Evidence map›Paper›PMID 41698062›Full record

ReviewAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Attenuated Bacteria-Based Tumor Therapy: Clinical Application Risks, Marketing Approval Restrictions, and Coping Strategies.

Yucheng Liu, Junhong Yao, Jiaxin Deng, Minjie Zhou, Kaiyue Shen, Shishuo Sun, Xiaoge Gao, Qing Zhang, Haiheng Xu

Abstract readReview
In one paragraph

Review in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. 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

9 authors.

Yucheng LiuCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Junhong YaoCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Jiaxin DengCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Minjie ZhouCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Kaiyue ShenCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Shishuo SunCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Xiaoge GaoCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Qing ZhangCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.
Haiheng XuCancer Institute, Cellular Therapeutics School of Medicine, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, Jiangsu, China.ORCID https://orcid.org/0009-0000-9301-9445

Funding

Basic Science (Natural Science) Research Project of the Jiangsu Higher Education Institutions 25KJB350010Construction Project of High Level Hospital of Jiangsu Province LCZX202501Jiangsu Province Social Development Projects BE2023689Medical Research Project of the Jiangsu Commission of Health ZQ2025011National Natural Science Foundation of China 82473333Project of Invigorating Health Care through Science, Technology and Education CXZX202234Scientific Research Startup Fund for Outstanding Talents of Xuzhou Medical University RC20552411XZHMU-QL Joint Research Fund QL-YB032
6 · The paper itself

Abstract

Bacteria-based cancer therapy is a promising cancer treatment strategy that utilizes genetically engineered attenuated bacteria to specifically target tumor tissues, directly kill cancer cells, or activate the host's immune response. Engineering modifications of attenuated bacteria can achieve more effective anti-tumor effects, and consequently, a number of clinical trials have been carried out. However, the clinical translation of attenuated bacteria faces multiple challenges, including safety risks, fluctuating therapeutic efficacy, difficulties in vivo monitoring, complex production quality control, and lack of regulatory approval standards. This review mainly summarizes five aspects of bacterial cancer therapy: the safety risks and attenuation strategies, the regulation of therapeutic stability, bacterial in vivo imaging technologies, the optimization of bacterial production processes, and market approval pathways. It aims to precisely control bacterial behavior through genetic circuits and enable real-time monitoring of the treatment process by means of multimodal imaging, ultimately promoting the clinical translation of attenuated bacterial therapy.

Indexed as

BacteriaNeoplasmsAnimalsHumansattenuated bacteriabacterial productscancer immunotherapiesdrug delivery systems

Identifiers

PMID41698062
PMCPMC13042812

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.