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http://www.baltimoresun.com/news/health/bal-

hs.biofilm23mar23,0,4256495.story?coll=bal-health-utility

From the Baltimore Sun

Bacteria thrive on 'film'

This slimy glue is everywhere -- in your body, on your teeth -- and

hard to kill

By Emery

Sun reporter

March 23, 2007

When he was studying for his doctorate in microbiology, Mark E.

Shirtliff thought he knew a lot about bacteria.

Then things got scary.

He discovered that bacteria can band together into sheets - called

biofilms. When they do, they alter their behavior. They build complex

communities, establish lines of communication and coordinate their

actions. Like ants, the microbes find power in numbers. And they're

nasty.

" Infections that should respond to antibiotics don't, " Shirtliff

said. " They become 50 to 500 times more resistant. "

With drugs often useless against biofilms in the human body,

Shirtliff is trying to turn the tables on the slippery infections.

The assistant professor at the University of land Dental School

received $1.25 million this month from the National Institutes of

Health for research into vaccines that might prevent the deadly films

from forming in the first place.

Although the public rarely hears it in popular discussions of health

issues, the term " biofilm " was coined in a 1978 Scientific American

article by Costerton, now of the University of Southern

California Dental School. He used it to describe microbes that clump

together on wet surfaces.

" It came up in dentistry first, " Costerton said. " They called it

plaque. I just proposed [that] the biofilm isn't just in the mouth,

but everywhere. "

In fact, biofilms are just about everywhere. They coat everything

from Alpine river rocks to neglected teeth. Every year they cause

billions of dollars of damage to ship hulls, oil pipelines and

machinery by corroding metal surfaces and clogging up the works.

These plaques often contain a variety of microorganisms, including

bacteria, protozoa and algae suspended in slimy glue called

polysaccharide that holds them together and binds them to surfaces.

When enough of the organisms have collected, they undergo metabolic

changes that make them better team players.

" We tend to think of them as primitive single-celled organisms, " said

Phil , the director of the Center for Biofilm Engineering at

Montana State University. " But there is a lot of cooperation and

coordination comparable to something more like an ant colony. It

allows them to accomplish more than they could on their own. "

Particularly vexing is the ability of virulent bacterial infections

to resist attack after forming a biofilm. " We could pump bleach into

your system, " Shirtliff said, " and it probably wouldn't do anything. "

That's saying something. Chlorine bleach is the microbiologist's

ultimate weapon - it's used to disinfect the labs that house the

world's most dangerous germs.

Like soldiers hiding in a castle, the bacteria inside the film are

protected from drugs design to kill them. The cells are also starved

for nutrients. This makes them grow and divide slowly - providing

even more drug resistance, since antibiotics often target fast-

growing cells.

The stress also puts biofilm bacteria on the defensive, causing them

to release caustic acids and proteins. " They start freaking out, "

Shirtliff said. " They turn on stress response genes that make them

attack the antibiotic. "

Compounding the problem, the stress response tricks the natural

immune system into using the wrong attack plan. When the macrophages

and other white blood cells that form the body's police force arrive

on the scene, they're ambushed and destroyed by the biofilm's arsenal

of proteins and acids.

Biofilm infections often return because antibiotics kill only the

free-floating - or planktonic - bacteria. When a patient stops taking

the drug, new free-roaming bacteria emerge from the biofilm and the

infection spreads again.

Scientists estimate that 65 percent to 80 percent of chronic

infections in industrialized nations linger on because of biofilm

formation. Biofilms appear in patients with cystic fibrosis, gum

disease and chronic inner ear, urinary tract and bone infections.

Medical devices such dental implants, catheters, artificial joints

and heart valves are vulnerable to biofilm formation.

Central venous catheters, a type inserted into most intensive-care

patients in hospitals, are a common source of bacterial biofilms.

About 80,000 of ICU patients contract bacterial infections from the

catheters each year - and about 35 percent of those die from the

infection, according to the Centers for Disease Control and

Prevention.

When biofilms grow on bone and metal after joint replacement surgery,

the only option may be to start again from scratch.

