Current and future directions in bacteriophage research for developing therapeutic innovations
Open accessAbstract
Phages are gaining attention for their ability to target drug-resistant bacteria, disrupt biofilms, and reach intracellular pathogens, offering promising alternatives to traditional antibiotics. The Collection discusses advances in phage therapy, including their application in vaccine development, cancer immunotherapy, and gene delivery systems. Key research gaps are identified, such as challenges related to phage stability, immune response, and regulatory hurdles. Despite the progress, phage therapy faces obstacles in maintaining phage viability, evading immune detection, and navigating complex regulatory frameworks. The articles collectively address these challenges and propose potential solutions to enhance the effectiveness and acceptance of phage-based treatments. By overcoming these barriers, bacteriophage research has the potential to revolutionize medical therapies, providing innovative approaches to some of the most pressing healthcare challenges today.
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Phages can eliminate cancer-associated bacteria.
“Phages can eliminate cancer-associated bacteria, remodel the tumor microenvironment, enhance antitumor immunity, and deliver targeted therapeutic payloads.”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [62]
The Abstract (page unavailable) says phages infect and lyse bacteria, supporting the general antibacterial part of the claim. Its cancer-therapy discussion instead concerns targeting cancer cells; it does not say that phages eliminate cancer-associated bacteria. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPhages enable highly selective removal of cancer-associated bacteria within the gut or tumor niche, avoiding broad collateral damage to commensal communities associated with conventional antibiotics.
“In parallel, phages enable highly selective removal of cancer-associated bacteria within the gut or tumor niche (Table 1), avoiding the broad collateral damage to commensal communities associated with conventional antibiotics [15,17,20,62,63]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [62]
The Abstract says phages can target and lyse bacteria and describes efforts to improve their specificity. Its cancer discussion concerns targeting cancer cells, not removing cancer-associated bacteria from the gut or tumor niche; it also does not say phages spare commensal communities compared with conventional antibiotics. No page number is available in our copy. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPhages exhibit low inherent toxicity and can be tailored to minimize off-target effects.
“Phages exhibit low inherent toxicity and can be tailored to minimize off-target effects [15–17,62,99,100]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [62]
The Abstract says engineered phages can target tumor cells and reduce the likelihood of off-target effects. It also cites evidence that phages can be used safely in therapy, but qualifies this as not inducing a strong anaphylactic response in birds and mammals; it does not establish broadly low inherent toxicity. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPhages are active immunological agents rather than passive microbial byproducts.
“These interactions position phages as active immunological agents rather than passive microbial byproducts [62]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [62]
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Research works printed but not linked: 23
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- [13]Veeranarayanan, S., Azam, A. H., Kiga, K., Watanabe, S. & Cui, L. Bacteriophages as solid tumor theragnostic agents. Int. J. Mol. Sci. 23, 402. 10.3390/ijms23010402 (2021). 35008840 PMC8745063 · DOI · Paper page
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- [16]Flores, V. S. et al. Discovery and description of novel phage genomes from urban microbiomes sampled by the MetaSUB consortium. Sci. Rep. 14, 7913–7913. 10.1038/s41598-024-58226-0 (2024). 38575625 PMC10994904 · DOI
- [17]Sauvageau, D. & Cooper, D. G. Two-stage, self-cycling process for the production of bacteriophages. Microb. Cell Fact. 9, 81–81. 10.1186/1475-2859-9-81 (2010). 21040541 PMC2989940 · DOI
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Cited by
Sorted by citations
Phage therapy in oncology: opportunities for cancer prevention and treatment
Mutalik, V. K., Inman, J. L., Chang, H., Arkin, A., & Mao, J.-H. (2026) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2026.02.001 · Cited by 5 · see citing works
Structural basis for Salmonella infection by two Microviridae phages
Hu, W., Liu, Z., Wei, Y., Bian, Q., Lan, W., Fan, C., Song, J., Sun, Q., Zhang, X., Liu, Y., et al. (2025) · Communications Biology · doi:10.1038/s42003-025-08595-7 · Cited by 4 · see citing works
- Authors
- Cui, L., Kiga, K., Kondabagil, K., & Węgrzyn, A.
- Affiliations
- Jichi Medical University (JP)
- National Institute of Infectious Diseases (JP)
- Indian Institute of Technology Bombay (IN)
- University of Gdańsk (PL)
- Corresponding author
- Cui, Longzhu
- Venue
- Scientific Reports
- Published
- 2024-10-17
- Volume
- 14
- Issue
- 1
- Pages
- 24404-24404
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC11487266
- OpenAlex
- W4403510273
- Cited by
- 36
- References
- 0
- Citations by year
- 2026: 18 · 2025: 17 · 2024: 1
- FWCI
- 9.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Scientific Reports (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Department of Science and Technology, Ministry of Science and Technology, India
- Council of Scientific and Industrial Research, India
- Russian Science Foundation
- Japan Society for the Promotion of Science (24H00662)
- Moonshot Research and Development Program (JPJ009237)
- Topics
- Physical Sciences › Environmental Science › Ecology › Bacteriophages and microbial interactions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
- Keywords
- phage therapy, antibiotic resistance, biofilm eradication, intracellular pathogens, cancer immunotherapy, gene delivery, phage stability, immune evasion, regulatory challenges
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