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http://news.bbc.co.uk/2/hi/health/8248020.stm

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Antibiotic resistance clue found

MRSA highlights the problem of antibiotic resistance

US scientists have uncovered a defence mechanism in bacteria that allows them to

fend off the threat of antibiotics.

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It is hoped the findings could help researchers boost the effectiveness of

existing treatments.

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The study published in Science found that nitric oxide produced by the bacteria

eliminates some key effects of a wide range of antibiotics.

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One UK expert said inhibiting nitric oxide synthesis could be an important

advance for tackling tricky infections.

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Antibiotic resistance, for example with MRSA, is a growing problem and experts

have long warned of the need to develop new treatments.

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Here, we have a short cut, where we don't have to invent new antibiotics

Dr Evgeny Nudler, study leader

The latest research, done by a team at New York University, showed that in

bacteria the production of nitric oxide - a small molecule made up of one

nitrogen and one oxygen atom - increased their resistance to antibiotics.

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They found the enzymes responsible for producing nitric oxide were activated

specifically in response to the presence of the antibiotics.

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They also showed that nitric oxide alleviates damage caused by the drugs as well

as helping to neutralise many of the toxic compounds within the antibiotic.

The researchers then showed that eliminating nitric oxide production in the

bacteria allowed the antibiotics to work at lower, less toxic doses.

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More effective

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Study leader, Dr Evgeny Nudler, said developing new medicines to fight

antibiotic resistance, such as that seen with MRSA is a " huge hurdle " .

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" Here, we have a short cut, where we don't have to invent new antibiotics.

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" Instead we can enhance the activity of well-established ones, making them more

effective at lower doses.

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Dr Dryden, consultant in microbiology and communicable disease at Royal

Hampshire County Hospital and general secretary of the British Society for

Antimicrobial Chemotherapy, said if the enzyme which creates nitric oxide could

be inhibited, it could suppress the ability of the bacteria to counteract

antibiotics.

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" This would be a useful therapeutic advance, especially as we are running out of

new classes of antibiotics and there is less antibiotic development in general.

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