Difference between revisions of "Phage therapy"

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== Introduction ==
== Introduction ==
: This project was established to better understand and characterize bacteriophages from antibiotic-resistant, sexually-transmitted, ''Neisseria gonorrhoeae'' with the aim of developing prophylactics and therapies to stop the emergence of non-treatable gonorrhea.
: ''Neisseria gonorrhoeae'' has progressively developed resistance to the antibiotic drugs used to treat it. Since the late 1970's, Gonorrhea has shown signs of developing resistance to 3rd-generation, cephalosporin antibiotics which are ultimately the last line of defense against this bacterial pathogen <ref>Antibiotic Resistant Gonorrhea. http://www.cdc.gov/std/Gonorrhea/arg/default.htm</ref>. Antibiotic resistant Gonorrhea is therefore a growing public health concern. In the United States, this concern is greater since primary treatments for gonorrheal infections are antibiotic-based. Currently, CDC STD treatment guidelines recommend dual therapy with the injectable cephalosporin ceftriaxone and either azithromycin or doxycycline to treat all uncomplicated gonococcal infections among adults and adolescents in the United States. Dual therapy is recommended to address the potential emergence of gonococcal cephalosporin resistance. Given the ability of ''N. gonorrhoeae'' to develop antibiotic resistance, it is critical to continuously monitor gonococcal antibiotic resistance and encourage research and development of new treatment regimens for gonorrhea <ref> Basic Information about Antibiotic Resistant Gonorrhea. http://www.cdc.gov/std/Gonorrhea/arg/basic.htm</ref>.
 
: This project was established to (1) Provide surveillance insight into the emergence of antibiotic resistant gonorrhea, (2) better understand and characterize bacteriophages from antibiotic-resistant, sexually-transmitted, ''Neisseria gonorrhoeae,'' and (3) develop phage-based prophylaxis and therapy to stop prevent further emergence of antibiotic-resistant gonorrhea.


: This project is in its early stages. We are working to accomplish the following tasks:
: This project is in its early stages. We are working to accomplish the following tasks:
# Perform a comprehensive literature review;
# Update this wiki with background research and a literature review so all participating citizen scientists can begin in the laboratory with the same rudimentary knowledge about the project;
# Update this wiki with background research so all participating citizen scientists can begin in the laboratory with the same rudimentary knowledge;
# Develop a space that has the equipment (acquired or built) we need in which we can conduct our research.
# Find a space that has the equipment (or acquire/build equipment) we need in which we can conduct our research.
# Acquire culture materials, and clinical specimen from which bacteriophages can be harvested
# Acquire culture materials, and clinical specimen from which bacteriophages can be harvested



Revision as of 20:45, 17 March 2013

Introduction

Neisseria gonorrhoeae has progressively developed resistance to the antibiotic drugs used to treat it. Since the late 1970's, Gonorrhea has shown signs of developing resistance to 3rd-generation, cephalosporin antibiotics which are ultimately the last line of defense against this bacterial pathogen [1]. Antibiotic resistant Gonorrhea is therefore a growing public health concern. In the United States, this concern is greater since primary treatments for gonorrheal infections are antibiotic-based. Currently, CDC STD treatment guidelines recommend dual therapy with the injectable cephalosporin ceftriaxone and either azithromycin or doxycycline to treat all uncomplicated gonococcal infections among adults and adolescents in the United States. Dual therapy is recommended to address the potential emergence of gonococcal cephalosporin resistance. Given the ability of N. gonorrhoeae to develop antibiotic resistance, it is critical to continuously monitor gonococcal antibiotic resistance and encourage research and development of new treatment regimens for gonorrhea [2].
This project was established to (1) Provide surveillance insight into the emergence of antibiotic resistant gonorrhea, (2) better understand and characterize bacteriophages from antibiotic-resistant, sexually-transmitted, Neisseria gonorrhoeae, and (3) develop phage-based prophylaxis and therapy to stop prevent further emergence of antibiotic-resistant gonorrhea.
This project is in its early stages. We are working to accomplish the following tasks:
  1. Update this wiki with background research and a literature review so all participating citizen scientists can begin in the laboratory with the same rudimentary knowledge about the project;
  2. Develop a space that has the equipment (acquired or built) we need in which we can conduct our research.
  3. Acquire culture materials, and clinical specimen from which bacteriophages can be harvested
If you would like to help with any of these short term project goals, please contact Craig (moleculararts [at] riseup [dot] net).


