Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy

Abstract Despite much promise in overcoming drug-resistant infections, clinical studies of bacteriophage antibacterial therapy have failed to show durable effectiveness. Although lysogeny plays an important role in bacterial physiology, its significance in diverse microbiomes remains unclear. Here,...

Full description

Saved in:
Bibliographic Details
Main Authors: Mahmood Almosuli, Anna Kirtava, Archil Chkhotua, Lia Tsveniashvili, Nina Chanishvili, Sumaiya Safia Irfan, Emily Ng, Hope McIntyre, Adam J. Hockenberry, Robyn P. Araujo, Weidong Zhou, Ngoc Vuong, Barbara Birkaya, Lance Liotta, Alessandra Luchini
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Communications Biology
Online Access:https://doi.org/10.1038/s42003-025-07598-8
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861735989182464
author Mahmood Almosuli
Anna Kirtava
Archil Chkhotua
Lia Tsveniashvili
Nina Chanishvili
Sumaiya Safia Irfan
Emily Ng
Hope McIntyre
Adam J. Hockenberry
Robyn P. Araujo
Weidong Zhou
Ngoc Vuong
Barbara Birkaya
Lance Liotta
Alessandra Luchini
author_facet Mahmood Almosuli
Anna Kirtava
Archil Chkhotua
Lia Tsveniashvili
Nina Chanishvili
Sumaiya Safia Irfan
Emily Ng
Hope McIntyre
Adam J. Hockenberry
Robyn P. Araujo
Weidong Zhou
Ngoc Vuong
Barbara Birkaya
Lance Liotta
Alessandra Luchini
author_sort Mahmood Almosuli
collection DOAJ
description Abstract Despite much promise in overcoming drug-resistant infections, clinical studies of bacteriophage antibacterial therapy have failed to show durable effectiveness. Although lysogeny plays an important role in bacterial physiology, its significance in diverse microbiomes remains unclear. Here, we tested the following hypotheses: 1) urinary microbiome phage populations switch to a higher relative proportion of temperate phages, and 2) the activity of the phage recombination machinery (integration/excision/transposition) is higher during human urinary tract infections (UTIs) than in non-infected urinary tracts. Using human urine, model organisms, mass spectrometry, gene expression analysis, and the phage phenotype prediction model BACPHLIP, the results corroborated our hypotheses at the functional protein and gene levels. From a human health perspective, these data suggest that temperate phages may facilitate bacterial infections rather than function as protective agents. These findings support the use of lysogenic phages as therapeutic Trojan Horses.
format Article
id doaj-art-83a1123e10c04c19bde66bc13ddf4a45
institution Kabale University
issn 2399-3642
language English
publishDate 2025-02-01
publisher Nature Portfolio
record_format Article
series Communications Biology
spelling doaj-art-83a1123e10c04c19bde66bc13ddf4a452025-02-09T12:50:27ZengNature PortfolioCommunications Biology2399-36422025-02-018111310.1038/s42003-025-07598-8Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapyMahmood Almosuli0Anna Kirtava1Archil Chkhotua2Lia Tsveniashvili3Nina Chanishvili4Sumaiya Safia Irfan5Emily Ng6Hope McIntyre7Adam J. Hockenberry8Robyn P. Araujo9Weidong Zhou10Ngoc Vuong11Barbara Birkaya12Lance Liotta13Alessandra Luchini14George Mason UniversityIConsilium Second Medical Opinion, New York CityThe University of GeorgiaIConsilium Second Medical Opinion, New York CityEliava Institute of Bacteriophage, Microbiology & VirologyGeorge Mason UniversityGeorge Mason UniversityLyme Hope, LLCTempus LabsThe University of MelbourneGeorge Mason UniversityGeorge Mason UniversityGeorge Mason UniversityGeorge Mason UniversityGeorge Mason UniversityAbstract Despite much promise in overcoming drug-resistant infections, clinical studies of bacteriophage antibacterial therapy have failed to show durable effectiveness. Although lysogeny plays an important role in bacterial physiology, its significance in diverse microbiomes remains unclear. Here, we tested the following hypotheses: 1) urinary microbiome phage populations switch to a higher relative proportion of temperate phages, and 2) the activity of the phage recombination machinery (integration/excision/transposition) is higher during human urinary tract infections (UTIs) than in non-infected urinary tracts. Using human urine, model organisms, mass spectrometry, gene expression analysis, and the phage phenotype prediction model BACPHLIP, the results corroborated our hypotheses at the functional protein and gene levels. From a human health perspective, these data suggest that temperate phages may facilitate bacterial infections rather than function as protective agents. These findings support the use of lysogenic phages as therapeutic Trojan Horses.https://doi.org/10.1038/s42003-025-07598-8
spellingShingle Mahmood Almosuli
Anna Kirtava
Archil Chkhotua
Lia Tsveniashvili
Nina Chanishvili
Sumaiya Safia Irfan
Emily Ng
Hope McIntyre
Adam J. Hockenberry
Robyn P. Araujo
Weidong Zhou
Ngoc Vuong
Barbara Birkaya
Lance Liotta
Alessandra Luchini
Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
Communications Biology
title Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
title_full Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
title_fullStr Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
title_full_unstemmed Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
title_short Urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
title_sort urinary bacteriophage cooperation with bacterial pathogens during human urinary tract infections supports lysogenic phage therapy
url https://doi.org/10.1038/s42003-025-07598-8
work_keys_str_mv AT mahmoodalmosuli urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT annakirtava urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT archilchkhotua urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT liatsveniashvili urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT ninachanishvili urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT sumaiyasafiairfan urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT emilyng urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT hopemcintyre urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT adamjhockenberry urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT robynparaujo urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT weidongzhou urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT ngocvuong urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT barbarabirkaya urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT lanceliotta urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy
AT alessandraluchini urinarybacteriophagecooperationwithbacterialpathogensduringhumanurinarytractinfectionssupportslysogenicphagetherapy