Abstract
The Belgian Society for Viruses of Microbes (BSVoM) was founded on 9 June 2022 to capture and enhance the collaborative spirit among the expanding community of microbial virus researchers in Belgium. The sixteen founders are affiliated to fourteen different research entities across academia, industry and government. Its inaugural symposium was held on 23 September 2022 in the Thermotechnical Institute at KU Leuven. The meeting program covered three thematic sessions launched by international keynote speakers: (1) virus–host interactions, (2) viral ecology, evolution and diversity and (3) present and future applications. During the one-day symposium, four invited keynote lectures, ten selected talks and eight student pitches were given along with 41 presented posters. The meeting hosted 155 participants from twelve countries.
1. Introduction
Belgium holds a long-standing position in the field of microbial viruses, dating back to the early works of André Gratia on Staphylococcus aureus phages and the first experimental therapeutic use of phages by Richard Bruynoghe and their student Joséph Maisin, both in 1921 [1]. René Appelmans developed a liquid method of phage titration called the “Appelmans protocol”, which became the base for the preparation of a large number of phage cocktails targeting a broad range of pathogenic bacteria in Georgia [2,3] and is nowadays frequently used for phage adaptation to bacterial hosts, which is known as “phage training”. Pioneering work in the field continued with the discovery of positive regulation of gene expression in phage lambda by René Thomas and coworkers in 1966, the first viral genome (MS2) sequenced by the group of Walter Fiers in 1976 and, more recently, a highly advanced regulatory framework for phage therapy actively applied in Belgian hospitals, known as magistral phage therapy [4,5,6]. Today, Belgium has a vibrant and diverse community of phage (and other microbial virus) researchers. Based on this premise, the Belgian Society for Viruses of Microbes (BSVoM) was founded as a non-profit organization (www.bsvom.be, accessed on 20 May 2023) on 9 June 2022, with its associated articles being published in the Belgian official gazette. The BSVoM aims to sustain and improve the dense Belgian research and development network on viruses of microbes by bringing together all stakeholders from academia, government and industry. Moreover, this national society is formally associated with the International Society for Viruses of Microorganisms (www.isvm.org, accessed on 20 May 2023). In spite of the small geographical size of Belgium, at least fourteen entities are currently active in the field of viruses of microbes, all represented by at least one co-founder (Figure 1). In its foundation assembly, Prof. Annika Gillis (UCLouvain), Dr. Pieter-Jan Ceyssens (Sciensano) and Prof. Yves Briers (Ghent University) were elected as secretary, treasurer and chair for three years. Our society adopts the triple helix model, providing an interdisciplinary perspective ranging from basic research to industrial developments and biotechnological and clinical applications. The BSVoM pursues the intensification of this fertile Belgian ecosystem on viruses of microbes, with a particular focus on supporting young and future generations in the field. The society counts today 237 members (status on 11 May 2023) and is supported by Vésale Bioscience (phage.health, accessed on 20 May 2023) as its main society sponsor. Vésale Bioscience is a Belgian biotech company created in 2018 as a spin-out of Vésale Pharma, developing personalized phage therapy solutions.
Figure 1.
Sixteen co-founders of the Belgian Society for Viruses of Microbes and their affiliations. From west to east: (a) Ghent University (Yves Briers); (b) University of Applied Sciences Ghent (Els Van Mechelen); (c) Flanders Research Institute for Agriculture, Fisheries and Food (ILVO) (Jolien Venneman); (d) University of Antwerp (Dieter Vandenheuvel); (e) Queen Astrid Military Hospital (Jean-Paul Pirnay); (f) Sciensano–Federal agency of public health (Pieter-Jan Ceyssens); (g) Vrije Universiteit Brussel (Eveline Peeters); (h) Université libre de Bruxelles (Abel Garcia-Pino); (i) UCLouvain (Annika Gillis); (j) KU Leuven (Abram Aertsen), (k) KU Leuven (Jelle Matthijnssens), (l) KU Leuven (Rob Lavigne); (m) University Hospitals Leuven (Jolien Onsea); (n) University of Namur (Gipsi Lima-Mendez); (o) Vésale Bioscience (Bob Blasdel); (p) University of Liège (Damien Thiry); (q) Geographical location of the different founders. The labels correspond to the different founders from the previous panels.
