Reina J, Reina N
Jordi Reina, Unidad de Virología, Servicio de Microbiología, Hospital Universitario Son Espases, Palma de Mallorca. Spain.
Rev Esp Quimioter. 2018 Apr;31(2):101-104. Epub 2018 Feb 16.
Bacteriophages are viruses that infect and parasitize bacteria. They can present a lytic cycle that determines the lysis of the infected bacteria. Each phage is specific to a particular bacterial genus or species. The current increase in the incidence of antibiotic resistance in human bacteria has favored the study of phages as a therapeutic alternative (phage therapy). Previous studies have shown the efficacy of these elements in cutaneous and intestinal infections. Different clinical trials are underway to establish the safety, reactogenicity and therapeutic efficacy of multiple phage. Being active elements, phages must undergo rigorous quality controls to ensure the absence of undesirable effects. The bacterial lysis that they cause is of a magnitude inferior to the one provoked by the antibiotics. As problems to be solved in the future are the possibility of using mixtures of several phages, establish the ideal route of administration and modify them genetically to deactivate bacterial resistance genes.
噬菌体是感染并寄生于细菌的病毒。它们可以呈现一种决定被感染细菌裂解的裂解周期。每种噬菌体都对特定的细菌属或种具有特异性。目前人类细菌中抗生素耐药性发病率的上升推动了对噬菌体作为一种治疗替代方法(噬菌体疗法)的研究。先前的研究已经表明这些物质在皮肤和肠道感染中的疗效。正在进行不同的临床试验以确定多种噬菌体的安全性、反应原性和治疗效果。作为活性物质,噬菌体必须经过严格的质量控制以确保不存在不良影响。它们所引起的细菌裂解程度低于抗生素所引发的裂解程度。未来有待解决的问题包括使用几种噬菌体混合物的可能性、确定理想的给药途径以及对它们进行基因改造以使细菌耐药基因失活。