Hacking bacteria to fight cancer – Tal Danino

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The lesson discusses the innovative use of bacteria in cancer treatment, tracing its origins back to a 19th-century case where a bacterial infection led to the regression of a patient’s cancer. Modern synthetic biologists have built on this concept by programming bacteria to deliver cancer-fighting drugs directly to tumors, exploiting the unique environment of tumors to enhance treatment efficacy while minimizing harm to healthy tissues. Promising results from trials indicate that this approach not only targets tumors effectively but also stimulates the immune system, suggesting a potential for broader applications in cancer therapy and disease monitoring.

Hacking Bacteria to Fight Cancer

In 1884, a remarkable medical case unfolded when a patient with a rapidly growing neck cancer also developed a bacterial skin infection. Surprisingly, as the patient recovered from the infection, the cancer began to shrink. Seven years later, Dr. William Coley observed that the cancer had completely disappeared. He hypothesized that the bacterial infection had somehow activated the patient’s immune system to fight off the cancer. This led Coley to experiment with injecting bacteria as a potential cancer treatment.

The Evolution of Cancer Treatment

Fast forward over a century, and synthetic biologists have taken this concept to a new level. They have developed methods to program bacteria to safely deliver drugs directly to tumors. Cancer occurs when normal cells undergo changes that lead to uncontrolled growth, forming tumors. Traditional treatments like radiation, chemotherapy, and immunotherapy aim to destroy cancer cells but often harm healthy tissues as well.

The Unique Role of Bacteria

Certain bacteria, such as E. coli, have a unique ability to thrive within tumors. The core of a tumor provides a perfect environment for these bacteria to grow, shielded from the immune system. Instead of causing infections, these bacteria can be reprogrammed to carry cancer-fighting drugs, acting as precise delivery systems that attack tumors from the inside.

Synthetic Biology: Programming Bacteria

Synthetic biology focuses on programming bacteria to detect and respond to specific conditions. This is done by altering bacterial DNA to include genetic sequences that instruct them to produce molecules that disrupt cancer growth. Bacteria can also be designed to behave in specific ways using biological circuits that respond to environmental cues.

Targeting Tumor Environments

Tumors often have low oxygen and pH levels and produce certain molecules in excess. Synthetic biologists can program bacteria to detect these conditions, allowing them to target tumors while sparing healthy tissue. One innovative approach involves a synchronized lysis circuit (SLC), which enables bacteria to deliver drugs on a set schedule. Initially, the bacteria produce anti-cancer drugs only when they grow within the tumor. Once a certain population is reached, a kill switch triggers the bacteria to burst, releasing the medicine and reducing their numbers. Some bacteria survive to continue the cycle.

Promising Results and Future Potential

This method has shown promise in trials with mice, where researchers successfully eliminated lymphoma tumors using bacteria. The treatment also stimulated the immune system, helping it recognize and attack untreated tumors elsewhere in the body. Unlike many therapies, these bacteria target common characteristics of all solid tumors, not just specific cancer types.

Furthermore, programmable bacteria could act as advanced sensors, monitoring potential disease sites. Safe probiotic bacteria could remain dormant in our bodies, detecting, preventing, and treating disorders before symptoms appear. While technology often envisions a future with mechanical nanobots for personalized medicine, the biological foundation provided by bacteria, enhanced by synthetic biology, offers vast possibilities for future advancements.

  1. How did the historical case of the patient with neck cancer and a bacterial infection influence modern cancer treatment approaches?
  2. What are the potential benefits and drawbacks of using bacteria as a delivery system for cancer-fighting drugs compared to traditional treatments like chemotherapy and radiation?
  3. In what ways does the environment within a tumor make it an ideal location for bacteria to thrive, and how can this be leveraged in cancer treatment?
  4. How does synthetic biology enable the programming of bacteria to target and treat cancer, and what are some of the challenges associated with this approach?
  5. What ethical considerations might arise from using genetically modified bacteria in medical treatments, and how should they be addressed?
  6. How might the concept of a synchronized lysis circuit (SLC) change the way we think about drug delivery in cancer therapy?
  7. What implications does the success of bacterial treatments in mice have for future human clinical trials, and what steps are necessary to ensure safety and efficacy?
  8. How could programmable bacteria serve as advanced sensors for disease monitoring, and what impact might this have on preventive medicine and early detection strategies?
  1. Research and Presentation on Historical Cases

    Investigate the historical case of Dr. William Coley and other early instances of bacterial therapy in cancer treatment. Prepare a presentation that highlights the evolution of these treatments and their impact on modern medicine. Focus on how these early experiments paved the way for current synthetic biology approaches.

  2. Lab Simulation: Programming Bacteria

    Participate in a lab simulation where you will use software to design a genetic circuit for bacteria. Your task is to program the bacteria to detect specific tumor conditions and produce a hypothetical anti-cancer drug. Discuss the challenges and potential solutions in programming living organisms.

  3. Debate: Bacteria vs. Traditional Cancer Treatments

    Engage in a structured debate on the advantages and disadvantages of using bacteria as a treatment compared to traditional methods like chemotherapy and radiation. Consider factors such as effectiveness, safety, cost, and patient quality of life. Use evidence from recent studies to support your arguments.

