Evidence map›Paper›PMID 18812551›Full record

ArticleJournal of the National Cancer Institute2008

A genetically enhanced anaerobic bacterium for oncopathic therapy of pancreatic cancer.

Zhiyu Li, John Fallon, John Mandeli, James Wetmur, Savio L C Woo

RetractedAbstract readRetracted Publication
In one paragraph

Article in Journal of the National Cancer Institute, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Engineering the gut microbiota to treat chronic diseases.Applied microbiology and biotechnology · 2020
    Review
  3. Review
  4. Article
  5. Clostridium to treat cancer: dream or reality?Annals of translational medicine · 2015
    Article
  6. Review
  7. Orally administered bifidobacteria as vehicles for delivery of agents to systemic tumors.Molecular therapy : the journal of the American Society of Gene Therapy · 2010
    Article
  8. Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Zhiyu LiDepartment of Gene and Cell Medicine, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1496, New York, NY 10029-6574, USA.
John Fallon
John Mandeli
James Wetmur
Savio L C Woo

Funding

Anaerobic Bacteria as Therapeutic Agents for Metastatic CancerR21CA120017 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WOO, SAVIO L · 2006 to 2007
$349k
NCI NIH HHS CA-120017NCI NIH HHS R21 CA120017
6 · The paper itself

Abstract

backgroundA major obstacle in treatment of solid tumors is the inefficient delivery of therapeutic agents to the hypoxic cores. Hypoxia offers the potential for anaerobic bacteria colonization and tumor destruction by the bacteria, and dormant spores of wild-type Clostridium perfringens (Cp) germinate and proliferate within the hypoxic cores of pancreatic tumors in mice. However, the oncopathic effects of Cp were limited by host inflammatory responses and by Cp's residual tolerance to oxygen, which caused toxic effects in animals.

methodsRecombinant Cp strains in which superoxide dismutase, a major oxygen tolerance gene, was deleted (Cp/sod(-)) were constructed to enhance its selective growth in tumors. In addition, Panton-Valentine Leukocidin (PVL), an inflammation-suppressing gene from Staphylococcus aureus, was inserted into the Cp/sod(-) genome to enhance its oncopathic potency. The ability of the recombinant Cp strains to kill tumors was investigated in C57/BL6 mice bearing murine PANC02 tumors. Systemic and organ toxic effects were assessed by monitoring serum chemistries and histopathological examination. Statistical tests were two-sided.

resultsCp/sod(-) showed reduced toxic effects compared with wild-type Cp when spores were administered intravenously into PANC02 tumor-bearing mice. Mice treated with Cp/sod(-)/PVL spores demonstrated a reduction in neutrophils and macrophages in tumors, logarithmically elevated growth of intratumoral bacteria, enhanced tumor necrosis, and substantially prolonged survival without apparent systemic and organ toxic effects, compared with mice treated with both wild-type Cp and Cp/sod(-) spores. Accordingly, 47% of Cp/sod(-)/PVL-treated mice (n = 15) achieved tumor-free survival for over 120 days, whereas all mice treated with Cp/sod(-) or phosphate-buffered saline (n = 10 per group) died within 50 days. The median survival for Cp/sod(-)/PVL-treated mice was 77 days (95% confidence interval [CI] = 45 to 120 days) and for Cp/sod(-)-treated mice was 30 days (95% CI = 23 to 36 days; P < .001).

conclusionsCp/sod(-)/PVL provides a prototype for a novel class of oncopathic microbes that may have potential for the safe and effective treatment of pancreatic cancer and other poorly vascularized tumors.

Indexed as

Clostridium perfringensGene DeletionStaphylococcus aureusAnalysis of VarianceAnimalsBacterial ToxinsBiomarkers, TumorCell HypoxiaEnzyme-Linked Immunosorbent AssayExotoxinsGene Expression Regulation, NeoplasticHypoxia-Inducible Factor 1, alpha SubunitInflammationInjectionsKaplan-Meier EstimateKiller Cells, NaturalBacterial ToxinsBiomarkers, TumorExotoxinsHif1a protein, mouseHypoxia-Inducible Factor 1, alpha SubunitLeukocidinsPanton-Valentine leukocidinSuperoxide Dismutase

Identifiers

PMID18812551
PMCPMC2720732

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.