Frontiers in Phage Therapy

A special issue of Antibiotics (ISSN 2079-6382). This special issue belongs to the section "Bacteriophages".

Deadline for manuscript submissions: closed (28 February 2023) | Viewed by 16293

Special Issue Editors


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Guest Editor
Department of Microbiology, Faculty of Pharmacy, University of Santiago de Compostela, 15706 Santiago de Compostela, Coruna, Spain
Interests: phage therapy; microbiology; microbial biotechnology; food microbiology; molecular microbiology; recombinant microorganisms; microbial bioactive compounds
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Guest Editor
Department of Radiation Medicine, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20057, USA
Interests: phage therapy; antibiotics; cancer; oncology

Special Issue Information

Dear Colleagues,

Bacteriophages are supramolecular entities that, despite lacking the capacity to reproduce autonomously, exert a determinant influence on the health, preservation, diversification, and proliferation capacity of essentially all biological communities present on the Earth’s biosphere. Bacteriophages, or phages, as they are more familiarly referred to, are viruses that have the ability to infect bacterial and archaeal species, and may eventually kill them as collateral damage to their own replication mechanisms. From a historical point of view, the notion that bacteriophages could be used to control a variety of plant, animal, and human infections, as well as their successful use for such purposes, preceded the discovery of antibiotics by a number of years. Nevertheless, the discovery and ease of production of antibiotics led to the senseless abandonment of research lines focused on the therapeutic utilization of bacteriophages to control infectious human diseases. Research on the use of bacteriophages to control infectious diseases with tremendous ecological and economic implications for human survival (e.g., bacterial infections affecting plants, aquaculture, marine environments, and ecosystem stability) took place, which has led to current highly effective interventions and successful applications. With regard to the therapeutic use of bacteriophages in humans, there have been two key developments that, over time, have contributed to bringing bacteriophages once again to the therapeutic forefront: (a) the increasing appearance of antibiotic-resistant bacterial strains, including the so-called “superbugs”, and (b) the recognition of the importance of the role that the human microbiota, particularly the gut microbiota, plays in maintaining the normal homeostatic equilibrium of human organisms, and of the ways in which human microbiota imbalances (so-called dysbiosis) influence not only the onset but the development of a variety of human diseases (e.g., metabolic and inflammatory disorders, cardiovascular diseases, depression, obesity, type 2 diabetes, and even cancer). Consequently, there are two new roles that bacteriophages may be called upon to perform: (1) directly acting agents against infectious diseases for which antibiotics are no longer effective, and (2) microbiota-modulating agents capable of selectively favoring the colonization and establishment of microbial populations in our gut that would consistently contribute to the acquisition and maintenance of healthier physiological states. The generally high specificity of bacteriophages for their microbial targets as well as the possibility of using pre-defined bacteriophage cocktails provides a significant assurance of interventional achievements. This Special Issue focuses on highlighting the most recent successful applications of bacteriophage-based therapeutic approaches.

Prof. Dr. Tomás González Villa
Prof. Dr. Vicente Notario
Guest Editors

Manuscript Submission Information

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Keywords

  • phage therapy
  • applications of bacteriophage-based therapeutic approaches
  • therapeutic utilization
  • infection control
  • microbiota-modulating agents
  • bacteriophage cocktails

Published Papers (5 papers)

