During my PhD research at Ghent University I studied the interaction between bacteriophages and the human immune response. It is known that the oral administration of phages to animals results in the translocation of phages to systemic tissues, whereby phages are able to cross cell monolayers. This suggests that mammals have mechanisms for the uptake and delivery of phages that may allow intestinal phages to elicit innate and adaptive immune responses.

If phages are present everywhere, the question can be asked whether they interact with our immune system. More specifically do they have anti-inflammatory properties. Otherwise how can they work systemically? These are questions I was trying to answer during my PhD, under the supervision of Prof. Mario Vaneechoutte and Prof. Rob Lavigne. We found that our studied phage have indications that they induce an immune response. Not only do the phages that we studied induce pro-inflammatory properties, we have indications that they might induce anti-inflammatory responses as well.

During my research I developed a profound interest in phage biology and phage therapy, more specifically in the interaction between phages and the mammalian host. I’m amazed by the possibilities of science, and fascinated by what is still to be discovered.

I'm looking forward to further elucidate the interaction of phages with the human immune response, and the potential impacts this could have on phage therapy or human health.

Professional Education

  • Doctor of Science, Universiteit Gent (2017)

Current Research and Scholarly Interests

Phage Biology/Immunology.

All Publications

  • Bacteriophage trigger antiviral immunity and prevent clearance of bacterial infection. Science (New York, N.Y.) Sweere, J. M., Van Belleghem, J. D., Ishak, H., Bach, M. S., Popescu, M., Sunkari, V., Kaber, G., Manasherob, R., Suh, G. A., Cao, X., de Vries, C. R., Lam, D. N., Marshall, P. L., Birukova, M., Katznelson, E., Lazzareschi, D. V., Balaji, S., Keswani, S. G., Hawn, T. R., Secor, P. R., Bollyky, P. L. 2019; 363 (6434)


    Bacteriophage are abundant at sites of bacterial infection, but their effects on mammalian hosts are unclear. We have identified pathogenic roles for filamentous Pf bacteriophage produced by Pseudomonas aeruginosa (Pa) in suppression of immunity against bacterial infection. Pf promote Pa wound infection in mice and are associated with chronic human Pa wound infections. Murine and human leukocytes endocytose Pf, and internalization of this single-stranded DNA virus results in phage RNA production. This triggers Toll-like receptor 3 (TLR3)- and TIR domain-containing adapter-inducing interferon-β (TRIF)-dependent type I interferon production, inhibition of tumor necrosis factor (TNF), and the suppression of phagocytosis. Conversely, immunization of mice against Pf prevents Pa wound infection. Thus, Pf triggers maladaptive innate viral pattern-recognition responses, which impair bacterial clearance. Vaccination against phage virions represents a potential strategy to prevent bacterial infection.

    View details for PubMedID 30923196

  • Interactions between Bacteriophage, Bacteria, and the Mammalian Immune System. Viruses Van Belleghem, J. D., Dąbrowska, K., Vaneechoutte, M., Barr, J. J., Bollyky, P. L. 2018; 11 (1)


    The human body is host to large numbers of bacteriophages (phages)⁻a diverse group of bacterial viruses that infect bacteria. Phage were previously regarded as bystanders that only impacted immunity indirectly via effects on the mammalian microbiome. However, it has become clear that phages also impact immunity directly, in ways that are typically anti-inflammatory. Phages can modulate innate immunity via phagocytosis and cytokine responses, but also impact adaptive immunity via effects on antibody production and effector polarization. Phages may thereby have profound effects on the outcome of bacterial infections by modulating the immune response. In this review we highlight the diverse ways in which phages interact with human cells. We present a computational model for predicting these complex and dynamic interactions. These models predict that the phageome may play important roles in shaping mammalian-bacterial interactions.

