Notes for Antibiotics: their history and future

The history of antibiotics

Inorganic arsenic arsenic compounds have probably been used since prehistory: coloured arsenic oxides may have been used in cosmetics, leading to the serendipitous discovery of their ability to treat skin complaints. Atoxy was so named because it was about many times (perhaps as much as 40 times) less toxic than inorganic arsenic compounds. Initially, its structure was misassigned as a anilide, rather than as an amino arsenic acid, an error rectified by Ehrlich (or his collaborator Bertheim). The first structure proposed for Salversan was also in error: more recent evidence suggests that it does not contain a double As=As bond, and is instead a mixture of a trimer and pentamer.

A 2005 article in chemotherapy provides a good 9-page introduction to the history of Salvarsan 1

Biological role of antibiotics

Given that man uses some natural antibiotics to treat disease by killing bacteria, it is tempting to fall into a post-hoc ergo propter hoc fallacy, and conclude that this must be the reason why they are produced by microorganisms. But the doses at which many of these compounds have an antibiotic effect is far higher than the concentrations at which they are secreted, and it now appears that many fulfill other roles, such as signaling/quorum-sensing/bio-film formation2.

Antibiotic resistance

Antibiotic resistant bacteria are now a major problem: the most notable diseases that it causes are Methicillin-Resistant Staphylococcus aureus (MRSA), Clostridium difficile, and multi-drug resistant Tuberculosis (TB).

It can arise via a variety of mechanisms including enzymatic degradation of antibiotics, efflux mechanisms that remove antibiotics from the cell, decreased cell wall/membrane permeability to antibiotics, and changes to the target of the antibiotic.

A 2008 paper in Science found numerous strains of soil bacteria that were not only resistant to many antibiotics, but were able to subsist on them as their sole carbon source. Worryingly, many of these bacteria are closely related to human pathogens.3

Anti-virulence therapies

Nature Reviews Microbiology published a good review of the potential for treatments that make bacteria less virulent without killing them (antivirulence therapies) in 20084

Virstatin’s effects on production of Cholora Toxin by Vibrio Cholerae were first reported in 20055. It was identified by genetically modifying the O395 strain of Vibrio Cholerae so that the tetracycline resistance gene tetA was places under the same promotor (ctx) as the Cholera Toxin. Thus, whenever cholera toxin was being produced, so was the tetracycline resistance protein. So the bacteria were ordinarily resistant to the antibiotic tetracycline, but if a drug stopped the production of the Cholera Toxin, it would make the bacterium susceptible to the antibiotic. The scientists screened 50,000 compounds by adding them to bacteria along with tetracycline: if the bacteria died, they concluded that the compound might prevent toxin production. Further experiments confirmed that Virstatin did indeed inhibit toxin production without killing the bacteria, and was an effective treatment for cholera in mice. Subsequent work by the same investigators suggests that it may act by preventing dimerization of the transcriptional activator ToxT6

Phage Therapy

In the former USSR (especially Georgia), bacteriophages—viruses that infect and kill bacteria—are an established treatment for bacterial infections. However, they have both practical and regulatory problems that limit there use in the rest of the world: they act with extreme specificity, requiring the stockpiling of large numbers of different strains, and the careful determination of which bacteria are responsible for an infection; and they are biologic agents (which are harder to characterize than small-molecules), and undergo unpredictable changes due to mutation. Some also have short half-lives in the body, though this can be improved by serial selection


  1. Riethmiller. From Atoxyl to Salvarsan: searching for the magic bullet Chemotherapy (2005) vol. 51 (5) pp. 234-42. doi:10.1159/000087453

  2. Mlot. Antibiotics in Nature: Beyond Biological Warfare. Science (2009) vol. 324 (5935) pp. 1637 doi:10.1126/science.324_1637

  3. Dantas et al. Bacteria subsisting on antibiotics. Science (2008) vol. 320 (5872) pp. 100-3 doi:10.1126/science.1155157

  4. Cegelski et al. The biology and future prospects of antivirulence therapies. Nature reviews. Microbiology (2008) vol. 6 (1) pp. 17 doi:10.1038/nrmicro1818 (There is an open-access manuscript of this paper available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2211378/

  5. Hung et al. Small-Molecule Inhibitor of Vibrio cholerae Virulence and Intestinal Colonization. Science (2005) vol. 310 (5748) pp. 670 doi:10.1126/science.1116739

  6. Shakhnovich et al. Virstatin inhibits dimerization of the transcriptional activator ToxT. Proceedings of the National Academy of Sciences of the United States of America (2007) vol. 104 (7) pp. 2372-7 doi:10.1073/pnas.0611643104

Drugs and history.

