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Table 2 Bacteriophage therapy against liver disease model

From: The gut-liver axis in hepatobiliary diseases

Target bacteria

Disease

Design

Route of phage administration

Phage and dosage

Outcome

Reference

E. faecalis

Alcohol-associated liver disease

GF mice transplanted with faecal microbiota of patients

Oral

3 or 4 pahage (109 PFU) 1 day before ethanol binge

Phages targeting cytolysin-positive Enterococcus faecalis abolished ethanol-induced liver injury and steatosis.

Duan et al. 2019 [151]

K. pneumoniae

NAFLD

GF mice transplanted with faecal microbiota of patients

Oral

2 phages before FMT

FMT with phage pretreatment ameliorated steatopepatitis development.

Yuan et al. 2019 [152]

K. pneumoniae

NAFLD

GF mice transplanted with faecal microbiota of patients

Oral

1 phage (106 PFU maximum) once a day for 1, 4 or 7 days

Phages targeting alcohol-producing K. pneumoniae attenuated steatopepatitis.

Gan et al. 2023 [153]

K. pneumoniae

PSC

GF or SPF mice transplanted with K. pneumoniae isolated from PSC patients

Oral or intravenous (IV)

4 phages (109 PFU for oral or 108 PFU for IV) every 3 days for 3 weeks

Both oral and IV administration of phages improved K. pneumoniae -induced hepatobiliary injury.

Ichikawa et al. 2023 [116]

  1. NAFLD Non-alcohol fatty liver disease, PSC Primary sclerosing cholangitis, GF Germ free, SPF Specific pathogen free, PFU Plaque-forming unit, FMT Fecal microbiota transplantation