Evidence map›Paper›PMID 41454921›Full record

SynthesisCurrent microbiology2025

Microbial Systems Enhancing CAR-Based Therapies: A Synthetic Biology Paradigm for Next-Generation Cancer Immunotherapy.

Gottipamula Sanjay, Raviraja Neelavar Seetharam, Sameer Kumar Singdevsachan, Murugesan Sathya

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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.

Gottipamula SanjayHoynoza Technologies Pvt. Ltd, Plot No 58, 4th Phase, KIADB, Anekal Taluk, Bommasandra, Bangalore, 560099, India. sanjayshekar_g@hoynoza.com.ORCID http://orcid.org/0009-0007-9345-1060
Raviraja Neelavar SeetharamManipal Centre for Biotherapeutics Research, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Sameer Kumar SingdevsachanTheertha Biopharma Pvt. Ltd, Plot No 58, 4th Phase, KIADB, Anekal Taluk, Bommasandra, Bangalore, 560099, India.
Murugesan SathyaHoynoza Technologies Pvt. Ltd, Plot No 58, 4th Phase, KIADB, Anekal Taluk, Bommasandra, Bangalore, 560099, India.

Funding

Hoynoza Technologies Pvt. Ltd Hoynoza Technologies Pvt. Ltd
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-based immunotherapies face significant translational challenges in solid tumor applications, particularly regarding manufacturing scalability, tumor targeting specificity, and antigen heterogeneity. This systematic review evaluates microbial systems as innovative platforms to address these limitations through synthetic biology-driven approaches, with a focus on bridging preclinical advances to clinical implementation. Analysis of 389 peer-reviewed studies (2015-2025) reveals that engineered probiotic strains (e.g., Escherichia coli Nissle 1917) achieve selective tumor colonization while functioning as programmable factories for:1. Synthetic antigen production and single-chain variable fragment (scFv) expression,2. Costimulatory domain delivery enabling antigen-agnostic CAR-T activation,3. Tumor microenvironment modulation via immunostimulatory chemokines. Microbial platforms demonstrate superior manufacturing economics (70-90% cost reduction vs. conventional methods) and enhance CAR-T functionality through epigenetic reprogramming by microbial metabolites (e.g., short-chain fatty acids). CRISPR/Cas-engineered genetic circuits further enable precise spatiotemporal control of therapeutic payloads.Microbial systems represent transformative platforms for scalable, programmable CAR immunotherapy with significant potential for solid tumor targeting. Key barriers to clinical translation include biocontainment challenges, incomplete mechanistic understanding of tumor homing specificity, and safety validation requirements. Strategic integration of synthetic biology with microbial chassis offers a viable pathway toward accessible next-generation cancer therapies.

Indexed as

ImmunotherapyImmunotherapy, AdoptiveNeoplasmsReceptors, Chimeric AntigenSynthetic BiologyAnimalsHumansReceptors, Chimeric AntigenCancer immunotherapyCAR-based therapies (or Chimeric antigen receptor therapy)Engineered probioticsMicrobial systemsSynthetic biologyTranslational immunotherapyTumor homing mechanisms

Identifiers

PMID41454921

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.