February 11, 2005
Neuroscience
Blocking Protein Might Reverse Hearing Loss
Cell Biology
Functional Protein Changes Caught and Quantified
Genomics
Gain and Loss of Amino Acids Detected Across All of Life
Ambulatory Care A Third of Older People May Take
Potentially Inappropriate Medicines
Social Medicine Past Research Enables Mental Health Services to Fill Gap for Tsunami Survivors
New Books The Winter Bookshelf

Bacteria Exhibit Novel Method for Sensing Environment
Enzymes Used to Generate Diversity in Antibiotics
Thalamus Calcium Channel Supports a Sound Sleep
New Appointments to Full Professorships
Ten Students Named Schweitzer Fellows
Red Book Grants List to Be Posted Next Week
Congratulations to Training Institute Grads
Honors and Advances
 Failing Elders Weigh Heavily on Reservation Families
Some Wrinkles of Delayed Residency
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RESEARCH BRIEFS
Bacteria Exhibit Novel Method for Sensing Environment
Michael Gilmore and his colleagues have discovered a new way for bacteria
to sense and respond to their environment—from the human gut to the bloodstream,
the eye, or a wound. Currently the acting CEO of Schepens Eye Research Institute
and the Charles L. Schepens professor of ophthalmology at HMS, Gilmore reports
the findings on the bacterium Enterococcus faecalis in the Dec. 24 Science.
The cytolysin produced by E. faecalis remotely
senses target cells and increases toxin production. The two subunits
of the bacterium’s cytolytic toxin,
LL and LS, bind to one another and form an inactive complex if there are no
target cells nearby (left). If target cells are present (right), LL binds more
tightly to them than does LS. This leaves LS subunits unbound, and in this
form, they can return to the bacterial membrane, signaling the presence of
target cells. The cytolysin operon is thereby upregulated.
(Illustration adapted by Rachel Meyer)
This
particular enterococcus is a serious hospital-acquired infection that frequently
sports resistance to multiple antibiotics. The organism sometimes
produces a toxin that explodes erythrocytes and other human cells as well
as gram-positive bacteria. The toxin kills these targets by punching holes
through
their membranes. In his research, Gilmore is seeking treatment options
beyond antibiotics. “We look at infection as a process. Once we understand
the critical points, we can try to intervene,” he said.
Like a suspicious
homeowner laying traps for mice, E. faecalis continuously produces
a small amount of its cytolytic toxin. Previous work by Gilmore
and his colleagues showed that if there are no target cells around to trigger
the
traps, the bacteria frugally keep toxin production at low levels. They
crank up output of the toxin if they detect their target cells or bacteria.
But
how do they know whether there are targets nearby?
Gilmore’s team
investigated the genetics of E. faecalis and found that the
toxin had two short proteins, regulated in concert with six other genes
required to produce and secrete the active cell-exploding cytolysin.
Team
members found that mutating the gene for the larger toxin protein, LL,
or dousing bacterial
colonies with the smaller toxin component, LS, triggered increased toxin
production. Gilmore therefore suspected that both subunits were involved
in regulation
of the cytolysin operon.
Experiments in solution showed that the subunits
had an affinity for each other. Without target cells, they formed large,
inactive complexes.
In
experiments in which the subunits attached to membranelike vesicles,
the researchers
found
that while both subunits could bind to the target vesicles, LL bound
more than six times as firmly as the smaller LS.
Gilmore concluded that
if there are target cells in the environment, LL will bind to them, leaving
LS free to loop back to a receptor, sending
a signal
to upregulate the operon (see diagram). Then toxin concentration
rises and target cell membranes are lysed by both subunits working together. Gilmore sees applications in reducing the severity of antibiotic-resistant
E. faecalis infections by interfering with its sensory system. He
imagines the future possibility of engineering the operon to detect
other targets.
If the LL subunit could be modified to stick to minerals or to other
bacteria, for example, the bacterial remote sensing system might
serve in fields
as diverse
as mining and medicine.
