Evidence map›Paper›PMID 19177133›Full record

ArticleGene therapy2009

Bacterial delivery of a novel cytolysin to hypoxic areas of solid tumors.

R M Ryan, J Green, P J Williams, S Tazzyman, S Hunt, J H Harmey, S C Kehoe, C E Lewis

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Gene therapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
8.1field-weighted citation impact, top 2% of its field
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

90 citing papers in PubMed, 188 citations in OpenAlex.

  1. Review
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  8. Designing live bacterial therapeutics for cancer.Advanced drug delivery reviews · 2025
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  14. Exploiting bacteria for cancer immunotherapy.Nature reviews. Clinical oncology · 2024
    Review
  15. Article
  16. Insights into the enigma of oral streptococci in carcinogenesis.Microbiology and molecular biology reviews : MMBR · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. Article

30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

R M RyanTumor Targeting Group, Academic Unit of Pathology, University of Sheffield Medical School, Sheffield, UK.
J Green
P J Williams
S Tazzyman
S Hunt
J H Harmey
S C Kehoe
C E Lewis
University of Sheffield · GBBeaumont Hospital · IERoyal College of Surgeons in Ireland · IE

Funding

Biotechnology and Biological Sciences Research CouncilCancer Research UK
6 · The paper itself

Abstract

The efficacy of current anti-cancer gene therapies is limited by the inability of gene vectors to penetrate the poorly vascularized, hypoxic regions of tumors, leaving these sites untreated. We describe a new approach for targeting gene therapy to these sites, which employs an attenuated strain of the non-pathogenic bacterium, Salmonella typhimurium, carrying an exogenous (that is, reporter or therapeutic) gene under the regulation of a new, highly hypoxia-inducible promoter (FF+20(*)). This bacterial vector was seen to rapidly migrate into, and thrive in, hypoxic areas of both mammary tumor spheroids grown in vitro and orthotopic mammary tumors after systemic injection. Using the reporter gene construct, FF+20(*)-lacZ, we show that bacterial expression of high levels of beta-galactosidase occurred only in hypoxic/necrotic sites of spheroids and tumors. We then replaced the reporter gene with one encoding a novel cytotoxic protein (HlyE) and showed that this was also expressed by bacteria only in hypoxic regions of murine mammary tumors. This resulted in a marked increase in tumor necrosis and reduced tumor growth. Our system represents a promising new strategy for delivering gene therapy to poorly vascularized regions of tumors and shows, for the first time, the efficacy of HlyE as an anti-tumor agent.

Indexed as

AnimalsCell DeathCell HypoxiaCoculture TechniquesEscherichia coli ProteinsFemaleGenes, ReporterGene TargetingGenetic TherapyGenetic VectorsHemolysin ProteinsMammary Neoplasms, ExperimentalMiceMice, Inbred BALB CMutagenesis, Site-DirectedNecrosisEscherichia coli ProteinsHemolysin ProteinshlyE protein, E coli

Identifiers

PMID19177133
OpenAlexW1973123246

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.