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PHAGE THERAPY
Naveen Chaudhary
P.hd scholar
Medical Microbiology
PGIMER ,Chandigarh
CONTENTS
Introduction
Discovery
Phage preparation
Applications
Problems
Discussion
Conclusion
INTRODUCTION
 Phage therapy :- Use of bacteriophage to
treat pathogenic bacterial infection
 Multidrug resistant bacteria –challenging to
modern medicine
 There is need of alternative to conventional
antibiotics
 Phage therapy - An Old Idea Re-Emerging
Discovery
Felix observed clear spots in dysentry culture plates
Structure and size
Size:-0.002-0.22 micrometer
Tailed
bacteriophage
s
Lytic
Phages
Host specific
Phages
Requirements for phage therapy
 Caudovirales(tailed phages)
Myoviridae
Siphoviridae
Podoviridae
LYTIC CYCLE
LYSOGENIC CYCLE
Phage Sources
 Omnipresent
 Like bacteria, bacteriophages are found
everywhere
 In water the probable ratio of phages to
bacteria is 10 :1
 Phages have been found in the deserts as
well as simple top soil fields
Phage preparation
Water
sample
Water
sample
+
Bacteri
a
PHAGE PREPARATION
Filtration
Spot test
PURIFICATION
Plaque material is added to 25% Ringers solution
STORAGE
Different preservation methods, such as storage of crude or
purified phage lysates In 40% glycerol at 4◦c freezing or at
−80 °C or in liquid nitrogen, and finally storage of dried or
lyophilized phages
ROUTES OF ADMINISTRATION
 Orally in liquid form, tablets
 Topical as cream
 Embedded in bandages
Receptors:
 Protein
 LPS
 Capsules
 Fimbriae
 Flagella
HOW PHAGE RECOGNISE ITS BACTERIA?
Protein receptors
OmpA -for phage k3
OmpC –For phage T4,Hy2
OmpF –For Phage T2
Ton A –For phage T 5
LamB –For lambda phage
LPS RECEPTORS
 Two types of LPS receptors
 Smooth receptor-Lipid A ,core, O chain
 shows narrow range of specificity
 Rough receptor-lipid A ,Core
 LPS of Salmonella for phage P22
How phage acts on bacterial cell wall?
 Holins
Perforate in cell wall
 Lysins
Hydrolytic enzymes produced by bacteriophages in
order to cleave host's cell wall during final stage of
lytic cycle

ANIMAL MODELS USED IN PHAGE THERAPY
Mice
Rabbit
Guniea pig
Calf
CLINICAL STUDIES (HUMANS)
Countr
y
Year Route of
administratio
NO.OF CASES INFECTIONS EFFICACY
Poland 1998
(slopec et
al)
Oral/topical 372 Ulcerated varicose
veins
GI Infections
75 %
100%
1987(cislo) Topical
,orally
31 Skin ulcers 74.2%
Russia 1991
(Saka et
al)
Topical 1380
(404-ab
360-Only
Phages- 576-
phage and ab-
Skin inection 48%
86.3%
82.5%
1989
(kochetkov
a)
Topical 131 Cancer ,post
operative wound
infections
81.5%(pha
ge)
60.6(antibio
tics)
1974 (saka
et al)
Subcutanous
surgical
drain
236 Lung abscess 92%
 Applications
PHAGE THERAPY AGAINST MDR BACTERIA
 MRSA
 E.coli
 Acinetobacter baumannii
 Pseudomonas aeruginosa
 Klebsiella pneumoniae
EXPERIMENTAL PHAGE THERAPY AGAINST
STAPHYLOCOCCUS AUREUS IN MICE
 This study describes a bacteriophage active
against Staphylococcus aureus, including
methicillin-resistant staphylococcal strains.
 When inoculated into mice simultaneously with S.
aureus A170 (108 CFU/mouse), then 97% of the
mice recovered
Rosanna et al; antimicrob. Agents chemother ‘may
2007
PHAGE THERAPY OF PSEUDOMONAS
AERUGINOSA INFECTION IN A MOUSE BURN
WOUND MODEL
PHAGE SPRAYS
PHAGES AS BIOCONTROL AGENTS IN FOOD
BACTERIOPHAGES AS BIOCONTROL AGENTS OF
FOOD PATHOGENS Pub.22 APRIL 2011
 Phage research is focused on phages infecting
such pathogenic bacteria.
 In terms of food pathogens,phages against
Campylobacter jejuni, Salmonella enterica Listeria
monocytogenes and Streptococcus suis have been
isolated and characterized,and each of these clear
the therapeutic use of these phages
BIOFILM CONTROL
 Catheters were exposed to a 10 log PFU PER ml
lysate of P. aeruginosa phage M4 for 2 h at 37°C
The mean viable biofilm count on untreated
catheters was 6.87 log
The pretreatment of catheters with phage reduced
this value to 4.03 log CFU
SCIENTIFIC REASON BEHIND GANGA WATER
PURITY?
Advantages Over antibiotics
antibiotics Phage therapy
Specificity Effecting more than
targeted oraganisms
Species or strain specific
Side effects Allergic reactions
Intestinal disorder etc.
No or minor side effects
resistance Occurs and not limited to
targeted organisms
Occurs but phage can co
–evolve with host
production Time consuming and
expensive
Rapid

 Problems
PROBLEM 1:- HOST RANGE
SOLUTION
 Problem 2:- Bacterial debris present in
the phage preparation
 Solution :-Modern technology allows density
centrifugation and other methods of
purification.
PROBLEM 3:-LYSOGENY
Solution
Use only lytic phages that are strong
candidates for clinical trials
PROBLEM :-ANTI-PHAGE ANTIBODIES
Solution
In treating chronic infections it may be possible to
administer a higher dose of phage, to compensate
for those that are Cleared by interaction with
neutralizing antibodies.
.
CONTROVERSIES
 Phages are viruses ,so they can harm genetic
make up of human beings by mutation or by any
other mechanism
 In some cases Bacteria can show resistance
against phages.
CURRENT STATUS OF HUMAN PHAGE THERAPY
Still phage therapy Approved in
 Russia ,
 Poland
 Georgia
PHAGOBURN PROJECT
 It is a European Research & Development (R&D)
project funded by the European Commission
 It aims at evaluating phage therapy for the
treatment of burn wounds infected with bacteria
Escherichia coli and Pseudomonas aeruginosa.
Phage Therapy centers
www.phagetherapycenter.com
PHAGE CONSULTANT
FUTURE PROSPECTS
Infectious disease experts have warned that there is
now a compelling need to develop totally new
classes of antibacterial agents, ones that cannot be
resisted by the same genes that render bacteria
resistant to antibiotics.
CONCLUSION
 Multidrug-resistant bacteria have opened a second
window for phage therapy. Modern innovations,
combined with careful scientific methodology, can
enhance mankind’s ability to make it work this time
around.
 Phage therapy can then serve as a stand-alone
therapy for infections that are fully resistant.
 It will also then be able to serve as a co-therapeutic
agent for infections that are still susceptible to
antibiotics, by helping to prevent the emergence of
bacterial mutants against either agent.
Phage therapy

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Phage therapy

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