TABLE 4.
Envisioned application | Material and construct | Embedded phage | Relevant results |
Reference | |||
Study type | Manufacturing process | Phage release / Protective properties | Antimicrobial effects | ||||
Intercellular delivery of bacteriophages | Biomimetic HAP nanocrystals | S. rissen phage SR φ1 | In vitro | Phage and HA nanoparticles were mixed together, and phages adsorbed on the HA material. 107 PFU/mg of HA nanoparticles were adsorbed after 24 h. | Phage adsorbed on HA nanocrystals show no reduction of lytic activity after 6 weeks of storage at 4°C. Adsorbed phage shows no inactivation due to acidic environment. | A 3-log reduction of S. rissen was observed when incubated with HA-SR φ1. | Fulgione et al., 2019 |
Delivery of phage within difficult to penetrate biofilms | Chitosan coated iron oxide non-colloidal nanoparticles for phage grafting | E. coli phage C3000 and P. aeruginosa phage PA01 | In vitro | Phage is conjugated to the chitosan coated iron oxide nanoparticle though carbodiimide chemistry. | No phage release, particles possess contact killing though surface functionalized phages. | Particles were able to penetrate biofilms better under magnetic fields and reduce the quantity of biofilm with 90% (compared to 35% for free phage). | Li et al., 2017 |
Prophylactic use in orthopedic reconstruction surgery | Microporous pelleted CaP granules | E. coli phage λ vir | In vitro | Phage was loaded by allowing adsorption at 4°C for 24 h. | The pellets were washed for 3 h prior to testing, resulting in a 2-log reduction of phage load, indicating strong burst-like release properties. However, pellets washed for 6 days could still inhibit bacterial growth in a zone of inhibition experiment. | Optical density measurements show a reduction when phage loaded CaP materials were introduced to the culture. An increase of porosity of the sintered materials results in higher phage load and a lower optical density of the bacterial culture. | Meurice et al., 2012 |
Prophylactic use in orthopedic reconstruction surgery | Macro porous CaCO3 and HAP scaffold. | E. coli phage λ vir | In vitro | Phage was loaded by allowing adsorption at 4°C for 24 h. | Not assessed | OD600 measurements indicate antimicrobial effects after 90 min of coincubation. Increased porosity | Colom et al., 2015 |
Abbreviations – CaP: Calcium phosphate; HA: Hydroxyapatite; OD600: Optical density at a wavelength of 600 nm.