A Comprehensive Review on Phage Therapy and Phage-Based Drug Development

Author:

Cui Longzhu1ORCID,Watanabe Shinya1ORCID,Miyanaga Kazuhiko1ORCID,Kiga Kotaro12ORCID,Sasahara Teppei1,Aiba Yoshifumi1,Tan Xin-Ee1ORCID,Veeranarayanan Srivani1,Thitiananpakorn Kanate1,Nguyen Huong Minh1ORCID,Wannigama Dhammika Leshan3ORCID

Affiliation:

1. Division of Bacteriology, Department of Infection and Immunity, School of Medicine, Jichi Medical University, Shimotsuke City 329-0498, Japan

2. Research Center for Drug and Vaccine Development, National Institute of Infectious Diseases, Tokyo 162-8640, Japan

3. Department of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital, Yamagata 990-2292, Japan

Abstract

Phage therapy, the use of bacteriophages (phages) to treat bacterial infections, is regaining momentum as a promising weapon against the rising threat of multidrug-resistant (MDR) bacteria. This comprehensive review explores the historical context, the modern resurgence of phage therapy, and phage-facilitated advancements in medical and technological fields. It details the mechanisms of action and applications of phages in treating MDR bacterial infections, particularly those associated with biofilms and intracellular pathogens. The review further highlights innovative uses of phages in vaccine development, cancer therapy, and as gene delivery vectors. Despite its targeted and efficient approach, phage therapy faces challenges related to phage stability, immune response, and regulatory approval. By examining these areas in detail, this review underscores the immense potential and remaining hurdles in integrating phage-based therapies into modern medical practices.

Funder

Japan Agency for Medical Research and Development

JSPS KAKENHI

Moonshot R&D Program for Agriculture, Forestry, Fisheries

Publisher

MDPI AG

Reference284 articles.

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