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APS001F + flucytosine is a **combination drug** comprising a living recombinant strain of *Bifidobacterium longum* (APS001F) engineered to express **cytosine deaminase** and the prodrug **flucytosine (5-FC)**. APS001F is administered intravenously, where it localizes to hypoxic regions of solid tumors and produces cytosine deaminase. When flucytosine is given orally, this enzyme converts it locally within the tumor into **5-fluorouracil (5-FU)**, a cytotoxic agent that inhibits tumor growth. This approach is designed to maximize tumor-specific delivery of 5-FU while limiting systemic exposure and toxicity. Preclinical and early clinical trials suggest direct antitumor and local immunomodulatory effects, with development focused on advanced solid tumors[1][3][4][5][7].
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