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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aquac.</journal-id>
<journal-title>Frontiers in Aquaculture</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aquac.</abbrev-journal-title>
<issn pub-type="epub">2813-5334</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/faquc.2023.1201466</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Aquaculture</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Evaluation of bacteriophage therapy of <italic>Aeromonas hydrophila</italic> infection in a freshwater fish, <italic>Pangasius buchanani</italic>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kumari</surname>
<given-names>Ritu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn004">
<sup>&#x2020;</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yadav</surname>
<given-names>Ragini</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2021;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kumar</surname>
<given-names>Deepak</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1458749"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chaube</surname>
<given-names>Radha</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/233654"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nath</surname>
<given-names>Gopal</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2258483"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University</institution>, <addr-line>Varanasi, Uttar Pradesh</addr-line>, <country>India</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Zoology, Institute of Science, Banaras Hindu University</institution>, <addr-line>Varanasi, Uttar Pradesh</addr-line>, <country>India</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Beatriz Novoa, Spanish National Research Council (CSIC), Spain</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Alberto Falco, Miguel Hern&#xe1;ndez University of Elche, Spain; Alim Isnansetyo, Gadjah Mada University, Indonesia</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Gopal Nath, <email xlink:href="mailto:gopalnath@gmail.com">gopalnath@gmail.com</email>
</p>
</fn>
<fn fn-type="present-address" id="fn003">
<p>&#x2020;Present address: Ritu Kumari, Department of Botany, Institute of Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India</p>
</fn>
<fn fn-type="equal" id="fn004">
<p>&#x2021;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>2</volume>
<elocation-id>1201466</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>05</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Kumari, Yadav, Kumar, Chaube and Nath</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Kumari, Yadav, Kumar, Chaube and Nath</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>The present study aimed to optimize the doses and schedule of specific bacteriophage cocktails in freshwater fish infections as prophylactic and therapeutic measures.</p>
</sec>
<sec>
<title>Methods</title>
<p>The three most active phages against <italic>Aeromonas hydrophila (A. hydrophila</italic>) (&#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19) were characterized phenotypically and genotypically. Intramuscular and water immersion routes were used to calculate the absolute lethal dose of <italic>A. hydrophila</italic> in <italic>Pangasius buchanani</italic>. Phage therapy was given simultaneously and after 6, 12, and 24&#xa0;h of bacterial challenge through intramuscular and water immersion routes.</p>
</sec>
<sec>
<title>Results</title>
<p>The prophylactic and early phage administration could save the fish. Furthermore, the dose of intramuscular 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> plaque-forming unit (PFU)/fish and water immersion 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup> of the phage cocktail was optimal.</p>
</sec>
<sec>
<title>Discussion</title>
<p>The efficacy of bacteriophage therapy as preventive or curative measures practical when administered simultaneously or early hours of <italic>A. hydrophila</italic> infection in aquaculture systems. Phage-based approaches may be used as an alternative to antibiotics in aquaculture to reduce antibiotic use as a part of the &#x201c;One Health&#x201d; approach.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Aeromonas hydrophila</italic>
</kwd>
<kwd>
<italic>Pangasius buchanani</italic>
</kwd>
<kwd>bacteriophage therapy</kwd>
<kwd>aquaculture</kwd>
<kwd>lethal</kwd>
</kwd-group>
<contract-num rid="cn001">BT/PR24773/AAQ/3/863/2017dt. 22/03/2018R/Dev./P-07/671dt.29/05/2018</contract-num>
<contract-sponsor id="cn001">Department of Biotechnology, Ministry of Science and Technology, India<named-content content-type="fundref-id">10.13039/501100001407</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="41"/>
<page-count count="12"/>
<word-count count="6625"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Disease and Health Management</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Antibiotic-resistant bacteria are becoming more common as a result of antimicrobial resistance (AMR). The root cause of this problem is the indiscriminate use of antibiotics, including last-resort antibiotics such as colistin, in aquaculture, agriculture, and healthcare (<xref ref-type="bibr" rid="B3">Das et&#xa0;al., 2022</xref>). According to projections, AMR will cause 4.95 million deaths in 2019, with 1.3 million deaths directly attributable to treatment-resistant infections (<xref ref-type="bibr" rid="B7">Frei et&#xa0;al., 2023</xref>). The <xref ref-type="bibr" rid="B9">Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report 2021 (2021)</xref> reported that this figure is expected to rise to 10 million deaths by 2050, and according to the World Bank AMR could result in a 3.8% economic loss by 2050. This demonstrates the urgency with which we must act (<xref ref-type="bibr" rid="B25">O'Neill, 2016</xref>). As aquaculture activity expands and intensifies, the problem of microbial infections and the widespread utilization of antibiotics worsens.</p>
<p>Aquaculture is a thriving sector for developing countries in terms of growth and food security. Fisheries are one of India&#x2019;s fastest-growing industries. Globally, edible fish stocks are declining, which is concerning given that fish is a good source of omega-3 fatty acids and protein (<xref ref-type="bibr" rid="B37">Tahar et&#xa0;al., 2018</xref>). According to <xref ref-type="bibr" rid="B40">Yue and Shen (2022)</xref>, more fish for human consumption are produced by aquaculture than caught in the wild. In 2020, the commercial value of fisheries increased considerably, outpacing the average production rate in the 1990s by more than 60%. This remarkable increase in output is primarily due to the thriving aquaculture industry, which has grown faster than the global population. The report <italic>The State of World Fisheries and Aquaculture: Towards Blue Transformation</italic>, published in 2022, provides compelling evidence of fisheries&#x2019; and aquaculture&#x2019;s growing importance as sources of food, nutrition, and employment. In 2020, production in these sectors reached a new high of 214 million tons, worth approximately US$424 billion (<xref ref-type="bibr" rid="B24">Of, 2022</xref>).</p>
<p>The growth of aquaculture has resulted in high fish mortality rates due to disease outbreaks (<xref ref-type="bibr" rid="B35">Stentiford, 2012</xref>). Globally, it is estimated that fish diseases lead to a loss of revenue amounting to US$6 billion annually (<xref ref-type="bibr" rid="B36">Stentiford et&#xa0;al., 2017</xref>), and reasons for this may be improper animal care and insufficient methods of protecting against diseases. Poor environmental conditions can lead to increased animal deaths and decreased productivity (<xref ref-type="bibr" rid="B11">Huicab-Pech et&#xa0;al., 2016</xref>). Fish production systems globally utilize biocide and antibiotic treatments to prevent infectious pathogens that can lead to diseases (<xref ref-type="bibr" rid="B39">Wanja et&#xa0;al., 2020</xref>). These pathogens are frequently present in the aquatic environment where the fish are reared (<xref ref-type="bibr" rid="B16">Kumar et al., 2018</xref>).</p>
<p>
<italic>Aeromonas hydrophila</italic> is one of the major bacterial pathogens present in aquatic environments. <italic>A. hydrophila</italic> is a causative agent of tail and fin rot, hemorrhagic septicemia, also known as motile <italic>Aeromonas</italic> septicemia (MAS), hemorrhagic septicemia, ulcer disease, and red-sore disease (a disease in freshwater and, to a lesser extent, marine fish). The signs of hemorrhagic septicemia include erosion of the fins, loss of scales, hemorrhages of the gills and vents, abscesses and ulcers, abdominal distension, accumulation of ascitic fluid, anemia, and damage to internal organs and musculature, with generalized liquefaction in the infected fish. In the aquaculture sector, research on phage therapy has already begun, focusing on various pathogenic bacteria (e.g., <italic>Vibrio</italic> spp., <italic>Aeromonas</italic> spp.) (<xref ref-type="bibr" rid="B22">Mateus et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B18">Laanto et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B13">Kalatzis et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B10">Hockett and Baltrus, 2017</xref>; <xref ref-type="bibr" rid="B5">Duarte et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B1">Almeida et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B15">Kazimierczak et&#xa0;al., 2019</xref>). Research has focused less on phage administration doses and routes and has instead concentrated on the isolation and characterization of virulent phage cocktail formulations.</p>
<p>To reduce the economic loss, bacteriophage treatment of water bodies and fish infections may be one of the potential alternatives to antibiotics under the &#x201c;One Health&#x201d; concept. Therefore, the present study planned to evaluate the efficacy of phage therapy in preventing and establishing infections caused by a known fish pathogen, <italic>A. hydrophila</italic>, in freshwater fish, <italic>Pangasius buchanani</italic>, in terms of safe doses and timing of phage administration.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Material and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Isolation and characterization of <italic>A. hydrophila</italic> isolates</title>
<sec id="s2_1_1">
<label>2.1.1</label>
<title>Isolation and biochemical identification of <italic>Aeromonas</italic> species</title>
<p>Bacteria were isolated from pond water and diseased fish (12&#x2013;15&#xa0;cm in length) near Varanasi, Uttar Pradesh, India. A total of 65 diseased fish were identified by swimming abnormality, pale gills, skin ulceration, and wounds on the body and tail. Specimens for isolation of bacteria were taken from the pond water sample, organs (gills, liver, kidney, ovary, and skin) of diseased fish during postmortem, and swabs from wounds. The culture was performed using blood agar (HiMedia Laboratories, Maharashtra, India) and MacConkey agar (HiMedia Laboratories) and incubated at 37&#xb0;C overnight. The next day, the plates were examined for growth.</p>
