2021
DOI: 10.1038/s41576-021-00383-3
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Theranostic cells: emerging clinical applications of synthetic biology

Abstract: Synthetic biology seeks to redesign biological systems to perform novel functions in a predictable manner. Recent advances in bacterial and mammalian cell engineering include the development of cells that function in biological samples or within the body as minimally invasive diagnostics or theranostics for the real-time regulation of complex diseased states. Ex vivo and in vivo cell-based biosensors and therapeutics have been developed to target a wide range of diseases including cancer, microbiome dysbiosis … Show more

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Cited by 53 publications
(32 citation statements)
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References 169 publications
(199 reference statements)
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“…Regarding the use of microbial biosensors, ensuring biosafety is another challenge. To this end, bacterial pathogenicity, survival, and the risk of mutation should be minimized and under strict control (McNerney et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
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“…Regarding the use of microbial biosensors, ensuring biosafety is another challenge. To this end, bacterial pathogenicity, survival, and the risk of mutation should be minimized and under strict control (McNerney et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, synthetic biology offers next-generation diagnostic strategies through the engineering of probiotic bacteria. Early successes of the synthetic biology approaches are in clinical trials targeting metabolic diseases and cancers (McNerney et al, 2021). These strategies have been reviewed (Song et al, 2019;Barra et al, 2020;Lazar and Tabor, 2021;McNerney et al, 2021), including the engineering of probiotics to produce synthetic metabolites and therapeutic proteins (Kang et al, 2020).…”
Section: Introductionmentioning
confidence: 99%
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“…Secreted, diffusible signals can be detected by synthetic receptors that activate expression upon ligand binding [73,74]. Receptors may be engineered into the cells of interest, or they may be engineered into theranostic cells that serve as 'cellular sentinels' [123]. Rather than using biochemical assays to detect secreted proteins and metabolites from a cell of interest, theranostic cells can be engineered with synthetic receptors for the secreted molecule for in situ detection.…”
Section: Validating Cells and Simplifying Readouts In High-complexity Multicellular Assaysmentioning
confidence: 99%
“…A major advantage of MBSs is their ability to execute in situ tasks without the risk of compromising the surrounding biological systems. Moreover, with the power of synthetic biology, these organisms can adopt genetic circuitries that allow environmental signals to trigger the execution of programmed tasks (Cubillos-Ruiz et al, 2021;McNerney et al, 2021). This dynamic responsiveness allows for applications that are condition-sensitive, in other words, programmed responses that are modulated based on environmental inputs (Chen et al, 2016;Yin et al, 2017;Zheng et al, 2019).…”
Section: Introductionmentioning
confidence: 99%