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Bacteriophages and the Immune System
Open accessAbstract
Bacteriophages-viruses that infect bacteria-are abundant within our bodies, but their significance to human health is only beginning to be explored. Here, we synthesize what is currently known about our phageome and its interactions with the immune system. We first review how phages indirectly affect immunity via bacterial expression of phage-encoded proteins. We next review how phages directly influence innate immunity and bacterial clearance. Finally, we discuss adaptive immunity against phages and its implications for phage/bacterial interactions. In light of these data, we propose that our microbiome can be understood as an interconnected network of bacteria, bacteriophages, and human cells and that the stability of these tri-kingdom interactions may be important for maintaining our immunologic and metabolic health. Conversely, the disruption of this balance, through exposure to exogenous phages, microbial dysbiosis, or immune dysregulation, may contribute to disease.
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“Additionally, phage DNA and structural proteins engage pattern recognition receptors within innate immune pathways, thereby enhancing antitumor immune responses [21,23–26]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [26]
In the citing paper
“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 [26]
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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 7
Metadata
- Authors
- Popescu, M., Van Belleghem, J. D., Khosravi, A., & Bollyky, P. L.
- Affiliations
- Stanford Medicine (US)
- Division of Infectious Diseases, School of Medicine, Stanford University, Stanford, California 94305, USA;
- Corresponding author
- Popescu, Medeea
- Venue
- Annual Review of Virology
- Publisher
- Annual Reviews
- Published
- 2021-09-29
- Volume
- 8
- Issue
- 1
- Pages
- 415-435
- ISSN
- 2327-056X (ISSN-L)
- 2327-0578
- OpenAlex
- W3161443688
- Cited by
- 178
- References
- 3
- Citations by year
- 2026: 38 · 2025: 44 · 2024: 41 · 2023: 29 · 2022: 20 · 2021: 6
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Annual Review of Virology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Virology › Bacteriophages and microbial interactions
- Life Sciences › Immunology and Microbiology › Immunology › Invertebrate Immune Response Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- bacteriophages, phageome, phage-bacteria interactions, innate immunity, adaptive immunity, phage-encoded proteins, bacterial clearance, microbiome, dysbiosis, immune dysregulation, phage therapy
- MeSH terms
- Bacteria, Bacteriophages, Humans, Immune System, Viruses, Microbiota
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- CoChat. (2026). Citation check: Bacteriophages and the Immune System. https://app.cochat.ai/papers/10.1146/annurev-virology-091919-074551
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- Popescu, M., Van Belleghem, J. D., Khosravi, A., & Bollyky, P. L. (2021). Bacteriophages and the Immune System. Annual Review of Virology. https://doi.org/10.1146/annurev-virology-091919-074551