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Phage Therapy: Combating Infections with Potential for Evolving from Merely a Treatment for Complications to Targeting Diseases

机译:噬菌体疗法:应对感染可能从单纯的并发症发展为靶向疾病的发展

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摘要

Antimicrobial resistance is considered to be one of the greatest challenges of medicine and our civilization. Lack of progress in developing new anti-bacterial agents has greatly revived interest in using phage therapy to combat antibiotic-resistant infections. Although a number of clinical trials are underway and more are planned, the realistic perspective of registration of phage preparations and their entering the health market and significantly contributing to the current antimicrobial crisis is rather remote. Therefore, in addition to planning further clinical trials, our present approach of phage treatment carried out as experimental therapy (compassionate use) should be expanded to address the growing and urgent needs of increasing cohorts of patients for whom no alternative treatment is currently available. During the past 11 years of our phage therapy center’s operation, we have obtained relevant clinical and laboratory data which not only confirm the safety of the therapy but also provide important information shedding more light on many aspects of the therapy, contributing to its optimization and allowing for construction of the most appropriate clinical trials. New data on phage biology and interactions with the immune system suggest that in the future phage therapy may evolve from dealing with complications to targeting diseases. However, further studies are necessary to confirm this promising trend.
机译:抗菌素耐药性被认为是医学和我们文明的最大挑战之一。在开发新型抗菌剂方面缺乏进展极大地重新激发了人们对使用噬菌体疗法对抗抗生素耐药性感染的兴趣。尽管正在进行许多临床试验,并且计划进行更多的临床试验,但从噬菌体制剂的注册及其进入健康市场并为当前的抗菌药物危机做出重大贡献的现实角度还很遥远。因此,除了计划进一步的临床试验外,我们目前作为实验治疗(同情使用)进行的噬菌体治疗方法应予以扩展,以解决目前尚无替代治疗方法的患者群体日益增长的迫切需求。在我们的噬菌体治疗中心运营的过去11年中,我们获得了相关的临床和实验室数据,这些数据不仅确认了治疗的安全性,而且还提供了重要的信息,使您可以更深入地了解治疗的各个方面,从而有助于对其进行优化并允许用于构建最合适的临床试验。关于噬菌体生物学和与免疫系统相互作用的新数据表明,未来噬菌体治疗可能会从处理并发症演变为针对疾病。但是,有必要进行进一步的研究以确认这种有希望的趋势。

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