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author:

Zhao, Mengshi (Zhao, Mengshi.) [1] | Li, Hongru (Li, Hongru.) [2] | Gan, Dehao (Gan, Dehao.) [3] | Wang, Mengzhu (Wang, Mengzhu.) [4] | Deng, Hui (Deng, Hui.) [5] | Yang, Qiu E. (Yang, Qiu E..) [6]

Indexed by:

Scopus SCIE

Abstract:

The global rise of antibiotic resistance has renewed interest in phage therapy, as an alternative to antibiotics to eliminate multidrug-resistant (MDR) bacterial pathogens. However, optimizing the broad-spectrum efficacy of phage therapy remains a challenge. In this study, we addressed this issue by employing strategies to improve antimicrobial efficacy of phage therapy against MDR Klebsiella pneumoniae strains, which are notorious for their resistance to conventional antibiotics. This includes the selection of broad host range phages, optimization of phage formulation, and combinations with last-resort antibiotics. Our findings unveil that having a broad host range was a dominant trait of isolated phages, and increasing phage numbers in combination with antibiotics significantly enhanced the suppression of bacterial growth. The decreased incidence of bacterial infection was explained by a reduction in pathogen density and emergence of bacterial resistance. Furthermore, phage-antibiotic synergy (PAS) demonstrated considerable broad-spectrum antibacterial potential against different clades of clinical MDR K. pneumoniae pathogens. The improved treatment outcomes of optimized PAS were also evident in a murine model, where mice receiving optimized PAS therapy demonstrated a reduced bacterial burden in mouse tissues. Taken together, these findings offer an important development in optimizing PAS therapy and its efficacy in the elimination of MDR K. pneumoniae pathogens.

Keyword:

carbapenem-resistant Klebsiella pneumoniae multidrug resistance phage-antibiotic synergy phage therapy

Community:

  • [ 1 ] [Zhao, Mengshi]Fujian Agr & Forestry Univ, Coll Resources & Environm, Fuzhou, Peoples R China
  • [ 2 ] [Wang, Mengzhu]Fujian Agr & Forestry Univ, Coll Resources & Environm, Fuzhou, Peoples R China
  • [ 3 ] [Yang, Qiu E.]Fujian Agr & Forestry Univ, Coll Resources & Environm, Fuzhou, Peoples R China
  • [ 4 ] [Zhao, Mengshi]Fujian Agr & Forestry Univ, Fujian Key Lab Tradit Chinese Vet Med & Anim Hlth, Fuzhou, Peoples R China
  • [ 5 ] [Gan, Dehao]Fujian Agr & Forestry Univ, Fujian Key Lab Tradit Chinese Vet Med & Anim Hlth, Fuzhou, Peoples R China
  • [ 6 ] [Wang, Mengzhu]Fujian Agr & Forestry Univ, Fujian Key Lab Tradit Chinese Vet Med & Anim Hlth, Fuzhou, Peoples R China
  • [ 7 ] [Deng, Hui]Fujian Agr & Forestry Univ, Fujian Key Lab Tradit Chinese Vet Med & Anim Hlth, Fuzhou, Peoples R China
  • [ 8 ] [Li, Hongru]Fuzhou Univ, Fujian Med Univ, Fujian Prov Hosp, Shengli Med Coll,Affiliated Prov Hosp,Dept Infect, Fuzhou, Peoples R China

Reprint 's Address:

  • [Yang, Qiu E.]Fujian Agr & Forestry Univ, Coll Resources & Environm, Fuzhou, Peoples R China;;[Deng, Hui]Fujian Agr & Forestry Univ, Fujian Key Lab Tradit Chinese Vet Med & Anim Hlth, Fuzhou, Peoples R China;;

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Source :

MSYSTEMS

ISSN: 2379-5077

Year: 2024

Issue: 9

Volume: 9

5 . 0 0 0

JCR@2023

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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