Phage lytic enzyme Cpl-1 for antibacterial therapy in experimental pneumococcal meningitis

J Infect Dis. 2008 Jun 1;197(11):1519-22. doi: 10.1086/587942.

Abstract

Treatment of bacterial meningitis caused by Streptococcus pneumoniae is increasingly difficult, because of emerging resistance to antibiotics. Recombinant Cpl-1, a phage lysin specific for S. pneumoniae, was evaluated for antimicrobial therapy in experimental pneumococcal meningitis using infant Wistar rats. A single intracisternal injection (20 mg/kg) of Cpl-1 resulted in a rapid (within 30 min) decrease in pneumococci in cerebrospinal fluid (CSF) by 3 orders of magnitude lasting for 2 h. Intraperitoneal administration of Cpl-1 (200 mg/kg) led to an antibacterial effect in CSF of 2 orders of magnitude for 3 h. Cpl-1 may hold promise as an alternative treatment option in pneumococcal meningitis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Bacteriophages / enzymology*
  • Cerebrospinal Fluid / microbiology
  • Colony Count, Microbial
  • Enzyme Therapy*
  • Enzymes / administration & dosage
  • Humans
  • Injections, Intraperitoneal
  • Meningitis, Pneumococcal / drug therapy*
  • Rats
  • Rats, Wistar
  • Streptococcus pneumoniae
  • Viral Proteins / administration & dosage
  • Viral Proteins / therapeutic use*

Substances

  • Anti-Bacterial Agents
  • Enzymes
  • Viral Proteins