Wang Mianzhi, Wei Jingyi, Jiang Lei, Jiang Li, Zhang Junxuan, He Xiaolu, Ren Yiwen, Wang Zixuan, Sun Yongxue, Wang Zhiqiang
Jiangsu Co-Innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, College of Veterinary Medicine, Yangzhou University, Daxue Rd 888, Yangzhou, Jiangsu 225009, China.
Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD), College of Veterinary Medicine, Daxue Rd 888, Yangzhou, Jiangsu 225009, China.
Virus Evol. 2023 Nov 18;9(2):vead067. doi: 10.1093/ve/vead067. eCollection 2023.
Antibiotic-resistant bacteria are current threats to available antibiotic therapies, and this has renewed interest in the therapeutic use of phage as an alternative. However, development of phage resistance has led to unsuccessful therapeutic outcomes. In the current study, we applied phage training to minimize bacterial phage resistance and to improve treatment outcome by adapting the phage to their target hosts during co-evolution. We isolated and characterized a novel N4-like lytic phage (PWJ) from wastewater in Yangzhou, China. PWJ is a double-stranded DNA podovirus that can efficiently lyse the model strain ATCC 27,853 and opportunistic pathogen PAO1. Genome sequencing of PWJ revealed features similar to those of the N4-like phage YH6. We used PWJ to screen for an evolved trained phage (WJ_Ev14) that restored infectivity to PWJ phage bacterial resisters. BLASTN analysis revealed that WJ_Ev14 is identical to its ancestor PWJ except for the amino acid substitution R1051S in its tail fiber protein. Moreover, phage adsorption tests and transmission electron microscopy of resistant bacteria demonstrated that the R1051S substitution was most likely the reason WJ_Ev14 could re-adsorb and regain infectivity. Furthermore, phage therapy assays and in a mouse lung infection model demonstrated that PWJ treatment resulted in improved clinical results and a reduction in lung bacterial load whereas the joint phage cocktail (PWJ+ WJ_Ev14) was better able to delay the emergence of resister bacteria. The phage cocktail (PWJ +WJ_Ev14) represents a promising candidate for inclusion in phage cocktails developed for clinical applications.
抗生素耐药细菌是现有抗生素疗法当前面临的威胁,这使得人们对噬菌体作为替代疗法的治疗用途重新产生了兴趣。然而,噬菌体耐药性的发展导致治疗结果不尽人意。在本研究中,我们应用噬菌体驯化来尽量减少细菌的噬菌体耐药性,并通过在共同进化过程中使噬菌体适应其靶标宿主来改善治疗效果。我们从中国扬州的废水中分离并鉴定了一种新型的N4样裂解噬菌体(PWJ)。PWJ是一种双链DNA短尾病毒,能够有效裂解模式菌株ATCC 27853和机会致病菌PAO1。PWJ的基因组测序显示其特征与N4样噬菌体YH6相似。我们使用PWJ筛选出一种进化的驯化噬菌体(WJ_Ev14),它恢复了对PWJ噬菌体耐药菌的感染性。BLASTN分析显示,WJ_Ev14与其祖先PWJ相同,只是其尾丝蛋白中有R1051S氨基酸取代。此外,对耐药菌的噬菌体吸附试验和透射电子显微镜观察表明,R1051S取代很可能是WJ_Ev14能够重新吸附并恢复感染性的原因。此外,噬菌体治疗试验以及在小鼠肺部感染模型中表明,PWJ治疗可改善临床结果并降低肺部细菌载量,而联合噬菌体鸡尾酒疗法(PWJ + WJ_Ev14)能更好地延缓耐药菌的出现。噬菌体鸡尾酒疗法(PWJ + WJ_Ev14)是有望纳入用于临床应用的噬菌体鸡尾酒疗法中的候选方案。
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