WHO has a Cunning Plan to speed antibiotic development

“The scientific community has developed and approved new antibiotics in recent years. This is good, but unfortunately not sufficient to catch up with evolving drug-resistance bacteria, especially against those of greatest concern. We need a reliable pipeline with new antibacterial agents that are innovative, affordable, accessible to all those who need them.”

Dr Yvan Hutin, Director of Antimicrobial Resistance at WHO

Says it all really, everything that we’ve been banging on about here for the last six years and more. The problem is simple, but deadly. Although more than 90 new antibiotics are now in development, very of few of them target the really high-priority organisms that worry health care professionals: and even fewer of these are really innovative (in the way that penicillin was in its day for example) And so the World Health Organization, that most noble of entities has come up with a Cunning Plan to really get things moving. They gave divided it into three Target Product Profiles:

-our old friends the multidrug resistant gram negative bacteria such as enterobacteriales, Acinobacter baumanii and Pseudomonas aeruginosa, who’ve shown up in so many old LSS blogs we won’t bother to list them.

–Gram positives like Enterococcus faecium. We have wondered why the gram negatives have been getting all the attention, and seeing no Darwinian reason why the gram positives should not evolve resistance too, are extremely glad someone is at last paying attention to them.

-their third trope for action is bacterial meningitis, caused by organisms such as Neisseria meningitidis and Streptococcus pneumoniae among others. Particularly welcome, for of those who incur such dreadful infections, one out of six will die and of the survivors, about one in five will be left with some long term disimpairment.

Hats off to Dr Hutin in particular and the World Health Organization in general. The World Health Organization is often treated as a mere federation of its member states, but in practice it is something larger and more coherent than the sum of its parts. Individual nations see only their own budgets, their own pathogens, their own political cycles; the WHO sees the whole epidemiological chessboard. Its strength lies in that cooperative vantage point — the ability to gather data from Lagos and Lima, to convene experts from Seoul and Stockholm, and to turn a hundred local anxieties into a single, rational blueprint for global action. In a field as fragmented and under‑powered as antibiotic development, that kind of coordination isn’t bureaucracy; it’s civilisation defending itself. There’s your glass-raiser for Friday Night Cocktails, gentle readers.

WHO releases new target product profiles for urgently needed antibiotics

#antibiotics #penicillin #world health organisation #epidemiology #microbiology #health #medicine

When Bacteria Explode: a new clue in the old antibiotic arms race

Bacteria are relentlessly evolving resistance to our attacks with antibiotics and phages — but how? If we understood their tricks a little better, we might still have a chance of avoiding the lethal pandemics of antibiotic‑resistant organisms otherwise waiting in the wings. A new paper from researchers at the John Innes Centre[1] has now shed light on at least one way that whole populations of bacteria may be secretly defending themselves from our ministrations.

The team found that the bacterium Caulobacter crescentus has an extraordinary switch mechanism that can cause it to “explode” under certain conditions. When it does, it releases tiny virus‑like particles containing fragments of its own DNA. Pertinent to our quest, gentle reader, is that some of this DNA may include instructions on how to resist antibiotics — or perhaps even the bacteriophages we deploy against them. The researchers also identified the components of this switch, which go by the snappy names LypABC and CdxB. They don’t yet know exactly what flips the switch, but they have their suspicions.

All of this is good news for those of us following the antibiotic‑resistance story. We now have a clearer picture of how at least one type of bacterium spreads resistance among its own members. And if we know what these switches are, we have a fighting chance of intervening to turn them off. If, as the researchers suspect, the presence of a hostile phage is indeed one of the triggers, then this is a very great step forward indeed

[1]A bacterial CARD–NLR-like immune system controls the release of gene transfer agents

Emma J. Banks, Pavol Bárdy, Ngat T. Tran, Phuong M. Nguyen, Boris Stojilković, Kevin Gozzi, Abbas Maqbool & Tung B. K. Le Nature Microbiology (2026)C

[2]John Innes Centre | Excellence in plant science, genetics and microbiology

#antibiotic resistance #bacteria #dna #genes #virus #bacteriophage #health #medicine

Breakthrough for blindness, an old lesson re-learned: and a mystery question

Leber congenital amaurosis, called LCA for short, is the most common form inherited sight loss in children[1] It’s caused by defects in a cluster of genes including RPE65 and until recently was quite untreatable. Now, as Ian Sample reports for the Guardian,[2] a team of researchers have effected a major new treatment called Luxturna: a gene‑replacement therapy delivered by injecting a working copy of the RPE65 gene directly under the retina. By giving retinal cells the functional gene they’re missing, it restores the visual cycle and can improve light sensitivity, visual function, and navigation ability in people with RPE65-related Leber congenital amaurosis. Interestingly the team comprises a husband and wife called Jean Bennett and Albert Maguire who share the prestigious Breakthough Prize [3] with their colleague Katherine High.

