bacteria On The Run... In 1928,
Scotsman Alexander Fleming discovered penicillin - the
first antibiotic drug.
Some
time later, in 1941, an easily useable form was
introduced (Fleming, and researchers Floey and Chain,
received the Nobel Prize for Medicine in 1945). By 1944
penicillin was being used in the treatment of pneumonia
and septicaemia, and was effective against all
Staphylococcus Aureus (SA) - an infective agent commonly
responsible for infections of wounds and burns. Round One
to the humans!
...But
They Have Beaten Us Roundly We cannot possibly
beat bacteria completely. They are too clever! We can try
- by keeping the immune system strong - but will this be
enough?
By
1945 - one year after penicillin was introduced - the
first cases of penicillin-resistant Staphylococcus Aureus
were reported. In other words, after a year, some of the
SA bacteria learned to adapt so they could live with the
first strain of penicillin without being
harmed!
To
counter this, chemists produced a second 'isomer'
(variety) of penicillin. Again, this worked for a while
until the SA adapted. This process continued - with the
bacteria resisting each successive isomer of penicillin
until they were all used up - nearly thirty of
them.
We
were in trouble again - no isomers of penicillin left.
Round Two to the bacteria.
More
Antibiotics A series of stronger antibiotics were
then developed, including streptomycin, tetracycline and
erythromycin. Round Three to humans.
By
1955, SA had developed strains which were immune to all
these drugs. Round Four - bacteria.
In
1960 methicillin was invented - again in the UK, by
Beechams. This was a 'wonder-drug' at the time - and
killed the resistant strain of SA nicely. Round Five to
us.
Another
One Year Reprieve Again after a year - in 1961 -
the first methicillin-resistant SA (MRSA) appeared, in
Guildford, England. It was the same as the previously
resistant strain - except that it had grown an extra gene
on the DNA.
Several
epidemics followed, during which infection peaked in
number, then fell back again. Eventually MRSA is all over
the world. Round Six - bacteria. Unfortunately, it is
getting harder and harder for the immune system to fight
off these infections - which are getting stronger and
stronger.
Drug Of
Last Resort When bacteria began to show resistance
to methicillin, scientists turned to an antibiotic which
had been around for some time, but which had been shelved
- presumably because of its side-effects. This was
vancomycin.
Vancomycin
had to be administered intra-venously. If injected into
muscle, it killed the muscle tissue. But, for people who
had MRSA (or its relative - methicillin-resistant
enterococcus) vancomycin was the last resort; so
side-effects were considered worth risking. So - humans
win Round Seven. Though the bacteria are getting harder
and harder for the immune system to fight - without
the intervention of anti-biotics.
Those
Pesky Bacteria OK - you've guessed it. By 1995
vancomycin-resistant bacteria have emerged.
There
really is nowhere to hide. Bacteria really do
rule.
[Next:
What Can We Do?]
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