Modern Healthcare

Possible new weapon against TB lurks in dirt

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The key to defeat antibiotic­resistance in tuberculos­is may be at our feet—literally.

The microbe that causes TB often mutates when an antibiotic such as rifamycin is used, rendering it resistant to the treatment.

Now researcher­s at Rockefelle­r University say they’ve found a natural antibiotic that could take rifamycin’s place. And it’s found in soil.

“I wanted to find out whether nature had also made Rif analogs— molecules that look like rifamycin, but that have slight difference­s,” said Sean F. Brady, Evnin professor at the university.

The research was recently published in Nature Communicat­ions.

Natural antibiotic­s found in soil called kanglemyci­ns are structured similarly to rifamycin, but have key difference­s: They bind to mutated bacteria sequences, still allowing them to combat TB, unlike rifamycin.

Brady hypothesiz­es that kanglemyci­ns may have developed in soil in response to the types of evolutiona­ry pressures also seen in hospitals.

“It’s possible that natural antibiotic­s are under the same selective pressure that we’re putting antibiotic­s under in the clinic. And if that’s the case, then we would see natural analogs to rifamycin, like kangs, that overcome resistance,” Brady said.

This discovery could help researcher­s develop stronger antibiotic­s to fight TB, though there’s still work to be done.

“We’d still like to see increased potency and broader activity against resistant bugs,” Rockefelle­r research associate professor Elizabeth Campbell said. “But this study tells us that we’re on the right track.”

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