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News roundup: September 2018

News roundup: September 2018

A selection of health news from the University of Chicago and around the globe curated just for you.

The end of an epidemic
The number of people with food allergies has exploded in recent years. A dream team of researchers from UChicago may have figured out why, and now they’re developing therapies that could end the epidemic. Cathy Nagler featured. (Chicago magazine)

UChicago startup gets $2.3 million for kidney stone prevention
Biotechnology startup Oxalo Therapeutics is closer to developing a first-of-its-kind drug to prevent kidney stones thanks to $2.3 million from the National Institutes of Health. Hatim Hassan and Yang Zheng featured. (Crain’s Chicago Business)

Science by the sea
In three weeks, there are just over 500 hours. The students in the Marine Biological Laboratory’s September intensive courses tried to use them all. Jack Gilbert featured. (UChicago Magazine)

Nasal bacteria linked to cold severity
In a study, people with certain bacteria in their noses were more likely to develop more severe cold symptoms. (U.S. News & World Report)

Brain-gut link may be way faster than we thought
New research with mice may upend our understanding of the connection between the gut and the brain, as well as appetite. (Futurity)

 

Tinkering with the strands of life

Tinkering with the strands of life

by Matthew Eckwahl, PhD
Postdoctoral fellow in the Department of Biochemistry & Molecular Biology

Over a decade ago, artist-scientists first used “DNA origami” to create minuscule smiley faces sculptures. It turns out that DNA’s structural diversity is perfect for building more useful tiny machinery. University of Chicago scientists have taken a lead in developing DNA nanomachines with tremendous potential to help us better understand how cells work, diagnose diseases, and test new treatments.

Yamuna Krishnan is at the leading edge of developing DNA-based tools to home in on specific structures inside the living cell and decipher what is going on there. One powerful use of this technology: identify unhealthy states before disease ravages the body.

Krishnan, the only woman to have won the Infosys Prize in the physical sciences, once aspired to become an architect, so it’s fitting she now builds tools for finding genetic maladies. Her work focuses on the lysosome, the cell’s recycling center, which breaks down useless or toxic material to make new components. Like a city with a failed garbage collection system, if a cell’s lysosomes don’t function properly, there are major problems caused by a buildup of undigested cellular waste. Not surprisingly, genetic lysosome defects can result in a variety of human diseases.

Nearly 60 lysosomal storage disorders have been identified so far. Although individually rare, these diseases collectively occur in about one in 5,000 births and can be inherited from one or both parents. Symptoms vary widely depending on the type of cellular waste that accumulates and where in the body this occurs. Ultimately, the undigested material causes the affected organ to function less efficiently, leading to physical and mental impairments such as seizures, dementia, cardiac disorders, vision and hearing loss, and bone abnormalities. Lysosomal disorders usually arise in childhood, often without obvious symptoms, and many babies die suddenly within months or years of birth.

Although there is no cure for these disorders, an increasing number of treatments are available to reduce symptoms and prolong life—if diagnosis is made early. Faster, more accurate methods to detect lysosomal defects are thus essential.

Krishnan and colleagues have developed DNA nanodevices to uncover these metabolic disorders before it’s too late. To get these DNA nanobots to work, her team overcame several major challenges. First, they needed the devices to specifically target the lysosome. Within the cell, a bustling community with many different activity centers, the nanobot must have the exact molecular address to get to the lysosomal recycling center.

Next, the bot must distinguish healthy from defective lysosomes. Since the lysosome is the most acidic “organelle” within a cell, pH was chosen as a key indicator of lysosome health—just like high blood sugar levels can indicate diabetes. If a lysosome’s pH is off, it suggests something is probably wrong. Impressively, Krishnan’s nanobots can not only find the lysosomes, but also measure their acidity—changing color at different pH levels—without disturbing the other functions in living cells.

Krishnan’s newly created company, Esya, aims to deploy these DNA nanodevices to diagnose a wide range of lysosomal disorders, all from a simple blood draw. This should considerably speed up the testing process and provide a much better outcome for those at risk for disease. This tool could also be adapted to rapidly screen new drugs that normalize the lysosome’s acidity, making it easier and faster to discover improved treatment options.

Krishnan’s lab has developed nanobots that recognize other chemical changes in diseased lysosomes as well. In research reported last year, the Krishnan group created a DNA nanodevice to measure chloride ions—what we know as part of table salt—the first tool capable of sensing this important electrolyte inside a living cell. Their research showed that normal lysosomes have much higher chloride ion levels than defective ones, revealing the unexpectedly important role chloride plays in lysosomal biology— a valuable tool for unmasking lysosomal diseases that don’t affect pH.

Earlier this year, the Krishnan team reported another nifty nanobot that directly senses congestion from undigested material building up in the lysosomes. By reporting back on the gridlocked environment that is a hallmark of lysosomal disorders, this newest device may provide early warnings for other kinds of disorders, preventing future disaster.

