Special Features
Phage Therapy in the News
In its heyday in the 1970s and 80s, nearly 800 people worked in the Industrial Branch of the Eliava Institute, using enormous vats, pill stampers and automatic bottling machines to pump out tons of phage products for military and civilian uses all over the Soviet Union. Another 200 worked to analyze hundreds of thousands of bacterial samples that continuously poured in at the direction of the Soviet Ministry of Health, testing the phage cocktails for efficacy and constantly isolating new phage and making refinements. They also fought infectious disease in other ways - vaccines, immune enhancers, probiotic bacterial cultures - but phage were their main focus. By then, Institutes and factories in places like Gorki and Ufa were also producing these phage products for Soviet use, but Tbilisi phage were especially prized as far away as Lithuania even in 1990. Guram Gvasalia, chief surgeon at the enormous State Hospital, has relied heavily on their phage preparations against purulent bacteria like Staphylococcus, Streptococcus and Pseudomonas to prevent and treat severe infections for over 25 years. The complex "pyophage" mixtures he uses contain over 30 phages against 5 key bacteria, and are continually refined by his collaborators at the Bacteriophage Institute to control any bacterial strains currently prevalent in the hospital. They are particularly important for such challenging cases as bone infections (osteomyelitis), diabetic foot ulcers and bed sores, where lack of circulation as well as bacterial resistance block antibiotic treatment.
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Contact Information For Phage Researchers at The Eliava Institute
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The Project: To develop a central in-house therapeutic phage research production center, to replace the production by hand in individual labs that has been the only option for supplying local hospitals, clinics and pharmacies since 1993 when the Institute's Production Facility was summarily privatized after dissolution of the USSR.
Phase I. Renovation of the vacant space allocated by the Institute for such a Center and installation here of current production resources from all labs, with some additional equipment. Total needed: $20,000.
Phase II. Re-establishment of an in-house animal facility in a portion of this space to again allow animal testing of both safety and efficacy of preparations, including making possible the re-introduction of very highly purified injectable versions of certain phages. Total needed: $8,000
Donations can be made through the Evergreen Foundation or we can provide you with the detailed instructions for depositing funds directly into their account in Tbilisi.
Explanation: The Eliava Institute very badly needs a small central in-house facility for producing research and local-use quantities of therapeutic phage preparations. Since privatization of the large Industrial Arm of the Institute in 1993, such production has gone on within individual Institute laboratories, and the resulting bit of income from local hospitals, pharmacies and the military has helped many in those labs survive as well as providing a crucial service. However, it is very labor-intensive and inefficient, and quality control is more difficult than in a dedicated facility. A space was allocated 5 years ago in an unused wing of the Institute for that purpose, but no money was available from either the Academy of Sciences or the Institute. Now, the leaders of 7 Institute labs have set up this nonprofit Georgian foundation to raise money and implement this project. Some has already been received and the renovation is starting; it should be ready by the end of the year. The PhageBiotics Foundation has committed itself to helping them raise the needed money.
The phage produced by the Eliava labs play a key role in medical practice in Tbilisi and in current research efforts to formally document the efficacy of the phages they believe in so strongly. The leader in those efforts is Dr. Guram Gvasalia, chief surgeon at the enormous State Hospital, who has relied heavily on the Institute's phage preparations against purulent bacteria like Staphylococcus, Streptococcus and Pseudomonas to prevent and treat severe infections for over 25 years. The complex "pyophage" mixtures most commonly used contain over 30 phages against 5 key bacteria, and are still continually refined by collaborators at the Bacteriophage Institute to control any bacterial strains currently prevalent in the hospital. They are particularly important for such challenging cases as bone infections (osteomyelitis), diabetic foot ulcers and bed sores, where lack of circulation as well as bacterial resistance block antibiotic treatment. Similarly, physicians at the national Burn Hospital, the Children's Hospital, Genesis Clinic and many other Tbilisi medical facilities rely very heavily on the high quality, appropriately tailored phage products they receive from the Institute and work closely with the scientists there. The new facility is putting together an advisory council of these collaborators and others in Tbilisi who play key roles in making health care available.
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International Grants involving Phage and the Eliava Institute
These programs were set up to help scientists once supported by the Soviet military make a productive transition to the civilian sector; they are associated with the State Department and also involve Europe and Japan. They have become very supportive of phage work - 2 State Department representatives actually came to the last Evergreen Phage meeting to encourage involvement in their programs.
