Bacteriophages (phages) are known to effectively kill extracellular multiplying bacteria. The present study demonstrated that phages penetrated bovine mammary epithelial cells and cleared intracellular Staphylococcus aureus in a timedependent manner. In particular, phage vB_SauM_JS25 reached the nucleus within 3 h postincubation. The phages had an endocytotic efficiency of 12%. This ability to kill intracellular host bacteria suggests the utility of phage-based therapies and may protect patients from recurrent infection and treatment failure.
KEYWORDS MAC-T cells, Staphylococcus aureus, bacteriophagesA lthough traditionally considered an extracellular pathogen, Staphylococcus aureus is able to internalize into host cells, including professional (i.e., macrophages and neutrophils) and nonprofessional (i.e., bovine mammary epithelial cells) phagocytic cells, which is associated with chronic and recurrent infections (1, 2). Phage therapy appears to be a potent and safe alternative tool for treating such bacterial infections. Recent studies have investigated the effect of experimental phage therapy on intracellular killing of bacteria in patients' peripheral blood monocytes, polymorphonuclear neutrophils, and murine macrophages (3-6). We set out to study the intracellular killing potential of such lytic phages in nonprofessional phagocytic cells (7,8). We investigated this question using phage vB_SauM_JS25, a broad-spectrum virulent phage belonging to the family Myoviridae (9).Mammary epithelial cells play an essential role in the surveillance of mammary tissue during infection by assisting immune cell recruitment and bacterial recognition (10). Can phages penetrate within nonprofessional phagocytic cells and eliminate intracellular S. aureus? To answer this, bovine mammary epithelial (MAC-T) cells were cultured in 24-well plates (10 5 cells/well), incubated overnight (37°C, 5% CO 2 ) in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum (Sigma, Milan, Italy) and then infected with S. aureus JYG2 (10 6 bacteria/well). One hour after infection at 37°C in 5% CO 2 , cells were washed three times with phosphatebuffered saline (PBS), and extracellular bacteria were killed with lysostaphin (20 g/ml). Two hours later, cells were washed and treated with phage vB_SauM_JS25 (10 8 PFU/well) and incubated for another 3 or 12 h. Then cells were washed three times with PBS and treated with citric acid buffer (40 mM citric acid, 10 mM KCl, 135 mM NaCl, pH 3.0) for 2 min to inactivate any phage particles that remained on the surface (11). The cells were washed two times with medium to remove the acid buffer, followed by digestion with 0.25% trypsogen and lysis with Triton X-100 (final concentration, 0.1%)