The following is a transcript of a short talk which I recently gave.

Last term, I was reminded of a quote by Les Iversen: “It was amazing to find out how much they influenced our lives in the 20th Century”1

He was talking about the amphetamines, but he could have been referring to any of many different drugs just as truthfully. Today, I’d like to describe how a few have influenced the modern world. The importance of medicines to maintaining health and extending life is obvious, so I won’t discuss it further. Instead, I’ll talk about more subtle effects.

This is an image of a protein. Specifically, it’s the Nicotinic Acetycholine receptor. There are actually two slightly different forms of this protein: one found in muscle cells, the other in nerve cells.

Consequently, nictotine will bind to the receptors in the brain, but not in the muscles. If it bound to both, it would have the same effect as venom in the fangs of a cobra, or curare on the tip of an arrow – it would kill you, very quickly. But it doesn’t, and so smokers live long enough to get addicted2. This turns out to be extremely important, not only because it has caused countless millions of excess deaths, but also because it has enabled those who produce tobacco to make billions.

Those who profited included settlers in the Colony of Virginia. Despite what some people may tell you, the first permanent settlers in America were not puritans seeking religious freedom in Massachusetts, but pragmatists wanting to make a quick buck in Virginia.

First, they tried mining, but that wasn’t profitable. Then they tried growing silk; but that wasn’t profitable either. Finally John Rolfe, the husband of Pocahontas, grew tobacco, and the economic security of Virginia was established.

Interestingly, some realised the dangers of tobacco at the time: King James wrote a pamphlet calling it a ‘noxious weed’ that was ‘hateful to the Nose, harmful to the brain, dangerous to the Lungs’3. These comments were remarkably prescient, coming 350 years before the British Doctors Study was to provide conclusive evidence of a link between smoking and diseases such as lung cancer and heart attack.

As well as establishing a foothold for British colonies in America, Virginia was important to the American war of independence. It was in Virginia, at Yorktown, that the british general Cornwallis surrendered, ending the conflict on land. And during the war, Virignia’s Governor was Thomas Jefferson, the principal author of the Declaration of independence.

And now, back to amphetamine. It’s been used by a lot of writers, including Jack Kerouac (whilst writing On The Road) and Philip K. Dick4.

Mathematicians, too: Paul Erdos5, one of the most prolific mathematicians of the twentieth century, used to take it. Had he not, a lot of people would probably have rather higher Erdos Numbers.

Much has been written about amphetamine use by soldiers, especially special forces, both in non-fictional accounts in the medical literature, and in novels, such as Cruel Sea. But it’s also been used by politicians. Most notably, Prime minister Eden started taking it after a botched operation on his intestine. It is believed to have altered his personality, making him more paranoid, and ultimately contributing to his decision to become involved in the Tripartite Aggression6. The idea was that control of the Suez canal could be wrested from the Egyptian government if the Israelis invaded the Sinai, and then British and French troops entered as ‘peace-keepers’. This was an absurd idea, and, predictably, failed, after both the US and UN refused to support it.

The black discolouration of this rye is due to a fungus called Claviceps purpurea; or, more commonly, ergot.

During the middle ages, there were periodic epidemics of St. Anthony’s fire, a gangrenous disease caused by eating the fungus. In it’s more acute form, ergot poisoning has symptoms including seizures, vomiting, and hallucinations. Most hallucinogens have been used for ritual purposes, and ergot is probably no exception. Several bodies recovered from peat bogs – most notably Graubelle Man and Tollund Man, which were found in Denmark – seem to have been force fed ergot before their death.

Some historians have suggested that the girls whose allegations of witchcraft led to the Salem Witch Trials were suffering from the effects of ergotism7. However, this idea is controversial, and others claim that if it were true, there would be records of the girls vomiting, and others in the village would have also shown symptoms8.

