Therapeutic bacteria to combat cancer; current advances, challenges, and opportunities

Cancer Med. 2019 Jun;8(6):3167-3181. doi: 10.1002/cam4.2148. Epub 2019 Apr 5.

Abstract

Successful treatment of cancer remains a challenge, due to the unique pathophysiology of solid tumors, and the predictable emergence of resistance. Traditional methods for cancer therapy including radiotherapy, chemotherapy, and immunotherapy all have their own limitations. A novel approach is bacteriotherapy, either used alone, or in combination with conventional methods, has shown a positive effect on regression of tumors and inhibition of metastasis. Bacteria-assisted tumor-targeted therapy used as therapeutic/gene/drug delivery vehicles has great promise in the treatment of tumors. The use of bacteria only, or in combination with conventional methods was found to be effective in some experimental models of cancer (tumor regression and increased survival rate). In this article, we reviewed the major advantages, challenges, and prospective directions for combinations of bacteria with conventional methods for tumor therapy.

Keywords: bacteriotherapy; cancer; chemotherapy; immunotherapy; radiotherapy; tumoricidal agents.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Bacteria* / genetics
  • Bacteria* / metabolism
  • Bacterial Toxins / genetics
  • Bacterial Toxins / immunology
  • Bacterial Toxins / metabolism
  • Biological Therapy / adverse effects
  • Biological Therapy / methods*
  • Clinical Studies as Topic
  • Combined Modality Therapy / methods
  • Drug Delivery Systems
  • Drug Evaluation, Preclinical
  • Enzymes / genetics
  • Enzymes / metabolism
  • Gene Transfer Techniques
  • Humans
  • Neoplasms / therapy*

Substances

  • Bacterial Toxins
  • Enzymes