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The potential role for phage therapy for genetic modification of cutaneous diseases
Harry Meister1, Nanette Silverberg1
1Department of Dermatology, Icahn School of Medicine at Mt Sinai, New York, NY, USA.
Abstract:
Antimicrobial resistance has become increasingly common across the globe, claiming more than 33,000 lives annually in Europe and 35,000 lives in the United States alone. The problem lies in trying to find potential solutions capable of tackling resistance and being able to fight infections that may resist various antimicrobials. Since Alexander Fleming's discovery in 1928, every antimicrobial synthesized in the past 70 years has developed at least one or more strains of resistant bacteria. One particular alternative to antimicrobials has brought hope to many in the scientific community: the bacteriophage. Bacteriophages are viruses that can replicate within bacteria, triggering genetic alterations and changes in pathways of protein expression by encoding a few to hundreds of genes within their genomes. The bacteriophage can hijack the cell, using the cell's genetic apparatus to replicate within the bacterium until bacterial lysis occurs. This therapy has been used in the genodermatosis Netherton syndrome, which has been associated with the increased risk of Staphylococcus aureus infections. Emerging data support the potential role of bacteriophage therapy for Cutibacterium acnes in acne vulgaris, with a potential role in genetic disorders with severe acne vulgaris, including Apert syndrome. Bacteriophages hold benefits for genodermatoses associated with recurrent cutaneous infections, that is, the immunodeficiencies with distinctive cutaneous features as well as conditions such as atopic dermatitis, in which bacterial colonization plays a strong role.
Insights
Bacteriophage therapy offers a promising alternative to antibiotics for combating resistant bacterial infections. These viruses infect and destroy bacteria, showing potential in treating skin conditions like acne vulgaris and genodermatoses.
Area of Science:
- Microbiology
- Virology
- Dermatology
Background:
- Antimicrobial resistance is a growing global health crisis, leading to significant mortality.
- Existing antimicrobials face increasing bacterial resistance, necessitating novel therapeutic strategies.
- Bacteriophages (phages) are viruses that infect bacteria and represent a potential alternative to antibiotics.
Purpose of the Study:
- To explore the potential of bacteriophage therapy as a solution to antimicrobial resistance.
- To review the application of bacteriophages in treating bacterial infections, particularly in dermatological conditions.
- To highlight the benefits of phage therapy for genodermatoses and related skin infections.
Main Methods:
- Review of existing literature on bacteriophage therapy and antimicrobial resistance.
- Analysis of phage-bacterial interactions and mechanisms of action.
- Case study review of phage therapy in Netherton syndrome and potential applications in acne vulgaris and other genodermatoses.
Main Results:
- Bacteriophages can effectively target and lyse bacteria, including antibiotic-resistant strains.
- Phage therapy has shown promise in managing Staphylococcus aureus infections associated with Netherton syndrome.
- Emerging data suggest efficacy of phage therapy against Cutibacterium acnes in acne vulgaris and related genetic disorders.
Conclusions:
- Bacteriophage therapy presents a viable alternative to conventional antibiotics for treating resistant bacterial infections.
- Phage therapy holds significant potential for managing genodermatoses and other skin conditions characterized by recurrent bacterial infections.
- Further research and clinical trials are warranted to fully establish the role of bacteriophages in modern medicine.
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