Several centuries later, a swiss chemist produced a number of drug candidates from ergot. He decided to repeat the synthesis of one, ingested some, and had one of the most interesting bicycle rides home in history. The chemist’s name was Albert Hoffmann; the drug’s, LSD. Very soon, a lot of people were very interested in using LSD, including psychiatrists trying to improve the effectiveness of psychoanalysis and treatment for alcohol addiction, hippies wanting to “turn on, tune in, drop out” – and the CIA.

The CIA were very interested in using LSD to make uncooperative captives talk, and to modify the behaviour of foreign leaders. Its MK-ULTRA project included the administration of LSD to a variety of subjects, many without their knowledge or consent. At least two of them – Harold Blauer and Frank Olson – died as a result.

Such experimentation was in violation of the Nurenberg Code, which had been established after the trials of German doctors who’d conducted medical experiments on prisoners during the second World War. The US government had sentenced those doctors to death, and yet – just a few decades later -its own employees were conducting similar experiments. And, after 9-11, the CIA began to use interrogation techniques such as water-boarding, which it had considered a war-crime, when it had been conducted against, rather than by, US citizens.

Similar duplicity occurs not only in international relations, and the operating procedures of intelligence agents, but also in the enforcement of drugs policy. In January, for example, the government upgraded cannabis from a Class C to a Class B drug, against the advice of the Home Office Advisory Council on the Misuse of Drugs9. At the same time, it does nothing to increase the price of alcohol, despite the advice of experts that this would be the most effective way to reduce alcohol related deaths.

The CIA mis-stepped because it fixated on fantasy applications for LSD, ignoring the ethical implications of its experiments. Gordon Brown mis-stepped because he chose policies based on their appeal to voters, rather than their effect on public health. If there is a moral to this assembly, it is that little things can have big effects, and we should not lose sight of what is truly important when confronted with decisions. But you knew that already. Thank-you for listening.


  1. Personal correspondence, 5 Jun 2007

  2. Xiu et al. Nicotine binding to brain receptors requires a strong cation-pi interaction. Nature (2009) vol. 458 (26 March 2009) pp. 534-537

  3. A Counterblaste to Tobacco, King James I, 1603

  4. Williams. The true story of Philip K Dick. Rolling Stone (1975) (November 6) pp. 44-48, 50, 88, 91, 93-4

  5. Hoffman. The Man Who Loves Only Numbers. The Atlantic Monthly (1987) (November 1987) pp. 60-74

  6. Leslie Iversen Speed, Ecstasy, Ritalin: The Science of Amphetamines, Oxford University Press

  7. Caporael. Ergotism: The Satan Loosed in Salem?. Science (1976) vol. 192 (4234) pp. 21-26

  8. Spanos and Gottlieb. Ergotism and the Salem village Witch Trials. Science (1976) vol. 194 (4272) pp. 1390-94

  9. This advice was expressed in a report entitled Cannabis: Classification and Public Health. The Chairman’s covering letter noted that ‘You will note that, after a most careful scrutiny of the totality of the available evidence, the majority of the Council’s members consider, based on its harmfulness to individuals and society, that cannabis should remain a Class C substance.’

Kite Diagrams

In ecology, measurements of abundance made along a transect are often represented on kite diagrams. Essentially, these are line graphs, in whch each line is translated vertically so that it does not overlap the others, and reflected in its x-axis. The space between the reflections is then shaded.

Unfortunately, these are awkward to draw by hand. They are frequently plotted on graph paper in its landscape orientation, requiring that several sheets be stuck together in order to represent the full set of measurements. This is messy, and results in a low information density. Consequently, it is desirable to produce kite diagrams with a computer, rather than ruler and pen. Some suitable software exists, but mostly as plugins for Excel (EasyStats, Merlin), a proprietary software package with a long history of computational errors and inadequacies.

I therefore wrote my own program to draw kite diagrams. It accepts the name of a CSV file as its only argument. The first line of this file is a header specifying the labels to print at each tick on the x-axis. Subsequent lines consist of a species name, then list of measurements. Output is written to a file as postscript.

