General Surgery Center, First Hospital of Jilin University, Changchun, Jilin, China.
Department of Rehabilitation, School of Nursing, Jilin University, Changchun, China.
Front Immunol. 2024 May 8;15:1398652. doi: 10.3389/fimmu.2024.1398652. eCollection 2024.
In the advancement of Inflammatory Bowel Disease (IBD) treatment, existing therapeutic methods exhibit limitations; they do not offer a complete cure for IBD and can trigger adverse side effects. Consequently, the exploration of novel therapies and multifaceted treatment strategies provides patients with a broader range of options. Within the framework of IBD, gut microbiota plays a pivotal role in disease onset through diverse mechanisms. Bacteriophages, as natural microbial regulators, demonstrate remarkable specificity by accurately identifying and eliminating specific pathogens, thus holding therapeutic promise. Although clinical trials have affirmed the safety of phage therapy, its efficacy is prone to external influences during storage and transport, which may affect its infectivity and regulatory roles within the microbiota. Improving the stability and precise dosage control of bacteriophages-ensuring robustness in storage and transport, consistent dosing, and targeted delivery to infection sites-is crucial. This review thoroughly explores the latest developments in IBD treatment and its inherent challenges, focusing on the interaction between the microbiota and bacteriophages. It highlights bacteriophages' potential as microbiome modulators in IBD treatment, offering detailed insights into research on bacteriophage encapsulation and targeted delivery mechanisms. Particular attention is paid to the functionality of various carrier systems, especially regarding their protective properties and ability for colon-specific delivery. This review aims to provide a theoretical foundation for using bacteriophages as microbiome modulators in IBD treatment, paving the way for enhanced regulation of the intestinal microbiota.
在炎症性肠病(IBD)治疗的进展中,现有的治疗方法存在局限性;它们不能为 IBD 提供完全的治愈,并且可能引发不良反应。因此,探索新的治疗方法和多方面的治疗策略为患者提供了更广泛的选择。在 IBD 中,肠道微生物群通过多种机制在疾病发作中发挥关键作用。噬菌体作为天然的微生物调节剂,通过准确识别和消除特定病原体表现出显著的特异性,因此具有治疗潜力。尽管临床试验已经证实了噬菌体治疗的安全性,但它在储存和运输过程中的稳定性容易受到外部影响,这可能会影响其在微生物群中的感染力和调节作用。提高噬菌体的稳定性和精确剂量控制-确保在储存和运输过程中的稳健性、一致的剂量和靶向感染部位的递送-至关重要。本综述全面探讨了 IBD 治疗的最新进展及其固有的挑战,重点关注微生物群和噬菌体之间的相互作用。它强调了噬菌体作为 IBD 治疗中微生物群调节剂的潜力,深入探讨了噬菌体包封和靶向递送机制的研究。特别关注各种载体系统的功能,特别是它们的保护性能和结肠特异性递送能力。本综述旨在为将噬菌体用作 IBD 治疗中的微生物群调节剂提供理论基础,为增强肠道微生物群的调节铺平道路。
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