Phage Lysins for Fighting Bacterial Respiratory Infections: A New Generation of Antimicrobials
Roberto Vázquez1,2, Ernesto García1,2, Pedro García1,2
1Centro de Investigaciones Biológicas (CSIC), Madrid, Spain.
Abstract:
Lower respiratory tract infections and tuberculosis are responsible for the death of about 4.5 million people each year and are the main causes of mortality in children under 5 years of age. Streptococcus pneumoniae is the most common bacterial pathogen associated with severe pneumonia, although other Gram-positive and Gram-negative bacteria are involved in respiratory infections as well. The ability of these pathogens to persist and produce infection under the appropriate conditions is also associated with their capacity to form biofilms in the respiratory mucous membranes. Adding to the difficulty of treating biofilm-forming bacteria with antibiotics, many of these strains are becoming multidrug resistant, and thus the alternative therapeutics available for combating this kind of infections are rapidly depleting. Given these concerns, it is urgent to consider other unconventional strategies and, in this regard, phage lysins represent an attractive resource to circumvent some of the current issues in infection treatment. When added exogenously, lysins break specific bonds of the peptidoglycan and have potent bactericidal effects against susceptible bacteria. These enzymes possess interesting features, including that they do not trigger an adverse immune response and raise of resistance is very unlikely. Although Gram-negative bacteria had been considered refractory to these compounds, strategies to overcome this drawback have been developed recently. In this review we describe the most relevant in vitro and in vivo results obtained to date with lysins against bacterial respiratory pathogens.
Insights
Phage lysins offer a promising alternative to antibiotics for treating respiratory infections caused by biofilm-forming bacteria like Streptococcus pneumoniae. These enzymes effectively kill bacteria and are unlikely to cause resistance, addressing the challenge of multidrug-resistant pathogens.
Area of Science:
- Microbiology
- Infectious Diseases
- Biotechnology
Background:
- Lower respiratory tract infections and tuberculosis cause millions of deaths annually, particularly in children.
- Streptococcus pneumoniae is a primary cause of severe pneumonia, with biofilms contributing to persistent infections.
- Multidrug resistance in bacterial pathogens necessitates novel therapeutic strategies.
Purpose of the Study:
- To review the efficacy of phage lysins as an alternative therapeutic approach against bacterial respiratory pathogens.
- To highlight the potential of lysins in overcoming antibiotic resistance and biofilm formation.
- To summarize current in vitro and in vivo findings on lysins targeting respiratory pathogens.
Main Methods:
- Literature review of in vitro and in vivo studies on phage lysins.
- Analysis of lysin mechanisms of action against bacterial peptidoglycan.
- Evaluation of strategies to enhance lysin activity against Gram-negative bacteria.
Main Results:
- Phage lysins demonstrate potent bactericidal activity against susceptible bacteria by degrading peptidoglycan.
- Lysins are well-tolerated, do not typically elicit adverse immune responses, and are unlikely to induce resistance.
- Recent strategies have shown promise in overcoming previous limitations of lysin efficacy against Gram-negative bacteria.
Conclusions:
- Phage lysins represent a viable and attractive alternative to conventional antibiotics for treating respiratory tract infections.
- Their unique mechanism of action and low resistance potential make them valuable against multidrug-resistant and biofilm-forming pathogens.
- Continued research and development of lysin-based therapies are crucial for combating the growing threat of bacterial infections.
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