4.6 Review

Synthetic engineered bacteria for cancer therapy

Journal

EXPERT OPINION ON DRUG DELIVERY
Volume 20, Issue 7, Pages 993-1013

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/17425247.2023.2241367

Keywords

Bacteria; synthetic engineering methods; delivery; cancer therapy; Bacteriotherapy; >

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This review discusses synthetic engineering methods for bacterial modifications and how these methods enhance the abilities of bacteria in cancer therapy. However, more research on safety concerns is needed to fulfill the potential of bacteriotherapy and move into clinical trials.
IntroductionCancer mortality worldwide highlights the urgency for advanced therapeutic methods to fill the gaps in conventional cancer therapies. Bacteriotherapy is showing great potential in tumor regression due to the motility and colonization tendencies of bacteria. However, the complicated in vivo environment and tumor pathogenesis hamper the therapeutic outcomes. Synthetic engineering methods endow bacteria with flexible abilities both at the extracellular and intracellular levels to meet treatment requirements. In this review, we introduce synthetic engineering methods for bacterial modifications. We highlight the recent progress in engineered bacteria and explore how these synthetic methods endow bacteria with superior abilities in cancer therapy. The current clinical translations are further discussed. Overall, this review may shed light on the advancement of engineered bacteria for cancer therapy.Areas coveredRecent progress in synthetic methods for bacterial engineering and specific examples of their applications in cancer therapy are discussed in this review.Expert opinionBacteriotherapy bridges the gaps of conventional cancer therapies through the natural motility and colonization tendency of bacteria, as well as their synthetic engineering. Nevertheless, to fulfill the bacteriotherapy potential and move into clinical trials, more research focusing on its safety concerns should be conducted.

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