<p>The circular off-gray colonies from blood agar and non-lactose fermenting colonies from MacConkey were subjected to Gram staining and biochemical testing for such things as motility, oxidase production, sugars fermentation, gas production, susceptibility to vibriostatic agent O/129 (decarboxylase testing), and esculin hydrolysis for the identification of <italic>A. hydrophila</italic> (<xref ref-type="bibr" rid="B30">Samal et&#xa0;al., 2014</xref>).</p>
</sec>
<sec id="s2_1_2">
<label>2.1.2</label>
<title>Characterization of the <italic>Aeromonas</italic> species</title>
<p>Biochemically identified <italic>Aeromonas</italic> species were subcultured on Mueller&#x2013;Hinton agar (MHA; HiMedia Laboratories), and then DNA extraction was performed using the phenol&#x2013;chloroform&#x2013;isoamyl alcohol (25:24:1) method (<xref ref-type="bibr" rid="B31">Sambrook and Russell, 2006</xref>). The isolated genomic DNA was subjected to amplification using 16S rDNA-specific primers targeting genus-specific sequences of <italic>Aeromonas</italic> species (forward 5&#x2032;-GGG AGT GCC TTC GGG AAT CAG A-3&#x2032; and reverse 5&#x2032;-TCA CCG CAA CAT TCT GAT TTG-3&#x2032;) (<xref ref-type="bibr" rid="B12">Hussain et&#xa0;al., 2014</xref>). The positive strains for <italic>Aeromonas</italic> species were further amplified by using <italic>A. hydrophila</italic> species-specific primers Ahh1 (forward 5&#x2032;-GCC GAG CGC CCA GAA GGT GAG-3&#x2032; and reverse 5&#x2032;-GAG CGG CTG GAT GCG GTT GT-3&#x2032;) (<xref ref-type="bibr" rid="B12">Hussain et&#xa0;al., 2014</xref>). The master mix (Sigma-Aldrich, St. Louis, MO, USA) consisted of 50&#xa0;ng of bacterial genomic DNA. The reaction mixture (25&#xa0;&#xb5;L) was subjected to 35 cycles on the following program: an initial melting temperature of 95&#xb0;C for 5&#xa0;min, with denaturation at 94&#xb0;C for 45&#xa0;s, annealing at 59&#xb0;C for 45&#xa0;s, and extension at 72&#xb0;C for 1&#xa0;s. The final extension was carried out at 72&#xb0;C for 7&#xa0;min in a thermal cycler (Bio-Rad Universal Hood II, Hercules, CA, USA). Then, PCR products were visualized on 1% agarose gel electrophoresis.</p>
</sec>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Isolation and characterization of <italic>A. hydrophila</italic>-specific bacteriophages</title>
<sec id="s2_2_1">
<label>2.2.1</label>
<title>Bacteriophage isolation and purification</title>
<p>Phages were isolated from the pond, river, and sewage water by using the soft agar (0.8%) overlay method, following the method described by <xref ref-type="bibr" rid="B17">Kutter (2009)</xref>, with some modifications. <italic>A. hydrophila</italic> was plated in a lawn culture (1.5&#xa0;&#xd7;&#xa0;10<sup>8</sup> CFU mL<sup>&#x2013;1</sup>) to isolate bacteriophages on MHA and incubated for 6&#xa0;h to reach the log phase. Water specimens from different sources were collected and treated with 1% chloroform (Sigma-Aldrich) for 10&#xa0;min and centrifuged three times for 15&#xa0;min at 10,778&#xa0;&#xd7;&#xa0;<italic>g</italic>. One milliliter of the supernatant was flooded on the 6-h bacterial lawn of the <italic>A. hydrophila</italic> on an MHA plate and incubated overnight at 37&#xb0;C. The next day&#x2019;s lawn was washed with Tris-HCl magnesium gelatin (TMG, pH 7.4) buffer and centrifuged at 10,778&#xa0;&#xd7;&#xa0;<italic>g</italic> for 15&#xa0;min.</p>
<p>Isolated phages were purified by using plaque counting by applying the 0.8% soft agar overlay method. The single isolated plaque was picked up for further processing (<xref ref-type="bibr" rid="B26">Orlova, 2012</xref>). The phage count was increased by lawn and spot methods (<xref ref-type="bibr" rid="B2">Marc&#xf3; et&#xa0;al., 2012</xref>). For purification (toxin-free), the harvested fluid was subjected to membrane dialysis (membrane pore size 20&#xa0;nm, HiMedia Laboratories) against poly ethylene glycol (PEG) 20% in 2.5&#xa0;M sodium chloride (NaCl) solution (HiMedia Laboratories) overnight at 4&#xb0;C and then washed with phosphate buffer saline. The dialysis and washing process was repeated twice (<xref ref-type="bibr" rid="B8">Gangwar et&#xa0;al., 2021</xref>).</p>
</sec>
<sec id="s2_2_2">
<label>2.2.2</label>
<title>Bacterial lytic activity of purified phages</title>
<p>For their bacteriolytic activity, different isolated phages were subjected against different isolates of <italic>A. hydrophila.</italic> In addition, the lawn culture of <italic>A. hydrophila</italic> (1.5&#xa0;&#xd7;&#xa0;10<sup>8</sup> CFU mL<sup>&#x2013;1</sup>, 0.5 McFarland) was prepared on MHA. Ten microliters of each phage with the concentration of 1&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU&#xa0;mL<sup>&#x2013;1</sup> was spotted on the MHA (<xref ref-type="bibr" rid="B23">Montso et&#xa0;al., 2019</xref>). The MHA plates were observed for the lysis of bacteria (clear zone) after incubation at 37&#xb0;C overnight. Then, the three most active phages (i.e., &#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19) were selected for further characterization and experiments.</p>
</sec>
<sec id="s2_2_3">
<label>2.2.3</label>
<title>Host range determination</title>
<p>To see the spectrum of activity of these three phages (&#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19), we used different American Type Culture Collection strains of bacteria. The lawn culture of <italic>Pseudomonas aeruginosa, Aeromonas sobria, Escherichia coli, Plesiomonas shigelloides, Enterococcus faecalis, Salmonella</italic> Typhi<italic>, Acinetobacter lwoffii, Enterobacter cloacae</italic>, and <italic>Staphylococcus aureus</italic> (1.5&#xa0;&#xd7;&#xa0;108 CFU mL<sup>&#x2013;1</sup>) were made on MHA. The lytic activity of phages against all the bacterial species was determined by spot assay. Spot assay was used to determine the lytic spectrum activity of phage isolates, as described previously.</p>
</sec>
<sec id="s2_2_4">
<label>2.2.4</label>
<title>Effect of different pH and temperature on phage activity</title>
<p>The bacteriophage strains were screened for their lytic activity at different  pH ranges (3-12). Bacteriophages (1&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU mL<sup>&#x2013;1</sup> final concentrations) were incubated in equal amounts of TMG buffer (1:1) of different pH at 4&#xb0;C for 2&#xa0;h. After incubation, the lytic activity of bacteriophages was checked by the spot assay method.</p>
<p>Activities of bacteriophages were screened at different temperatures. For this screening, phages (1mL; 1&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU mL<sup>&#x2013;1</sup> final concentrations) were incubated at different temperatures (&#x2013;80&#xb0;C, &#x2013;20&#xb0;C, 4&#xb0;C, 28&#xb0;C, 37&#xb0;C, 45&#xb0;C, and 55&#xb0;C) for 48&#xa0;h, and then spot assay was performed to check its activity.</p>
</sec>
<sec id="s2_2_5">
<label>2.2.5</label>
<title>Phage morphology</title>
<p>The most virulent phages (i.e., &#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19) with titer 1.0&#xa0;&#xd7;&#xa0;10<sup>11</sup> PFU mL<sup>&#x2013;1</sup> were filtered through a 0.22-&#xb5;m syringe filter. The phage suspension was centrifuged at 21,124&#xa0;&#xd7;&#xa0;<italic>g</italic> for 90&#xa0;min, and the supernatant was decanted. The pellet was washed three times with 0.1&#xa0;M ammonium acetate (HiMedia Laboratories, pH 7.0). At the final step, the pellet was resuspended in ammonium acetate. The samples were treated with 2% uranyl acetate for negative staining and carbon-coated formvar films and examined under transmission electron microscopy (TALOS, Thermo Scientific, AIIMS, New Delhi, India). The diameter of the head and tail of these phages was determined by ImageJ software.</p>
</sec>
<sec id="s2_2_6">
<label>2.2.6</label>
<title>Restriction digestion analysis</title>
<p>Bacteriophage DNA was extracted and purified using a Norgen Biotek Corp. kit (cat. no 46800). Further phage DNA was subjected to restriction digestion using <italic>AluI</italic> (10&#xa0;U &#xb5;L<sup>&#x2013;1</sup>) in accordance with the manufacturer&#x2019;s instructions (Thermo Fisher Scientific) for 60&#xa0;min at 37&#xb0;C in a 20-&#x3bc;L reaction mixture containing 1&#xa0;&#x3bc;L of DNA (concentration 1&#xa0;&#x3bc;g &#x3bc;L<sup>&#x2013;1</sup>), 2&#xa0;&#x3bc;L of 10&#xa0;&#xd7;&#xa0;buffer, 1&#xa0;&#x3bc;L of restriction enzyme, and 16&#xa0;&#x3bc;L of sterile water. The digested products were electrophoresed with 1% agarose gel at 80&#xa0;V for 1&#xa0;h. The gel images were captured under ultraviolet light using a gel documentation system (BioRad Universal Hood II). The sizes of the DNA bands were estimated using 1&#xa0;kb and 100&#xa0;bp DNA ladders (Invitrogen, Thermo Fisher Scientific).</p>
</sec>
<sec id="s2_2_7">
<label>2.2.7</label>
<title>Genotyping of bacteriophage by enterobacterial repetitive intergenic consensus PCR</title>
<p>The genomic DNA of the phages against <italic>A. hydrophila</italic> was subjected to enterobacterial repetitive intergenic consensus (ERIC) PCR. The master mix contained 50&#xa0;ng of phage genomic DNA. The primers were used to amplify phage genomic DNA (forward 5&#x2032;-ATG TAA GCT CCT GGG GAT TCA-3&#x2032; and reverse 5&#x2032;-AAG TAA GTG ACT GGG GTG AGC G-3&#x2032;) (<xref ref-type="bibr" rid="B29">Ranjbar et&#xa0;al., 2017</xref>). The PCR mixture was subjected to the following program for amplification: melting temperature at 94&#xb0;C for 7&#xa0;min with denaturation for 45&#xa0;s at 92&#xb0;C, annealing at 31.8&#xb0;C for 45&#xa0;s, and extension at 72&#xb0;C for 1&#xa0;s. A final extension step at 72&#xb0;C for 7&#xa0;min was performed at the end of the 34 cycles. The PCR product was run on 1% agarose gel electrophoresis with 100&#xa0;bp and 1&#xa0;kb DNA ladder.</p>
</sec>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Fish infection and phage therapy</title>
<sec id="s2_3_1">
<label>2.3.1</label>
<title>Experimental fish rearing</title>
<p>The experimental fish, <italic>P. buchanani</italic>, weighing 12&#x2013;16&#xa0;g, 12&#x2013;15&#xa0;cm in size, and 6&#x2013;8 weeks old, were procured from commercial fish farms in Varanasi. The fish were reared in well-aerated 40-L rectangular glass aquariums in the Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India. The permission of the institutional ethics committee was obtained (reference number Dean/2016/CAEC/70/dated 30 March 2017). Before the experiment, the fish were acclimatized for 1 week. Then, the fish were immersed in 0.01% potassium permanganate (HiMedia Laboratories) for 10&#xa0;min to remove the parasitic infection (<xref ref-type="bibr" rid="B28">Prasad et&#xa0;al., 2011</xref>). The aquatic environment of the tank was maintained with dissolved oxygen 8.0&#xa0;&#xb1;&#xa0;0.5 mg<sup>-1</sup>, ammonia 0.6&#xa0;&#xb1;&#xa0;0.05 mg<sup>-1</sup>, pH 7.2&#xa0;&#xb1;&#xa0;0.2, and temperature 27&#xb0;C&#xa0;&#xb1;&#xa0;2&#xb0;C without chlorination. Each aquarium was aerated with an air pump, and one-third of the water was replaced daily, dead fish were removed, and debris was siphoned from the bottom of the aquarium.</p>
</sec>
<sec id="s2_3_2">