Example input file:

0,5,10,15,20,25,30,35,40,45,50,55,60,65,70,75,80
Sea pink, 0,0,0,0,3,0,0,6,6,3,0,0,8,22,0,0,0
Sea lavendar,0,0,0,0,0,0,0,4,0,0,30,0,16,16,17,0,0
Saltmarsh grass,0,0,0,0,0,15,0,0,0,0,50,100,49,50,83,100,0
Glasswort,10,0,35,5,0,40,8,4,0,0,20,0,11,1,0,0,0
Sea plantain,0,0,0,0,0,0,0,0,38,0,0,0,0,0,0,0,0
Sea Purslane,0,1,4,77,0,27,52,0,0,0,0,0,12,11,0,0,0
Sea rush,0,0,0,0,0,18,38,34,6,0,0,0,0,0,0,0,0
Sea couch,0,0,0,0,52,0,0,0,0,0,0,0,0,0,0,0,0
Cord Grass,22,0,5,0,0,0,0,0,0,0,0,0,0,0,0,0,0

Becomes:

gutner

The perl script can be downloaded here. After downloading, change the extension from .txt to .pl .

Looking for words with perl

I’ve just come back from a `Lower Sixth Chemistry Olympiad Event’ that the RSC hosted at St. Catherine’s College, Cambridge. Over dinner on the first night, one of the organisers asked us for the longest word we could write using just the symbols of the elements. After a few people suggested a few, fairly short, words, I said that the only sensible way to solve the problem was with a perl script. But Bryant Tan proved me wrong with a C++ program. After I provided a dictionary file (2of12.txt from 12dicts) and list of elemental symbols, we concluded that the longest were probably OVErSUPErSTiTiOUSNeSS (at 21 letters) and CONSUBSTaNTiAtION (at 17).

On the second day, Bryant commented that it was surprising that the word `chemistry’, nine letters long, contained no repeated letters. By writing a perl script, I found one such word 14 letters long (ambidextrously).

Arrows

Arrows have been used to communicate an enormous variety of different concepts. They can represent almost any relation between two objects (or sets of objects). For clarity, when different relations must be shown in close proximity to one another, they are depicted by visually distinct arrows; over time many specific styles of arrow have acquired particular meanings.

These meanings are often idiomatic to a particular field: the curly arrows that indicate electron movement, or the double arrows showing that a reaction stops at equilibrium rather than going to completion, are not used outside of chemistry. The US military uses a large set of arrows (at least 30) to depict specific troop movements and attacks in their tactical mission graphics. Chemists use fewer: I have tabulated some of the most commonly used below.

chemistry arrows

Some arrows have very different meanings in different contexts: in mathematics, the double arrow represents logical implication (`if X is true, then Y must be true too’); in chemistry, it is the retrosynthetic arrow, (`X can be produced from Y’).

A few arrows do not represent relationships, but things themselves. For example, an arrow may represent a vector (such as a force or velocity) in a diagram.

Recipeconverter

I’ve written a utility to convert lightly formatted text files (like this) into a LaTeX snippet coding for a pretty graphical layout: Pretty format for a chocolate cake recipe, produced by recipeconverter and LaTeX

For more information, look here.

Has man lost the battle against disease?

It is often said that humans are losing the battle against disease. I disagree. Our opportunities are ongoing, progress continues, and we are winning the battle. The efforts of human to control infection have a long history, though in the past they were often ineffective. Early efforts control the plague failed, because they were based on the flawed belief that it was caused by a ‘bad air’ or miasma, rather than recognising that it was caused by an infectious agent transmitted by fleas carried by rats. However, after the acceptance of the germ-theory of disease, many effective interventions were developed. Lister’s use of carbonic acid to reduce infections during surgery set a precedent for the sterilization of surgical theatres and instruments, which has undoubtably saved countless lives.

There are many cases in which epidemics have been ended by careful interventions, such as cleaning water in areas where water-bourne infections are occurring (however, the popular belief that John Snow ended London’s 1854 cholera epidemic by disabling the Broad street pump is false; the epidemic was already drawing to a close). Other infections have been only partially controlled: no ‘treatment’ has been developed for HIV/AIDS, but Anti-Retroviral Therapy can extend life (and reduce infectiousness), Post-Exposure Prophylaxis can help prevent those exposed to HIV by needle-stick injuries from developing the disease, and the latex condom provides an effective barrier to its transmission via sexual intercourse.

