1. Variable fitness effects of bacteriophage resistance mutations in Escherichia coli: implications for phage therapy.
- Author
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Gaborieau, Baptiste, Delattre, Raphaëlle, Adiba, Sandrine, Clermont, Olivier, Denamur, Erick, Ricard, Jean-Damien, and Debarbieux, Laurent
- Subjects
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DRUG resistance in bacteria , *LUNG infections , *NUCLEOTIDE sequencing , *ESCHERICHIA coli , *LIPOPOLYSACCHARIDES , *BACTERIOPHAGES - Abstract
Bacteria exposed to bactericidal treatment, such as antibiotics or bacteriophages (phages), often develop resistance. While phage therapy is proposed as a solution to the antibiotic resistance crisis, the bacterial resistance emerging during phage therapy remains poorly characterized. In this study, we examined a large population of phage-resistant extra-intestinal pathogenic Escherichia coli 536 clones that emerged from both in vitro (non-limited liquid medium) and in vivo (murine pneumonia) conditions. Genome sequencing uncovered a convergent mutational pattern in phage resistance mechanisms under both conditions, particularly targeting two cell-wall components, the K15 capsule and the lipopolysaccharide (LPS). This suggests that their identification in vivo could be predicted from in vitro assays. Phage-resistant clones exhibited a wide range of fitness according to in vitro tests, growth rate, and resistance to amoeba grazing, which could not distinguish between the K15 capsule and LPS mutants. In contrast, K15 capsule mutants retained virulence comparable to the wild-type strain, whereas LPS mutants showed significant attenuation in the murine pneumonia model. Additionally, we observed that resistance to the therapeutic phage through an onspecific mechanism, such as capsule overproduction, did not systematically lead to co-resistance to other phages that were initially capable or incapable of infecting the wild-type strain. Our findings highlight the importance of incorporating a diverse range of phages in the design of therapeutic cocktails to target potential future phage-resistant clones effectively. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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