A single-layer spot assay for easy, fast, and high-throughput quantitation of phages against multidrug-resistant

Paschalis Paranos1, Spyros Pournaras1, Joseph Meletiadis1

  • 1Clinical Microbiology Laboratory, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Insights

A new single-layer agar spot assay offers a faster, cheaper, and easier method for phage enumeration compared to the traditional double-layer method. This rapid phage quantitation is crucial for advancing phage therapy research and applications.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Biotechnology

Background:

  • The double-layer agar (DLA) overlay plaque assay is the standard for bacteriophage enumeration but is labor-intensive and time-consuming.
  • Phage therapy is gaining interest, necessitating efficient and reliable methods for phage quantitation.
  • Existing methods present challenges in speed and resource requirements for widespread phage research and application.

Purpose of the Study:

  • To explore and validate alternative, more efficient assays for bacteriophage quantitation.
  • To compare the accuracy and efficiency of a novel single-layer agar (SLA) assay against the standard DLA assay.
  • To assess the suitability of the SLA assay for enumerating diverse phages infecting key bacterial pathogens.

Main Methods:

  • Quantitated 16 different phages infecting *K. pneumoniae*, *P. aeruginosa*, and *A. baumannii* using standard DLA and novel SLA assays (spread and spot methods).
  • Correlated phage concentrations obtained from SLA assays with the standard DLA assay.
  • Calculated relative and absolute differences and assessed correlation coefficients (r) and statistical significance (P-values).

Main Results:

  • The SLA-spot assay demonstrated high correlation (r > 0.77, P < 0.01) with the standard DLA assay, with median relative differences <10%.
  • Plaque quantification was achieved within 4-6 hours of incubation, with results remaining stable for 24 hours.
  • The SLA-spot assay required less media, was 10 times faster, and provided same-day results compared to DLA.

Conclusions:

  • The single-layer agar spot (SLA-spot) assay is a validated, rapid, cost-effective, and user-friendly alternative for phage enumeration.
  • This assay generates comparable results to the gold-standard DLA assay, making it suitable for advancing phage therapy research.
  • The SLA-spot assay significantly reduces time and resources, facilitating broader application of phage-based strategies.