Evidence map›Paper›PMID 39368473›Full record

ArticleCell host & microbe2024

Rapid design of bacteriophage cocktails to suppress the burden and virulence of gut-resident carbapenem-resistant Klebsiella pneumoniae.

Ella Rotman, Sandra McClure, Joshua Glazier, Jay Fuerte-Stone, Jonathan Foldi, Ali Erani, Rory McGann, Jack Arnold, Huaiying Lin, Sandra Valaitis and 1 more

Abstract read
In one paragraph

Article in Cell host & microbe, 2024. 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
–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

25 citing papers in PubMed.

  1. Article
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  9. [Advances in the diagnosis and treatment of patients with multidrug-resistant bacterial infections combined with severe liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Genomic and functional characterization ofFrontiers in microbiology · 2026
    Article
  16. Article
  17. Phage and endolysin-based inhibition ofFrontiers in cellular and infection microbiology · 2026
    Review
  18. Article
  19. Article
  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

11 authors.

Ella RotmanDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Sandra McClureDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA; Committee on Molecular Metabolism and Nutrition, University of Chicago, Chicago, IL 60637, USA.
Joshua GlazierDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA; Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL 60637, USA.
Jay Fuerte-StoneDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA; Committee on Microbiology, University of Chicago, Chicago, IL 60637, USA.
Jonathan FoldiDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA.
Ali EraniDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA.
Rory McGannPritzker School of Molecular Engineering, University of Chicago, Chicago, IL 60637, USA.
Jack ArnoldDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA; Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL 60637, USA.
Huaiying LinDuchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA.
Sandra ValaitisDepartment of Obstetrics and Gynecology, Section of Urogynecology, University of Chicago, Chicago, IL 60637, USA.
Mark MimeeDepartment of Microbiology, University of Chicago, Chicago, IL 60637, USA; Duchoissois Family Institute, University of Chicago, Chicago, IL 60637, USA; Committee on Molecular Metabolism and Nutrition, University of Chicago, Chicago, IL 60637, USA; Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL 60637, USA. Electronic address: mmimee@uchicago.edu.

Funding

Molecular And Cellular Biology Training ProgramT32GM007183 · NIGMS · UNIVERSITY OF CHICAGO · PI GLICK, BENJAMIN S, RICE, PHOEBE A · 1985 to 2021
$23.9M
University of Chicago Initiative for Maximizing Student Development (IMSD) - Renewal 01R25GM109439 · NIGMS · UNIVERSITY OF CHICAGO · PI SCHWARTZ, NANCY B · 2014 to 2023
$5.7M
Microbial Engineering to Control the Structure and Function of the Gut Microbiome.R35GM147478 · NIGMS · UNIVERSITY OF CHICAGO · PI Mark Mimee · 2022 to 2026
$2.0M
NIGMS NIH HHS R25 GM109439NIGMS NIH HHS R35 GM147478NIGMS NIH HHS T32 GM007183
6 · The paper itself

Abstract

Antibiotic use can lead to the expansion of multi-drug-resistant pathobionts within the gut microbiome that can cause life-threatening infections. Selective alternatives to conventional antibiotics are in dire need. Here, we describe a Klebsiella PhageBank for the tailored design of bacteriophage cocktails to treat multi-drug-resistant Klebsiella pneumoniae. Using a transposon library in carbapenem-resistant K. pneumoniae, we identify host factors required for phage infection in major Klebsiella phage families. Leveraging the diversity of the PhageBank, we formulate phage combinations that eliminate K. pneumoniae with minimal phage resistance. Optimized cocktails selectively suppress the burden of K. pneumoniae in the mouse gut and drive the loss of key virulence factors that act as phage receptors. Phage-mediated diversification of bacterial populations in the gut leads to co-evolution of phage variants with higher virulence and broader host range. Altogether, the Klebsiella PhageBank charts a roadmap for phage therapy against a critical multidrug-resistant human pathogen.

Indexed as

Anti-Bacterial AgentsBacteriophagesCarbapenemsGastrointestinal MicrobiomeKlebsiella InfectionsKlebsiella pneumoniaePhage TherapyAnimalsCarbapenem-Resistant EnterobacteriaceaeDrug Resistance, Multiple, BacterialFemaleHost SpecificityHumansMiceVirulenceVirulence FactorsAnti-Bacterial AgentsCarbapenemsVirulence Factorsantagonistic co-evolutionantibiotic resistancebacterial geneticsbacteriophageexperimental evolutionKlebsiella pneumoniaemicrobiomephage therapy

Identifiers

PMID39368473
PMCPMC11563920

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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.