Controlling Multidrug-Resistant Staphylococcus aureus by Combined Use of Antimicrobials and Phage STPX-6 with Broad

Lin Wang1, Zhen Xiao1,2, Juan Wang1

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

PubMed
Abstract

Insights

A novel lytic bacteriophage, STPX-6, effectively targets methicillin-resistant Staphylococcus aureus (MRSA). Combining STPX-6 with antibiotics significantly reduces their required concentrations, offering a new strategy against multidrug-resistant bacteria.

Area of Science:

  • Microbiology
  • Bacteriology
  • Virology

Background:

  • Antibiotic resistance in *Staphylococcus aureus*, particularly methicillin-resistant *S. aureus* (MRSA), presents a significant global health challenge.
  • The need for alternative therapeutic strategies to combat multidrug-resistant bacteria is critical.

Purpose of the Study:

  • To isolate and characterize a broad-spectrum, high-efficiency MRSA bacteriophage.
  • To investigate the synergistic effects of the isolated phage in combination with conventional antibiotics against MRSA.

Main Methods:

  • Isolation and characterization of bacteriophage STPX-6, including genomic analysis.
  • Determination of phage lytic activity against various *S. aureus* and MRSA strains.
  • Assessment of phage stability under different temperature and pH conditions.
  • Evaluation of phage-antibiotic synergy by measuring reductions in minimum inhibitory concentrations (MICs).

Main Results:

  • Phage STPX-6, a *Caudovirales* family member, demonstrated broad lytic activity against 79.6% of *S. aureus* and 87.96% of MRSA strains.
  • STPX-6 exhibited robust stability across a wide range of temperatures (up to 90°C) and pH values (2-14).
  • Combined application of STPX-6 with enrofloxacin, doxycycline, and ampicillin reduced antibiotic MICs by 1/4, 1/16, and 1/2, respectively.

Conclusions:

  • Lytic phage STPX-6 is a promising candidate for MRSA treatment due to its broad spectrum, efficiency, and stability.
  • Phage-antibiotic synergy offers a viable approach to reduce antibiotic usage and combat multidrug-resistant bacteria.
  • This study highlights the potential of bacteriophages as novel antibacterial agents in animal and public health.