    View details for PubMedID 30585199

  • Pro- and anti-inflammatory responses of peripheral blood mononuclear cells induced by Staphylococcus aureus and Pseudomonas aeruginosa phages. Scientific reports Van Belleghem, J. D., Clement, F., Merabishvili, M., Lavigne, R., Vaneechoutte, M. 2017; 7 (1): 8004


    The ability of bacteriophages to kill bacteria is well known, as is their potential use as alternatives to antibiotics. As such, bacteriophages reach high doses locally through infection of their bacterial host in the human body. In this study we assessed the gene expression profile of peripheral blood monocytes from six donors for twelve immunity-related genes (i.e. CD14, CXCL1, CXCL5, IL1A, IL1B, IL1RN, IL6, IL10, LYZ, SOCS3, TGFBI and TNFA) induced by Staphylococcus aureus phage ISP and four Pseudomonas aeruginosa phages (i.e. PNM, LUZ19, 14-1 and GE-vB_Pae-Kakheti25). The phages were able to induce clear and reproducible immune responses. Moreover, the overall immune response was very comparable for all five phages: down-regulation of LYZ and TGFBI, and up-regulation of CXCL1, CXCL5, IL1A, IL1B, IL1RN, IL6, SOCS3 and TNFA. The observed immune response was shown to be endotoxin-independent and predominantly anti-inflammatory. Addition of endotoxins to the highly purified phages did not cause an immune response comparable to the one induced by the (endotoxin containing) phage lysate. In addition, the use of an intermediate level of endotoxins tipped the immune response to a more anti-inflammatory response, i.e. up-regulation of IL1RN and a strongly reduced expression of CXCL1 and CXCL5.

    View details for PubMedID 28808331

    View details for PubMedCentralID PMC5556114

  • Development of a qPCR platform for quantification of the five bacteriophages within bacteriophage cocktail 2 (BFC2). Scientific reports Duyvejonck, H., Merabishvili, M., Pirnay, J., De Vos, D., Verbeken, G., Van Belleghem, J., Gryp, T., De Leenheer, J., Van der Borght, K., Van Simaey, L., Vermeulen, S., Van Mechelen, E., Vaneechoutte, M. 2019; 9 (1): 13893


    To determine phage titers accurately, reproducibly and in a non-laborious and cost-effective manner, we describe the development of a qPCR platform for molecular quantification of five phages present in bacteriophage cocktail 2 (BFC2). We compared the performance of this molecular approach, with regard to quantification and reproducibility, with the standard culture-based double agar overlay method (DAO). We demonstrated that quantification of each of the five phages in BFC2 was possible by means of qPCR, without prior DNA extraction, but yields were significantly higher in comparison to DAO. Although DAO is assumed to provide an indication of the number of infective phage particles, whereas qPCR only provides information on the number of phage genomes, the difference in yield (qPCR/DAO ratio) was observed to be phage-dependent and appeared rather constant for all phages when analyzing different (freshly prepared) stocks of these phages. While DAO is necessary to determine sensitivity of clinical strains against phages in clinical applications, qPCR might be a valid alternative for rapid and reproducible quantification of freshly prepared stocks, after initial establishment of a correction factor towards DAO.

    View details for DOI 10.1038/s41598-019-50461-0

    View details for PubMedID 31554892

  • Macrophages and innate immune memory against Staphylococcus skin infections. Proceedings of the National Academy of Sciences of the United States of America Van Belleghem, J. D., Bollyky, P. L. 2018

    View details for PubMedID 30389708

  • A comparative study of different strategies for removal of endotoxins from bacteriophage preparations JOURNAL OF MICROBIOLOGICAL METHODS Van Belleghem, J. D., Merabishvili, M., Vergauwen, B., Lavigne, R., Vaneechoutte, M. 2017; 132: 153-159


    Bacterial endotoxins have high immunogenicity. Phage biology studies as well as therapeutic phage applications necessitate highly purified phage particles. In this study, we compared combinations of seven different endotoxin removal strategies and validated their endotoxin removal efficacy for five different phages (i.e. four Pseudomonas aeruginosa phages and one Staphylococcus aureus phage). These purification strategies included Endotrap HD column purification and/or CsCl density centrifugation in combination with Endotrap purification, followed by organic solvent (1-octanol), detergent (Triton X-100), enzymatic inactivation of the endotoxin using alkaline phosphatase and CIM monolytic anion exchange chromatography. We show that CsCl density purification of the P. aeruginosa phages, at an initial concentration of 1012-1013pfu/ml, led to the strongest reduction of endotoxins, with an endotoxin removal efficacy of up to 99%, whereas additional purification methods did not result in a complete removal of endotoxins from the phage preparations and only yielded an additional endotoxin removal efficacy of 23 to 99%, sometimes accompanied with strong losses in phage titer.