It’s reassuring to know that if something is going wrong with your car, a flashing light will warn you before it’s too late. Likewise, the work of Krishnan and others highlights how DNA, life’s genetic material, can also help uncover potentially fatal human diseases and save lives.

 

News roundup: July 2018

News roundup: July 2018

A selection of health news from the University of Chicago and around the globe curated just for you.

Anglerfish and their headlamp bacteria have a crazy relationship
Researchers have sequenced and analyzed the genomes of the glowing bacteria living in the bulbs that hang off the heads of anglerfish. (Futurity)

Can a cat-poo parasite turn you into a millionaire
Scientists have discovered that people infected with toxoplasmosis are more go-getting. But that doesn’t mean we should all be trying to catch it. (The Guardian)

What the mystery of the tick-borne meat allergy could reveal
Unraveling why tick bites are suddenly causing a strange reaction in some people who eat meat could help scientists better understand how all allergies work. (The New York Times Magazine)

Could viruses attacking the microbiome be responsible for inflammatory bowel disease?
New research done in a mouse model of inflammatory bowel disease (IBD) has suggested that viruses called phages, which have the ability to infect and kill gut bacteria, may be involved in the disease. David Rubin featured. (Forbes)

Celiac disease: A look at what triggers it, possible prevention
Bana Jabri and colleagues at UChicago have found that a common, but mostly harmless, virus could trigger celiac disease. (KPRC 2 Houston)

 

Leveraging the microbiome to reduce surgical infections

Leveraging the microbiome to reduce surgical infections

by Claire Stevenson
Graduate student in the Committee on Development, Regeneration and Stem Cell Biology

John Alverdy, MD, is a gastrointestinal surgeon and researcher studying the mechanisms by which patients develop infections after surgery and figuring out how best to treat—and prevent—them.

“Research suggests that applying microbiome medicine … to surgical patients will change everything.” Alverdy offered that assessment recently on receiving the Flance-Karl Award for seminal contributions to the field of surgical science. The award was presented at the 103rd Clinical Congress of the American Surgical Association, the most prestigious society in the world aimed at keeping physicians up to date in the field.

Surgical site infections can be debilitating and life-threatening, increasing the risk of death after surgery up to 11-fold, even with advances in medical techniques. Alverdy has committed a large portion of his career to understanding how these infections develop following routine surgery.

He questions the assumption that all infections are caused by bacteria that enter the body during the surgical procedure. “Killing as many threatening microbes as possible prior to surgery, although a common practice, remains questionable from a scientific standpoint,” Alverdy says. His research suggests that the patient’s own microbiome, especially the microorganisms that live in each of our guts, could play a key role in these infections. Perhaps simply keeping our own resident bugs healthy and happy may actually make more sense than broadly eliminating all bacteria.

Microbes can exist in two states, a stable low-growth state and a virulent one, and they transition between these states based on cues from their environment. Alverdy reasoned that our bodies could harbor microbes that are normally innocuous, but which can switch to the harmful state when threatened, as when they have inadequate resources to support growth and reproduction.

In intestinal operations, wounds are normally colonized by gut bacteria. Alverdy and his team demonstrated that alarm signals from the patient’s own tissues and diminishing resources can shift normal bacteria to a more harmful state, significantly impairing healing. Sometimes, these normally helpful bacteria can express enzymes and toxins that cause a leak in the gut repair or other major complications.

Alverdy and his team reasoned it might be more effective to provide local resources to resident bacteria, shielding them from the patient’s alarm signals, in lieu of the traditional broad kill approach with antibiotics. By supporting the health of our normal bacteria, it might be possible to preserve them and thus keep the potentially harmful ones at bay. Alverdy’s lab is thus working to identify the “local public goods” the “good” microbes are missing in their environment and provide these directly to tissues at risk for infection.

Every individual’s microbiome is different, influenced by factors that include diet, travel, medications, and home environment. This could explain why, among patients who have been treated with the same high level of care, some develop infections while others do not. According to Alverdy, “It is time we recognize that any given individual’s disease is biologically unique,” and that, “a one-size-fits all approach to preventing infectious-related complications in surgery … will always be insufficient.”

Work like Alverdy’s, on the microbiome’s role in surgical infections, has the potential to revolutionize patient care. According to him, this could change, “the way we diagnose our patients, our approach to preparing them for surgery, the way we operate, and the way we feed and rehabilitate them postoperatively.” This could even lead to individualized medicine, where each patient’s microbiome is tested prior to surgery and their care is adjusted appropriately. The Duchossois Family Institute’s investment in microbiome research will be a part of turning this vision into a reality.

 

Getting the scoop on poop

Getting the scoop on poop

by Bethany Hubbard

What we leave behind tells a story, and Jack Gilbert, PhD, is an expert at reconstructing the narrative.

