A149 LYTIC PHAGE REDUCES COLITIS SEVERITY IN MICE COLONIZED WITH IBD-ASSOCIATED <i>E. COLI</i> NRG857C
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Résumé
Abstract Background Current therapies for inflammatory bowel disease (IBD) suppress inflammation rather than inhibiting the underlying drivers. Treatment failures can lead to dose escalation and risk of adverse effects. Bacteria with pathogenic potential, like adherent-invasive Escherichia coli (AIEC), have been postulated as one possible microbial driver in Crohn’s disease (CD), however, targeting these bacteria with precision in IBD remains challenging. Most antibiotics have broad-spectrum activity and disturb the background microbiome, which may exacerbate inflammation. Aims We aimed to assess whether and how bacteriophage, specific for a CD-associated bacterium, improves colitis severity in gnotobiotic mouse models. Methods Adult germ-free C57BL/6 mice were colonized with altered Schaedler-flora (ASF) and E. coli NRG857c (NRG), a CD-associated isolate. After 3 weeks, mice were treated with an NRG-specific lytic phage (1x109 PFU/dose; daily or TIW) or vehicle (PBS) for 2 weeks (n=6/group) and then exposed to 1 cycle of dextran sulfate sodium (2%; DSS) in drinking water. Additional PBS-treated mice (n=6) not exposed to DSS served as controls. Phage treatment was also tested in a spontaneous model of colitis using C57BL/6NTac-Il10em8Tac (IL-10-/-) mice, treated weekly with phage. In both models, mice were monitored daily for weight, stool consistency, and occult blood. Fecal contents were cultured to determine bacterial load, and the expression of NRG fimS was quantified using qPCR as an assessment of bacterial virulence. At endpoint, colon tissues were collected for histological and immunohistochemistry analysis to quantify colitis severity and NRG infiltration, respectively. Results In ASF and NRG colonized mice, phage treatment reduced clinical symptoms (p&lt; 0.001, p&lt;0.001) and histological scores (p&lt; 0.0001, p&lt; 0.001) of chemical and spontaneous colitis respectively. A1-log reduction in NRG bacterial load was observed in phage-treated mice (p&lt; 0.001), and reisolated NRG exhibited a reduced FimS ON/OFF ratio (p-value &lt; 0.01). Immunohistochemistry revealed reduced infiltration of NRG into the lamina propria following phage treatment, with greater accumulation in the epithelium. Conclusions Our results demonstrate that lytic phage targeting a CD-associated bacterium attenuates colitis in two gnotobiotic mouse models. Whereas this model did not lead to complete eradication of the disease-driving agent, phage treatment was associated with a reduction in a known AIEC virulence factor, attenuating colitis severity. The data suggest alternative mechanisms should be considered when translating phage therapy to treat IBD in clinical trials. Funding Agencies CIHRFarncombe Innovation Fund
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle