Home Life Sciences Bacteriophage titering by optical density means: KOTE assays
Article Open Access

Bacteriophage titering by optical density means: KOTE assays

  • Stephen T. Abedon ORCID logo EMAIL logo
Published/Copyright: December 30, 2025

Abstract

Bacteriophages, or phages, are the viruses of bacteria. Since at least the later 1940s, researchers have studied phages using spectrophotometrically determined measures of bacterial-culture turbidity (optical density). Recently, two groups have proposed the use of kinetic visualizations of phage-induced bacterial lysis to estimate phage titers (‘KOTE’ assays). Provided here is an overview of the two new publications and comparison of different approaches to interpreting resulting turbidimetric data. The latter includes especially peak culture turbidities (ODmax) versus the timings of ‘Deviation’ of the turbidity of phage-containing curves from those of phage-free controls. Also addressed is the possible impact of the phage lysis inhibition phenotype. Overall, KOTE assays seem to provide somewhat consistent titer-estimating power, though not necessarily always with precision as high as that of plaque-based titering. This ability comes, though, at a cost of a high preliminary workload that is required to establish calibration curves. An important possibility emerging from these efforts is that ODmax or its timing might serve as superior indicators of phage antibacterial virulence than area under the curve measures. Additional approaches to phage titering are also reviewed, along with exploration of the long, nearly 100-year history of the KOTE technique.

1 Introduction

“Comparable results over a wide range of phage concentrations… suggested that… quantitative estimations of phage could be made either by determining the length of time required to produce clearing of a culture containing a certain number of bacteria at the beginning of the process or by determining the number of bacteria lysed in a given time.” Krueger [1], pp. 558–559, 1930.

“Probably more than any other single factor, it was the availability of the plaque assay that permitted the extraordinary development of bacterial virus research…” Stent [2], p. 43, 1963.

Bacteriophages, or phages for short, played key roles in the development of the field of molecular biology [3], along with making important contributions to the early study of molecular genetics. For the latter there was, for example, the Hershey and Chase [4] demonstration that DNA is the phage genetic material and Benzer’s [5] exploration of the fine structure of genes. In addition, James Watson’s graduate education was in phage biology [6] while Francis Crick provided phage-based contributions to our understanding of the genetic code [7], those researchers together serving as two of the co-discoverers of the double helical structure of DNA [8], 9]. Earlier still was the demonstration by Luria and Delbrück that mutations in bacteria, in this case to phage resistance, occur randomly rather than in response to specific external stimuli [10]. One direct result of this impact of phage research on the development of molecular biology and molecular genetics was a Nobel Prize in Physiology or Medicine awarded in 1969 to Max Delbrück, Alfred Hershey, and Salvador Luria [11]. An important contributor to this storied history was an ability to easily quantify phage numbers, i.e., their titers, particularly by employing what are known as plaque assays, e.g., [2], [12], [13], [14], [15], [16], [17], [18] and see also a number of additional methods references cited in [19]. The latter article, however, describes plaque assays as “labor intensive” – which is certainly true if large numbers of such determinations are required – while reference [20] indicates that they are “low-throughput”.

A proposed alternative phage titering approach considers kinetic phage impacts on the turbidity of broth bacterial cultures, dubbed here as Kinetic Optical density-based phage Titer Estimation (KOTE). The method has been hailed by second parties variously as “susceptible of… automation” [21], 22], “rapid” [23], 24], “inexpensive” [24], “susceptible of miniaturization” [21], 22], promising [24], “simple” [21], [22], [23], and with a potential for “high-throughput” [21], 22] (quotations are directly from [19] and/or [20]). Reviewed here are two studies independently proposing this approach, those of Rajnovic et al. [19] and Geng et al. [20], with the Rajnovic et al. stated goal to “replace routine utilization” of plaque-based phage titering “in clinical, environmental and industrial environments”. The Rajnovic et al. study has, according to Google Scholar, been cited over 100 times as of this writing; note, though, that many of those citations don’t mention their alternative phage titering approach. The more recent Geng et al. study too is gathering up citations. Thus, there exists interest in this approach.

An important limitation to this KOTE approach is that it is restricted to titering pure cultures of free virions of specific, single phage types. Indeed, it can be limited to use on specific genotypes of those single phage types, ones that have already been well characterized in terms of both their titers and the impact of those titers on the turbidity of bacterial cultures (“cannot be directly extrapolated to other bacteria/phage systems” [19]). That characterization, however, requires substantial prior investment for every phage type to be so titered. KOTE assays consequently are unlikely to be useful for applications beyond titering stocks of individual, otherwise well-studied phage types. This will tend to limit KOTE utility, for example, for environmental or industrial-contamination analyses. It is also difficult to envision use of KOTE assays for titering during one-step growth experimentation [25], [26], [27], an application for which it could be truly labor saving. This is due to KOTE calibration employing free virions rather than the phage-infected bacteria also assayed for one-step growth.

Here, KOTE assays are reviewed both historically and in terms of the viability of the technique. Overall, the contributions of the review consist of:

  1. Overview of techniques that have been used to titer phages (Section 2)

  2. Description of the basis of the KOTE technique (Section 3)

  3. Clarification of historical precedence for the technique (Section 4)

  4. Discussion of the lysis inhibition phenotype as a complicating factor (Section 5)

  5. Exploration of alternative metrics for scoring lysis timing (Section 6)

  6. Consideration of the precision of KOTE- versus plaque-based titering (Section 7)

2 Multiple approaches to phage titering

The word ‘titer’ comes from that of ‘titration’. For phages, this means diluting toward a point at which phages are no longer present, i.e., as equivalent to the titration of antibodies [28]. As phages are capable of replicating, however, we can distinguish phage titering approaches into total counts versus the often preferred viable counts [29]. Different approaches to total and viable counting are discussed in this section. Emphasis is on viable counting as KOTE assays too are a form of phage viable counting.

2.1 Phage total count determination

The oldest approach to phage total count determination is via microscopy. Electron microscopy of phages dates to 1942 [30], which Adams [31] described as a means “to determine the total number of morphologically typical phage particles in a known volume of suspension” (p. 32). Light microscopy of phage virions was described in 1945 by Hofer and Richards [32]. More recent is the viewing of virus-like particles using epifluorescent microscopy [33].

Adams [31], p. 452, described also determination of a “correlation between the size of an infectious unit as estimated by chemical methods and the particle size as determined by means of the electron microscope.” Chemical methods would estimate numbers based on protein or DNA content rather than strictly total counts. For chemical analysis, however, care should be taken to start with purified phage particles. Use of quantitative PCR avoids quantifying bacterial DNA along with phage DNA, but should still be affected by unencapsidated phage DNA unless that is first removed [34]. Anderson et al. [35] compare that and another approach to phage total-count determination to plaque counts.

What all of these techniques have in common is that if there is a desire ultimately to quantify numbers of viable phages, then there is a need for prior generation of calibration curves, as typically would be relative to plaque counts.

2.2 Approaches to phage viable count determination

In addition to plaque-based approaches to phage titering, e.g., [31], as well as KOTE assays as emphasized subsequently, there exist at least two other approaches to determining phage viable counts, one a variation on the other. In addition is a third approach that measures at least a component of phage viability.

2.2.1 Appelmans’ method

There recently has been some emphasis on what has become known as Appelmans’ protocol. This is an approach to phage directed evolution that involves various forms of phage-phage recombination [36], [37], [38], [39], [40]. The original Appelmans’ publication [41], 42], however, is instead a description of phage titering [43].

Benefits of Appelmans’ approach are that it avoids plaquing, such as in cases where plaquing is less easily accomplished. However, it suffers from three important deficiencies. The first is that it is an inherently less precise approach to phage tittering [43]. This imprecision is in part because it is qualitative – either phages lyse cultures or they do not – and it is dependent, in its precision, on the extent of diluting employed. That is, two-fold serial diluting will provide more precision than ten-fold serial diluting. Two-fold dilutions, however, also require more effort but while still not meeting the precision obtainable with plaque-based tittering (Section 7).

The second issue has to do with phage virulence [44], [45], [46], [47], [48]. Specifically, this means that a single phage added to a bacterial culture may or may not result in culture-wide bacterial lysis, depending on starting numbers of bacteria in combination with the antibacterial performance of the phages being assayed.

The third issue is that Appelmans’ technique involves endpoint determinations. Consequently, grow-back of cultures by phage-resistant bacteria [49] can reverse the culture clearing required to assess phage presence. This equivalently is one problem associated also with efforts to determine phage minimum inhibitory concentrations (MICs) [50].

2.2.2 Most probably number (MPN) method

The MPN method is a more precise variation on Appelmans’ approach. Specifically, it employs statistics – Poisson distributions – to infer phage titers from multiple tubes at a given dilution, looking for that dilution at which some but not all tubes exhibit clearing. See, however, Krueger [1] for a simpler approximation of this calculation (p. 557), i.e., “Thus if four 1 ml. portions of a 10−6 dilution of a phage suspension produce lysis and six do not… therefore the original lysate possesses a minimum concentration of 4 × 106 phage corpuscles/ml.”

The MPN approach nonetheless suffers similarly from issues of phage virulence and endpoint determinations as that of Appelmans’ [14], 31]. So too, however, can plaquing-based approaches to phage titering suffer from issues of low efficiencies of plating [2], 31], 51], 52], which is an analogous problem. That is, these both are limitations of a phage’s ability to provide a positive signal indicating its viability, whether forming a plaque or providing the clearing of a bacterial culture. Krueger [1] also describes agreement of this approach with plaque-based titering to be “wanting”.

2.2.3 Killing titers method

The killing titer approach provides a measure of phage adsorption and subsequent killing of adsorbed bacteria but not also a measure of phage viability. The assay involves adsorbing a phage population to a bacterial population, ideally to phage adsorption completion [14]. Then, as also with MPN determinations, the number of bactericidal phages present is calculated statistically. This again is based on assumptions of a Poisson distribution, though here this is in terms of surviving bacteria as plated rather than in terms of broth culture turbidity [53]. Killing titers are useful when working with phages that are still bactericidal but not necessarily either bacteriolytic or capable of producing a productive infection. For example, these may be virions carrying conditionally lethal mutations or instead which have been treated with a DNA damaging agent such as ultraviolet light [31].

Though the killing titer approach can provide reasonable precision, it does suffer from a number of shortfalls. These include of course not being able to distinguish between truly viable phages from merely bactericidal ones. In addition, the assay is less convenient to perform than plaquing due to the need for an approximation of full phage adsorption prior to plating. It also is not able to titer lower quantities of phages since phage presence is detected in terms of the fraction of bacteria that have been killed, which needs to be reasonably large to provide adequate precision. Lastly, killing titer determinations, like viable counts generally, require incubation to allow for sufficient bacterial replication to produce consistently visible, phage-free bacterial colonies.

3 Optical density-based phage titer estimation (KOTE)

A stock of a given type of lytic phage [54] – of a given titer, under a given set of broth conditions, infecting a specific initial concentration of bacteria of consistent genotype, and starting at the same point in a standard bacterial growth curve – should lyse those bacteria after a somewhat consistent interval of time; that is, should lysis indeed occur. As a result, there exists a potential for kinetic optical density-based phage titer estimation as determined from measures of the timing of this culture-wide lysis. Such KOTE assays in principle could be used as an alternative especially to most probable number (MPN)-based phage titer determinations [14]. For illustration of a KOTE-type assay, see Figure 1.

Figure 1: 
Experimental basis of KOTE assay calibration. Shown are lysis profiles made by the lysis-inhibition defective phage T4 mutant, r48, infecting Escherichia coli B. Curves are varied by starting phage titers as listed in the legend, to its right, in phages/ml units. See Supplementary Materials A, Section A3 (j_biol-2025-1209_suppl_001.docx) for methods detail and j_biol-2025-1209_suppl_002.xlsx for raw data.
Figure 1:

Experimental basis of KOTE assay calibration. Shown are lysis profiles made by the lysis-inhibition defective phage T4 mutant, r48, infecting Escherichia coli B. Curves are varied by starting phage titers as listed in the legend, to its right, in phages/ml units. See Supplementary Materials A, Section A3 (j_biol-2025-1209_suppl_001.docx) for methods detail and j_biol-2025-1209_suppl_002.xlsx for raw data.

KOTE assays could be particularly useful with phages for which plaquing is challenging [55]. That includes perhaps especially phages of bacteria which are deficient in lawn formation. Alternatively, KOTE assays could be appropriate were phage research to be fully automated using robots or if substantial tittering of multiple samples of free phages is needed.

The rest of this section provides overviews of the two most recent contributions to development of KOTE-based phage titering, those of Rajnovic et al. [19] and Geng et al. [20].

3.1 Phage-induced culture-wide bacterial lysis (areas under curves)

Rajnovic et al. [19] established what essentially is a dose-response calibration curve [56], with the dose being the starting phage titer and the response being the impact of phages on culture turbidity over time. Rajnovic et al. quantified such responses using an area under the curve (AUC) metric, described as “the percentage of growth inhibition from integrated growth curves” and as “an attempt to make the assay quantitative”. AUCs have also been used as measures of phage antibacterial virulence [46], [47], [48] and AUC magnitude is a function of rates of phage population growth along with the timing of resulting phage-induced bacterial lysis. The Rajnovic et al. Results and Discussion section in fact places some emphasis on that timing of observed lysis, e.g., “With a decrease in OD starting at 190 min” or “Addition of 5 × 108 pfu/mL resulted in a very fast decrease in optical density” (PFU meaning plaque-forming units). Rajnovic et al. thus employed AUCs at least in part as a correlate of culture-wide lysis timing.

For KOTE assays to provide reasonable titer estimations, then culture-wide bacterial lysis needs to be subsequent to multistep phage population growth. That is, it is crucial to start with sufficiently few phages, i.e., as the starting phage titer, that more than two rounds of phage infection and lysis – and thus phage population growth – precede phage infection of the vast majority of bacteria present. By contrast, if too large numbers of phages are initially provided, so that only two or even just one round of phage population growth is needed to achieve culture-wide bacterial lysis, then the timing of that lysis should be primarily a function of the phage latent period length rather than varying substantially with initial phage titer. Such an impact of too-high starting phage titers likely is the cause of the flattening of some curves in the lysis data presented by Geng et al. [20], as shown in their third Supplementary Figure. Rajnovic et al. [19] also reported a lower limit of detection of about 102 phages/ml, with that number translating to “as few as 10 phage particles per assay”; keep in mind, though, that phage “detection” may be achieved at lower phage concentrations than phage “quantification”. Thus, there would appear to be both upper and lower starting-titer limits to KOTE-type assays.

Rajnovic et al. [19] otherwise employed 90 different combinations of different starting phage titers and starting bacterial concentrations toward generating calibration curves. They do not, however, appear to have tested the resulting KOTE technique using samples of previously untitered phage stocks. They do, though, indicate standard errors in the range of 1–3 % or in a few cases 4 % for individual data points. Visual inspection suggests that only relatively small sections of their individual curves – varied within curves in terms of starting phage titers – appear to be linear and curve fitting does not seem to have been attempted. These efforts thus represent an extensive pilot study, but one that is applicable only to phage T4 under specific conditions.

3.2 Replacing AUC with peak optical density (ODmax)

Geng et al. [20] primarily studied phage λ, which unlike phage T4 does not display lysis inhibition (Section 5). Though phage λ in its wild-type form can readily display lysogenic cycles, that does not appear to have been an issue for the KOTE aspect of that study. Phages T4, T5, and P1vir were also studied by Geng et al. with equivalent results.

From their analysis, Geng et al. used peak culture optical density, here, ODmax [57], as their correlate to starting phage titers, their “Lysis OD”: “…we identified the first local maximum in the growth curve for each culture, which, for infected cultures, corresponds to the onset of massive lysis.” This metric has also been termed Maximum OD by Ghosh et al. [58], Peak by Davidi et al. [59], and Peak Density by Blazanin et al. [60].

As ODmax should occur just prior to the start of phage-induced culture-wide lysis, it should represent a more direct measure of the impact of phage-induced bacterial lysis on bacterial cultures than AUC determinations. This is because AUCs are not measures explicitly of lysis timing but instead are functions of a combination of (i) pre-lysis rates of phage population growth, (ii) ODmax, (iii) ODmax timing, and also (iv) the rate of culture turbidity declines associated with phage-induced bacterial lysis, all of which can vary as a function of starting phage titers.

ODmax also is likely the most easily calculated KOTE assay-associated measurement. ODmax use, however, requires somewhat straightforward lysis kinetics – curves with simple shapes – which is not always the case [61], 62]; see also Supplementary Materials Section A1.1.2 (j_biol-2025-1209_suppl_001.docx) along with Figure 1. The question of whether ODmax is always the best correlate to the duration of phage population growth is explored further in Sections 6.

3.3 Taking the logarithm of starting phage titers

Geng et al. [20] found that ODmax varied with the logarithm of starting phage titers, as corroborating the lysis-timing findings of Krueger [1] (see also Section 6.1). Implicitly, the Rajnovic et al. [19] study also suggests this relationship (see their fifth figure). Emphasis in this section, though, is on why lower starting phage titers can diverge from this simple linear relationship, something that is suggested as well in the Rajnovic et al. data, in their case in terms of AUCs.

Linearity of relationships with the logarithm of starting phage titers should hold only so long as phage population growth is mostly linear over time on a logarithmic scale, i.e., with phages displaying exponential growth. The curves provided by Geng et al. [20], however, suggest that ODmax can vary from that predicted (their third Supplementary Figure). In addition to when starting with higher phage titers (i.e., Section 3.1), this is also seen when bacteria are allowed to grow to relatively high concentrations prior to substantial phage impact. Presumably this departure from linearity is due to phage growth parameters – adsorption rates, latent periods, and burst sizes [20] – changing as host bacteria begin to approach stationary phase. Geng et al. in fact explicitly state, “that when E. coli [Escherichia coli] growth slows down, the lytic growth rate of lambda phages decreases”.

This variation from least-squares predictions suggest a need to initiate KOTE determinations at multiple starting dilutions and/or using multiple starting bacterial concentrations, the latter an approach explicitly taken by Rajnovic et al. [19]. The goal should be to achieve acceptable accuracy for more extreme starting phage titers without having to employ complex curve fitting. This need for multiple starting dilutions [19], or for more complex curve fitting [20], should be viewed as complications on KOTE-based assays.

4 History of KOTE development and related concepts

The following is an historical summary of use of KOTE assays and KOTE-like experiments leading up to and then following those of Rajnovic et al. [19] and Geng et al. [20]. Supplementary Materials Section A2 (j_biol-2025-1209_suppl_001.docx) provides additional detail for those studies indicated with an asterisk:

  1. 1930, Krueger [1]: Likely the original KOTE assay. Used comparisons with preserved cultures of varying concentrations to score lysis timings. Found that this timing varied with the logarithm of the starting phage titer.*

  2. 1996, Maillard et al. [63]: Also developed a KOTE assay. Used an “automated spectrophotometric system” to document differences in the timings of peak culture turbidities as functions of different starting phage titers.*

  3. 2012, Turner et al. [57]: Used an automated, 96-well microtiter plate system to determine comparative phage evolutionary fitness as based especially on the timing of the end of lysis (local bacterial extinction).*

  4. 2013, Ghosh et al. [58]: Described “Deviation”(Section 6.2) as “1st OD change”.

  5. 2014, Davidi et al. [59]: Described “Deviation” as “Segregation” and noted that they were “able to identify correlation between [phage] concentration and changes in OD clearly and promptly.”

  6. 2015, Dalmasso et al. [64]: Explored difference in lysis timing as a function of starting phage titers, also using a 96-well plate-based assay.*

  7. 2018, Xie et al. [46]: Developed a 96-well phage-based phage antibacterial virulence assay involving different impacts of starting phage titers on area under the curve (AUC) measures.

  8. 2019, Rajnovic et al. [19]: Developed a KOTE assay employing the lysis inhibition displaying phage T4 and AUC measures, the latter as based explicitly on the Xie et al. approach.

  9. 2020, Storms et al. [47]: Similar to the analysis of phage virulence provided by Xie et al. but using different phage types, including phage T4.

  10. 2020, Konopacki et al. [48]: Similar to the analysis of phage virulence provided by Storms et al. but using different phages and refinement in AUC calculation.

  11. 2024, Geng et al. [20]: Similar to the work of Rajnovic et al. except using peak culture turbidities as their correlate to the logarithm of the starting phage titer.

  12. 2025, Su et al. [65]: Described “Deviation” as “Inflection point”.

  13. 2025, Blazanin et al. [60]: Further updating of optical density-based phage characterization, emphasizing the utility of “peak density, time of peak density, and extinction time”.

5 Lysis inhibition

The Rajnovic et al. [19] study employed coliphage T4 as its model phage, which is known to display lysis inhibition (LIN). LIN, a phenomenon which the author has been studying for 35 years [66], [67], [68], [69], [70], [71], [72], is observed in only some phages. Most notably, these are the myoviruses, T2, T4, and T6, of the original seven “Type” coliphages [62], 73]; but also the podovirus coliphage, N4 [74], and the myovirus vibriophage, ICP1 [75] (see also [76], 77]).

LIN delays lysis especially during the final round of infection during phage population growth, as it is only then that phage numbers should come to exceed bacterial numbers, resulting in a higher potential for more than phage to adsorb per bacterium [66]. Specifically, the LIN phenotype is induced by what can be described as “Secondary adsorptions” [62], though which are described by many also as secondary infections [62], 78] or instead as superinfections. The term, “Secondary adsorption”, however, may be preferable because often phages which adsorb after other phages have infected do not themselves successfully infect, i.e., as due to “Primary phage” display of superinfection exclusion [68], 79], 80].

Initially adsorbing phages, if they are capable of displaying lysis inhibition, express LIN-required gene products [70], [81], [82], [83], [84], [85], [86]. These facilitate reception of a secondary adsorption signal, such as secondary phage DNA [87], that induces the LIN lysis delay. These delays can be substantial, ranging up to many hours relative to a typical not lysis-inhibited latent period of one-half hour or less. An example of such a delay, as following lower-multiplicity phage population growth, can be seen in Figure 2.

Figure 2: 
A phage T4 wild-type lysis profile. Shown are phage-free bacteria (dotted line) and phage plus bacteria (solid line), with phages added to bacteria at a low starting multiplicity at 0 h. Deviation of the phage-containing curve from that of the phage-less curve (Section 6.2) occurs around 1 h. Visually obvious lysis first occurs around 1.25 h which, without LIN, we expect would lead to complete lysis little later than after about 1.5 h (e.g., see Figure 1). Lysis of the bulk of the culture with LIN, however, doesn’t begin until around 3 h, but appears to be complete around 4.5 h. See Supplementary Materials Section A3 (j_biol-2025-1209_suppl_001.docx) for additional details on this experiment.
Figure 2:

A phage T4 wild-type lysis profile. Shown are phage-free bacteria (dotted line) and phage plus bacteria (solid line), with phages added to bacteria at a low starting multiplicity at 0 h. Deviation of the phage-containing curve from that of the phage-less curve (Section 6.2) occurs around 1 h. Visually obvious lysis first occurs around 1.25 h which, without LIN, we expect would lead to complete lysis little later than after about 1.5 h (e.g., see Figure 1). Lysis of the bulk of the culture with LIN, however, doesn’t begin until around 3 h, but appears to be complete around 4.5 h. See Supplementary Materials Section A3 (j_biol-2025-1209_suppl_001.docx) for additional details on this experiment.

In Figure 2, ODmax occurs around 3.2 h. This compares with presumed infection of a majority of the bacteria present by around 1 h (see Section 6.2 for more on that latter point) along with a local maximum seen around 1.25 h. The subsequent decline likely corresponds to lysis of some noticeable fraction of the bacteria present, as leading to infection of any not-yet phage-infected bacteria still present and induction of LIN in the rest. Note, however, the substantial increase in ODmax magnitude following that local maximum, as often can occur with lysis inhibition [66], 88]. A second round of turbidity decline then occurs, following the actual ODmax. That decline in optical density presumably corresponds to lysis of lysis-inhibited phage-infected bacteria and there takes at least 1 h to go to completion. LIN and its potential impact on KOTE determinations are considered in greater detail in Supplementary Materials A, Section A1 (j_biol-2025-1209_suppl_001.docx), as based on the experiments of Rajnovic et al. [19].

