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Phage-steering permits antibody-mediated clearance of E. coli K1 from the gut - PubMed

5 hours ago
  • #vaccination
  • #E. coli K1
  • #phage therapy
  • Phage-steering combined with antibody-mediated clearance can eliminate E. coli K1 from the gut.
  • E. coli K1 is a major cause of neonatal sepsis and meningitis, residing in the gut microbiota of healthy adults.
  • K1-specific bacteriophages drive the evolution of capsule-less mutants, exposing O-antigens for immune targeting.
  • Vaccine-induced intestinal IgA targets these mutants, allowing probiotic E. coli Nissle to outcompete them.
  • In a murine model, combining vaccination and phage therapy protected 77% of pups from E. coli K1 transmission.
  • This approach shows promise for eliminating infectious reservoirs but faces challenges due to E. coli diversity.