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Wottrich et al. Microbiome Res Rep 2024;3:27                  Microbiome Research
               DOI: 10.20517/mrr.2023.42
                                                                                               Reports




               Original Article                                                              Open Access



               Putative pseudolysogeny-dependent phage gene
               implicated in the superinfection resistance of

               Cutibacterium acnes

                                                                                      1
                                                                      1
                                                   1
                                                                                                      3
               Stephanie Wottrich 1,2  , Stacee Mendonca , Cameron Safarpour , Christine Nguyen , Laura J. Marinelli ,
                                                3
                                4
               Stephen P. Hancock , Robert L. Modlin , Jordan Moberg Parker 1,5
               1
                Department of Microbiology, Immunology, and Molecular Genetics, University of California Los Angeles, Los Angeles, CA
               90024, USA.
               2
                Department of Neurology, Dell Seton Medical Center at the University of Texas at Austin, Austin, TX 78701, USA.
               3
                UCLA Dermatology, University of California Los Angeles, Los Angeles, CA 90095, USA.
               4
                Department of Chemistry, Towson University, Towson, MD 21252, USA.
               5
                Department of Biomedical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA 91101, USA.
               Correspondence to: Dr. Stephanie Wottrich, Department of Neurology, Dell Seton Medical Center at the University of Texas at
               Austin, 1500 Red River St., Austin, TX 78701, USA. E-mail: stephanie.wottrich@ascension.org
               How to cite this article: Wottrich S, Mendonca S, Safarpour C, Nguyen C, Marinelli LJ, Hancock SP, Modlin RL, Parker JM.
               Putative pseudolysogeny-dependent phage gene implicated in the superinfection resistance of Cutibacterium acnes. Microbiome
               Res Rep 2024;3:27. https://dx.doi.org/10.20517/mrr.2023.42
               Received: 6 Jul 2023  First Decision: 1 Nov 2023  Revised: 29 Mar 2024  Accepted: 7 Apr 2024  Published: 18 Apr 2024
               Academic Editor: Douwe van Sinderen  Copy Editor: Pei-Yun Wang  Production Editor: Pei-Yun Wang

               Abstract
               Objectives: Cutibacterium acnes, formerly Propionibacterium acnes, is a bacterial species characterized by tenacious
               acne-contributing pathogenic strains. Therefore, bacteriophage therapy has become an attractive treatment route
               to circumvent issues such as evolved bacterial antibiotic resistance. However, medical and commercial use of
               phage therapy for C. acnes has been elusive, necessitating ongoing exploration of phage characteristics that confer
               bactericidal capacity.

               Methods: A novel phage (Aquarius) was isolated and analyzed. Testing included genomic sequencing and
               annotation, electron microscopy, patch testing, reinfection assays, and qPCR to confirm pseudolysogeny and
               putative superinfection exclusion (SIE) protein expression.

               Results: Given a superinfection-resistant phenotype was observed, reinfection assays and patch tests were
               performed, which confirmed the re-cultured bacteria were resistant to superinfection. Subsequent qPCR indicated






                           © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0
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