Evidence map›Paper›PMID 31291645›Full record

ArticlePloS one2019

Phages in a thermoreversible sustained-release formulation targeting E. faecalis in vitro and in vivo.

Mor Shlezinger, Michael Friedman, Yael Houri-Haddad, Ronen Hazan, Nurit Beyth

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Article
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  7. Insights into ecology, pathogenesis, and biofilm formation ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  8. Review
  9. Review
  10. The applications of animal models in phage therapy: An update.Human vaccines & immunotherapeutics · 2023
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Phage Therapy as a Focused Management Strategy in Aquaculture.International journal of molecular sciences · 2021
    Review
  19. Phage TargetingAntibiotics (Basel, Switzerland) · 2021
    Article
  20. Encapsulation and Delivery of Therapeutic Phages.Applied and environmental microbiology · 2021
    Review
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

5 authors.

Mor ShlezingerDepartment of Prosthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Michael FriedmanDepartment of Pharmaceutics, The Institute for Drug Research, Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Yael Houri-HaddadDepartment of Prosthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Ronen HazanFaculty of Dental Sciences, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Nurit BeythDepartment of Prosthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.ORCID 0000-0003-2935-5465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEnterococcus faecalis is a key pathogen recovered from root canals when conventional treatment fails. Phage therapy has generated new interest in combating pathogens. A sustained-release formulation using specific phages against E. faecalis may offer an alternative approach.

objectivesTo evaluate the efficacy of anti-E. faecalis phages formulated in a thermo- sustained-release system against E. faecalis in vitro and in vivo.

methodsEFDG1 and EFLK1 phages were formulated with poloxamer P407. Gelation time, phage survival, activity and toxicity were evaluated. Lytic activity was evaluated in vitro against E. faecalis at various growth phases, including anti-biofilm activity. Methods included viable bacterial count (CFU/mL), biofilm biomass determination and electron microscopy (live/dead staining). Further evaluation included infected incisors in an in vivo rat model. Anti-E. faecalis phage-cocktail suspension and sustained-release phage formulation were evaluated by viable bacterial count (CFU/mL), histology, scanning electron microscopy (SEM) and 16S genome sequencing of the microbiota of the root canal.

resultsGelation time for clinical use was established. Low toxicity and a high phage survival rate were recorded. Sustained-release phages reduced E. faecalis in logarithmic (4 logs), stationary (3 logs) and biofilm (4 logs) growth phases. Prolonged anti-biofilm activity of 88% and 95% reduction in biomass and viable counts, respectively, was recorded. Reduction of intracanal viable bacterial counts was observed (99% of enterococci) also seen in SEM. Phage treatment increased Proteobacteria and decreased Firmicutes. Histology showed reduced periapical inflammation and improved healing following phage treatment.

conclusionPoloxamer P407 formulated with phages has an effective and long-lasting effect in vitro and in vivo targeting E. faecalis.

Indexed as

BacteriophagesAnimalsAnti-Bacterial AgentsBacillotaBacterial LoadBiofilmsBiological TherapyDelayed-Action PreparationsDental Pulp CavityDental Pulp DiseasesDisease Models, AnimalEnterococcus faecalisHumansMaleProteobacteriaRatsAnti-Bacterial AgentsDelayed-Action Preparations

Identifiers

PMID31291645
PMCPMC6620107

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Registered trials

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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.