Evidence map›Paper›PMID 40595615›Full record

ArticleNature communications2025

Macrophage-induced reduction of bacteriophage density limits the efficacy of in vivo pulmonary phage therapy.

Sophia Zborowsky, Jérémy Seurat, Quentin Balacheff, Solène Ecomard, Céline Mulet, Chau Nguyen Ngoc Minh, Marie Titécat, Emma Evrard, Rogelio A Rodriguez-Gonzalez, Jacopo Marchi and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Review
  3. Towards modeling phage therapy.PLoS computational biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Phage-Based Approaches to ChronicAntibiotics (Basel, Switzerland) · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Phage therapy againstFrontiers in microbiology · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Multi-strain phage induced clearance of bacterial infections.bioRxiv : the preprint server for biology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Sophia Zborowsky *Institut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.ORCID http://orcid.org/0000-0002-4899-3975
Jérémy Seurat *Institut de Biologie, Ecole Normale Supérieure, Paris, France.ORCID http://orcid.org/0000-0002-8127-7751
Quentin BalacheffInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.
Solène EcomardInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.ORCID http://orcid.org/0009-0007-9316-9671
Céline MuletInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.
Chau Nguyen Ngoc MinhInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.ORCID http://orcid.org/0009-0003-2180-864X
Marie TitécatUniversité de Lille, INSERM, CHU Lille, U1286-INFINITE-Institute for Translational Research in Inflammation, Lille, France.ORCID http://orcid.org/0000-0002-5860-0936
Emma EvrardInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France.
Rogelio A Rodriguez-GonzalezSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA.
Jacopo MarchiSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA.
Joshua S WeitzInstitut de Biologie, Ecole Normale Supérieure, Paris, France. jsweitz@umd.edu.ORCID http://orcid.org/0000-0002-3433-8312
Laurent DebarbieuxInstitut Pasteur, Université Paris Cité, CNRS UMR6047, Bacteriophage Bacterium Host, Paris, France. laurent.debarbieux@pasteur.fr.ORCID http://orcid.org/0000-0001-6875-5758

Funding

Synergistic control of acute respiratory pathogens by bacteriophage and the innate immune responseR01AI146592 · NIAID · UNIV OF MARYLAND, COLLEGE PARK · PI DEBARBIEUX, LAURENT, WEITZ, JOSHUA · 2019 to 2023
$2.4M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) 1R01AI146592NIAID NIH HHS R01 AI146592
6 · The paper itself

Abstract

The rise of antimicrobial resistance leads to renewed interest in evaluating phage therapy. In murine models highly effective treatment of acute pneumonia caused by Pseudomonas aeruginosa relies on the synergistic antibacterial activity of bacteriophages with neutrophils. Here, we show that depletion of alveolar macrophages (AM) shortens the survival of adult male mice without boosting the P. aeruginosa load in the lungs. Unexpectedly, upon bacteriophage treatment, pulmonary levels of P. aeruginosa are significantly lower in AM-depleted than in immunocompetent mice. To explore potential mechanisms underlying the benefit of AM-depletion in treated mice, we develop a mathematical model of bacteriophage, bacteria, and innate immune system dynamics. Simulations from the model fitted to data suggest that AM reduce bacteriophage density in the lungs. We experimentally confirm that the in vivo decay of bacteriophage is faster in immunocompetent compared to AM-depleted animals and that AM phagocytize therapeutic bacteriophage. These findings demonstrate the involvement of feedback between bacteriophage, bacteria, and the immune system in shaping the outcomes of phage therapy in clinical settings.

Indexed as

BacteriophagesLungMacrophages, AlveolarPhage TherapyPneumonia, BacterialPseudomonas aeruginosaPseudomonas InfectionsPseudomonas PhagesAnimalsDisease Models, AnimalImmunity, InnateMaleMiceMice, Inbred C57BLNeutrophilsPhagocytosis

Identifiers

PMID40595615
PMCPMC12219145

What OpenQuestion holds

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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.