Abstract

Precision medicine in oncology needs to enhance its capabilities to match diagnostic and therapeutic technologies to individual patients. Synthetic biology streamlines the design and construction of functionalized devices through standardization and rational engineering of basic biological elements decoupled from their natural context. Remarkable improvements have opened the prospects for the availability of synthetic devices of enhanced mechanism clarity, robustness, sensitivity, as well as scalability and portability, which might bring new capabilities in precision cancer medicine implementations. In this review, we begin by presenting a brief overview of some of the major advances in the engineering of synthetic genetic circuits aimed to the control of gene expression and operating at the transcriptional, post-transcriptional/translational, and post-translational levels. We then focus on engineering synthetic circuits as an enabling methodology for the successful establishment of precision technologies in oncology. We describe significant advancements in our capabilities to tailor synthetic genetic circuits to specific applications in tumor diagnosis, tumor cell- and gene-based therapy, and drug delivery.

Highlights

  • Angela Re *Precision medicine in oncology needs to enhance its capabilities to match diagnostic and therapeutic technologies to individual patients

  • Synthetic biology builds on the transformative assertion that engineering approaches could be used to elucidate design principles of cellular systems and to implement synthetic digital and analog subsystems for a variety of end settings including health applications (Lienert et al, 2014)

  • We provide an overview of synthetic genetic circuits engineering that apply to precision oncology and take advantage of the tight molecular control operating at multiple levels of gene expression (VazquezAnderson and Contreras, 2013; Fern and Schulman, 2017), through signal amplification, feedback, oscillatory, and logic capabilities (Wang et al, 2013; Lienert et al, 2014)

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Summary

Angela Re *

Precision medicine in oncology needs to enhance its capabilities to match diagnostic and therapeutic technologies to individual patients. Remarkable improvements have opened the prospects for the availability of synthetic devices of enhanced mechanism clarity, robustness, sensitivity, as well as scalability and portability, which might bring new capabilities in precision cancer medicine implementations. We begin by presenting a brief overview of some of the major advances in the engineering of synthetic genetic circuits aimed to the control of gene expression and operating at the transcriptional, post-transcriptional/translational, and post-translational levels. We focus on engineering synthetic circuits as an enabling methodology for the successful establishment of precision technologies in oncology. We describe significant advancements in our capabilities to tailor synthetic genetic circuits to specific applications in tumor diagnosis, tumor cell- and gene-based therapy, and drug delivery

INTRODUCTION
FROM GENE SWITCHES TO COMPUTING DEVICES
Tools for Transcriptional Control
Tumor Therapy
Drug Delivery
Drug Discovery
CONCLUSIONS

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