Torabi Ladan Rahimzadeh, Naghavi Nafiseh Sadat, Doudi Monir, Monajemi Ramesh
Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran.
Department of Biology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran.
Iran J Microbiol. 2021 Oct;13(5):678-690. doi: 10.18502/ijm.v13i5.7435.
Prevalence of extended spectrum β-lactamase (ESBL) leads to the development of antibiotic resistance and mortality in burn patients. One of the alternative strategies for controlling ESBL bacterial infections is clinical trials of bacteriophage therapy. The aim of this study was to isolate and characterize specific bacteriophages against ESBL-producing in patients with burn ulcers.
Clinical samples were isolated from the hospitalized patient in burn medical centers, Iran. Biochemical screenings and 16S rRNA gene sequencing were determined. The phages were isolated from municipal sewerage treatment plants, Isfahan, Iran. TEM and FESEM, adsorption velocity, growth curve, host range, and the viability of the phage particles as well as proteomics and enzyme digestion patterns were examined.
The results showed that Iaufa_lad2 (GenBank accession number: MW836954) was confirmed as an ESBL-producing strain using combined disk method. This bacterium showed significant sensitivity to three phages including PɸBw-Kp1, PɸBw-Kp2, and PɸBw-Kp3. Morphological characterization demonstrated that the phage PɸBw-Kp3 to the family (lambda-like phages) and both phages PɸBw-Kp1 and ɸBw-Kp2 to the family (T1-like phages). The isolated bacteriophages had a large burst size, thermal and pH viability and efficient adsorption rate to the host cells.
In present study, the efficacy of bacteriophages against ESBL pathogenic bacterium promises a remarkable achievement for phage therapy. It seems that, these isolated bacteriophages, in the form of phage cocktails, had a strong antibacterial impacts and a broad-spectrum strategy against ESBL-producing isolated from burn ulcers.
超广谱β-内酰胺酶(ESBL)的流行导致烧伤患者出现抗生素耐药性并增加死亡率。控制ESBL细菌感染的替代策略之一是噬菌体疗法的临床试验。本研究的目的是分离和鉴定针对烧伤溃疡患者中产ESBL菌的特异性噬菌体。
临床样本取自伊朗烧伤医疗中心的住院患者。进行了生化筛选和16S rRNA基因测序。噬菌体从伊朗伊斯法罕的城市污水处理厂分离。检测了透射电子显微镜(TEM)和场发射扫描电子显微镜(FESEM)、吸附速度、生长曲线、宿主范围、噬菌体颗粒的活力以及蛋白质组学和酶切模式。
结果显示,使用复合纸片法确认Iaufa_lad2(GenBank登录号:MW836954)为产ESBL菌株。该细菌对三种噬菌体表现出显著敏感性,包括PɸBw-Kp1、PɸBw-Kp2和PɸBw-Kp3。形态学特征表明,噬菌体PɸBw-Kp3属于肌尾噬菌体科(类λ噬菌体),噬菌体PɸBw-Kp1和ɸBw-Kp2都属于长尾噬菌体科(类T1噬菌体)。分离出的噬菌体具有较大的裂解量、热稳定性和pH稳定性以及对宿主细胞的高效吸附率。
在本研究中,噬菌体对产ESBL病原菌的疗效为噬菌体疗法带来了显著成果。似乎这些分离出的噬菌体以噬菌体鸡尾酒的形式,对从烧伤溃疡中分离出的产ESBL菌具有强大的抗菌作用和广谱策略。