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AdvancedHealing.Com Journal

Archive for the ‘Biofilm’ Category

Biofilm Basics by Bob Henke of The Post Star

Sunday, January 15th, 2012

See also Quorum Sensing and Biofilm and Biofilm Basics by Dr. Marcus Ettinger

Biofilm Basics by Bob Henke of The Post Star

One of the most pervasive life forms is called biofilm. A biofilm is most easily understood by thinking of it as simply a slimy colony of bacteria. It turns out very few bacteria are actually free-living; more than 99 percent live in biofilms.

The nature of these biofilms is exceptionally variable. Some are actually moveable, with the whole group oozing about seeking good habitat. Others fasten to some host or strata and remain there, at times virtually impossible to remove. These little bacteria cities may be composed of a single species of bacteria or there may be several different types living together.

Each bacteria in these aggregations exudes a slippery, sugary substance that forms a case over them all, protecting them from attack by other unicellular animals as well as ensuring that any food produced by the group remains with the group. In some of the larger biofilms, the species involved may have complementary metabolisms, that is one species uses as food the materials excreted by others and vice versa.

Biofilms are found everywhere from on sheer rock faces at the top of mountains to plastic surgery implants. The cause of most childhood inner ear infections is a biofilm and biofilm infections ranging from surgical wound infections to heart valve infections kill more than 40,000 Americans annually, more than die from cancer.

The reason they are so troublesome is because most drugs cannot penetrate the biofilm’s tough exterior. The reason for this and the reason biofilms are so intrinsically dangerous is their ability to communicate and thereby keep all the colony residents working toward a single result.

The nature of this communication is at once fascinating and a critical research need. In simplest form, the communication is chemically based. The individual bacteria pump out streams of chemicals which are varied, depending on the message. Other bacteria receive, make note and take appropriate action before duplicating the chemical sonnet and sending it along. In this way they can change direction, change the permeability of the film to let in nutrients or let out waste products or perform a host of other activities.

One of the key chemical phrases researchers are investigating is called a quorum sensor. This is, simply put, how a bacterium knows it is not alone.

The quorum sensing process works like this: A bacteria routinely produces what is called an autoinducer chemical. When the bacteria in turn senses a great concentration of autoinducer chemical returning to it, meaning there are a lot of other bacteria nearby, the gene for biofilm production is turned on and all members of the cohort begin producing the impermeable covering. Inside an animal, this makes the colony invulnerable to attack from, for example, antibiotics given to cure the sinus infection the biofilm is causing.

If researchers can discover the exact chemical signature of this autoinducer, it may be possible to convince the bacteria they are all alone causing them to abandon the biofilm and travel about, making treatment of the malady much easier and straightforward.

This esoteric-seeming research could ultimately save millions of lives. I wish they could also find something that would make me quit communicating long enough to save mine.

Bob Henke may be contacted by mail c/o The Post-Star, email at bobhenke@capital.net, on Twitter at @BobHenke, or on Facebook.

Biofilm And Bacterial Resistance To Antibiotics When Starved

Saturday, November 19th, 2011

 

Dr. Dao Nguyen, now at McGill University, trained in the University of Washington lab of Dr. Pradeep Singh, a lung specialist who studies bacterial biofilm infections.

“A chief cause of the resistance of biofilms is that bacteria on the outside of the clusters have the first shot at the nutrients that diffuse in,” said Pradeep Singh, associate professor of medicine and microbiology at the University of Washington.

“This produces starvation of the bacteria inside clusters, and severe resistance to (their) killing,” added the senior study author, the journal Science reports.

“Bacteria become starved when they exhaust nutrient supplies in the (infected) body, or if they live clustered together in groups known as biofilms,” said study co-author Dao Nguyen, assistant professor of medicine at Montreal’s McGill University.

Preventing pathogenic bacteria from sensing nutrient starvation may present a new therapeutic approach to increasing antibiotic efficacy and preventing drug resistance, researchers claim. A team led by McGill University investigators has found that blocking an active mechanism used by bacteria to respond to starvation by slowing their growth significantly reduces the natural tolerance to antibiotics that infectious organisms develop when nutrient supplies become low.

