Evolutionary biology and development model of medicines: A necessary ‘pas de deux’ for future successful bacteriophage therapy
FROISSART, Rémy
Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle [MIVEGEC]
Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle [MIVEGEC]
FROISSART, Rémy
Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle [MIVEGEC]
< Reduce
Maladies infectieuses et vecteurs : écologie, génétique, évolution et contrôle [MIVEGEC]
Language
en
Article de revue
This item was published in
Journal of Evolutionary Biology. 2021-07-19, vol. 34, n° 12, p. 1855-1866
Wiley
English Abstract
The increase in frequency of multidrug-resistant bacteria worldwide is largely the result of the massive use of antibiotics in the second half of the 20th century. These relatively recent changes in human societies revealed ...Read more >
The increase in frequency of multidrug-resistant bacteria worldwide is largely the result of the massive use of antibiotics in the second half of the 20th century. These relatively recent changes in human societies revealed the great evolutionary capacities of bacteria towards drug resistance. In this article, we hypothesize that the success of future antibacterial strategies lies in taking into account both these evolutionary processes and the way human activities influence them. Faced with the increasing prevalence of multidrug-resistant bacteria and the scarcity of new antibacterial chemical molecules, the use of bacteriophages is considered as a complementary and/or alternative therapy. After presenting the evolutionary capacities of bacteriophages and bacteria, we show how the development model currently envisaged (based on the classification of bacteriophages as medicinal products similar to antibacterial chemical molecules) ignores the evolutionary processes inherent in bacteriophage therapy. This categorization imposes to bacteriophage therapy a specific conception of what a treatment and a therapeutic scheme should be as well as its mode of production and prescription. We argue that a new development model is needed that would allow the use of therapeutic bacteriophages fully adapted (after in vitro ‘bacteriophage training’) to the aetiologic bacteria and/or aimed at rendering bacteria either avirulent or antibiotic-susceptible (‘bacteriophage steering’). To not repeat the mistakes made with antibiotics, we must now think about and learn from the ways in which the materialities of microbes (e.g. evolutionary capacities of both bacteriophages and bacteria) are intertwined with those of societies.Read less <
English Keywords
antimicrobial resistance
co-evolution
development model
diversity
drug
multi-disciplinary approach
selective cost of resistance
therapeutic bacteriophage
antibiotic
ANR Project
Des virus pour soigner: le difficile développement d'une innovation biomédicale contre-intuitive - ANR-18-CE36-0001
Origin
Hal imported