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Literature Review: Research In a Novel Drug Therapy for Combatting MRSA (Methicillin-Resistant S. aureus) Infections The Blah Blah Blah Group Joe Student SES 391 YY Stella Maloney October 17, 2014 Literature Review: Research In a Novel Drug Therapy for Combatting MRSA (Methicillin-Resistant S. aureus) Infections Page 1 of 5 Literature Review: Research In a Novel Drug Therapy for Combatting MRSA (Methicillin-Resistant S. aureus) Infections Introduction MRSA (methicillin-resistant S. aureus) infections have become a serious health risk. According to the Mayo Clinic web site, “Most MRSA infections occur in people who've been in hospitals or other health care settings, such as nursing homes and dialysis centers. When it occurs in these settings, it's known as health care-associated MRSA (HA-MRSA). HA-MRSA infections typically are associated with invasive procedures or devices, such as surgeries, intravenous tubing or artificial joints” (Mayo Clinic). But MRSA isn’t just a threat to people undergoing medical procedures. Healthy people can contract community-associated MRSA (CA-MRSA) (Mayo Clinic). Since most antibiotics are ineffective against MRSA, researchers are experimenting with new compounds to fight the infection. MRSA, like other bacterial infections, occurs not because of the presence of bacteria, but because of the presence of toxins released by the bacteria as waste products of their own metabolism. As a result, the greater the bacteria load in the body, the higher the amount of toxins released in the body, and the more ill the person becomes. One potential treatment for MRSA infections is a drug developed from the antivenom component of the blood of some mammals, notably the opossum. A complex identified as Lethal Toxin Neutralizer (LTN) has been isolated from the blood of the opossum (Trento, Garcia, Rucavado, Franca, Batalini, Arantes, et al., 2001). Experiments involving mice have proven that LTN is completely successful in neutralizing the toxins present in snake venom (Trento, Garcia, Rucavado et al., 2001). Other experiments have shown that LTN is a promising therapy for inflammatory diseases in humans (Thwin, Samy, Satyanarayanajois, Gopalakrishnakone, 2010). Experiments suggest that it is possible to use LTN as a therapy for cancer (Sanchez & Rodriguez-Acosta, 2008). Research is also being done on the potential of LTN as a drug therapy for antibioticresistant bacteriological infections (Sanchez & Rodriguez-Acosta, 2008). The focus of our research report will be on the research being done on LTN as a potential treatment for MRSA and other antibiotic-resistant bacteriological infections of the human body. Literature Review: Research In a Novel Drug Therapy for Combatting MRSA (Methicillin-Resistant S. aureus) Infections Page 2 of 5 Review of Literature Sanchez, E.E. & Rodriguez-Acosta, A. (2008) Inhibitors of snake venoms and development of new therapeutics. Immunopharmacology and Immunotoxicology, 30: 647-678. DOI: 10.1080/089239/70802279019 Sanchez and Rodriguez-Acosta’s research is on work already done in this field. Their study is basically a review of past discoveries in the field of naturally occurring anitvenoms. They look at what has been discovered about LTN derived from opossums and from other animals (Mexican ground squirrel) and hypothesize the used of these LTNs as potential treatments for various disease conditions ranging from the obvious (snake bite) to the less obvious such as some cancers, inflammatory diseases such as rheumatoid and osteoarthritis, some cancers, and potentially, some bacteriological infections. Overall, the value of this article lay in its introductory nature. It provided some useful historical information as well as some interesting future directions for research and application of LTN. It was valuable is helping the group organize its ideas on the topic. Borkow, G., Gutierrez, J.M., & Ovadia, M. (1997) Inhibition of the haemorrhagic activity of Bothrops asper venom by a novel neutralizing mixture. Toxicon 35: 865-877. DOI: 10:10.1016/S0041-0101(96)00193-6 Borkow, Gutierrez and Ovadia describe how experiments with antivenom mixtures led to the discovery of the powerful antivenom effects of a mixture of EDTA salts, horse polyvalent anitvenom, and a fraction distilled from pit viper venom. They first experimented with each component separately and found each to be effective to varying degrees. However, when combined, the three ingredients formed a novel serum that experimentally was proven to be a highly potent venom neutralizer when administered after envenomation. However, it was effective only on pit viper venom. The authors theorize that their novel serum could be the treatment of choice for snakebite by pit viper. While the information on the neutralizing mixture described in this article is of no value to our research since it only works on pit viper envenomation, the authors’ use of EDTA salts points to some interesting possibilities of the use of EDTA salts in the preparation of more general antitoxin treatments. The article gave us some insight into other potential antitoxins and was useful only for this insight. [NOTE: IN ORDER TO KEEP IT SHORT, THIS SAMPLE LITERATURE REVIEW ONLY SHOWS TWO ENTRIES INSTEAD OF FIVE ENTRIES. ONE FOR EACH ARTICLE LISTED UNDER SOURCES] Literature Review: Research In a Novel Drug Therapy for Combatting MRSA (Methicillin-Resistant S. aureus) Infections Page 5 of 5 Sources Borkow, G., Gutierrez, J.M., & Ovadia, M. (1997) Inhibition of the haemorrhagic activity of Bothrops asper venom by a novel neutralizing mixture. Toxicon 35: 865-877. DOI: 10:10.1016/S0041-0101(96)00193-6 Mayo Clinic (2014) MRSA infection. In Diseases and Conditions. Retrieved September 20 from www.mayoclinic.org/diseases-conditions/mrsa/basics/definition/con-20024479 Sanchez, E.E. & Rodriguez-Acosta, A. (2008) Inhibitors of snake venoms and development of new therapeutics. Immunopharmacology and Immunotoxicology, 30: 647-678. DOI: 10.1080/089239/70802279019 Thwin, M-M., Samy, R.P., Satyanarayanajois, S.D., & Gopalakrishnakone, P. (2010) Venom neutralization by purified bioactive molecules: Synthetic peptide derivatives of the endogenous PLA2 inhibitory protein PIP (a mini review). Toxicon 56: 1275-1283. DOI: 10.1016/j.toxicon.2009.12.023 Trento, E.P., Garcia, O.S., Rucavado, A., Franca, S.C., Batalini, C., Arantes, E.C., et al. (2001) Inhibitory properties of the anti-bothropic complex from Didelphis albiventris serum on toxic and pharmacological actions of metalloproteases and myotoxins from Bothrops asper venom. Biochemical Pharmacology 62:1521-1529. DOI: 10.1016/S0006-2952(01)00800-0