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巴西噬菌体疗法被遗忘的故事。

The forgotten tale of Brazilian phage therapy.

机构信息

Department of Biological and Environmental Science, Nanoscience Centre, University of Jyvaskyla, Jyvaskyla, Finland.

Department of Biological and Environmental Science, Nanoscience Centre, University of Jyvaskyla, Jyvaskyla, Finland.

出版信息

Lancet Infect Dis. 2020 May;20(5):e90-e101. doi: 10.1016/S1473-3099(20)30060-8. Epub 2020 Mar 23.

Abstract

The use of bacteriophages to treat bacterial infections (known as phage therapy) is considered a possible solution to the antimicrobial resistance crisis. However, phage therapy is not a new concept. The discovery of phages in the early 20th century was closely tied to clinical practice, and phage therapy quickly spread around the world. The use of phage therapy in South America in the previous century is still shrouded in mystery and has been mentioned only briefly in recent scientific literature. Research on Brazilian reference collections of medical texts showed that Brazil was an important, but so far little-known, player of phage therapy, uncovering interesting priority claims and missing pieces of phage therapy history. Of note, there is the widespread use of phages against bacillary dysentery and staphylococcal infections, with José da Costa Cruz from the Oswaldo Cruz Institute (Rio de Janeiro, Brazil) as Brazil's leading expert and pioneer. This Historical Review about historical phage use in Brazil fills the gaps in our knowledge about the so-called golden years of phage therapy, providing information about successful experiences that can be useful against dangerous pathogens in our time.

摘要

利用噬菌体治疗细菌感染(称为噬菌体疗法)被认为是解决抗生素耐药性危机的一种可能方法。然而,噬菌体疗法并不是一个新概念。20 世纪初噬菌体的发现与临床实践密切相关,噬菌体疗法迅速在全球范围内传播。上个世纪在南美洲使用噬菌体疗法仍然笼罩在神秘之中,在最近的科学文献中只是简要提及。对巴西医学文献参考收藏的研究表明,巴西是噬菌体疗法的一个重要但迄今为止鲜为人知的参与者,揭示了有趣的优先权主张和噬菌体疗法历史的缺失部分。值得注意的是,广泛使用噬菌体来对抗细菌性痢疾和葡萄球菌感染,巴西的主要专家和先驱是来自里约热内卢的 Oswaldo Cruz 研究所的何塞·达·科斯塔·克鲁兹(José da Costa Cruz)。这篇关于巴西历史上噬菌体使用的历史回顾填补了我们对所谓的噬菌体疗法黄金时代的知识空白,提供了有关成功经验的信息,这些经验在我们这个时代对抗危险病原体可能有用。

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