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临床应用噬菌体:巴西对抗抗菌药物耐药性的新视角。

Clinical utilization of bacteriophages: a new perspective to combat the antimicrobial resistance in Brazil.

机构信息

Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Medicina Interna, UNIFESP, São Paulo, SP, Brazil; Cardiff University, Department of Infection and Immunity, Cardiff, United Kingdom.

Cardiff University, Department of Infection and Immunity, Cardiff, United Kingdom.

出版信息

Braz J Infect Dis. 2020 May-Jun;24(3):239-246. doi: 10.1016/j.bjid.2020.04.010. Epub 2020 May 15.

DOI:10.1016/j.bjid.2020.04.010
PMID:32422119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9392036/
Abstract

Due to the emergence of multi-drug resistant bacteria, and the evident limitation in therapeutic options, alternatives to combat bacterial infections have been sought. One of these is phage therapy, which is the use of bacterial viruses to kill pathogenic bacteria responsible for the infection. These viruses called bacteriophages are very abundant organisms in the world and are harmless to humans. There are several advantages in using phage therapy, especially against multi-drug resistant pathogens, which tend to be dominated by individual strains. The advantages include fewer collateral effects such as lower disturbance of gut microbiota and less antimicrobials consumption, which itself leads to reducing antibiotic resistance rates. Unfortunately, few clinical studies have been initiated in Brazil and this area is little explored in our country. This manuscript describes clinical evidence of successful phage utilization on pathogens considered a threat in Brazil, highlighting the benefits of a possible phage utilization as an important tool to combat antimicrobial resistance in our country.

摘要

由于多药耐药菌的出现,以及治疗选择明显受限,人们一直在寻找对抗细菌感染的替代方法。其中一种方法是噬菌体疗法,即利用细菌病毒来杀死导致感染的致病菌。这些被称为噬菌体的病毒在世界上非常丰富,对人类无害。使用噬菌体疗法有几个优点,尤其是针对多药耐药病原体,因为它们往往由单一菌株主导。这些优点包括较少的副作用,例如较少干扰肠道微生物群和较少使用抗生素,这本身就会降低抗生素耐药率。不幸的是,巴西很少开展临床研究,这方面在我国也很少被探索。本文描述了在巴西被认为是威胁的病原体中成功利用噬菌体的临床证据,强调了噬菌体作为一种重要工具来对抗我国抗菌药物耐药性的可能利用的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f54/9392036/f78e36d62033/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f54/9392036/6e0eb217de38/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f54/9392036/f78e36d62033/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f54/9392036/6e0eb217de38/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f54/9392036/f78e36d62033/gr2.jpg

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Eradication of a Multidrug-Resistant, Carbapenemase-Producing Klebsiella pneumoniae Isolate Following Oral and Intra-rectal Therapy With a Custom Made, Lytic Bacteriophage Preparation.口服和直肠内应用定制裂解噬菌体制剂根除产碳青霉烯酶、多重耐药肺炎克雷伯菌
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Characterization of a bacteriophage with broad host range against strains of Pseudomonas aeruginosa isolated from domestic animals.
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一种具有广泛宿主范围的噬菌体,可针对从家畜中分离出的铜绿假单胞菌菌株。
BMC Microbiol. 2019 Jun 17;19(1):134. doi: 10.1186/s12866-019-1481-z.
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Diversity of metallo-β-lactamase-encoding genes found in distinct species of Acinetobacter isolated from the Brazilian Amazon Region.从巴西亚马逊地区分离出的不同不动杆菌属物种中发现的金属β-内酰胺酶编码基因的多样性。
Mem Inst Oswaldo Cruz. 2019;114:e190020. doi: 10.1590/0074-02760190020. Epub 2019 May 30.
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