Evidence map›Paper›PMID 42363638›Full record

ReviewAnnals of medicine2026

Inhalable bacteriophage endolysins: a novel therapeutic strategy for drug-resistant bacterial pulmonary infections - a comprehensive review.

Dongyan Ding, Hailing Duan, Fang Zhang, Xi Wang, Yijia Guo, Ruiping Tian, Xiaotian Dai, Haidong Li

Abstract readReview
In one paragraph

Review in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dongyan DingDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.
Hailing DuanDepartment of Respiratory Medicine, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Fang ZhangDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.
Xi WangDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.
Yijia GuoDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.
Ruiping TianDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.
Xiaotian DaiDepartment of Respiratory Medicine, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Haidong LiDepartment of Respiratory and Critical Care Medicine, Jiangbei Campus of The First Affiliated Hospital of Army Medical University(No. 958 Hospital of PLA Army), Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary infections caused by multidrug-resistant (MDR) bacteria pose a severe global health threat with high mortality rates, especially in hospital-acquired pneumonia. The stagnation of new antibiotic development underscores the urgent need for alternative therapeutics.

methodsThis review summarizes recent advances in the application of bacteriophage endolysins against major MDR respiratory pathogens, including

resultsEndolysins demonstrate potent and species-specific lytic activity against a broad spectrum of MDR bacteria. A key advantage is their low propensity for inducing resistance. Critically, when administered

conclusionEndolysins represent a promising paradigm shift in combating drug-resistant bacterial pulmonary infections. Their rapid lytic activity, synergy with conventional antibiotics, and suitability for inhalable formulation position them as a potent adjunct or alternative therapy. While challenges in stabilization and large-scale production remain, advancing inhalation delivery systems for endolysins holds immense potential to holds immense potential to revolutionize the treatment of recalcitrant respiratory infections.

Indexed as

Anti-Bacterial AgentsBacteriophagesEndopeptidasesPneumonia, BacterialAdministration, InhalationAnimalsBiofilmsDrug Resistance, Multiple, BacterialHumansAnti-Bacterial AgentsendolysinEndopeptidasesantimicrobial agentBacteriophage endolysinsdrug-resistant bacteriadrug-resistant bacterial pulmonary infections

Identifiers

PMID42363638
PMCPMC13312829

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.