BACTERIOPHAGE COMPOSITIONS FOR TREATING STAPHYLOCOCCUS INFECTION
The present disclosure relates to bacteriophages and compositions capable of infecting and killing Staphylococcus , and use of the same for treating Staphylococcus , e.g. Staphylococcus aureus , bacterial infections.
1 . An isolated, purified bacteriophage comprising a polynucleotide sequence of SEQ ID NO: 1.
2 . An isolated, purified bacteriophage comprising a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1.
3 . An isolated, purified bacteriophage comprising a polynucleotide sequence of SEQ ID NO: 2.
4 . An isolated, purified bacteriophage comprising a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
5 . The bacteriophage of claim 1 , wherein the bacteriophage is resistant to blood complement inactivation.
6 . A bacteriophage composition comprising one or more bacteriophage selected from a bacteriophage comprising a polynucleotide sequence of SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
7 . The bacteriophage composition of claim 6 , comprising two or more of the bacteriophage selected from the bacteriophage comprising a polynucleotide sequence of SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2; and wherein the composition's target bacteria range is more effective than the sum of the efficacy of individual bacteriophages in the composition.
8 . The bacteriophage composition of claim 6 , wherein the bacteriophage infect and kill Staphylococcus aureus.
9 . The bacteriophage composition of claim 6 , further comprising a storage media for storage at a temperature at or below 8° C.
10 . The bacteriophage composition of claim 6 , wherein the bacteriophage is resistant to blood complement inactivation.
11 . The bacteriophage composition of claim 6 , wherein the one or more bacteriophage belong to the genus Silviavirus.
12 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1.
13 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising the polynucleotide sequence of SEQ ID NO: 1.
14 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
15 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising the polynucleotide sequence of SEQ ID NO: 2.
16 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1 and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
17 . The composition of claim 6 , wherein the composition comprises a bacteriophage comprising the polynucleotide sequence of SEQ ID NO: 1 and a bacteriophage having a genome comprising the polynucleotide sequence of SEQ ID NO: 2.
18 . The bacteriophage composition of claim 6 , wherein the composition is substantially free of a bacterial component.
19 . The composition of claim 18 , wherein the bacterial component comprises bacterial host protein.
20 . The composition of claim 6 , wherein the composition further comprises a pharmaceutically acceptable carrier, diluent, excipient or combinations thereof.
21 . The composition of claim 6 , wherein the composition is a liquid, semi-liquid, solid, frozen, or lyophilized formulation.
22 . The composition of claim 6 , wherein the bacteriophages of the composition target one or more of vancomycin-intermediate Staphylococcus aureus (VISA), vancomycin-resistant Staphylococcus aureus (VRSA), methicillin-resistant (MRSA) Staphylococcus aureus.
23 . The composition of claim 22 , wherein the bacteriophages infect and kill one or more of vancomycin-intermediate Staphylococcus aureus (VISA), vancomycin-resistant Staphylococcus aureus (VRSA), methicillin-resistant Staphylococcus aureus (MRSA).
24 . The composition of claim 6 , wherein the composition comprises between 1×10 8 and 1×10 11 PFU of each bacteriophage.
25 . The composition of claim 6 , wherein the composition is to be administered at a dosage of at least 1×10 9 PFU of total bacteriophages per milliliter.
26 . The composition of claim 6 , wherein the composition is stored at 2-8° C.
27 . The composition of claim 6 , wherein at least one bacteriophage is obligately lytic.
28 . The bacteriophage or composition of claim 6 , wherein the sequence of at least one bacteriophage is genetically modified.
29 . A method of treating a bacterial infection comprising administering the bacteriophage or composition of claim 6 to a subject in need of treatment.
30 . Use of a composition according to claim 6 in the treatment of a S. aureus infection in a subject, the use comprising administering the composition to a subject suffering from a S. aureus infection.
31 . Use of a composition comprising one or more distinct bacteriophages that target Staphylococcus aureus in the treatment of a subject with a Staphylococcus aureus bacterial infection comprising administering the composition to said subject; wherein at least one of said one or more bacteriophages is selected from a bacteriophage comprising a polynucleotide sequence of SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
32 . The use of claim 31 , wherein the bacteriophage is resistant to blood complement inactivation.
33 . A bacterial host manufacturing strain comprising a bacteriophage wherein said bacteriophage comprises a polynucleotide sequence selected from SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
34 . A method of treating a subject with a bacterial infection comprising selecting a bacteriophage based upon resistance to blood complement inactivation and administering said bacteriophage to the subject.
