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Phage Therapy in Managing Multidrug-Resistant (MDR) Infections in Cancer Therapy: Innovations, Complications, and
Alice N Mafe1, Dietrich Büsselberg2
1Department of Biological Sciences, Faculty of Sciences, Taraba State University, Main Campus, Jalingo 660101, Taraba State, Nigeria.
Abstract:
Multidrug-resistant (MDR) bacterial infections present a major challenge in cancer therapy, particularly for immunocompromised patients undergoing chemotherapy, radiation, or surgery. These infections often arise from prolonged antibiotic use, hospital-acquired pathogens, and weakened immune defenses, leading to increased morbidity and mortality. As conventional antibiotics become less effective against MDR strains, there is an urgent need for alternative treatment options. This review highlights phage therapy as a promising approach to managing MDR bacterial infections in cancer patients. Once widely used, phage therapy has recently regained attention as a targeted antimicrobial strategy that can specifically eliminate harmful bacteria while preserving the beneficial microbiota. Phages work by directly lysing bacteria, disrupting biofilms, and synergizing with antibiotics to restore bacterial susceptibility. These mechanisms make phage therapy especially appealing for treating infections that complicate cancer treatments. However, the clinical application of phage therapy faces challenges such as variability in phage-host interactions, regulatory hurdles, and immune responses in patients. This review identifies gaps in current research regarding the use of phage therapy for MDR infections in cancer patients. By examining recent innovations, therapeutic mechanisms, and associated limitations, we provide valuable insights into the potential of phage therapy for improving infection management in oncology. Future research should focus on refining phage delivery methods, assessing long-term safety, and exploring combination therapies to maximize clinical efficacy. Overcoming these challenges could position phage therapy as a valuable complement to existing antimicrobial strategies in cancer care.
Insights
Multidrug-resistant bacterial infections complicate cancer treatment. Phage therapy offers a promising alternative, targeting harmful bacteria while preserving beneficial ones, though challenges remain for clinical use.
Area of Science:
- Oncology
- Microbiology
- Infectious Diseases
Background:
- Multidrug-resistant (MDR) bacterial infections pose significant risks for cancer patients, especially those immunocompromised.
- Prolonged antibiotic use and hospital-acquired pathogens contribute to the rise of MDR infections, increasing mortality.
- Conventional antibiotics are losing efficacy against MDR strains, necessitating novel therapeutic strategies.
Purpose of the Study:
- To review phage therapy as a potential solution for MDR bacterial infections in cancer patients.
- To explore the mechanisms, innovations, and limitations of phage therapy in oncology.
- To identify research gaps and guide future directions for phage therapy in cancer care.
Main Methods:
- Literature review of recent innovations and therapeutic mechanisms of phage therapy.
- Analysis of phage therapy's potential to combat MDR infections in cancer patients.
- Examination of challenges and limitations in clinical phage therapy application.
Main Results:
- Phage therapy is a targeted antimicrobial strategy that lyses bacteria and disrupts biofilms.
- Phages can synergize with antibiotics to restore susceptibility in MDR bacteria.
- Phage therapy preserves beneficial microbiota, unlike broad-spectrum antibiotics.
Conclusions:
- Phage therapy shows promise for managing MDR infections complicating cancer treatments.
- Clinical application faces challenges including phage-host variability, regulatory issues, and immune responses.
- Further research on delivery, safety, and combination therapies is crucial for optimizing phage therapy in oncology.
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