6 Exploring different metrics for estimating starting phage titers

Rajnovic et al. [19] employed AUC determinations while Geng et al. [20] instead used peak culture turbidities (ODmax) toward predicting starting phage titers. Maillard et al. [63] by contrast looked at ODmax timing. From the latter (pages 606 and 607): “The time from the phage inoculation to the time at which the host cell growth ceased” and “Time lapse from inoculation to the initial decrease of absorbance.” So too did Krueger [1] measure lysis timing. Turner et al. [57] instead determined the timing of the end of lysis, their “extinction time”. A 2023 follow up study by the same group [89] summed up these various possibilities as “Metrics of the total bacterial population can then be extracted… including peak density, peak time, time when density drops below a threshold (‘extinction’ time), and area under the curve (AUC).” This raises the question: Which of these metrics might be preferable? In this section, especially ODmax and ODmax timings are compared for predicting starting phage titers (Section 6.1). This is followed by exploration of an additional metric, the timing of Deviation of the turbidity of phage-containing cultures from those of phage-less controls (Section 6.2 but see also Figures 1 and 2).

Because AUCs possess arbitrary start and stop timings [19], they are not similarly addressed here. That, though, does not mean that they should never be used to generated KOTE calibrations; only that their calculation possess greater degrees of freedom than Deviation, ODmax, or the latter’s timing. Alternatively, as seen in Table 2, it is clear that lysis end (extinction) times too can provide strong correlations with starting phage titers, though further analysis of that measure also is not emphasized here.

6.1 Assessing correlations: ODmax versus ODmax timing, and log transformaton

Essential to KOTE analyses is for some optical density metric to correlate in some manner with starting phage titers, and ideally this correlation will be seen without complex curve fitting. From raw optical density data, ODmax is easily identified using the “MAX” function of Microsoft Excel®, and this value usually will correspond to the start of culture-wide turbidity declines of cultures (Figure 2, though see also Figure 1). One can then identify the associated timing of that peak turbidity as a measure of lysis timing. Correlations from the Rajnovic et al. [19] and Geng et al. [20] raw data (Supplementary Materials C and Supplementary Materials D and E, respectively;  j_biol-2025-1209_suppl_003.xlsx, j_biol-2025-1209_suppl_004.xlsx, and j_biol-2025-1209_suppl_005.xlsx, respectively) i.e., Pearson’s correlation coefficients (r) – can then be determined, including with log10 transformation of the various values. Results are summarized in Table 1. See Supplementary Materials F for additional details (j_biol-2025-1209_suppl_006.xlsx).

Table 1:

Correlation coefficients (r) for starting phage titer versus ODmax or timing of ODmax.a

Rajnovic et al. Starting titer phage vs. peak turbidities Starting phage titer vs. time of peak turbidities Correlation Phage titer ranges
CFUs/ml Phage Lin-lin Lin-log Log-lin Log-log Lin-lin Lin-log Log-lin Log-log Max Min Max
5.0 × 107 T4 WT −0.91 −0.94 −0.97 −0.96 −0.91 −0.93 −0.94 −0.93 −0.97 5.0E + 03 5.0E + 06
2.5 × 107 T4 WT −0.93 −0.97 −0.98 −0.94 −0.85 −0.89 −1.00 −0.99 −1.00 5.0E + 03 5.0E + 06
1.0 × 107 T4 WT −0.75 −0.86 −1.00 −0.96 −0.87 −0.94 −0.96 −0.90 −1.00 5.0E + 01 5.0E + 06
5.0 × 106 T4 WT −0.80 −0.86 −1.00 −1.00 −0.93 −0.95 −0.96 −0.95 −1.00 5.0E + 01 5.0E + 04
1.0 × 106 T4 WT −0.76 −0.82 −0.99 −1.00 −0.91 −0.92 −0.98 −0.97 −1.00 5.0E + 01 5.0E + 04
1.0 × 105 T4 WT −0.84 −0.88 −0.99 −1.00 −0.94 −0.94 −1.00 −1.00 −1.00 5.0E + 01 5.0E + 03

Geng et al. Starting titer phage vs. peak turbidities Starting phage titer vs. time of peak turbidities Correlation Phage titer ranges
OD 600 Phage Lin-lin Lin-log Log-lin Log-log Lin-lin Lin-log Log-lin Log-log Max Min Max

0.1 λ TS −0.61 −0.78 −1.00 −0.96 −0.33 −0.34 −0.92 −0.94 −1.00 2.0E + 02 2.0E + 09
0.1 λ TS −0.69 −0.82 −0.99 −0.96 −0.51 −0.59 −0.97 −0.99 −0.99 2.0E + 03 2.0E + 08
0.1 λ TS −0.57 −0.89 −1.00 −0.88 −0.61 −0.83 −0.95 −0.90 −1.00 2.0E + 02 2.0E + 10
0.1 λ WT −0.70 −0.84 −1.00 −0.96 −0.58 −0.66 −0.99 −1.00 −1.00 3.4E + 02 3.4E + 08
0.1 λ TSb −0.75 −0.84 −0.99 −0.97 −0.55 −0.58 −0.98 −0.98 −0.99 7.4E + 03 7.4E + 08
0.1 λ TS −0.84 −0.89 −0.99 −0.97 −0.74 −0.79 −0.99 −0.99 −0.99 7.4E + 03 7.4E + 07
0.1 T4 WT −0.31 −0.55 −0.83 −0.99 −0.45 −0.57 −0.87 −0.89 −0.99 2.8E + 01 2.8E + 09
0.1 T5 WT −0.46 −0.74 −0.97 −0.96 −0.48 −0.70 −0.96 −0.99 −0.99 2.8E + 01 2.8E + 09
0.1 P1 VIR −0.54 −0.76 −0.97 −0.99 −0.68 −0.80 −1.00 −0.99 −1.00 1.6E + 01 1.6E + 09
0.1 λ TS −0.69 −0.80 −0.99 −0.97 −0.51 −0.61 −0.97 −0.99 −0.99 5.5E + 03 5.5E + 08
0.1 λ TS −0.51 −0.69 −0.97 −0.98 −0.62 −0.66 −0.99 −0.98 −0.99 7.4E + 02 7.4E + 08
0.1 λ TS −0.55 −0.75 −0.98 −0.99 −0.69 −0.83 −0.99 −0.96 −0.99 7.4E + 02 7.4E + 08
Mean −0.68 −0.82 −0.98 −0.97 −0.68 −0.75 −0.97 −0.96 −0.98 n.a. n.a.
STDEV.S 0.17 0.10 0.04 0.03 0.19 0.17 0.03 0.04 0.03 n.a. n.a.
  1. aGreatest correlation in rows (“Max”) is indicated in bold. Phage titer ranges (starting) are those used to generate correlations, as representing more linear portions of curves. CFUs are colony-forming units. bThis and the following row are of the same experiment varying only in the range of starting phage titers considered. Therefore, 15 different experiments should be compared rather than 16. Considering these two curves from the same experiment separately, however, has only a minor impact on overall conclusions.

6.1.1 ODmax utility

The most common, highest correlations appear to be found with log-transformation of starting phage titers versus ODmax (Table 1), without ODmax log transformation. This is the calculation endorsed by Geng et al. [20]. Highest correlations are seen with that calcualtion for 8 of the curves summarized in Table 1 out a total of 18. The first three curves summarized from the Geng et al. data, however, are of the same experiment, so this is actually 6 out of 16 or 37.5 %, though with a small caveat as discussed subsequently. These correlations are quite high, ranging from −0.97 to −1.00, though keep in mind that these are based on the most linear portion of these curves, as indicated in the two left-most columns of Table 1.

The next most common highest correlations can be found among the dual log10 transformation of the same metrics (both titer and ODmax) with 3 of 16 or 18.8 %. These values too are quite high, ranging from −0.99 to −1.00. Often, though, the correlations seen for both of these, ODmax log transformed or not, have values that are within two or three hundredths, i.e., within 0.02 or 0.03.

There is one exception to the latter observation, which is the phage T4 wild-type curve of Geng et al. [20]. In that case, log-transforming ODmax results in a substantially greater correlation, with r = −0.99 versus −0.89 for the next highest. That situation changes somewhat, however, if the lowest two titer points are dropped. In that case, though r = −0.99 remains for the log(titer)-log(ODmax) calculation, simply log(titer):ODmax improves to r = −0.95. Dropping just the lowest titer in turn changes these latter numbers instead to r = −0.98 versus −0.97. Thus, even this exception can be consistent with log(titer)-ODmax being a robust correlation.

6.1.2 ODmax timing

The ODmax metric gives rise to the highest correlations 56.3 % of the time, 9 out of 16, which though is still somewhat less than 100 %. Alternatively, log transforming starting phage titers versus ODmax timing provides the highest correlations 43.8 % of the time, distributed between log transforming (18.8 %) and not log transforming that timing (25 %). Most of those curves are ones generated by Geng et al. [20]. As similarly seen with ODmax, comparing with and without log transformation of these timings have values that are consistently within three hundredths (e.g., −0.99 vs. −0.96) and typically within one hundredth. In all cases, correlations based on ODmax rather than their ODmax timing are within two-hundredths with versus without phage titer log transformation.

6.1.3 Take-home messages

This exercise is consistent with log transforming starting phage titers resulting in the highest correlations for calibration curves (Section 3.3), i.e., as first suggested by Krueger [1]. Though ODmax, versus ODmax timing does not always yield the highest correlations, often their correlations are close. A general conclusion nonetheless is that it can be useful when generating calibration curves for KOTE assays to compare the utilities of using ODmax versus ODmax timing and also to determine whether it is more or less useful to log transform the various metrics. A more specific conclusion is that phage display of lysis inhibition, as phage T4 is the only phage tested by Geng et al. that should display this phenotype, can result in a divergent result. That divergence, however, is not seen with the T4-based results of Rajnovic et al. [19] data nor indeed when limiting the range of titers considered by Geng et al. [20].

6.2 Deviation as an alternative optical density-based measure

A detailed, narrative analysis of the Rajnovic et al. [19] second-figure data is presented in Supplementary Materials A, Section A1 (j_biol-2025-1209_suppl_001.docx), and summarized in Table 2. Stemming from that analysis and addressed in this section is the possibility that “Deviation” of phage-containing curves from phage-less control curves may be used as an alternative optical density-based estimator of starting phage titers. See Figure 2 for illustration of such Deviation, which happens there around the 1-h mark. See also Section 4 for “Deviation” synonyms and note that “Deviation” will often be capitalized below for emphasis.

