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Subject: Biotech and Medical Sciences

  • New drugs arrive on the block, but AMR threats continue

    Why in the News?

    AMR is rapidly becoming one of the greatest public health threats, contributing to 2.97 lakh deaths in India in 2019 alone, as reported by the Institute of Health Metrics and Evaluation.

    What is Antimicrobial Resistance (AMR)?

    • AMR occurs when microorganisms (like bacteria) evolve to become resistant to antibiotics designed to kill them. This makes infections harder to treat, leading to increased mortality and healthcare complications.
    • Globally, AMR contributed to 1.27 million deaths and in India to 2,97,000 deaths in 2019 (IHME report).

    Why is it a growing concern globally?

    • Rising Deaths Due to Resistant Infections: AMR causes infections that are harder to treat, leading to increased mortality. Eg, globally AMR contributed to 1.27 million deaths in 2019, and it is projected that by 2050, up to 10 million people could die annually due to resistant infections if no action is taken.
    • Limited New Antibiotics Development: There has been a major decline in new antibiotic discovery over the past 30 years, leaving fewer effective treatment options. Eg, India’s development of Nafthromycin was the first new antibiotic in three decades, highlighting the global innovation gap.
    • Widespread Misuse and Overuse of Antibiotics: Over-prescription and use of antibiotics in humans, livestock, and agriculture accelerate resistance. Eg, in India, antibiotics are often sold without prescriptions, promoting resistance and reducing drug effectiveness.

    What is Nafthromycin? 

    • Nafthromycin, marketed as ‘Miqnaf’, is a new antibiotic developed in India by Wockhardt, with support from BIRAC.
    • It treats Community-Acquired Bacterial Pneumonia (CABP). It is a once-a-day, three-day treatment with a 97% success rate.
    • India’s first indigenously-developed antibiotic in 30 years and the first globally in this class.

    What is the role of Nafthromycin in fighting antimicrobial resistance (AMR)?

    • Provides a New Effective Treatment Option: Nafthromycin is India’s first indigenously developed antibiotic in 30 years, offering a powerful new drug to treat infections like Community-Acquired Bacterial Pneumonia (CABP) with a 97% success rate. Eg: This helps overcome resistance to older antibiotics like azithromycin.
    • Supports Antibiotic Stewardship by Reducing Overuse of Existing Drugs: By providing an effective alternative, Nafthromycin can reduce reliance on existing antibiotics that have become less effective due to resistance, helping slow down the spread of AMR.

    Why is the misuse and overuse of antibiotics a major cause of AMR in India?

    • Over-the-counter sales without prescription: Antibiotics are often sold without a prescription, leading to improper and unnecessary use. Eg: People buying antibiotics directly from pharmacies for viral infections like common cold, where antibiotics are ineffective.
    • Use of antibiotics in livestock and agriculture: A large portion of antibiotics is used in animals to promote growth or prevent disease, which contributes to resistant bacteria spreading to humans. Eg: Use of colistin in poultry farming, which was recently banned in India to curb resistance.
    • Self-medication and lack of awareness: Many people self-medicate with antibiotics or do not complete prescribed courses, promoting resistance.  

    What are the healthcare gaps in the treatment of AMR?

    • Shortage of Trained Medical Personnel in AMR Management: There is limited awareness and training among healthcare providers on rational antibiotic use and infection control practices. Eg: A study by the Indian Council of Medical Research (ICMR) found that in community clinics in tier-2 cities, over 50% of doctors were unaware of the national treatment guidelines for infections.
    • Lack of Diagnostic Infrastructure: Many primary and secondary healthcare centers in India lack adequate microbiology labs to accurately identify bacterial infections and their resistance profiles. Eg: In rural districts of Uttar Pradesh, absence of lab support leads doctors to prescribe broad-spectrum antibiotics blindly, increasing resistance risks.

    What are the steps taken by the Indian Government? 

    • National Action Plan on AMR (NAP-AMR): A comprehensive plan aligned with WHO’s Global Action Plan to tackle AMR using a One Health approach (human, animal, and environment sectors). Eg: The plan prioritizes awareness, surveillance, infection prevention, and rational antimicrobial use. States like Kerala and Delhi have developed their own State Action Plans on AMR in alignment with NAP-AMR.
    • Establishment of Surveillance Networks: The Indian Council of Medical Research (ICMR) set up the Antimicrobial Resistance Surveillance & Research Network (AMRSN) to track resistance patterns across hospitals. Eg: AMRSN collects data on AMR trends in pathogens like Klebsiella pneumoniae and E. coli from over 30 hospitals, helping inform national policy.

