2022
DOI: 10.3389/fmicb.2022.910364
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Editorial: Evolution of Multidrug-Resistant Clinically Important Bacteria and Fungi

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Cited by 3 publications
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“…Limitations of microbiome phage therapies remain, however. While bacterial resistance can be reduced by careful selection of therapeutic phage combinations, we know from long experience with small-molecule antibiotics that bacteria can rapidly evolve strategies to overcome even the most carefully designed, mechanistically overlapping therapies [ 107 ]. While few data exist in microbiomes, experience in complex macroscopic ecosystems suggests a real risk of unintended consequences produced by introduction or translocation of predators (the approximate equivalent of lytic phages in microbiomes), and suggest that suppression, rather than eradication, may sustain desired function with fewer long-term risks [ 108 ].…”
Section: Targeted Microbiome Therapeutics: Opportunities and Challengesmentioning
confidence: 99%
“…Limitations of microbiome phage therapies remain, however. While bacterial resistance can be reduced by careful selection of therapeutic phage combinations, we know from long experience with small-molecule antibiotics that bacteria can rapidly evolve strategies to overcome even the most carefully designed, mechanistically overlapping therapies [ 107 ]. While few data exist in microbiomes, experience in complex macroscopic ecosystems suggests a real risk of unintended consequences produced by introduction or translocation of predators (the approximate equivalent of lytic phages in microbiomes), and suggest that suppression, rather than eradication, may sustain desired function with fewer long-term risks [ 108 ].…”
Section: Targeted Microbiome Therapeutics: Opportunities and Challengesmentioning
confidence: 99%