Anti-Pseudomonal Bacteriophage Reduces Infective Burden and Inflammatory Response in Murine Lung
File(s)Phage Manuscript for IC.docx (129.34 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
As antibiotic resistance increases, there is a need for new therapies to treat infection, particularly in cystic fibrosis (CF), where Pseudomonas aeruginosa is a ubiquitous pathogen associated with increased morbidity and mortality. Bacteriophages are an attractive alternative treatment, as they are specific to the target bacteria and have no documented side effects. The efficacy of phage cocktails was established in vitro. Two P. aeruginosa strains were taken forward into an acute murine infection model with bacteriophage administered either prophylactically, simultaneously, or postinfection. The infective burden and inflammation in bronchoalveolar lavage fluid (BALF) were assessed at various times. With low infective doses, both control mice and those undergoing simultaneous phage treatment cleared P. aeruginosa infection at 48 h, but there were fewer neutrophils in BALF of phage-treated mice (median, 73.2 × 104/ml [range, 35.2 to 102.1 × 104/ml] versus 174 × 104/ml [112.1 to 266.8 × 104/ml], P < 0.01 for the clinical strain; median, 122.1 × 104/ml [105.4 to 187.4 × 104/ml] versus 206 × 104/ml [160.1 to 331.6 × 104/ml], P < 0.01 for PAO1). With higher infective doses of PAO1, all phage-treated mice cleared P. aeruginosa infection at 24 h, whereas infection persisted in all control mice (median, 1,305 CFU/ml [range, 190 to 4,700 CFU/ml], P < 0.01). Bacteriophage also reduced CFU/ml in BALF when administered postinfection (24 h) and both CFU/ml and inflammatory cells in BALF when administered prophylactically. A reduction in soluble inflammatory cytokine levels in BALF was also demonstrated under different conditions. Bacteriophages are efficacious in reducing both the bacterial load and inflammation in a murine model of P. aeruginosa lung infection. This study provides proof of concept for future clinical trials in patients with CF.
Date Issued
2015-11-16
Date Acceptance
2015-11-10
Citation
Antimicrobial Agents and Chemotherapy, 2015, 60 (2), pp.744-751
ISSN
1098-6596
Publisher
American Society for Microbiology
Start Page
744
End Page
751
Journal / Book Title
Antimicrobial Agents and Chemotherapy
Volume
60
Issue
2
Copyright Statement
© 2016, American Society for Microbiology. All Rights Reserved.
Sponsor
Special Phage Holdings PTY Ltd
Cystic Fibrosis Trust
Grant Number
N/A
SRC 001
Subjects
Bacteriophages
bronchoalveolar lavage
cystic fibrosis
drug resistance (microbial)
infection
inflammation
Publication Status
Published