PHAGE THERAPY

The first report about what is now known as a bacteriophage was published more than a century ago. In 1896, Hankin reported that something in the waters of the Ganges and Jumna rivers in India had marked antibacterial action and could pass through a very fine porcelain filter. However, it was another 20 years before a British bacteriologist, Frederick Twort, actually isolated filterable entities capable of destroying bacterial cultures and producing small cleared areas on bacterial lawns (1915). 2 years later, Felix d'Herelle, a French Canadian microbiologist working at the Pasteur Institute in Paris, reported the same phenomenon.  D'Herelle called the virus bacteriophage or bacteria-eater (from the Greek phago meaning to eat). D'Herelle promoted the use of phages as therapeutic agents for the treatment of infectious diseases. The first reported application of phages to treat infectious diseases of humans came from Bruynoghe and Maisin in France in 1921, who used bacteriophages to treat staphylococcal skin disease. Phages have been used, since that time, for prophylaxis and therapy in the United States (early 1930s) and, for the last 50 decades, in eastern Europe and in the Soviet Union. The international literature contains several hundred reports on phage therapy, with the majority of the publications coming from researchers in the former Soviet Union and eastern European countries.In the English language, the most detailed descriptions have come from the Institute of Immunology and Experimental Medicine of the Polish Academy of Sciences. Phages were administered orally, applied directly to wounds, or given in eye drops to more than 550 patients. Reported success rates ranged from 75 to 100%, depending on the pathogen.  Some investigators reported the successful treatment of experimental E. coli infections in mice using phages, and even suggested thepossible superiority of phages over antibiotics. The ability of Salmonella and E. coli phages to reduce
colonization in/prevent death of experimentally-infected chickens also has been reported. During the long history of using phages as therapeutic agents throughout eastern Europe and the former Soviet Union (and, before the antibiotic era, in the USA), there have been virtually no reports of serious complications associated with their use. Phages are extremely common in the environment, are regularly consumed in foods, and have been shown to be unintended contaminants in a variety of medications, including vaccines commercially available in the United States. In this era of increasing antimicrobial resistance, such potential therapeutic options are, not inappropriately, being increasingly explored

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