Back in the summer of 2016. Falling Walls Labs (Belgrade), I was a freshman in environmental science (environmental protection with ecology to be more accurate). I spoke of (or at least I have tried to speak of, I even managed to use the microphone improperly) the potential use of plants to produce antimicrobial compounds. Both for use as pesticides and antibiotics. I spoke of two intertwined technical problems: keeping up with the evolution of resistance; and trying to preserve the plant biodiversity while utilizing plant-derived compounds. I will also add the economic and physiological aspects to this post this time.
With regards to trying to keep up with the resistance, the problem should be conceptually simple. We are trying to utilize a limited number of fungi, in a limited number of bioreactors, and then there is a limited number of organic chemists that modify the preliminary antimicrobials. On the other hand, antimicrobial resistance is usually tied to plasmids (a part of the genetic material that can be transferred and often between different species, and that can be replicated without replicating the main part of the genetic material). This means that antimicrobial resistance can cross its way through the biosphere, at that point, it should be obvious that we are not doing it right, that we need to expand our search for antimicrobials outside the relatively narrow context of unicellular fungi. We need to use plants and there is already some preliminary data in traditional medicine we can use to produce antimicrobials, it is not a shot in the dark.
With regards to the attempt to preserve the plant species utilized. I had advocated for the use of plant tumors (not the only, but the most promising thing I spoke of back then). We can develop hairy root tumors where applicable to gain a source of antimicrobial compounds. The "where applicable" part stands for a reason as the technique is best used on eudicots. There is also the fact that the biochemical aspects of the plant tissue can be altered, but this factor can usually be remedied.
With regards to the economic aspects of such an undertaking, it leaves a lot to be desired. The new antibiotic registration undergoes very numerous regulations. Simply put, it makes antibiotic development a bad investment. Thus, the development never takes place. We should probably create something like a "right to try" for pan-resistant bacteria, as people in such situations have nothing left to lose. The hairy root economics is problematic too. Maybe we should approach the topic from a much more relaxed standpoint towards genetic engineering, as Rootec GMBH failed at trying to commercialize hairy roots without it.
Since we are speaking about infections in people with cancer, we should also be wary of hormesis. We already saw in the scientific literature that some anticarcinogenic compounds (berberine, for example, which is also an antimicrobial) start increasing chemoresistance because of the hormesis.
Infections pose a significant threat to cancer patients.
As we celebrate higher cancer survival rates, the shadow of antimicrobial resistance looms large, threatening to reverse these gains. The urgent need for new, effective antibiotics is clear; without them, the risk of dying from previously treatable infections will rise.
"Increasingly clinicians see infections that are becoming drug-resistant — antibiotics once effective against them no longer work. Without new and effective antibiotics, this is only going to get worse, with more people surviving cancer only to die of an infection that was previously treatable." Dr Manica Balasegaram
The focus on high-cost cancer drugs may inadvertently shift attention and investment away from essential antibiotics, crucial for many cancer patients' survival. Balancing investment in cancer treatment with the development of new antibiotics is not just vital for patient care—it's an economic imperative. Ensuring we have robust defenses against infections is as crucial as advancing cancer care itself.
Read more in the Financial Times: https://lnkd.in/dP-ynr6c
#CancerCare #AntibioticResistance #HealthcareInvestment #PublicHealth
Antibiotic resistance is the greatest threat to cancer patients
ft.com