<label>2.3.2</label>
<title>Determination of lethal doses</title>
<p>Two different routes of administration [i.e., intramuscular (IM) and water immersion] were used to establish <italic>A. hydrophila</italic> infection in the fish.</p>
<sec id="s2_3_2_1">
<label>2.3.2.1</label>
<title>Determination of lethal dose 100 by intramuscular route</title>
<p><italic>A. hydrophila</italic> was injected through the IM route in four groups containing 10 fish each group. In each tank (containing 2 L of water), add 0.1% Luria-Bertani broth (Himedia) for the given organic stress. The log phase of bacterial suspension was given to different groups of fish at doses of 8.0&#xa0;&#xd7;&#xa0;10<sup>2</sup>, 8.0&#xa0;&#xd7;&#xa0;10<sup>3</sup>, 8.0&#xa0;&#xd7;&#xa0;10<sup>4</sup>, and 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish. One group was injected with 100&#xb5;L of 0.85% NaCl as a negative control. Then, we looked for lesions, sickness, and mortality. The lethality was observed for 7 days. After death, the fish were subjected to postmortem examination to ascertain the cause of death. Fish organs (liver, kidney, intestine, and stomach) were cultured on MHA and blood agar media. The whole experiment was repeated three times independently.</p>
</sec>
<sec id="s2_3_2_2">
<label>2.3.2.2</label>
<title>Determination of lethal dose 100 by water immersion</title>
<p>Forty fish were divided into four groups (10 fish in each group) in 2&#xa0;L of water with 10&#xa0;mL of Luria Bertani (LB) broth (HiMedia Laboratories). The first group was not infected. The other three groups were subjected to bacterial inoculation by putting them in a 2-L water tank with different concentrations of <italic>A. hydrophila</italic> (i.e., 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup>, and 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup>), and in each tank 10&#xa0;mL of LB broth was added. The fish were observed for 7 days for any morbidity and mortality (<xref ref-type="bibr" rid="B32">Sarker and Faruk, 2016</xref>).</p>
</sec>
</sec>
<sec id="s2_3_3">
<label>2.3.3</label>
<title>Assessment of the efficacy of the phage cocktail on fish infection</title>
<p>The phage cocktail was used for prophylactic and therapeutic purposes. The fish experiments were set up according to the following plan:</p>
<list list-type="bullet">
<list-item>
<p>The first control group was given only 0.85% NaCl.</p>
</list-item>
<list-item>
<p>The second control group was infected with bacteria only.</p>
</list-item>
<list-item>
<p>The third control group was given only phage.</p>
</list-item>
</list>
<p>All the experiments were repeated three times for robustness of data.</p>
</sec>
<sec id="s2_3_4">
<label>2.3.4</label>
<title>Bacteriophage cocktail given through IM simultaneously, 6, 12, and 24&#xa0;h after <italic>A. hydrophila</italic> challenge given through IM</title>
<p>Experimental groups were challenged with 100&#xa0;&#x3bc;L of <italic>A. hydrophila</italic> by injecting 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish IM. The bacteriophage cocktail at the doses of 1.0&#xa0;&#xd7;&#xa0;10<sup>3</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup>, and 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU/fish were given IM simultaneously at a different site from that of the bacterial injection.</p>
<p>Each group of 10 fish was placed in the 10-L aquarium. Fish were challenged with 100&#xa0;&#x3bc;L of <italic>A. hydrophila</italic> at the dose of 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish through the IM route, and phage cocktails at the quantity of 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> PFU/fish were given simultaneously after 6, 12, and 24&#xa0;h of bacterial challenge IM. The water was changed daily, as described elsewhere, and the experiment was monitored for 7 days.</p>
</sec>
<sec id="s2_3_5">
<label>2.3.5</label>
<title>Bacteriophage cocktail added into the water simultaneously, 6, 12, and 24&#xa0;h after <italic>A. hydrophila</italic> challenge given through IM</title>
<p>Ten groups of <italic>P. buchanani</italic> were placed in separate aquaria. The fish were challenged with 100&#x3bc;L of <italic>A. hydrophila</italic> at a concentration 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish through the IM. The phage cocktail at different concentrations (i.e., 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup>, and 1&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU mL<sup>&#x2013;1</sup>) was administered through water immersion simultaneously.</p>
<p>The groups, comprising 10 fish each, were challenged with 100&#xa0;&#x3bc;L of <italic>A. hydrophila</italic> (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish) through the IM route. However, phage cocktails containing 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup> were added into the water tank after 6, 12, and 24 of bacterial challenge.</p>
</sec>
<sec id="s2_3_6">
<label>2.3.6</label>
<title>Bacteriophage cocktail added into the water simultaneously, 6, 12, and 24 after <italic>A. hydrophila</italic> challenge given through water immersion</title>
<p>In water immersion, 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup> bacterial suspension was added to the 2-L water aquaria with 10&#xa0;mL of LB broth, and phages cocktails were given simultaneously at a concentration of 1.0&#xa0;&#xd7;&#xa0;10<sup>3</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup>, 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup>, and 1.0&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU mL<sup>&#x2013;1</sup>, with 10&#xa0;mL of LB broth in 2&#xa0;L by adding in water. Furthermore, the phage cocktail (1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup>) was given at 6, 12, and 24 after adding bacteria into the water.</p>
</sec>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Statistical method</title>
<p>One-way ANOVA was applied to check the quality of the data before making different comparisons. When we found that there was a statistically significant difference between the means of three or more independent groups by using an ANOVA test, we used the <italic>post hoc</italic> test to compare the groups in pairs to obtain the significance levels. Survival at 0&#xa0;h with survival at 6, 12, and 24&#xa0;h were compared using <italic>t</italic>-test. The Student&#x2019;s <italic>t</italic>-test was applied to compare the means of paired groups using SPSS package.</p>
</sec>
<sec id="s4" sec-type="results">
<label>4</label>
<title>Results</title>
<sec id="s4_1">
<label>4.1</label>
<title>Identification of <italic>A. hydrophila</italic> isolates</title>
<p>A total of 38 <italic>Aeromonas</italic> spp. were isolated from diseased fish and pond water. From a biochemical and molecular basis, 18 isolates could be confirmed as <italic>A. hydrophila</italic>, Gram-negative, motile, and oxidase-positive bacteria. It could ferment sugars with gas production and resistance to vibriostatic agent O/129 and hydrolyze esculin hydrolysis. Confirmation of <italic>Aeromonas</italic> spp. and <italic>A. hydrophila</italic> was obtained by using primers that are specific to their genus and species. This was determined by the amplicon sizes of 356&#xa0;bp and 130&#xa0;bp, respectively (see <xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>). The AhBHU111 strain of <italic>A. hydrophila</italic> was used for further experiment.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>
<bold>(A)</bold> Gel picture showing 100&#xa0;bp molecular marker in lane 1 and 356&#xa0;bp amplicon specific for <italic>Aeromonas</italic> spp. in lanes 3, 4, 6, and 7. <bold>(B)</bold> Gel picture showing 100&#xa0;bp molecular marker in lane 1 and 130&#xa0;bp amplicon specific for <italic>A. hydrophila</italic> in lane 6.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="faquc-02-1201466-g001.tif"/>
</fig>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Characterization of <italic>A. hydrophila</italic>-specific bacteriophages</title>
<sec id="s4_2_1">
<label>4.2.1</label>
<title>Bacterial lytic activity of isolated bacteriophages</title>
<p>A total of 18 strains of <italic>A. hydrophila</italic> were tested against 23 bacteriophages by spot assay. In detail, the most virulent bacteriophages, &#x3c6;AHBHU12 (72.2%), &#x3c6;AHBHU16 (66.6%), and &#x3c6;AHBHU19 (83.3%), were used for further experiment (see <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Lytic activity of 23 bacteriophages against 18 different strains of <italic>A. hydrophila</italic>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Serial number</th>
<th valign="top" align="center">Bacteriophage</th>
<th valign="top" align="center">Susceptibility</th>
<th valign="top" align="center">Percentage of the host lysed by individual bacteriophage</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>1.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU1</td>
<td valign="top" align="center">8/18</td>
<td valign="top" align="center">44.4</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>2.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU2</td>
<td valign="top" align="center">2/18</td>
<td valign="top" align="center">11.1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>3.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU3</td>
<td valign="top" align="center">4/18</td>
<td valign="top" align="center">22.2</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>4.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU4</td>
<td valign="top" align="center">9/18</td>
<td valign="top" align="center">50</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>5.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU5</td>
<td valign="top" align="center">3/18</td>
<td valign="top" align="center">16.6</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>6.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU6</td>
<td valign="top" align="center">11/18</td>
<td valign="top" align="center">61.1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>7.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU7</td>
<td valign="top" align="center">5/18</td>
<td valign="top" align="center">27.7</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>8.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU8</td>
<td valign="top" align="center">7/18</td>
<td valign="top" align="center">38.8</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>9.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU9</td>
<td valign="top" align="center">3/18</td>
<td valign="top" align="center">16.6</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>10.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU10</td>
<td valign="top" align="center">12/18</td>
<td valign="top" align="center">66.6</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>11.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU11</td>
<td valign="top" align="center">7/18</td>
<td valign="top" align="center">38.8</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>12.</bold>
</td>
<td valign="top" align="center">
<bold>&#x3c6;AHBHU12</bold>
</td>
<td valign="top" align="center">
<bold>13/18</bold>
