Engineered bacteriophages for treatment of a patient with a disseminated drug-resistant Mycobacterium abscessus.


Journal

Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015

Informations de publication

Date de publication:
05 2019
Historique:
received: 14 01 2019
accepted: 27 03 2019
entrez: 10 5 2019
pubmed: 10 5 2019
medline: 11 7 2019
Statut: ppublish

Résumé

A 15-year-old patient with cystic fibrosis with a disseminated Mycobacterium abscessus infection was treated with a three-phage cocktail following bilateral lung transplantation. Effective lytic phage derivatives that efficiently kill the infectious M. abscessus strain were developed by genome engineering and forward genetics. Intravenous phage treatment was well tolerated and associated with objective clinical improvement, including sternal wound closure, improved liver function, and substantial resolution of infected skin nodules.

Identifiants

pubmed: 31068712
doi: 10.1038/s41591-019-0437-z
pii: 10.1038/s41591-019-0437-z
pmc: PMC6557439
mid: NIHMS1525650
doi:

Types de publication

Case Reports Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

730-733

Subventions

Organisme : NIGMS NIH HHS
ID : R01 GM116884
Pays : United States

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Auteurs

Rebekah M Dedrick (RM)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Carlos A Guerrero-Bustamante (CA)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Rebecca A Garlena (RA)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Daniel A Russell (DA)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Katrina Ford (K)

Great Ormond Street Hospital, London, UK.

Kathryn Harris (K)

Great Ormond Street Hospital, London, UK.

Kimberly C Gilmour (KC)

Great Ormond Street Hospital, London, UK.

James Soothill (J)

Great Ormond Street Hospital, London, UK.

Deborah Jacobs-Sera (D)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Robert T Schooley (RT)

Department of Medicine, University of California, San Diego, La Jolla, CA, USA.

Graham F Hatfull (GF)

Department of Biological Sciences, University of Pittsburgh, Pittsburgh, PA, USA. gfh@pitt.edu.

Helen Spencer (H)

Great Ormond Street Hospital, London, UK. helen.spencer@gosh.nhs.uk.

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Classifications MeSH