Regular readers will share our admiration for the work of this remarkable trio. They may note moreover that the researchers have something else to teach us, something that strongly concurs with opinions often expressed in this blog:

Bennett said it was a “tremendously exciting time” for scientific and medical research, but warned that the US administration’s attacks on science could “cause damage for generations to come”, leading her to fear a brain drain that the country would struggle to recover from.

“Agendas have become politicised, government agencies that support basic and applied research have been undermined, knowledgeable advisers and experts have been dismissed or have fled and revised guidelines contradict decades of rigorous research,”

Says it all really. But don’t just sit around reading it here:tell your friends and neighbours. For us there still remains outstanding question. Is Albert Maguire by any chance a relation of Ken Maguire, one of the best pub landlords of the 1990s, being sometime manager of the superb Latymers in Hammersmith Road London W14?

[1]Leber congenital amaurosis – Moorfields Eye Hospital

[2]‘Oscar of science’ awarded to team behind gene therapy that restores lost vision | Science | The Guardian

[3]Breakthrough Prize – Wikipedia

#LCA #Blindness #gene therapy #medicine #health #science #research #pub #beer

Humble little herb may have mighty role as antibiotic

Could a humble little wildflower growing unnoticed in bog and marshland be a key player in the science of antibiotic resistance? According to an article by researchers Ronan McCarthy John J. Walsh and Kavita Gadar for the Conversation[1], yes it could. For they have discovered that Tormentil (Potentilla erecta) [2] not only has intriguing antibiotic properties of its own, it may help us to retread and recycle some old human made antibiotics which are sadly reaching the end of their effective lives.

Tormentil has appeared for centuries in the herbariums of traditional folk medicine. It has been used variously to treat ailments as diverse as gum disease, diarrhoea and wounds. Noting this, our resourceful researchers put it into a cross study against 70 other plant species in their Laboratory. It came out tops, hacking into the biofilms that bacteria use to defend themselves and thereby shortening the lives of these creatures by more than somewhat. They even identified the active agents in the tormentil which are ellagic acid and agrimonem. But you probably guessed that, being such an erudite and well-informed bunch of readers. Even more remarkably they:

…. combined low levels of the antibiotic colistin – an antibiotic that is only used as a last-resort against severe infections due to its potential toxicity to patients – with the tormentil extract. The low-level antibiotic dosage wasn’t enough to kill the bacteria when used on its own. But when combined with the tormentil extract, the plant compound enhanced the antibiotic’s efficacy.

You don’t need to be an old LSS hand to realise our worries about the declining effectiveness of colistin and some of the other older antibiotics.[3]

And our conclusions? We’ve written over twenty blogs on the theme of antibiotics or other medicines which may be hidden in nature. And therefore to destroy wildlands in order to grow food which no one really needs, or to build shopping malls of aching vacuity, is biologically insane, whatever the short term economic benefits. That probably half of all wild plants contain something useful, if only to the secret services of certain well known governments . As Shakespeare had it

“Within the infant rind of this small flower / Poison hath residence and medicine power.”
— Romeo and Juliet, Act 2, Scene 3

[1] https://theconversation.com/wildflower-once-used-to-treat-wounds-and-sore-throats-shows-promise-in-fighting-dangerous-superbugs-279406?utm_mediu

[2] Potentilla erecta – Wikipedia

[3] Liu, Y.-Y. et al. (2016). “Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China.” The Lancet Infectious Diseases, 16(2), 161–168.
DOI: 10.1016/S1473-3099(15)00424-7

#health #medicine #antibiotic resistance #wild flowers #tormentil #bacteria #microbiology

Ten years looking for new antibiotics: how are we doing?