</td>
<td valign="top" align="center">
<bold>72.2</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>13.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU13</td>
<td valign="top" align="center">2/18</td>
<td valign="top" align="center">11.1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>14.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU14</td>
<td valign="top" align="center">9/18</td>
<td valign="top" align="center">50</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>15.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU15</td>
<td valign="top" align="center">8/18</td>
<td valign="top" align="center">44.4</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>16.</bold>
</td>
<td valign="top" align="center">
<bold>&#x3c6;AHBHU16</bold>
</td>
<td valign="top" align="center">
<bold>12/18</bold>
</td>
<td valign="top" align="center">
<bold>66.6</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>17.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU17</td>
<td valign="top" align="center">6/18</td>
<td valign="top" align="center">33.3</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>18.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU18</td>
<td valign="top" align="center">4/18</td>
<td valign="top" align="center">22.2</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>19.</bold>
</td>
<td valign="top" align="center">
<bold>&#x3c6;AHBHU19</bold>
</td>
<td valign="top" align="center">
<bold>15/18</bold>
</td>
<td valign="top" align="center">
<bold>83.3</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>20.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU20</td>
<td valign="top" align="center">10/18</td>
<td valign="top" align="center">55.5</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>21.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU21</td>
<td valign="top" align="center">9/18</td>
<td valign="top" align="center">50</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>22.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU22</td>
<td valign="top" align="center">2/18</td>
<td valign="top" align="center">11.1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>23.</bold>
</td>
<td valign="top" align="center">&#x3c6;AHBHU23</td>
<td valign="top" align="center">4/18</td>
<td valign="top" align="center">22.2</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Bold values show the most active phages after the bacteriolytic activity test against 18 strains of <italic>A. hydrophila</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4_2_2">
<label>4.2.2</label>
<title>Host range determination</title>
<p>The most virulent bacteriophages [&#x3c6;AHBHU12 (lysing 72.2%), &#x3c6;AHBHU16 (66.6%), and &#x3c6;AHBHU19 (83.3%)] were selected for further characterization. The three phages could not lyse <italic>Pseudomonas aeruginosa</italic>, <italic>Aeromonas sobria</italic>, <italic>Escherichia coli</italic>, <italic>Salmonella</italic> Typhi, <italic>Acinetobacter lwoffii, Enterobacter cloacae, Plesiomonas shigelloides, Enterococcus faecalis</italic>, and <italic>Staphylococcus aureus.</italic>
</p>
</sec>
<sec id="s4_2_3">
<label>4.2.3</label>
<title>Effect of different pH and temperature on phage activity</title>
<p>Good lytic activity of the bacteriophages against <italic>A. hydrophila</italic> was observed at pH 3&#x2013;12 (see <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>), and the three phages could survive well at temperatures &#x2013;80&#xb0;C, &#x2013;20&#xb0;C, 4&#xb0;C, 28&#xb0;C, and 37&#xb0;C. However, &#x3c6;AHBHU12 and &#x3c6;AHBHU19 had satisfactory activity (approximately 50%) at 45&#xb0;C (see <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>
<bold>(A)</bold> Graph showing effect of pH on <italic>Aeromonas hydrophila-</italic>specific bacteriophages. <bold>(B)</bold> Graph showing effect of temperature on <italic>A. hydrophila-</italic>specific bacteriophages.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="faquc-02-1201466-g002.tif"/>
</fig>
</sec>
<sec id="s4_2_4">
<label>4.2.4</label>
<title>Morphological characterization</title>
<p>The bacteriophages &#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19 were examined under transmission electron microscopy cryo-TEM (Talos, Thermo Fisher Scientific, Waltham, MA, USA). Based on previous classification (<xref ref-type="bibr" rid="B4">Dion et al., 2020</xref>), the &#x3c6;AHBHU12 could be placed in the Podoviridae family, as the diameter of the isometric head was 52.47&#xa0;nm, and a non-contractile short tail could not be visualized (see <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). In contrast, bacteriophage &#x3c6;AHBHU16 belongs to the Siphoviridae family, having an icosahedral head (47.82&#xa0;nm in width) and a long non-contractile tail ranging from 93.55 to 117.30&#xa0;nm in length (see <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). The &#x3c6;AHBHU19 could be classified as belonging to the Corticoviridae family, having an icosahedral head (42.17&#xa0;nm in width) and no tail (see <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Transmission electron micrograph of bacteriophages, <bold>(A)</bold> &#x3c6;AHBHU12 belongs to the Podoviridiae family, <bold>(B)</bold> &#x3c6;AHBHU16 belongs to the Siphoviridae family, and <bold>(C)</bold> &#x3c6;AHBHU19 belongs to the Corticoviridae family.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="faquc-02-1201466-g003.tif"/>
</fig>
</sec>
<sec id="s4_2_5">
<label>4.2.5</label>
<title>The whole-genome fingerprinting by using restriction enzyme digestion (<italic>AluI</italic>) and enterobacterial repetitive intergenic consensus PCR</title>
<p>The isolated three phages (&#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19) were further characterized at the level of whole-genome fingerprinting by restriction digestion and ERIC PCR of their genomic DNA. Different banding patterns were indicated in the restriction digestion with <italic>AluI</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Also, in ERIC PCR, distinct band patterns were observed in all three phages (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). The results delineate that these three phages have different genetic characteristics.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Fingerprinting of &#x3c6;AHBHU12, &#x3c6;AHBHU16, and &#x3c6;AHBHU19 by <bold>(A)</bold> Restriction digestion with <italic>AluI</italic> [L1- molecular marker (1 kb), L2- &#x3c6;AHBHU12, L3- &#x3c6;AHBHU16, L4- &#x3c6;AHBHU19, and L5 molecular marker (100 bp)], and <bold>(B)</bold> ERIC PCR [L1 molecular marker (100 bp), L2- &#x3c6;AHBHU12, L3- &#x3c6;AHBHU16, L4- &#x3c6;AHBHU19, and L5- molecular marker (1 kb marker)].</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="faquc-02-1201466-g004.tif"/>
</fig>
<p>The isolated potent phages were further characterized at the genomic level using RAPD-PCR and restriction digestion by isolating their genomic DNA. Different banding patterns were observed in the RAPD-PCR analysis (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Also, the restriction digestion with EcoRI shows a distinct band pattern in all three phages (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). The results delineate that the isolated potent phages have different genetic makeup.</p>
</sec>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Fish infection and phages therapy</title>
<sec id="s4_3_1">
<label>4.3.1</label>
<title>Lethal dose 100 of <italic>A. hydrophila</italic> on intramuscular administration and water immersion</title>
<p>The lethal dose of <italic>A. hydrophila</italic> killing the <italic>P. buchanani</italic> fish weighing 12&#x2013;16&#xa0;g on intramuscular injection in 7 days was 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>CFU/fish. However, the lethal dose through the water immersion route was 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup> within 7 days when mixed with 10&#xa0;mL of LB broth containing 2&#xa0;L of the water tank as organic contamination. Interestingly, no death could be observed in the absence of LB broth (organic matter).</p>
</sec>
<sec id="s4_3_2">
<label>4.3.2</label>
<title>Protection by phage cocktail at different routes of phage administration at different time intervals after <italic>A. hydrophila</italic> infection</title>
<sec id="s4_3_2_1">
<label>4.3.2.1</label>
<title>Intramuscularly administered varying phage cocktail dose</title>
<p>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref> (IM) shows that when a simultaneous lethal dose of <italic>A. hydrophila</italic> and different concentrations of phage cocktails were injected through the intramuscular route, 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> PFU/fish could provide 93% protection, which was comparable to the dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> PFU/fish. However, a dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU/fish led to the significantly lower protection of only 43% of the reared fish. When the doses were further reduced to 1.0 &#xd7; 10<sup>3</sup> PFU/fish, 57% of the <italic>P. buchanani</italic> were protected (see <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). Better protection (83% and 63%, respectively) could be observed with the intervention at 6 and 12&#xa0;h at the dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> PFU/fish (see <xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>; IM). However, the intervention with phage therapy carried out 24&#xa0;h after the <italic>A. hydrophila</italic> challenge resulted in significantly lower protection than when it was carried out simultaneously (see <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>
<bold>(A)</bold> Showing efficacy of phage administration through intramuscular and different doses of bacteriophage when given simultaneously through water immersion. IM: Effect of bacteriophage therapy on <italic>Aeromonas hydrophila</italic> (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish) infection in <italic>Pangasius buchanani</italic>. Bacteria and different doses of bacteriophage were given simultaneously through the intramuscular route. IM&#xa0;+&#xa0;water: Showing efficacy of simultaneous addition of different doses of bacteriophage cocktail in water and <italic>A. hydrophila</italic> (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish) challenge intramuscular in <italic>P. buchanani.</italic> Water immersion: Effect of bacteriophage therapy on <italic>A. hydrophila</italic> (1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup>) infection in <italic>P. buchanani</italic>. Bacteria and different doses of bacteriophage were given simultaneously through water immersion. <bold>(B)</bold> Showing efficacy of phage administration through intramuscular and water immersion at different time intervals after bacterial challenge. IM: Effect of bacteriophage (1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup>PFU/fish) therapy given simultaneously, after 6&#xa0;h, 12&#xa0;h, and 24&#xa0;h of <italic>A. hydrophila</italic> infection (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>CFU/fish) in <italic>P. buchanani.</italic> Both doses were given through the IM route. IM&#xa0;+&#xa0;water immersion: Effect of bacteriophage (1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup>) added into the water (simultaneously, after 6&#xa0;h, 12&#xa0;h, and 24&#xa0;h) with <italic>A. hydrophila</italic> infection (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>CFU/fish) intramuscularly in <italic>P. buchanani</italic>. Water: Effect of bacteriophage (1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup>) added into the water (simultaneously, after 6&#xa0;h, 12&#xa0;h, and 24&#xa0;h) with <italic>A. hydrophila</italic> infection (8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup>CFU/fish) intramuscularly in <italic>P. buchanani.</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="faquc-02-1201466-g005.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Showing efficacy of phage treatment given to the fish by administering simultaneously through intramuscular and water immersion routes at different doses (number of fish in each group&#xa0;=&#xa0;30).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Serial number</th>
