钟鸣
(2026-02-28 16:34):
#paper doi:10.1128/iai.00543-25 Bacteriophage-mediated reduction of uropathogenic E. coli from
the urogenital epithelium
尿路致病性大肠杆菌(UPEC)感染女性后定植在阴道并引发尿路感染,由于抗生素疗法的耐药性及破坏正常菌群,因此作者考虑使用裂解性噬菌体疗法作为预防策略。体外实验表明,所选的裂解性噬菌体ΦHP3在模拟阴道液(SVF)和普通培养基中都能有效杀死UPEC ;此外该噬菌体处理细胞后,能减少细菌的粘附,进而感染致病性。且降低细菌接种量、改变给药时间等优化策略也未能提高疗效。小鼠体内分离出的UPEC菌株仍然对小鼠体内分离出的噬菌体敏感,说明治疗失败并非由于细菌快速产生抗性。
Infection and Immunity,
2026-2-26.
DOI: 10.1128/iai.00543-25
Bacteriophage-mediated reduction of uropathogenic E. coli from the urogenital epithelium
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Abstract:
ABSTRACT Urinary tract infections (UTIs), primarily caused by uropathogenic Escherichia coli (UPEC), affect millions annually. UPEC gains access to the urinary tract through mucosal reservoirs, including the vaginal tract. With rising antibiotic resistance and frequent recurrence, alternative non-antibiotic strategies like bacteriophage (phage) therapy are gaining attention. We explored the potential of a lytic phage, ΦHP3, as well as a phage cocktail to decolonize UPEC from the urogenital tract using in vitro and in vivo models. Phage demonstrated replication and lytic activity in both bacteriologic medium and simulated vaginal fluid. Pretreatment of human vaginal epithelial cells (VK2/E6E7) and bladder carcinoma cells (HTB-9) with phage reduced adhesion and invasion of UPEC compared with controls. Phage treatment was further able to reduce intracellular UPEC in VK2 cells. Notably, phage pretreatment did not impact phage-resistant UPEC strains, indicating that phage lysis was the primary driver of phenotypes. Live confocal microscopy confirmed the interaction of phage particles with UPEC and with both epithelial cell lines. In vivo , daily intravaginal ΦHP3 administration in humanized microbiota mice significantly reduced vaginal UPEC burden after 4 days. Treatment with a phage cocktail also reduced vaginal and cervical tissue burdens by day 7 post-treatment. UPEC dissemination was observed in uterine and kidney tissues, but burdens were not different between phage and mock-treated groups. In conclusion, we demonstrate that phage and phage cocktails can modestly reduce UPEC urogenital colonization, highlighting the potential of phage therapy as a viable prevention strategy for UTI.
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