The investigators work is reported in Science in a paper titled “Active Starvation Responses Mediate Antibiotic Tolerance in Biofilms and Nutrient-Limited Bacteria.” Pradeep K. Singh, Ph.D., Dao Nguyen, Ph.D., and colleagues

Abstract:

Bacteria become highly tolerant to antibiotics when nutrients are limited. The inactivity of antibiotic targets caused by starvation-induced growth arrest is thought to be a key mechanism producing tolerance. Here we show that the antibiotic tolerance of nutrient-limited and biofilm Pseudomonas aeruginosa is mediated by active responses to starvation, rather than by the passive effects of growth arrest. The protective mechanism is controlled by the starvation-signaling stringent response (SR), and our experiments link SR-mediated tolerance to reduced levels of oxidant stress in bacterial cells. Furthermore, inactivating this protective mechanism sensitized biofilms by several orders of magnitude to four different classes of antibiotics and markedly enhanced the efficacy of antibiotic treatment in experimental infections.

You can read all of my biofilm posts here

H. pylori bacteria eliminated without antibiotics!

Saturday, April 16th, 2011

Patient: A 72 year old female with a long history of GERD, alternating constipation/diarrhea, food sensitivities and compromised immune system. Previous tests proved the presence of H.pylori.

Previous treatments: multiple rounds of antibiotics without eradication of the H. pylori bacteria.

A pre-test for H. pylori stool antigen was performed on February 07, 2011 and was found to be positive. After  44 days on my H. pylori protocol, a follow-up stool antigen test was performed. The results came back negative for H. pylori.

Current Status: GI symptoms are improving and I expect that with the addition of  a few nutritional supplements to support her specific needs, combined with certain dietary restrictions and additions, this patient will be symptom free in short-order.

BioHealth Diagnostics Test #418 H. pylori antigen stool test BioHealth Diagnostics Test #418 H. pylori antigen stool test

Stress, Biofilm and a Predisposition for GI Infections in Type O Blood Individuals

Wednesday, May 19th, 2010

If after reading this post you have questions regarding alternative medicine, integrative medicine, chiropractic, weight-loss, diabetes or pre-diabetes prevention, nutritional supplementation or how to become a new patient, please feel free to contact our office. Advanced Healing Center of Orange County, the practice of Dr. Marcus Ettinger BSc, DC. Phone: 714-639-4360, E-mail: info@advancedhealing.com, Mail: 630 South Glassell Street #103. Orange, CA 92866.

Stress made me solid and less human

Stress Made Me Solid and Less Human

When we are under acute or chronic episodes of physical or emotional stress, our body protects itself by shifting the relative balance of our nervous system, to  sympathetic dominance (self-control), thereby rapidly releasing specific stress hormones such as cortisol, adrenaline aka epinephrine and noradrenaline aka norepinephrine.   The long-term effects of the continual release of these hormones is not good at all and will eventually lead to significant degenerative changes within the body.

The stress hormone norepinephrine affects parts of the brain where attention and responding actions are controlled.   Along with epinephrine, norepinephrine also underlies the so-called fight-or-flight response.  During this stress response, heart rate increases, glucose is triggered to be released from energy stores, and blood flow is increased to skeletal muscle.  At the same time blood and energy is drawn away from the gastrointestinal tract and other internal organs.

1.  Norepinephrine is synthesized from dopamine by utilizing the enzyme dopamine β-hydroxylase.

2.  The gene for dopamine β-hydroxylase has shown some association linkages with the gene that controls the ABO blood types.(1)

3.  Norepinephrine and epinephrine possess a synergistic relationship with AI-3, an autoinducer* and may even substitute itself for the AI-3 auto-inducer, resulting in biofilm growth.

4.  The common denominator between type O blood and dopamine appears to be via the null allele (A null allele is a mutant copy of a gene  that completely lacks that gene’s normal function).  In this case the null allele is the type O blood allele in the human A, B and O blood type system – A, B and AB blood don’t possess it.

A hypothesis  could then be made, based on the above data, that type O blood individuals who are highly stressed (over-activated adrenal glands and sympathetic nervous system dominant) may possess a predisposition to infections or overgrowth of yeasts, bacterias and biofilm in the GI tract, since both epinephrine and norepinephrine are present throughout the gastrointestinal tract, and are involved in the stress response.  This may be especially relevant for those type O individuals who possess the ‘Hunter’ epigenotype.(2)

*Bacteria communicate via signaling molecules called auto-inducers, a type of bacteria pheromone.  These autoinducers can initiate or interfere with Quorum Sensing.  One of the two series of auto-inducer molecules are the Auto-Inducers AI-1, AI-2 and AI-3.

These autoinducers are one of the very few biologically active family of molecules that contain the element boron.  Some evidence indicates that grapefruit juice and its furocoumarins inhibits autoinducer signaling and biofilm formation in bacteria.  The most abundant source of furocoumarins in our diet would be grapefruit juice.  The average levels of furocoumarins were lower in the juice from red grapefruit than the white variety, with the highest level of  this component found in the meat of the grapefruit.

