Phage Therapy Faces Evolutionary Challenges

Antibiotic resistance evolution in bacteria indicates that one of the challenges faced by phage therapy is that, sooner or later, bacteria will evolve resistance to phages. Evidently, this is the case of every known antimicrobial therapy, but here this is also part of a ubiquitous natural process of...

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Main Author: Clara Torres-Barceló
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Viruses
Subjects:
Online Access:http://www.mdpi.com/1999-4915/10/6/323
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author Clara Torres-Barceló
author_facet Clara Torres-Barceló
author_sort Clara Torres-Barceló
collection DOAJ
description Antibiotic resistance evolution in bacteria indicates that one of the challenges faced by phage therapy is that, sooner or later, bacteria will evolve resistance to phages. Evidently, this is the case of every known antimicrobial therapy, but here this is also part of a ubiquitous natural process of co-evolution between phages and bacteria. Fundamental evolutionary studies hold some clues that are crucial to limit the problematic process of bacterial resistance during phage applications. First, I discuss here the importance of defining evolutionary and ecological factors influencing bacterial resistance and phage counter-defense mechanisms. Then, I comment on the interest of determining the co-evolutionary dynamics between phages and bacteria that may allow for selecting the conditions that will increase the probability of therapeutic success. I go on to suggest the varied strategies that may ensure the long-term success of phage therapy, including analysis of internal phage parameters and personalized treatments. In practical terms, these types of approaches will define evolutionary criteria regarding how to develop, and when to apply, therapeutic phage cocktails. Integrating this perspective in antimicrobial treatments, such as phage therapy, is among the necessary steps to expand its use in the near future, and to ensure its durability and success.
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spelling doaj.art-620bb919d9104422a3bfa92f7d97ae7c2022-12-21T17:59:19ZengMDPI AGViruses1999-49152018-06-0110632310.3390/v10060323v10060323Phage Therapy Faces Evolutionary ChallengesClara Torres-Barceló0University of Reunion Island, UMR Plant populations and bio-agressors in tropical environment (PVBMT), Saint-Pierre 97410, Reunion, FranceAntibiotic resistance evolution in bacteria indicates that one of the challenges faced by phage therapy is that, sooner or later, bacteria will evolve resistance to phages. Evidently, this is the case of every known antimicrobial therapy, but here this is also part of a ubiquitous natural process of co-evolution between phages and bacteria. Fundamental evolutionary studies hold some clues that are crucial to limit the problematic process of bacterial resistance during phage applications. First, I discuss here the importance of defining evolutionary and ecological factors influencing bacterial resistance and phage counter-defense mechanisms. Then, I comment on the interest of determining the co-evolutionary dynamics between phages and bacteria that may allow for selecting the conditions that will increase the probability of therapeutic success. I go on to suggest the varied strategies that may ensure the long-term success of phage therapy, including analysis of internal phage parameters and personalized treatments. In practical terms, these types of approaches will define evolutionary criteria regarding how to develop, and when to apply, therapeutic phage cocktails. Integrating this perspective in antimicrobial treatments, such as phage therapy, is among the necessary steps to expand its use in the near future, and to ensure its durability and success.http://www.mdpi.com/1999-4915/10/6/323phage therapyevolutionbacterial resistancevirulence
spellingShingle Clara Torres-Barceló
Phage Therapy Faces Evolutionary Challenges
Viruses
phage therapy
evolution
bacterial resistance
virulence
title Phage Therapy Faces Evolutionary Challenges
title_full Phage Therapy Faces Evolutionary Challenges
title_fullStr Phage Therapy Faces Evolutionary Challenges
title_full_unstemmed Phage Therapy Faces Evolutionary Challenges
title_short Phage Therapy Faces Evolutionary Challenges
title_sort phage therapy faces evolutionary challenges
topic phage therapy
evolution
bacterial resistance
virulence
url http://www.mdpi.com/1999-4915/10/6/323
work_keys_str_mv AT claratorresbarcelo phagetherapyfacesevolutionarychallenges