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噬菌体疗法:一种治疗囊性纤维化中多重耐药菌感染的替代方法。

Phage Therapy: An Alternative Approach to Combating Multidrug-Resistant Bacterial Infections in Cystic Fibrosis.

机构信息

Department of Biology and Biotechnology "Lazzaro Spallanzani", University of Pavia, Via A. Ferrata 9, 27100 Pavia, Italy.

出版信息

Int J Mol Sci. 2024 Jul 30;25(15):8321. doi: 10.3390/ijms25158321.


DOI:10.3390/ijms25158321
PMID:39125890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11313351/
Abstract

Patients with cystic fibrosis (CF) are prone to developing life-threatening lung infections with a variety of pathogens that are difficult to eradicate, such as , , (), , and . These infections still remain an important issue, despite the therapy for CF having considerably improved in recent years. Moreover, prolonged exposure to antibiotics in combination favors the development and spread of multi-resistant bacteria; thus, the development of alternative strategies is crucial to counter antimicrobial resistance. In this context, phage therapy, i.e., the use of phages, viruses that specifically infect bacteria, has become a promising strategy. In this review, we aim to address the current status of phage therapy in the management of multidrug-resistant infections, from compassionate use cases to ongoing clinical trials, as well as the challenges this approach presents in the particular context of CF patients.

摘要

囊性纤维化(CF)患者容易发生危及生命的肺部感染,病原体种类繁多,难以根除,如、、、、和。尽管近年来 CF 的治疗有了显著改善,但这些感染仍然是一个重要问题。此外,长期接触抗生素联合用药有利于多耐药菌的产生和传播;因此,开发替代策略对于对抗抗菌药物耐药性至关重要。在这种情况下,噬菌体治疗,即使用噬菌体,专门感染细菌的病毒,已成为一种有前途的策略。在这篇综述中,我们旨在讨论噬菌体治疗在多药耐药感染管理中的现状,从同情使用案例到正在进行的临床试验,以及在 CF 患者的特殊情况下,这种方法所面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a784/11313351/de644079bf24/ijms-25-08321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a784/11313351/de644079bf24/ijms-25-08321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a784/11313351/de644079bf24/ijms-25-08321-g001.jpg

相似文献

[1]
Phage Therapy: An Alternative Approach to Combating Multidrug-Resistant Bacterial Infections in Cystic Fibrosis.

Int J Mol Sci. 2024-7-30

[2]
Phage Therapy in the Resistance Era: Where Do We Stand and Where Are We Going?

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[3]
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[4]
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[5]
Bacteriophages and Their Clinical Applications.

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[6]
Neutralizing antibodies after nebulized phage therapy in cystic fibrosis patients.

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[7]
Design of a Broad-Range Bacteriophage Cocktail That Reduces Pseudomonas aeruginosa Biofilms and Treats Acute Infections in Two Animal Models.

Antimicrob Agents Chemother. 2018-5-25

[8]
Phage therapy as strategy to face post-antibiotic era: a guide to beginners and experts.

Arch Microbiol. 2021-5

[9]
Antimicrobial resistance: use of phage therapy in the management of resistant infections.

Mol Biol Rep. 2024-8-21

[10]
Phage therapy: an alternative treatment modality for MDR bacterial infections.

Infect Dis (Lond). 2024-10

引用本文的文献

[1]
Diversification of After Inhaled Tobramycin Therapy of Cystic Fibrosis Patients: Genotypic and Phenotypic Characteristics of Paired Pre- and Post-Treatment Isolates.

Microorganisms. 2025-3-24

本文引用的文献

[1]
Phage therapy combats pan drug-resistant Acinetobacter baumannii infection safely and efficiently.

Int J Antimicrob Agents. 2024-8

[2]
Impact of lumacaftor/ivacaftor on the bacterial and fungal respiratory pathogens in cystic fibrosis: a prospective multicenter cohort study in Sweden.

Ther Adv Respir Dis. 2024

[3]
Phage Therapy for Respiratory Infections: Opportunities and Challenges.

Lung. 2024-6

[4]
Synergy of lytic phage pB23 and meropenem combination against carbapenem-resistant .

Antimicrob Agents Chemother. 2024-6-5

[5]
Selective bacteriophages reduce the emergence of resistant bacteria in bacteriophage-antibiotic combination therapy.

Microbiol Spectr. 2024-6-4

[6]
Phage-antibiotic combinations in various treatment modalities to manage MRSA infections.

Front Pharmacol. 2024-4-9

[7]
A gain-of-function mutation in zinc cluster transcription factor Rob1 drives Candida albicans adaptive growth in the cystic fibrosis lung environment.

PLoS Pathog. 2024-4-11

[8]
Non-coding regulatory sRNAs from bacteria of the Burkholderia cepacia complex.

Appl Microbiol Biotechnol. 2024-4-2

[9]
Antibacterial peptide Reg4 ameliorates -induced pulmonary inflammation and fibrosis.

Microbiol Spectr. 2024-5-2

[10]
Harnessing the Diversity of spp. Prophages for Therapeutic Potential.

Cells. 2024-2-29

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