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APS001F is an investigational live biotherapeutic product developed by Anaeropharma Science. [1] It consists of a genetically-enhanced strain of the anaerobic bacterium *Bifidobacterium longum*, which is designed to selectively target and kill solid tumors. [1, 2] This novel therapy leverages the hypoxic (low-oxygen) environment characteristic of solid tumor cores, where the intravenously administered APS001F can selectively colonize and proliferate. [1] The bacterium is engineered to express the enzyme cytosine deaminase (CD). [1, 2, 4] This enzyme locally converts a systemically administered, non-toxic prodrug, flucytosine (5-FC), into the potent cytotoxic chemotherapy agent 5-fluorouracil (5-FU) directly at the tumor site. [1, 2, 4] This tumor-specific production of 5-FU aims to achieve high intratumoral concentrations of the anticancer agent while minimizing systemic toxicity associated with conventional chemotherapy. [1, 4]
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