    Way forward: 

    • Strengthen Regulation and Stewardship: Enforce strict controls on antibiotic sales and promote antimicrobial stewardship in hospitals and clinics.
    • Invest in Surveillance and Public Awareness: Expand AMR surveillance networks and run sustained awareness campaigns to educate public and healthcare providers.

    Mains PYQ:

    [UPSC 2014] How do you explain the factors responsible for the emergence of drug-resistant diseases in India? What are the available mechanisms for monitoring and control? Critically discuss the various issues involved.

    Linkage: The core issue of “drug-resistant diseases” which is Antibiotic Resistance (AMR). The article talking about the key factors for AMR, such as misuse and overuse of antibiotics across various sectors, including non-prescription sales in countries like India. It also discusses the need for monitoring and control mechanisms like responsible global stewardship, patient education, public awareness, innovation, regulation, and government leadership in stewardship.

  • What is A-to-I mRNA Editing?

    Why in the News?

    Chinese researchers found that A-to-I mRNA editing, once considered random, plays a key role in development, especially in the wheat pathogen Fusarium graminearum.

    About A-to-I mRNA Editing:

    • mRNA: Our cells use DNA as a guide to make proteins. First, they copy DNA into messenger RNA (mRNA).
    • A-to-I editing: This is a process where the letter adenosine (A) in mRNA is changed to inosine (I) by special enzymes called ADARs. The cell reads inosine as guanine (G), which can change the protein being made.
    • Why it matters:
      • It helps the cell make different versions of proteins without changing the DNA.
      • It can remove early stop signals, allowing full proteins to be made.
      • It helps the cell adapt to different conditions or stages of life.

    What did scientists discover in the fungus?

    • Fungal Discovery: Scientists found that the fungus edits over 26,000 mRNA sites during reproduction, not during normal growth.
    • Development Role: This editing fixes early stop signals in key genes, helping the fungus develop and reproduce properly.
    • Stress Adaptation: Some genes work better unedited under stress, showing the fungus edits only when needed for survival.

    Does this happen in humans?

    Yes, A-to-I editing is common in humans:

    • In the brain: It helps with brain growth, memory, and learning.
    • In the immune system: It helps fight infections and control inflammation.

    Health Implications:

    • Health Risks: Faulty editing is linked to epilepsy and certain cancers.
    • Therapeutic Potential: Understanding this process can lead to new treatments and improve gene-editing technologies.
    [UPSC 2016] In the context of the developments in Bioinformatics, the term ‘transcriptome’, sometimes seen in the news, refers to:

    Options: (a) a range of enzymes used in genome editing (b) the full range of mRNA molecules expressed by an organism * (c) the description of the mechanism of gene expression (d) a mechanism of genetic mutations taking place in cells

     

  • Science behind Uterine Transplants

    Why in the News?

    Uterine transplant surgery offers a groundbreaking solution for women with absolute uterine infertility, as seen in the recent birth of the first child in the U.K. born to a mother who received a donated uterus.

    About Uterine Transplants:

    • Uterine transplantation is a surgical procedure where a woman who lacks a functional uterus receives a donor uterus, enabling her to carry and give birth to a child.
    • The transplant is typically temporary, allowing for one or two pregnancies, after which the uterus is usually removed to avoid complications.
    • Donor Criteria:
      • Age: Between 30 to 50 years.
      • Health: Must be in good overall health, with a BMI under 30, and no history of diabetes, cancer (within 5 years), or STIs.
      • Exclusions: Women with HIV, Hepatitis B, Hepatitis C, or other complications.
    • The procedure requires gynecological transplant surgeons with specific training. A 6-month recovery period is needed before attempting pregnancy.

    Indian Scenario:

    • India’s first transplant was performed on May 18, 2017, at Galaxy Care Hospital in Pune. The recipient was a 26-year-old woman who received her mother’s uterus.
    • In October 2018, India’s first baby was born via Caesarean section, weighing 1.45 kg and healthy.
    • This success story reflects India’s growing capabilities in reproductive medicine, providing hope to women with uterine infertility, offering them an opportunity for biological motherhood.
    [UPSC 2020] In the context of recent advances in human reproductive technology, “Pronuclear Transfer” is used for:

    Options: (a) fertilization of egg in vitro by the donor sperm (b) genetic modification of sperm producing cells (c) development of stem cells into functional embryos (d) prevention of mitochondrial diseases in offspring

     

  • Coenzyme Q: A Vital Molecule for Energy Production

    Why in the News?

