噬菌体疗法需要通用噬菌体吗?
Does Phage Therapy Need a Pan-Phage?
作者信息
Bozidis Petros, Markou Eleftheria, Gouni Athanasia, Gartzonika Konstantina
机构信息
Department of Microbiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
Department of Microbiology, University Hospital of Ioannina, 45500 Ioannina, Greece.
出版信息
Pathogens. 2024 Jun 20;13(6):522. doi: 10.3390/pathogens13060522.
The emergence of multidrug-resistant bacteria is undoubtedly one of the most serious global health threats. One response to this threat that has been gaining momentum over the past decade is 'phage therapy'. According to this, lytic bacteriophages are used for the treatment of bacterial infections, either alone or in combination with antimicrobial agents. However, to ensure the efficacy and broad applicability of phage therapy, several challenges must be overcome. These challenges encompass the development of methods and strategies for the host range manipulation and bypass of the resistance mechanisms developed by pathogenic bacteria, as has been the case since the advent of antibiotics. As our knowledge and understanding of the interactions between phages and their hosts evolves, the key issue is to define the host range for each application. In this article, we discuss the factors that affect host range and how this determines the classification of phages into different categories of action. For each host range group, recent representative examples are provided, together with suggestions on how the different groups can be used to combat certain types of bacterial infections. The available methodologies for host range expansion, either through sequential adaptation to a new pathogen or through genetic engineering techniques, are also reviewed.
多重耐药细菌的出现无疑是全球最严重的健康威胁之一。在过去十年中,一种应对这一威胁且势头渐强的方法是“噬菌体疗法”。据此,裂解性噬菌体被用于治疗细菌感染,可单独使用,也可与抗菌剂联合使用。然而,为确保噬菌体疗法的疗效和广泛适用性,必须克服若干挑战。这些挑战包括开发宿主范围操纵方法和策略,以及绕过病原菌产生的耐药机制,自抗生素问世以来一直如此。随着我们对噬菌体与其宿主之间相互作用的认识和理解不断发展,关键问题是为每种应用确定宿主范围。在本文中,我们讨论影响宿主范围的因素,以及这如何决定噬菌体分为不同作用类别的分类。对于每个宿主范围组,提供了近期的代表性实例,并就如何利用不同组来对抗某些类型的细菌感染提出了建议。还综述了通过顺序适应新病原体或通过基因工程技术扩大宿主范围的现有方法。