The inaugural BSVoM symposium took place on 23 September 2022 at the Thermotechnical Institute in Leuven, Belgium, with 155 participants from 12 countries (Figure 2). The symposium program combined three thematic sessions covering fundamental and translational aspects of research on viruses of microbes: (1) virus–host interactions, (2) viral ecology, evolution and diversity and (3) present and future applications (Figure 3). The sessions were launched by keynote speakers Prof. Edze Westra (University of Exeter, UK), Prof. Martha Clokie (University of Leicester, UK), Prof. Zuzana Drulis-Kawa (University of Wroclaw, Poland, current president of the International Society for Viruses of Microorganisms) and Prof. Dr. Willem-Jan Metsemakers (UZ Leuven). In addition, ten talks were selected from the submitted abstracts and a pitch session with eight pitches from young upcoming talents was organized prior to the poster session with 41 posters being presented (Table 1). There were ample opportunities to discuss the most recent advances, including a social activity to foster interactions.
Figure 2.
(a) Group picture of participants of the inaugural BSVoM symposium in front of Arenberg Castle (Leuven, Belgium) (155 participants from 12 different countries). (b) BSVoM logo. (c) Affiliations of BSVoM founders.
Figure 3.
Flyer advertising the inaugural BSVoM symposium.
Table 1.
Posters presented during the inaugural BSVoM symposium. Best poster award winners are underlined. Authors indicated by asterisks contributed equally. ‡ Deceased.
2. Scientific Sessions
The first session on virus–host interactions, chaired by Prof. Abel García-Pino (Université libre de Bruxelles, Brussels, Belgium), began with a keynote lecture by Prof. Edze Westra of the University of Exeter, Exeter, UK, who discussed their lab’s research into the ecology and evolution of bacterial defense systems against phage predation. Westra has studied both the molecular and evolutionary aspects of bacteria–phage interactions, focusing on the CRISPR-Cas adaptive immune system acting as a genetic memory to detect and destroy re-infecting phages that carry a cognate target sequence. Westra’s lab combines genomics, mathematical modelling and experimental analyses of Pseudomonas aeruginosa to determine when different phage defense mechanisms are favored over others and how they shape the evolutionary epidemiology of the phage and virulence evolution of the pathogen. Westra’s group has received several prestigious awards for its work.
The next speaker was Kaat Schroven of KU Leuven (Leuven, Belgium), who presented research on lytic phages as a treasure trove for virulence attenuating proteins against P. aeruginosa. Schroven’s research involves performing several high-throughput analyses using a library of individually expressed proteins from lytic phages to identify potential effectors targeting virulence factors of P. aeruginosa. Schroven discovered three different phage ORFans that specifically and significantly attenuate key virulence factors of the pathogen, including the type IV pili, the type 2 secretion system and ExoS (a type 3 secretion system product). The identified phage-encoded virulence attenuators expand the diversity of regulatory mechanisms encoded by phages to impact bacterial physiology and may serve as a source for diverse biotechnological applications [7,8].
The topic of the first session switched towards Gram-positive host cells with the talk of Dr. Lionel Schiavolin, affiliated with Université Libre de Bruxelles. They discussed the tripartite interactions of Group A Streptococcus (GAS), specific phages and the human host. Utilizing RNA-Seq, they deciphered phage–GAS interactions and found a reprogramming of up to 50% of the transcriptome of an M25 strain during infection by the virulent phage A25. The most downregulated genes belonged to the fatty acid synthesis (FASII) pathway. They also found that serum protects GAS from phage infection, while the addition of human serum albumin and fatty acids increases bacterial clearance.
An important topic from the phage therapy point of view was covered by Prof. Stan Brouns (Delft University of Technology, Delft, The Netherlands). With their lecture entitled “Accumulation of defense systems drive panphage resistance in P. aeruginosa”, they discussed the problem of clinical strains of P. aeruginosa, which are equipped with multiple phage defense systems. Their research group demonstrated that the major determining factor for the host spectrum of phages specific to clinical strains is the intracellular defense system. Multiple systems can provide complementary and overlapping phage protection, resulting in panphage resistance. They also discovered that mobile genetic elements with phage defense systems can be exchanged via horizontal transfer, resulting in up to 19 phage defense systems per single P. aeruginosa clinical isolate. The data are available as a preprint under the same title [9].
