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This experimental gene-directed enzyme prodrug therapy (GDEPT) utilizes genetically engineered anaerobic *Bifidobacterium infantis* bacteria to deliver the herpes simplex virus thymidine kinase (HSV-TK) gene specifically to the hypoxic environment of solid tumors. Following intravenous administration, the bacteria selectively colonize the tumor core, where they express the HSV-TK enzyme. The subsequent administration of the non-toxic prodrug ganciclovir (GCV) allows the HSV-TK enzyme to convert GCV into a toxic metabolite, ganciclovir triphosphate, which acts as a chain terminator during DNA synthesis, leading to apoptosis in surrounding cancer cells. This targeted approach, researched by institutions including Jiangnan University, Wuxi Children's Hospital, and Chongqing Medical University, aims to maximize anti-tumor efficacy while minimizing systemic toxicity. Preclinical studies have demonstrated potential efficacy in models of renal cell carcinoma, bladder cancer, and gastric cancer.
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