More remarkably, some diseases (most notably smallpox) have been completely eradicated due to vaccination programs. Unfortunately, such programs are not universally successful: efforts to produce a effacious vaccine against HIV/AIDs have thus far failed; efforts to eradicate polio have stalled, and whilst it has been removed from most countries, there are still a few in which it remains stubbornly endemic. Public concern about vaccine safety hinder such programs—these concerns often lack a solid evidential basis, and occur not only in Africa, but also in the UK, as illustrated by the media hype surrounding Andrew Wakefield’s suggestion that the MMR vaccine could cause autism.

Alexander Fleming’s discovery of penicillin’s antibiotic effect (and the subsequent work of Florey and Chain) led to the first effective chemotherapeutic treatment for those suffering from bacterial disease. The class of antibiotics that includes penicillin (the beta-lactams) now has dozens of members, and many other classes have been developed. Unfortunately, the over-use of antibiotics imposed a selection pressure that led to the development of resistance in many organisms. There are many mechanisms by which resistance may occur, including production of enzymes that metabolize the antibiotic (such as beta-lactamases, which break open the beta-lactam ring), and pumps that remove them from bacterial cells. This is particularly concerning given the facility with which bacteria can exchange genetic material. At present, the most prevalent diseases caused by drug-resistant pathogens are multi-drug-resistant tuberculosis and Methicillin Resistance Stapylococcus Aureas (MRSA). A study, published last year in the journal Science, found that many common soil bacteria were able not only to survive at high concentrations of antibiotics, but also to use them as a nutrient-source1. As many of these bacteria are similar to pathogens, this is highly concerning. Nonetheless, there has been progress: it has been shown that using two beta-lactams in combination can be effective in killing drug-resistant-TB2: one of the beta-lactams is broken down very slowly, and effectively acts as a beta-lactamase inhibitor. Conveniently, both drugs are already in use, avoiding both regulatory hurdles in the licensing process, and difficulties in synthesis scale-up.

As antibiotic resistance has increased, development of new antibiotic classes has slowed. This is due partly to the fact that low-hanging fruit has been exhausted, and there are few easy targets remaining for new drugs to hit. There are also economic reasons: only a single course of antibiotics is prescribed at a time, but whilst a patient is put on some other types of drug (eg. statins) they will likely continue taking it for the rest of their lives. For these two reasons, antibiotic development is expensive, and does not result in high revenues. Nonetheless, there has been some progress: two new drugs with the potential for use as anti-tuberculosis agents have been recently described in the literature: one, a imidazole, acts by causing the formation of NO. This occurs only in infected cells, avoiding damage to healthy host cells, as it is dependent on an enzyme produced by the TB pathogen3

However, there is increasing awareness that drugs need not actually kill pathogens in order to cure a patient: rather, it may be sufficient to the expression of virulence factors. A recent paper in Science described a drug that prevented cholera bacteria from producing cholera toxin, and thus also from causing symptoms. At the same time, pilus formation was impaired, hindering entrance to cells of the intestinal epithelium. As the bacterium is not being killed by the drug, there is likely to be a weaker pressure driving selection for resistance. Similar approaches may be found to be useful against other pathogens4.

In future, administering antibodies may have a greater role in treating infection. The approach was pioneered by Pasteur, who used transplants of blood form a succession of animals (including a rabbit and a horse) to treat a boy who had been infected with rabies by a dog-bite. As it is harder to demonstrate the indistinguishability of two complex proteins than it would be for a conventional small-molecule medicine, there is a higher regulatory barrier to the production of ‘generic’ biologics. The manufacturer of a biologic therapeutic agent may thus enjoy a monopoly maintained not only by intellectual property law, but also regulatory & safety law, making the development of biologics commercially appealing . Antibodies are used to treat some diseases (the most widely known is probably Hercepetin, which is used in some cases of breast cancer). In the last few months, researchers have been able to produce a modified version of Herceptin with affinity for a second antigen: this is the first example of antibodies with high affinities for two different biomolecules5. A team at Scripps research institute have produced an antibody that binds to the ‘tail’ of one of influenza’s surface proteins (hemagglutinin), a region which mutates more slowly that the ‘head’6. This targeting of a more stable epitope could allow the development of `flu vaccines that do not have to be re-formulated every-year as the result of epitope mutation/serotypic-shift. It could also, perhaps, allow the stockpiling of antibodies that could be administered directly to infected persons.