What is Phage Therapy

Phage therapy is a biological therapy that uses bacteriophages (bacterial viruses) to infect and lyse bacterial pathogens.[3]

Sexually Transmitted Bacterial Infections

This project will begin by studying Neisseria gonorrhoeae the causative agent of gonorrhea.
Neisseria gonorrhoeae is a facultative intracellular pathogen that is able to infect the eye, pharynx, anus/rectum, urogenital tract, and may be disseminated throughout the body in more complex cases. The Center for Disease Control reports that in 2011 there were an 321,849 new cases of gonorrhea reported in the U.S.[4] of which about 50% are estimated to be reported ( for a total of 700,000 estimated new cases in 2011). The World Health Organization reports that there are between 65-105 million new cases of gonorrhea nationally each year. Of these, 0.5-3% of cases develop into disseminated, systemic infection where the falcutative intracellular diplococci induce more serious illness such as pelvic inflammatory disease.

Antibiotic Resistance

Bacteriophages

Questions and Specific Aims

Experiments and Anticipated Problems

Laboratory Needs

Social Project Goals and Community Agreements

Throughout the course of this project, participants will co-create and foster an open access citizen science project that accomplishes specific scientific goals while educating and nurturing community and scientific creativity.
Those participating in this project adhere to the following statements:

We are Non-hierarchical:

We recognize the outcomes of hierarchy. Hierarchy represses creative thought in science, denies access to science, and holds back global scientific development. As a collective of citizen scientists working toward a more complete understanding of molecular medicine, we commit ourselves to nurturing creative, positive voices within our community. We commit ourselves to hearing everyone and refuse to acknowledge hierarchy based on: sex and gender, race, age, accreditation, education, class, or access to resources. We stand in solidarity against oppression and hierarchy.

We believe in open access and transparency:

Everyone is invited to participate in and learn from this project. We will always make time for conversation and teaching opportunities. Online meetings, communications regarding this project, and all findings will be publicized on this fully-editable wiki with the stipulation that those participating adhere to a value system of mutual respect, compassion and safety; while accepting that these values will be enforced via community-based decision making.

We believe in full Consensus:

We believe scientists should be open to discussion around research experiments, data interpretation, and project directions. To foster a spirit of openness and understanding, no decision will be made without 100% consensus.

We believe in asking (and answering) questions:

Science is a question. Our social quest is the pursuit of knowledge. We are not approaching this project with the hope of making money. We want to collectively answer questions and serve our communities. We will stand in solidarity against anyone who chooses to co-opt or privatize any portion of this project. All knowledge must be free and accessible!


Relevance

http://www.smithsonianmag.com/science-nature/phenom_oct00.html?c=y&page=1

Resources

Here are some videos to review

http://www.youtube.com/watch?v=LiPZq2K_Tos&NR=1&feature=endscreen
http://www.youtube.com/watch?v=ehbZpo8oXSs
http://www.youtube.com/watch?v=3VjE1zddXWk
http://www.youtube.com/watch?v=ZENpYdQg-z4
http://www.youtube.com/watch?v=egY-Br_oTHE
http://www.youtube.com/watch?v=Oms5SA_4-kE
http://www.youtube.com/watch?v=3eQhNyX7DRQ
http://www.youtube.com/watch?v=lUcMGktSc7c&NR=1&feature=endscreen

Meeting Announcements and Contact Information

Next Call: 1/27/13 8:00pm PST/10:00pm CST

if you'd like to attend the conference call, please contact: Craig (moleculararts [at] riseup [dot] net)

References

  1. Antibiotic Resistant Gonorrhea. http://www.cdc.gov/std/Gonorrhea/arg/default.htm
  2. Basic Information about Antibiotic Resistant Gonorrhea. http://www.cdc.gov/std/Gonorrhea/arg/basic.htm
  3. [1] Phage Treatment of Human Infections. Abedon, et al. 2011.
  4. [2] Detailed STD Facts