<th valign="top" rowspan="2" align="center">Dose of the bacteriophage per fish</th>
<th valign="top" colspan="3" align="center">Both bacterial challenge and bacteriophage given through the intramuscular route</th>
<th valign="top" colspan="3" align="center">Bacterial challenge given through the intramuscular route, while bacteriophage by water immersion</th>
<th valign="top" colspan="3" align="center">Bacterial challenge and bacteriophage were given to fish through water immersion.</th>
</tr>
<tr>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value</th>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value</th>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>1</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>3</sup>
</td>
<td valign="top" align="center">0.5667</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center">0.0000</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center">0.3667</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">
<bold>2</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>4</sup>
</td>
<td valign="top" align="center">
<bold>0.9333</bold>
</td>
<td valign="top" align="center">2:1</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.1333</td>
<td valign="top" align="center">5:1</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.6667</td>
<td valign="top" align="center">4:1</td>
<td valign="top" align="center">0.000</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>3</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>5</sup>
</td>
<td valign="top" align="center">0.8667</td>
<td valign="top" align="center">2:3</td>
<td valign="top" align="center">0.500</td>
<td valign="top" align="center">0.2333</td>
<td valign="top" align="center">5:2</td>
<td valign="top" align="center">0.001</td>
<td valign="top" align="center">0.9333</td>
<td valign="top" align="center">4:2</td>
<td valign="top" align="center">0.001</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>4</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>6</sup>
</td>
<td valign="top" align="center">0.4333</td>
<td valign="top" align="center">2:4</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.4667</td>
<td valign="top" align="center">5:3</td>
<td valign="top" align="center">0.023</td>
<td valign="top" align="center">
<bold>1.0000</bold>
</td>
<td valign="top" align="center">4:3</td>
<td valign="top" align="center">0.515</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>5</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>7</sup>
</td>
<td valign="top" align="center">0.1333</td>
<td valign="top" align="center">2:5</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">
<bold>0.8667</bold>
</td>
<td valign="top" align="center">5:4</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.8667</td>
<td valign="top" align="center">4:5</td>
<td valign="top" align="center">0.193</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>6</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>8</sup>
</td>
<td valign="top" align="center">0.0667</td>
<td valign="top" align="center">2:6</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.5667</td>
<td valign="top" align="center">5:6</td>
<td valign="top" align="center">0.328</td>
<td valign="top" align="center">0.7333</td>
<td valign="top" align="center">4:6</td>
<td valign="top" align="center">0.010</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>7</bold>
</td>
<td valign="top" align="center">1.0 &#xd7; 10<sup>9</sup>
</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center">0.6333</td>
<td valign="top" align="center">4:7</td>
<td valign="top" align="center">0.000</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Bold values show the maximum survival of fish at 1&#xd7; 10<sup>4</sup>, 1&#xd7; 10<sup>5</sup>, 1&#xd7;10<sup>7</sup> and 1&#xd7;10<sup>6</sup> of bacteriophages.</p>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Showing efficacy of phage treatment given to the fish by administering simultaneously and at different time intervals after bacterial challenge through intramuscular and water immersion routes at effective doses (number of fish in each group&#xa0;=&#xa0;30).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">Serial number</th>
<th valign="top" rowspan="2" align="center">Fixed dose of phage cocktail at different time interval</th>
<th valign="top" colspan="3" align="center">Both bacterial challenge and bacteriophage given through the intramuscular route (1.0 &#xd7; 10<sup>6</sup> PFU mL<sup>&#x2013;1</sup>)</th>
<th valign="top" colspan="3" align="center">Bacterial challenge given through the intramuscular route, while bacteriophage through water immersion<break/>(1.0 &#xd7; 10<sup>4</sup> PFU mL<sup>&#x2013;1</sup>)</th>
<th valign="top" colspan="3" align="center">Bacterial challenge and bacteriophage were given to fish through water immersion<break/>(1.0 &#xd7; 10<sup>8</sup> PFU mL<sup>&#x2013;1</sup>)</th>
</tr>
<tr>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value<break/>Significance (two-tailed)</th>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value<break/>Sig nificance (two-tailed)</th>
<th valign="top" align="center">Mean of the surviving fish</th>
<th valign="top" align="center">Comparison made between</th>
<th valign="top" align="center">
<italic>p</italic>-value<break/>Sig nificance (two-tailed)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">0</td>
<td valign="top" align="center">At 0&#xa0;h without interference</td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">
<bold>-</bold>
</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">Simultaneously</td>
<td valign="top" align="center">
<bold>0.93</bold>
</td>
<td valign="top" align="center">
<bold>-</bold>
</td>
<td valign="top" align="center"/>
<td valign="top" align="center">
<bold>0.8667</bold>
</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="center">
<bold>1.00</bold>
</td>
<td valign="top" align="center">1.00</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">After 6&#xa0;h</td>
<td valign="top" align="center">0.83</td>
<td valign="top" align="center">1:2</td>
<td valign="top" align="center">0.264</td>
<td valign="top" align="center">0.300</td>
<td valign="top" align="center">1:2</td>
<td valign="top" align="center">0.03</td>
<td valign="top" align="center">0.23</td>
<td valign="top" align="center">1:2</td>
<td valign="top" align="center">0.000</td>
</tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">After 12&#xa0;h</td>
<td valign="top" align="center">0.767</td>
<td valign="top" align="center">1:3</td>
<td valign="top" align="center">0.005</td>
<td valign="top" align="center">0.533</td>
<td valign="top" align="center">1:3</td>
<td valign="top" align="center">0.01</td>
<td valign="top" align="center">0.47</td>
<td valign="top" align="center">1:3</td>
<td valign="top" align="center">0.000</td>
</tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">After 24&#xa0;h</td>
<td valign="top" align="center">0.267</td>
<td valign="top" align="center">1:4</td>
<td valign="top" align="center">0.000</td>
<td valign="top" align="center">0.400</td>
<td valign="top" align="center">1:4</td>
<td valign="top" align="center">0.00</td>
<td valign="top" align="center">
<bold>1.00</bold>
</td>
<td valign="top" align="center">1:4</td>
<td valign="top" align="center">&#x2265;&#xa0;0.05</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Bold values show maximum survival at different time points.NA, Not applicable.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s4_3_2_2">
<label>4.3.2.2</label>
<title>Route of bacterial dose intramuscular and phages administration challenge through water immersion at different time intervals</title>
<p>The highest protection (87%) through the water immersion route could be observed with the dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup> in simultaneous addition to aquarium water after IM injection of <italic>A. hydrophila</italic> 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish. However, comparable protection could also be achieved by mixing the phage cocktail at a concentration of 1.0&#xa0;&#xd7;&#xa0;10<sup>9</sup> PFU mL<sup>&#x2013;1</sup>. However, lowering the phage concentration to 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> PFU mL<sup>&#x2013;1</sup> and 1.0&#xd7;10<sup>6</sup> PFUmL<sup>-1</sup> resulted in a significant decrease in the protection level to 47% and 23%, respectively (see <xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>; IM&#xa0;+&#xa0;water). Interestingly, the phage cocktail at the dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup> added 6&#xa0;h after the bacterial challenge provided comparable protection with that given simultaneously at a similar concentration of phage cocktail (see <xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>; IM&#xa0;+&#xa0;water).</p>
</sec>
<sec id="s4_3_2_3">
<label>4.3.2.3</label>
<title>Bacterial dose and varying phage cocktail dose at different time intervals through water immersion</title>
<p>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref> (water) shows that the bacteriophage cocktail concentrations of 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> PFU mL<sup>&#x2013;1</sup> and 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup> gave comparable protection (93% and 100%, respectively) when both bacterial challenge and phage therapy were given water immersion simultaneously; however, a lower dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> PFU mL<sup>&#x2013;1</sup> gave significantly lower (67%) protection to <italic>P. buchanani</italic> (see <xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). However, a 6-h delay in administering a phage cocktail of 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup> led to only 23% protection, while a delay of 12&#xa0;h protected 47% of the fish. The other notable finding was that no mortality was observed when the phage cocktail of 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup> was added to the water 24&#xa0;h after the <italic>P. buchanani</italic> infection by <italic>A. hydrophila</italic> (8.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup>) (see <xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>; water).</p>
