Antibiotic resistance is possibly one of the biggest crises we face in the 21st
century, as we are fast running out of effective cures and treatments for
bacterial diseases. This is true not just for medicinal uses, but it is also a
huge problem faced by the aquaculture and farming industries. Consequently,
scientists are desperately looking for new effective ways to treat, or even
better, prevent diseases. One of the major fields that has stemmed from this is
phage therapy, which involves using various types of phages (often in
combination – a phage ‘cocktail’) to reduce infectious bacterial populations.
Phage therapy has had some promising results so far, with
many phages detected that are able to successfully reduce the populations of
harmful bacteria, however efficiency varies, and there is still the worry that
the bacteria will develop a resistance. For both of these reasons, this study
looked at the effects of phage therapy with the addition of lysozymes. Using Vibrio parahaemolyticus as the target
bacteria, the team tested the efficiency of 3 different Vibrio phages (VP-1,
VP-2 and VP-3) both alone, and alongside lytic enzymes isolated from chicken
eggs, of all places. The results were surprisingly positive, finding that in
all 3 cases, adding these lytic enzymes increased the efficiency of bacterial
reduction by the phages.
As can maybe be expected, each phage reacted slightly
differently to the addition of these lytic enzymes, though all reacted positively.
VP-1 in the presence of lytic enzymes showed bacterial inactivation at a rate
almost 7-fold higher than the inactivation achieved when using the phage alone,
and VP-2 + lysozyme showed a 2 times increase to the phage only treatment. The
lysozymes seemed to have a lesser effect on VP-3, and actually worked better
when a lower concentration of the lysozyme was added. However, VP-3 showed the
highest bacterial inactivation of all 3 phages when they were being used alone,
so it is likely that the limited effects of the lysozymes is because this phage
is already highly efficient.
When looking into the effect of lytic enzymes on bacterial
populations, and their antibacterial properties, it seems that there is already
quite a lot of work being done in this area. While this experiment showed that
using lysozymes on their own had no significant effect on bacterial
populations, many other scientists seem to think that the exogenous addition of
lysozymes could have key antibacterial results. This paper suggests that one of
the positives of using lysozymes alongside phages is the slowing of bacterial
resistance, as this combination leads to faster bacterial inactivation. I think
this is hugely important considering our current position and dilemma with
antibiotic resistance. I think an interesting next step would be to combine
tried and tested ‘phage cocktails’, possibly with cocktails of lysozymes, to
see if the effects can be heightened even further.
L. Mateus, L. C.
(2014). Effect of lysozyme addition on the activity of phages against Vibrio
parahaemolyticus. Aquaculture, 125-129.
Hi Laura, given that the efficiency of the VP-3 is quite high on its own, do you think that people would just use this alone without the lysozymes as it could be more cost-effective? Or would the need to combat the antibiotic resistance outweigh costs? Also, if the phage cocktails were to be interchanged with each other and mixed differently each time, do you think that this would slow down the bacterial resistance even further? Or would this not work at all?
ReplyDeleteI think that given the current situation with antibiotic resistance, slowing this is quite important and I think the costs of adding lysozymes to a phage treatment would be minor compared to the pros of slowing resistance. The addition of lysozymes to VP-1 and VP-2 increased their effects to a similar level to that of VP-3 alone anyway so I definitely think the lysozymes would be a worthwhile addition. Though the discussion on phage cocktails in this paper is brief, the work actually being done on phage cocktails is quite extensive and I think your idea is a good one, the only issue may be the extensive work it might take to find that many different effective phages to be constantly changing the 'recipe'.
DeleteThanks for answering my questions, it seems then that the best way forward would be to invest now and start adding lysozymes to the phage treatments. Being able to interchange the cocktails would be very costly, I suppose it could be a back up plan if there are no other cost-effective treatments out there.
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