Evidence map›Paper›PMID 37404162›Full record

ArticleInfection and immunity2023

Class-Driven Synergy and Antagonism between a Pseudomonas Phage and Antibiotics.

Paul Nicholls, Justin R Clark, Carmen Gu Liu, Austen Terwilliger, Anthony W Maresso

Open access · greenAbstract read
In one paragraph

Article in Infection and immunity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Discovery and characterization of a novelPHAGE (New Rochelle, N.Y.) · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. CombatingFrontiers in cellular and infection microbiology · 2025
    Review
  11. Phage-antibiotic combinations againstFrontiers in microbiology · 2025
    Article
  12. Article
  13. A Case of Persistent Intra-AbdominalPHAGE (New Rochelle, N.Y.) · 2024
    Article
  14. Article
  15. Article
  16. Synergistic removal ofFrontiers in microbiology · 2024
    Article
  17. 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 at 1 institution in 1 country.

Paul NichollsSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0001-8669-002X
Justin R ClarkTAILΦR LABS, Baylor College of Medicine, Houston, Texas, USA.
Carmen Gu LiuTAILΦR LABS, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-4491-3173
Austen TerwilligerTAILΦR LABS, Baylor College of Medicine, Houston, Texas, USA.
Anthony W MaressoTAILΦR LABS, Baylor College of Medicine, Houston, Texas, USA.
Baylor College of Medicine · US

Funding

Organoid Cultivation CoreU19AI157981 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI LEMON, KATHERINE PAIGE · 2021 to 2025
$12.4M
Research Training in Infections and ImmunityT32AI055413 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI GIORDANO, THOMAS P, MYSOREKAR, INDIRA U · 2003 to 2024
$3.2M
NIAID NIH HHS T32 AI055413NIAID NIH HHS U19 AI157981
6 · The paper itself

Abstract

The ubiquitous bacterial pathogen Pseudomonas aeruginosa is responsible for severe infections in patients with burns, cystic fibrosis, and neutropenia. Biofilm formation gives physical refuge and a protected microenvironment for sessile cells, rendering cure by antibiotics a challenge. Bacteriophages have evolved to prey on these biofilms over millions of years, using hydrolases and depolymerases to penetrate biofilms and reach cellular targets. Here, we assessed how a newly discovered KMV-like phage (ΦJB10) interacts with antibiotics to treat P. aeruginosa more effectively in both planktonic and biofilm forms. By testing representatives of four classes of antibiotics (cephalosporins, aminoglycosides, fluoroquinolones, and carbapenems), we demonstrated class-dependent interactions between ΦJB10 and antibiotics in both biofilm clearance and P. aeruginosa killing. Despite identifying antagonism between some antibiotic classes and ΦJB10 at early time points, all classes showed neutral to favorable interactions with the phage at later time points. In one notable example where the antibiotic alone had poor activity against both biofilm and high-density planktonic cells, we found that addition of ΦJB10 demonstrated synergy and resulted in effective treatment of both. Further, ΦJB10 seemed to act as an adjuvant to several antibiotics, reducing the concentration of antibiotics required to ablate the biofilm. This report shows that phages such as ΦJB10 may be valuable additions to the armamentarium against difficult-to-treat biofilm-based infections.

Indexed as

BacteriophagesPseudomonas InfectionsPseudomonas PhagesAnti-Bacterial AgentsBiofilmsCephalosporinsHumansPseudomonas aeruginosaAnti-Bacterial AgentsCephalosporinsbacteriophage therapybiofilmsPseudomonas aeruginosa

Identifiers

PMID37404162
PMCPMC10429645
OpenAlexW4383187535

What OpenQuestion holds

Textmetadata
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.