Evidence map›Paper›PMID 37653407›Full record

ArticleJournal of biomedical science2023

A novel phage carrying capsule depolymerase effectively relieves pneumonia caused by multidrug-resistant Klebsiella aerogenes.

Xiaohu Cui, Bing Du, Junxia Feng, Yanling Feng, Zheng Fan, Jinfeng Chen, Jinghua Cui, Lin Gan, Tongtong Fu, Ziyan Tian and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Identification and functional characterization of a novelFrontiers in cellular and infection microbiology · 2025
    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

21 authors at 1 institution in 2 countries.

Xiaohu Cui *Department of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Bing Du *Department of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Junxia FengDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Yanling FengDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Zheng FanDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Jinfeng ChenDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Jinghua CuiDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Lin GanDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Tongtong FuDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Ziyan TianDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Rui ZhangDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Chao YanDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Hanqing ZhaoDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Wenjian XuDepartment of Clinical Laboratory, Children's Hospital Affiliated to Capital Institute of Pediatrics, Beijing, China.
Ziying XuDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Zihui YuDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Zanbo DingDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Zhoufei LiDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Yujie ChenDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China.
Guanhua XueDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China. xgh618@163.com.
Jing YuanDepartment of Bacteriology, Capital Institute of Pediatrics, Beijing, 100020, China. yuanjing6216@163.com.ORCID http://orcid.org/0000-0002-6939-9676
Capital Institute of Pediatrics · CN

Funding

FENG fundation FFBR 202103National Natural Science Foundation of China 32170201National Natural Science Foundation of China 82130065Natural Science Foundation of Beijing Municipality 7222014the Research Foundation of Capital Institute of Pediatrics JCYJ-2023-08
6 · The paper itself

Abstract

backgroundKlebsiella aerogenes can cause ventilator-associated pneumonia by forming biofilms, and it is frequently associated with multidrug resistance. Phages are good antibiotic alternatives with unique advantages. There has been a lack of phage therapeutic explorations, kinetic studies, and interaction mechanism research targeting K. aerogenes.

methodsPlaque assay, transmission electron microscopy and whole-genome sequencing were used to determine the biology, morphology, and genomic characteristics of the phage. A mouse pneumonia model was constructed by intratracheal/endobronchial delivery of K. aerogenes to assess the therapeutic effect of phage in vivo. Bioinformatics analysis and a prokaryotic protein expression system were used to predict and identify a novel capsule depolymerase. Confocal laser scanning microscopy, Galleria mellonella larvae infection models and other experiments were performed to clarify the function of the capsule depolymerase.

resultsA novel lytic phage (pK4-26) was isolated from hospital sewage. It was typical of the Podoviridae family and exhibited serotype specificity, high lytic activity, and high environmental adaptability. The whole genome is 40,234 bp in length and contains 49 coding domain sequences. Genomic data show that the phage does not carry antibiotic resistance, virulence, or lysogenic genes. The phage effectively lysed K. aerogenes in vivo, reducing mortality and alleviating pneumonia without promoting obvious side effects. A novel phage-derived depolymerase was predicted and proven to be able to digest the capsule, remove biofilms, reduce bacterial virulence, and sensitize the bacteria to serum killing.

conclusionsThe phage pK4-26 is a good antibiotic alternative and can effectively relieve pneumonia caused by multidrug-resistant K. aerogenes. It carries a depolymerase that removes biofilms, reduces virulence, and improves intrinsic immune sensitivity.

Indexed as

BacteriophagesEnterobacter aerogenesPneumoniaAnimalsAnti-Bacterial AgentsDisease Models, AnimalGlycoside HydrolasesKineticsMiceAnti-Bacterial Agentscapsular-polysaccharide galactohydrolaseGlycoside HydrolasesBacteriophage therapyBiofilmsDepolymeraseKlebsiella aerogenesPneumonia

Identifiers

PMID37653407
PMCPMC10470133
OpenAlexW4386328046

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.