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Published on: January 26, 2024
Phage therapy: Targeting intestinal bacterial microbiota for the treatment of liver diseases
Jumpei Fujiki1,2, Bernd Schnabl1,3
1Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Abstract:
Phage therapy has been overshadowed by antibiotics for decades. However, it is being revisited as a powerful approach against antimicrobial-resistant bacteria. As bacterial microbiota have been mechanistically linked to gastrointestinal and liver diseases, precise editing of the gut microbiota via the selective bactericidal action of phages has prompted renewed interest in phage therapy. In this review, we summarise the basic virological properties of phages and the latest findings on the composition of the intestinal phageome and the changes associated with liver diseases. We also review preclinical and clinical studies assessing phage therapy for the treatment of gastrointestinal and liver diseases, as well as future prospects and challenges.
Insights
Phage therapy offers a promising alternative to antibiotics for combating antimicrobial-resistant bacteria. This review explores its potential in treating gut and liver diseases by targeting the gut microbiota.
Area of Science:
- Microbiology
- Virology
- Gastroenterology
- Hepatology
Background:
- Antibiotics have long been the primary treatment for bacterial infections, but rising antimicrobial resistance necessitates alternative strategies.
- Bacterial microbiota play a crucial role in gastrointestinal and liver diseases, making targeted interventions highly desirable.
- Bacteriophages (phages), viruses that infect bacteria, are being re-evaluated for their therapeutic potential.
Purpose of the Study:
- To review the fundamental virological characteristics of phages.
- To summarize current knowledge on the intestinal phageome and its alterations in liver diseases.
- To assess the efficacy of phage therapy in preclinical and clinical studies for gastrointestinal and liver conditions.
Main Methods:
- Literature review of basic phage virology.
- Analysis of studies on intestinal phageome composition and its association with liver diseases.
- Evaluation of preclinical and clinical research on phage therapy for gastrointestinal and liver diseases.
Main Results:
- Phages possess specific bactericidal properties suitable for targeted microbiota modulation.
- Changes in the intestinal phageome are linked to the pathogenesis of various liver diseases.
- Preclinical and clinical data suggest phage therapy's potential efficacy against relevant bacterial pathogens.
Conclusions:
- Phage therapy presents a viable strategy to address antimicrobial resistance, particularly in the context of gut and liver diseases.
- Understanding the phageome is critical for developing effective phage-based therapeutic approaches.
- Further research and clinical trials are needed to overcome challenges and realize the full potential of phage therapy.
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