Table 2:

Interpretation of Rajnovic et al. [19] second-figure lysis profiles.a

Bacteriab Phage titerc Multiplicityd All infectede Deviationf Lysis start Lysis end Interpretation LIN durationg
108/ml 5 × 108/ml ◇ 5 ∼0 min 20 min 20 min ∼35 min No LINh 0
108/ml 5 × 107/ml 0.5 25 min 25 min 25 min ∼90 min Weak LIN ∼65 min
108/ml 5 × 106/ml △ 0.05 ≥30, ≤60 min *≤60 min ∼90 min ∼200 min LIN ∼140 min
108/ml 5 × 105/ml ▲ 0.005 70 min? *∼70 min ∼120 min >240 min LIN >170 min
108/ml 5 × 104/ml □ 0.0005 n.k.i *∼200 min
107/ml 5 × 108/ml ◇ 50 ∼0 min 30 min
107/ml 5 × 107/ml 5 ∼0 min 30 min
107/ml 5 × 106/ml △ 0.5 *60 min *∼70 min *∼120 min LIN *∼50 min
107/ml 5 × 105/ml ▲ 0.05 *75 min *∼90 min *∼120 min *∼150 min LIN *∼60 min
107/ml 5 × 104/ml □ 0.005 *95 min *∼110 min *∼135 min *∼180 min LIN *∼70 min
107/ml 5 × 103/ml ■ 0.0005 *∼125 min? *∼140 min *∼160 min *∼210 min LIN *∼70 min
107/ml 5 × 102/ml 0.00005 *155 min? *∼160 min *∼180 min *∼220 min? LIN *∼60? Min
107/ml 5 × 101/ml 0.000005 *∼185 min *∼190 min *∼190 min >240 min LIN >>50 min
106/ml 5 × 108/ml ◇ 500 ∼0 min
106/ml 5 × 107/ml 50 ∼0 min
106/ml 5 × 106/ml △ 5 ∼0 min
106/ml 5 × 105/ml ▲ 0.5 *150 min
106/ml 5 × 104/ml □ 0.05 *∼130 min *160 min *∼180 min *∼50 min
106/ml 5 × 103/ml ■ 0.005 *∼135 min *∼175 min *∼210 min LIN *∼75 min
106/ml 5 × 102/ml 0.0005 *∼150 min *∼190 min *∼250 min LIN *∼100 min
106/ml 5 × 101/ml 0.00005 *∼165 min *∼210 min *∼285 min LIN *∼120 min
108/mlj Log-lin correlation: −0.91
107/ml Log-lin correlation: −0.99 −1.00 −0.99 −0.99 −0.57
106/ml Log-lin correlation: −0.98 −1.00 −1.00 −1.00
108/ml Log-log correlation: −0.94
107/ml Log-log correlation: −1.00 −1.00 −0.99 −0.98 −0.59
106/ml Log-log correlation: 0.98 −1.00 −1.00 −0.99
  1. aAsterisks (*) indicate data used to calculate correlation coefficients. bStarting bacterial concentration in CFUs/ml. cStarting phage concentration in PFUs/ml. Symbols are from the second figure of Rajnovic et al. [19]. dMultiplicity referring to MOIinput, i.e., ratio of added phages to receiving bacteria. e“All” refers to a guess as to when a large majority of bacteria have become phage infected. This is based in part on the starting phage input multiplicity, in part of assumptions of phage latent periods being in the range of 25 min, and in part by examination of points of deviation of phage-containing curves from phage-free curves. f“Deviation” is the time point at which the phage curve deviates from the bacteria-only curve, as determined by eye. gCalculated as “Lysis end” minus “Deviation” equals “LIN duration”. h“LIN” = lysis inhibition. i“n.k.” = No data or not interpretable (“not known”). For the sake of increased clarity, heretofore in the table, blank entries imply “n.k.” jFor the last six rows, the first column refers to the bacterial concentration while the second column indicates whether correlation coefficients were determined based on log10 transformation of asterisked data, found above in the same column or instead the straight number, indicated as “linear”, i.e., “lin”. In either case, the phage titer has been log transformed in determining the correlations coefficient (r), e.g., log(5 × 108) = 8.7.

6.2.1 Deviation plusses and minuses

A potential advantage of the point of Deviation for KOTE determinations is that it occurs earlier during assays, unless Deviation and start of lysis occur simultaneously, and certainly Deviation can occur sooner than ODmax for cultures that are lysis inhibited (Figure 2 and Table 2). As can be seen in Figure 3, starting phage titers also appear to vary more or less linearly with the timing of Deviation. This is particularly so when the highest starting phage titers are ignored, in this case the four data points found above 107 PFUs/ml (ignored for reasons as discussed Section 3.1). Indeed, substantial correlation coefficients for these experiments can be calculated (Table 2; Figure 3).

Figure 3: 
Determining phage titers from deviation of phage-containing. See Table 2’s “deviation” and “phage titer” columns for the generating data. The vertical dotted line indicates, to its left, those starting titers that were too high to allow an effective estimation of starting phage titers (PFUs/ml) (Section 3.1). Symbols differ according to starting bacterial densities: 108 (■), 107 (▽), and 106 (●) colony-forming units (CFUs) per ml. The corresponding correlation coefficients (log-log), ignoring data found to the left of the dotted line, are r = −0.94, r = −1.00, and r = −0.98, respectively. Note that the “≤60 min” value found in Table 2 was set to 55 min in the figure.
Figure 3:

Determining phage titers from deviation of phage-containing. See Table 2’s “deviation” and “phage titer” columns for the generating data. The vertical dotted line indicates, to its left, those starting titers that were too high to allow an effective estimation of starting phage titers (PFUs/ml) (Section 3.1). Symbols differ according to starting bacterial densities: 108 (■), 107 (▽), and 106 (●) colony-forming units (CFUs) per ml. The corresponding correlation coefficients (log-log), ignoring data found to the left of the dotted line, are r = −0.94, r = −1.00, and r = −0.98, respectively. Note that the “≤60 min” value found in Table 2 was set to 55 min in the figure.

The point of Deviation should also represent a more direct measure of durations of phage population growth, as determined by optical density means, than measures of the timing of ODmax. This is particularly true if the latter is delayed as bacterial densities grow higher prior to substantial phage impact (Table 2 and Supplementary Materials A1; j_biol-2025-1209_suppl_001.docx) or as due to lysis inhibition (Figure 2), which can last many hours even while infecting mid-log phase bacteria [88].

Determining the point of deviation objectively nonetheless can be more challenging than determining ODmax. A non-trivial effort therefore would likely be required to develop an effective algorithm for determining points of Deviation, especially if based on noisy data, something which is not attempted here. Still, Deviation should not be discounted completely as a potentially superior approach, at least in some cases, to describing when phage populations begin to significantly impact the presence of bacterial populations.

6.2.2 Superior phage-virulence determinants?

Deviation particularly might better describe phage antibacterial virulence than AUC calculations [46], [47], [48]. This would be with that virulence defined from a perspective of the point of substantial phage adsorption of a bacterial population, which arguably is a more direct measure of the timing of phage impact on bacteria. So too, however, ODmax or its timing might represent superior virulence-defining metrics than AUCs. The latter especially since additional effort clearly will be needed before Deviation measures may be brought into routine use. AUC-based virulence determinations [44], [45], [46], [47], [48] meanwhile are dependent on arbitrary start and stop timings, are more readily affected by bacterial mutation to phage resistance, and, as also with the timing of Deviation, are less easily calculated than ODmax and ODmax timing.

7 Comparative precisions

Under the right set of starting conditions, kinetic optical density-based phage titering should be able to provide reasonable estimations of phage numbers. But even within the linear portion of calibration curves, are KOTE assays capable of attaining the precision associated simply with standard phage plaque counts? The latter theoretically are expected to have a standard deviation as low as equal to the square root of a count’s mean [31], 90]. That level of precision can be somewhat worse, however, given spotting-based plaquing, due to the low number of plaques that may be observed per spot. Carlson and Miller [91] consequently described spotting-based plaquing as only “semiquantitative”. Even so, for example, one would expect a standard deviations of just 25 % even with a mean plaque count as low as 16 (160.5 = 4 and 4/16 = 0.25).

The data of Geng et al. [20], by contrast, indicate that about half of their titer-estimation tests show approximately two-fold or greater variation in titer estimation. Those authors similarly indicate that “the OD-based method can reliably distinguish unknown samples having an approximately two-fold difference in phage concentration” (also from Geng et al.: “typically within two-fold of those obtained via plating, and at worse within four-fold”; see their second figure, panels C and D). Note alternatively that Krueger [1] claimed ±5 % precision, which is consistent also with the high correlations calculated in Section 6.1, and see too the low standard errors reported by Rajnovic et al. [19] (Section 3.1).

Thus, while KOTE assays appear to be capable of high precision, there nonetheless still seems to be some potential for measures to display fairly high levels of inaccuracy.

8 Conclusions

The now nearly 100-year-old KOTE technique [1] requires substantial up-front efforts especially relative to those required for plaque-based titering. This is for the generation of calibration curves as well as determination of what correlations are best suited for a specific system (Section 6). For this calibration, KOTE assays clearly also require prior determination of phage titers by alternative means.

Notwithstanding those various issues, KOTE assays nonetheless may serve as a reasonable alternative to most probable number- (MPN-) based approaches to phage titering, and can do so without calibration if only relative titer information is sought [1]. Given prior calibration, KOTE assays also may be used to ballpark phage titers prior to plaquing [20], that is, to augment rather than replace plaque based titering. So too, however, may materials- or time-optimized plaquing be similarly used to ballpark phage titers, i.e., via spotting, with rapidity potentially similar to KOTE assays [92].

In summary, it seems likely that KOTE assays for many purposes will not “replace” plaque-based assays for determining free-phage viable counts. Nevertheless, KOTE-type approaches should not be overlooked as viable alternatives to plaque-based assays for making free-phage titer estimations under certain circumstances, including particularly when free-phage plaquing is technically difficult or especially laborious. KOTE utility, however, may particularly be found to the extent that fully automated on-site phage production and stock character`ization, such as for phage therapy, may be realized [93]. Lastly, the efforts presented here point to ODmax or its timing as possibly the most accessible metrics for defining phage antibacterial virulence. Note added in proof: for further discussion of optical density-based means of phage characterization, see Abedon [94].


Corresponding author: Stephen T. Abedon, Department of Microbiology, The Ohio State University, Mansfield, Ohio 44906, USA, E-mail:

Funding source: U.S. Public Health Service grant

Award Identifier / Grant number: R01AI169865

Acknowledgement

I would like to thank the anonymous reviewers of this manuscript for inspiring a substantial re-writing, which led, in part, to the unearthing of the 1930 Krueger study as well as the insight regarding ODmax as a possible measure of phage antibacterial virulence. Note also that Claude AI was used in the final stages of writing toward improving prose.

  1. Funding information: Support for this writing comes from U.S. Public Health Service grant R01AI169865.

  2. Author contribution: Author confirms the sole responsibility for the conception of the study, presented results, and manuscript preparation.

  3. Conflict of interest: The author has consulted for and served on advisory boards for companies with phage therapy interests, has held equity stakes in a number of these companies, and maintains the websites phage.org and phage-therapy.org.

  4. Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

1. Krueger, AP. A method for the quantitative determination of bacteriophage. J Gen Physiol 1930;13:557–64. https://doi.org/10.1085/jgp.13.5.557.Search in Google Scholar PubMed PubMed Central

2. Stent, GS. Molecular biology of bacterial viruses. San Francisco, CA: WH Freeman and Co.; 1963.Search in Google Scholar

3. Cairns, J, Stent, G, Watson, JD. Phage and the origins of molecular biology. Cold spring harbor. NY: Cold Spring Harbor Laboratory Press; 1966.Search in Google Scholar

4. Hershey, AD, Chase, M. Independent functions of viral protein and nucleic acid in growth of bacteriophage. J Gen Physiol 1952;36:39–56. https://doi.org/10.1085/jgp.36.1.39.Search in Google Scholar PubMed PubMed Central

5. Benzer, S. Fine structure of a genetic region in bacteriophage. Proc Natl Acad Sci U S A. 1955;41:344–54. https://doi.org/10.1073/pnas.41.6.344.Search in Google Scholar PubMed PubMed Central

6. Watson, JD. The biological properties of X-ray-inactivated bacteriophage [Ph.D. thesis]. Bloomington, Indiana: Indiana University; 1950.Search in Google Scholar

7. Crick, FHC, Barnett, L, Brenner, S, Watts-Tobin, RJ. General nature of the genetic code for proteins. Nature (London) 1961;192:1227–32. https://doi.org/10.1038/1921227a0.Search in Google Scholar PubMed

8. Watson, JD, Crick, FHC. A structure for deoxyribose nucleic acid. Nature (London) 1953;171:737–8. https://doi.org/10.1038/171737a0.Search in Google Scholar PubMed

9. EdsallPrize, JTN, Britons, T. American share 1962 award for genetic code achievement. Science (New York, N Y ) 1962;138:498–500.10.1126/science.138.3539.498Search in Google Scholar PubMed

10. Luria, SE, Delbrück, M. Mutations of bacteria from virus sensitivity to virus resistance. Genetics 1943;28:491–511. https://doi.org/10.1093/genetics/28.6.491.Search in Google Scholar PubMed PubMed Central

11. Stent, G. The 1969 nobel prize for physiology or medicine. Science (New York, N Y ) 1969;166:479–81. https://doi.org/10.1126/science.166.3904.479.Search in Google Scholar PubMed

12. Adams, MH, Comroe, JH, Venning, EH. Methods of study of bacterial viruses. Chicago: Year Book Publishers; 1950.Search in Google Scholar

13. Rizvi, S, Mora, PT. Bacteriophage plaque-count assay and confluent lysis on plates without bottom agar layer. Nature (London) 1963;200:1324–5. https://doi.org/10.1038/2001324a0.Search in Google Scholar PubMed

