Evidence map›Paper›PMID 41022989›Full record

ArticleScientific reports2025

A case report of bacteriophage therapy for the treatment of lung infection due to carbapenem-resistant Pseudomonas aeruginosa.

Yongqing Yang, Xin Tan, Min Xiong, Ziqiang Liu, Shitong Lu, Haojie Ge, Ruyue Gao, Jieqiong Zhang, Xiangying Luo, Caiyun Zhou and 7 more

Abstract readCase Reports
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Lipopolysaccharide-targeting treatments for multidrug-resistantExpert opinion on therapeutic targets · 2026
    Review
  5. Review
  6. 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

17 authors.

Yongqing Yang *State Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Xin Tan *State Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China. xin.tan@siat.ac.cn.
Min Xiong *Department of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Ziqiang LiuState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Shitong LuState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Haojie GeState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Ruyue GaoState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Jieqiong ZhangState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Xiangying LuoDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Caiyun ZhouDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Shujiang WeiDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Xunmei DingDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Yu-E ZhouDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China.
Ning ZhouDepartment of Clinical Laboratory, Southern University of Science and Technology Hospital, Shenzhen, China.
Jialin YuDepartment of Neonatology, Southern University of Science and Technology Hospital, Shenzhen, China.
Yingfei MaState Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China. yingfei.ma@siat.ac.cn.
Yongjun PanDepartment of Critical Care Medicine, Southern University of Science and Technology Hospital, Shenzhen, China. panyongjun@sustech-hospital.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, with the increasing global antimicrobial resistance, bacteriophage therapy has emerged as one of the most promising alternatives to antibiotics. Numerous studies have reported the effectiveness and safety of phage therapy in treating multidrug-resistant bacterial infections. However, there is limited research on the relationship between the emergence of phage-resistant strains and clinical outcomes. In this study, we applied phage nebulization therapy to a patient with carbapenem-resistant Pseudomonas aeruginosa lung infection. After 8 weeks of treatment with P. aeruginosa phages, the patient's sputum bacterial load decreased, overall inflammatory markers decreased, and lung effusion significantly reduced despite isolation of phage-resistant strains. Whole-genome sequencing of resistant isolates, coupled with Galleria mellonella larvae infection modeling, revealed a trade-off effect, demonstrating attenuated virulence associated with phage resistance. This finding underscores the potential for phage therapy to achieve positive clinical outcomes even in the face of resistance development, highlighting the need for a nuanced understanding of phage-bacteria coevolution in clinical settings.

Indexed as

CarbapenemsPhage TherapyPseudomonas aeruginosaPseudomonas InfectionsPseudomonas PhagesAged, 80 and overAnimalsAnti-Bacterial AgentsBacteriophagesDrug Resistance, Multiple, BacterialHumansMaleAnti-Bacterial AgentsCarbapenemsBacteriophage therapyLung infectionMultidrug-resistant bacteriaPseudomonas aeruginosa

Identifiers

PMID41022989
PMCPMC12480670

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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.