设计一种广谱噬菌体鸡尾酒,减少铜绿假单胞菌生物膜并在两种动物模型中治疗急性感染。

Design of a Broad-Range Bacteriophage Cocktail That Reduces Pseudomonas aeruginosa Biofilms and Treats Acute Infections in Two Animal Models.

机构信息

Department of Biosciences, University of Milan, Milan, Italy

Department of Microbiology, Institut Pasteur, Paris, France.

出版信息

Antimicrob Agents Chemother. 2018 May 25;62(6). doi: 10.1128/AAC.02573-17. Print 2018 Jun.

Abstract

The alarming diffusion of multidrug-resistant (MDR) bacterial strains requires investigations on nonantibiotic therapies. Among such therapies, the use of bacteriophages (phages) as antimicrobial agents, namely, phage therapy, is a promising treatment strategy supported by the findings of recent successful compassionate treatments in Europe and the United States. In this work, we combined host range and genomic information to design a 6-phage cocktail killing several clinical strains of , including those collected from Italian cystic fibrosis (CF) patients, and analyzed the cocktail performance. We demonstrated that the cocktail composed of four novel phages (PYO2, DEV, E215 and E217) and two previously characterized phages (PAK_P1 and PAK_P4) was able to lyse both in planktonic liquid cultures and in biofilms. In addition, we showed that the phage cocktail could cure acute respiratory infection in mice and treat bacteremia in wax moth () larvae. Furthermore, administration of the cocktail to larvae prior to bacterial infection provided prophylaxis. In this regard, the efficiency of the phage cocktail was found to be unaffected by the MDR or mucoid phenotype of the pseudomonal strain. The cocktail was found to be superior to the individual phages in destroying biofilms and providing a faster treatment in mice. We also found the larva model to be cost-effective for testing the susceptibility of clinical strains to phages, suggesting that it could be implemented in the frame of developing personalized phage therapies.

摘要

耐多药(MDR)细菌菌株的惊人扩散需要对非抗生素疗法进行研究。在这些疗法中,噬菌体(phages)作为抗菌剂的使用,即噬菌体疗法,是一种有前途的治疗策略,最近在欧洲和美国的成功同情治疗中得到了支持。在这项工作中,我们结合宿主范围和基因组信息来设计一种 6 噬菌体鸡尾酒,可以杀死几种临床菌株,包括从意大利囊性纤维化(CF)患者收集的菌株,并分析了鸡尾酒的性能。我们证明,由四种新型噬菌体(PYO2、DEV、E215 和 E217)和两种先前表征的噬菌体(PAK_P1 和 PAK_P4)组成的鸡尾酒能够裂解浮游液培养物和生物膜中的 。此外,我们表明,噬菌体鸡尾酒可以治愈小鼠急性呼吸道感染并治疗蜡蛾幼虫的菌血症。此外,在细菌感染前向幼虫施用鸡尾酒可提供预防。在这方面,噬菌体鸡尾酒的效率不受假单胞菌菌株的 MDR 或粘液表型的影响。该鸡尾酒在破坏生物膜和在小鼠中更快地治疗方面优于单个噬菌体。我们还发现幼虫模型可用于测试临床菌株对噬菌体的敏感性,这表明它可以在开发个性化噬菌体疗法的框架内实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ef/5971607/a121084be361/zac0051871700001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索