Phages specific to another ESKAPE pathogen, Klebsiella pneumoniae, were the subject of collaborative research between Ghent University (Belgium) and the University of Wroclaw (Poland). Dr. Agnieszka Latka’s presentation focused on phage KP32 receptor-binding proteins with depolymerizing activities. A crystal structure analysis revealed a multimodular structure with a central enzymatic domain, two additional C-terminal domains, a carbohydrate-binding module (CBM) and a lectin-like domain (LD) [10]. C-terminally truncated proteins, chimeric protein fusions and phage particles lacking the domains of interest were prepared to analyze the function of the domains. It was concluded that the lectin-like domain is essential for phage infection. No serotype specificity switch was observed after chimeric fusions of C-terminal domains with other receptor binding proteins (RBPs). The CBM and LD were not able to bind to the surface of capsulated bacteria. Further research is needed to elucidate the exact function of the CBM and LD.
The second session of the conference, chaired by Prof. Annika Gillis, focused on viral ecology, evolution and diversity. The keynote speaker was Prof. Martha Clokie, a renowned expert in bacteriophage biology from the University of Leicester in the United Kingdom, who is devoted to developing phages as therapeutics for humans and animals. Their work uses genomic and structural approaches to identify traits associated with phage efficacy and to study phage–bacterial interactions in relevant models. Martha Clokie has pioneered research into Clostridium difficile phages, an important pathogen causing infectious diarrhea, with the view to developing them for next generation therapeutics. Their work has included unraveling phage diversity using computational, structural and phenotypic approaches and understanding the resistance rates towards phages compared to antibiotics. Furthermore, they have optimized ex situ models to study C. difficile–phage interactions in epithelial cells and optimized biofilm, Galleria mellonella and artificial gut models to better understand application regimens, dosages and efficacies [11,12,13]. Additionally, Martha Clokie has developed and regularly runs a course to teach phage biology to African academics (as part of Gates-funded “Phages for Global Health”).
Next, Daan Jansen from KU Leuven presented a study to use community-typing as a tool to explore virome compositional changes in inflammatory bowel disease (IBD) patients (a group of chronic inflammatory diseases of the gut) [14]. Viral metagenomics and deep sequencing of fecal samples from 181 patients undergoing immunomodulatory therapy were performed, stratifying them into two viral community types. Variations in the gut virome were explained by factors such as patients’ individuality, disease location, age and fecal moisture. The endoscopic outcome was associated with gut virome variations. The findings suggest that viral community typing could be used to gain a deeper understanding of IBD subtypes or as a potential biomarker in the future.
The second scientific session was concluded with a presentation by Prof. Evelien Adriaenssens from the Quadram Institute Bioscience in the United Kingdom, who discussed the importance of phages in the healthy human gut microbiome. The advances in sequencing technology and bioinformatics have enabled the reconstruction of complete phage genomes, unlocking the investigation of phage diversity [15]. Evelien Adriaenssens presented studies of the diversity and activity of phages in two cohorts of healthy individuals, PEARL (mothers and infants) and MOTION (older population). Using these results, they seek to explore how phages can be used to improve health across life.