</sec>
</sec>
</sec>
</sec>
<sec id="s5" sec-type="discussion">
<label>5</label>
<title>Discussion</title>
<p>Fisheries and aquaculture production are vital protein sources for human beings, and a growth in aquaculture production is required to meet the high demand for fish and seafood worldwide. However, despite an upsurge in freshwater aquaculture, various microbial infections, including bacteria, pose a big challenge. Therefore, bacteriophage therapy is becoming increasingly popular as a promising alternative to treat/prevent bacterial infection in livestock, including in fish rearing.</p>
<p>However, several conditions must be fulfilled to make the bacteriophages effective in aquaculture. Therefore, the present study aimed to see bacteriophages as preventive/curative tools in aquaculture systems. For this purpose, we reared the <italic>P. buchanani</italic> fish and determined the lethal dose of <italic>A. hydrophilia</italic> bacteria by intramuscular and water immersion routes. Furthermore, we evaluated the amount, timing, and mode of delivery of bacteriophages as the prophylactic and therapeutic measures in freshwater aquaculture systems against known fish pathogens (i.e., <italic>A. hydrophila</italic>).</p>
<p>When <italic>P. buchanani</italic> was injected intramuscularly, a dose of 8.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> CFU/fish resulted in the death of all fish within 7 days. However, on simultaneous administration of phage cocktails through the IM route, the doses of 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> and 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> PFU/fish gave the best protection (93% and 87%, respectively). However, decreasing or increasing doses failed to prevent death. A phage cocktail given within the first 6&#xa0;h protected 83% of the fish. However, high mortality rates (63% and 23%, respectively) could be observed when the injection of the phage cocktail was delayed by 12 and 24&#xa0;h through the IM route. This observation indicates that the sooner the phage therapy is instituted, the better the results.</p>
<p>In the second experiment, we tried to determine the effect of variation in the route of administration of phages in fish having induced infection by <italic>A. hydrophila</italic> through the IM route. Interestingly, a higher dose (i.e., 8.0&#xa0;&#xd7;&#xa0;10<sup>8</sup> PFU mL<sup>&#x2013;1</sup>) provided the best protection when the phages were given in water simultaneously. However, the protection rate was significantly reduced when the water immersion phage cocktail was delayed by 24&#xa0;h in the aquarium containing fish infected intramuscularly.</p>
<p>We induced the lethal infection in the third experiment by adding 1.0 &#xd7; 10<sup>7</sup> CFU mL<sup>&#x2013;1</sup> <italic>A. hydrophila</italic> to the water tank. The lethal dose for <italic>P. buchanani</italic> could be 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup> when organic material was added to induce the stress. This observation of organic matter contamination indicates that stress is essential to initiate and establish the infection. We evaluated the different doses of bacteriophage cocktails at different time intervals in the aquaria. Intriguingly, while unprotected fish were dying within 7 days with 1.0&#xa0;&#xd7;&#xa0;10<sup>7</sup> CFU mL<sup>&#x2013;1</sup>, the simultaneous addition of phage cocktail in the water body at concentrations of 1.0&#xa0;&#xd7;&#xa0;10<sup>5</sup> and 1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup> resulted in 93% and 100% protection, respectively. However, a lower dose of 1.0&#xa0;&#xd7;&#xa0;10<sup>4</sup> PFU mL<sup>&#x2013;1</sup> could protect only a few of the fish. It is worth noting that when the addition of phage cocktail (1.0&#xa0;&#xd7;&#xa0;10<sup>6</sup> PFU mL<sup>&#x2013;1</sup>) in the water tank was delayed by 6 and 12&#xa0;h, the protection rates were significantly lower. Surprisingly, when the same dose was delayed by 24&#xa0;h the mortality was reduced to zero (i.e., 100% protection). Therefore, the amount of bacteriophage cocktail given at a particular time of infection seems extremely important. This varying protection is explained based on the zone phenomenon, an optimum number of bacteriophages in the cocktail leading to sudden lysis of all the bacteria and releasing a considerable amount of endotoxin to which fish succumb. At an early stage of infection, the bacterial count was less, while at a later stage, the bacterial count was higher than the bacteriophages. Even when bacteria are lysed slowly because of their small/large number, tolerable endotoxin is produced. In the latter case, because of a low multiplicity of infection of phages, sudden lysis of the bacteria did not occur, leading to a gradual release of endotoxin. A similar phenomenon has already been reported in treating septicemia with bacteriophages in animal models (<xref ref-type="bibr" rid="B27">Patel et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B34">Singh et&#xa0;al., 2022</xref>). Consistent with our findings, <xref ref-type="bibr" rid="B41">Zhang et&#xa0;al. (2015)</xref> and <xref ref-type="bibr" rid="B14">Karunasagar et&#xa0;al. (2007)</xref> have shown the protection of sea cucumber against <italic>Vibrio alginolyticus</italic> by a spectrum of bacteriophages.</p>
<p>Contrary to this, a few studies have mentioned that lower doses yielded adequate protection, and a difference in treatment efficacy with different quantities of phage cocktails was not reported (<xref ref-type="bibr" rid="B20">Li et&#xa0;al., 2016</xref>). In one study, small doses worked because the bacteriophages were self-perpetuating (<xref ref-type="bibr" rid="B21">Lomel&#xed;-Ortega and Mart&#xed;nez-D&#xed;az, 2014</xref>). A study published in 2017 reported 70% protection when small doses of water immersion administration were carried out shortly after the infection (<xref ref-type="bibr" rid="B38">Wang et&#xa0;al., 2017</xref>). Therefore, the phage cocktail given at a particular point in time and the severity of illness may give variable protection. Thus, we can see that prophylactic or early phage therapy provides better protection in freshwater aquaculture systems.</p>
<p>Earlier reports had stated that prophylactic use of bacteriophages 24, 12, and 6&#xa0;h before bacterial challenge gave significant protection irrespective of the route of administration. <xref ref-type="bibr" rid="B21">Lomel&#xed;-Ortega and Mart&#xed;nez-D&#xed;az (2014)</xref> have also reported better protection using prophylactic doses and unsatisfactory outcomes when prophylactic use of bacteriophages started 24&#xa0;h post infection, which agrees with our observation. However, when a phage cocktail was administered in water through immersion, significantly higher (100 to 1,000 times) doses per unit volume were required. A possible explanation for this may be that phages get adsorbed to specific receptors on phage-sensitive bacteria and dead and phage-resistant bacteria. It has already been reported that the immunoglobulin-like domain on the surface of phages makes them more susceptible to getting trapped in the intestinal mucosa (<xref ref-type="bibr" rid="B6">Fraser et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B19">Lepage et&#xa0;al., 2008</xref>). In addition, the gut is the most diversified, crowded organ of fish and animals, comprising eukaryotic cells, bacteria, fungi, and viruses (<xref ref-type="bibr" rid="B33">Sausset et&#xa0;al., 2020</xref>). Therefore, competitive inhibition may also play a role in the efficiency of lysing the target bacteria.</p>
<p>There are several issues to resolve while planning for phage therapy in aquaculture. First, the observations made in this study should not be generalized to all situations in freshwater aquaculture. Lower and repeated doses may reduce mortality when the infection is of longer duration, although this needs to be explored further. Last, if there is an increase in the density of the known bacterial pathogen in the aquaculture system, adding their respective phage cocktail in anticipation at adequate doses as prophylaxis may prevent infection and unnecessary use of antibiotics.</p>
</sec>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by the institutional Ethics Committee for animals permitted the protocol for the study, which was carried out during Dean/2016/CAEC/70 dated 30.03.2017at the Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>GN, DK, and RC conceived the idea. RK, RY, GN, DK, and RC executed the experimental work and analyzed the data. GN, RK, and DK wrote the initial manuscript. GN, DK, and RC completed the final editing of the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>This research was supported by funding from Aquaculture &amp; Fisheries Biotechnology, Department of Biotechnology, Ministry of Science and Technology, Government of India, grant No.BT/PR24773/AAQ/3/863/2017dt. 22/03/2018R/Dev./P-07/671dt.29/05/2018.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>The authors are also grateful to State Level Viral Research and Diagnostic Laboratory, Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, for providing an infrastructural facility for the bench work. In addition, we are indebted to the Central Institute of Freshwater Aquaculture, Bhubaneshwar, for providing reference strains. The authors are also grateful to Subhash Lal Karan, Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, for the statistical analysis of the data. Finally, the authors thank the Sophisticated Analytical Instrumentation Facility, AIIMS Delhi, India, for transmission electron microscopy.</p>
</ack>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Almeida</surname> <given-names>G. M. F.</given-names>
</name>
<name>
<surname>M&#xe4;kel&#xe4;</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Laanto</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Pulkkinen</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Vielma</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Sundberg</surname> <given-names>L. R.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>&#x2018;The fate of bacteriophages in recirculating aquaculture systems (RAS)&#x2013;towards developing phage therapy for RAS</article-title>. <source>Antibiotics</source>. <volume>8</volume>, <fpage>192</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ANTIBIOTICS8040192</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Briggiler Marc&#xf3;</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Garneau</surname> <given-names>J. E.</given-names>
</name>
<name>
