Bacteria and bacterial derivatives as delivery carriers for immunotherapy

Adv Drug Deliv Rev. 2022 Feb:181:114085. doi: 10.1016/j.addr.2021.114085. Epub 2021 Dec 18.

Abstract

There is growing interest in the role of microorganisms in human health and disease, with evidence showing that new types of biotherapy using engineered bacterial therapeutics, including bacterial derivatives, can address specific mechanisms of disease. The complex interactions between microorganisms and metabolic/immunologic pathways underlie many diseases with unmet medical needs, suggesting that targeting these interactions may improve patient treatment. Using tools from synthetic biology and chemical engineering, non-pathogenic bacteria or bacterial products can be programmed and designed to sense and respond to environmental signals to deliver therapeutic effectors. This review describes current progress in biotherapy using live bacteria and their derivatives to achieve therapeutic benefits against various diseases.

Keywords: Administration; Applications; Bacteria-based therapy; Bacterial derivatives; Bacterial engineering; Immunotherapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Bacteria / genetics
  • Bacteria / metabolism*
  • Bacterial Outer Membrane / metabolism
  • Chemical Engineering / methods*
  • Drug Delivery Systems / methods*
  • Humans
  • Immunotherapy / methods*
  • Synthetic Biology / methods*