Phage Therapy for Respiratory Infections: Opportunities and Challenges.

Antimicrobial resistance Bacteriophage Chronic infections Phage therapy

Journal

Lung
ISSN: 1432-1750
Titre abrégé: Lung
Pays: United States
ID NLM: 7701875

Informations de publication

Date de publication:
21 May 2024
Historique:
received: 29 01 2024
accepted: 13 04 2024
medline: 22 5 2024
pubmed: 22 5 2024
entrez: 21 5 2024
Statut: aheadofprint

Résumé

We are entering the post-antibiotic era. Antimicrobial resistance (AMR) is a critical problem in chronic lung infections resulting in progressive respiratory failure and increased mortality. In the absence of emerging novel antibiotics to counter AMR infections, bacteriophages (phages), viruses that infect bacteria, have become a promising option for chronic respiratory infections. However, while personalized phage therapy is associated with improved outcomes in individual cases, clinical trials demonstrating treatment efficacy are lacking, limiting the therapeutic potential of this approach for respiratory infections. In this review, we address the current state of phage therapy for managing chronic respiratory diseases. We then discuss how phage therapy may address major microbiologic obstacles which hinder disease resolution of chronic lung infections with current antibiotic-based treatment practices. Finally, we highlight the challenges that must be addressed for successful phage therapy clinical trials. Through this discussion, we hope to expand on the potential of phages as an adjuvant therapy in chronic lung infections, as well as the microbiologic challenges that need to be addressed for phage therapy to expand beyond personalized salvage therapy.

Identifiants

pubmed: 38772946
doi: 10.1007/s00408-024-00700-7
pii: 10.1007/s00408-024-00700-7
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Cystic Fibrosis Foundation
ID : 003397D122
Organisme : Cystic Fibrosis Foundation
ID : CHEN21F0
Organisme : Doris Duke Charitable Foundation
ID : 2023-0217
Pays : United States
Organisme : NIH HHS
ID : R01AI12492093
Pays : United States

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Arya Khosravi (A)

Division of Infectious Diseases, School of Medicine, Stanford University, Stanford, CA, USA. akhosrav@stanford.edu.
Division of Infectious Diseases, Department of Medicine, Stanford University, 279 Campus Drive, Beckman Center, Room B237, Stanford, CA, 94305, USA. akhosrav@stanford.edu.

Qingquan Chen (Q)

Division of Infectious Diseases, School of Medicine, Stanford University, Stanford, CA, USA.

Arne Echterhof (A)

Division of Infectious Diseases, School of Medicine, Stanford University, Stanford, CA, USA.

Jonathan L Koff (JL)

Section of Pulmonary, Critical Care & Sleep Medicine, School of Medicine, Yale University, New Haven, CT, USA.

Paul L Bollyky (PL)

Division of Infectious Diseases, School of Medicine, Stanford University, Stanford, CA, USA.

Classifications MeSH