    View details for DOI 10.1016/j.mimet.2016.11.020

    View details for Web of Science ID 000393017100027

    View details for PubMedID 27913133

  • Stability of bacteriophages in burn wound care products. PloS one Merabishvili, M., Monserez, R., van Belleghem, J., Rose, T., Jennes, S., De Vos, D., Verbeken, G., Vaneechoutte, M., Pirnay, J. P. 2017; 12 (7): e0182121


    Bacteriophages could be used along with burn wound care products to enhance antimicrobial pressure during treatment. However, some of the components of the topical antimicrobials that are traditionally used for the prevention and treatment of burn wound infection might affect the activity of phages. Therefore, it is imperative to determine the counteraction of therapeutic phage preparations by burn wound care products before application in patients. Five phages, representatives of two morphological families (Myoviridae and Podoviridae) and active against 3 common bacterial burn wound pathogens (Acinetobacter baumannii, Pseudomonas aeruginosa and Staphylococcus aureus) were tested against 13 different products commonly used in the treatment of burn wounds. The inactivation of the phages was quite variable for different phages and different products. Majority of the anti-infective products affected phage activity negatively either immediately or in the course of time, although impact was not always significant. Products with high acidity had the most adverse effect on phages. Our findings demonstrate that during combined treatment the choice of phages and wound care products must be carefully defined in advance.

    View details for PubMedID 28750102

    View details for PubMedCentralID PMC5531522

  • Haemophilus influenzae biofilm formation in chronic otitis media with effusion EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Van Hoecke, H., De Paepe, A., Lambert, E., Van Belleghem, J. D., Cools, P., Van Simaey, L., Deschaght, P., Vaneechoutte, M., Dhooge, I. 2016; 273 (11): 3553-3560


    Otitis media with effusion (OME) is a highly prevalent disease in children, but the exact pathogenesis and role of bacteria are still not well understood. This study aimed to investigate the presence of otopathogenic bacteria in the middle ear effusion (MEE) and adenoid of children with chronic OME (COME), and to investigate in vivo whether these bacteria, especially Haemophilus influenzae, are organized as a biofilm in the middle ear fluid. MEE and adenoid samples were collected from 21 patients with COME. Extensive bacterial culturing and genotyping was performed on all middle ear and adenoid samples. Fluorescence in situ hybridization (FISH) and confocal laser scanning microscopy (CLSM) was used to visualize possible biofilm structures for a selection of middle ear effusion samples. 34 MEE samples were collected from 21 patients of which 64.7 % were culture positive for bacteria and 47.0 % were culture positive for Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus and/or Streptococcus pneumoniae. All 21 adenoid samples were culture positive for one or more of these four otopathogens. H. influenzae (35.3 %) and S. pneumoniae (76.2 %) were the most frequently cultured bacteria in the MEE and adenoid samples, respectively. The same bacterial species was found in MEE and adenoid for 84.6 % of the patients and in 81.2 % of the cases where the same species was found in more than one site it involved the same bacterial genotype. FISH and CLSM demonstrated the presence of H. influenzae specific biofilm structures in five of the eight culture positive MEEs that were tested, but in none of the two culture negative MEEs. The findings in this study indicate that the adenoid acts as a reservoir for bacteria in MEE and confirms that biofilms, in at least half of the cases consisting of H. influenzae, are indeed present in the MEE of children with COME. Biofilms may thus play a crucial role in the pathogenesis of COME, which is important in the understanding of this disease and the development of potential future treatment options.

    View details for DOI 10.1007/s00405-016-3958-9

    View details for Web of Science ID 000385202600010

    View details for PubMedID 26946303