    A recent paper published in Nature by a team from the Chinese Academy of Sciences explored the genetic modification of rice plants to increase Coenzyme CoQ10 production.

    What are Coenzymes and CoQ?

    • Enzymes are biological catalysts made of proteins that speed up chemical reactions in living organisms without being consumed in the process.
    • Coenzymes are organic molecules that assist enzymes in catalyzing biochemical reactions, making cellular metabolism more efficient.
    • Coenzyme Q (CoQ) is a lipid-soluble antioxidant that helps stabilize cells under stress. It is crucial for cellular energy production.
    • CoQ exists in 10 forms (CoQ1 to CoQ10), all present in the respiratory chain within cells.

    Importance of CoQ9 and CoQ10

    • CoQ9: It is found in cereal crops (wheat, rice, oats, barley, etc.), bamboo, and flowering plants like cinnamon, avocado, and pepper. It is rich in daily foods, making it an accessible nutrient.
    • CoQ10: It is vital for mitochondrial energy production. Concentrated in high-energy organs like the heart. CoQ10 is crucial for health, especially in those with neurological issues or age-related deficiencies.
    • Health Benefits of CoQ10:
      • 2008: CoQ10 supplementation helped patients with neurological disorders, improving their health (Montini et al., Milan).
      • 2012: Infants with CoQ10 deficiency benefitted from ubiquinone analogues (Shamima Ahmed, London).
    • CoQ10-based supplements are now commonly prescribed by healthcare professionals.
    [UPSC 2007] Question: Which one of the following is not a digestive enzyme in the human system?

    Options: (a) Trypsin (b) Gastrin* (c) Pepsin (d) Amylase

     

  • Real Time LAMP Assay for Early Diagnosis of TB

    Why in the News?

    Researchers from Thiruvananthapuram have developed a cost-effective Real-Time LAMP (rt-LAMP) Assay for early Tuberculosis (TB) diagnosis.

    About the rt-LAMP Assay

    • The rt-LAMP assay (real-time Loop-mediated Isothermal Amplification) is a molecular diagnostic test designed to detect TB DNA with high precision.
    • It can detect TB DNA at concentrations as low as 10 copy numbers per microlitre, ensuring early detection even with low bacterial loads.
    • Developed by SCTIMST, Thiruvananthapuram, the rt-LAMP assay uses Syto 16, a fluorescent dye, to monitor DNA amplification in real time, addressing the limitations of traditional LAMP tests.
    • Working Principle:
      • It uses six primers for DNA amplification (compared to two in RT-PCR), enhancing amplification speed.
      • It operates at a single temperature, unlike RT-PCR, making it simpler and more cost-effective.
      • It monitors the amplification process continuously, providing faster results.

    Advantages Offered:

    • High Sensitivity and Specificity: Ensures accurate detection of TB DNA due to the use of six primers.
    • Cost-Effective: Uses affordable fluorescent dyes and primers, reducing diagnostic costs.
    • Speed: Produces results in just 10-20 minutes, faster than traditional tests.
    • Ease of Use: Compatible with existing RT-PCR machines, reducing the need for new infrastructure.
    • High Throughput: Can process 96-384 tests in one run, making it ideal for high-volume settings.
    [UPSC 2007] Which of the following types is used by computed tomography employed for visualization of the internal structure of the human body?

    (a) X-rays (b) Sound Waves (c) Magnetic Resonance (d) Radioisotopes

     

  • Bird Flu is Spreading in Bihar

    Why in the News?

    Bihar is currently facing a bird flu outbreak, yet the state lacks a dedicated testing facility for confirming cases.

    What is H5N1 Bird Flu?

    • H5N1 (Avian Influenza A) is a highly contagious virus affecting birds and some mammals.
    • It was first detected in China in 1996 and has since spread globally, including India.
    • In 2020, a highly pathogenic strain emerged, leading to outbreaks in Europe, Africa, Asia, and the Americas.

    Impact of H5N1 on Animals:

    • Wild birds, especially endangered species like California condors, have suffered mass casualties.
    • The virus previously targeted poultry, but now marine mammals (sea lions, dolphins) and terrestrial mammals (foxes, bears, pumas, minks) are also infected.
    • India’s first H5N1 outbreak occurred in Maharashtra and Gujarat in 2015.

