4.5 Article

Future prospects of bacteria-mediated cancer therapies: Affliction or opportunity?

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MICROBIAL PATHOGENESIS
卷 172, 期 -, 页码 -

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ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.micpath.2022.105795

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Bacteriotherapy; Cancer immunotherapy; Bacterial vectors; Immunotoxin; Microbiota

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Cancer, a significant challenge in health and medicine, has treatments with negative effects and drug resistance issues. Bacterial therapy for cancer has shown promise in lysing tumor cells and delivering therapeutic products, but also faces challenges of potential harm to healthy tissues and genetic mutations.
Cancer, as a disease characterized by uncontrolled growth of cells, is recognized as one of the significant chal-lenges in the field of health and medicine. There are various treatments for cancer like surgery, hormone therapy, chemotherapy, etc., but they have negative effects on the patient's lifestyle. Numerous side effects, and recently the emergence of drug resistance to these methods are weaknesses of these treatments. The utilization of bacteria as a treatment for cancer has attracted scientists' attention in the last decade. There are various methods of using bacteria to treat cancer, including the use of live, attenuated, or genetically engineered microbes, the use of bacterial toxins as an immunotoxin or conjugated to tumor antigens, bacteria-based cancer immunotherapy, bacterial vectors for gene-directed enzyme prodrug, and also the undeniable role of probiotics in treatment, are the cases that today are used for treatment. Bacterial therapy has shown a greater promise in cancer treatment due to its ability to lyse the tumor cells and deliver therapeutic products. However, the potential cytotoxicity of bacteria for healthy tissues, their inability to entirely lyse cancerous cells, and the possibility of mutations in their genomes are among the challenges of bacteriotherapy for cancer. Herein, we summarize the mechanism of bacteria, their potential benefits and harms, and the future of research in this field.

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