Compositions and methods for treatment of cancer using bacteria
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Abstract
Provided herein are compositions comprising substantially non-viable Gram-negative bacterial organisms that have a substantial reduction in endotoxin activity and/or pyrogenicity and methods for treating a cancer using the same. Also provided are methods for treating cancer provided herein, comprising administering to a mammal diagnosed with cancer, substantially non-viable Gram-negative bacteria having a substantial reduction in endotoxin activity and/or pyrogenicity, in an amount sufficient to inhibit growth or metastasis of the cancer. An additional method is provided comprising administering viable or non-viable Gram-negative bacterial organisms that have a genetic defect that results in a substantial loss of lipopolysaccharide within the outer membrane of the bacteria. Further provided are methods for reducing endotoxin activity and/or pyrogenicity in Gram-negative bacteria comprising treatment with polymyxin and glutaraldehyde.
Core Innovation
The disclosure relates to cancer treatment using substantially non-viable Gram-negative bacterial cells that are intact and retain anti-tumor effects while exhibiting reduced endotoxin activity and reduced pyrogenicity. The problem addressed is the toxicity and pyrogenicity associated with lipopolysaccharide (LPS) from Gram-negative bacteria in the context of treatment, where maintaining anti-tumor activity together with reduced toxicity is needed.
The core concept is to use Gram-negative organisms whose endotoxin activity and pyrogenicity are reduced by addressing LPS. In one preparation approach, substantially non-viable and intact Gram-negative bacterial cells are made by treating live Gram-negative bacterial cells with polymyxin B or polymyxin E and with glutaraldehyde (GA), and the resulting compositions achieve at least an 80% reduction of LPS-mediated endotoxin activity compared to corresponding wild-type Gram-negative bacterial cells.
The disclosure further includes Gram-negative bacteria having genetic defects that reduce LPS, exemplified by disruption or loss related to KDO2-Lipid IV_A or loss of outer membrane LPS components. The document links reduced endotoxin activity and pyrogenicity to decreased toxicity while maintaining anti-tumor activity, and supports this linkage with characterization and testing related to endotoxin activity, pyrogenicity, bacterial integrity, and anti-cancer growth inhibition.
Claims Coverage
The partial content provides one independent claim (clm-00001). It contains inventive features centered on a pharmaceutical composition of substantially non-viable but intact Gram-negative bacterial cells achieving a specified reduction in LPS-mediated endotoxin activity versus wild-type cells, with the composition being prepared using polymyxin (polymyxin B or polymyxin E) and glutaraldehyde under defined ranges, and with intactness maintained.
Substantially non-viable and intact Gram-negative bacterial cells with reduced LPS-mediated endotoxin activity
A pharmaceutical composition comprising substantially non-viable and intact Gram-negative bacterial cells having at least 80% reduction of lipopolysaccharide (LPS)-mediated endotoxin activity as compared to the corresponding wild-type Gram-negative bacterial cells.
Preparation by polymyxin treatment and glutaraldehyde treatment
The substantially non-viable and intact Gram-negative bacterial cells are prepared by treating live Gram-negative bacterial cells with polymyxin and with glutaraldehyde.
Polymyxin selection and preparation ranges
The polymyxin is selected from the group consisting of polymyxin B or polymyxin E, and the treatment is carried out using specified polymyxin amounts relative to live cells per mL within the claimed ranges and at a temperature range of 2°C. to 10°C.
Glutaraldehyde concentration
Glutaraldehyde is used at a concentration of from 0.5% to 2.0%.
Across the single independent claim, the inventive thrust is a pharmaceutical composition comprising substantially non-viable and intact Gram-negative bacterial cells that achieve at least an 80% reduction in LPS-mediated endotoxin activity versus corresponding wild-type cells, where the cells are prepared by polymyxin (polymyxin B or polymyxin E) treatment and glutaraldehyde treatment under the claimed temperature and concentration ranges.
Stated Advantages
Reduced LPS-mediated endotoxin activity (at least 80% reduction compared to corresponding wild-type Gram-negative bacterial cells).
Reduced pyrogenicity while maintaining anti-tumor effects.
Documented Applications
Cancer treatment using substantially non-viable Gram-negative bacterial cells with reduced endotoxin activity and reduced pyrogenicity, including reported inhibition of murine melanoma and colorectal carcinoma growth.
Combination or co-administration contexts including cyclophosphamide and immune checkpoint pathway modulators (CTLA-4 and PD-1/PD-L1/PD-L2) and cytokines.
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