Setting "cold" tumors on fire: Cancer therapy with live tumor-targeting bacteria.

IF 12.8 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Med Pub Date : 2025-01-10 Epub Date: 2024-12-16 DOI:10.1016/j.medj.2024.11.002
Simin Manole, Dinh-Huy Nguyen, Jung-Joon Min, Shibin Zhou, Neil Forbes
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Abstract

Immunotherapy with checkpoint blockade has shown remarkable efficacy in many patients with a variety of different types of cancer. However, the majority of patients with cancer have yet to benefit from this revolutionary therapy. Studies have shown that checkpoint blockade works best against immune-inflamed tumors characterized by the presence of tumor-infiltrating lymphocytes (TILs). In this review, we summarize studies using live tumor-targeting bacteria to treat cancer and describe various strategies to engineer the tumor-targeting bacteria for maximized immunoregulatory effects. We propose that tumor-localized infections by such engineered bacteria can create an immune microenvironment in favor of a more effective antitumor immunity with or without other therapies, such as immune checkpoint blockade (ICB). Finally, we will briefly outline some exemplary oncology clinical trials involving ICB plus live therapeutic bacteria, with a focus on their ability to modulate antitumor immune responses.

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点燃“冷”肿瘤:用活的肿瘤靶向细菌治疗癌症。
免疫检查点阻断疗法在许多不同类型的癌症患者中显示出显著的疗效。然而,大多数癌症患者尚未从这种革命性疗法中受益。研究表明,检查点阻断对以肿瘤浸润淋巴细胞(til)存在为特征的免疫炎性肿瘤效果最好。在这篇综述中,我们总结了利用活肿瘤靶向细菌治疗癌症的研究,并描述了各种设计肿瘤靶向细菌以最大化免疫调节作用的策略。我们提出,这种工程细菌的肿瘤局部感染可以创造一个免疫微环境,有利于更有效的抗肿瘤免疫,无论是否有其他治疗,如免疫检查点阻断(ICB)。最后,我们将简要概述一些涉及ICB和活治疗性细菌的肿瘤临床试验,重点关注它们调节抗肿瘤免疫反应的能力。
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来源期刊
Med
Med MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
17.70
自引率
0.60%
发文量
102
期刊介绍: Med is a flagship medical journal published monthly by Cell Press, the global publisher of trusted and authoritative science journals including Cell, Cancer Cell, and Cell Reports Medicine. Our mission is to advance clinical research and practice by providing a communication forum for the publication of clinical trial results, innovative observations from longitudinal cohorts, and pioneering discoveries about disease mechanisms. The journal also encourages thought-leadership discussions among biomedical researchers, physicians, and other health scientists and stakeholders. Our goal is to improve health worldwide sustainably and ethically. Med publishes rigorously vetted original research and cutting-edge review and perspective articles on critical health issues globally and regionally. Our research section covers clinical case reports, first-in-human studies, large-scale clinical trials, population-based studies, as well as translational research work with the potential to change the course of medical research and improve clinical practice.
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