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重新评估导致噬菌体不适合用于治疗的因素。

Re-evaluating what makes a phage unsuitable for therapy.

作者信息

Cook Bradley W M, Hynes Alexander P

机构信息

Cytophage Technologies Inc., Oak Bluff, MB, Canada.

Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, ON, Canada.

出版信息

NPJ Antimicrob Resist. 2025 May 29;3(1):45. doi: 10.1038/s44259-025-00117-z.

Abstract

One of the biggest challenges in phage therapy is selecting the 'right' phage. What constitutes a 'good' phage is unclear, but regulators are converging on exclusion criteria for 'bad' phages. Here, we examine three commonly applied criteria: the lack of virulence/antibiotic resistance, the inability to transduce, and being strictly lytic (virulent). We assess the risk posed, the tools for determining the criteria, and the potential impact of the criteria.

摘要

噬菌体疗法面临的最大挑战之一是选择“合适的”噬菌体。什么样的噬菌体才是“好”噬菌体尚不清楚,但监管机构正在就“坏”噬菌体的排除标准达成共识。在此,我们研究三个常用标准:无毒性/抗生素抗性、无转导能力以及严格裂解(烈性)。我们评估这些标准所带来的风险、判定标准的工具以及这些标准的潜在影响。

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