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Viridax™ |Bacteriophage |Glossary
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References |Infectious Diseases |Links
Bacteriophage (bacteriophages, phage or
phages) are parasitic viruses of specific bacteria, and are among the most
abundant microbes on earth. Phage occur naturally wherever their host bacteria
are found, such as in soil, water, sewage or any environment that will support
bacterial growth, including in and on plants and animals. Importantly, however,
bacteriophage are not infectious, parasitic or otherwise pathogenic to any
plants or animals.
Phage are viruses that parasitize and kill
specific bacteria. They attach to the outer surface of the host bacterium and
inject their own viral DNA into the bacterial cell. The bacterial cell is now
managed by the phage, and responds only to the phage's DNA instructions to make
more phage viruses. The new phage components made by the bacterial host cell are
then assembled inside the bacterium into multiple copies of new phage, which
thereafter burst out of the bacterial cell, destroying the bacterium in the
process.
Phage were first identified in the late
1800s and early 1900s by observation of their lytic effect on bacteria. Canadian
microbiologist Felix d'Herelle used the virus to cure children in a Paris
hospital dying from dysentery. After initial successes, d'Herelle continued
exploring phage therapy at the Pasteur Institutes in Paris and Saigon, and later
as health officer to the League of Nations in Egypt.
The fame of the new treatment spread, and
soon western drug companies, such as Eli Lilly, were selling therapeutic phage
in the 1930s. They were taken orally or topically, used in aerosols and as
enemas, or they were injected. They were used to treat typhoid, cholera and
urinary tract infections, among other infectious diseases. Many therapeutic
successes were observed, but the results were unreliable A report commissioned
by the American Medical Association concluded that evidence for the efficacy of
bacteriophage therapy was ‘contradictory’, at best.
When penicillin was discovered in 1928 and
the age of antibiotics was born, the use of phage therapy faded into
insignificance, although phage therapy continued in Eastern Europe, including,
for example, at The Eliava Institute in Georgia. Anecdotal evidence from
large-scale clinical trials of various phage therapy preparations and techniques
conducted in Poland in the mid-1980s claimed a decisive recovery rate of 92%.
Phage therapy in the west would have
disappeared completely, had it not been for new developments in biotechnology,
in parallel with the rapid decline in effect of antibiotics, all of which
revived attention to phage as therapeutic alternatives. In addition, while all
conventional antibiotics are considered toxic by the FDA, there has not yet been
any toxicity associated with bacteriophage. Also, the costs for producing
bacteriophage are far less than those for most antibiotics, especially the
latest generation products that are used to treat resistant infections.
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