—Tai Viinikka
Enzymes Used to Generate Diversity in Antibiotics
Antibiotic development is a race between human intelligence and bacterial
evolution, and recently humans have been losing. Christopher T. Walsh would
like to change that. Research by Walsh, first author Ryan Kruger, and colleagues,
which appears in the January Chemistry & Biology, extends the
lab’s “mix
and match” approach to antibiotic development. The team’s strategy
is to build new chemical “decorations” on known molecular backbones
to yield drugs that are more effective against evolving bacteria.
Walsh, the
Hamilton Kuhn professor of biological chemistry and molecular pharmacology,
asked postdoctoral fellow Kruger to explore why the antibiotic teicoplanin
kills some bacteria that are resistant to a very similar drug, vancomycin.
Vancomycin has been used since the 1960s, and resistance to it is increasing.
Teicoplanin, on the other hand, has only limited FDA approval. The two drugs
are thought to confound the same cell wall–building process, raising
the question of why one works when the other fails.
As glycopeptide antibiotics,
vancomycin, teicoplanin, and a candidate drug called A-40,926 all share
a similar backbone of amino acids, differing in
chemical groups such as sugars and acyl chains that hang off the frame.
Kruger used
acid hydrolysis chemistry to cut the antibiotics down to their skeletons
and then attached new chemical groups. He cloned enzymes from the bacteria
that
produce teicoplanin and A-40,926 and found that the enzymes could add a
fatty tail (the acyl chain) to the vancomycin backbone. The team also varied
the
pH of the reaction and found that the enzyme would add an acyl chain in
other, nearby positions on the molecule, producing novel products that may
be particularly
potent against certain bacteria.
Walsh’s combinatorial approach to
chemoenzymatics could yield promising candidate antibiotics that may
not occur in nature. It is also far cheaper
and less difficult than trying to piece together complicated molecules
from scratch—Kruger can buy most of the sugar and acyl-chain components
off the shelf and relies on Harvard professor Daniel Kahne of the Department
of
Chemistry and Chemical Biology to build a few unusual add-ons. “Part
of the goal here is to see what can be accomplished quickly and easily
with enzymology, and what is best left for synthetic chemists,” Kruger
said.
The question of why bacteria might succumb to teicoplanin but not
vancomycin remains unanswered, but Kruger thinks that if a variety of
molecules
can be built to probe the system, the important details of their antibiotic
action may become clear.
— Tai Viinikka
Thalamus Calcium Channel Supports A Sound Sleep
A Boston-centered research team has identified a molecular mechanism
in the brain that may permit people to sleep through things that go bump
in
the
night. Matthew Anderson, an HMS instructor in neurology at Beth Israel
Deaconess Medical
Center, is first author of the study, published in the Feb. 1 Proceedings
of the National Academy of Sciences.
When people sleep, the brain
mostly ignores the senses. This sensory gating has been attributed to
the thalamus, because sensory inputs must
travel
through the thalamus before reaching the cortex. But hard evidence has
been scarce.
Previous work implicated a subset of calcium channels, dubbed CaV3.1.
Anderson, working with Susumu Tonegawa’s lab at MIT, set out to
investigate these unusual proteins.
The team created three mutant strains
of mice. A global knockout lacked the CaV3.1 T-type channel entirely,
and the team used Cre/loxP recombinase
to
create strains lacking the channel either in the cortex or the thalamus.
Observations
found that thalamic knockouts and global knockouts suffered fragmented
sleep, waking more often and experiencing shorter bouts of
non-REM sleep than
cortex knockouts or the wild type. Anderson then probed thalamic neurons
in a thin slice of brain. “What we discovered is that the calcium
channel can shut down a neuron for many seconds,” he said. In sleeping-state
neurons, sensory signals triggered the calcium channels to open, and
by an unknown mechanism, the calcium burst inhibited neuronal firing.
In
Anderson’s lab at BID, figuring out how calcium from the channel
shuts off neuronal firing is a priority. He also hopes to explore the
role of this
thalamic sensory gating mechanism in the control of pain and some forms
of epilepsy.
—Tai Viinikka
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