Senhaji-Kacha Abrar, Esteban Jaime, Garcia-Quintanilla Meritxell
Department of Clinical Microbiology, IIS-Fundación Jiménez Díaz, Madrid, Spain.
Front Microbiol. 2021 Jan 18;11:609017. doi: 10.3389/fmicb.2020.609017. eCollection 2020.
There is a global increasing number of infections, especially pulmonary infections. Reduced therapeutic options exist against this opportunistic pathogen due to its high intrinsic and acquired levels of antibiotic resistance. Phage therapy is a promising afresh therapy, which uses viruses to lyse bacteria responsible for the infection. Bacteriophages have been recently administered under compassionate use to a 15-year-old patient infected with in combination with antibiotics with excellent results. This mini review highlights different recommendations for future phage administrations such as where to look for new phages, the use of cocktail of mycobacteriophages to broaden phage specificity and to tackle resistance and phage insensitivity due to temperate phages present in bacterial genomes, the combined use of phages and antibiotics to obtain a synergistic effect, the liposomal administration to reach a prolonged effect, intracellular delivery and protection against neutralizing antibodies, and the convenience of using this strategy in patients suffering from cystic fibrosis (CF) since phages are believed to promote immunomodulatory actions and eliminate biofilms.
全球感染病例,尤其是肺部感染病例的数量在不断增加。由于这种机会性病原体具有高度的固有和获得性抗生素耐药性,针对它的治疗选择有限。噬菌体疗法是一种很有前景的新型疗法,它利用病毒裂解引起感染的细菌。最近,噬菌体已在同情用药的情况下用于一名15岁感染患者,并与抗生素联合使用,取得了优异的效果。这篇综述强调了未来噬菌体给药的不同建议,例如到何处寻找新的噬菌体、使用分枝杆菌噬菌体鸡尾酒来扩大噬菌体特异性并应对由于细菌基因组中存在的温和噬菌体导致的耐药性和噬菌体不敏感性、联合使用噬菌体和抗生素以获得协同效应、脂质体给药以达到长效、细胞内递送和防止中和抗体、以及在囊性纤维化(CF)患者中使用这种策略的便利性,因为噬菌体被认为具有免疫调节作用并能消除生物膜。