Path to bacteriotherapy: From bacterial engineering to therapeutic perspectives

Jinling Liu1, Chongsheng He2, Wenzhi Tan3

  • 1The Affiliated Xiangtan Central Hospital of Hunan University, School of Biomedical Sciences, Hunan University, Changsha 410082, China; College of Biology, Hunan University, Changsha 410082, China.

Life Sciences
|July 6, 2024
PubMed

Insights

Engineered bacteria offer a novel approach to cancer immunotherapy by overcoming tumor microenvironment complexity. This review details bacterial design and modification strategies for enhanced cancer treatment efficacy.

Area of Science:

  • Biotechnology
  • Immunology
  • Oncology

Background:

  • Tumor microenvironments (TMEs) present significant challenges to conventional cancer therapies due to their heterogeneity and complexity.
  • Malignant tumors often evade immune surveillance by altering surface antigens, which reduces antigen-presenting cells and impairs T-cell activation.
  • Bacteria-mediated cancer immunotherapy is an emerging field that leverages engineered bacteria to elicit anticancer immune responses.

Purpose of the Study:

  • To provide a comprehensive review of oncolytic bacterial therapies.
  • To discuss bacterial design strategies and their interactions within the TME.
  • To compare current techniques for bacterial modification to enhance therapeutic effectiveness.

Main Methods:

  • Review of existing literature on bacteria-mediated cancer immunotherapy.
  • Analysis of synthetic biology and nanotechnology approaches for bacterial engineering.
  • Examination of therapeutic payload delivery using engineered bacteria.
  • Comparison of internal and external bacterial modification techniques.

Main Results:

  • Engineered bacteria can be designed for enhanced biosafety and tumor specificity.
  • Bacteria can effectively deliver therapeutic proteins, cytokines, nanoparticles, and chemotherapeutic drugs.
  • Modified bacteria can elicit robust anticancer immune responses by overcoming TME challenges.
  • Various internal and external modification strategies exist to maximize therapeutic efficacy.

Conclusions:

  • Oncolytic bacterial therapy holds significant promise for cancer treatment by addressing TME complexity.
  • Further research and development in bacterial design and modification are crucial for clinical translation.
  • Challenges and opportunities in the clinical application of oncolytic bacterial therapies require careful consideration.

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