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Special delivery: bacterial couriers are smuggling drugs into cancers

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Why This Matters

Engineered bacteria are emerging as a delivery vehicle for cancer drugs, exemplified by a University of Minnesota trial using genetically modified Salmonella Typhimurium to carry the immune-activating molecule interleukin-2 directly into tumours. For a patient with advanced pancreatic cancer facing a roughly one-year prognosis, this represents a rare new option beyond standard chemotherapy. If such approaches hold up, they could open a whole new class of living therapeutics in oncology.

Key Takeaways

John Heller might well owe his life to Salmonella bacteria. In the summer of 2023, Heller was diagnosed with advanced pancreatic cancer. He began chemotherapy, expecting that this would give him about a year to live. But then a chance conversation led to him contacting a surgeon at the University of Minnesota, in Heller’s hometown of Minneapolis. The surgeon, Daniel Saltzman, was developing an innovative therapy that used genetically engineered Salmonella Typhimurium bacteria to deliver a potent immune-system-activating molecule called interleukin-2 (IL-2) to people’s tumours.