People often ask me about the type of work that I do in my
lab. Working for Dr. Cassandra Quave has been the most educational and engaging
experience I’ve had at Emory, but I’d be hesitant to tell people right up front
that our work derives use from plants. There seems to be a huge gap in
understanding as to where our medicine came from in the first place and where
it comes from now. To be frank, the vast
majority of our antibiotics that we have are derived from soil. Think about
it; dust and particles in the Earth, thousands of years old, have come in
contact with some of the most deadly microbes that we can imagine, but have
continued to exist all this time. Plants are no different, and are responsible
for a large portion of medications that have been brought to market. As to the
second question, where we get our medications now, we are starting to see a lot of problems specifically with antibiotics
because not much has changed. Since the 80s, pharmaceutical companies haven’t
looked much into new antibiotic development because the chemical makeups that
they uncovered from soil and plants worked – for the time being. If you’ve
heard of antibiotic resistance,
that’s what I’d say my lab deals with. This is nothing new, of course, but it
always surprises people. When I see plants, I see cures and a hotbed of
potential. When others see plants, they may see something supposed to sit on a
windowsill. It is important to make this distinction and to respect and
investigate the trials of selective
pressure that nature has been through, as they may lead us to solutions to
man-made problems today.
Part 2: Why Me?
My journey in the Quave Lab began in the Fall 2016 course
atlas. After taking a class with Dr. Quave I had general understandings of the
importance of traditional medicine
and the culture that plants house
for many communities. It was not until I had a personal conversation with her
that I understood the magnitude of her work; once I understood this, I became
enthralled with the idea of contributing and learning as much as I could. As a Human Health major and WGSS minor, my
interests intersect in women’s health. I have always been fascinated by maternal health and how social facets can manifest themselves in
tangible, biological outcomes. In addition, the negligence that has cast a
shadow on advances in women’s health and healthcare is a very real problem that
I’d like to address and mitigate with my work. In terms of the Quave lab, I
focus on maternal health by analyzing the efficacy of a specific plant to
mitigate postpartum infection and postpartum hemorrhage.
Part 3: Process
My scientific process began with scanning through countless
studies to compile a list of plants that have been used traditionally for
maternal health purposes. After this, I ran the names through the USDA to
determine which I had access to, and from there I had narrowed my search to a
plant with many uses outside of maternal health, but that I felt warranted
another look in terms of how it can impact the postpartum period. The plant is Momordica
charantia L., colloquially
called bitter melon or bitter gourd. It piqued my interest because of its
documented use as an abortifacient;
I figured that if it induces abortion, it must somehow act on the uterus, and
further research and reading confirmed that hypothesis within other plants in
the genus. My initial steps were very technical and occurred in the
phytochemistry lab; I obtained two varieties of bitter melon from India and
China and put them through a maceration
protocol to extract their bioactive
components into a chemical solvent. My steps after this were to concentrate
this solvent and to dry it out into a powder through a number of different mechanical
and chemical processes. I’ve prepared eight separate extracts of varying type,
solvent, and freshness, and have moved on to culturing cells and bacteria in the microbiology lab for our
extracts to test against
Part 4: Forwards
The next steps of my project will consist of determining the
extent to which my extracts will kill
bacteria found in postpartum infections and the extent to which my extracts
will contract uterine cells.
Although the second part of this seems odd, its principle is very simple: in
postpartum hemorrhage, uterine contractions shunt blood away from the area as
cells squeeze and let less blood through. This is typically the role of oxytocin, but for some mothers, it is
not enough to stop the bleeding.
Part 5: Significance
I hope that my project will contribute to movements and
databases aimed at mitigating antibiotic
resistance not only in already-resistant bacteria, but will slow the
process by offering new drug leads
to bacteria that have the possibility of
gaining resistance. Postpartum hemorrhage and postpartum infection are
among the top causes of maternal deaths
around the world, and in the United States, we are witnessing a resurgence of maternal deaths due to a variety
of factors. Through the development of alternative methods and treatments to
mitigate maternal burdens, I hope to contribute something innovative and
effective to the best of my ability to the maternal health community.
Visit the Undergraduate Research Programs website to learn more about applying for Independent Research Grants.
Visit the Undergraduate Research Programs website to learn more about applying for Independent Research Grants.
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