Johns Hopkins researchers have developed a novel way to monitor in real time the behavior of the TB bacterium in mouse lungs noninvasively pinpointing the exact location of Mycobacterium tuberculosis. The new monitoring system is expected to speed up what is currently a slow and cumbersome process to test the safety and efficacy of various TB drug regimens and vaccines in animals. Plans are already under way for developing a similar system to monitor TB disease in humans.
"Worldwide there are some 9.2 million new infections with TB each year, and new drug combinations are needed fast to treat increasingly resistant strains of the bacterium," says senior investigator Sanjay Jain, M.D., an infectious disease specialist at Johns Hopkins Children's Center and director of the Center for Infection and Inflammation Imaging Research in the Division of Infectious Diseases at Hopkins. "Because virtually all drugs are tested in animals first, the TB tracker will play a critical role in such preclinical studies."
"This new way to locate and study the disease and its behavior in animals should speed studies of TB's response to experimental vaccines, to new drugs and old ones and should accelerate our assessment of whether a treatment is working or not," Jain added.
TB treatment in humans and animals takes much longer than treating other bacterial infections, so compliance with lengthy and complicated regimens can often be problematic. Also, some strains are already resistant to all drugs currently available, so finding clues to how the bacterium responds to drug treatment is essential.
In mice, the tracker works by infecting them with a "designer" strain of TB, developed by the Hopkins team to absorb radio-tracing chemicals. The chemicals light up the germ and any infected tissues in the lung, permitting an image captured by CT, PET and SPECT scanners.
Because the new system tracks disease progression over time within the same group of live animals, fewer animals are needed than in conventional animal testing protocols.
The tracker will be useful for studying TB in larger animals, including rabbits, guinea pigs and nonhuman primates, whose TB infection mimics human disease much more closely than infection in mice.
Co-investigators include: Stephanie Davis, Nicholas Be, Gyanu Lamichhane, Sridhar Nimmagadda, Martin Pomper and William Bishai, all of Hopkins.
Primary funding for the study came from the Bill & Melinda Gates Foundation, with additional support from the National Institutes of Health.
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