Evidence map›Paper›PMID 33558701›Full record

ArticleCancer gene therapy2022

Use of an optimised enzyme/prodrug combination for Clostridia directed enzyme prodrug therapy induces a significant growth delay in necrotic tumours.

Alexandra M Mowday, Ludwig J Dubois, Aleksandra M Kubiak, Jasmine V E Chan-Hyams, Christopher P Guise, Amir Ashoorzadeh, Philippe Lambin, David F Ackerley, Jeff B Smaill, Nigel P Minton and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cancer gene therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Oncology research · 2026
    Review
  2. Review
  3. Review
  4. Designing live bacterial therapeutics for cancer.Advanced drug delivery reviews · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
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  11. Review
  12. Article
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

12 authors.

Alexandra M MowdayAuckland Cancer Society Research Centre, University of Auckland, Auckland, New Zealand.ORCID http://orcid.org/0000-0001-7480-9580
Ludwig J DuboisThe M-Lab, Department of Precision Medicine, Maastricht University, Maastricht, Netherlands.
Aleksandra M KubiakThe M-Lab, Department of Precision Medicine, Maastricht University, Maastricht, Netherlands.
Jasmine V E Chan-HyamsSchool of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand.
Christopher P GuiseAuckland Cancer Society Research Centre, University of Auckland, Auckland, New Zealand.
Amir AshoorzadehAuckland Cancer Society Research Centre, University of Auckland, Auckland, New Zealand.
Philippe LambinThe M-Lab, Department of Precision Medicine, Maastricht University, Maastricht, Netherlands.
David F AckerleyMaurice Wilkins Centre for Molecular Biodiscovery, School of Biological Sciences, University of Auckland, Auckland, New Zealand.ORCID http://orcid.org/0000-0002-6188-9902
Jeff B SmaillAuckland Cancer Society Research Centre, University of Auckland, Auckland, New Zealand.ORCID http://orcid.org/0000-0003-2954-6093
Nigel P MintonBBSRC/EPSRC Synthetic Biology Research Centre, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-9277-1261
Jan TheysThe M-Lab, Department of Precision Medicine, Maastricht University, Maastricht, Netherlands.
Adam V PattersonAuckland Cancer Society Research Centre, University of Auckland, Auckland, New Zealand. a.patterson@auckland.ac.nz.ORCID http://orcid.org/0000-0001-5138-1227

Funding

Biotechnology and Biological Sciences Research Council BB/L013940/1KWF Kankerbestrijding (Dutch Cancer Society) Alpe d'HuZes Unieke Kansen #8025Manatu Hauora | Health Research Council of New Zealand (HRC) 14/289ZonMw (Netherlands Organisation for Health Research and Development) 43400009
6 · The paper itself

Abstract

Necrosis is a typical histological feature of solid tumours that provides a selective environment for growth of the non-pathogenic anaerobic bacterium Clostridium sporogenes. Modest anti-tumour activity as a single agent encouraged the use of C. sporogenes as a vector to express therapeutic genes selectively in tumour tissue, a concept termed Clostridium Directed Enzyme Prodrug Therapy (CDEPT). Here, we examine the ability of a recently identified Neisseria meningitidis type I nitroreductase (NmeNTR) to metabolise the prodrug PR-104A in an in vivo model of CDEPT. Human HCT116 colon cancer cells stably over-expressing NmeNTR demonstrated significant sensitivity to PR-104A, the imaging agent EF5, and several nitro(hetero)cyclic anti-infective compounds. Chemical induction of necrosis in human H1299 xenografts by the vascular disrupting agent vadimezan promoted colonisation by NmeNTR-expressing C. sporogenes, and efficacy studies demonstrated moderate but significant anti-tumour activity of spores when compared to untreated controls. Inclusion of the pre-prodrug PR-104 into the treatment schedule provided significant additional activity, indicating proof-of-principle. Successful preclinical evaluation of a transferable gene that enables metabolism of both PET imaging agents (for vector visualisation) and prodrugs (for conditional enhancement of efficacy) is an important step towards the prospect of CDEPT entering clinical evaluation.

Indexed as

ProdrugsBase CompositionClostridiumHumansPhylogenyRNA, Ribosomal, 16SSequence Analysis, DNAProdrugsRNA, Ribosomal, 16S

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.