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    A phage cocktail against Pseudomonas aeruginosa lung infection:
    results from experimental studies (2022)

    Art
    Poster
    Autoren
    Brack, M. C.
    Vollgraf, M.
    Nouailles, G.
    Korf, I.
    Wienecke, S.
    Dannheim, A.
    Ziehr, H.
    Bushe, J. (WE 12)
    Voss, A. (WE 12)
    Gruber, A. D. (WE 12)
    Hocke, A. C.
    Hippenstiel, S.
    Toennies, M.
    Lienau, J.
    Rohde, M.
    Rohde, C.
    Wienhold, S.
    Witzenrath, M.
    Kongress
    2022 ERS International Congress
    Barcelona, 04. – 06.09.2022
    Quelle
    The European respiratory journal
    Bandzählung: 60
    Heftzählung: Suppl. 66
    Seiten: Artikel 4230
    ISSN: 0903-1936
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://erj.ersjournals.com/content/60/suppl_66/4230
    DOI: 10.1183/13993003.congress-2022.4230
    Kontakt
    Institut für Tierpathologie

    Robert-von-Ostertag-Str. 15
    14163 Berlin
    +49 30 838 62450
    pathologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Since effective treatment of patients with chronic lung disease is often complicated by infections with multidrug resistant pathogens like Pseudomonas aeruginosa, bacteriophage therapy is appealing. In our study, we evaluated a phage cocktail, manufactured according to quality standards for good manufacturing practice, for its potential to treat P. aeruginosa experimental lung infection. Human lung tissue samples were infected ex vivo with clinical strains of P. aeruginosa and phages or control solution were applied. Bacterial loads and phage titers were assessed at different time points. Mice were infected with PBS or P. aeruginosa, and intratracheally treated with phages or control solution 6 hpi. Subsequently, phage titers, pathogen load, and inflammatory response were analyzed, and lungs were examined histopathologically. Replicative phages were recovered from human lung tissue, and phage titers increased over time. Bacterial load was reduced by phage application. In mice, active phages were recovered locally and systemically in both infected and sham infected animals. Phage treatment resulted in reduced bacterial load 12 and 48 hpi in BAL and slightly reduced signs of inflammation in histopathology. Analyses of innate immune cell response of infected and phage treated animals compared to the infected placebo group showed no phage-specific effects. Lower levels of IL-1b were detected in BAL and blood of infected and phage treated mice. In sham-infected animals, phage application resulted in increased levels of few cytokines 12 hpi, with no apparent adverse effects. Our study strengthened the approach to develop a manufactured bacteriophage cocktail for P. aeruginosa lung infections.