RT Journal Article SR Electronic T1 Filamentous Bacteriophage Delay Healing of Pseudomonas-Infected Wounds JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.03.10.985663 DO 10.1101/2020.03.10.985663 A1 Michelle S. Bach A1 Christiaan R. de Vries A1 Johanna M. Sweere A1 Medeea Popescu A1 Jonas D. Van Belleghem A1 Gernot Kaber A1 Elizabeth B. Burgener A1 Dan Liu A1 Quynh-Lam Tran A1 Tejas Dharmaraj A1 Maria Birukova A1 Vivekananda Sunkari A1 Swathi Balaji A1 Sundeep Keswani A1 Niaz Banaei A1 Dolly K. Khona A1 Laurence Nedelec A1 Chandan K. Sen A1 Venita Chandra A1 Patrick R. Secor A1 Gina A. Suh A1 Paul L. Bollyky YR 2020 UL http://biorxiv.org/content/early/2020/03/11/2020.03.10.985663.abstract AB We have identified a novel role for filamentous bacteriophage in the delayed healing associated with chronic Pseudomonas aeruginosa (Pa) wound infections. In a mouse model of chronic Pa-infected wounds, Pf, a filamentous phage produced by Pa, impaired keratinocyte migration, prevented wound re-epithelialization, and delayed healing in both the absence and presence of live bacteria. Mechanistically, the immune response to Pf phage produces soluble factors that impair keratinocyte migration and delay wound re-epithelialization. In a prospective cohort study of 113 human patients, Pa was detected in 36 patients and 25 of these (69%) were positive for Pf phage. Pf(+) wounds were significantly older and more likely to increase in size over time than Pf(-) wounds. Together, these data implicate Pf in the delayed wound healing associated with Pa infection. We propose that Pf phage may have potential as a biomarker and therapeutic target for delayed wound healing.