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NEO22 is an engineered live biotherapeutic product (LBP) developed by Neobe Therapeutics. It consists of a nonpathogenic bacterial strain (specifically engineered Escherichia coli) designed to colonize solid tumors and express hyaluronidase under a hypoxia-inducible promoter. Rather than directly killing cancer cells, NEO22 degrades hyaluronic acid (hyaluronan) within the dense extracellular matrix (ECM) of the tumor microenvironment. This enzymatic breakdown reduces tumor stiffness, improves vascular functionality, and enhances the infiltration and efficacy of co-administered immunotherapies, such as immune checkpoint inhibitors or CAR-T cell therapies.
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