A pitch session chaired by Dr. Pieter-Jan Ceyssens was organized in the middle of the symposium and preceding the poster session with the particular goal to give a first-stage experience to junior researchers and to attract attention to their poster (Table 1). In total, eight pitches were selected. Lore Van Espen (KU Leuven) spoke about the increased human gut phage diversity found in patients with acute-on-chronic liver failure. Rémy Dugauquier (Université de Namur, Université libre de Bruxelles, Belgium) shared the development of ADAM, an automatic detection of new antiviral mechanisms. Niels Vander Elst (KU Leuven, Ghent University) discussed a method for the purification of non-pyrogenic endolysins with an in vitro or in vivo application. Hisham Shaikh (Flanders Marine Institute (Belgium), Ghent University, Utrecht University, the Netherlands) talked about the diversity and ecology of marine viruses in the coastal and open North Sea. Manon Nuytten (Université Catholique de Louvain) presented the characterization of holins encoded by two phages to exit their Bacillus cereus host. Vincent De Maesschalck (KU Leuven, Ghent University) discussed the development of a bioluminescent ex vivo wound model to characterize novel phage-inspired enzybiotics [16]. Sam van Beljouw (Delft University of Technology, Kavli Institute of Nanoscience in the Netherlands) presented their research on Craspase, a self-regulating protease that is activated in a sequence-specific manner by viral RNA. In addition, Céline Antoine (Université de Liège, Belgium) presented their research on the in vitro characterization and in vivo assessment of newly isolated phages against Escherichia coli K1 [17]. The best pitch talk award went to Sam van Beljouw.
The third session, focusing on the present and future applications of phages, was chaired by Dr. Jean-Paul Pirnay from the Queen Astrid Military Hospital (Belgium). In this session, two keynote lectures were presented: the first by Prof. Zuzanna Drulis-Kawa (University of Wroclaw, Wrocław, Poland), an executive committee member of the ESCMID Study Group for Nontraditional Antibacterial Therapy–ESGNTA and current president of the International Society for Viruses of Microbes, and the second by Prof. Dr. Willem-Jan Metsemakers, a trauma surgeon at the Department of Trauma Surgery of University Hospitals Leuven (UZ Leuven, Belgium) and associate professor at KU Leuven. Prof. Zuzanna Drulis-Kawa’s research focus is the antibacterial activity of phages and phage-derived depolymerases and endolysins specific to ESKAPE pathogens (K. pneumoniae and P. aeruginosa). In her keynote lecture, she discussed the role of phage-borne depolymerases in bacteriophage–bacteria–host interactions. Bacterial surface glycans serve as molecular patterns, recognized by the immune system. Via glycan digestion or modification, bacteria can become sensitive to host immune responses. Prof. Zuzanna Drulis-Kawa demonstrated how depolymerases can be exploited for new diagnostics and therapeutic approaches against infectious diseases. She emphasized the need to deepen the knowledge of the phage enzyme structure and domain build-up, as well as in vitro and in vivo enzyme specificity and stability. Prof. Dr. Willem-Jan Metsemakers talked about bacterial infections as a major complication in orthopedics. Their incidence continues to rise due to higher numbers of both elective joint replacements and operatively treated fractures. Biofilms on the surface of implanted devices, intracellular bacteria and bacteria within canaliculi are known to cause infections. To address this, antibiotic therapy has been utilized; however, this is associated with side effects and the development of antimicrobial resistance. Investigations into the use of phage therapy for musculoskeletal infections are sparse; most of the knowledge coming from the Eliava Institute of Bacteriophages, Microbiology and Virology (Tbilisi, Georgia). Metsemakers is involved in multiple research projects on the topic of implant-related infections and reported a rising number of studies/instances in recent years [18,19,20]. They are the head of the care program for musculoskeletal infections and of the Coordination Group for Bacteriophage Therapy, Leuven, affiliated with Leuven University Hospitals. They stressed that bacteriophage therapy is a useful adjunct for the treatment of difficult-to-treat infections; however, optimization of application techniques and further research is still needed.
Johan Quintens from Vésale Biosciences (Belgium) discussed the triple helix model of collaboration between industry, academics and government. They explained that the three players have synergistic functions: universities engaging in basic research, companies producing commercial goods and governments regulating markets. This model stimulates innovation by valuing the role of universities as creators of knowledge and enabling entrepreneurial activity by capitalizing on knowledge. Knowledge transfer between universities and industry is a critical aspect, for example, through technology transfer offices and joint projects. Governments act as a facilitator, providing funding and policy-making tools for economic growth and regional development. This form of innovation is most successful in a knowledge-based society. In the context of phage therapy, Vésale Biosciences has collaborated with LabMCT (Queen Astrid Military Hospital, Dr. Jean-Paul Pirnay), signing a Triple Helix agreement in 2020 with the main goals of commercializing the personalized phage therapy model, developing a value chain from diagnostic to production and distribution and working closely with the academic and government sectors.
