Integrative Biomedical Research

Integrative Biomedical Research (Journal of Angiotherapy) | Online ISSN  3068-6326
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Nur E Ahad1, Mahmud Hasan Khan1, MD Yasin Sharker1, Md. Asaduzzaman Shishir2, Kazi Fahmida Rahman1, Kazi Samia Pial1, Md. Murshed Hasan Sarkar1, Kazi Md. Mostafizur Rahman1, SM Bakhtiar Ul Islam1, Nayeema Bulbul1, Jinath Sultana Jime1, Ashrafus Safa3, Md. Fakruddin1*

+ Author Affiliations

Integrative Biomedical Research 10 (2) 1-8 https://doi.org/10.25163/biomedical.10210950

Submitted: 11 August 2026 Revised: 29 September 2026  Accepted: 06 October 2026  Published: 08 October 2026 


Abstract

It is often challenging to implement precision medicine in practice because accessing diseased tissues through complex physiological barriers is difficult. Solid tumors and chronically inflamed tissues, as seen in IBD, create hostile microenvironments marked by hypoxia, acidosis, and increased pressure that preclude conventional macromolecular therapies. This review examines the advancement of bacterial vectors developed as living Trojan Horses via synthetic biology, intended to colonize and transport potent payloads to pathological locations. It examines chassis options, such as Escherichia coli Nissle 1917, and weakened pathogens, including Salmonella typhimurium and Listeria monocytogenes. We talk about genetic control devices like the Synchronized Lysis Circuit (SLC) and secretion systems (T1SS–T6SS). We also discuss how engineered bacteria utilise biochemical signals to release cytokines, nanobodies, or enzymes that convert prodrugs into active drugs. The creation of biocontainment switches and "nanoarmors" has made things safer and more effective. Although improvements are being made, issues persist with the stability of genetic circuits and the variability of bacterial engraftment. To find a balance between virulence attenuation and colonization, we need to use a variety of fields. For clinical success, it is crucial to continue developing autonomous biocontainment and regulatory pathways for live biotherapeutic products (LBPs).

Keywords: Engineered bacterial vectors; synthetic biology; targeted payload delivery; living therapeutics; tumor microenvironment; biocontainment; live biotherapeutic products.

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