Traditional chemotherapy often poses significant challenges, including severe side effects, damage to healthy tissue and limited efficacy.

Now, researchers at the Yong Loo Lin School of Medicine, National University of Singapore (NUS Medicine) have developed a revolutionary approach to cancer treatment—one that is a more targeted, effective, and less toxic alternative to traditional chemotherapy. This new approach not only improves treatment effectiveness but also significantly reduces the required drug dosage for cancer treatment.

Led by Associate Professor Matthew Chang, researchers at the NUS Synthetic Biology for Clinical and Technological Innovation (SynCTI) and the Synthetic Biology Translational Program (Syn Bio TRP) at NUS Medicine identified a new method of drug delivery that offers hope for the development of a new clinical treatment for cancer patients. The findings: published in Nature Communicationsshowcase a novel method for delivering chemotherapy drugs directly to tumor sites by utilizing the natural interactions between bacteria and cancer cells.

Prodrugs are inactive molecules that transform into active drugs within the body, particularly in tumor environments, by leveraging unique tumor conditions, such as low oxygen or high acidity, to activate the drug precisely at the cancer site, minimizing damage to healthy tissues. However, current prodrug strategies exhibit limited target specificity and frequently depend on macromolecular carriers, which complicates both drug distribution and clearance.

To overcome these limitations, NUS Medicine researchers developed a prodrug delivery method that utilizes a commensal Lactobacillus strain that binds specifically to cancer cells via a surface molecule called heparan sulfate. These engineered bacteria carry a prodrug that converts to the chemotherapy drug SN-38 at the tumor site.

In preclinical models of nasopharyngeal cancer, the engineered bacteria localized specifically in the tumor and released the chemotherapy drug directly at the cancer site, reducing tumor growth by 67% and increasing the effectiveness of the chemotherapy drug by 54%.

One of the most promising aspects of this research is the potential broader applications across various types of cancer therapy, as the Lactobacillus strain identified by the researchers binds specifically to cancer cells.

Lead Researcher Dr. Shen Haosheng, Research Fellow at SynCTI said, “By harnessing the affinity between bacteria and cancer cells, we aim to revolutionize chemotherapy delivery. We are evaluating the binding affinity of several microbial strains to multiple cancer cell lines with the aim of developing a versatile delivery system using microbial strains to target chemotherapy drugs to various mucosal cancers, such as colorectal, bladder, stomach, oral, lung, and nasal cancer.”

“Cancer treatment often takes a tremendously heavy toll on patients. Our research represents a significant step toward developing a more targeted and less toxic approach to fighting cancer. We hope this can pave the way for therapies that are both mild and effective,” added A/Prof Chang, Dean’s Chair in Medicine and Director of SynCTI and NUS Medicine Syn Bio TRP.