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Phage therapy for Klebsiella pneumoniae: Understanding bacteria-phage interactions for therapeutic innovations
Julie Le Bris1,2, Nathalie Chen3, Adeline Supandy3
1Institut Pasteur, Université Paris Cité, CNRS UMR3525, Microbial Evolutionary Genomics, Paris, France.
Abstract:
Klebsiella pneumoniae (KP) is a Gram-negative bacterium that commonly resides in the human gastrointestinal tract and can also act as an opportunistic pathogen and cause extra-intestinal infections. KP poses a global health threat because it causes both hospital- and community-acquired infections in immune-competent and immunocompromised hosts. These infections can be multidrug-resistant and/or hypervirulent, making KP infections difficult to treat and deadly. In the absence of effective treatments for recalcitrant KP infections, bacteriophage (phage) therapy is gaining attention as a promising alternative. In this review, we evaluate KP epidemiology and epitope diversity, discuss interactions between KP-targeting phages and their bacterial hosts from an eco-evolutionary perspective, and summarize recent efforts in phage therapy for treating KP infections. We also discuss novel approaches, including genetic engineering and machine learning, as initial steps toward developing KP-targeting phage therapy as a precision medicine approach for an emerging and dangerous pathogen.
Insights
Klebsiella pneumoniae (KP) infections are a growing global threat due to multidrug resistance. Bacteriophage therapy offers a promising alternative for treating these difficult infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Bacteriophage Therapy
Background:
- Klebsiella pneumoniae (KP) is a Gram-negative bacterium causing significant hospital- and community-acquired infections.
- KP infections are increasingly multidrug-resistant and hypervirulent, posing a serious global health challenge.
- Effective treatments for recalcitrant KP infections are limited, necessitating alternative therapeutic strategies.
Purpose of the Study:
- To review the epidemiology and epitope diversity of Klebsiella pneumoniae.
- To discuss the eco-evolutionary interactions between KP-targeting phages and their bacterial hosts.
- To summarize current advancements in phage therapy for KP infections and explore novel approaches.
Main Methods:
- Literature review of Klebsiella pneumoniae epidemiology and phage-bacterial interactions.
- Analysis of current research on bacteriophage therapy for KP infections.
- Exploration of emerging technologies like genetic engineering and machine learning in phage therapy development.
Main Results:
- Klebsiella pneumoniae presents a significant and evolving public health threat.
- Bacteriophage therapy is an emerging alternative for treating KP infections.
- Novel approaches are being investigated to develop precision phage therapy.
Conclusions:
- Bacteriophage therapy holds significant promise as an alternative treatment for Klebsiella pneumoniae infections.
- Understanding KP epidemiology and phage-host interactions is crucial for effective therapy.
- Integrating genetic engineering and machine learning can advance KP-targeting phage therapy as a precision medicine approach.
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