Characteristics of Environmental Klebsiella pneumoniae and Klebsiella oxytoca Bacteriophages and Their Therapeutic Applications

Pharmaceutics. 2023 Jan 28;15(2):434. doi: 10.3390/pharmaceutics15020434.

Abstract

In recent years, multidrug-resistant (MDR) strains of Klebsiella pneumoniae have spread globally, being responsible for the occurrence and severity of nosocomial infections. The NDM-1-kp, VIM-1 carbapenemase-producing isolates as well as extended-spectrum beta lactamase-producing (ESBL) isolates along with Klebsiella oxytoca strains have become emerging pathogens. Due to the growing problem of antibiotic resistance, bacteriophage therapy may be a potential alternative to combat such multidrug-resistant Klebsiella strains. Here, we present the results of a long-term study on the isolation and biology of bacteriophages active against K. pneumoniae, as well as K. oxytoca strains. We evaluated biological properties, morphology, host specificity, lytic spectrum and sensitivity of these phages to chemical agents along with their life cycle parameters such as adsorption, latent period, and burst size. Phages designated by us, vB_KpnM-52N (Kpn52N) and VB_KpnM-53N (Kpn53N), demonstrated relatively broad lytic spectra among tested Klebsiella strains, high burst size, adsorption rates and stability, which makes them promising candidates for therapeutic purposes. We also examined selected Klebsiella phages from our historical collection. Notably, one phage isolated nearly 60 years ago was successfully used in purulent cerebrospinal meningitis in a new-born and has maintained lytic activity to this day. Genomic sequences of selected phages were determined and analyzed. The phages of the sequenced genomes belong to the Slopekvirus and Jiaodavirus genus, a group of phages related to T4 at the family level. They share several features of T4 making them suitable for antibacterial therapies: the obligatorily lytic lifestyle, a lack of homologs of known virulence or antibiotic resistance genes, and a battery of enzymes degrading host DNA at infection.

Keywords: ESBL; Jiaodavirus; Klebsiella; Slopekvirus; antibiotic resistance; emerging pathogens; hypervirulent strains; multi-drug resistant strains; phage biology; phage therapy.

Grants and funding

This work was supported by funds from HIIET funding as well as the Operational Program Innovative Economy 2007−2013, Priority Axis 1. Research and Development of Modern Technologies, Measure 1.3 Support for R&D projects for entrepreneurs carried out by scientific entities, Submeasure 1.3.1 Development projects as project No. POIG 01.03.01-02-003/08 entitled “Optimization of the production and characterization of bacteriophage preparations for therapeutic use”, the project “Innovative bacteriophage preparation for the treatment of diabetic foot” (No. POIG 01.03.01-02-048/12) funded by the National Centre for Research and Development and the project “Database of Scientific Information Supporting Innovative Therapies-BINWIT” as part of the Digital Poland Operational Program, Priority axis: II E-administration and open government, Action: 2.3 Digital accessibility and usability of public sector information, Sub-measure: 2.3.1 Digital access to public sector information from administrative sources and science resources, No: POPC.02.03.01-IP.01-00-006/17.