Development of Host Immune Response to Bacteriophage in a Lung Transplant Recipient on Adjunctive Phage Therapy for a Multidrug-Resistant Pneumonia

Author:

Dan Jennifer M12ORCID,Lehman Susan M3,Al-kolla Rita1,Penziner Samuel2,Afshar Kamyar4,Yung Gordon4,Golts Eugene5,Law Nancy2,Logan Cathy2,Kovach Zsuzsanna6,Mearns Gill6,Schooley Robert T2,Aslam Saima2,Crotty Shane12

Affiliation:

1. Center for Infectious Diseases and Vaccine Research, La Jolla Institute for Immunology , La Jolla, California , USA

2. Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California , San Diego, La Jolla, California , USA

3. AmpliPhi Biosciences , San Diego, California , USA

4. Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of California , San Diego, La Jolla, California , USA

5. Department of Surgery. Division of Cardiovascular and Thoracic Surgery, University of California , San Diego, La Jolla, California , USA

6. AmpliPhi Australia , Sydney , Australia

Abstract

Abstract Bacteriophage therapy is the use of viruses to kill bacteria for the treatment of antibiotic-resistant infections. Little is known about the human immune response following phage therapy. We report the development of phage-specific CD4+ T cells alongside rising phage-specific immunoglobulin G and neutralizing antibodies in response to adjunctive bacteriophage therapy used to treat a multidrug-resistant Pseudomonas aeruginosa pneumonia in a lung transplant recipient. Clinically, treatment was considered a success despite the development phage-specific immune responses.

Funder

National Institute of Allergy and Infectious Diseases

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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