“…Compared to other intratumoral immunotherapies including TLR agonist, glucan, cytokine, or nanoparticle-based formulations, bacteria as 'living therapeutic platforms' can proliferate in the hypoxic tumor regions and produce targeted-gene encoded therapeutic agents within tumor sites, which could improve the local concentration of drugs continuously for augmented therapeutic efficacy. [73][74][75] In addition, bacteria comprise diverse PAMP molecules like polysaccharides and nucleic acids, which can activate a broad class of innate-sensing signaling pathways to sensitize the tumor microenvironment. However, direct intravenous injection of bacteria may induce sepsis and can cause death.…”