How’s the campaign to get more antibiotics going?” We still sometimes get asked this in pub or supermarket. Not surprising really, after more than ten years on the job. And to answer that question we can think of no one better than the acute Julia Kollewe of the Guardian whose piece is as good a state-of- play message ( Pipeline of New Drugs to fight superbugs is “worryingly thin,” experts warn) as any we’ve seen for some time[1] So, what’s the score? How indeed is humanity meeting this existential challenge?

Not too well, actually. The bad news is that antibiotic resistant infections are still very much on the rise. More than 40% of known antibiotics lost potency between 2018 and 2023.[2] The number of antimicrobial projects run by big pharmaceutical companies has actually declined in the last five years. But you can read these and many other statistics from Julia and her linked organisations for yourself.

There are some bright spots: hats off to the UK’s GSK ,Japan’s Shionugi and Otsuka, and certain valiant American firms in California. But America’s real giant, Pfizer, seems to be falling off the pace-not surprising we think, given the political end cultural climate they now have to work in.

But for us Julia’s killer trope was to consult the learned Ara Darzi, an expert in cancer treatment. Who adduces the following gloomy thought:

New therapies mean cancer can be fought, “but then sadly patients succumb to an infection that was treatable a decade ago”, Lord Darzi said at the launch of the AMF report, adding: “You don’t win a game if you have three good strikers and your defence is weak.”

Cancer is indeed a deadly illness. And cures should be sought. But what’s the point if the poor patient dies three days later from an infection? That is why your interest in new antibiotics is still important, gentle reader: please keep supporting us.

[1] Pipeline of new drugs to fight superbugs is ‘worryingly thin’, experts warn | Pharmaceuticals industry | The Guardian

[2] Tools to fight AMR exist, but industry-wide action is needed to tilt the battle against superbugs | Access to Medicine

#antibiotic resistance #microbiology #health #medicine #drugs

VIR 5500: Promising new treatment for Prostate Cancer

Immunotherapy, which involves training the body’s own defence systems such as T-cells to attack cancerous tissues, has been one of the medical success stories of the last twenty years. Yet some cancers still demonstrate a certain recalcitrance in the face of the new ministrations. Unfortunately, one of them is Prostate cancer, the most common form of cancer in men, killing up to 1.5 million of them annually. But not only does this report by Nicola Davis of the Guardian [1] offer hope of real progress, it has some deeper lessons for those of us in the evidence-based thought-modulated community(EBTM). Which means you, gentle reader.

All immunotherapy depends on T Cell engagers (TCEs) which form a bridge between certain sites on the T Cell and on the tumour cell. Anyone working with them to try to cure prostate cancer encounters two difficulties. Generally, traditional TCEs can be pretty indiscriminate, leading to side issues like massive cytokine storms and problems with dose toxicity. Specifically, prostate cancer cells have a knack of resisting T cells, making immunotherapy especially hard to apply. Now a team led by the admirable Professor de Bono in collaboration with Vir Biotechnology[2] is trialling a new form of molecular cloaking treatment called VIR-5500 which masks the T-cells right up to the moment when they are in contact with the prostate cancer cells. A protease in the malign cells then activates the T-cells, unleashing their curative effect. We won’t spoil Nicola’s summary of the results, which you can read in her article. But you will find them impressive to say the least.

All of which goes to show what curiosity-driven basic science can achieve when money is spent on it. VIR -5500 could not have existed without decades of molecular immunology, protein engineering, tumour cytology and many other disciplines hidden away in unmanly places like university departments and research institutes. Which is ironic, because many of the butch types at the Dog and Duck, who routinely perform their masculinities by loudly decrying scientific research into things like climate change, will be the first to suffer when prostate cancer comes along. But History always teaches the same lesson to the deluded in the end.

