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. 2023 Oct 16;16(10):1467. doi: 10.3390/ph16101467

Table 2.

A compilation of recent studies of phages with broad host range. According to the authors, these include both effective against different strains of the same species [A] and effective against different species of bacteria [B] in the treatment of the MDR bacterial diseases listed in the table.

No. Phage/s Host Strain Against Effectiveness Description/
Remarks
Reference
In vitro
1. vB_EcoM_LNA1 (A1) E. coli K12 MG1655
w/RP4 plasmid
E. coli K12 MG1655
w/RP4 plasmid, E. coli K12 MG1655 w/pMS6198A plasmid, uropathogenic E. coli (UPEC) S79EC, UPEC S129EC
Phage exhibited broad host range recognition and strong infectivity against UPEC strains as demonstrated by a large burst size and extended bacterial growth suppression. [A] [61]
2. SHWT1 Salmonella pullorum MDR Salmonella (S. Pullorum, Salmonella Gallinarum, S. Enteritidis, S. Typhimurium, Salmonella Derby, Salmonella London, Salmonella Typhi, Salmonella Heidelberg, Salmonella Paratyphi B) Phage had a short latent period (5 min) and an average burst size of 146.6 ± 10.8 PFUs/cell.
It retained lytic activity for at least 60 min at temperatures ranging between 4 and 65 °C and remained stable at pH 3 to 12.
[A] [47]
3. JD419 S. aureus MDR clinical S. aureus strains A temperate phage that is stable at pH 6 to 8 and below 50 °C.
Rapid replication and lysis of host strains were observed. No virulence or antibiotic resistance genes.
[A] [62]
4. AP025 and AP006 P. aeruginosa PAO1/ P. aeruginosa ATCC9027 /clinical isolate MDR P. aeruginosa AP025 and AP006 phages exhibited a good infectivity rate (host range infectivity) of 39% and 30%, respectively, against MDR strains. [A] [98]
5. AP22 A. baumannii Genotype-varying MDR clinical A. baumannii strains Phage exhibits rapid
adsorption (>99% adsorbed in 5 min), a large burst size (240 PFU per cell),
and stability in a wide range of pH. Infect and lyse 68% of MDR A. baumannii.
[A] [99]
6. C11S1A E. coli MDR E. coli in East Africa Phage killed all 23 E. coli strains. Highly efficacious at 37 °C and pH 7.4. [A] [100]
7. ΦSER1 Serratia E. coli, Enterobacter spp., Klebsiella spp., Serratia spp., Pseudomonas spp., Citrobacter spp., MDR Pseudomonas 85% effectiveness in terms of host range when compared with other phages. [B] [65]
In vivo
8. SHWT1 S. pullorum MDR S. enteritidis and S. typhimurium Reduced mice mortality when phage treatment was introduced.
Survival rate of S. Enteritidis infection: 40%
Survival rate of S. Typhimurium infection: 80%.
[A] [47]
9. AP025 and AP006 P. aeruginosa PAO1/P. aeruginosa ATCC9027 /clinical isolate MDR P. aeruginosa A single dose of phages at higher concentrations, bacteria:phages at 1:10 and 1:100 were effective in eliminating bloodstream infection and achieving 100% mice survival. [A] [101]
10. PAK-P3 and P3-CHA P. aeruginosa MDR P. aeruginosa cystic fibrosis strains A curative treatment (one single dose) administered 2 h after the onset of the infection allowed over 95% survival.
A four-day preventive treatment (one single dose) resulted in 100% survival.
[A] [63]
11. øKp_Pokalde_002 K. pneumoniae Carbapenem-resistant K. pneumoniae (Kp56) Bacterial count significantly decreased in blood and other organs after 24 h of phage administration. Phage exhibited rapid clearance and did not stimulate proinflammatory cytokines. There is also a significant reduction in proinflammatory cytokines caused by bacterial infection, reducing tissue inflammation. [A] [102]
Case reports
12. Cocktail III (Kp152, Kp154, Kp155, Kp164, Kp6377, and HD001) K. pneumonia Extensively drug-resistant K. pneumonia (ERKp) in UTI Phage-resistant mutants emerged when Cocktails I and II were used.
After phage therapy (Cocktail III) combined with non-active antibiotics treatment, the patient’s pathogenic ERKp was completely eliminated and there are no recurrent UTI symptoms. No signs of recurrence for 6 months of follow-up.
[A] [97]