Plant-related phage application was discussed by Dr. Gil Luypaert and Anneleen Volckaert (De Ceuster Meststoffen nv (DCM), Belgium). They presented that DCM is developing a phage-based plant protection product to control fire blight caused by Erwinia amylovora. Field trials at different locations within the EU have yielded promising efficacy data, with more than 90% efficacy being reported under natural infection pressure in open field conditions, while studies under greenhouse conditions with artificial high-dose E. amylovora inoculation were more challenging, requiring an appropriate multiplicity of infection (MOI). However, current EU plant protection regulations pose a challenge to registration due to the narrow host range of bacteriophages. A flexible regulatory framework that allows variability in the composition of a bacteriophage cocktail is needed to ensure its efficacy against any isolate of the bacterial target. This could provide a sustainable and biological alternative to chemical control of diseases.
The final talk of the conference was given by Steven De Soir from UCLouvain and Queen Astrid Military Hospital on the potential of a novel treatment modality for bacterial-biofilm-related infections on orthopedic implants. They studied the synergy between de novo isolated phages and routinely used antibiotics, such as ciprofloxacin, meropenem and ceftazidime. Significant reductions in CFU counts and biofilm biomass were seen when applying antibiotics in combination with bacteriophages. Scanning electron microscopy of the Pseudomonas aeruginosa PAO1 biofilms, grown on titanium coupons and treated with phages in combination with ciprofloxacin, confirmed these findings. It was concluded that a combination of phages and antibiotics is more efficient than either type of agent alone. Furthermore, the sequence of therapy (phage treatment first or antibiotic treatment first) resulted in the same reduction in infecting cells; however, a simultaneous combination therapy of both phages and antibiotics further diminished the number of pathogens present. Further research on optimizing the conditions of exposure is ongoing.
3. Conclusions
The BSVoM was founded to bring together the Belgian microbial virus community active in academia, industry, clinics and government. The enthusiasm present at its inaugural symposium was encouraging and underlines the benefits and opportunities of this initiative. A community that wishes to grow invests in its junior researchers. This goal was addressed by the pitch session, the numerous posters and follow-up initiatives such as a phage hands-on workshop in the Queen Astrid Military Hospital under the supervision of Dr. Jean-Paul Pirnay, Dr. Tea Glonti and Dr. Maia Merabishvilli. In addition, the “My hero and me” webinar series was launched, giving junior researchers the opportunity to present a back-to-back webinar with their scientific heroes in the phage field that excel in their domain. The society further capitalized on its strong triple helix interactions already pre-existent to the foundation. Bringing all stakeholders together in a single community and symposium stimulates fruitful interactions and new initiatives. We are looking forward to the second edition of the BSVoM symposium, which will be held on 8 September 2023 at the University of Liège, Belgium.
Author Contributions
The authors are the founders of the society or one of the coordinators of the inaugural symposium. A.L. and Y.B.: writing—original draft; A.L., A.A., D.B., B.B., P.-J.C., A.G.-P., A.G., R.L., G.L.-M., J.M., J.O., E.P., J.-P.P., D.T., D.V., E.V.M., J.V., G.V., J.W. and Y.B.—writing—review and editing; A.A., B.B., P.-J.C., A.G.-P., A.G., R.L., G.L.-M., J.M., J.O., E.P., J.-P.P., D.T., D.V., E.V.M., J.V. and Y.B.—conceptualization. All authors have read and agreed to the published version of the manuscript.
Funding
The BSVoM symposium was funded by National Fund for Scientific Research [grant number FNRS 40013037] and Research Foundation Flanders, FWO “Phagebiotics” research community [grant number FWO WOG W001119N].
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
Data sharing not applicable. No new data were created or analyzed in this study. Data sharing is not applicable to this article.
Acknowledgments
The BSVoM expresses its gratitude to the FWO “Phagebiotics” research community, FNRS, its sponsors (Vésale Bioscience, BioNTech, Analis, Dulis, Flen Health, Jafral, One Life, the Belgian Society for Microbiology and the American Society for Microbiology) and organizers.
Conflicts of Interest
The authors declare no conflict of interest.
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