Isolation and characterization of a multidrug-resistant Staphylococcus aureus infecting phage and its therapeutic use

Zhen Xiao1,2, Hongyi Xu1,2, Juan Wang1

  • 1China animal health and epidemiology center, Qingdao 266032, China.

FEMS Microbiology Letters
|September 13, 2024
PubMed

Insights

A novel bacteriophage, JPL-50, effectively targets multidrug-resistant Staphylococcus aureus, including MRSA strains. This broad-spectrum phage shows promise as an alternative antibiotic, even in combination therapies.

Area of Science:

  • Microbiology
  • Bacteriology
  • Virology

Background:

  • The rise of multidrug-resistant bacteria, particularly methicillin-resistant Staphylococcus aureus (MRSA), poses a significant global health threat.
  • Limited treatment options and increasing mortality rates necessitate the urgent development of novel antimicrobial strategies.
  • Bacteriophages offer a promising alternative or adjunct therapy against antibiotic-resistant bacterial infections.

Purpose of the Study:

  • To isolate and characterize a novel bacteriophage with broad-spectrum activity against multidrug-resistant Staphylococcus aureus.
  • To evaluate the therapeutic potential of the isolated bacteriophage, individually and in combination with antibiotics, against S. aureus infections.
  • To assess the phage's biological characteristics, genomic features, and safety profile for potential clinical application.

Main Methods:

  • Isolation and purification of bacteriophage JPL-50 from wastewater.
  • Morphological and biological characterization, including transmission electron microscopy (TEM).
  • In vitro lysis spectrum analysis against various S. aureus strains, including MRSA and mastitis-associated isolates.
  • Determination of optimal growth conditions (temperature, pH, multiplicity of infection) and growth curve analysis.
  • Genomic sequencing to identify resistance genes or virulence factors.
  • In vivo therapeutic efficacy studies in a mouse model of S. aureus infection.
  • In vitro evaluation of phage-antibiotic combination therapy.

Main Results:

  • Bacteriophage JPL-50, belonging to the Siphoviridae family, demonstrated broad-spectrum lytic activity against 84% of tested S. aureus strains.
  • JPL-50 achieved 100% lysis of mastitis-associated S. aureus and 72.04% lysis of MRSA strains.
  • The phage exhibited optimal activity at 30°C and a wide pH range (3-10), with a latent period of 20 min and burst time of 80 min.
  • Genomic analysis revealed a 16,927 bp double-stranded DNA genome with no detected antibiotic resistance or virulence genes.
  • In vivo studies showed that JPL-50 administration protected 40-60% of mice from lethal S. aureus infection.
  • Combination therapy with doxycycline significantly enhanced S. aureus inhibition in vitro and reduced antibiotic dosage requirements.

Conclusions:

  • The bacteriophage JPL-50 is a potent candidate for combating multidrug-resistant S. aureus infections due to its wide lysis spectrum, high efficacy, and environmental tolerance.
  • Its safety profile, indicated by the absence of resistance and virulence genes, supports its potential therapeutic use.
  • Phage-antibiotic combination therapy presents a synergistic approach to overcome S. aureus resistance and improve treatment outcomes.
  • JPL-50 offers a viable alternative or adjunct to conventional antibiotics, addressing the critical need for new strategies against resistant bacteria.