Author Archives: sarah jiang

A new and natural pathway to nitric oxide!

Nitric oxide (NO) is one of the most widely-produced gases in the human body, and has been shown to play a major role in the function of the cardiovascular, nervous, and immune systems. This means that it has implications in the treatment and management of many conditions such as erectile dysfunction, muscle soreness, and Type II diabetes. Despite the numerous processes in which nitric oxide play a role, there are only two known routes of production in living organisms. 

Research jointly published by the Institute of Pharmaceutical Biotechnology at the Zhejiang University School of Medicine in Hangzhou, China and the Department of Chemistry at the University of British Columbia examined one alternative method to the production of nitric oxide. In this pathway, two enzymes are used to generate a chemical compound known as streptozocin that creates NO as a byproduct.

Simplified schematic of the two reactions that occur to produce the N-nitroso compound streptozocin and nitric oxide (NO) as products

This work provides support to the idea that there may be alternative routes to the synthesis of this critically important compound. We spoke to Alyssa Henderson about her work on the project, her experience with research in general, and some of the challenges she faced while working on this publication.

Streptozocin is part of a larger class of N-nitroso compounds, which are identified by the presence of an -N-N=O group in its structure. Alyssa’s research was motivated by the natural presence of N-nitroso compounds in natural products. It was proposed that these compounds, and the biological pathway of its production, could be significant in the production of NO.

Tests were done with a solution containing components of E. coli and stzE (one of the enzymes isolated from the genome of streptozocin), and it was found that stzE is necessary to produce the compounds involved in the second step of the process. 

The next step in this two-enzyme pathway was similarly isolated from the streptozocin genome, and was found to be necessary for the production of the products shown below. Alyssa’s research suggested that nitric oxide is produced in the conversion of compound 3 to compounds 4 and 5, which is catalyzed by stzF.

Structure of the products generated from the second step of the two-enzyme pathway.

In order to explore how widely distributed these genes are, Alyssa’s team found 40 enzyme pairs with similar functions to the stzE/stzF enzyme pair in a variety of soil-dwelling and plant-associated bacteria, which further supports the idea that natural routes to nitric oxide synthesis exist. 

Cell cultures of some of the soil-dwelling bacteria found to have similar enzyme functions to the stzE/stzF pairs

The significance of enzymes in these soil microbes is discussed in the podcast below:

While this paper doesn’t fully explain all of the possible processes that may be involved in the natural production of nitric oxide in the environment, it sets the stage for important advancements in the field.

Concussions – just one example of brain injury

We’ve all (most likely) bumped our heads and brushed it off as nothing to worry about. However, new research shows that repeated head impacts may not be as insignificant as we may think.

In a research article published in Science Advances this past August, researchers found a correlation between routine head-to-head contact in American football players and abnormal changes in the white matter of the brain. 

Source: Westshore Rebels & British Columbia Football Conference Media

The study followed players from the University of Rochester over the course of a single season, and had them wear accelerometers in their helmets to measure the force of impact during all practices and games. The participants also underwent brain scans before the season began and after the season ended. 

Brain tissue can be divided into two major categories: white matter and grey matter. The grey matter of the brain is primarily responsible for information storage and processing, while the white matter of the brain is crucial in connecting the regions of grey matter to the rest of the body.

Since white matter plays such an important role in transmitting information throughout the body, it varies structurally by the presence of myelin sheaths, which allow the brain to transmit information throughout the body more efficiently. 

A measure known as fractional anisotropy, which effectively measures how effectively stretches of white matter can carry neural signals, was used to identify damage sustained to the brain throughout the course of the season. 

The findings of this study demonstrate two major facts: there is a significant reduction in the integrity of the white matter of the brain after the repeated head impacts sustained by as little as a single season of football, and that the amount of reduction is related to the amount of rotational acceleration that a player’s brain is exposed to.

One of the major risks associated with repetitive brain trauma are chronic traumatic encephalopathy (CTE), a condition in which a protein develops into clumps in the brain. As it continues to grow and spread throughout the brain tissue, it slowly kills off brain cells.

Some of the symptoms associated with CTE are issues with impulse control, depression, and loss of memory. More information can be found through the Concussion Legacy Foundation website, linked here

The following infographic shows the four stages of CTE, as proposed by Dr. Ann McKee.

Infographic showing the four proposed stages of CTE development. Source: Concussion Legacy Foundation

The risk of developing CTE was found to increase with the number of years spent playing football, in a study published by the Boston University School of Medicine. It was found that the risk increased by 30% for every year played, meaning that the odds double for every 2.6 years played. 

While there’s still a lot of work that needs to be done to further understand the risk factors associated with these repeated impacts, and to what extent it affects cognitive performance, finding that there is a correlation between repetitive head impact and the degradation in the quality of brain tissue is a notable step in establishing the importance of concussion prevention and treatment. 

– Sarah Jiang

Dogs: more than just cute!

Angus, one of two “super sniffer” dogs trained to alert their handler when they detect C. difficile. Source: Vancouver Coastal Health

We’ve all seen (or heard of) drug-sniffing dogs, but what about bacteria-sniffing ones?

Since 2016, a team from Vancouver Coastal Health has been tweaking a program that trains dogs to alert their handlers when they detect the scent of C. difficile. Over an 18-month period, the two dogs (Angus and Dodger) that have been trained for this role have detected 391 areas at Vancouver General Hospital where this bacteria was found.

Clostridioides difficile, more commonly referred to by its shorthand C. difficile or simply C. diff, are the leading cause of nosocomial (or hospital-originating) infectious diarrhea. Formerly known as Clostridium difficile, the bacterium was renamed late last year to more accurately portray the genus it falls in.

Angus and Dodger were trained with scent training kits from the Scientific Working Group on Dog and Orthogonal detector Guidelines (SWGDOG), which allowed them to identify the distinct odour of C. difficile. Microorganisms smell due to the variety of volatile chemicals they produce in response to various external factors. In the specific case of C. difficile, it is often described as having a sickly sweet or particularly foul smell.

The symptoms of a C. difficile infection can range from mild abdominal cramping to life-threatening sepsis and inflammation of the colon. The full range of symptoms can be found here. Most cases occur after taking antibiotics, which may kill both the good and bad bacteria in your gut – these are known as your gut microbiota. 

Without your normal gut microbiota, C. difficile can take advantage of this “clean slate” and proliferate in your intestine, throwing off the balance of good and bad bacteria. Within a period of several days to a few weeks, infected patients will start to show symptoms – the most common being diarrhea. Ideally, somebody with symptoms of infection will have tests done by a doctor and undergo treatment if necessary.

The progression of infection and the post-infection considerations are shown below in this graphic published by the Centre for Disease Control:

The progression of a C. diff infection. Source: Centre for Disease Control

In a study published by the Canadian Journal of Infection Control, it was found that 82% of contaminated surfaces were found in common areas. These included washrooms, hallways, and waiting rooms. Even with the most stringent sanitization procedures, it was relatively easy to find in areas that are commonly overlooked! 

One of the areas that tested positive for C. difficile contamination was inside a toilet paper dispenser – something that I personally would never think to sanitize. 

While there’s still a lot of work that needs to be done before we can train dogs to safely detect all sorts of infectious bacteria, the developments of the canine scent detection program are notable steps in the right direction. 

For more information about canine scent detection of C. difficile in Vancouver-area hospitals, you can learn more here and through this page.