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Phage therapy is influenced by:

Phage therapy is influenced by:

Country :
the epidemiological situation is different from country to country in terms of circulating bacteria and bacteriophages. Example: a lytic phages from Italy may be no active on the same bacteria (genus and species) isolated from another country and vice versa.
Chronolability
Mutation rate
Phenotypical delay
Phage cocktail
My point of view

From Wikipedia


If the target host* of a phage therapy treatment is not
an animal the term "
biocontrol" (as in phage-mediated biocontrol of bacteria) is usually employed, rather than "phage therapy".

"In silico"

From:"Genomics,Proteomics and Clinical Bacteriology", N.Woodford and Alan P.Johnson

Phrase that emphasizes the fact that many molecular biologists spend increasing amounts of their time in front of a computer screen, generating hypotheses that can subsequently be tested and (hopefully) confirmed in the laboratory.

Thursday 19 June 2014

Chronolability of Phage preparation

Bacterial host cells are not defenceless against phage attack. The heavy burden put on the susceptible bacteria may select cell variants that are refractory to bacteriophage infection (bacteriophage insensitive mutants, BIMs). 
This is usually accomplished by loss, modification,or masking of the bacteriophage receptors located at the cell wall.                                                                                                      

A number of strategies that may be used to overcome or limit resistance development have been indicated in the literature, including the prevention of the recycling of the bacteriophages in the reservoir of the pathogen by alternating use of different bacteriophages (either in a cocktail of several bacteriophages, or in consecutive treatments).
Bacteriophages generally exhibit a narrow host range, which is usually restricted to one genus of bacteria but more frequently restricted to either a limited number of species within a genus or to a limited number of bacterial strains within a species .
The best virulent bacteriophages for Phage Terapy applications are those with the broadest possible host range. These are termed polyvalent bacteriophages or WHR (wide host range) bacteriophages as they are usually active against many species within a bacterial genus.

Phage Therapy

a) when we do not know if the bacterial infection is caused by one bacterium or by two or three bacteria and when we have very little time.


Phage Therapy administration
Bacteriophage composition (
cocktail of 4 or 8 or 10 different Phages; cocktail of 6 or 9 or 12 different Phages).


b) when we have time and when we know the bacterial cause of infection.

If the infection is caused by bacteria

                                                                                      Phage Therapy administration
Bacteriophage composition (
cocktail of 4 or 8 or 10 different Phages; cocktail of 6 or 9 or 12 different Phages).


If the infection is caused by one bacterium:  

                                                                    Phage Therapy administration
Bacteriophage composition (
cocktail of 2 different Phages; cocktail of 3 different Phages; cocktail of 4 different Phages)

Chronolability
The Effectiveness of Bacteriophage compositions depends by chronolability of phage preparation:
"The Effectiveness of Bacteriophage compositions ready to use, when they are used in Phage Therapy, must be tested frequently. Both Host range and Virulence of any Bacteriophage composition must be unchanged when it is compared to respective original composition".
Each Bacteriophage composition is designed to match regional strains of bacteria for different infections in different parts of the body. We must test the sensitivity of phages to dominant strains of bacteria every 5-6 months. The Phage cocktail is updated by adding new phages or removing old ones to attack newly emerging strains.
It is important to understand that the precise properties exhibited by each bacteriophage cannot be assumed to be identical for other bacteriophages. Each bacteriophage will have its own characteristic properties including host range, burst size, and ability to maintain its physical integrity in different environments.