  4. Case Study Analysis: Synthetic Biology in Action

    Analyze a recent case study where synthetic biology was used to treat cancer. Break down the methodology, results, and implications for future treatments. Discuss how this approach differs from traditional methods and what it means for the future of cancer therapy.

  5. Creative Project: Designing the Future of Cancer Treatment

    Create a project that envisions the future of cancer treatment using synthetic biology. You can choose to make a video, write a paper, or design a model that illustrates how programmable bacteria could revolutionize medicine. Highlight potential challenges and ethical considerations.

In 1884, a patient’s situation took a surprising turn. This individual was dealing with a rapidly growing cancer in the neck, along with an unrelated bacterial skin infection. However, as the patient recovered from the infection, something unexpected occurred: the cancer began to diminish. Seven years later, a physician named William Coley found that there were no visible signs of the cancer remaining. Coley theorized that the bacterial infection had stimulated the patient’s immune system to combat the cancer. This discovery led him to pioneer the intentional injection of bacteria as a treatment for cancer.

Over a century later, synthetic biologists have discovered an even more effective method of utilizing these unlikely allies by programming them to safely deliver drugs directly to tumors. Cancer arises when normal cellular functions are altered, causing rapid cell multiplication and the formation of tumors. Treatments such as radiation, chemotherapy, and immunotherapy aim to eliminate malignant cells but can also affect healthy tissues throughout the body.

Certain bacteria, like E. coli, have the unique ability to selectively grow within tumors. The core of a tumor provides an ideal environment for these bacteria to multiply, hidden from immune cells. Instead of causing infection, bacteria can be reprogrammed to carry cancer-fighting drugs, acting as targeted delivery systems that attack the tumor from within.

The concept of programming bacteria to sense and respond in innovative ways is a central focus of synthetic biology. This programming is achieved by manipulating bacterial DNA. By inserting specific genetic sequences, bacteria can be instructed to produce various molecules that disrupt cancer growth. They can also be designed to behave in particular ways using biological circuits that respond to specific environmental factors.

For instance, tumors typically have low oxygen and pH levels and produce certain molecules in excess. Synthetic biologists can program bacteria to detect these conditions, allowing them to respond to tumors while sparing healthy tissue. One type of biological circuit, known as a synchronized lysis circuit (SLC), enables bacteria to deliver medicine on a predetermined schedule. Initially, to protect healthy tissue, the production of anti-cancer drugs begins only when bacteria grow within the tumor. Once the drugs are produced, a kill switch triggers the bacteria to burst when they reach a specific population threshold, releasing the medicine and reducing the bacterial population. A portion of the bacteria remains alive to replenish the colony, allowing the cycle to continue.

This approach has shown promise in scientific trials with mice. Researchers successfully eliminated lymphoma tumors injected with bacteria, and the treatment also stimulated the immune system, preparing immune cells to identify and attack untreated lymphomas elsewhere in the body. Unlike many other therapies, these bacteria do not target a specific type of cancer but rather the common characteristics shared by all solid tumors.

Moreover, programmable bacteria can serve as advanced sensors that monitor potential disease sites. Safe probiotic bacteria could remain dormant in our bodies, detecting, preventing, and treating disorders before they manifest symptoms. Advances in technology have generated excitement about a future of personalized medicine driven by mechanical nanobots. However, thanks to billions of years of evolution, we may already have a foundation in the biological form of bacteria. With the addition of synthetic biology, the possibilities for future advancements are vast.

BacteriaMicroscopic single-celled organisms that can be found in diverse environments, some of which can cause disease while others are beneficial to processes like digestion and fermentation. – Bacteria play a crucial role in the nitrogen cycle, converting nitrogen from the atmosphere into forms that plants can absorb and use.

CancerA disease characterized by the uncontrolled division of abnormal cells in a part of the body, often forming a mass or tumor. – Researchers are exploring new therapies to target specific genetic mutations that drive cancer growth.

TumorsAbnormal masses of tissue that result from excessive cell division, which can be benign (non-cancerous) or malignant (cancerous). – The biopsy revealed that the tumor was benign, requiring only regular monitoring rather than aggressive treatment.

TreatmentThe management and care of a patient for the purpose of combating a disease or condition. – Advances in personalized medicine have led to more effective cancer treatments tailored to individual genetic profiles.

SyntheticRelating to substances or materials made by chemical synthesis, especially to imitate a natural product. – Synthetic biology involves designing and constructing new biological parts and systems for useful purposes.

BiologyThe scientific study of life and living organisms, encompassing various fields such as genetics, ecology, and molecular biology. – Understanding the principles of biology is essential for developing new medical treatments and environmental conservation strategies.

ImmuneRelating to the immune system, the body’s defense mechanism against pathogens and foreign substances. – Vaccines work by stimulating the immune system to recognize and combat specific pathogens.

DrugsSubstances used in the diagnosis, treatment, or prevention of diseases, often by affecting biological processes. – The development of antiviral drugs has been crucial in managing diseases like HIV and influenza.

GrowthThe process of increasing in size, number, or importance, often referring to biological organisms or cells. – The growth of bacterial colonies in a petri dish can be influenced by factors such as temperature and nutrient availability.

ProgrammingThe process of designing and building an executable computer software to accomplish a specific task, increasingly used in bioinformatics and computational biology. – Programming skills are essential for analyzing large datasets in genomics and other fields of biology.

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