Surprisingly, gene therapy may be useful in treating not only genetic, but also infectious, diseases. The entry of HIV into white-blood cells is facilitated by a protein (CCR5) on its surface. A mutation (Delta-32) in this protein prevents HIV form binding to it, hindering infection. It was found that after a bone marrow transplant from a donor with the mutation, the recipient was able to come off anti-retrovirals, and has not since suffered viral rebound (the case was reported in the New England Journal of Medicine7). This is a promising result, but bone-marrow transplant procedures have an high morbidity and mortality. It would thus be desirable to bring about the change in blood-cell phenotype by gene therapy instead.

In conclusion, drug resistance is an increasing problem, and some vaccination programs have stalled (polio), whilst others have failed to get off the ground (HIV). However, there are now cures for many disease that were previously incurable, and new developments continue to be made. Many of these provide entire new paradigms for treatment, such as gene therapy (for HIV), carefully designed antibodies (for `flu), cleverer combination therapies (for TB), and inhibition of virulence factor formation (for cholera). Clearly, the battle is not lost—it still continues.


  1. Dantas et al. Bacteria subsisting on antibiotics. Science (2008) vol. 320 (5872) pp. 100-3 doi:10.1126/science.1155157

  2. Hugonnet et al. Meropenem-Clavulanate Is Effective Against Extensively Drug-Resistant Mycobacterium tuberculosis. Science (2009) vol. 323 (5918) pp. 1215 doi:10.1126/science.1167498

  3. Singh et al. PA-824 Kills Nonreplicating Mycobacterium tuberculosis by Intracellular NO Release. Science (2008) vol. 322 (5906) pp. 1392. doi:10.1126/science.1164571

  4. Hung et al. Small-Molecule Inhibitor of Vibrio cholerae Virulence and Intestinal Colonization. Science (2005) vol. 310 (5748) pp. 670 10.1126/science.1116739

  5. Bostrom et al. Variants of the Antibody Herceptin That Interact with HER2 and VEGF at the Antigen Binding Site. Science (2009) vol. 323 (5921) pp. 1610 doi:10.1126/science.1165480

  6. Ekiert et al. Antibody Recognition of a Highly Conserved Influenza Virus Epitope. Science (2009) vol. 324 (5924) pp. 246 doi:10.1126/science.1171491

  7. Hutter et al. Long-Term Control of HIV by CCR5 Delta32/Delta32 Stem-Cell Transplantation. The New England Journal of Medicine (2009) vol. 360 (7) pp. 692 doi:10.1056/NEJMoa0802905

Aspirin

Timeline of Aspirin's Development

The medicinal use of willow bark is mentioned in Egyptian papyri, as well as the works of Hippocrates, Galen and Pliny the Elder. It was then largely ignored by western medicine, before being ‘rediscovered’ in 1736 by Reverend Stone, who sent the Royal Society a paper that described using it to treat ague (a fever). The active ingredient in willow bark was shown to be salicin in the 19th century. Rafaele Pina was able to convert this into a second compound, salicyclic acid. Unfortunately, salicyclic acid irritated the stomach, a problem solved by acetylation: the resulting acetylsalicyclic acid is today more commonly known as aspirin. Aspects of the history of this drug are outlined in the graphic above.