" The only way you can get it out of there is by carving it out, "

Shirtliff said. " If an artificial knee gets infected, you're going to

have to take that knee out and put another one in. "

In his research, Shirtliff has focused on one particularly bad actor

that has gotten a lot of press lately: methicillin-resistant

staphylococcus aureus (MRSA). The antibiotic-resistant bacteria kill

about 90,000 people in the United States every year, according to the

CDC.

Because MRSA infections are difficult or impossible to eradicate once

a biofilm is fully formed, Shirtliff is searching for a way prevent

the films from growing.

The trick, he believes, is to hone in on the odd behavior of the

biofilm bacteria. He has identified proteins the bacteria produce in

abundance as they form a film and hopes to develop antibodies that

will target those proteins.

Like an army attacking a half-built fortress, the antibodies would

attack the immature biofilm and destroy it before its defenses are

fully formed.

" The antibodies come in and deactivate the proteins and can destroy

the biofilm, " he said. " The immune cells could also come in safely

then and attack as well. "

To test his theories, Shirtliff grows MRSA biofilms in silicon tubing

in his lab at the dental school and looks for protein targets.

Anti-biofilm vaccines he has developed have proven effective for

treating rabbits with MRSA bone infections. He hopes to move on to

clinical trials in humans within four years, he said.

He said a vaccine might be the best way to combat MRSA because the

bacteria are so widespread. " Here in the United States, " he

said, " it's hard to cork that bottle. "

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Guys

It's a little hard to read this good science and listen to story

after story of people choking on biofilm INFECTIONS and NOTHING

REGISTERS..I frequently would vomit up biofilm intentionally that

slides down the throat all day and instantly feel better.This is

possably another reason why people are alway's laying down, because a

long time standing gets more biofilm into your intestinal tract and

possably a distribution point for all your body. Then an allergy of

any sort flicks the switch and the biofilm nails you-communicating

infectious toxic outputs from your mouth to your arsehole..

Arsenic possably also may have a unique ability to distribute thru

the slime and kill a large number of cells.

> http://www.baltimoresun.com/news/health/bal-

> hs.biofilm23mar23,0,4256495.story?coll=bal-health-utility

>

> From the Baltimore Sun

>

> Bacteria thrive on 'film'

> This slimy glue is everywhere -- in your body, on your teeth -- and

> hard to kill

>

> By Emery

> Sun reporter

>

> March 23, 2007

>

> When he was studying for his doctorate in microbiology, Mark E.

> Shirtliff thought he knew a lot about bacteria.

>

> Then things got scary.

>

> He discovered that bacteria can band together into sheets - called

> biofilms. When they do, they alter their behavior. They build

complex

> communities, establish lines of communication and coordinate their

> actions. Like ants, the microbes find power in numbers. And they're

> nasty.

>

> " Infections that should respond to antibiotics don't, " Shirtliff

> said. " They become 50 to 500 times more resistant. "

>

> With drugs often useless against biofilms in the human body,

> Shirtliff is trying to turn the tables on the slippery infections.

>

> The assistant professor at the University of land Dental School

> received $1.25 million this month from the National Institutes of

> Health for research into vaccines that might prevent the deadly

films

> from forming in the first place.

>

> Although the public rarely hears it in popular discussions of

health

> issues, the term " biofilm " was coined in a 1978 Scientific American

> article by Costerton, now of the University of Southern

> California Dental School. He used it to describe microbes that

clump

> together on wet surfaces.

>

> " It came up in dentistry first, " Costerton said. " They called it

> plaque. I just proposed [that] the biofilm isn't just in the mouth,

> but everywhere. "

>

> In fact, biofilms are just about everywhere. They coat everything

> from Alpine river rocks to neglected teeth. Every year they cause

> billions of dollars of damage to ship hulls, oil pipelines and

> machinery by corroding metal surfaces and clogging up the works.

>

> These plaques often contain a variety of microorganisms, including

> bacteria, protozoa and algae suspended in slimy glue called

> polysaccharide that holds them together and binds them to surfaces.

