Coevolution of a phage cocktail constrains reversible phenotypic resistance in K. pneumoniae
Abstract
The therapeutic potential of phages is frequently compromised by rapid bacterial adaptation. Strategies such as phage cocktails and phage training are widely used to counteract bacterial resistance. Although phage receptor mutations are highly common, bacteria can also exploit flexible non-genetic strategies to evade phage recognition. Overcoming such phenotypic resistance remains particularly challenging due to its transient and reversible nature. Here, we investigated the coevolutionary dynamics between Klebsiella pneumoniae and a phage cocktail with complementary host tropisms: a capsule-dependent phage and an acapsular-targeting phage, coevolved with bacteria either individually or in combination. The coevolutionary phage training demonstrated that evolution of the acapsular-targeting phage was the main driver of the enhanced resistance delay observed. Notably, while bacteria could evade individual phages through non-mutational mechanisms, the combined selective pressure imposed by the phage cocktail constrained this reversible escape route, forcing bacteria to evolve mutation-based resistance mechanisms. Together, these findings highlight the importance of elucidating phage-bacteria coevolutionary dynamics to optimize phage-based therapeutics design and reshape bacterial evolutionary trajectories toward favourable outcomes. ImportancePhage therapy is re-emerging as a promising alternative to antibiotics, yet its long-term efficacy is often limited by the rapid evolution of bacterial resistance. While phage cocktails and experimental phage training have been widely proposed to mitigate this problem, most studies focus on genetically fixed resistance, overlooking reversible phenotypic resistance mechanisms. Here, we show that phenotypic resistance based on capsule regulation enables bacteria to evade single-phage treatments without acquiring mutations. In contrast, coevolutionary training of a two-phage cocktail targeting complementary bacterial phenotypes constrains this potentially low-cost escape route, forcing bacteria to adopt a mutation-based resistance, typically associated with higher fitness costs. These findings highlight the importance of phage cocktails not only as therapeutic tools, but also as ecological drivers that redirect bacterial evolutionary trajectories.
02 /Specification & Classification
Click any tag to browse matching papers- Citations
- 0
- Organism
- Research Focus
- Approach
Reproducibility ledger
Nobody has reported trying to reproduce this paper yet. Did you replicate an experiment or run the code? Your report saves the next lab a week.
Sign in to file a reproducibility report.
Related papers
- Competition between phage-resistance mechanisms determines the outcome of bacterial co-existence
O. Rendueles, J. A. de Sousa, E. P. C. Rocha·bioRxiv·Jul 11, 2022
- Coevolutionary phage training leads to greater bacterial suppression and delays the evolution of phage resistance
J. M. Borin, S. Avrani, … J. R. Meyer·bioRxiv·Nov 2, 2020
- Comparison of bacterial suppression by phage cocktails, dual-receptor generalists, and coevolutionarily trained phages
J. M. Borin, J. J. Lee, … J. R. Meyer·bioRxiv·Jul 14, 2022
- Phenotypic Heterogeneity Shapes Phage Resistance and Cocktail Efficacy in Klebsiella pneumoniae
Lucas Mora-Quilis, Rafael Sanjuán, Pilar Domingo‐Calap·Microbiology SpectrumPeer-reviewed·Apr 30, 2026
- Experimental Phage Evolution Results in Expanded Host Ranges Against MDR and XDR Klebsiella pneumoniae Isolates
Pooja Ghatbale, Alisha N. Blanc, … David T. Pride·Nature CommunicationsPeer-reviewed·Nov 19, 2025
- Phenotypic resistance to phage infection through capsule expression shutdown in Klebsiella pneumoniae
Lucas Mora-Quilis, Rafael Sanjuán, Pilar Domingo‐Calap·bioRxiv·Jun 16, 2025