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Dysentery Clues Found in WWI Soldier
A World War One British soldier – long after his death – may provide clues to finding new treatments and a possible vaccine1 for dysentery. The disease continues to be a major problem in developing countries due to unsanitary conditions and conflict.
The Lancet medical journal has published a special World War One edition to mark the 100th anniversary of -- what was once called -- the “war to end all wars.” It reports on research being done to reconstruct the complex genome of the Shigella flexneri bacterium2 that causes dysentery.
Dr. Kate Baker3 -- of the Wellcome Trust Sanger Institute -- is the first author of a new study. She said, “Today, bacillary-dysentery, which is caused by Shigella, still kills thousands of people. Typically these are children in developing nations. They’re in the age group less than five years old.”
It remains4 a problem, she said, despite all the scientific advances since the early 1900s.
“Actually, in World War One there was a historical analysis that identified the main factors that caused the outbreaks. Those problems are still problems today. The first two were hygiene5 and malnutrition6, and the last one was a lack of specific therapies. And we still don’t have a licensed7 vaccine for Shigella. Advances in bacteriological diagnosis8 were not available in World War One. But now we have them, and we can sequence the genome of this bacterium. But it’s really just showed us how it’s changed over time to evolve against our efforts to control it.”
And a vaccine remains elusive9.
Baker said, “It’s difficult to vaccinate10 for Shigella for a number of reasons. Firstly, there’s not a very good animal model for Shigella. We find it difficult to reproduce disease in any animal model. So, testing a vaccine for Shigella has to be done usually in human volunteers, which, as you can understand, is more difficult.”
Another problem is that Shigella has many similarities with the common e-coli bacterium. It lives in the human gut11. So, vaccinating12 against Shigella could have adverse13 effects on other bacteria that are good for us. There are many strains of
e coli and a few have been in the news for causing sometimes fatal infections.
“The last reason it’s difficult to vaccinate against dysentery,” she said, “it’s a very diverse pathogen. There are over 16 serotypes of Shigella flexneri. So finding a single protein that we can use as a vaccine target is quite difficult.”
Dysentery is still treated as it has been for many years, mostly fluids and bed rest – and the use of antibiotics15 in severe cases.
Dr. Baker said researchers hope to find clues to dysentery by studying a veteran who died of the disease in France in 1915 – Private Ernest Cable of the Second Battalion16 of the East Surrey Regiment17.
“We went back to the First World War intentionally18 because of the hundred year centenary because we wanted to commemorate19 the deaths of soldiers during that time – particularly those that were from infectious disease. But actually this is a disease that – as we said – is really important today. And the isolate20 itself is a historical one. And it’s actually the first isolate of Shigella that’s available.”
The isolate is an actual sample of the bacterium taken from Cable’s blood in 1915 and preserved all these years at the National Collection of Type Cultures in England. It basically started the process of storing bacteria and viruses for future research. And this was done long before antibiotics were widely available.
“Penicillin wasn’t discovered until 1928/1929 and it wasn’t used clinically until the 1940s. And so they weren’t really thinking about antibiotic14 resistance at the time. But the microbiologist, who preserved this sample, really did show great foresight21 because actually they said that the war had brought together a great diversity of these different types of Shigella flexneri – this [bacterium] that causes dysentery. And they intentionally preserved it. They said, we’re not going to see this again and we need to preserve this diversity so we can study it,” she said.
Baker added that researchers are gaining insight into why dysentery has been so difficult to tackle for the past 100-years. The sample shows that Shigella has become increasingly drug resistant22. It is difficult to sequence its DNA23, so no new treatments or vaccines24 will be immediately available. But scientists are looking for parts of the bacterium genome that have remained the same and may offer stable targets for drugs or a vaccine.
1 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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2 bacterium | |
n.(pl.)bacteria 细菌 | |
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3 baker | |
n.面包师 | |
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4 remains | |
n.剩余物,残留物;遗体,遗迹 | |
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5 hygiene | |
n.健康法,卫生学 (a.hygienic) | |
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6 malnutrition | |
n.营养不良 | |
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7 licensed | |
adj.得到许可的v.许可,颁发执照(license的过去式和过去分词) | |
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8 diagnosis | |
n.诊断,诊断结果,调查分析,判断 | |
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9 elusive | |
adj.难以表达(捉摸)的;令人困惑的;逃避的 | |
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10 vaccinate | |
vt.给…接种疫苗;种牛痘 | |
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11 gut | |
n.[pl.]胆量;内脏;adj.本能的;vt.取出内脏 | |
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12 vaccinating | |
给…接种疫苗( vaccinate的现在分词 ); 注射疫苗,接种疫苗 | |
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13 adverse | |
adj.不利的;有害的;敌对的,不友好的 | |
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14 antibiotic | |
adj.抗菌的;n.抗生素 | |
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15 antibiotics | |
n.(用作复数)抗生素;(用作单数)抗生物质的研究;抗生素,抗菌素( antibiotic的名词复数 ) | |
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16 battalion | |
n.营;部队;大队(的人) | |
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17 regiment | |
n.团,多数,管理;v.组织,编成团,统制 | |
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18 intentionally | |
ad.故意地,有意地 | |
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19 commemorate | |
vt.纪念,庆祝 | |
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20 isolate | |
vt.使孤立,隔离 | |
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21 foresight | |
n.先见之明,深谋远虑 | |
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22 resistant | |
adj.(to)抵抗的,有抵抗力的 | |
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23 DNA | |
(缩)deoxyribonucleic acid 脱氧核糖核酸 | |
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24 vaccines | |
疫苗,痘苗( vaccine的名词复数 ) | |
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