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  4. Bacterial-Mediated Tumor Therapy: Old Treatment in a New Context

Bacterial-Mediated Tumor Therapy: Old Treatment in a New Context

Advanced Science, 2023 · DOI: https://doi.org/10.1002/advs.202205641 · Published: March 12, 2023

OncologyBiomedical

Simple Explanation

Bacteria-mediated antitumor therapy provides new options to address challenges in cancer treatment by destroying tumor cells from the inside and inducing antitumor immune responses. Bacteria and their accessory products can be reprogrammed to produce and deliver antitumor agents according to clinical needs. BMAT has many advantages including tumor targeting, intratumoral penetration, tumor colonization, and bacterial cytotoxicity for tumor killing.

Study Duration
Not specified
Participants
Examples from animal models and clinical trials are referenced, but no specific study participant number is defined.
Evidence Level
Review

Key Findings

  • 1
    Certain types of tumor have their own unique microbial composition, which has an important role in the survival of cancer patients.
  • 2
    Engineered bacteria can strictly control the expression of related genes, which is crucial for managing the time and place of drug production.
  • 3
    Bacterial OMVs have been extensively studied as delivery vehicles or vaccines due to their ability to stimulate immune maturation and initiate inflammation in a controllable manner.

Research Summary

This review discusses the role of bacteria in tumorigenesis, the latest advances in bacteria-based delivery platforms, and the existing obstacles for application. The review summarizes the application and development of BMAT, including the challenges and future directions. The article reviews the role of bacteria in the occurrence and development of cancer, and the latest progress of gene engineering and bacterial based bioactive materials in targeted delivery, antitumor, and antitumor immune precise treatment.

Practical Implications

Targeted Drug Delivery

Engineered bacteria can be used to deliver drugs with spatial and temporal precision, enabling higher concentrations of therapeutics locally.

Combination Therapies

Bacteria-based therapies can be combined with chemotherapy, photodynamic therapy, radiotherapy, and immunotherapy to improve antitumor efficacy.

Personalized Medicine

Bacterial therapies can be personalized through genetic engineering and biochemical synthesis to meet specific clinical therapeutic requirements.

Study Limitations

  • 1
    The targeting of bacteria to tumors is mainly due to hypoxia tropism, but can bacteria actively target tumor tissue when the tumor volume is small
  • 2
    Unlike conventional drug carri-ers, the unique abilities of bacteria to continuously proliferate, translocate, and deliver therapeutic payloads in cancerous tissue necessitate robust and temporal control of bacterial pharmacoki-netics in vivo.
  • 3
    How to effectively control the immune response caused by bacteria? Such as bacteremia, cytokine storm, etc.

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