Evaluation of bacteriophage therapy to control Clostridium difficile and toxin production in an in vitro human colon model system

被引:70
作者
Meader, Emma [1 ,2 ]
Mayer, Melinda J. [1 ]
Steverding, Dietmar [2 ]
Carding, Simon R. [1 ,2 ]
Narbad, Arjan [1 ]
机构
[1] Inst Food Res, Gut Hlth & Food Safety Inst, Strateg Programme, Norwich NR4 7UA, Norfolk, England
[2] Univ E Anglia, Norwich Med Sch, Norwich NR4 7TJ, Norfolk, England
基金
英国生物技术与生命科学研究理事会;
关键词
Clostridium difficile; Bacteriophage therapy; Human colon model; Toxin; Lysogeny; HUMAN GUT MODEL; MOLECULAR CHARACTERIZATION; METRONIDAZOLE; VANCOMYCIN; INFECTION; DIVERSITY; PHAGES;
D O I
10.1016/j.anaerobe.2013.05.001
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Clostridium difficile is a leading cause of hospital-acquired diarrhoea and represents a major challenge for healthcare providers. Due to the decreasing efficacy and associated problems of antibiotic therapy there is a need for synergistic and alternative treatments. In this study we investigated the use of a specific bacteriophage, Phi CD27, in a human colon model of C difficile infection. Our findings demonstrate a significant reduction in the burden of C difficile cells and toxin production with phage treatment relative to an untreated control, with no detrimental effect on commensal bacterial populations. The results demonstrate the potential of phage therapy, and highlight the limitations of using phages that have lysogenic capacity. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:25 / 30
页数:6
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