<surname>Tremblay</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Quiberoni</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Moineau</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Characterization of two virulent phages of lactobacillus plantarum</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>78</volume> (<issue>24</issue>), <fpage>8719</fpage>&#x2013;<lpage>8734</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/AEM.02565-12/ASSET/4F0314A8-98EA-4D23-8712-C1D522716063/ASSETS/GRAPHIC/ZAM9991039300004.JPEG</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Das</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Kotra</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Loh</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Leptihn</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Bajpai</surname> <given-names>U.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Alternative treatment strategies for secondary bacterial and fungal infections associated with COVID-19</article-title>. <source>Infect. Dis. Ther.</source> <volume>11</volume> (<issue>1</issue>), <fpage>53</fpage>&#x2013;<lpage>78</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s40121-021-00559-8</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dion</surname> <given-names>M. B.</given-names>
</name>
<name>
<surname>Oechslin</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Moineau</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Phage diversity, genomics and phylogeny</article-title>. <source>Nat Rev Microbiol</source>. <volume>18</volume> (<issue>3</issue>), <fpage>125</fpage>&#x2013;<lpage>138</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41579-019-0311-5</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duarte</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Moreirinha</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Salvio</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Lopes</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>New insights on phage efficacy to control aeromonas salmonicida in aquaculture systems: an <italic>in vitro</italic> preliminary study</article-title>. <source>Aquaculture</source> <volume>495</volume>, <fpage>970</fpage>&#x2013;<lpage>982</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2018.07.002</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fraser</surname> <given-names>J. S.</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Maxwell</surname> <given-names>K. L.</given-names>
</name>
<name>
<surname>Davidson</surname> <given-names>A. R.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Ig-like domains on bacteriophages: a tale of promiscuity and deceit</article-title>. <source>J. Mol. Biol.</source> <volume>359</volume> (<issue>2</issue>), <fpage>496</fpage>&#x2013;<lpage>507</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.JMB.2006.03.043</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Frei</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Verderosa</surname> <given-names>A. D.</given-names>
</name>
<name>
<surname>Elliott</surname> <given-names>A. G.</given-names>
</name>
<name>
<surname>Zuegg</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Blaskovich</surname> <given-names>M. A.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Metals to combat antimicrobial resistance</article-title>. <source>Nat. Rev. Chem.</source> <volume>7</volume>, <fpage>202</fpage>&#x2013;<lpage>224</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41570-023-00463-4</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gangwar</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Rastogi</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Shukla</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Dhameja</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2021</year>). <article-title>Study on the effect of oral administration of bacteriophages in Charles foster rats with special reference to immunological and adverse effects</article-title>. <source>Front. Pharmacol.</source> <volume>12</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fphar.2021.615445</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="other">
<person-group person-group-type="author">
<collab>Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report 2021</collab>
</person-group> (<year>2021</year>).</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hockett</surname> <given-names>K. L.</given-names>
</name>
<name>
<surname>Baltrus</surname> <given-names>D. A.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Use of the soft-agar overlay technique to screen for bacterially produced inhibitory compounds</article-title>. <source>J. Vis. Exp.</source> <volume>2017</volume> (<issue>119</issue>), <fpage>1</fpage>&#x2013;<lpage>5</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3791/55064</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huicab-Pech</surname> <given-names>Z. G.</given-names>
</name>
<name>
<surname>Landeros-S&#xe1;nchez</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Casta&#xf1;eda-Ch&#xe1;vez</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Lango-Reynoso</surname> <given-names>F.</given-names>
</name>
<name>
<surname>L&#xf3;pez-Collado</surname> <given-names>C. J.</given-names>
</name>
<name>
<surname>Platas Rosado</surname> <given-names>D. E.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Current state of bacteria pathogenicity and their relationship with host and current state of bacteria pathogenicity and their relationship with host and environment in tilapia oreochromis niloticus</article-title>. <source>J. Aquacult. Res. Dev</source>. <volume>7</volume>(<issue>5</issue>), <fpage>1</fpage>&#x2013;<lpage>0</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4172/2155-9546.1000428</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hussain</surname> <given-names>I. A.</given-names>
</name>
<name>
<surname>Jeyasekaran</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Shakila</surname> <given-names>R. J.</given-names>
</name>
<name>
<surname>Raj</surname> <given-names>K. T.</given-names>
</name>
<name>
<surname>Jeevithan</surname> <given-names>E.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Detection of hemolytic strains of aeromonas hydrophila and a. sobria along with other aeromonas spp. from fish and fishery products by multiplex PCR</article-title>. <source>J. Food Sci. Technol.</source> <volume>51</volume> (<issue>2</issue>), <fpage>401</fpage>&#x2013;<lpage>407</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/S13197-013-1190-9</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kalatzis</surname> <given-names>P. G.</given-names>
</name>
<name>
<surname>Bast&#xed;as</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Kokkari</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Katharios</surname> <given-names>P.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Isolation and characterization of two lytic bacteriophages, &#x3c6;st2 and &#x3c6;grn1; phage therapy application for biological control of vibrio alginolyticus in aquaculture live feeds</article-title>. <source>PloS One</source> <volume>11</volume> (<issue>3</issue>), <fpage>1</fpage>&#x2013;<lpage>18</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0151101</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Karunasagar</surname> <given-names>I.</given-names>
</name>
<name>
<surname>Shivu</surname> <given-names>M. M.</given-names>
</name>
<name>
<surname>Girisha</surname> <given-names>S. K.</given-names>
</name>
<name>
<surname>Krohne</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Karunasagar</surname> <given-names>I.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>Biocontrol of pathogens in shrimp hatcheries using bacteriophages</article-title>. <source>Aquaculture</source> <volume>268</volume> (<issue>1&#x2013;4</issue>), <fpage>288</fpage>&#x2013;<lpage>292</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2007.04.049</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kazimierczak</surname> <given-names>J.</given-names>
</name>
<name>
<surname>W&#xf3;jcik</surname> <given-names>E. A.</given-names>
</name>
<name>
<surname>Witaszewska</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Guzi&#x144;ski</surname> <given-names>A.</given-names>
</name>
<name>
<surname>G&#xf3;recka</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Sta&#x144;czyk</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Complete genome sequences of aeromonas and pseudomonas phages as a supportive tool for development of antibacterial treatment in aquaculture</article-title>. <source>Virol. J.</source> <volume>16</volume> (<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>12</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/S12985-018-1113-5/TABLES/5</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Engle</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Tucker</surname> <given-names>C.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Factors driving aquaculture technology adoption</article-title>. <source>J. World Aquacult. Soc</source>. <volume>49</volume> (<issue>3</issue>), <fpage>447</fpage>&#x2013;76. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/jwas.12514</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kutter</surname> <given-names>E.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Phage host range and efficiency of plating</article-title>. <source>Methods Mol. Biol. (Clifton N.J.)</source> <volume>501</volume>, <fpage>141</fpage>&#x2013;<lpage>149</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/978-1-60327-164-6_14</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Laanto</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Bamford</surname> <given-names>J. K.</given-names>
</name>
<name>
<surname>Ravantti</surname> <given-names>J. J.</given-names>
</name>
<name>
<surname>Sundberg</surname> <given-names>L. R.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>The use of phage FCL-2 as an alternative to chemotherapy against columnaris disease in aquaculture</article-title>. <source>Front. Microbiol.</source> <volume>6</volume>:<elocation-id>829</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/FMICB.2015.00829/BIBTEX</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lepage</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Colombet</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Marteau</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Sime-Ngando</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Dor&#xe9;</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Leclerc</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>Dysbiosis in inflammatory bowel disease: a role for bacteriophages</article-title>? <source>Gut</source> <volume>57</volume> (<issue>3</issue>), <fpage>424</fpage>&#x2013;<lpage>425</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/GUT.2007.134668</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>Efficiency of a bacteriophage in controlling vibrio infection in the juvenile sea cucumber apostichopus japonicus</article-title>. <source>Aquaculture</source> <volume>451</volume>, <fpage>345</fpage>&#x2013;<lpage>352</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2015.09.024</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lomel&#xed;-Ortega</surname> <given-names>C. O.</given-names>
</name>
<name>
