Tumour-targeting bacteria engineered to fight cancer

Shibin Zhou1, Claudia Gravekamp2, David Bermudes3

  • 1Ludwig Center for Cancer Genetics and Therapeutics, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. sbzhou@jhmi.edu.

Nature Reviews. Cancer
|November 9, 2018
PubMed

Insights

Live bacteria offer a novel approach to cancer treatment, overcoming resistance to traditional therapies by targeting tumors directly and stimulating immune responses. These engineered bacterial vectors can be customized to deliver anticancer agents, improving treatment outcomes.

Area of Science:

  • Oncology
  • Microbiology
  • Biotechnology

Background:

  • Advanced cancer therapies like targeted therapy and immunotherapy face challenges with tumor insensitivity and resistance.
  • Live tumor-targeting bacteria present a unique therapeutic strategy unaffected by tumor genetics.
  • Bacteria can penetrate deep into tumors to initiate direct anti-tumor effects and elicit immune responses.

Purpose of the Study:

  • To review the potential benefits and challenges of using live tumor-targeting bacteria in cancer therapy.
  • To discuss the mechanisms by which bacteria induce tumor regression.
  • To explore methods for engineering bacteria for enhanced safety and efficacy, and to provide insights into clinical trials and regulatory aspects.

Main Methods:

  • Review of existing literature on bacterial cancer therapy.
  • Discussion of bacterial vector engineering principles for drug delivery.
  • Analysis of clinical trial experiences and regulatory considerations.

Main Results:

  • Live bacteria can selectively induce tumor regression through direct action and immune stimulation.
  • Engineered bacteria can serve as 'robotic factories' to produce and deliver anticancer agents.
  • Therapeutic bacteria can be used as monotherapy or in combination with other treatments.

Conclusions:

  • Live tumor-targeting bacteria represent a promising therapeutic avenue for overcoming cancer treatment resistance.
  • Bacterial therapy offers a versatile platform for developing novel anticancer strategies.
  • Further research and clinical trials are essential to optimize safety, efficacy, and regulatory pathways for bacterial cancer treatments.

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