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Research

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16 pages, 3163 KiB  
Article
Construction and Activity Testing of a Modular Fusion Peptide against Enterococcus faecalis
by Salim Manoharadas, Mohammad Altaf, Naushad Ahmad, Abdulwahed Fahad Alrefaei and Basel F. Al-Rayes
Antibiotics 2023, 12(2), 388; https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics12020388 - 14 Feb 2023
Cited by 2 | Viewed by 1439
Abstract
The emergence of antibiotic resistance in enterococci is a great concern encountered worldwide. Almost all enterococci exhibit significant levels of resistance to penicillin, ampicillin, semi-synthetic penicillin and most cephalosporins, primarily due to the expression of low-affinity penicillin-binding proteins. The development of new and [...] Read more.
The emergence of antibiotic resistance in enterococci is a great concern encountered worldwide. Almost all enterococci exhibit significant levels of resistance to penicillin, ampicillin, semi-synthetic penicillin and most cephalosporins, primarily due to the expression of low-affinity penicillin-binding proteins. The development of new and novel antibacterial agents against enterococci is a significant need of the hour. In this research, we have constructed a modular peptide against Enterococcus faecalis. The enzymatic domain of the constructed peptide BP404 is from the bacteriocin BacL1 and the cell wall binding domain from endolysin PlyV12 of phage ϕ1. The protein BP404 was found to be active against two tested strains of Enterococcus faecalis, with a reduction in cell density amounting to 85% and 65%. The cell wall binding assay confirms the binding of the protein to Enterococcus faecalis, which was not seen towards the control strain Escherichia coli, invariably pointing to the specificity of BP404. To the best of our knowledge, this is one of the first instances of the development of a chimeric peptide against Enterococcus faecalis. This study points out that novel proteins can be genetically engineered against clinically relevant enterococci. Full article
(This article belongs to the Special Issue Frontiers in Phage Therapy)
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9 pages, 5574 KiB  
Article
Screening of Anorectal and Oropharyngeal Samples Fails to Detect Bacteriophages Infecting Neisseria gonorrhoeae
by Jolein Gyonne Elise Laumen, Saïd Abdellati, Sheeba Santhini Manoharan-Basil, Christophe Van Dijck, Dorien Van den Bossche, Irith De Baetselier, Tessa de Block, Surbhi Malhotra-Kumar, Patrick Soentjes, Jean-Paul Pirnay, Chris Kenyon and Maia Merabishvili
Antibiotics 2022, 11(2), 268; https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics11020268 - 18 Feb 2022
Cited by 1 | Viewed by 1863
Abstract
There are real concerns that Neisseria gonorrhoeae may become untreatable in the near future due to the rapid emergence of antimicrobial resistance. Alternative therapies are thus urgently required. Bacteriophages active against N. gonorrhoeae could play an important role as an antibiotic-sparing therapy. To [...] Read more.
There are real concerns that Neisseria gonorrhoeae may become untreatable in the near future due to the rapid emergence of antimicrobial resistance. Alternative therapies are thus urgently required. Bacteriophages active against N. gonorrhoeae could play an important role as an antibiotic-sparing therapy. To the best of our knowledge, no bacteriophages active against N. gonorrhoeae have ever been found. The aim of this study was to screen for bacteriophages able to lyse N. gonorrhoeae in oropharyngeal and anorectal swabs of 74 men who have sex with men attending a sexual health clinic in Antwerp, Belgium. We screened 210 swabs but were unable to identify an anti-gonococcal bacteriophage. This is the first report of a pilot screening that systematically searched for anti-gonococcal phages directly from clinical swabs. Further studies may consider screening for phages at other anatomical sites (e.g., stool samples, urine) or in environmental settings (e.g., toilet sewage water of sex clubs or sexually transmitted infection clinics) where N. gonorrhoeae can be found. Full article
(This article belongs to the Special Issue Frontiers in Phage Therapy)
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Review

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31 pages, 2279 KiB  
Review
The Use of Bacteriophages in Biotechnology and Recent Insights into Proteomics
by Ana G. Abril, Mónica Carrera, Vicente Notario, Ángeles Sánchez-Pérez and Tomás G. Villa
Antibiotics 2022, 11(5), 653; https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics11050653 - 13 May 2022
Cited by 11 | Viewed by 7876
Abstract
Phages have certain features, such as their ability to form protein–protein interactions, that make them good candidates for use in a variety of beneficial applications, such as in human or animal health, industry, food science, food safety, and agriculture. It is essential to [...] Read more.
Phages have certain features, such as their ability to form protein–protein interactions, that make them good candidates for use in a variety of beneficial applications, such as in human or animal health, industry, food science, food safety, and agriculture. It is essential to identify and characterize the proteins produced by particular phages in order to use these viruses in a variety of functional processes, such as bacterial detection, as vehicles for drug delivery, in vaccine development, and to combat multidrug resistant bacterial infections. Furthermore, phages can also play a major role in the design of a variety of cheap and stable sensors as well as in diagnostic assays that can either specifically identify specific compounds or detect bacteria. This article reviews recently developed phage-based techniques, such as the use of recombinant tempered phages, phage display and phage amplification-based detection. It also encompasses the application of phages as capture elements, biosensors and bioreceptors, with a special emphasis on novel bacteriophage-based mass spectrometry (MS) applications. Full article
(This article belongs to the Special Issue Frontiers in Phage Therapy)
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12 pages, 816 KiB  
Review
Bacteriophages for the Treatment of Graft Infections in Cardiovascular Medicine
by Simon Junghans, Sebastian V. Rojas, Romy Skusa, Anja Püschel, Eberhard Grambow, Juliane Kohlen, Philipp Warnke, Jan Gummert and Justus Gross
Antibiotics 2021, 10(12), 1446; https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics10121446 - 25 Nov 2021
Cited by 1 | Viewed by 2115
Abstract
Bacterial infections of vascular grafts represent a major burden in cardiovascular medicine, which is related to an increase in morbidity and mortality. Different factors that are associated with this medical field such as patient frailty, biofilm formation, or immunosuppression negatively influence antibiotic treatment, [...] Read more.
Bacterial infections of vascular grafts represent a major burden in cardiovascular medicine, which is related to an increase in morbidity and mortality. Different factors that are associated with this medical field such as patient frailty, biofilm formation, or immunosuppression negatively influence antibiotic treatment, inhibiting therapy success. Thus, further treatment strategies are required. Bacteriophage antibacterial properties were discovered 100 years ago, but the focus on antibiotics in Western medicine since the mid-20th century slowed the further development of bacteriophage therapy. Therefore, the experience and knowledge gained until then in bacteriophage mechanisms of action, handling, clinical uses, and limitations were largely lost. However, the parallel emergence of antimicrobial resistance and individualized medicine has provoked a radical reassessment of this approach and cardiovascular surgery is one area in which phages may play an important role to cope with this new scenario. In this context, bacteriophages might be applicable for both prophylactic and therapeutic use, serving as a stand-alone therapy or in combination with antibiotics. From another perspective, standardization of phage application is also required. The ideal surgical bacteriophage application method should be less invasive, enabling highly localized concentrations, and limiting bacteriophage distribution to the infection site during a prolonged time lapse. This review describes the latest reports of phage therapy in cardiovascular surgery and discusses options for their use in implant and vascular graft infections. Full article
(This article belongs to the Special Issue Frontiers in Phage Therapy)
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Other

