• Question: How does bacteria develop immunity so quickly?

    Asked by phoebetomaz to Antibiotics on 19 Jun 2014.
    • Photo: Antibiotics Challenge

      Antibiotics Challenge answered on 19 Jun 2014:


      I can think of four reasons why bacteria evolve resistance so very fast (feel free to add more, team!)
      Firstly, there’s so many of them. An infection will involve millions or billions of bacteria – and only one needs to have the right mutation to start a new resistant type. So even if that mutation is quite unlikely, it’ll happen sooner or later.
      Secondly, they reproduce so fast (sometimes every 20 minutes). This means that one resistant mutant can grow to millions in a few hours, so that there’s a chance for even sttronger resistance mutations to occur and build up – each generation is a chance for the bacteria to get better at surviving the antibiotics.
      Thirdly, the selection we place on them is very strong. If you’re on antibiotics all the bacteria in your body are in a life-or-death situation – and life, as Jeff Goldblum put it so memorably, finds a way.
      And lastly bacteria can sometimes swap genes around between species. When that can happen (it’s particularly dangerous in hospitals) it’s very easy for harmful bacteria to pick up resistance.
      -Louise

      A fifth thing to remember is that many of the antibiotics we use are based on natural products produced by things like penicillin moulds to give them an edge in their fight against bacteria for nutrients etc.
      This war between bacteria and their enemies has been going on for millions of years, so a lot of the drug resistance we find in bacteria is the sophisticated product of a very long evolutionary arms race. Not only quick, but very effective!
      – PB

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