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Table 3 Endolysins and related derivatives active against G+ bacteria

From: Therapeutic potential of bacteriophage endolysins for infections caused by Gram-positive bacteria

Endolysin and/or derivative

Phage

Antimicrobial spectrum

Enzymatic activity

Type of infection treated in vivo

Clinical trial phase

Clinical trials identifier/accession No

References

SAL200

SAP-1

S. aureus

Amidase and endopeptidase

Bacteremia

IIa

NCT03089697

[61]

Exebacase (CF-301 or PlySs2)

Prophage of S. suis

S. aureus, Streptococcus

Peptidase

Bacteremia

III

NCT04160468

[28, 62]

P128

CHAP domain (TAME phage K) + SH3b (lysostaphin)

S. aureus

CHAP

Bacteremia

II

NCT01746654

[96,97,98]

Staphefekt SA.100

M23 endopeptidase (lysostaphin) + Amidase (Ply2638) + SH3b (Ply2638)

S. aureus

Amidase and endopeptidase

Atopic dermatitis

I/II

NCT02840955

[64, 99]

Medolysin®

–

S. aureus

–

Bacterial wound infections

–

–

[100]

XZ.700

Staphefekt SA.100 deleted 44 amino acids region deleted

S. aureus

Amidase and endopeptidase

Skin infection

Pre-clinical

–

[64]

MV-L

MR11

S. aureus, S. simulans

Amidase and endopeptidase

Nares infection, sepsis

Pre-clinical

BAF33253

[81]

LysP108

P108

S. aureus

Amidase

Subcutaneous abscess

Pre-clinical

YP_009099525

[17]

80α

phi80α

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

ABF71642

[101]

phi11

phi11

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

YP_500516

[101]

LysK

K

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

YP_024461

[101]

Ply2638

2638A

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

AAX90995

[101]

Twort

Twort

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

AAX92311

[101]

phiSH2

phiSH2 prophage

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

BAE05642

[101]

LysWMY

phiWMY

S. aureus

Amidase and endopeptidase

Systemic infection

Pre-clinical

BAD83402

[101]

CHAPK

K

S. aureus

Endopeptidase

Nasal infection

Pre-clinical

4CT3_D

[18, 102]

ClyF

CD domain (Ply187) + CBD domain (PlySs2)

S. aureus

CHAP

Bacteremia and burn wound infection

Pre-clinical

-

[22]

LysSS

SS3e

S. aureus, Salmonella, Escherichia coli

–

Systemic infection

Pre-clinical

AAW51228

[103]

Ply6A3

PD-6A3

Acinetobacter baumannii, E. coli, S. aureus

–

Sepsis

Pre-clinical

ALM01856

[104]

gp144

ΦKZ

Pseudomonas aeruginosa, S. aureus, E. coli, B. cereus

Transglycosylase

–

–

AAL83045

[105]

LysGH15

GH15

Staphylococcus

Amidase and CHAP

Bacteremia

Pre-clinical

ADG26756

[26, 67, 106, 107]

PlyGRCS

GRCS

S. aureus, S. epidermidis

Endopeptidase

–

–

AHJ10590

[19]

ClyH

CD domain (Ply187) + non-SH3b (phiNM3)

S. aureus

Amidase

Intraperitoneal infection

Pre-clinical

–

[108]

MR-10

MR-10

S. aureus

–

Subcutaneous

Pre-clinical

–

[109, 110]

LysH5

PhiH5

S. aureus, S. epidermidis

Amidase and endopeptidase

–

–

ACE77796

[59, 68]

ClyS

CD domain (Twort) + 

CBD domain (phiNM3)

S. aureus

Endopeptidase

Intraperitoneal, nasal and skin infection

Pre-clinical

–

[73, 78]

ClyC

CD domain (Ply187) + CBD domain (LysSA97)

S. aureus

–

Bacteremia

Pre-clinical

–

[38]

Lys16

P68

S. aureus

CHAP

–

–

AAO83890

[101, 111]

LysSAP33

SAP33

S. aureus

CHAP

–

–

QDH45454

[42]

Pal

Dp-1

S. pneumoniae

Amidase

Nasopharyngeal infection

Pre-clinical

O03979

[16]

Cpl-1

Cp1

S. pneumoniae

Muramidase

Endocarditis, bacteremia, pneumonia, meningitis

Pre-clinical

NP_044837

[69, 112,113,114]

Cpl-7

CP-7

S. pneumoniae, S. pyogenes, E. faecalis

Muramidase

Embryo infection

Pre-clinical

P19385

[115, 116]

Cpl-711

CD domain (Cpl-7) + CBD domain (Cpl-1)

S. pneumoniae

Muramidase

Bacteraemia

Pre-clinical

–

[117]

PL3

CD domain (Cpl-7) + CBD domain (LytA)

S. pneumoniae

Amidase

Embryo infection

Pre-clinical

–

[118]

ClyJ

CD domain (PlyC) + 

CBD domain (SPSL1)

S. pneumoniae

CHAP

Bacteraemia

Pre-clinical

–

[119]

ClyJ-3

ClyJ variant

S. pneumoniae

CHAP

Bacteraemia

Pre-clinical

–

[120]

ClyJ-3 m

ClyJ-3 variant

S. pneumoniae

CHAP

Bacteraemia

Pre-clinical

–

[121]

23TH_48

23TH

S. pneumoniae

Amidase

–

–

QOI69927

[122]

MSlys

MS1

S. pneumoniae

Amidase

–

–

AQY55407

[123]

PlyC

C1

S. pyogenes

Amidase

Mucosal epithelium infection

Pre-clinical

AAP42310

[76]

PlyPy

MGAS5005 prophage

S. pyogenes

Endopeptidase

Bacteremia

Pre-clinical

AAM79913

[124]

PlyGBS

NCTC11261

Group B streptococci, S. agalactiae

Endopeptidase and muramidase

Vaginal and oropharynx infection

Pre-clinical

AAR99416

[74, 125]

PlySK1249

SK1249 prophage

S. agalactiae, Streptococcus dysgalactiae

Amidase and endopeptidase

Bacteremia

Pre-clinical

EGL49245

[126]

PlyG

γ-phage

B. anthracis, B. cereus

Amidase

Intraperitoneal infection

Pre-clinical

PFW40491

[24]

PlyPH

B. anthracis BA2805

genome

B. anthracis, B. cereus

–

Intraperitoneal infection

Pre-clinical

WP_098639153

[127]

LysPBC2

PBC2

B. cereus

Amidase

–

–

AKQ08512

[128]

PlyV12

Φ1

E. faecalis, E. faecium

Amidase

–

–

YP_009814814

[70]

LysEFm5

IME-EFm5

E. faecium

Amidase

–

–

YP_009200901

[129]

LysIME-EF1

IME-EF1

E. faecalis

Endopeptidase

Intraperitoneal infection

Pre-clinical

YP_009042672

[126]

LysEF-P10

EF-P10

E. faecalis

Endopeptidase

Balance of the gut microbiota

Pre-clinical

AQT27695

[130]

Ply3626

phi3626

C. perfringens

Amidase

–

–

NP_612849

[131]

Psa

St13

C. perfringens

Amidase

–

–

WP_011010276

[132]

  1. –, unknown or data not available