In 1971, John Robert Vane discovered the mechanism by which aspirin acts. Eleven years later, he, along with Sune Bergstrom and Bengt Samuelsson, was rewarded with the 1982 Nobel Prize for Physiology and Medicine. Aspirin reduces the rate at which prostaglandins (lipids that are involved in inflammation) are produced from arachidonic acid. It does this by permanently inactivating cyclooxygenase enzymes, by acetylating one of their serine residues (an -OH group is converted to -O(COCH3) )

Capsaicin

Capsaicin, and other closely related compounds (the capsainoids) are responsible for the heat of chillis. For some time, scientists have thought that Chillis produce capsacin in order to protect themselves from fungal infection. This hypothesis seems quite reasonable: after all, capsaicin has no obvious function in the plant, and so may have evolved to have an effect on other organisms, perhaps to protect the chillis from being eaten. Furthermore, Chillis are dependent on many animals to disperse their seeds, and any defense that developed against vertebrates would be likely to interfere with this, having a detrimental effect on the plant. In contrast, no microorganisms feeding on the chillis benefit them.

But the strongest evidence for this idea was presented in a paper in the Aug 19 2008 issue of Science 1. The authors showed that fungal infections are indeed a major cause of damage to chillis, and that there is a correlation between number of insect bites in a particular fruit and the severity of subsequent fungal infections. The effect of additional insect bites is less significicant for peppers producing more capsaicin, which also contain less fungus, suggesting that capsaicin has a protective effect. To show that it was indeed capsaicin that was responsible for this difference, the scientists then grew fungus in two media, differing only in amount of capsaicin and dihydrocapsaicin – these compounds reduced fungal growth by 33%. Finally, they compared chillis growing across an area of 1,600 square kilometers in Bolivia. The scientists expected that in areas where chillis have more insect bites, they are exposed to the fungus more frequently, and will therefore be more likely to produce capsicin to protect themselves. And that is exactly what fieldwork found.

Not all chilis are equally hot, and their heat is compared with the Scoville Scale, developed by Wilbur Scoville. Each chilli pepper, or chilli sauce, can be given a score according to the number of times it must be diluted with water before its heat is no longer felt by a panel of taste-testers. The problem with this method is that it is time consuming, and the testers must be representative to the population. Some have tried to use more objective techniques from analytical chemistry, but initially had little success. High Performance Liquid Chromatography was tried, but its use was limited by its high cost. Last year, Richard Compton and his colleagues at Oxford University announced2 that they had developed a technique for the voltammetric measurement of capsaicin concentration. In short, they placed electrodes into the sample, and measured how the current flowing between them varied as they changed the voltage across them. By repeating this several times, they could assign a Scoville score to the sample. This method is potentially much cheaper and more widely usable than existing methods.

The reason why capsaicin tastes hot is that it binds to a receptor called TRPV1 on specific nerve cells. This permits the entry of sodium or calcium ions into the cell, resulting in the transmission of an electrical signal to the brain. The opening of this recptor could have another application: the targeted entry of anesthetics. The local anesthetics currently used by dentists target all nerve cells in the mouth, not just the pain-causing nociceptors. Consequently, they make the mouth feel numb, and speech slurred, for hours after the operation. A study2 conducted on rats by scientists in Massachusetts found that when an anaesthetic called QX-314 was applied after capsaicin, it would enter nociceptors through the TRPV1 channel, reducing pain, but have no effect on other nerve cells. Capsaicin has also be used alone as a local anaesthtic.

Some have suggested that people initially began eating chillis as medication, because of their anti-fungal properties. And as the paper by Compton observes they have “antioxidant power, in addition to anti-tumoral, anti-mutagenic, antibacterial and anticarcinogenic properties. . . protective effects against cholesterol and obesity”. Despite their usefulness in healing, they are also used to harm: many of the less-than-lethal pepper sprays used to disperse crowds or disable attackers contain capsainoids as their active ingredients.


  1. Tewksbury et al. Evolutionary ecology of pungency in wild chilies. Proceedings of the National Academy of Sciences of the United States of America (2008) vol. 105 (33) pp. 11808-11 doi:10.1073/pnas.0802691105
  2. Kachoosangi et al. Carbon nanotube-based electrochemical sensors for quantifying the ‘heat’ of chilli peppers: the adsorptive stripping voltammetric determination of capsaicin. Analyst (2008) pp. 15 doi:10.1039/b803588a
  3. Binshtok et al. Inhibition of nociceptors by TRPV1-mediated entry of impermeant sodium channel blockers. Nature (2007) doi:10.1038/nature06191