    Human Risk and Potential Transmission:

    • Direct human infections are rare and usually occur through close contact with infected birds.
    • Climate change is worsening the spread, altering bird migration patterns and increasing interspecies interactions.
    • Human-to-human transmission is uncommon, but experts warn that mutations could make it possible in the future.

    PYQ:

    [2015] H1N1 virus is sometimes mentioned in the news with reference to which one of the following diseases?

    (a) AIDS

    (b) Bird flu

    (c) Dengue

    (d) Swine flu

     

  • What is Hantavirus and how does it spread?

    Why in the News?

    Betsy Arakawa, wife of Oscar-winning actor Gene Hackman, died from a respiratory illness linked to hantavirus, a rare disease transmitted by infected rodents, officials have confirmed.

    What is Hantavirus?

    • Hantavirus is a family of viruses carried by rodents that cause severe illnesses in humans. The two primary diseases it causes are:
    1. Hantavirus Pulmonary Syndrome (HPS) – A fatal respiratory illness common in the Americas.
    2. Hemorrhagic Fever with Renal Syndrome (HFRS) – Affects the kidneys and causes internal bleeding, mostly found in Asia and Europe.
    • Hantavirus spreads through contact with infected rodent waste, primarily via:
      • Inhalation (Aerosolization) – Breathing in airborne particles from rodent urine, droppings, or saliva.
      • Direct Contact – Touching contaminated surfaces and then touching the eyes, nose, or mouth.
      • Open Wounds – Virus entering through cuts or scratches.
      • Rodent Bites (Rare).
      • Human-to-Human Transmission – Extremely rare, except for Andes virus in South America.

    Is there a Cure or Treatment?

    • No specific antiviral treatment or vaccine exists.
    • Medical care focuses on symptom management:
      • Oxygen therapy for breathing difficulties.
      • ICU support & mechanical ventilation in severe cases.
    • Early detection is crucial – Seek medical help immediately after potential rodent exposure.
  • Neurobiological basis of Substance Abuse Addiction

    Why in the News?

    A groundbreaking study at the University of British Columbia, published in Nature Mental Health, reveals that addiction involves a complex neural circuit regulating cravings, emotions, and decision-making, shifting approaches to treatment and recovery.

    Key Findings of the Research:

    • Addiction Alters a Network of Brain Regions:  A multi-center study analyzing 144 neuroimaging studies with 9,000 participants confirmed that addiction does not affect isolated brain areas but rather disrupts a circuit responsible for craving, emotional regulation, and decision-making.
    • Brain’s Reward System is Hijacked: The nucleus accumbens releases dopamine, reinforcing pleasurable behaviors. Addictive substances exploit this mechanism, making substance use compulsive over time.
    • Withdrawal Causes Emotional Distress: The extended amygdala triggers stress, anxiety, and irritability when substance use stops, driving continued consumption to avoid discomfort.
    • Decision-Making is Impaired: The prefrontal cortex weakens, reducing impulse control and rational thinking, making quitting extremely difficult despite awareness of harm.
    • Adolescents are More Vulnerable: Since the prefrontal cortex matures last, early substance exposure increases long-term addiction risk.
    • Neuroadaptations Persist Even After Abstinence: Brain changes caused by addiction do not immediately reverse, leading to relapse vulnerability even after long periods of sobriety.

    The Three-Stage Cycle of Addiction

    • Binge/Intoxication Stage (Basal Ganglia – Reward Processing)
      • Substance use triggers dopamine release, reinforcing pleasurable behaviors.
      • Over time, the brain associates substance use with intense rewards, increasing dependence.
      • Users experience cravings, leading to compulsive drug-seeking behavior.
    • Withdrawal/Negative Affect Stage (Extended Amygdala – Emotional Distress)
      • When substance use stops, individuals experience withdrawal symptoms like stress, anxiety, and depression.
      • The brain craves relief, pushing individuals toward continued substance use to avoid discomfort.
      • This stage makes quitting extremely difficult, reinforcing addiction.
    • Preoccupation/Anticipation Stage (Prefrontal Cortex – Impulse Control & Cravings)
      • The prefrontal cortex weakens, impairing decision-making and self-control.
      • Cravings dominate thoughts, leading to obsessive focus on substance use.
      • Despite knowing the negative consequences, individuals struggle to quit due to impaired cognitive function.

    This cycle continuously repeats, making addiction a self-reinforcing loop.

    PYQ:

    [2007] Which one of the following parts of the human brain is the regulating center for swallowing and vomiting?

    Options:

    (a) Cerebellum (b) Cerebrum (c) Medulla oblongata (d) Pons

     

  • Ultra-Conserved Elements (UCEs) in DNA

    Why in the News?

