Showing posts with label Streptococcus pneumoniae. Show all posts
Showing posts with label Streptococcus pneumoniae. Show all posts

Thursday, August 23, 2012

Pneumonia bug evolves to evade vaccine

This is an old, old news, but if all true, and continuing, it is a cause of alarm: our drugs are no longer effective!
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Posted: 30 January 2012

Researcher with blood sample
PARIS, France: Bugs that cause childhood pneumonia and meningitis have evolved to evade vaccines by swapping bits of their genome with other bacteria, according to a study published on Sunday.

The findings, published in Nature Genetics, show how quickly these life-threatening pathogens can disguise themselves with borrowed genetic decoys, and how hard it is for medicine to keep up.

Diseases caused by Streptococcus pneumoniae are thought to kill over a million young children around the world each year.

Vaccines that protect against these so-called pneumoccoccal infections are designed to recognise a material on the outer surface of a bacterium's cell called polysaccharide.

Each of over 90 kinds, or "serotypes", of these bacteria have a different polysaccharide coating.

In 2000, a vaccine that targeted seven serotypes proved highly effective when introduced in the United States. The same formula - which also prevented transmission from children to adults - was adopted in Britain.

Over time, however, the vaccine worked less well, so researchers led by Rory Bowden at the University of Oxford set out to discover why.

Combining cutting-edge genetic analysis with epidemiology, which examines how disease spreads, they found that the deadly pathogens escaped detection by swapping genes with other, slightly different, bacteria.

Remarkably, the exchanged genetic material came from precisely that part of the genome responsible for making the cell's coating - the area targeted by the vaccine.

The bacteria, in other words, had kept their virulence intact but changed their outward appearance.

"Imagine that each strain of the pneumoccoccus bacteria is a class of schoolchildren all wearing the school uniform," explained Bowden.

"If a boy steals from the corner shop, a policeman - the vaccine - can easily identify which school he belongs to by his uniform."

But if the boy swaps his sweater with a friend from another school, Bowden continued, the policeman will no longer know where to look and the thief, like the bacteria, will escape.

The researchers identified several such "recombined" serotypes resistant to the vaccine, and one in particular that had spread across the United States from east to west over several years.

They also observed - for the first time outside a laboratory - that the bugs were able to swap several parts of their respective genomes at once.

"This is of particular concern, as recombination involving multiple fragments of DNA allows rapid and simultaneous exchange of key regions of the genome within the bug, potentially allowing it to quickly develop antibiotic resistance," the researchers said.

In both the United States and Britain, the original vaccine has now been replaced with a new one that targets 13 rather than seven of the telltale serotypes.

But the scientists caution that the bacteria will continue to morph into new forms.

"The current vaccine strategy ... is extremely effective," co-author Bernard Beall, a scientist at the Centres for Disease Control and Prevention in Atlanta, said in a statement.

"However, our observations indicate that the organism will continue to adapt to this strategy with some measurable success."

- AFP/de



Taken from ChannelNewsAsia.com; source article is below:
Pneumonia bug evolves to evade vaccine


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Wednesday, October 14, 2009

Immunity for kids

Child receiving an oral polio vaccine.Image via Wikipedia

PNEUMOCOCCAL VACCINAT ION

IT IS a disease that can be fatal, but now, young children in Singapore will be immunised against pneumococcal disease.

In what appears to be a turnaround, the Ministry of Health (MOH) will now include pneumococcal vaccination into the National Childhood Immunisation Programme (NCIP). Health Minister Khaw Boon Wan announced this in Parliament yesterday.

"Fortunately, a vaccine is available to protect children against this disease. Extensive studies have shown (it) to be safe and effective. Many countries, including Australia, New Zealand, the UK and the US, have included pneumococcal vaccination in their national childhood immunisation programmes.

"Our Expert Committee on Immunisation has reviewed this, and recommended that we follow suit," Mr Khaw said.

Pneumococcal disease refers to a range of illnesses caused by streptococcus pneumoniae, a bacterium commonly known as pneumococcus. The bug can cause meningitis (infection of the lining or spinal cord), pneumonia (infection of the lungs), bacteraemia (blood infection) and otitis media (infection of the middle ear). Detection is not easy because symptoms are similar to those of the common flu.

In 2007, the MOH rejected calls for the vaccination to be included among those for tuberculosis, diptheria, poliomyelitis, tetanus and measles, which are free for Singaporean children.

To an ensuing debate, MOH said the rate for penumonia and meningitis among children in Singapore was low, and had seen no need to include the vaccine in NCIP.

In Singapore, 70 children under five years old were hospitalised for pneumococcal disease every year. Seven deaths have been recorded since 2000. CHANNEL NEWSASIA
 

From TODAY, Health – Wednesday, 16-Sep-2009