Safety analysis of a Russian phage cocktail: from metagenomic analysis to oral application in healthy human subjects.

S. McCallin,Shafiqul Alam Sarker,C. Barretto,S. Sultana,B. Berger,Sayeda Huq,L. Krause,R. Bibiloni,Bertrand Schmitt,G. Reuteler,H. Brüssow

Published 2013 in Virology

ABSTRACT

Phage therapy has a long tradition in Eastern Europe, where preparations are comprised of complex phage cocktails whose compositions have not been described. We investigated the composition of a phage cocktail from the Russian pharmaceutical company Microgen targeting Escherichia coli/Proteus infections. Electron microscopy identified six phage types, with numerically T7-like phages dominating over T4-like phages. A metagenomic approach using taxonomical classification, reference mapping and de novo assembly identified 18 distinct phage types, including 7 genera of Podoviridae, 2 established and 2 proposed genera of Myoviridae, and 2 genera of Siphoviridae. De novo assembly yielded 7 contigs greater than 30 kb, including a 147-kb Myovirus genome and a 42-kb genome of a potentially new phage. Bioinformatic analysis did not reveal undesired genes and a small human volunteer trial did not associate adverse effects with oral phage exposure.

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