Evidence map›Paper›PMID 35773283›Full record

ArticleNature communications2022

Comparative genomics of Acinetobacter baumannii and therapeutic bacteriophages from a patient undergoing phage therapy.

Mei Liu, Adriana Hernandez-Morales, James Clark, Tram Le, Biswajit Biswas, Kimberly A Bishop-Lilly, Matthew Henry, Javier Quinones, Logan J Voegtly, Regina Z Cer and 5 more

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

Article in Nature communications, 2022. 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 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
14.4field-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.

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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Genomic landscape of 340 virulent Acinetobacter bacteriophages reveals anti-CRISPR-enriched candidates for therapeutic prioritization.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Giving Antibiotics a Second Chance: Evolutionary Trade-Offs and Phage-Driven Restoration of Antibiotic Susceptibility.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  6. Article
  7. Towards modeling phage therapy.PLoS computational biology · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. A conserved KL2-capsule-related phage-resistant mechanism in carbapenem-resistantFrontiers in cellular and infection microbiology · 2026
    Article
  18. Article
  19. Article
  20. 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

15 authors at 6 institutions in 1 country.

Mei Liu *Center for Phage Technology, Texas A&M University, College Station, TX, USA.
Adriana Hernandez-Morales *Center for Phage Technology, Texas A&M University, College Station, TX, USA.
James ClarkCenter for Phage Technology, Texas A&M University, College Station, TX, USA.ORCID 0000-0003-4673-6112
Tram LeCenter for Phage Technology, Texas A&M University, College Station, TX, USA.ORCID 0000-0002-1305-2462
Biswajit BiswasBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.ORCID 0000-0002-3572-2068
Kimberly A Bishop-LillyBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.
Matthew HenryBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.
Javier QuinonesBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.
Logan J VoegtlyBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.
Regina Z CerBiological Defense Research Directorate, Naval Medical Research Center, 8400 Research Plaza, Fort Detrick, MD, USA.
Theron HamiltonNaval Air Station, 6801 Roosevelt Blvd, Jacksonville, FL, USA.
Robert T SchooleyDepartment of Medicine, University of California, San Diego, La Jolla, CA, USA.
Scott SalkaAmpliPhi Biosciences (now Armata Pharmaceuticals), Marina Del Rey, CA, USA.
Ry YoungCenter for Phage Technology, Texas A&M University, College Station, TX, USA.ORCID 0000-0001-8001-2914
Jason J GillCenter for Phage Technology, Texas A&M University, College Station, TX, USA. jason.gill@tamu.edu.ORCID 0000-0002-9494-6053
Texas A&M University · USNaval Medical Research Command · USAmpliPhi Biosciences (United States) · USLeidos (United States) · USTheodore Roosevelt High School · USUniversity of California San Diego · US

Funding

Phage LysisR35GM136396 · NIGMS · TEXAS A&M AGRILIFE RESEARCH · PI YOUNG, RYLAND FLETCHER · 2020 to 2024
$1.9M
NIGMS NIH HHS R35 GM136396
6 · The paper itself

Abstract

In 2016, a 68-year-old patient with a disseminated multidrug-resistant Acinetobacter baumannii infection was successfully treated using lytic bacteriophages. Here we report the genomes of the nine phages used for treatment and three strains of A. baumannii isolated prior to and during treatment. The phages used in the initial treatment are related, T4-like myophages. Analysis of 19 A. baumannii isolates collected before and during phage treatment shows that resistance to the T4-like phages appeared two days following the start of treatment. We generate complete genomic sequences for three A. baumannii strains (TP1, TP2 and TP3) collected before and during treatment, supporting a clonal relationship. Furthermore, we use strain TP1 to select for increased resistance to five of the phages in vitro, and identify mutations that are also found in phage-insensitive isolates TP2 and TP3 (which evolved in vivo during phage treatment). These results support that in vitro investigations can produce results that are relevant to the in vivo environment.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsBacteriophagesPhage TherapyAgedGenomicsHumans

Identifiers

PMID35773283
PMCPMC9247103
OpenAlexW4283720103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.