[1] Researchers praise ‘stunning’ results of new prostate cancer treatment | Prostate cancer | The Guardian

[2] Our Strategy | Vir Biotechnology

#prostate cancer #immunotherapy #t cells #health #medicine #science #molecular biology

IsoDDE: mixed-race love child of Biology and Information Science has a great future

One of the most exciting stories we have followed at this blog is the way new AI systems are suddenly speeding up the production of new drugs and other biological molecules (see LSS 1 12 20 et al) This week has seen another exciting step in the form of a new AI tool from Isomorphic labs. Read this piece, Drug discovery AI is akin to Alpha Fold 4 from Nature Briefing

Isomorphic Labs — a biopharmaceutical spin-off of Google DeepMind — has unveiled a new, powerful artificial-intelligence tool for predicting how proteins interact with drugs. The tool, called IsoDDE, can outperform other AI systems such as the open-source Boltz-2 and physics-based methods at determining binding affinity between a protein and potential drug. These skills have impressed scientists, but they highlight that IsoDDE is proprietary, and the technical paper that accompanied its announcement offers scant insight into how to achieve similar results.

Nature | 5 min read

The research and development of new drugs is one of the most arduous tasks that befalls the intelligent community. The central problem is pretty simple: how do you get your marvellous new drug to stick to a protein, and make the whole thing work the way you want it to? Proteins are not hard rigid statues of marble: they are soft, spongy and change shape in unpredictable ways when you put a new drug up against them. That’s the gap in function into which all that time, money and thought disappears. In theory new AI tools like Iso DDE (and others on the way no doubt) should rapidly speed the whole process by predicting myriad of possible shape changes as the molecular systems are brought together.[2] Moreover, to predict new bits on the target protein which we hadn’t thought of, where the drug might be made to stick to, And possibly, to crunch the numbers around all those new bits of protein, polypeptide and other molecules which are thrown up in the research process, to see if they have any likely uses as well. When we were young, Information Science and Biology were completely different disciplines with different faculties, buildings and career paths. It’s funny to watch them coming together so fructiferously, to produce such exciting offspring

[2]https://storage.googleapis.com/isomorphiclabs-website-public-artifacts/isodde_technical_report.pdf

#drugs #medicines #researh #AI #biology #health

Can your cat save you from cancer?

Cats: our feline friends: variously cute, lovable, admirable and beautiful. They’re becoming more and popular as pets. Which brings several advantages in the treatment of cancer, believe it or not. Like dogs, their nearest rival, they are exposed to all the same molecular slings and arrows of everyday domestic life-cleaning products- foods, fuels, what have you-as we are. But we also share more genetic material with them then we do with our canine chums. Moreover cancer is rapidly becoming a major cause of mortality in middle aged to elderly cats just as it is to humans in that stage of. It’s a set up for ground breaking studies. And Miguel Ángel Criado for El País and Helen Briggs of the BBC have two excellent reports on a groundbreaking study which has done exactly that. (teaser: one of these links is in Spanish, and one in English-can you guess which?)

The study, co-led by the learned Dr Louise van der Weyden of the Wellcome-Sanger Institute is the first really large map of oncogenic(cancer related) aspects of the cat genome. It’s full of intriguing details, which you can read by clicking on the marvellous articles which we have hyperlinked. But we could not resist a tiny spoiler, concerning Dr Weyden’s discoveries around the gene FBXW7 , a tumour‑suppressor gene whose loss helps drive aggressive forms of human breast cancer. Intriguingly, the same gene is frequently mutated in feline tumours. This cross‑species echo suggests that cats and humans may share a conserved vulnerability in the FBXW7 pathway, making our kitties unexpected partners in understanding this cancer mechanism.

And the conclusion? We need to help cats to help us. You could give to a cancer charity [3] You could give to a cat charity[4] But knowing our readers to be generous types we have included sufficient hyperlinks for you to do both!

[1] El mayor mapa genético del cáncer de los gatos abre la puerta a tratamientos compartidos con humanos | Salud y bienestar | EL PAÍS

[2]https://www.bbc.co.uk/news/articles/cvg3n7j8xyqo?at_campaign_type=owned&at_link_type=web_link&at_format=link&at_ptr_name=facebook_page&at_link_origin=BBC_N

[3] https://www.cancerresearchuk.org/get-involved/donate?

[4] Cats Protection | UK’s Largest Cat Welfare Charity

#cancer #breast cancer #cats #medicine #health #research #genome #oncology

Stanford’s new discovery is a marvel-but can we really call it a vaccine?

