Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review

Abstract Multi-Drug Resistant (MDR) Pseudomonas aeruginosa is one of the most important bacterial pathogens that causes infection with a high mortality rate due to resistance to different antibiotics. This bacterium prompts extensive tissue damage with varying factors of virulence, and its biofilm p...

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Main Authors: Zahra Chegini, Amin Khoshbayan, Majid Taati Moghadam, Iman Farahani, Parham Jazireian, Aref Shariati
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Annals of Clinical Microbiology and Antimicrobials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12941-020-00389-5
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author Zahra Chegini
Amin Khoshbayan
Majid Taati Moghadam
Iman Farahani
Parham Jazireian
Aref Shariati
author_facet Zahra Chegini
Amin Khoshbayan
Majid Taati Moghadam
Iman Farahani
Parham Jazireian
Aref Shariati
author_sort Zahra Chegini
collection DOAJ
description Abstract Multi-Drug Resistant (MDR) Pseudomonas aeruginosa is one of the most important bacterial pathogens that causes infection with a high mortality rate due to resistance to different antibiotics. This bacterium prompts extensive tissue damage with varying factors of virulence, and its biofilm production causes chronic and antibiotic-resistant infections. Therefore, due to the non-applicability of antibiotics for the destruction of P. aeruginosa biofilm, alternative approaches have been considered by researchers, and phage therapy is one of these new therapeutic solutions. Bacteriophages can be used to eradicate P. aeruginosa biofilm by destroying the extracellular matrix, increasing the permeability of antibiotics into the inner layer of biofilm, and inhibiting its formation by stopping the quorum-sensing activity. Furthermore, the combined use of bacteriophages and other compounds with anti-biofilm properties such as nanoparticles, enzymes, and natural products can be of more interest because they invade the biofilm by various mechanisms and can be more effective than the one used alone. On the other hand, the use of bacteriophages for biofilm destruction has some limitations such as limited host range, high-density biofilm, sub-populate phage resistance in biofilm, and inhibition of phage infection via quorum sensing in biofilm. Therefore, in this review, we specifically discuss the use of phage therapy for inhibition of P. aeruginosa biofilm in clinical and in vitro studies to identify different aspects of this treatment for broader use.
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spelling doaj.art-f025e12aa9824d00a12ae71e49d55dd82022-12-22T01:52:38ZengBMCAnnals of Clinical Microbiology and Antimicrobials1476-07112020-09-0119111710.1186/s12941-020-00389-5Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a reviewZahra Chegini0Amin Khoshbayan1Majid Taati Moghadam2Iman Farahani3Parham Jazireian4Aref Shariati5Department of Microbiology, School of Medicine, Iran University of Medical SciencesStudent Research Committee, Iran University of Medical SciencesDepartment of Microbiology, School of Medicine, Iran University of Medical SciencesMolecular and Medicine Research Center, Department of Microbiology and Immunology, School of Medicine, Arak University of Medical SciencesDepartment of Genetics, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECRDepartment of Microbiology, School of Medicine, Shahid Beheshti University of Medical SciencesAbstract Multi-Drug Resistant (MDR) Pseudomonas aeruginosa is one of the most important bacterial pathogens that causes infection with a high mortality rate due to resistance to different antibiotics. This bacterium prompts extensive tissue damage with varying factors of virulence, and its biofilm production causes chronic and antibiotic-resistant infections. Therefore, due to the non-applicability of antibiotics for the destruction of P. aeruginosa biofilm, alternative approaches have been considered by researchers, and phage therapy is one of these new therapeutic solutions. Bacteriophages can be used to eradicate P. aeruginosa biofilm by destroying the extracellular matrix, increasing the permeability of antibiotics into the inner layer of biofilm, and inhibiting its formation by stopping the quorum-sensing activity. Furthermore, the combined use of bacteriophages and other compounds with anti-biofilm properties such as nanoparticles, enzymes, and natural products can be of more interest because they invade the biofilm by various mechanisms and can be more effective than the one used alone. On the other hand, the use of bacteriophages for biofilm destruction has some limitations such as limited host range, high-density biofilm, sub-populate phage resistance in biofilm, and inhibition of phage infection via quorum sensing in biofilm. Therefore, in this review, we specifically discuss the use of phage therapy for inhibition of P. aeruginosa biofilm in clinical and in vitro studies to identify different aspects of this treatment for broader use.http://link.springer.com/article/10.1186/s12941-020-00389-5MDR P. aeruginosaBiofilmBacteriophageAntibiofilm effects
spellingShingle Zahra Chegini
Amin Khoshbayan
Majid Taati Moghadam
Iman Farahani
Parham Jazireian
Aref Shariati
Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
Annals of Clinical Microbiology and Antimicrobials
MDR P. aeruginosa
Biofilm
Bacteriophage
Antibiofilm effects
title Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
title_full Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
title_fullStr Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
title_full_unstemmed Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
title_short Bacteriophage therapy against Pseudomonas aeruginosa biofilms: a review
title_sort bacteriophage therapy against pseudomonas aeruginosa biofilms a review
topic MDR P. aeruginosa
Biofilm
Bacteriophage
Antibiofilm effects
url http://link.springer.com/article/10.1186/s12941-020-00389-5
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AT imanfarahani bacteriophagetherapyagainstpseudomonasaeruginosabiofilmsareview
AT parhamjazireian bacteriophagetherapyagainstpseudomonasaeruginosabiofilmsareview
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