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- Molecular Mechanisms of Bacteriophage Evolution and Host-to-Virus Transcription Transition During Bacteriophage Infection in Pathogenic Bacteria. PI - Tato Gabisonia; US Dept. of Health and Human Services, Rockville; US Partner: Konstantin Severinov, Rutgers; BTEP ISTC Grant G587
- Analysis of Phage Specific Potentially Lethal Genes and Investigation of Antibacterial Activity of" Killer" Proteins. PIs - Mzia Kutateladze & Rezo Adamia. US partners: Jan Drake (National Institute of Environmental Health Sciences), Elizabeth Kutter, Charles Stewart; BTEP ISTC Grant G595
- A new strategy for control of potato bacterial diseases based on application of specific phages. PI, Marina Tediashvili; partner: 3M; CRDF Grant N 527
- Bacteriophage - a new approach for combating of the nosocomial respiratory infection caused by Ps. aeruginosa. PI - Nino Chanishvili, Co-ordinator - Paul Barrow, UK, INTAS-Georgia (joint funding from EC and Georgia) (completed)
- An epidemiological study of outbreaks of B. anthraxis in Georgia. PI- Sergo Rigvava, Co-ordinator Richard Sharp, CAMR, UK; INTAS Open Call
- Regional Experimental Center for Applied and Microbiology Research (RECAMBR). PI- Nino Chanishvili -- CRDF - Regional Experimental Support Centers Program
Student Project 2001: Nino Chanishvili CRDF G 589
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*Approved; still negotiating final research plan (This step often takes over a year)
* Bacteriophages for the Treatment of Infectious Diseases Caused by Antibiotic-Resistant Bacterial Strains of Staphylococcus Aureus and Pseudomonas Aeruginosa. PI: Nana Balarjishvili. NATO partners: Henry Krisch (Toulouse); Elizabeth Kutter (Evergreen) ISTC Grant G510
* Sustained/Controlled-Release Drug Devices Containing Bacteriophages Based on New Biodegradable Poly (ester amide)s. Amiran Meipariani and Zemphira Alavidze [Supporting institute: Georgian Technical University / Research Center for Medical Polymers and Biomaterials, Tbilisi, Georgia - Ramaz Katsarava] -- ISTC Grant G589
* Monitoring and preventing the after-effects of natural hazards and water-borne epidemics through application of phage-based techniques. PI: Nino Chanishvili. [Supporting institutes: National Center for Diseases Control, Tbilisi, Georgia; Geophysics Institute, Tbilisi, Georgia. US collaborator: University of North Carolina/Carolina Environmental Program, Partner: US Department of Health & Human Services, Rockville, MD, BTEP ISTC Grant G608
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**Waiting for granting board decisions
** Different Medicinal Forms of Bacteriophages for Treatment and Prevention of Bacterial Infections Induced by the Genera of Staphylococcus and Streptococcus - Inga Georgadze; Collaborator: University of Maryland / School of Medicine / Department of Epidemiology and Preventive Medicine, Baltimore -- ISTC G824
** Prolonged Acting, High Effective, Antimastitis Preparation Composed Of Bacteriophages, Hyaluronidase And Biodegradable Polymer. PI: Tato Gabisonia; [Supporting institute: Georgian Technical University / Research Center for Medical Polymers and Biomaterials, Tbilisi, Georgia - Ramaz Katsarava]; US collaborator: Elizabeth Kutter -- STCU
** Study of interaction between antibiotics and bacteriophages in vitro taking into account the resistance of strains isolated from patients during the treatment of suppurative infections. PI: Zemphira Alavidze. [Collaboration: Dr. Guram Gvasalia, Regional Hospital] -- STCU
** Medicinal-Prophylactic Phage Preparation Against Bacterial Complications Induced by Proteus and Pseudomonas, in Extreme Conditions. PIs: Liana Gachechiladze and Inga Georgadze; US collaborator: Elizabeth Kutter - CRDF
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Scientists from the Eliava Institute are also collaborators on other international grants where the PIs are from other Georgian institutions; CR: Eliava Institute lead collaborator
- Bacteriophages Containing Drug Sustained/Controlled Release Type Polymeric Composites - New Effective Preparations for the Treatment of Infected Wounds and Cavities. Georgian Technical University / Research Center for Medical Polymers and Biomaterials, Tbilisi, Georgia - Ramaz Katsarava. Eliava Institute collaborators: Zemphira Alavidze and Amiran Meipariani. US collaborator: Glenn Morris, University of Maryland. ISTC Grant G446 [The Katsarava group has also been awarded a CRDF grant for development of a Regional Research Center for work with biopolymers and an additional ISTC grant is in the work plan-negotiation stages; these are clearly both also relevant to the goal of commercially making Phage Bioderm, which incorporates phages obtained from the Eliava Institute.]
- The Biological Dispersion Phenomenon and the Energetic of Microplankton: A Search for the Regularities and the Relationship to Environmental Fluctuations. CR Marina Tediashvili, Co-ordinator Professor Richard Kemp University of Wales, UK, INTAS Grant N 1390
- Prevention of food spoilage by suppression of phenoloxidase perioxidase and growth of pathogenic micro-flora by use of natural inhibitors of plant origin. CR Marina Tediashvili, Co-ordinator , Jose Neptuno Rodrigues Lopes, University of Mursia, Spain- INTAS FOOD-2000
- Evaluation of coastal pollution status and bio-indicators for the Black Sea (BIOBS). CR, Marina Tediashvili, Co-ordinator James Wilson, Center for the Environment Trinity College, Dublin, Ireland INTAS-Polluted Environments
- Bacteriophage against a number of medication resistant conditionally - pathogenic bacteria as an alternative to antibiotics. Biochimpharm Joint Stock Company (Golidjashvili Aleksandr Otarovich); Eliava Co-PI:Liana Gachechiladze. NATO collaborators: Humboldt University School of Medicine Charite, the Institute of Virology, Berlin; Elizabeth Kutter, Evergreen State College *ISTC Grant G534
- Tuberculosis Bacteriophage: Development of Obtainment and Application Methods. Sergey Vashakidze Institute of Tuberculosis and Pulmonology, Tbilisi, Georgia; US collaborators: Merlin Technologies, Inc., Boston, MA; Public Health Research Institute, New York ** ISTC Grant G591
For more information contact Dr. Elizabeth Kutter at phagebiotics@attbi.com.
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