Bacteriophages and phage-delivered CRISPR-Cas system as antibacterial therapy

Int J Antimicrob Agents. 2022 Jan;59(1):106475. doi: 10.1016/j.ijantimicag.2021.106475. Epub 2021 Nov 10.

Abstract

Multidrug-resistant (MDR) bacterial infections in humans are increasing worldwide. The global spread of antimicrobial resistance poses a considerable threat to human health. Phage therapy is a promising approach to combat MDR bacteria. An increasing number of reports have been published on phage therapy and the successful application of antibacterials derived using this method. Additionally, the CRISPR-Cas system has been used to develop antimicrobials with bactericidal effects in vivo. The CRISPR-Cas system can be delivered into target bacteria in various ways, with phage-based vectors being reported as an effective method. In this review, we briefly summarise the results of randomised control trials on bacteriophage therapy. Moreover, we integrated mechanisms of the CRISPR-Cas system antimicrobials in a schematic diagram and consolidated the research on phage-delivered CRISPR-Cas system antimicrobials.

Keywords: Antimicrobial; Bacteriophage therapy; CRISPR-Cas; Phage-based vector.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bacterial Infections / drug therapy*
  • Bacteriophages*
  • CRISPR-Cas Systems*
  • Drug Resistance, Bacterial
  • Humans
  • Phage Therapy / methods*

Substances

  • Anti-Bacterial Agents