Phage therapy for hidradenitis suppurativa: a unique challenge and possible opportunity for personalized treatment of a complex, inflammatory disease

Author:

Bens Lene1ORCID,Green Sabrina I1ORCID,Jansen Daan2ORCID,Hillary Tom3ORCID,Vanhoutvin Tine3,Matthijnssens Jelle2ORCID,Sabino João4ORCID,Vermeire Séverine4,Van Laethem An3,Wagemans Jeroen1ORCID,Lavigne Rob1ORCID

Affiliation:

1. Departments of Biosystems

2. Microbiology, Immunology and Transplantation, Rega Institute , KU Leuven Belgium

3. Departments of Dermatology

4. Gastroenterology and Hepatology , UZ Leuven, Leuven , Belgium

Abstract

Abstract Phage therapy is an emerging antimicrobial treatment for critical multidrug-resistant pathogens. In this review, the specific potential and challenges of phage therapy for patients with hidradenitis suppurativa (HS) are discussed. This represents a unique challenge as HS is a chronic inflammatory disease, but presenting with acute exacerbations, which have an enormous negative impact on patient’s quality of life. The therapeutic arsenal for HS has expanded in the past decade, for example, with adalimumab and several other biologicals that are currently under investigation. However, treatment of HS remains challenging for dermatologists because there are individuals who do not respond to any classes of the current treatment options when used for a first or second time. Furthermore, after several courses of treatment, a patient may lose their response to therapy, meaning long-term use is not always an option. Culturing studies and 16S ribosomal RNA profiling highlight the complex polymicrobial nature of HS lesions. Despite the detection of various bacterial species in lesion samples, several key pathogens, including Staphylococcus, Corynebacterium and Streptococcus, may be potential targets for phage therapy. Using phage therapy for the treatment of a chronic inflammatory disease could potentially provide new insights into the role of bacteria and the immune system in HS development. In addition, it is possible more details on the immunomodulatory effects of phages may come to light.

Publisher

Oxford University Press (OUP)

Subject

Dermatology

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