The present invention uses co-expression of
protease inhibitors and
protease sensitive therapeutic agents that results in their localized production within the
target tissue and inactivation outside of the
target tissue, thereby increasing therapeutic activity and reducing the
systemic toxicity. Inactivation is also accomplished by
engineering protease degradation sites within the therapeutic construct for
proteases, preferably those that are under-expressed within the
target tissue yet present in non-target tissues within the body, resulting in therapeutic activity within the target tissue and inactivation outside of the target tissue. Novel chimeric proteins secreted by
bacteria are also described. The chimeric proteins include chimeric toxins targeted to neoplastic cells and cells of the
immune system. Novel combination therapies of these protease inhibitor:chimeric
toxin-expressing
bacteria together with small-molecule and
biologic agents are also described. Non-conjugative
bacteria capable of delivering phage / phagemids expression cassettes for
DNA and
RNA-based therapeutics are also described.