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Targeted Diphtheria Toxin-Based Therapy: A Review Article.

Fatemeh Shafiee1, Marc G Aucoin2, Ali Jahanian-Najafabadi1

  • 1Department of Pharmaceutical Biotechnology, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Frontiers in Microbiology
|November 5, 2019
PubMed
Summary

Targeted cancer therapies using diphtheria toxin (DT) show promise. Immunotoxins and suicide-gene therapy offer specific cancer cell eradication with reduced side effects.

Keywords:
bacterial toxincancerdiphtheria toxinfusion proteinimmunotoxintranscriptional targeting

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Area of Science:

  • Oncology
  • Biotechnology
  • Toxicology

Background:

  • Cancer is a leading global cause of death.
  • Conventional therapies often lack specificity, causing side effects.
  • Targeted cancer therapies aim to improve efficacy and reduce toxicity.

Purpose of the Study:

  • To review diphtheria toxin (DT)-based immunotoxins and suicide-gene therapy strategies.
  • To highlight recent developments in targeted cancer treatment using DT.

Main Methods:

  • Review of DT-based immunotoxins utilizing targeting moieties (peptides, antibodies, etc.).
  • Discussion of suicide-gene therapy involving tumor-specific DT expression.
  • Examination of FDA-approved DT-based immunotoxins (Ontak™, Tagraxofusp™).

Main Results:

  • DT-based immunotoxins have shown clinical success, with two agents approved by the FDA.
  • Suicide-gene therapy strategies are emerging as a promising approach for cancer eradication.
  • Targeting moieties enable specific delivery of DT to cancer cells.

Conclusions:

  • Diphtheria toxin is a potent agent for targeted cancer therapy.
  • Both immunotoxins and suicide-gene therapy represent viable strategies for improved cancer treatment.
  • Further research into DT-based therapies holds potential for enhanced anti-cancer efficacy.