    Researchers have discovered a reason why certain segments of the human and mouse genomes (Tra2b gene) have remained unchanged for 80 million years. These segments, known as ultra-conserved elements (UCEs), play a vital role in regulating protein production

    What are Ultra-Conserved Elements (UCEs) in DNA?

    • Ultra-Conserved Elements (UCEs) are long, highly conserved DNA sequences (200+ base pairs) that have remained unchanged for millions of years across multiple species, including humans, mice, rats, chickens, and even fish.
    • Key Characteristics:
      • Found in both coding (gene) and non-coding (regulatory) regions of the genome.
      • Do not tolerate mutations, meaning they remain identical across species for tens of millions of years.
      • Many UCEs do not code for proteins but play crucial roles in gene regulation and cellular function.
    • Their importance:
      • Evolutionary Significance: Their extreme conservation suggests they are essential for survival, as any mutation would likely be harmful.
      • Gene Regulation: UCEs may function as enhancers or silencers, controlling when and where genes are activated.
      • Developmental Roles: They are often linked to brain development, fertility, and immune response.
      • Disease Prevention: UCEs may protect against genetic disorders and cancers by stabilizing gene expression.

    Why do Human and Mouse Genomes overlap?

    • Humans and mice share a common mammalian ancestor that lived around 80 million years ago.
    • Genomic Similarity:
      • Around 85% of mouse genes have direct counterparts in humans.
      • Nearly 500 UCEs are identical between humans and mice, despite millions of years of evolution.
    • Many fundamental processes like cell division, metabolism, and brain function are similar between species, necessitating high conservation of crucial DNA regions.
    • Medical Research:
      • Because of these similarities, mice serve as a model organism for studying human genetics, diseases, and drug responses.
      • UCEs help scientists understand gene function across species, leading to insights into evolution and biomedical advancements.

    PYQ:

    [2013] Recombinant DNA technology (Genetic Engineering) allows genes to be transferred

    1. across different species of plants

    2. from animals to plants

    3. from microorganisms to higher organisms

    Select the correct answer using the codes given below:

    (a) 1 only

    (b) 2 and 3 only

    (c) 1 and 3 only

    (d) 1, 2 and 3

     

  • What is the Cancer Vaccine Russia is offering?

    Why in the News?

    In December 2024, Russia announced the development of a new mRNA-based personalized cancer vaccine, with plans to make it available for free to patients by early 2025.

    What is mRNA (Messenger RNA)?

    • mRNA is a type of RNA that transports genetic information from DNA to ribosomes, guiding the production of proteins.
    • It tells the cell which proteins to make by providing the exact sequence of amino acids.
    • Unlike DNA, mRNA does not stay in the cell permanently; it gets degraded after protein synthesis.
    • mRNA-based vaccines (like COVID-19 vaccines) teach cells to produce harmless viral proteins, triggering an immune response.

    What is an mRNA Cancer Vaccine?

    • Unlike traditional vaccines, mRNA vaccines provide genetic instructions to train the immune system to detect and attack cancer cells.
    • This technology gained prominence with the COVID-19 vaccines (Pfizer-BioNTech, Moderna) and is now being adapted for cancer treatment.
    • These vaccines are therapeutic, designed for patients who already have cancer, not for prevention.

    How do mRNA Cancer Vaccines Work?

    • Cancer cells evade the immune system by suppressing immune responses.
      • Immunotherapy works by enhancing the body’s natural ability to detect and destroy these cancerous cells.
    • Unlike chemotherapy, which kills both healthy and cancerous cells, immunotherapy selectively targets only cancer cells, reducing harmful side effects.
    • mRNA cancer vaccines are customized for each patient, targeting specific tumor antigens, making them highly personalized and potentially more effective.
    • While traditional infectious disease vaccines prevent illness, mRNA cancer vaccines are therapeutic, meaning they are administered to patients who already have cancer to help their immune system fight the disease.

    PYQ:

    [2019] RNA interference (RNAi)’ technology has gained popularity in the last few years. Why?

    1. It is used in developing gene silencing therapies.
    2. It can be used in developing therapies for the treatment of cancer.
    3. It can be used to develop hormone replacement therapies.
    4. It can be used to produce crop plants that are resistant to viral pathogens.

    Select the correct answer using the codes given below:

    (a) 1, 2 and 4

    (b) 2 and 3

    (c) 1 and 3

    (d) 1 and 4 only