Abstract

Bacteria-mediated cancer therapy (BMCT) is an emerging tool that may advance potential approaches in cancer immunotherapy, whereby tumors are eradicated by the hosts’ immune system upon recruitment and activation by bacteria such as Salmonella. This paper provides an emphasis on the immunomodulatory effects that encompasses both the innate and adaptive immune responses inherently triggered by Salmonella. Furthermore, modifications of Salmonella-based treatment in the attempt to improve tumor-specific immune responses including cytokine therapy, gene therapy, and DNA vaccine delivery are likewise discussed. The majority of the findings described herein incorporate cell-based experiments and murine model studies, and only a few accounts describe clinical trials. Salmonella-based cancer therapy is still under development; nonetheless, the pre-clinical research and early-phase clinical trials that have been completed so far have shown promising and convincing results. Certainly, the continuous development of, and innovation on, Salmonella-based therapy could pave the way for its eventual emergence as one of the mainstream therapeutic interventions addressing various types of cancer.

Highlights

  • Salmonella-triggered immune responses with antitumor actions are of utmost importance in eliminating cancerous growth and preventing metastasis resulting in longer patient survival [1]

  • We found that Salmonella treatment polarizes tumor-associated macrophage (TAM) toward an M1-like phenotype by increasing tumor secretion of HMGB1 (Figure 1) [49]

  • Salmonella-based cancer therapy is a potential and promising approach owing to its innate potential to influence the destruction of cancer cells, and its versatility to act as a vehicle for the delivery of therapeutic genes, drugs, and vaccines

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. There were variable outcomes among all patients treated with Coley’s toxin at that time, some of the results were promising as some patients had complete clearance of the primary tumor while others were even declared disease-free [3]. Salmonella are Gram negative, facultatively anaerobic, nonspore-forming rod-shaped enterobacteria studded with multiple flagella [5]. This species is preferred for this purpose because of its natural ability to address various types of cancer [6]. Salmonella-triggered immune responses with antitumor actions are of utmost importance in eliminating cancerous growth and preventing metastasis resulting in longer patient survival [1]

Salmonella as a Viable Option for Bacteria-Mediated Cancer Therapy
Breaking the Immunosuppressive Nature of Tumor Microenvironment
Directing Immune Infiltrates toward Antitumor Responses
Adaptive Immunity
Innate Immunity
Antitumor Immune Modulation via Salmonella Delivery System
Salmonella as Tool for Anticancer Vaccine
In Tandem Therapy
Conclusions
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