Evidence map›Paper›PMID 30405213›Full record

ReviewNature reviews. Cancer2018

Tumour-targeting bacteria engineered to fight cancer.

Shibin Zhou, Claudia Gravekamp, David Bermudes, Ke Liu

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 393 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
393citing papers in PubMed, 3 pooled it
32.2field-weighted citation impact, top 1% 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

393 citing papers in PubMed, 3 syntheses or guidelines pooled it, 768 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. BiohybridMaterials today. Bio · 2026
    Article
  6. Article
  7. Imaging the hallmarks of cancer.Nature reviews. Cancer · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Living Microbial Drugs.Chemistry (Weinheim an der Bergstrasse, Germany) · 2026
    Review
  18. Article
  19. Review
  20. Combined radiation andMolecular therapy. Oncology · 2026
    Article

333 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

4 authors at 4 institutions in 1 country.

Shibin ZhouLudwig Center for Cancer Genetics and Therapeutics, Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. sbzhou@jhmi.edu.
Claudia GravekampDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
David BermudesDepartment of Biology, California State University, Northridge, CA, USA.
Ke LiuOncology Branch, Division of Clinical Evaluation, Pharmacology and Toxicology; Office of Tissues and Advanced Therapies, CBER, FDA, Silver Spring, MD, USA.
Albert Einstein College of Medicine · USCalifornia State University, Northridge · USCenter for Biologics Evaluation and Research · USJohns Hopkins University · US

Funding

Tumor Antigens for Individual Signatures and TherapyP50CA062924 · NCI · JOHNS HOPKINS UNIVERSITY · PI JAFFEE, ELIZABETH M. · 1993 to 2022
$54.6M
TUMOR-TARGETING SALMONELLA EXPRESSING TUMOR-SELECTIVE CYTOTOXIC PROTEINS IN COMBINATION WITH PROTEASE INHIBITORSSC3GM098207 · NIGMS · CALIFORNIA STATE UNIVERSITY NORTHRIDGE · PI BERMUDES, DAVID G · 2013 to 2022
$870k
Treating pancreatic cancer with Listeria-32PR21CA199010 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI GRAVEKAMP, CLAUDIA · 2015 to 2016
$400k
NCI NIH HHS P50 CA062924NCI NIH HHS R21 CA199010NIGMS NIH HHS SC3 GM098207
6 · The paper itself

Abstract

Recent advances in targeted therapy and immunotherapy have once again raised the hope that a cure might be within reach for many cancer types. Yet, most late-stage cancers are either insensitive to the therapies to begin with or develop resistance later. Therapy with live tumour-targeting bacteria provides a unique option to meet these challenges. Compared with most other therapeutics, the effectiveness of tumour-targeting bacteria is not directly affected by the 'genetic makeup' of a tumour. Bacteria initiate their direct antitumour effects from deep within the tumour, followed by innate and adaptive antitumour immune responses. As microscopic 'robotic factories', bacterial vectors can be reprogrammed following simple genetic rules or sophisticated synthetic bioengineering principles to produce and deliver anticancer agents on the basis of clinical needs. Therapeutic approaches using live tumour-targeting bacteria can either be applied as a monotherapy or complement other anticancer therapies to achieve better clinical outcomes. In this Review, we summarize the potential benefits and challenges of this approach. We discuss how live bacteria selectively induce tumour regression and provide examples to illustrate different ways to engineer bacteria for improved safety and efficacy. Finally, we share our experience and insights on oncology clinical trials with tumour-targeting bacteria, including a discussion of the regulatory issues.

Indexed as

Microorganisms, Genetically-ModifiedAnimalsBacteriaClostridiumDogsGenes, SyntheticGenetic VectorsHumansImmunologic FactorsListeriaNeoplasmsPlasmidsProdrugsSalmonellaImmunologic FactorsProdrugs

Identifiers

PMID30405213
PMCPMC6902869
OpenAlexW2899862051

What OpenQuestion holds

Textmetadata
LicenceTDM
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.