(1) AF Wilson, RC Elston, R M Siervogel, and LD Tran. Linkage of a gene regulating dopamine-beta-hydroxylase activity and the ABO blood group locus. Am J Hum Genet. 1988 January; 42(1): 160-166.

Quorum Sensing and Bonnie Bassler

Monday, April 12th, 2010

Quorum – a quorum is the minimum number of members of a deliberative body, such as a legislature or bacterial colony, necessary to conduct the business of that “group”.

How Bacteria “Talk” An eight minute video explaining, in simple English, how bacteria communicate through Quorum Sensing (QS)

Bonnie Bassler is a Howard Hughes Medical Institute Investigator and professor in the Department of Molecular Biology at Princeton University

Bonnie Bassler is a Howard Hughes Medical Institute Investigator and professor in the Department of Molecular Biology at Princeton University

Bonnie Bassler responded to viewer questions and comments about “talking” bacteria.

Q: Is it possible that even when you make a drug to keep the bacteria from “talking” that the bacteria will work their way around the drug that’s stopping them from communicating, just like they’ve worked around current antibiotics?
Alexandra, 7th grade, Manchester, New Hampshire

A: Hi Alexandra,

Absolutely. We know that bacteria will evolve mechanisms of resistance to anti-quorum-sensing therapies. The hope is that because anti-quorum-sensing strategies do not kill bacteria, only keep them from communicating, this is a less harsh treatment and a less stringent selection for resistance. Because of that, the hope is that resistance will develop more slowly than it does to traditional antibiotics. Thus anti-quorum-sensing therapies may have a “longer shelf life” than traditional antibiotics. Of course, we won’t know if that is indeed the case until we make the drug and monitor its effectiveness.

Q: Do bacteria use quorum sensing for a variety of purposes, e.g., fish form schools for protection, lions form prides to hunt? Also, do the same types of bacteria from different colonies communicate differently than the same types of bacteria from different colonies, i.e., do genetically related bacteria recognize each other aside from their being the same species?
Paula, Washington, D.C.

A: Dear Paula,

Quorum sensing is used to control hundreds of different group processes. In the cases we understand best, the processes controlled are ineffective when carried out by individual bacteria acting alone but become effective when carried out in synchrony by the group. Virulence is a good example of a quorum-sensing-controlled behavior. A few bacteria can’t make us sick. Even if they release toxins or other harmful agents, we are HUGE compared to them, so each bacterium’s measly few molecules of a toxin can’t harm us. But, if the bacteria wait, count themselves with quorum-sensing molecules, and then all of the bacteria release their toxins simultaneously, they can overcome an enormous host. There are all kinds of examples of quorum-sensing-controlled group behaviors: bioluminescence, virulence, exchange of DNA, biofilm formation, symbiosis….

Bacteria have multiple chemical languages. We think each bacterial species has a molecule that is unique and represents its own species-specific language. Each unique molecule allows a particular species to know and communicate with its relatives (i.e., have a private conversation). We know there is a universal molecule, a sort of bacterial trade language that bacteria use to converse between species (i.e., a Bacterial Esperanto). There is mounting evidence that many additional molecules remain to be discovered, such as species non-specific molecules that say “who” the neighbor is. This field is only about 10 years old. So far we have only managed to identify a few molecules. We know that bacteria interpret a rich and complex chemical world, and we are working hard to define the complexity of the lexicon.

Q: Can you provide some thoughts on individuals with knee or hip implants and the biofilm some unfortunately develop and if there is hope for probiotics in this issue?
[first name not given] Raunaque, LaCrosse, Wisconsin

A: Dear Mr. or Ms. Raunaque,

Biofilms are communities of bacteria attached to surfaces (for example, as described in the NOVA piece, your teeth in the morning). Biofilms are a cause of constant concern for people with medical implants, heart valves, etc., because these medical devices provide a niche for bacteria to adhere to and thus cause infection. We know that quorum sensing is required for biofilm formation: If the bacteria can’t talk, they can’t make these large, interacting, adherent communities. The goal of many researchers’ studies is to find methods to interfere with biofilm formation, and, of course, a key focus of study is on interrupting quorum sensing. One strategy is to make molecules that antagonize the natural quorum-sensing molecules to impede biofilm formation. Another strategy is the one you suggest, to develop probiotic quorum-sensing therapies that enhance the conversation among our commensal bacteria at the expense of the biofilm formers. Both these avenues are currently being explored.


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