Okay, let's try this again:
The story typically taught to students regarding antibiotic resistance goes something like this: The presence of antibiotics in bacterial growth
medium, soil, host organism, or other environment selects for variants that are, fortuitously and randomly, resistant the particular antibiotic
present. It is generally noted that early resistant strains are minimally resistant to the antibiotic, with subsequent generations becoming more and
more resistant, until the resistance level reaches clinically relevant concentrations.
I'm going to reproduce the next statement from my original post, and I think be within the terms and conditions of this site; it's a great line.
Though quaint, plausible, and powerful with respect to explanatory scope, the story is simply not true.
Indeed it has been known for a good deal of time - and I teach it this way to my students: Antibiotic Resistance are, in general, NOT acquired via
this classic story. Many, if not most, antibiotic resistance genes are acquired and passed via mobile genetic elements whose cellular role appears to
be exactly that - capture, transfer, and integration of genes - often in a site-specific manner.
In general, antibiotic resistance results not from Darwinian evolution, but rather from both intra- and interspecies transfer of extrachromosomal,
self-replicating, collections of generally non-essential genes and a variety of regulatory nucleic acid sequences called plasmids. An excellent
summary of what I've written above was published in the Journal
Cell, back in march of 2007. It is quoting this
article at length, with special emphasis by mattison0922:
Molecular Mechanisms of Antibacterial Multidrug Resistance Cell 128(6):1037-1050 Michael N. Alekshun and Stuart B. Levy Treatment of infections is
compromised worldwide by the emergence of bacteria that are resistant to multiple antibiotics. Although classically attributed to chromosomal
mutations, resistance is most commonly associated with extrachromosomal elements acquired from other bacteria in the environment. These include
different types of mobile DNA segments, such as plasmids, transposons, and integrons. However, intrinsic mechanisms not commonly specified by
mobile elements—such as efflux pumps that expel multiple kinds of antibiotics—are now recognized as major contributors to multidrug resistance in
bacteria. Once established, multidrug-resistant organisms persist and spread worldwide, causing clinical failures in the treatment of infections and
public health crises.... The means that microbes use to evade antibiotics certainly predate and outnumber the therapeutic interventions
themselves. In a recent collection of soil-dwelling Streptomyces (the producers of many clinical therapeutic agents), every organism was multidrug
resistant. Most were resistant to at least seven different antibiotics, and the phenotype of some included resistance to 15–21 different drugs...
This information is nicely supported in a story (Medical Tribune, 29 December 1988, pp.1, 23, no electronic resource known to be available) that
details the plight of some unfortunate sailors who froze to death on an Arctic expedition back in 1845. These sailors were buried under the permafrost
until 1986 when their bodies were exhumed. The sailors had been frozen solid in the permafrost, and their bodies were extremely well preserved; so
well preserved that researchers were able to isolate and revive six strains of 19th century bacteria obtained from the contents of the sailors'
intestines. These 19th century bacteria - bacteria that were alive prior to the discovery of penicillin were found to be resistant to several
modern-day antibiotics, including penicillin.
Another article was recently published that further undermines the Darwinian story of the evolution of antibiotic resistance. The abstract is
reproduced below:
Integrons are found in the genome of hundreds of environmental bacteria but are mainly known for their role in the capture and spread of
antibiotic resistance determinants among Gram-negative pathogens. We report a direct link between this system and the ubiquitous SOS response. We
found that LexA controlled expression of most integron integrases and consequently regulated cassette recombination. This regulatory coupling enhanced
the potential for cassette swapping and capture in cells under stress, while minimizing cassette rearrangements or loss in constant environments. This
finding exposes integrons as integrated adaptive systems and has implications for antibiotic treatment policies.
You understood that, didn't you?
Perhaps not, I'll translate it for you here and now: This article details the molecular mechanism behind the transfer of resistance genes between
bacteria. As described in the article, the use of antibiotics actually triggers the synthesis of a specific enzyme that not only identifies, but also
preferentially captures the resistance genes and facilitates their expression. This enzyme also promotes the rearrangement of these resistance genes.
This alters the order of
when the genes are expressed. New rearrangements are triggered by taking an antibiotics, and those bacteria that have
'correctly' rearranged their genes, creating a new resistance cassette, will be able to survive and pass on this resistance not only vertically, but
also horizontally - to their peers; bacteria can pass resistance genes to their neighbors in a deliberate manner.
This is extremely significant; the classic Darwinian story describes the organism as entirely a slave to the environment, unable to respond or adapt
at the
individuallevel. Only a lucky few - those that are resistant by chance - survive the selective pressure of antibiotic use,
and are able to pass on their genes.
Or as you've been more simply taught: Survival of the fittest.
This new research clearly indicates that this is not necessarily the case, and in fact, contrary to what I've been taught more-or-less through my
entire history in science - individual organisms - not just populations are able to not only react to, but also to adapt to the environment.
At least individual microorganisms are able to do this.
It cannot be stressed enough how significant of a break this is from the classic story of antibiotic resistance via Darwinian evolution. The idea that
the individual and not just the population of organisms can adapt to a changing environment at the DNA level is literally scientific heresy.
This is of course more evidence, another huge piece of evidence suggesting that The Theory of Evolution with respect Darwin's ideas is at least not
as well understood as was once believed, and at most completely, utterly, and totally false.
Finally, in response to astyanax's comment on my original post:
I'm pleased to be the first to welcome you back, mattison. You've been sorely missed; we get a different class of creationist in here nowadays.
If there are organisms that synthesize and secrete antibiotics in nature, as indeed there are, why is it surprising that bacteria should have evolved
defences against them?
Thanks for the welcome, I'm not sure who long I'll be around... added a couple of pups to the litter since the last time, and am trying to do a bit
more serious writing in addition to my internet stuff.
In response to the second part of your statement, it's not surprising that organisms have evolved defenses to antibiotics, what is surprising, and
what goes against what is most commonly taught is the mechanism by which organisms become resistant.
The classic Darwinian story describes this as a random chance with respect to which organisms survive. Organisms are blessed with genes that allow
them survive go on to reproduce, those that die... well they don't. However, this new data suggests that individuals do have an adaptive response,
one that may or may not result in antibiotic resistance.... that's the big change, the fact that antibiotic resistance is a response, not a
pre-existing condition.
Does that make sense?