Abstract
Chronic wounds infected by Pseudomonas aeruginosa (Pa) are characterized by disease progression and increased mortality. We reveal Pf, a bacteriophage produced by Pa that delays healing of chronically infected wounds in human subjects and animal models of disease. Interestingly, impairment of wound closure by Pf is independent of its effects on Pa pathogenesis. Rather, Pf impedes keratinocyte migration, which is essential for wound healing, through direct inhibition of CXCL1 signaling. In support of these findings, a prospective cohort study of 36 human patients with chronic Pa wound infections reveals that wounds infected with Pf-positive strains of Pa are more likely to progress in size compared with wounds infected with Pf-negative strains. Together, these data implicate Pf phage in the delayed wound healing associated with Pa infection through direct manipulation of mammalian cells. These findings suggest Pf may have potential as a biomarker and therapeutic target in chronic wounds.
| Original language | English |
|---|---|
| Article number | 100656 |
| Journal | Cell Reports Medicine |
| Volume | 3 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 21 2022 |
Funding
M.S.B. was supported by the Stanford Bio-X Fellowship. C.R.d.V. was supported by grant T32 AI007502 , Doris Duke Physician Scientist Fellowship, and K08AI151089 . A.K. was supported by grant T32 AI007502 . J.M.S. was supported by the Gabilan Stanford Graduate Fellowship for Science and Engineering and the Lubert Stryer Bio-X Stanford Interdisciplinary Graduate Fellowship. M.H. was supported by funding from NIH grant 1K99EB028838-01A1 . P.L.B. was supported by grants R21AI133370 , R21AI133240 , and R01AI12492093 , and grants from Stanford SPARK , the Falk Medical Research Trust , and the Cystic Fibrosis Foundation (CFF).
| Funder number |
|---|
| R01AI12492093, 1K99EB028838-01A1, R21AI133240 |
| R21AI133370 |
Keywords
- Pf
- Pseudomonas
- bacteriophage
- filamentous phage
- immunology
- microbiology
- wounds