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Published on: May 12, 2020
Studies on bacteriophage penetration in patients subjected to phage therapy
B Weber-Dabrowska1, M Dabrowski, S Slopek
1Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw.
Abstract:
Two healthy volunteers and 56 patients with suppurative bacterial infections were tested for penetration of oral administered bacteriophage to the blood circulation system and urinary tract. In the blood and urine samples collected from patients before phage therapy application, no presence of "wild phages" was confirmed. Examination performed on the 10th day of phage therapy revealed the presence of bacteriophages in 47 of 56 blood samples tested; positive result of examination was obtained in 9 cases of 26 urine samples.
Insights
Oral bacteriophage therapy showed significant bloodstream penetration in patients with bacterial infections. Bacteriophages were detected in blood samples of most patients after 10 days of treatment, indicating systemic availability.
Area of Science:
- Microbiology
- Pharmacology
- Infectious Diseases
Background:
- Bacteriophage therapy is a promising alternative to antibiotics for bacterial infections.
- Understanding bacteriophage pharmacokinetics is crucial for optimizing treatment efficacy.
Purpose of the Study:
- To evaluate the penetration of orally administered bacteriophages into the bloodstream and urinary tract.
- To assess the systemic availability of bacteriophages during therapy for suppurative bacterial infections.
Main Methods:
- Healthy volunteers and patients with bacterial infections received oral bacteriophage therapy.
- Blood and urine samples were collected before and during phage therapy.
- Samples were analyzed for the presence of bacteriophages using microbiological assays.
Main Results:
- No "wild phages" were detected in pre-treatment samples.
- Bacteriophages were present in 47 out of 56 blood samples by day 10 of therapy.
- Bacteriophages were detected in 9 out of 26 urine samples by day 10.
Conclusions:
- Oral bacteriophage administration leads to significant bloodstream penetration.
- Bacteriophages achieve systemic circulation, suggesting potential for treating systemic bacterial infections.
- Further research is warranted to explore the therapeutic potential and optimize dosing for bacteriophage treatments.
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