35 . The method of claim 34 , comprising selecting a bacteriophage based upon resistance to complement C3 protein-mediated inactivation.
36 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence selected from SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
37 . A method of treating a subject with a bacterial infection comprising administering to the subject one or more distinct bacteriophages selected from a bacteriophage comprising a polynucleotide sequence selected from SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
38 . The method of claim 37 , wherein the bacterial infection is at least partially due to Staphylococcus aureus.
39 . The method of claim 38 , wherein the one or more distinct bacteriophages infect and kill Staphylococcus aureus.
40 . A method of modifying the microbial flora in a subject comprising administering to said subject at least one bacteriophage that targets Staphylococcus aureus bacteria, wherein said bacteriophage comprises a polynucleotide sequence selected from SEQ ID NO: 1, SEQ ID NO: 2, a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1, and a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
41 . The method of claim 37 , wherein the bacteriophage is resistant to blood complement inactivation.
42 . The method of claim 37 , wherein the one or more phage are selected based upon resistance to complement C3 protein-mediated inactivation.
43 . The method of claim 37 , wherein the distinct bacteriophage belongs to the genus Silviavirus.
44 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1.
45 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence of SEQ ID NO: 1.
46 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
47 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence of SEQ ID NO: 2.
48 . The method of claim 34 , wherein the bacteriophage comprises a polynucleotide sequence with at least 90% identity to SEQ ID NO: 1 and a bacteriophage comprises a polynucleotide sequence with at least 90% identity to SEQ ID NO: 2.
49 . The method of claim 34 , wherein the method comprises administering a bacteriophage comprising the polynucleotide sequence of SEQ ID NO: 1 and a bacteriophage comprising the polynucleotide sequence of SEQ ID NO: 2.
50 . The method of claim 34 , wherein at least about 80% of bacteriophages retain lytic activity after exposure to human plasma for a time period between about 10 minutes and about 120 minutes.
51 . The method of claim 50 , wherein the time period is between about 10 minutes and about 90 minutes.
52 . The method of claim 34 , wherein the bacterial infection comprises a pulmonary infection, rhinosinusitis, urinary tract infection, intra-abdominal infection, skin infection, skin structure infection, bacteremia, septicemia, endocarditis, or an implant infection.
53 . The method of claim 52 , wherein the implant infection comprises a cardiac implant infection (e.g., ventricular assist device infection, pacemaker infection), prosthetic joint infection, or prosthetic valve endocarditis.
54 . The method of claim 34 , wherein the bacterial infection is bacteremia.
55 . The method of claim 34 , wherein the bacterial infection is resistant to an antibiotic.
56 . The method of claim 34 , wherein the bacteriophages are administered at 1×10 8 to 1×10 11 plaque forming units (PFU) of total bacteriophages.
57 . The method of claim 34 , wherein the bacteriophages are administered at between 1×10 1 and 1×10 11 PFU of each bacteriophage.
58 . The method of claim 34 , wherein the bacteriophage is administered in a dosage of one milliliter comprising 2×10 9 PFU total bacteriophage.
59 . The method of claim 34 , wherein the method further comprises administration of an antibiotic.
60 . The method of claim 59 , wherein the antibiotic is from an antibiotic class selected from the group consisting of a fluoroquinolone, carbapenem, aminoglycoside, ansamycin, cephalosporin, penicillin, beta lactam, beta lactamase inhibitor, folate pathway inhibitor, fucidane, glycopeptide, glycylcycline, lincosamide, lipopeptide, macrolide, oxazolidinone, phenicol phosphonic acid, streptogramin, and tetracycline.
61 . The method of claim 34 , wherein the bacteriophage is administered intravenously.
62 . The method of claim 34 , wherein the bacteriophage is administered via intra-articular injection.
63 . The method of claim 34 , wherein the bacteriophage is administered via inhalation.
64 . The method of claim 34 , wherein the bacteriophage is administered via nebulization.
65 . The method of claim 34 , wherein the bacteriophage is administered at least every 6 hours.
66 . The method of claim 34 , wherein the bacteriophage is administered at least every 12 hours.
67 . The method of claim 34 , wherein the bacteriophage is administered at least every 24 hours.
68 . The method of claim 34 , wherein the bacteriophage is administered for at least 7 days.
69 . The method of claim 34 , wherein the subject is human.
70 . The bacteriophage of claim 3 , wherein the bacteriophage is resistant to blood complement inactivation.