> When enough of the organisms have collected, they undergo metabolic

> changes that make them better team players.

>

> " We tend to think of them as primitive single-celled organisms, "

said

> Phil , the director of the Center for Biofilm Engineering at

> Montana State University. " But there is a lot of cooperation and

> coordination comparable to something more like an ant colony. It

> allows them to accomplish more than they could on their own. "

>

> Particularly vexing is the ability of virulent bacterial infections

> to resist attack after forming a biofilm. " We could pump bleach

into

> your system, " Shirtliff said, " and it probably wouldn't do

anything. "

>

> That's saying something. Chlorine bleach is the microbiologist's

> ultimate weapon - it's used to disinfect the labs that house the

> world's most dangerous germs.

>

> Like soldiers hiding in a castle, the bacteria inside the film are

> protected from drugs design to kill them. The cells are also

starved

> for nutrients. This makes them grow and divide slowly - providing

> even more drug resistance, since antibiotics often target fast-

> growing cells.

>

> The stress also puts biofilm bacteria on the defensive, causing

them

> to release caustic acids and proteins. " They start freaking out, "

> Shirtliff said. " They turn on stress response genes that make them

> attack the antibiotic. "

>

> Compounding the problem, the stress response tricks the natural

> immune system into using the wrong attack plan. When the

macrophages

> and other white blood cells that form the body's police force

arrive

> on the scene, they're ambushed and destroyed by the biofilm's

arsenal

> of proteins and acids.

>

> Biofilm infections often return because antibiotics kill only the

> free-floating - or planktonic - bacteria. When a patient stops

taking

> the drug, new free-roaming bacteria emerge from the biofilm and the

> infection spreads again.

>

> Scientists estimate that 65 percent to 80 percent of chronic

> infections in industrialized nations linger on because of biofilm

> formation. Biofilms appear in patients with cystic fibrosis, gum

> disease and chronic inner ear, urinary tract and bone infections.

>

> Medical devices such dental implants, catheters, artificial joints

> and heart valves are vulnerable to biofilm formation.

>

> Central venous catheters, a type inserted into most intensive-care

> patients in hospitals, are a common source of bacterial biofilms.

> About 80,000 of ICU patients contract bacterial infections from the

> catheters each year - and about 35 percent of those die from the

> infection, according to the Centers for Disease Control and

> Prevention.

>

> When biofilms grow on bone and metal after joint replacement

surgery,

> the only option may be to start again from scratch.

>

> " The only way you can get it out of there is by carving it out, "

> Shirtliff said. " If an artificial knee gets infected, you're going

to

> have to take that knee out and put another one in. "

>

> In his research, Shirtliff has focused on one particularly bad

actor

> that has gotten a lot of press lately: methicillin-resistant

> staphylococcus aureus (MRSA). The antibiotic-resistant bacteria

kill

> about 90,000 people in the United States every year, according to

the

> CDC.

>

> Because MRSA infections are difficult or impossible to eradicate

once

> a biofilm is fully formed, Shirtliff is searching for a way prevent

> the films from growing.

>

> The trick, he believes, is to hone in on the odd behavior of the

> biofilm bacteria. He has identified proteins the bacteria produce

in

> abundance as they form a film and hopes to develop antibodies that

> will target those proteins.

>

> Like an army attacking a half-built fortress, the antibodies would

> attack the immature biofilm and destroy it before its defenses are

> fully formed.

>

> " The antibodies come in and deactivate the proteins and can destroy

> the biofilm, " he said. " The immune cells could also come in safely

> then and attack as well. "

>

> To test his theories, Shirtliff grows MRSA biofilms in silicon

tubing

> in his lab at the dental school and looks for protein targets.

>

> Anti-biofilm vaccines he has developed have proven effective for

> treating rabbits with MRSA bone infections. He hopes to move on to

> clinical trials in humans within four years, he said.

>

> He said a vaccine might be the best way to combat MRSA because the

> bacteria are so widespread. " Here in the United States, " he

> said, " it's hard to cork that bottle. "

>

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