1. A Klebsiella-phage cocktail to broaden the host range and delay bacteriophage resistance both in vitro and in vivo.
- Author
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Chen H, Liu H, Gong Y, Dunstan RA, Ma Z, Zhou C, Zhao D, Tang M, Lithgow T, and Zhou T
- Subjects
- Animals, Mice, Disease Models, Animal, Moths microbiology, Moths virology, Humans, Virulence, Host Specificity, Klebsiella pneumoniae virology, Bacteriophages physiology, Bacteriophages genetics, Bacteriophages isolation & purification, Bacteriophages classification, Biofilms growth & development, Phage Therapy methods, Klebsiella Infections microbiology, Klebsiella Infections therapy
- Abstract
Bacteriophages (phages), viruses capable of infecting and lysing bacteria, are a promising alternative for treating infections from hypervirulent, antibiotic-resistant pathogens like Klebsiella pneumoniae, though narrow host range and phage resistance remain challenges. In this study, the hypervirulent K. pneumoniae NTUH-K2044 was used to purify phage ΦK2044, while two ΦK2044-resistant strains were used to purify two further phages: ΦKR1, and ΦKR8 from hospital sewage. A detailed characterization showed that ΦK2044 specifically killed KL1 capsule-type K. pneumoniae, while ΦKR1 and ΦKR8 targeted 13 different capsular serotypes. The phage cocktail (ΦK2044 + ΦKR1 + ΦKR8) effectively killed K. pneumoniae in biofilms, pre-treatment biofilm formation, and delayed phage-resistance. The phage cocktail improved 7-day survival in Galleria mellonella and mouse models and showed therapeutic potential in a catheter biofilm model. In summary, this proof-of-principle phage cocktail has a broad host range, including hypervirulent and highly drug-resistant K. pneumoniae, and serves as a promising starting point for optimizing phage therapy., Competing Interests: Competing interests The authors declare no competing interests., (© 2024. The Author(s).)
- Published
- 2024
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