Article ; Online: Fitness Trade-Offs between Phage and Antibiotic Sensitivity in Phage-Resistant Variants
International Journal of Molecular Sciences, Vol 24, Iss 21, p
Molecular Action and Insights into Clinical Applications for Phage Therapy
2023 Volume 15628
Abstract: In recent decades, phage therapy has been overshadowed by the widespread use of antibiotics in Western countries. However, it has been revitalized as a powerful approach due to the increasing prevalence of antimicrobial-resistant bacteria. Although ... ...
Abstract | In recent decades, phage therapy has been overshadowed by the widespread use of antibiotics in Western countries. However, it has been revitalized as a powerful approach due to the increasing prevalence of antimicrobial-resistant bacteria. Although bacterial resistance to phages has been reported in clinical cases, recent studies on the fitness trade-offs between phage and antibiotic resistance have revealed new avenues in the field of phage therapy. This strategy aims to restore the antibiotic susceptibility of antimicrobial-resistant bacteria, even if phage-resistant variants develop. Here, we summarize the basic virological properties of phages and their applications within the context of antimicrobial resistance. In addition, we review the occurrence of phage resistance in clinical cases, and examine fitness trade-offs between phage and antibiotic sensitivity, exploring the potential of an evolutionary fitness cost as a countermeasure against phage resistance in therapy. Finally, we discuss future strategies and directions for phage-based therapy from the aspect of fitness trade-offs. This approach is expected to provide robust options when combined with antibiotics in this era of phage ‘re’-discovery. |
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Keywords | bacteriophage ; antimicrobial resistance (AMR) ; fitness cost ; phage cocktail ; engineered phage ; infectious disease ; Biology (General) ; QH301-705.5 ; Chemistry ; QD1-999 |
Subject code | 610 |
Language | English |
Publishing date | 2023-10-01T00:00:00Z |
Publisher | MDPI AG |
Document type | Article ; Online |
Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
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