INFECTIOUS DISEASES / Antimicrobial Resistance
Research Interests
Bacteria, antibiotic resistance, bacteriophages, phage therapy, microbial biofilms, antimicrobials
Description of Research
The Antimicrobial Resistance (AMR) Group investigates the molecular mechanisms underlying bacterial resistance and tolerance to antibiotics, and the development of new strategies to counteract these. Research focuses on human pathogenic bacteria, including Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumannii, Staphylococcus aureus, and Mycobacterium tuberculosis, among others, listed by the World Health Organization as priority pathogens for the development of new antimicrobial approaches. The main objective is to understand how genetic and physiological factors contribute to antimicrobial resistance.
A major area of investigation concerns the formation and persistence of bacterial biofilms, which play a central role in chronic infections and antibiotic tolerance. The Group employs fundamental microbiology and confocal laser scanning microscopy to characterise biofilm development and identify molecular targets for their control and eradication.
Research also focuses on bacteriophages and their application in phage therapy as an alternative or complement to antibiotic treatment. The AMR Group studies phage–bacterium interactions, bacterial resistance mechanisms to phages, and the optimisation of phage preparations for therapeutic use. By integrating molecular microbiology, high-resolution microscopy, and bioinformatics, the Group examines bacterial adaptation under antimicrobial pressure and identifies new molecular targets and adjuvants capable of restoring antibiotic activity.
Dr Di Luca coordinates a project funded by the Italian Cystic Fibrosis Foundation, aimed at developing phage-based therapeutic approaches for infections caused by Mycobacterium abscessus. Collaboration with academic and industrial partners supports translational studies, including the evaluation of novel antimicrobial compounds, phage formulations, and diagnostic tools. These joint efforts bridge the gap between fundamental research and applied approaches in infection control.
The overall goal of the AMR Group is to advance the understanding of bacterial resistance mechanisms and to develop effective, sustainable methods to prevent and treat infections caused by multidrug-resistant pathogens.

Recent Publications
Fausti E., Bonacorsi A, Cesta N, Giordano C, Barnini S, Marchetti M, Campobasso C, Lavigne R, Altieri A, D’Agostini C, Iannetta M, Malagnino V, Tavanti A, Sarmati L, Di Luca M. Characterisation of four novel bacteriophages targeting carbapenem-resistant Klebsiella pneumoniae and their lytic activity alone and in combination. Current Research in Microbial Sciences, 2025 Nov; 9,100509. doi: 10.1016/j.crmicr.2025.100509
Cesta N, Fusco A, Ferretti C, Materazzi A, Altieri A, D’Agostini C, Iannetta M, Andreoni M, Tavanti A, Sarmati L, Di Luca M. Bacteriophage-enhanced doxycycline activity against Escherichia coli in chronic bacterial prostatitis. Int J Antimicrob Agents. 2025 Oct;66(4):107571. doi: 10.1016/j.ijantimicag.2025.107571. Epub 2025 Jul 3. PMID: 40617551.
Campobasso C, Fausti E, Bottai D, Turchi B, Cesta N, Rindi L, Freer G, Tavanti A, Di Luca M. Human serum lipids affect Staphylococcus aureus sensitivity to phage infection. Int J Antimicrob Agents. 2025 Oct;66(4):107568. doi: 10.1016/j.ijantimicag.2025.107568. Epub 2025 Jul 3. PMID: 40615055.
Pirnay JP, Djebara S, Steurs G, Griselain J, Cochez C, De Soir S, Glonti T, Spiessens A, Vanden Berghe E, Green S, Wagemans J, Lood C, Schrevens E, Chanishvili N, Kutateladze M, de Jode M, Ceyssens PJ, Draye JP, Verbeken G, De Vos D, Rose T, Onsea J, Van Nieuwenhuyse B; Bacteriophage Therapy Providers; Bacteriophage Donors; Soentjens P, Lavigne R, Merabishvili M. Personalized bacteriophage therapy outcomes for 100 consecutive cases: a multicentre, multinational, retrospective observational study. Nat Microbiol. 2024 Jun;9(6):1434-1453. doi: 10.1038/s41564-024-01705-x. Epub 2024 Jun 4. PMID: 38834776; PMCID: PMC11153159.
Ferretti C, Poma NV, Bernardo M, Rindi L, Cesta N, Tavanti A, Tascini C, Di Luca M. Evaluation of antibiofilm activity of cefiderocol alone and in combination with imipenem against Pseudomonas aeruginosa. J Glob Antimicrob Resist. 2024 Jun;37:53-61. doi: 10.1016/j.jgar.2024.01.021. Epub 2024 Feb 6. PMID: 38331031.
Butini ME, Abbandonato G, Di Rienzo C, Trampuz A, Di Luca M. Isothermal Microcalorimetry Detects the Presence of Persister Cells in a Staphylococcus aureus Biofilm After Vancomycin Treatment. Front Microbiol. 2019 Feb 25;10:332. doi: 10.3389/fmicb.2019.00332. PMID: 30858842; PMCID: PMC6398423.


