Journal
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
Volume 1496, Issue 1, Pages 23-34Publisher
WILEY
DOI: 10.1111/nyas.14533
Keywords
phage‐ antibiotic combinations; antibiotic resistance; phage resistance; combination therapy
Categories
Funding
- Canada Research Chairs program
- Canada Council for the Arts (Killam Research Fellowship)
- Canadian Institutes of Health Research [FRN 143215]
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Antibiotic resistance has become dangerously high worldwide, with a lack of new antibiotics available for clinicians. Combining phages with antibiotics shows promise in suppressing and even reversing resistance evolution in bacteria, highlighting the importance of further understanding their interactions in complex clinical environments.
Antibiotic resistance has reached dangerously high levels throughout the world. A growing number of bacteria pose an urgent, serious, and concerning threat to public health. Few new antibiotics are available to clinicians and only few are in development, highlighting the need for new strategies to overcome the antibiotic resistance crisis. Combining existing antibiotics with phages, viruses the infect bacteria, is an attractive and promising alternative to standalone therapies. Phage-antibiotic combinations have been shown to suppress the emergence of resistance in bacteria, and sometimes even reverse it. Here, we discuss the mechanisms by which phage-antibiotic combinations reduce resistance evolution, and the potential limitations these mechanisms have in steering microbial resistance evolution in a desirable direction. We also emphasize the importance of gaining a better understanding of mechanisms behind physiological and evolutionary phage-antibiotic interactions in complex in-patient environments.
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