<surname>Mart&#xed;nez-D&#xed;az</surname> <given-names>S. F.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Phage therapy against vibrio parahaemolyticus infection in the whiteleg shrimp (Litopenaeus vannamei) larvae</article-title>. <source>Aquaculture</source> <volume>434</volume>, <fpage>208</fpage>&#x2013;<lpage>211</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2014.08.018</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mateus</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Costa</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Silva</surname> <given-names>Y. J.</given-names>
</name>
<name>
<surname>Pereira</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Cunha</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Almeida</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Efficiency of phage cocktails in the inactivation of vibrio in aquaculture</article-title>. <source>Aquaculture</source> <volume>424&#x2013;425</volume>, <fpage>167</fpage>&#x2013;<lpage>173</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2014.01.001</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Montso</surname> <given-names>P. K.</given-names>
</name>
<name>
<surname>Mlambo</surname> <given-names>V.</given-names>
</name>
<name>
<surname>Ateba</surname> <given-names>C. N.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Characterization of lytic bacteriophages infecting multidrug-resistant shiga toxigenic atypical escherichia coli O177 strains isolated from cattle feces</article-title>. <source>Front. Public Health</source> <volume>7</volume> (<issue>November</issue>). doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fpubh.2019.00355</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Of</surname> <given-names>T. H. E. S.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>The State of the World series of the Food and Agriculture Organization of the United Nations</article-title>. <source>World Fish. Aquacult</source>. <publisher-name>FAO</publisher-name>.</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>O&#x2019;Neill</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Review on antimicrobial resistance: tackling drug-resistant infections globally: final report and recommendations</article-title>.</citation>
</ref>
<ref id="B26">
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Orlova</surname> <given-names>E. V.</given-names>
</name>
</person-group> (<year>2012</year>). <source>Bacteriophages and Their Structural Organisation, Bacteriophages</source>, <person-group person-group-type="editor">
<name>
<surname>Kurtboke</surname> <given-names>I.</given-names>
</name>
</person-group> (Ed.). doi:&#xa0;<pub-id pub-id-type="doi">10.5772/34642</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Patel</surname> <given-names>S. R.</given-names>
</name>
<name>
<surname>Pratap</surname> <given-names>C. B.</given-names>
</name>
<name>
<surname>Nath</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Evaluation of bacteriophage cocktail on septicaemia caused by colistin-resistant acinetobacter baumannii in immunocompromised mice model</article-title>. <source>Indian J. Med. Res.</source> <volume>154</volume> (<issue>1</issue>), <fpage>141</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4103/IJMR.IJMR_2271_18</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prasad</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>A. K.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Lytic bacteriophages specific to flavobacterium columnare rescue catfish, clarias batrachus (Linn.) from columnaris disease</article-title>. <source>J. Environ. Biol.</source> <volume>32</volume> (<issue>2</issue>), <fpage>161</fpage>&#x2013;<lpage>168</lpage>.</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ranjbar</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Tabatabaee</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Behzadi</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Kheiri</surname> <given-names>R.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR) genotyping of escherichia coli strains isolated from different animal stool specimens</article-title>. <source>Iranian J. Pathol.</source> <volume>12</volume> (<issue>1</issue>), <fpage>25</fpage>&#x2013;<lpage>34</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.30699/ijp.2017.21506</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Samal</surname> <given-names>S. K.</given-names>
</name>
<name>
<surname>Das</surname> <given-names>B. K.</given-names>
</name>
<name>
<surname>Pal</surname> <given-names>B. B.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Isolation, biochemical characterization, antibiotic susceptibility study of aeromonas hydrophila isolated from freshwater fish</article-title>. <source>Int. J. Curr. Microbiol. Appl. Sci.</source> <volume>3</volume> (<issue>12</issue>), <fpage>259</fpage>&#x2013;<lpage>267</lpage>.</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sambrook</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Russell</surname> <given-names>D. W.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>Purification of nucleic acids by extraction with Phenol:Chloroform</article-title>. <source>Cold Spring Harbor Protoc.</source> <volume>2006</volume> (<issue>1</issue>), <fpage>pdb.prot4455</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/PDB.PROT4455</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sarker</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Faruk</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Experimental infection of aeromonas hydrophila in pangasius</article-title>. <source>Progressive Agric.</source> <volume>27</volume> (<issue>3</issue>), <fpage>392</fpage>&#x2013;<lpage>399</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3329/pa.v27i3.30836</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sausset</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Petit</surname> <given-names>M. A.</given-names>
</name>
<name>
<surname>Gaboriau-Routhiau</surname> <given-names>V.</given-names>
</name>
<name>
<surname>De Paepe</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>New insights into intestinal phages</article-title>. <source>Mucosal Immunol.</source> <volume>13</volume> (<issue>2</issue>), <fpage>205</fpage>&#x2013;<lpage>215</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41385-019-0250-5</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Singh</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>A. N.</given-names>
</name>
<name>
<surname>Rathor</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Chaudhry</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>S. K.</given-names>
</name>
<name>
<surname>Nath</surname> <given-names>G.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Evaluation of bacteriophage cocktail on septicemia caused by colistin-resistant klebsiella pneumoniae in mice model</article-title>. <source>Front. Pharmacol.</source> <volume>13</volume> (<issue>February</issue>). doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fphar.2022.778676</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stentiford</surname> <given-names>G. D.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Disease will limit future food supply from the global crustacean fishery and aquaculture sectors</article-title>. <source>J. Inverterbrat. Patholog</source>. <volume>110</volume> (<issue>2</issue>), <fpage>141</fpage>&#x2013;<lpage>57</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jip.2012.03.013</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stentiford</surname> <given-names>G. D.</given-names>
</name>
<name>
<surname>Sritunyalucksana</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Flegel</surname> <given-names>T. W.</given-names>
</name>
<name>
<surname>Williams</surname> <given-names>B. A.</given-names>
</name>
<name>
<surname>Withyachumnarnkul</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Itsathitphaisarn</surname> <given-names>O.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>New paradigms to help solve the global aquaculture disease crisis</article-title>. <source>PLoS Pathog</source>. <volume>13</volume> (<issue>2</issue>), <elocation-id>e1006160</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.ppat.1006160</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tahar</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Kennedy</surname> <given-names>A. M.</given-names>
</name>
<name>
<surname>Fitzgerald</surname> <given-names>R. D.</given-names>
</name>
<name>
<surname>Clifford</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Rowan</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Longitudinal evaluation of the impact of traditional rainbow trout farming on receiving water quality in Ireland</article-title>. <source>PeerJ</source>. <volume>6</volume>, <elocation-id>e5281</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.7717/peerj.5281</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Barton</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Elliott</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Abraham</surname> <given-names>S.</given-names>
</name>
<name>
<surname>O'Dea</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Bacteriophage therapy for the control of vibrio harveyi in greenlip abalone (Haliotis laevigata)</article-title>. <source>Aquaculture</source> <volume>473</volume>, <fpage>251</fpage>&#x2013;<lpage>258</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/J.AQUACULTURE.2017.01.003</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wanja</surname> <given-names>D. W.</given-names>
</name>
<name>
<surname>Mbuthia</surname> <given-names>P. G.</given-names>
</name>
<name>
<surname>Waruiru</surname> <given-names>R. M.</given-names>
</name>
<name>
<surname>Mwadime</surname> <given-names>J. M.</given-names>
</name>
<name>
<surname>Bebora</surname> <given-names>L. C.</given-names>
</name>
<name>
<surname>Nyaga</surname> <given-names>P. N.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Fish husbandry practices and water quality in central Kenya: potential risk factors for fish mortality and infectious diseases</article-title>. <source>Vet. Med. Intl.</source> <volume>2020</volume>, <fpage>6839354</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1155/2020/6839354</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yue</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>Y.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>An overview of disruptive technologies for aquaculture an overview of disruptive technologies for aquaculture</article-title>. <source>Aquaculture Fisheries</source> <volume>7</volume> (<issue>2</issue>), <fpage>111</fpage>&#x2013;<lpage>120</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.aaf.2021.04.009</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>F.</given-names>
</name>
<etal/>
</person-group>. (<year>2015</year>). <article-title>Effect of bacteriophages on vibrio alginolyticus infection in the Sea cucumber, apostichopus japonicus (Selenka)</article-title>. <source>J. World Aquaculture Soc.</source> <volume>46</volume> (<issue>2</issue>), <fpage>149</fpage>&#x2013;<lpage>158</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/JWAS.12177</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>