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Engineering probiotics for therapeutic applications: recent examples and translational outlook
Nikhil Aggarwal1, Amy M Ehrenworth Breedon2, Christina M Davis2
1Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, 8 Medical Drive, Singapore, 117596, Singapore; NUS Synthetic Biology for Clinical and Technological Innovation (SynCTI), Centre for Life Sciences, National University of Singapore, 28 Medical Drive, Singapore, 117456, Singapore.
Engineered probiotics, genetically modified live biotherapeutics, show promise for treating diseases like cancer and infections. Further development is needed for clinical translation, as no products are currently approved.
Area of Science:
- Biotechnology and Synthetic Biology
- Microbiology and Immunology
- Therapeutic Development
Background:
- Engineered probiotics represent a novel class of live biotherapeutics.
- Genetic modification allows probiotics to target specific diseases.
- Advancements in synthetic biology enhance the sophistication of probiotic engineering.
Purpose of the Study:
- To review recent examples of engineered probiotics for disease treatment.
- To discuss challenges and features for clinical translation.
- To highlight the potential of engineered probiotics as future therapies.
Main Methods:
- Literature review of engineered probiotic applications.
- Analysis of current research in synthetic biology for probiotics.
- Examination of preclinical and clinical trial data.
Main Results:
- Engineered probiotics demonstrate efficacy in preclinical models for various diseases.
- Current applications target cancer, infections, metabolic disorders, and inflammation.
- No engineered probiotic products are currently approved, with few in clinical trials.
Conclusions:
- Engineered probiotics hold significant therapeutic potential.
- Clinical translation requires further development and incorporation of specific features.
- Realizing the full potential necessitates overcoming current translational barriers.
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