Evidence map›Paper›PMID 34369652›Full record

ArticleEMBO molecular medicine2021

Bacterial lysis, autophagy and innate immune responses during adjunctive phage therapy in a child.

Ameneh Khatami, Ruby C Y Lin, Aleksandra Petrovic-Fabijan, Sivan Alkalay-Oren, Sulaiman Almuzam, Philip N Britton, Michael J Brownstein, Quang Dao, Joe Fackler, Ronen Hazan and 3 more

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07619924 (Randomized Controlled Study on the Safety and Efficacy of Phage Cocktail in the Treatment of Multidrug-Resistant Bacterial Skin Infections), which is not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT07619924 early_phase1enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Randomized Controlled Study on the Safety and Efficacy of Phage Cocktail in the Treatment of Multidrug-Resistant Bacterial Skin Infections

TypeinterventionalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2025 to 2028Enrolled150ConditionsPhage Therapy, Bacteriophage Therapy, Skin and Soft Tissue InfectionsArmsBacteriophage Treatment, Placebo treatment using 0.9% normal saline
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Pharmacology of Bacteriophage Therapy in Children: A Re-Emerging Paradigm in Antibacterial Therapy.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  6. Successful use of bacteriophage therapy for aJournal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
  7. Article
  8. Article
  9. Immune Responses to Phage Therapy in Humans: A Review.The Journal of infectious diseases · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Phage diversity in One Health.Essays in biochemistry · 2024
    Review
  17. Review
  18. Review
  19. Viruses · 2024
    Review
  20. Article
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

13 authors at 4 institutions in 2 countries.

Ameneh KhatamiDepartment of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Westmead, NSW, Australia.ORCID 0000-0001-9114-6694
Ruby C Y LinSydney Medical School, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-4163-511X
Aleksandra Petrovic-FabijanCentre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Westmead, NSW, Australia.ORCID 0000-0003-3172-2375
Sivan Alkalay-OrenInstitute of Dental Sciences and School of Dental Medicine, The Hebrew University, Jerusalem, Israel.
Sulaiman AlmuzamDepartment of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Philip N BrittonDepartment of Infectious Diseases and Microbiology, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Michael J BrownsteinAdaptive Phage Therapeutics, Gaithersburg, MD, USA.
Quang DaoDepartment of Orthopaedics, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Joe FacklerAdaptive Phage Therapeutics, Gaithersburg, MD, USA.
Ronen HazanInstitute of Dental Sciences and School of Dental Medicine, The Hebrew University, Jerusalem, Israel.
Bri'Anna HorneAdaptive Phage Therapeutics, Gaithersburg, MD, USA.
Ran Nir-PazDepartment of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, and the Faculty of Medicine, The Hebrew University, Jerusalem, Israel.
Jonathan R IredellSydney Medical School, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-2469-7060
The University of Sydney · AUHebrew University of Jerusalem · ILChildren's Hospital at Westmead · AUWestmead Institute for Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adjunctive phage therapy was used in an attempt to avoid catastrophic outcomes from extensive chronic Pseudomonas aeruginosa osteoarticular infection in a 7-year-old child. Monitoring of phage and bacterial kinetics allowed real-time phage dose adjustment, and along with markers of the human host response, indicated a significant therapeutic effect within two weeks of starting adjunctive phage therapy. These findings strongly suggested the release of bacterial cells or cell fragments into the bloodstream from deep bony infection sites early in treatment. This was associated with transient fever and local pain and with evidence of marked upregulation of innate immunity genes in the host transcriptome. Adaptive immune responses appeared to develop after a week of therapy and some immunomodulatory elements were also observed to be upregulated.

Indexed as

BacteriophagesPhage TherapyAutophagyChildHumansImmunity, InnatePseudomonas aeruginosabacteriophagechildimmune responseosteoarticular infectionPseudomonas aeruginosa

Identifiers

PMID34369652
PMCPMC8422068
OpenAlexW3187660547

What OpenQuestion holds

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Registered trials

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.