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"Evoluer pour mieux soigner nos patients"


La phagothérapie est un traitement utilisant des virus, appelés bactériophages, capables de s’attaquer spécifiquement aux bactéries et de les détruire avec une totale innocuité pour les cellules humaines. Le projet PHAG-ONE fait partie des 11 projets retenus dans le cadre de l’appel à projets « Antibiorésistance : comprendre, innover, agir » piloté par l’Agence Nationale de Recherche (ANR). Ce programme prioritaire de recherche a été lancé par le gouvernement, sous l’égide du Secrétariat Général pour l’Investissement et l’ANR, dans le cadre des Programmes d’Investissement d’Avenir.**


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Publications du projet Phag-One

1 décembre 2022
Phage therapy a promising antimicrobial strategy to address antimicrobial resistance for infections caused by the major human pathogen Staphylococcus aureus. Development of therapeutic phages for human use should follow pharmaceutical standards, including selection of strictly lytic bacteriophages with high therapeutic potential and optimization of their production process. Results: Here, we describe three novel Silviavirus phages active against 82% of a large collection of strains (n = 150) representative of various methicillin-susceptible and -resistant S. aureus clones circulating worldwide. We also investigated the optimization of the efficiency and safety of phage amplification protocols. To do so, we selected a well-characterized bacterial strain in order to (i) maximize phage production yields, reaching phage titres of 1011 PFU/mL in only 4 h; and (ii) facilitate phage purity while minimizing the risk of the presence of contaminants originating from the bacterial host; i.e., secreted virulence factors or induced temperate phages. Conclusions: In sum, we propose a quality-by-design approach for the amplification of broad-spectrum anti-S. aureus phages, facilitating the subsequent steps of the manufacturing process; namely, purification and quality control.
1 décembre 2022
Bone and joint infections (BJI) are one of the most difficult-to-treat bacterial infection, especially in the era of antimicrobial resistance. Lytic bacteriophages (phages for short) are natural viruses that can selectively target and kill bacteria. They are considered to have a high therapeutic potential for the treatment of severe bacterial infections and especially BJI, as they also target biofilms. Here we report on the management of a patient with a pandrug-resistant Pseudomonas aeruginosa spinal abscess who was treated with surgery and a personalized combination of phage therapy that was added to antibiotics. As the infecting P. aeruginosa strain was resistant to the phages developed by private companies that were contacted, we set up a unique European academic collaboration to find, produce and administer a personalized phage cocktail to the patient in due time. After two surgeries, despite bacterial persistence with expression of small colony variants, the patient healed with local and intravenous injections of purified phages as adjuvant therapy.

Publications des membres du projet PHAG-ONE

Phage Therapy against Staphylococcus aureus: Selection and Optimization of Production Protocols of Novel Broad-Spectrum Silviavirus Phages 06/09/2022

Personalized bacteriophage therapy to treat pandrug-resistant spinal Pseudomonas aeruginosa infection 22/07/2020

Paving the way for phage therapy using novel drug delivery approaches 19/05/2022

Past and Future of Phage Therapy and Phage-Derived Proteins in Patients with Bone and Joint Infection 02/11/2021

Innovative Approaches In The Management Of Bone and Joint Infection 18/11/2021

Implementation of a complex bone and joint infection phage therapy centre in France: lessons to be learned after 4 years' experience 05/10/2021

Case Report: Arthroscopic "Debridement Antibiotics and Implant Retention" With Local Injection of Personalized Phage Therapy to Salvage a Relapsing Pseudomonas Aeruginosa Prosthetic Knee Infection 05/05/2021

Phage Therapy as Adjuvant to Conservative Surgery and Antibiotics to Salvage Patients With Relapsing S. aureus Prosthetic Knee Infection 16/11/2020

The Potential Innovative Use of Bacteriophages Within the DAC® Hydrogel to Treat Patients With Knee Megaprosthesis Infection Requiring "Debridement Antibiotics and Implant Retention" and Soft Tissue Coverage as Salvage Therapy 31/07/2020

Medical innovations to maintain the function in patients with chronic PJI for whom explantation is not desirable: a pathophysiology-, multidisciplinary-, and experience-based approach 21/07/2020
Evaluation of the Activity of a Combination of Three Bacteriophages Alone or in Association with Antibiotics on Staphylococcus aureus Embedded in Biofilm or Internalized in Osteoblasts 21/02/2020

Efficacy of Bacteriophages in a Staphylococcus aureus Nondiabetic or Diabetic Foot Infection Murine Model 27/01/2020

Innovations for the treatment of a complex bone and joint infection due to XDR Pseudomonas aeruginosa including local application of a selected cocktail of bacteriophages 01/10/2018

Phagothérapie pour les patients présentant une infection ostéoarticulaire : historique, fondements, faisabilité et perspectives en France .../01/2020

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