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.

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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