Antibiotic Exposure Leads to Reduced Phage Susceptibility in Vancomycin Intermediate Staphylococcus aureus (VISA).

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D6EF9784BB73
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Antibiotic Exposure Leads to Reduced Phage Susceptibility in Vancomycin Intermediate Staphylococcus aureus (VISA).
Journal
Antimicrobial agents and chemotherapy
Author(s)
McCallin S., Menzi C., Lassen S., Daraspe J., Oechslin F., Moreillon P.
ISSN
1098-6596 (Electronic)
ISSN-L
0066-4804
Publication state
Published
Issued date
19/07/2022
Peer-reviewed
Oui
Volume
66
Number
7
Pages
e0224721
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
In the time of antimicrobial resistance, phage therapy is frequently suggested as a possible solution for such difficult-to-treat infections. Vancomycin-intermediate Staphylococcus aureus (VISA) remains a relatively rare yet increasing occurrence in the clinic for which phage therapy may be an option. However, the data presented herein suggest a potential cross-resistance mechanism to phage following vancomycin exposure in VISA strains. When comparing genetically similar strains differing in their susceptibility to vancomycin, those with intermediate levels of vancomycin resistance displayed decreased sensitivity to phage in solid and liquid assays. Serial passaging with vancomycin induced both reduced vancomycin susceptibility and phage sensitivity. As a consequence, the process of phage infection was shown to be interrupted after DNA ejection from adsorbed phage but prior to phage DNA replication, as demonstrated through adsorption assays, lysostaphin sensitivity assays, electron microscopy, and quantitative PCR (qPCR). At a time when phage products are being used for experimental treatments and tested in clinical trials, it is important to understand possible interference between mechanisms underlying antibiotic and phage resistance in order to design effective therapeutic regimens.
Keywords
Anti-Bacterial Agents/pharmacology, Anti-Bacterial Agents/therapeutic use, Bacteriophages/genetics, Humans, Microbial Sensitivity Tests, Staphylococcal Infections/drug therapy, Staphylococcal Infections/epidemiology, Staphylococcus aureus/genetics, Vancomycin/pharmacology, Vancomycin/therapeutic use, Vancomycin-Resistant Staphylococcus aureus, Staphylococcus aureus, VISA, antibiotic resistance, antimicrobial resistance, bacteriophage, phage therapy, staphylococcus, vancomycin
Pubmed
Web of science
Open Access
Yes
Create date
05/07/2022 11:28
Last modification date
23/01/2024 7:35
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