Toll like receptor signaling pathway as a potential therapeutic target in colorectal cancer

J Cell Physiol. 2018 Aug;233(8):5613-5622. doi: 10.1002/jcp.26273. Epub 2018 Mar 1.

Abstract

Toll like receptor (TLR) signaling is involved in activating innate and adaptive immune responses and plays a critical role in inflammation-induced diseases such as colorectal cancer (CRC). Dysregulation of this signaling pathway can result in disturbance of epithelial layer hemostasis, chronic inflammatory, excessive repair responses, and development of CRC. There is now substantial evidence for the benefit of targeting of this pathway in cancer treatment, and several agents have been approved, such as BCG (Bacillus Calmette Guérin), MPL (monophosphoryl lipid A) and imiquimod. This review summarizes the current knowledge about the different functions of TLRs on tumor cells and their application in cancer therapy with particular emphasis on recent preclinical and clinical research in treatment of CRC.

Keywords: colorectal cancer; immune responses; inflammation; signaling pathway; toll like receptor.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • BCG Vaccine / pharmacology
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / metabolism*
  • Humans
  • Inflammation / drug therapy
  • Inflammation / metabolism
  • Lipid A / analogs & derivatives
  • Lipid A / pharmacology
  • Signal Transduction / drug effects*
  • Toll-Like Receptors / metabolism*

Substances

  • Antineoplastic Agents
  • BCG Vaccine
  • Lipid A
  • Toll-Like Receptors
  • monophosphoryl lipid A