14. Carlson, K. Working with bacteriophages: common techniques and methodological approaches. In: Kutter, E, Sulakvelidze, A, editors. Bacteriophages: biology and application. Boca Raton, Florida: CRC Press; 2005:437–94 pp.10.1201/9780203491751.ax1Search in Google Scholar

15. Kropinski, AM, Mazzocco, A, Waddell, TE, Lingohr, E, Johnson, RP. Enumeration of bacteriophages by double agar overlay plaque assay. Meth Mol Biol 2009;501:69–76. https://doi.org/10.1007/978-1-60327-164-6_7.Search in Google Scholar PubMed

16. Abedon, ST. Detection of bacteriophages: phage plaques. In: Harper, DR, Abedon, ST, Burrowes, BH, McConville, M, editors. Bacteriophages: biology, technology, therapy. New York City: Springer Nature Switzerland AG; 2021:507–38 pp.10.1007/978-3-319-41986-2_16Search in Google Scholar

17. Abedon, ST, Katsaounis, TI. Detection of bacteriophages: statistical aspects of plaque assay. In: Harper, D, Abedon, ST, Burrowes, BH, McConville, M, editors. Bacteriophages: biology, technology, therapy. New York City: Springer Nature Switzerland AG; 2021:539–60 pp.10.1007/978-3-319-41986-2_17Search in Google Scholar

18. Glonti, T, Pirnay, J-P. In vitro techniques and measurements of phage characteristics that are important for phage therapy success. Viruses 2022;14:1490. https://doi.org/10.3390/v14071490.Search in Google Scholar PubMed PubMed Central

19. Rajnovic, D, Munoz-Berbel, X, Mas, J. Fast phage detection and quantification: an optical density-based approach. PLoS One 2019;14:e0216292. https://doi.org/10.1371/journal.pone.0216292.Search in Google Scholar PubMed PubMed Central

20. Geng, Y, Nguyen, TVP, Homaee, E, Golding, I. Using bacterial population dynamics to count phages and their lysogens. Nat Commun 2024;15:7814. https://doi.org/10.1038/s41467-024-51913-6.Search in Google Scholar PubMed PubMed Central

21. Pires, DP, Costa, AR, Pinto, G, Meneses, L, Azeredo, J. Current challenges and future opportunities of phage therapy. FEMS Microbiol Rev 2020;44:684–700. https://doi.org/10.1093/femsre/fuaa017.Search in Google Scholar PubMed

22. Ling, H, Lou, X, Luo, Q, He, Z, Sun, M, Sun, J. Recent advances in bacteriophage-based therapeutics: insight into the post-antibiotic era. Acta Pharm Sin B 2022;12:4348–64. https://doi.org/10.1016/j.apsb.2022.05.007.Search in Google Scholar PubMed PubMed Central

23. Joao, J, Lampreia, J, Prazeres, DMF, Azevedo, AM. Manufacturing of bacteriophages for therapeutic applications. Biotechnol Adv 2021;49:107758. https://doi.org/10.1016/j.biotechadv.2021.107758.Search in Google Scholar PubMed

24. Marongiu, L, Burkard, M, Lauer, UM, Hoelzle, LE, Venturelli, S. Reassessment of historical clinical trials supports the effectiveness of phage therapy. Clin Microbiol Rev 2022;35:e0006222. https://doi.org/10.1128/cmr.00062-22.Search in Google Scholar PubMed PubMed Central

25. Hyman, P, Abedon, ST. Practical methods for determining phage growth parameters. Meth Mol Biol 2009;501:175–202. https://doi.org/10.1007/978-1-60327-164-6_18.Search in Google Scholar PubMed

26. Kropinski, AM. Practical advice on the one-step growth curve. Meth Mol Biol 2018;1681:41–7. https://doi.org/10.1007/978-1-4939-7343-9_3.Search in Google Scholar PubMed

27. Dos and don’ts of bacteriophage one-step growth. Preprints.org 2025 https://doi.org/10.20944/preprints202507.2624.v1.Search in Google Scholar

28. Cromwell, HW. Quantitative relations between antigen and antibody in the precipitin reaction. J Infect Dis 1925;37:321–8. https://doi.org/10.1093/infdis/37.4.321.Search in Google Scholar

29. Suh, GA, Lodise, TP, Tamma, PD, Knisely, JM, Alexander, J, Aslam, S, et al.. Considerations for the use of phage therapy in clinical practice. Antimicrob Agents Chemother 2022;66:e0207121. https://doi.org/10.1128/aac.02071-21.Search in Google Scholar PubMed PubMed Central

30. Luria, SE, Anderson, TF. The identification and characterization of bacteriophages with electron microscope. Proc Natl Acad Sci U S A. 1942;28:127–30. https://doi.org/10.1073/pnas.28.4.127.Search in Google Scholar PubMed PubMed Central

31. Adams, MH. Bacteriophages. New York: InterScience; 1959.10.5962/bhl.title.6966Search in Google Scholar

32. Hofer, AW, Richards, OW. Observation of bacteriophage through a light microscope. Science 1945;101:466–8. https://doi.org/10.1126/science.101.2627.466.Search in Google Scholar PubMed

33. Hyman, P, Trubl, G, Abedon, ST. Virus-like particle: evolving meanings in different disciplines. Phage 2021;2:11–5. https://doi.org/10.1089/phage.2020.0026.Search in Google Scholar PubMed PubMed Central

34. Refardt, D. Real-time quantitative PCR to discriminate and quantify lambdoid bacteriophages of Escherichia coli K-12. Bacteriophage 2012;2:98–104. https://doi.org/10.4161/bact.20092.Search in Google Scholar PubMed PubMed Central

35. Anderson, B, Rashid, MH, Carter, C, Pasternack, G, Rajanna, C, Revazishvili, T, et al.. Enumeration of bacteriophage particles: comparative analysis of the traditional plaque assay and real-time QPCR- and nanosight-based assays. Bacteriophage2011;1:86–93. https://doi.org/10.4161/bact.1.2.15456.Search in Google Scholar PubMed PubMed Central

36. Burrowes, BH, Molineux, IJ, Fralick, JA. Directed in vitro evolution of therapeutic bacteriophages: the appelmans protocol. Viruses 2019;11:241. https://doi.org/10.3390/v11030241.Search in Google Scholar PubMed PubMed Central

37. Daubie, V, Chalhoub, H, Blasdel, B, Dahma, H, Merabishvili, M, Glonti, T, et al.. Determination of phage susceptibility as a clinical diagnostic tool: a routine perspective. Front Cell Infect Microbiol 2022;12:1000721. https://doi.org/10.3389/fcimb.2022.1000721.Search in Google Scholar PubMed PubMed Central

38. Bull, JJ, Wichman, HA, Krone, SM, Molineux, IJ. Controlling recombination to evolve bacteriophages. Cells 2024;13:585. https://doi.org/10.3390/cells13070585.Search in Google Scholar PubMed PubMed Central

39. Jakob, N, Hammerl, JA, Swierczewski, BE, Wurstle, S, Bugert, JJ. Appelmans protocol for in vitro Klebsiella pneumoniae phage host range expansion leads to induction of the novel temperate linear plasmid prophage vB_KpnS-KpLi5. Virus Genes 2024;61:132–5. https://doi.org/10.1007/s11262-024-02124-0.Search in Google Scholar PubMed

40. Vu, TN, Clark, JR, Jang, E, D’Souza, R, Nguyen, LP, Pinto, NA, et al.. Appelmans protocol – a directed in vitro evolution enables induction and recombination of prophages with expanded host range. Virus Res 2024;339:199272. https://doi.org/10.1016/j.virusres.2023.199272.Search in Google Scholar PubMed PubMed Central

41. Appelmans, R. Le dosage du bactériophage. Compt Rend Soc Biol 1921;85:1098.Search in Google Scholar

42. Le dosage du Bactériophage, Note de R. Appelmans, présentée par R. Bruynoghe, Réunion de la Société Belge de Biologie, 1921, pp. 1098-1099, a Google Translation. 2024. https://asmallerflea.org/2024/12/23/le-dosage-du-bacteriophage-note-de-r-appelmans-presentee-par-r-bruynoghe-reunion-de-la-societe-belge-de-biologie-1921-pp-1098-1099-a-google-translation/.Search in Google Scholar

43. Chanishvili, N. A literature review of the practical application of bacteriophage research. Hauppauge, New York: Nova Publishers; 2012.Search in Google Scholar

44. Smith, HW, Huggins, MB. Effectiveness of phages in treating experimental Escherichia coli diarrhoea in calves, piglets and lambs. J Gen Microbiol 1983;129:2659–75. https://doi.org/10.1099/00221287-129-8-2659.Search in Google Scholar PubMed

45. Niu, YD, Johnson, RP, Xu, Y, McAllister, TA, Sharma, R, Louie, M, et al.. Host range and lytic capability of four bacteriophages against bovine and clinical human isolates of shiga toxin-producing Escherichia coli O157:H7. J Appl Microbiol 2009;107:646–56. https://doi.org/10.1111/j.1365-2672.2009.04231.x.Search in Google Scholar PubMed

46. Xie, Y, Wahab, L, Gill, JJ. Development and validation of a microtiter plate-based assay for determination of bacteriophage host range and virulence. Viruses 2018;10:189. https://doi.org/10.3390/v10040189.Search in Google Scholar PubMed PubMed Central

47. Storms, ZJ, Teel, MR, Mercurio, K, Sauvageau, D. The virulence index: a metric for quantitative analysis of phage virulence. Phage (New Rochelle ) 2020;1:27–36. https://doi.org/10.1089/phage.2019.0001.Search in Google Scholar PubMed PubMed Central

48. Konopacki, M, Grygorcewicz, B, Dolegowska, B, Kordas, M, Rakoczy, R. [Note: Fix polish letters]. PhageScore: a simple method for comparative evaluation of bacteriophages lytic activity. Biochem Eng J 2020;161:107652.10.1016/j.bej.2020.107652Search in Google Scholar

49. Abedon, ST. Phage therapy: combating evolution of bacterial resistance to phages. Viruses 2025;17:1094. https://doi.org/10.3390/v17081094.Search in Google Scholar PubMed PubMed Central

50. Abedon, S. Phage therapy pharmacology: calculating phage dosing. Adv Appl Microbiol 2011;77:1–40. https://doi.org/10.1016/B978-0-12-387044-5.00001-7.Search in Google Scholar PubMed

51. Kutter, E. Phage host range and efficiency of plating. Meth Mol Biol 2009;501:141–9. https://doi.org/10.1007/978-1-60327-164-6_14.Search in Google Scholar PubMed

52. Letarov, AV, Kulikov, EE. Determination of the bacteriophage host range: culture-based approach. Meth Mol Biol 2018;1693:75–84. https://doi.org/10.1007/978-1-4939-7395-8_7.Search in Google Scholar PubMed

53. Abedon, ST. Further considerations on how to improve phage therapy experimentation, practice, and reporting: pharmacodynamics perspectives. Phage 2022;3:98–111. https://doi.org/10.1089/phage.2022.0019.Search in Google Scholar PubMed PubMed Central

54. Hobbs, Z, Abedon, ST. Diversity of phage infection types and associated terminology: the problem with ’lytic or lysogenic. FEMS Microbiol Lett 2016;363:fnw047. https://doi.org/10.1093/femsle/fnw047.Search in Google Scholar PubMed

55. Serwer, P, Hayes, SJ, Thomas, JA, Demeler, B, Hardies, SC. Isolation of novel large and aggregating bacteriophages. Meth Mol Biol 2009;501:55–66. https://doi.org/10.1007/978-1-60327-164-6_6.Search in Google Scholar PubMed PubMed Central

56. Waddell, WJ. History of dose response. J Toxicol Sci 2010;35:1–8. https://doi.org/10.2131/jts.35.1.Search in Google Scholar PubMed

57. Turner, PE, Draghi, JA, Wilpiszeski, R. High-throughput analysis of growth differences among phage strains. J Microbiol Meth 2012;88:117–21. https://doi.org/10.1016/j.mimet.2011.10.020.Search in Google Scholar PubMed

58. Ghosh, D, Stencel, JM, Hicks, CD, Payne, F, Ozevin, D. Acoustic emission signal of Lactococcus lactis before and after inhibition with NaN 3 and infection with bacteriophage c2. ISRN Microbiol 2013;2013:257313. https://doi.org/10.1155/2013/257313.Search in Google Scholar PubMed PubMed Central

