Evidence map›Paper›PMID 42792020›Full record

ArticleAntibiotics (Basel, Switzerland)2026

Rational Design of a Phage Cocktail for Effective Control of Multidrug-Resistant Uropathogenic

Patiphan Khunti, Panupon Mongkolkarvin, Songphon Buddhasiri, Joe Pogliano, Poochit Nonejuie, Parameth Thiennimitr, Vorrapon Chaikeeratisak

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Article in Antibiotics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Patiphan KhuntiDepartment of Biochemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand.
Panupon MongkolkarvinDepartment of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Songphon BuddhasiriVeterinary Public Health and Food Safety Centre for Asia Pacific, Faculty of Veterinary Medicine, Chiang Mai University, Chiang Mai 50100, Thailand.ORCID 0000-0002-6749-7694
Joe PoglianoDepartment of Molecular Biology, University of California San Diego, La Jolla, CA 92093, USA.
Poochit NonejuieInstitute of Molecular Biosciences, Mahidol University, Nakhon Pathom 73170, Thailand.
Parameth ThiennimitrDepartment of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.ORCID 0000-0002-6339-8744
Vorrapon ChaikeeratisakDepartment of Biochemistry, Faculty of Science, Chulalongkorn University, Bangkok 10330, Thailand.ORCID 0000-0003-2793-5394

Funding

90th Anniversary of Chulalongkorn University through Rachadapisek Sompote FundFaculty of Medicine, Chiang Mai University 126-2564 and 132-2567International Research Partnership (IRP) Fund, Faculty of Science, Chulalongkorn UniversityNational Research Council of Thailand N42A680257Second Century Fund (C2F), Chulalongkorn UniversityThailand Science Research and Innovation HEA_FF_69_102_2300_026
6 · The paper itself

Abstract

backgroundThe emergence of multidrug-resistant (MDR) uropathogenic

methodsHere, we identified clinical MDR-UPEC strains AT82 and AT84 collected from hospitalized patients that display extensive antimicrobial resistance at both genetic and phenotypic levels. Due to their high resistance profile, we systematically customized a phage cocktail from our coliphage library using hierarchical clustering based on host specificity and candidate selection through bacterial suppression profiles.

resultsThis pipeline yielded four lytic coliphages, designated Phi25-4, Phi25-6, Phi50-4, and Killian. Their genomes are relatively large ranging from 112-169 kbp and cluster into two distinct lineages comprising two closely related groups: Phi25-4/Phi50-4 and Phi25-6/Killian. Although each phage exhibited potent antibacterial activity, none alone sustained bacterial suppression during prolonged treatment. To overcome this limitation, we systematically compared the antibacterial activity of all possible phage combinations.

conclusionsThe four-phage cocktail outperformed all two- or three-phage formulations, sustaining significant growth inhibition of AT82 and AT84 for up to 16 h and reducing area under the curve by more than 80% relative to controls. Cocktail potency was dose-dependent, with lower phage doses yielding the least viable cells at 48 h. Additionally, this cocktail exerted prophylactic action, significantly reducing UPEC invasion by several orders of magnitude, while the phage cocktail alone induced minimal proinflammatory cytokine responses in human bladder epithelium. Together, these findings provide an effective phage cocktail and a complementary framework for cocktail design against urinary tract infections caused by MDR bacteria.

Indexed as

bacteriophageMDRMDR-UPECphagephage therapyUPEC

Identifiers

PMID42792020
PMCPMC13603250

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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.