Evidence map›Paper›PMID 29517960›Full record

ArticleGut microbes2018

A bacteriophage cocktail targeting Escherichia coli reduces E. coli in simulated gut conditions, while preserving a non-targeted representative commensal normal microbiota.

Tomasz Cieplak, Nitzan Soffer, Alexander Sulakvelidze, Dennis Sandris Nielsen

Open access · goldAbstract read
In one paragraph

Article in Gut microbes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
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  9. Article
  10. Gut microbiota shapes cancer immunotherapy responses.NPJ biofilms and microbiomes · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. vB_EcoM-P896 coliphage isolated from duck sewage can lyse both intestinal pathogenic Escherichia coli and extraintestinal pathogenic E. coli.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Article
  15. vB_EcoM-P896 coliphage isolated from duck sewage can lyse both intestinal pathogenic Escherichia coli and extraintestinal pathogenic E. coli.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Article
  16. Effects of dietary supplementation withFrontiers in nutrition · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Viability and probiotic activity ofFood science and biotechnology · 2024
    Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Tomasz Cieplaka Department of Food Science , Faculty of Science, University of Copenhagen , Frederiksberg C, Denmark, Rolighedsvej 26, Frederiksberg C , Denmark.ORCID 0000-0002-0330-198X
Nitzan Sofferb Intralytix, Inc. , Baltimore , Maryland , USA , The Columbus Center , 701 E. Pratt Street, Baltimore , MD , USA.
Alexander Sulakvelidzeb Intralytix, Inc. , Baltimore , Maryland , USA , The Columbus Center , 701 E. Pratt Street, Baltimore , MD , USA.
Dennis Sandris Nielsena Department of Food Science , Faculty of Science, University of Copenhagen , Frederiksberg C, Denmark, Rolighedsvej 26, Frederiksberg C , Denmark.
Columbus Center · USUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotics offer an efficient means for managing diseases caused by bacterial pathogens. However, antibiotics are typically broad spectrum and they can indiscriminately kill beneficial microbes in body habitats such as the gut, deleteriously affecting the commensal gut microbiota. In addition, many bacteria have developed or are developing resistance to antibiotics, which complicates treatment and creates significant challenges in clinical medicine. Therefore, there is a real and urgent medical need to develop alternative antimicrobial approaches that will kill specific problem-causing bacteria without disturbing a normal, and often beneficial, gut microbiota. One such potential alternative approach is the use of lytic bacteriophages for managing bacterial infections, including those caused by multidrug-resistant pathogens. In the present study, we comparatively analysed the efficacy of a bacteriophage cocktail targeting Escherichia coli with that of a broad-spectrum antibiotic (ciprofloxacin) using an in vitro model of the small intestine. The parameters examined included (i) the impact on a specific, pre-chosen targeted E. coli strain, and (ii) the impact on a selected non-targeted bacterial population, which was chosen to represent a defined microbial consortium typical of a healthy small intestine. During these studies, we also examined stability of bacteriophages against various pH and bile concentrations commonly found in the intestinal tract of humans. The bacteriophage cocktail was slightly more stable in the simulated duodenum conditions compared to the simulated ileum (0.12 vs. 0.58 log decrease in phage titers, respectively). It was equally effective as ciprofloxacin in reducing E. coli in the simulated gut conditions (2-3 log reduction), but had much milder (none) impact on the commensal, non-targeted bacteria compared to the antibiotic.

Indexed as

Gastrointestinal MicrobiomeAnti-Bacterial AgentsBacteriaBacteriophagesBiological TherapyEscherichia coliEscherichia coli InfectionsHumansIntestinesSymbiosisAnti-Bacterial Agentsantibioticin vitropersistencephagesmall intestine

Identifiers

PMID29517960
PMCPMC6219645
OpenAlexW2789690885

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.