59. Davidi, D, Sade, D, Schuchalter, S, Gazit, E. High-throughput assay for temporal kinetic analysis of lytic coliphage activity. Anal Biochem 2014;444:22–4. https://doi.org/10.1016/j.ab.2013.09.007.Search in Google Scholar PubMed

60. Blazanin, M, Vasen, E, Vilaró Jolis, C, An, W, Turner, PE. Quantifying phage infectivity from characteristics of bacterial population dynamics. Proc Natl Acad Sci U S A. 2025;122:e2513377122. https://doi.org/10.1073/pnas.2513377122.Search in Google Scholar PubMed PubMed Central

61. Underwood, N, Doermann, AH. A photoelectric nephelometer. Rev Scient Instr. 1947;18:665–72. https://doi.org/10.1063/1.1741024.Search in Google Scholar PubMed

62. Doermann, AH. Lysis and lysis inhibition with Escherichia coli bacteriophage. J Bacteriol 1948;55:257–75. https://doi.org/10.1128/jb.55.2.257-276.1948.Search in Google Scholar PubMed PubMed Central

63. Maillard, JY, Beggs, TS, Day, MJ, Hudson, RA, Russell, AD. The use of an automated assay to assess phage survival after a biocidal treatment. J Appl Bacteriol 1996;80:605–10. https://doi.org/10.1111/j.1365-2672.1996.tb03264.x.Search in Google Scholar PubMed

64. Dalmasso, M, de, HE, Neve, H, Strain, R, Cousin, FJ, Stockdale, SR, et al.. Isolation of a novel phage with activity against Streptococcus mutans biofilms. PLoS One 2015;10:e0138651. https://doi.org/10.1371/journal.pone.0138651.Search in Google Scholar PubMed PubMed Central

65. Su, J, Wu, Y, Wang, Z, Zhang, D, Yang, X, Zhao, Y, et al.. Probiotic biofilm modified scaffolds for facilitating osteomyelitis treatment through sustained release of bacteriophage and regulated macrophage polarization. Mater Today Bio 2025;30:101444. https://doi.org/10.1016/j.mtbio.2025.101444.Search in Google Scholar PubMed PubMed Central

66. Abedon, ST. Selection for lysis inhibition in bacteriophage. J Theor Biol 1990;146:501–11. https://doi.org/10.1016/s0022-5193(05)80375-3.Search in Google Scholar PubMed

67. Abedon, ST. Lysis of lysis inhibited bacteriophage T4-infected cells. J Bacteriol 1992;174:8073–80. https://doi.org/10.1128/jb.174.24.8073-8080.1992.Search in Google Scholar PubMed PubMed Central

68. Abedon, ST. Lysis and the interaction between free phages and infected cells. In: Karam, JD, Kutter, E, Carlson, K, Guttman, B, editors. The Molecular Biology of Bacteriophage T4. Washington, DC: ASM Press; 1994:397–405 pp.Search in Google Scholar

69. Paddison, P, Abedon, ST, Dressman, HK, Gailbreath, K, Tracy, J, Mosser, E, et al.. The roles of the bacteriophage T4 r genes in lysis inhibition and fine-structure genetics: a new perspective. Genetics 1998;148:1539–50. https://doi.org/10.1093/genetics/148.4.1539.Search in Google Scholar PubMed PubMed Central

70. Abedon, ST. Bacteriophage T4 resistance to lysis-inhibition collapse. Genet Res 1999;74:1–11. https://doi.org/10.1017/s0016672399003833.Search in Google Scholar PubMed

71. Abedon, ST. Bacteriophage intraspecific cooperation and defection. In: Adams, HT, editor. Contemporary Trends in Bacteriophage Research. Hauppauge, New York: Nova Science Publishers; 2009:191–215 pp.Search in Google Scholar

72. Abedon, ST. Look who’s talking: T-even phage lysis inhibition, the granddaddy of virus-virus intercellular communication research. Viruses 2019;11:951. https://doi.org/10.3390/v11100951.Search in Google Scholar PubMed PubMed Central

73. Demerec, M, Fano, U. Bacteriophage-resistant mutants in Escherichia coli. Genetics 1945;30:119–36. https://doi.org/10.1093/genetics/30.2.119.Search in Google Scholar PubMed PubMed Central

74. Schito, GC. Dvelopment of coliphage N4: ultrastructural studies. J Virol 1974;13:186–96. https://doi.org/10.1128/jvi.13.1.186-196.1974.Search in Google Scholar

75. Hays, SG, Seed, KD. Dominant Vibrio cholerae phage exhibits lysis inhibition sensitive to disruption by a defensive phage satellite. eLife 2020;9:e53200. https://doi.org/10.7554/elife.53200.Search in Google Scholar

76. Sultan-Alolama, MI, Amin, A, Vijayan, R, El-Tarabily, KA. Isolation, characterization, and comparative genomic analysis of bacteriophage Ec_MI-02 from pigeon feces infecting Escherichia coli O157:H7. Int J Mol Sci 2023;24:9506. https://doi.org/10.3390/ijms24119506.Search in Google Scholar PubMed PubMed Central

77. Kim, J, Kim, J, Ryu, S. Elucidation of molecular function of phage protein responsible for optimization of host cell lysis. BMC Microbiol 2024;24:532. https://doi.org/10.1186/s12866-024-03684-9.Search in Google Scholar PubMed PubMed Central

78. Abedon, ST. Bacteriophage secondary infection. Virol Sin 2015;30:3–10. https://doi.org/10.1007/s12250-014-3547-2.Search in Google Scholar PubMed PubMed Central

79. Lu, MJ, Henning, U. Superinfection exclusion by T-even-type coliphages. Trends Microbiol 1994;2:137–9. https://doi.org/10.1016/0966-842x(94)90601-7.Search in Google Scholar PubMed

80. Bucher, MJ, Czyz, DM. Phage against the machine: the SIE-ence of superinfection exclusion. Viruses 2024;16:1348. https://doi.org/10.3390/v16091348.Search in Google Scholar PubMed PubMed Central

81. Tran, TA, Struck, DK, Young, R. The T4 RI antiholin has an N-terminal signal anchor release domain that targets it for degradation by DegP. J Bacteriol 2007;189:7618–25. https://doi.org/10.1128/jb.00854-07.Search in Google Scholar

82. Moussa, SH, Kuznetsov, V, Tran, TA, Sacchettini, JC, Young, R. Protein determinants of phage T4 lysis inhibition. Protein Sci 2012;21:571–82. https://doi.org/10.1002/pro.2042.Search in Google Scholar PubMed PubMed Central

83. Chen, Y, Young, R. The last r locus unveiled: T4 RIII is a cytoplasmic antiholin. J Bacteriol 2016;198:2448–57. https://doi.org/10.1128/jb.00294-16.Search in Google Scholar

84. Mehner-Breitfeld, D, Schwarzkopf, JMF, Young, R, Kondabagil, K, Bruser, T. The phage T4 antiholin RI has a cleavable signal peptide, not a SAR domain. Front Microbiol 2021;12:712460. https://doi.org/10.3389/fmicb.2021.712460.Search in Google Scholar PubMed PubMed Central

85. Juskauskas, A, Zajanckauskaite, A, Meskys, R, Ger, M, Kaupinis, A, Valius, M, et al.. Interaction between phage T4 protein RIII and host ribosomal protein S1 inhibits endoribonuclease RegB activation. Int J Mol Sci 2022;23:9483. https://doi.org/10.3390/ijms23169483.Search in Google Scholar PubMed PubMed Central

86. Schwarzkopf, JMF, Mehner-Breitfeld, D, Bruser, T. A dimeric holin/antiholin complex controls lysis by phage T4. Front Microbiol 2024;15:1419106. https://doi.org/10.3389/fmicb.2024.1419106.Search in Google Scholar PubMed PubMed Central

87. Krieger, I, Kuznetsov, V, Chang, J-Y, Zhang, J, Moussa, H, Young, R, et al.. The structural basis of T4 phage lysis control: DNA as the signal for lysis inhibition. J Mol Biol 2020;432:4623–36. https://doi.org/10.1016/j.jmb.2020.06.013.Search in Google Scholar PubMed PubMed Central

88. Abedon, ST, Hyman, P, Thomas, C. Experimental examination of bacteriophage latent-period evolution as a response to bacterial availability. Appl Environ Microbiol 2003;69:7499–506. https://doi.org/10.1128/aem.69.12.7499-7506.2003.Search in Google Scholar PubMed PubMed Central

89. Blazanin, M, Vasen, E, Vilaró Jolis, C, An, W, Turner, PE. Theoretical validation of growth curves for quantifying phage-bacteria interactions. bioRxiv 2023. https://doi.org/10.1101/2023.06.29.546975.Search in Google Scholar

90. Jongenburger, I, Reij, MW, Boer, EP, Gorris, LG, Zwietering, MH. Factors influencing the accuracy of the plating method used to enumerate low numbers of viable micro-organisms in food. Int J Food Microbiol 2010;143:32–40. https://doi.org/10.1016/j.ijfoodmicro.2010.07.025.Search in Google Scholar PubMed

91. Carlson, K, Miller, ES. Enumerating phage: the plaque assay. In: Karam, JD, editor. Molecular biology of bacteriophage T4. Washington, DC: ASM Press; 1994:427–9 pp.Search in Google Scholar

92. Paranos, P, Pournaras, S, Meletiadis, J. A single-layer spot assay for easy, fast, and high-throughput quantitation of phages against multidrug-resistant gram-negative pathogens. J Clin Microbiol 2024;62:e0074324. https://doi.org/10.1128/jcm.00743-24.Search in Google Scholar PubMed PubMed Central

93. Pirnay, J-P. Phage therapy in the year 2035. Front Microbiol 2020;11:1171. https://doi.org/10.3389/fmicb.2020.01171.Search in Google Scholar PubMed PubMed Central

94. Abedon, ST. Optical density-based methods in phage biology: titering, lysis timing, host range, and phage-resistance evolution. Viruses 2025;17:1573. https://doi.org/10.3390/v17121573.Search in Google Scholar


Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/biol-2025-1209).


Received: 2025-05-30
Accepted: 2025-10-07
Published Online: 2025-12-30

© 2025 the author(s), published by De Gruyter, Berlin/Boston

This work is licensed under the Creative Commons Attribution 4.0 International License.

