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The multi-institutional team exploited a chemical pathway that allows the Staph bacterium to defend itself against an immune response. The researchers showed that a compound (BPH-652) originally designed to lower cholesterol blocks a key enzyme in that pathway, weakening the organism’s defenses and allowing the body’s immune cells to prevail against the infection.
STAPHYLOCOCCUS AUREUS:
MANIFESTATIONS:
Cutaneous:
Furuncle: Boil, infected hair follicle.
Carbuncle: Boil resulting from cluster of furuncles.
Bacteremia: Targets kidneys, lungs, hearts, bone. Possible coagulopathy.
The first thing you will see is an isolated abscess in an organ -- a clue that systemic S. Aureus infection is occurring.
You may also see petechial hemorrhages in fingernails, toes, and digits.
Endocarditis can result.
Septic embolus can break off of the vegetations and go to a distal peripheral artery (such as finger) to cause an infarct.
Osteomyelitis can also result. Used to occur in children. Septic arthritis occurs in adults, associated with heroin IV-needle use.
Scalded Skin Syndrome: Bullous lesions leading to desquamation in infants.
It is a result of the toxin Exfoliatin. No bugs are found in the lesion.
It will heal without scarring, if treated carefully and not spread.
Toxic Shock Syndrome: Result of TSS-Toxin.
High-grade fever, headache, myalgia, hypotension, rash, diarrhea.
Food Poisoning: Abdominal cramps, diarrhea, vomiting, 2-12 hours after eating. Staph Aureus is the most common cause of food poisoning in the U.S.
Associated with mayonnaise kept at room temperature, such as at a picnic.
Results from Enterotoxins A-E
VIRULENCE:
COAGULASE: Staph Aureus is Coagulase (+) and thus virulent. Coagulase Negative Staph (CNS) are far less virulent.
Catalase, Fibrinolysins, Hyaluronidase.
Methicillin-Resistant Staph Aureus (MRSA): Must be treated with Vancomycin.
Coagulase-Negative Staph (CNS): Less virulent. S. Saprophyticus causes UTI's in young females.
Mark Schoenfisch and his lab of analytical chemists at UNC have created nano-scale scaffolds made of silica and loaded with nitric oxide (NO) – an important molecule in mammals that plays a role in regulating blood pressure, neurotransmission and fighting bacterial infections, among other vital functions.
“There was evidence that nitric oxide kills bacteria, but the difficult part involved storing it in a manner such that it could be delivered to bacterial cells,” said Evan Hetrick, a doctoral student in Schoenfisch’s lab and lead author on a paper in the February issue of the American Chemical Society’s journal ACS Nano.
While the body constantly produces NO, and can ramp up its production to fight infection, sometimes it can’t produce enough to mount a sufficient defense. Previous research using small molecules to deliver NO hit roadblocks – controlling the release of the compound was difficult and the molecules were potentially toxic to healthy cells in the body.
“With silica scaffolds, nitric oxide stores easily and we could very carefully control the release,” said Schoenfisch, an associate professor of chemistry in UNC’s College of Arts and Sciences.
Schoenfisch, Hetrick and their colleagues tested their silica scaffolds head-to-head with small molecules against the bacteria Pseudomonas aeruginosa, which is commonly found in burn and other wound infections.
NO delivered by both methods completely killed the bacteria. But the silica nanoparticles delivered the NO right to the bacteria’s doorstep. In contrast, the small molecules released NO indiscriminately, and the concentration of NO is lost as it makes its way toward bacterial cells.
The scientists note the cannabinoids kill bacteria in a different way than traditional antibiotics, meaning they might be able to bypass bacterial resistance.