The toxicity associated with conventional cancer chemotherapy is prima
rily due to a lack of specificity for tumour cells. In contrast, intra
venously injected clostridial spores exhibit a remarkable specificity
for tumours. This is because, following their administration, clostrid
ial spores become exclusively localised to, and germinate in, the hypo
xic/necrotic tissue of tumours. This unique property could be exploite
d to deliver therapeutic agents to tumours. In particular, genetic eng
ineering could be used to endow a suitable clostridial host with the c
apacity to produce an enzyme within the tumour which can metabolise a
systemically introduced, non-toxic prodrug into a toxic metabolite. Th
e feasibility of this strategy (clostridial-directed enzyme prodrug th
erapy, CDEPT) has been demonstrated by cloning the Escherichia coli B
gene encoding nitroreductase (an enzyme which converts the prodrug CB1
954 to a highly toxic bifunctional alkylating agent) into a clostridia
l expression vector and introducing the resultant plasmid into Clostri
dium beijerinckii (formerly C, acetobutylicum) NCIMB 8052. The gene wa
s efficiently expressed, with recombinant nitroreductase representing
8% of the cell soluble protein. Following the intravenous injection of
the recombinant spores into mice, tumour lysates have been shown, by
Western blots, to contain the E. coli-derived enzyme.