Articles in the same Issue

  1. Safety assessment and modulation of hepatic CYP3A4 and UGT enzymes by Glycyrrhiza glabra aqueous extract in female Sprague–Dawley rats
  2. Adult-onset Still’s disease with hemophagocytic lymphohistiocytosis and minimal change disease
  3. Role of DZ2002 in reducing corneal graft rejection in rats by influencing Th17 activation via inhibition of the PI3K/AKT pathway and downregulation of TRAF1
  4. Biomedical Sciences
  5. Mechanism of triptolide regulating proliferation and apoptosis of hepatoma cells by inhibiting JAK/STAT pathway
  6. Maslinic acid improves mitochondrial function and inhibits oxidative stress and autophagy in human gastric smooth muscle cells
  7. Comparative analysis of inflammatory biomarkers for the diagnosis of neonatal sepsis: IL-6, IL-8, SAA, CRP, and PCT
  8. Post-pandemic insights on COVID-19 and premature ovarian insufficiency
  9. Proteome differences of dental stem cells between permanent and deciduous teeth by data-independent acquisition proteomics
  10. Optimizing a modified cetyltrimethylammonium bromide protocol for fungal DNA extraction: Insights from multilocus gene amplification
  11. Preliminary analysis of the role of small hepatitis B surface proteins mutations in the pathogenesis of occult hepatitis B infection via the endoplasmic reticulum stress-induced UPR-ERAD pathway
  12. Efficacy of alginate-coated gold nanoparticles against antibiotics-resistant Staphylococcus and Streptococcus pathogens of acne origins
  13. Battling COVID-19 leveraging nanobiotechnology: Gold and silver nanoparticle–B-escin conjugates as SARS-CoV-2 inhibitors
  14. Neurodegenerative diseases and neuroinflammation-induced apoptosis
  15. Impact of fracture fixation surgery on cognitive function and the gut microbiota in mice with a history of stroke
  16. COLEC10: A potential tumor suppressor and prognostic biomarker in hepatocellular carcinoma through modulation of EMT and PI3K-AKT pathways
  17. High-temperature requirement serine protease A2 inhibitor UCF-101 ameliorates damaged neurons in traumatic brain-injured rats by the AMPK/NF-κB pathway
  18. SIK1 inhibits IL-1β-stimulated cartilage apoptosis and inflammation in vitro through the CRTC2/CREB1 signaling
  19. Rutin–chitooligosaccharide complex: Comprehensive evaluation of its anti-inflammatory and analgesic properties in vitro and in vivo
  20. Knockdown of Aurora kinase B alleviates high glucose-triggered trophoblast cells damage and inflammation during gestational diabetes
  21. Calcium-sensing receptors promoted Homer1 expression and osteogenic differentiation in bone marrow mesenchymal stem cells
  22. ABI3BP can inhibit the proliferation, invasion, and epithelial–mesenchymal transition of non-small-cell lung cancer cells
  23. Changes in blood glucose and metabolism in hyperuricemia mice
  24. Rapid detection of the GJB2 c.235delC mutation based on CRISPR-Cas13a combined with lateral flow dipstick
  25. IL-11 promotes Ang II-induced autophagy inhibition and mitochondrial dysfunction in atrial fibroblasts
  26. Short-chain fatty acid attenuates intestinal inflammation by regulation of gut microbial composition in antibiotic-associated diarrhea
  27. Application of metagenomic next-generation sequencing in the diagnosis of pathogens in patients with diabetes complicated by community-acquired pneumonia
  28. NAT10 promotes radiotherapy resistance in non-small cell lung cancer by regulating KPNB1-mediated PD-L1 nuclear translocation
  29. Phytol-mixed micelles alleviate dexamethasone-induced osteoporosis in zebrafish: Activation of the MMP3–OPN–MAPK pathway-mediating bone remodeling
  30. Association between TGF-β1 and β-catenin expression in the vaginal wall of patients with pelvic organ prolapse
  31. Primary pleomorphic liposarcoma involving bilateral ovaries: Case report and literature review
  32. Effects of de novo donor-specific Class I and II antibodies on graft outcomes after liver transplantation: A pilot cohort study
  33. Sleep architecture in Alzheimer’s disease continuum: The deep sleep question
  34. Ephedra fragilis plant extract: A groundbreaking corrosion inhibitor for mild steel in acidic environments – electrochemical, EDX, DFT, and Monte Carlo studies
  35. Langerhans cell histiocytosis in an adult patient with upper jaw and pulmonary involvement: A case report
  36. Inhibition of mast cell activation by Jaranol-targeted Pirin ameliorates allergic responses in mouse allergic rhinitis
  37. Aeromonas veronii-induced septic arthritis of the hip in a child with acute lymphoblastic leukemia
  38. Clusterin activates the heat shock response via the PI3K/Akt pathway to protect cardiomyocytes from high-temperature-induced apoptosis
  39. Research progress on fecal microbiota transplantation in tumor prevention and treatment
  40. Low-pressure exposure influences the development of HAPE
  41. Stigmasterol alleviates endplate chondrocyte degeneration through inducing mitophagy by enhancing PINK1 mRNA acetylation via the ESR1/NAT10 axis
  42. AKAP12, mediated by transcription factor 21, inhibits cell proliferation, metastasis, and glycolysis in lung squamous cell carcinoma
  43. Association between PAX9 or MSX1 gene polymorphism and tooth agenesis risk: A meta-analysis
  44. A case of bloodstream infection caused by Neisseria gonorrhoeae
  45. Case of nasopharyngeal tuberculosis complicated with cervical lymph node and pulmonary tuberculosis
  46. p-Cymene inhibits pro-fibrotic and inflammatory mediators to prevent hepatic dysfunction
  47. GFPT2 promotes paclitaxel resistance in epithelial ovarian cancer cells via activating NF-κB signaling pathway
  48. Transfer RNA-derived fragment tRF-36 modulates varicose vein progression via human vascular smooth muscle cell Notch signaling
  49. RTA-408 attenuates the hepatic ischemia reperfusion injury in mice possibly by activating the Nrf2/HO-1 signaling pathway
  50. Decreased serum TIMP4 levels in patients with rheumatoid arthritis
  51. Sirt1 protects lupus nephritis by inhibiting the NLRP3 signaling pathway in human glomerular mesangial cells
  52. Sodium butyrate aids brain injury repair in neonatal rats
  53. Interaction of MTHFR polymorphism with PAX1 methylation in cervical cancer
  54. Convallatoxin inhibits proliferation and angiogenesis of glioma cells via regulating JAK/STAT3 pathway
  55. The effect of the PKR inhibitor, 2-aminopurine, on the replication of influenza A virus, and segment 8 mRNA splicing
  56. Effects of Ire1 gene on virulence and pathogenicity of Candida albicans
  57. Small cell lung cancer with small intestinal metastasis: Case report and literature review
  58. GRB14: A prognostic biomarker driving tumor progression in gastric cancer through the PI3K/AKT signaling pathway by interacting with COBLL1
  59. 15-Lipoxygenase-2 deficiency induces foam cell formation that can be restored by salidroside through the inhibition of arachidonic acid effects
  60. FTO alleviated the diabetic nephropathy progression by regulating the N6-methyladenosine levels of DACT1
  61. Clinical relevance of inflammatory markers in the evaluation of severity of ulcerative colitis: A retrospective study
  62. Zinc valproic acid complex promotes osteoblast differentiation and exhibits anti-osteoporotic potential
  63. Primary pulmonary synovial sarcoma in the bronchial cavity: A case report
  64. Metagenomic next-generation sequencing of alveolar lavage fluid improves the detection of pulmonary infection
  65. Uterine tumor resembling ovarian sex cord tumor with extensive rhabdoid differentiation: A case report
  66. Genomic analysis of a novel ST11(PR34365) Clostridioides difficile strain isolated from the human fecal of a CDI patient in Guizhou, China
  67. Effects of tiered cardiac rehabilitation on CRP, TNF-α, and physical endurance in older adults with coronary heart disease
  68. Changes in T-lymphocyte subpopulations in patients with colorectal cancer before and after acupoint catgut embedding acupuncture observation
  69. Modulating the tumor microenvironment: The role of traditional Chinese medicine in improving lung cancer treatment
  70. Alterations of metabolites related to microbiota–gut–brain axis in plasma of colon cancer, esophageal cancer, stomach cancer, and lung cancer patients
  71. Research on individualized drug sensitivity detection technology based on bio-3D printing technology for precision treatment of gastrointestinal stromal tumors
  72. CEBPB promotes ulcerative colitis-associated colorectal cancer by stimulating tumor growth and activating the NF-κB/STAT3 signaling pathway
  73. Oncolytic bacteria: A revolutionary approach to cancer therapy
  74. A de novo meningioma with rapid growth: A possible malignancy imposter?
  75. Diagnosis of secondary tuberculosis infection in an asymptomatic elderly with cancer using next-generation sequencing: Case report
  76. Hesperidin and its zinc(ii) complex enhance osteoblast differentiation and bone formation: In vitro and in vivo evaluations
  77. Research progress on the regulation of autophagy in cardiovascular diseases by chemokines
  78. Anti-arthritic, immunomodulatory, and inflammatory regulation by the benzimidazole derivative BMZ-AD: Insights from an FCA-induced rat model
  79. Immunoassay for pyruvate kinase M1/2 as an Alzheimer’s biomarker in CSF
  80. The role of HDAC11 in age-related hearing loss: Mechanisms and therapeutic implications
  81. Evaluation and application analysis of animal models of PIPNP based on data mining
  82. Therapeutic approaches for liver fibrosis/cirrhosis by targeting pyroptosis
  83. Fabrication of zinc oxide nanoparticles using Ruellia tuberosa leaf extract induces apoptosis through P53 and STAT3 signalling pathways in prostate cancer cells
  84. Haplo-hematopoietic stem cell transplantation and immunoradiotherapy for severe aplastic anemia complicated with nasopharyngeal carcinoma: A case report
  85. Modulation of the KEAP1-NRF2 pathway by Erianin: A novel approach to reduce psoriasiform inflammation and inflammatory signaling
  86. The expression of epidermal growth factor receptor 2 and its relationship with tumor-infiltrating lymphocytes and clinical pathological features in breast cancer patients
  87. Innovations in MALDI-TOF Mass Spectrometry: Bridging modern diagnostics and historical insights
  88. BAP1 complexes with YY1 and RBBP7 and its downstream targets in ccRCC cells
  89. Hypereosinophilic syndrome with elevated IgG4 and T-cell clonality: A report of two cases
  90. Electroacupuncture alleviates sciatic nerve injury in sciatica rats by regulating BDNF and NGF levels, myelin sheath degradation, and autophagy
  91. Polydatin prevents cholesterol gallstone formation by regulating cholesterol metabolism via PPAR-γ signaling
  92. RNF144A and RNF144B: Important molecules for health
  93. Analysis of the detection rate and related factors of thyroid nodules in the healthy population
  94. Artesunate inhibits hepatocellular carcinoma cell migration and invasion through OGA-mediated O-GlcNAcylation of ZEB1
  95. Endovascular management of post-pancreatectomy hemorrhage caused by a hepatic artery pseudoaneurysm: Case report and review of the literature
  96. Efficacy and safety of anti-PD-1/PD-L1 antibodies in patients with relapsed refractory diffuse large B-cell lymphoma: A meta-analysis
  97. SATB2 promotes humeral fracture healing in rats by activating the PI3K/AKT pathway
  98. Overexpression of the ferroptosis-related gene, NFS1, corresponds to gastric cancer growth and tumor immune infiltration
  99. Understanding risk factors and prognosis in diabetic foot ulcers
  100. Atractylenolide I alleviates the experimental allergic response in mice by suppressing TLR4/NF-kB/NLRP3 signalling
  101. FBXO31 inhibits the stemness characteristics of CD147 (+) melanoma stem cells
  102. Immune molecule diagnostics in colorectal cancer: CCL2 and CXCL11
  103. Inhibiting CXCR6 promotes senescence of activated hepatic stellate cells with limited proinflammatory SASP to attenuate hepatic fibrosis
  104. Cadmium toxicity, health risk and its remediation using low-cost biochar adsorbents
  105. Pulmonary cryptococcosis with headache as the first presentation: A case report
  106. Solitary pulmonary metastasis with cystic airspaces in colon cancer: A rare case report
  107. RUNX1 promotes denervation-induced muscle atrophy by activating the JUNB/NF-κB pathway and driving M1 macrophage polarization
  108. Morphometric analysis and immunobiological investigation of Indigofera oblongifolia on the infected lung with Plasmodium chabaudi
  109. The NuA4/TIP60 histone-modifying complex and Hr78 modulate the Lobe2 mutant eye phenotype
  110. Experimental study on salmon demineralized bone matrix loaded with recombinant human bone morphogenetic protein-2: In vitro and in vivo study
  111. A case of IgA nephropathy treated with a combination of telitacicept and half-dose glucocorticoids
  112. Analgesic and toxicological evaluation of cannabidiol-rich Moroccan Cannabis sativa L. (Khardala variety) extract: Evidence from an in vivo and in silico study
  113. Wound healing and signaling pathways
  114. Combination of immunotherapy and whole-brain radiotherapy on prognosis of patients with multiple brain metastases: A retrospective cohort study
  115. To explore the relationship between endometrial hyperemia and polycystic ovary syndrome
  116. Research progress on the impact of curcumin on immune responses in breast cancer
  117. Biogenic Cu/Ni nanotherapeutics from Descurainia sophia (L.) Webb ex Prantl seeds for the treatment of lung cancer
  118. Dapagliflozin attenuates atrial fibrosis via the HMGB1/RAGE pathway in atrial fibrillation rats