“When you poop, you poop gold in terms of valuable information about what’s going on inside your gut,” said Gilbert, who is a microbial ecologist at the University of Chicago. “And every day, the information in your poop is slightly different. Each day is providing us with a different snapshot of what’s going on inside your body, and having all of that information is immensely valuable.”

Gilbert’s work on the microbiome—the unique collection of microbes that live in each person’s gut—has earned him international recognition and spurred interest in this burgeoning field of research.

Now, through a new start up called BiomeSense, Inc., Gilbert and colleagues are working to commercialize their microbiome research and revolutionize methods for collecting and synthesizing people’s microbial data. The goal: identify and characterize microbes and their behavior in order to uncover better ways to treat disease and maintain health.

“More and more, people are realizing that our microbiome content has a lot to do with our health,” said Savas Tay, PhD, company co-founder and UChicago molecular engineer. “There are all kinds of metabolic diseases, cancers, and psychiatric diseases that are related to the microbiome.”

To better collect this valuable data, Gilbert and Tay developed new technology that analyzes a person’s microbiome through the collection and analysis of, you guessed it, their poop. Tay likens this “biosensor” to a computer chip that channels fluid instead of electricity through its wires. The biosensor can be connected to a toilet, where it extracts DNA from each bacterial cell within a stool sample and regularly sends that data to the cloud.

“So, we are looking to characterize the genetic potential—the functional potential—of the microbiome in your stool every single day in a routine and automated way,” Gilbert said. “We can basically weaponize the microbiome for clinical discovery.”

By generating more data about a person’s microbiome makeup, the pair hope to help physicians tailor more holistic treatment plans that include dietary recommendations in order to maximize the impact of certain drug treatments. For example, a doctor might recommend that a person eat more of a certain fruit because it promotes the growth of a beneficial bacterium that is known to increase the efficacy of a drug they’re taking.

The biosensor can take multiple samples over an extended period of time, which is important because the microbiome is always in flux.

“The composition of your microbes—the 500 to 1,000 different species of bacteria that live inside you—doesn’t really change very much at all,” Gilbert said. “It’s just the relative proportions that do.”

So, a stool sample taken this morning may tell a completely different story from a sample collected tomorrow, or even this afternoon. The biosensors real-time data will allow doctors to revise treatment plans daily.

“You eat something, your microbiome changes. You take a drug, your microbiome changes. You travel, it changes,” Tay said. “So, just measuring it once really doesn’t tell you anything. You need to measure it regularly.”

The BiomeSense team hopes the biosensor will eventually replace current manual methods of collection, which are less than ideal. Not unexpectedly, patients are reluctant to collect their own stool samples and send them into the lab. Plus, the microbiome makeup can be altered during transport, rendering the data unreliable. BiomeSense eliminates these variables.

The team first aims to implement the biosensor in clinical trials before pursuing a consumer product. “In the short term, we’re producing data that can be used to improve how we design drugs and improve the success of drug trials,” Gilbert said.

BiomeSense was recently awarded $250,000 from the University of Chicago’s Innovation Fund and previously received $90,000 in research funding from the Duchossois Family Institute, which will be used to complete a prototype.

“Our next big step is taking it from the bench to actually installing it in a patient home so we can start collecting data,” said company CEO and co-founder Kevin Honaker. “It’s going to take a lot of funding to get there.”

In the future, Gilbert hopes to create a global microbiome database—input a patient’s disease, prescribed drugs, demographics, and environment to determine the exact diet needed to augment their microbiome.

“BiomeSense is the only platform in the world that can generate that kind of information,” Gilbert said. “Nothing else can.”

Bethany Hubbard is associate director for digital communications in the University of Chicago Medicine & Biological Sciences Development office.

 

News roundup: June 2018

News roundup: June 2018

A selection of health news from the University of Chicago and around the globe curated just for you.

Research at Shedd Aquarium explores how environment impacts microbiome of dolphins
Research conducted at the Shedd Aquarium with UChicago revealed new details about the microbiome of Pacific white-sided dolphins at the aquarium and how it is influenced by the surrounding environment. (The Forefront)

Can a daily pill prevent kidney stones?
Hatim Hassan and other researchers at Oxalo Therapeutics are developing a drug that uses the microbiome to prevent kidney stones. (Crain’s Chicago Business)

Viruses love what we’ve done with the planet
The more of the planet humans take over, the more we inadvertently make it a viral paradise, and a dangerous place for us to live. (Quartz)

Probiotic, supplement combo extends fruit fly lifespan
A combination of probiotics and an herbal supplement called Triphala extended the lives of fruit flies by 60 percent, report researchers. (Futurity)

Students and UChicago scientists turn Wrigley Field into data lab
Lane Tech students came to Wrigley Field to help UChicago-Argonne researchers install sensors for Array of Things, a project that collects environmental data. (UChicago News)