Today we are happy to present one of the best news stories we’ve ever covered in our long years on this blog. It’s the announcement of a new type of vaccine from Stanford University. But it’s so mind bogglingly different from all the others we’ve come across that we genuinely wonder if it should be called vaccine at all! The details may be found in this crisp article from the excellent James Gallagher of the BBC [1] Essentially, it’s a nasal spray, so far tested only in mice, that offers protection against several viruses including colds, flu and COVID 19. Also against bacteria such as Staphylococcus aureus and Acinetobacter baumannii, two long known antibiotic resistant inhabitants of these pages.

Now, traditional vaccines have worked the same way ever since the pioneering work of Jenner. One organism=one vaccine, with the immune system trained to recognise one small target area of the invading organism. It’s as precise as a sniper; but can only ever protect you against one disease. The brilliant team at Stanford have taken an utterly new approach and decided to tackle the pathway by which a whole bunch or organisms make their attack. In this case the lungs. So it doesn’t matter if you are hit with a COVID 19 virus, the common cold, flu, the bacterial chums we noted above or even certain allergens. The macrophages of the lungs have been fired up and stand ready to repel any hostile borders-and will remain that way for several months[2]

Right, back to the question we started with: as this is so different from anything we were taught in school, can we really call it a vaccine? Well. If you define a vaccine as “ a molecular entity that trains the immune system to respond more effectively to a future biological threat” then yes, it is. But compared to the old ones it is a conceptual leap of awesome power. We doubt it will replace “old -skool” specific vaccines; their efficacy is just too good to waste. But as a completely new, game changing intellectual concept-well we think the sky’s the limit

[1] Single vaccine could protect against all coughs, colds and flus, researchers say – BBC News

[2] Science (2026)
“An intranasal vaccine activating innate immune danger pathways protects mice against diverse respiratory pathogens.”
Published: 19 February 2026

Lead author: Dr. Olivia Martinez, PhD
Stanford University School of Medicine
Department of Microbiology & Immunology

#health #vaccine #colds #flu #antibiotic resistance #virus #bacteria #immune system

Air Pollution and Alzheimer’s: grim news

We’ve written a lot about air pollution over the years (LSS passim) Mainly to say that air pollution, particularly in the form of PM_2.5 particles can do all sorts of harm to your lungs and circulatory systems. A fact well-attested by some of the sharpest medical minds on the planet as this WHO report shows[1] But now there is increasing evidence that these pesky particles may play a big part in the massive wave of dementia and neurodegenerative disease that is sweeping across the world. The latest evidence is summarised by Professor Eef Hogervorst for The Conversation.[2] And it’s pretty grim.

Air pollution and the deadly particles it chucks out are associated with all kinds of activities beloved of certain US politicians and their followers. Fossil fuels; road transport; old style heavy industries; good ol’ boys roun’ the barbecue fire, and that sort of thing. But how do you measure it, and separate out other plausible causes? A rather nifty US study started by mapping Medicare claims for dementia by postcode and PM _2.5 particle density. Other factors such as smoking, bad diets and poverty were also considered. The latter was admirably controlled by factoring in Medicaid eligibility, a sure indicator of low wealthin the US. We often use the phrase Killer Quote here: this time it’s more than a rhetorical flourish

…….pollution levels in the areas studied were, on average, about twice as high as the limit set by the World Health Organization (WHO). ………..The researchers found that the increased Alzheimer’s risk in polluted areas remained even after taking high blood pressure, stroke and depression into account

Eef goes on to explain how and why PMs are pulverising your grey matter: but click on! For she does it much better than we ever could.

And our thoughts, gentle readers? Firstly, the work confirms other reports we’ve noticed [3] Secondly the impressive size of the sample. Above all the careful attempts to control other factors such as diet and poverty; we know you prefer thoughtful scholarship over blind jumping to conclusions. Nothing is yet conclusive: but the hypothesis that air pollution causes other forms of dementia fits the available data so very much more closely than anything else does seems to us to be as close to one as you can get.

[1] WHO global air quality guidelines: particulate matter (‎PM2.5 and PM10)‎, ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide

[2] https://theconversation.com/air-pollution-may-directly-contribute-to-alzheimers-disease-new-study-275873?utm_medium=email&utm_campaign=Latest%20from%20The%2%5B2%5D

[3] The effect of ambient air pollution (PM2.5) on dementia risk | Nature Aging

#air pollution #fossil fuels #smoke #alzheimers #dementia #WHO #health #medicine