  119. Glycitein alleviates inflammation and apoptosis in keratinocytes via ROS-associated PI3K–Akt signalling pathway
  120. ADH5 inhibits proliferation but promotes EMT in non-small cell lung cancer cell through activating Smad2/Smad3
  121. Apoptotic efficacies of AgNPs formulated by Syzygium aromaticum leaf extract on 32D-FLT3-ITD human leukemia cell line with PI3K/AKT/mTOR signaling pathway
  122. Novel cuproptosis-related genes C1QBP and PFKP identified as prognostic and therapeutic targets in lung adenocarcinoma
  123. Bee venom promotes exosome secretion and alters miRNA cargo in T cells
  124. Treatment of pure red cell aplasia in a chronic kidney disease patient with roxadustat: A case report
  125. Comparative bioinformatics analysis of the Wnt pathway in breast cancer: Selection of novel biomarker panels associated with ER status
  126. Kynurenine facilitates renal cell carcinoma progression by suppressing M2 macrophage pyroptosis through inhibition of CASP1 cleavage
  127. RFX5 promotes the growth, motility, and inhibits apoptosis of gastric adenocarcinoma cells through the SIRT1/AMPK axis
  128. ALKBH5 exacerbates early cardiac damage after radiotherapy for breast cancer via m6A demethylation of TLR4
  129. Phytochemicals of Roman chamomile: Antioxidant, anti-aging, and whitening activities of distillation residues
  130. Circadian gene Cry1 inhibits the tumorigenicity of hepatocellular carcinoma by the BAX/BCL2-mediated apoptosis pathway
  131. The TNFR-RIPK1/RIPK3 signalling pathway mediates the effect of lanthanum on necroptosis of nerve cells
  132. Longitudinal monitoring of autoantibody dynamics in patients with early-stage non-small-cell lung cancer undergoing surgery
  133. The potential role of rutin, a flavonoid, in the management of cancer through modulation of cell signaling pathways
  134. Construction of pectinase gene engineering microbe and its application in tobacco sheets
  135. Construction of a microbial abundance prognostic scoring model based on intratumoral microbial data for predicting the prognosis of lung squamous cell carcinoma
  136. Sepsis complicated by haemophagocytic lymphohistiocytosis triggered by methicillin-resistant Staphylococcus aureus and human herpesvirus 8 in an immunocompromised elderly patient: A case report
  137. Sarcopenia in liver transplantation: A comprehensive bibliometric study of current research trends and future directions
  138. Advances in cancer immunotherapy and future directions in personalized medicine
  139. Can coronavirus disease 2019 affect male fertility or cause spontaneous abortion? A two-sample Mendelian randomization analysis
  140. Heat stroke associated with novel leukaemia inhibitory factor receptor gene variant in a Chinese infant
  141. PSME2 exacerbates ulcerative colitis by disrupting intestinal barrier function and promoting autophagy-dependent inflammation
  142. Hyperosmolar hyperglycemic state with severe hypernatremia coexisting with central diabetes insipidus: A case report and literature review
  143. Efficacy and mechanism of escin in improving the tissue microenvironment of blood vessel walls via anti-inflammatory and anticoagulant effects: Implications for clinical practice
  144. Merkel cell carcinoma: Clinicopathological analysis of three patients and literature review
  145. Genetic variants in VWF exon 26 and their implications for type 1 Von Willebrand disease in a Saudi Arabian population
  146. Lipoxin A4 improves myocardial ischemia/reperfusion injury through the Notch1-Nrf2 signaling pathway
  147. High levels of EPHB2 expression predict a poor prognosis and promote tumor progression in endometrial cancer
  148. Knockdown of SHP-2 delays renal tubular epithelial cell injury in diabetic nephropathy by inhibiting NLRP3 inflammasome-mediated pyroptosis
  149. Exploring the toxicity mechanisms and detoxification methods of Rhizoma Paridis
  150. Concomitant gastric carcinoma and primary hepatic angiosarcoma in a patient: A case report
  151. YAP1 inhibition protects retinal vascular endothelial cells under high glucose by inhibiting autophagy
  152. Identification of secretory protein related biomarkers for primary biliary cholangitis based on machine learning and experimental validation
  153. Integrated genomic and clinical modeling for prognostic assessment of radiotherapy response in rectal neoplasms
  154. Stem cell-based approaches for glaucoma treatment: a mini review
  155. Bacteriophage titering by optical density means: KOTE assays
  156. Neutrophil-related signature characterizes immune landscape and predicts prognosis of esophageal squamous cell carcinoma
  157. Integrated bioinformatic analysis and machine learning strategies to identify new potential immune biomarkers for Alzheimer’s disease and their targeting prediction with geniposide
  158. TRIM21 accelerates ferroptosis in intervertebral disc degeneration by promoting SLC7A11 ubiquitination and degradation
  159. TRIM21 accelerates ferroptosis in intervertebral disc degeneration by promoting SLC7A11 ubiquitination and degradation
  160. Histone modification and non-coding RNAs in skin aging: emerging therapeutic avenues
  161. A multiplicative behavioral model of DNA replication initiation in cells
  162. Biogenic gold nanoparticles synthesized from Pergularia daemia leaves: a novel approach for nasopharyngeal carcinoma therapy
  163. Creutzfeldt-Jakob disease mimicking Hashimoto’s encephalopathy: steroid response followed by decline
  164. Impact of semaphorin, Sema3F, on the gene transcription and protein expression of CREB and its binding protein CREBBP in primary hippocampal neurons of rats
  165. Iron overloaded M0 macrophages regulate hematopoietic stem cell proliferation and senescence via the Nrf2/Keap1/HO-1 pathway
  166. Revisiting the link between NADPH oxidase p22phox C242T polymorphism and ischemic stroke risk: an updated meta-analysis
  167. Exercise training preferentially modulates α1D-adrenergic receptor expression in peripheral arteries of hypertensive rats
  168. Overexpression of HE4/WFDC2 gene in mice leads to keratitis and corneal opacity
  169. Tumoral calcinosis complicating CKD-MBD in hemodialysis: a case report
  170. Mechanism of KLF4 Inhibition of epithelial-mesenchymal transition in gastric cancer cells
  171. Dissecting the molecular mechanisms of T cell infiltration in psoriatic lesions via cell-cell communication and regulatory network analysis
  172. Circadian rhythm-based prognostic features predict immune infiltration and tumor microenvironment in molecular subtypes of hepatocellular carcinoma
  173. Ecology and Environmental Science
  174. Optimization and comparative study of Bacillus consortia for cellulolytic potential and cellulase enzyme activity
  175. The complete mitochondrial genome analysis of Haemaphysalis hystricis Supino, 1897 (Ixodida: Ixodidae) and its phylogenetic implications
  176. Epidemiological characteristics and risk factors analysis of multidrug-resistant tuberculosis among tuberculosis population in Huzhou City, Eastern China
  177. Indices of human impacts on landscapes: How do they reflect the proportions of natural habitats?
  178. Genetic analysis of the Siberian flying squirrel population in the northern Changbai Mountains, Northeast China: Insights into population status and conservation
  179. Diversity and environmental drivers of Suillus communities in Pinus sylvestris var. mongolica forests of Inner Mongolia
  180. Global assessment of the fate of nitrogen deposition in forest ecosystems: Insights from 15N tracer studies
  181. Fungal and bacterial pathogenic co-infections mainly lead to the assembly of microbial community in tobacco stems
  182. Influencing of coal industry related airborne particulate matter on ocular surface tear film injury and inflammatory factor expression in Sprague-Dawley rats
  183. Temperature-dependent development, predation, and life table of Sphaerophoria macrogaster (Thomson) (Diptera: Syrphidae) feeding on Myzus persicae (Sulzer) (Homoptera: Aphididae)
  184. Eleonora’s falcon trophic interactions with insects within its breeding range: A systematic review
  185. Agriculture
  186. Integrated analysis of transcriptome, sRNAome, and degradome involved in the drought-response of maize Zhengdan958
  187. Variation in flower frost tolerance among seven apple cultivars and transcriptome response patterns in two contrastingly frost-tolerant selected cultivars
  188. Heritability of durable resistance to stripe rust in bread wheat (Triticum aestivum L.)
  189. Molecular mechanism of follicular development in laying hens based on the regulation of water metabolism
  190. Molecular identification and control studies on Coridius sp. (Hemiptera: Dinidoridae) in Al-Khamra, south of Jeddah, Saudi Arabia
  191. 10.1515/biol-2025-1218
  192. Animal Science
  193. Effect of sex ratio on the life history traits of an important invasive species, Spodoptera frugiperda
  194. Plant Sciences
  195. Hairpin in a haystack: In silico identification and characterization of plant-conserved microRNA in Rafflesiaceae
  196. Widely targeted metabolomics of different tissues in Rubus corchorifolius
  197. The complete chloroplast genome of Gerbera piloselloides (L.) Cass., 1820 (Carduoideae, Asteraceae) and its phylogenetic analysis
  198. Field trial to correlate mineral solubilization activity of Pseudomonas aeruginosa and biochemical content of groundnut plants
  199. Correlation analysis between semen routine parameters and sperm DNA fragmentation index in patients with semen non-liquefaction: A retrospective study
  200. Plasticity of the anatomical traits of Rhododendron L. (Ericaceae) leaves and its implications in adaptation to the plateau environment
  201. Effects of Piriformospora indica and arbuscular mycorrhizal fungus on growth and physiology of Moringa oleifera under low-temperature stress
  202. Effects of different sources of potassium fertiliser on yield, fruit quality and nutrient absorption in “Harward” kiwifruit (Actinidia deliciosa)
  203. Comparative efficiency and residue levels of spraying programs against powdery mildew in grape varieties
  204. The DREB7 transcription factor enhances salt tolerance in soybean plants under salt stress
  205. Using plant electrical signals of water hyacinth (Eichhornia crassipes) for water pollution monitoring
  206. Response of hybrid grapes (Vitis spp.) to two biotic stress factors and their seedlessness status
  207. Metabolomic profiling reveals systemic metabolic reprogramming in Alternaria alternata under salt stress
  208. Effects of mixed salinity and alkali stress on photosynthetic characteristics and PEPC gene expression of vegetable soybean seedlings
  209. Food Science
  210. Phytochemical analysis of Stachys iva: Discovering the optimal extract conditions and its bioactive compounds
  211. Review on role of honey in disease prevention and treatment through modulation of biological activities
  212. Computational analysis of polymorphic residues in maltose and maltotriose transporters of a wild Saccharomyces cerevisiae strain
  213. Optimization of phenolic compound extraction from Tunisian squash by-products: A sustainable approach for antioxidant and antibacterial applications
  214. Liupao tea aqueous extract alleviates dextran sulfate sodium-induced ulcerative colitis in rats by modulating the gut microbiota
  215. Toxicological qualities and detoxification trends of fruit by-products for valorization: A review
  216. Polyphenolic spectrum of cornelian cherry fruits and their health-promoting effect
  217. Optimizing the encapsulation of the refined extract of squash peels for functional food applications: A sustainable approach to reduce food waste
  218. Advancements in curcuminoid formulations: An update on bioavailability enhancement strategies curcuminoid bioavailability and formulations
  219. Impact of saline sprouting on antioxidant properties and bioactive compounds in chia seeds
  220. The dilemma of food genetics and improvement
  221. Causal effects of trace elements on congenital foot deformities and their subtypes: a Mendelian randomization study with gut microbiota mediation
  222. Honey meets acidity: a novel biopreservative approach against foodborne pathogens
  223. Bioengineering and Biotechnology
  224. Impact of hyaluronic acid-modified hafnium metalorganic frameworks containing rhynchophylline on Alzheimer’s disease
  225. Emerging patterns in nanoparticle-based therapeutic approaches for rheumatoid arthritis: A comprehensive bibliometric and visual analysis spanning two decades
  226. Application of CRISPR/Cas gene editing for infectious disease control in poultry
  227. Preparation of hafnium nitride-coated titanium implants by magnetron sputtering technology and evaluation of their antibacterial properties and biocompatibility
  228. Preparation and characterization of lemongrass oil nanoemulsion: Antimicrobial, antibiofilm, antioxidant, and anticancer activities
  229. Fluorescent detection of sialic acid–binding lectins using functionalized quantum dots in ELISA format
  230. Smart tectorigenin-loaded ZnO hydrogel nanocomposites for targeted wound healing: synthesis, characterization, and biological evaluation
  231. Corrigendum
  232. Corrigendum to “Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells”
  233. Corrigendum to “Effects of Ire1 gene on virulence and pathogenicity of Candida albicans
  234. Retraction
  235. Retraction of “Down-regulation of miR-539 indicates poor prognosis in patients with pancreatic cancer”
Downloaded on 6.1.2026 from https://www.degruyterbrill.com/document/doi/10.1515/biol-2025-1209/html
Scroll to top button