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6 pages, 1276 KiB  
Case Report
Bacteriophage-Enriched Galenic for Intrapericardial Ventricular Assist Device Infection
by Sebastian V. Rojas, Simon Junghans, Henrik Fox, Kanstantsin Lazouski, Rene Schramm, Michiel Morshuis, Jan F. Gummert and Justus Gross
Antibiotics 2022, 11(5), 602; https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics11050602 - 29 Apr 2022
Cited by 6 | Viewed by 2074
Abstract
We report a case of severe outflow graft infection following left ventricular assist device (LVAD) implantation. A 51-year old male LVAD patient was readmitted to our hospital presenting signs of systemic infection. One year previously, LVAD implantation (HeartMate3, Abbott, Chicago, IL, USA) with [...] Read more.
We report a case of severe outflow graft infection following left ventricular assist device (LVAD) implantation. A 51-year old male LVAD patient was readmitted to our hospital presenting signs of systemic infection. One year previously, LVAD implantation (HeartMate3, Abbott, Chicago, IL, USA) with concomitant patent foramen ovale closure had been performed in the context of end-stage heart failure due to dilative cardiomyopathy (INTERMACS III). The indication for LVAD-therapy was bridge-to-candidacy, since the patient did not instantly fulfill all criteria for cardiac transplantation. At admission, a PET-CT scan unveiled fluid accumulation, encircling the outflow-graft prosthesis (SUVmax 10.5) with contrast-enhancement involving the intrathoracic driveline (SUVmax 11.2). Since cardiac transplantation was not feasible, the patient underwent surgical revision. In the first step, redo sternotomy was performed with local debridement, including jet lavage. Intraoperative swabs confirmed bacterial infection with staphylococcus aureus. Following this, the patient underwent negative pressure wound therapy (NPWT) with instillation using the V.A.C. VERAFLO system (KCI-3M, San Antonio, TX, USA) for a total of 19 days. Due to the severity of infection, local bacteriophage application was performed within the wound closure. In order to concentrate phage therapy at the infection site, phages were applied using a novel semi-fluid galenic. After wound closure, the patient was discharged with an uneventful course. A control PET-CT scan 3 months after discharge showed a significant decrease in infection (outflow graft: SUVmax 7.2, intrathoracic driveline: SUVmax 3.0) correlated with contrast enhancement. Bacterial infection of intrathoracic VAD components represents a severe and potentially life-threatening complication. If cardiac transplantation is not feasible, complex wound management strategies are required. Local bacteriophage therapy might be a promising addition to already established therapeutical options. In order to improve bacteriophage retention at the wound site, application of a viscous galenic might be beneficial. Full article
(This article belongs to the Special Issue Frontiers in Phage Therapy)
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