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Updated: May 11, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Toll-like receptor agonists: current status and future perspective on their utility as adjuvants in improving
Constantin N Baxevanis1, Ioannis F Voutsas, Ourania E Tsitsilonis
1Cancer Immunology & Immunotherapy Center, Saint Savas Cancer Hospital, Athens, Greece. baxevanis@ciic.gr
Abstract:
Toll-like receptor (TLR) agonists possess remarkable properties, particularly with regard to dendritic cell activation, promoting Th1-type cytokine production and optimizing cytotoxic T-cell responses. Preclinical and clinical studies conducted to date show that TLR agonists can improve currently applied anticancer vaccination protocols. Although these have resulted in the US FDA approval of three TLR agonists for use in humans, their abundant application encounters limitations, principally due to dose-limiting toxicity evoking from systemic cytokine production. Here, using selected examples of clinical studies, we provide a concise review regarding the knowledge acquired thus far on the adjuvant use of TLR agonists as cancer vaccine components. We also provide evidence on the exploitation of a novel TLR agonist, prothymosin-α, which enhances the efficacy of tumor-reactive effectors without causing severe adverse effects.
Insights
Toll-like receptor (TLR) agonists enhance cancer vaccines by activating immune cells. A novel agonist, prothymosin-α, shows promise for improving anti-cancer efficacy without severe side effects.
Area of Science:
- Immunology
- Oncology
- Vaccinology
Background:
- Toll-like receptor (TLR) agonists activate dendritic cells, enhancing Th1-type and cytotoxic T-cell responses.
- TLR agonists have shown potential in improving current anticancer vaccination protocols.
- Clinical use of some TLR agonists is limited by dose-limiting toxicities from systemic cytokine production.
Purpose of the Study:
- To review the adjuvant use of TLR agonists in cancer vaccines.
- To highlight the potential of a novel TLR agonist, prothymosin-α, in cancer therapy.
Main Methods:
- Review of preclinical and clinical studies on TLR agonists as cancer vaccine adjuvants.
- Evaluation of prothymosin-α's efficacy and safety in enhancing tumor-reactive effectors.
Main Results:
- TLR agonists can improve anticancer vaccination efficacy.
- Prothymosin-α enhances tumor-reactive immune responses.
- Prothymosin-α demonstrates a favorable safety profile with no severe adverse effects.
Conclusions:
- TLR agonists are valuable components for cancer vaccines.
- Prothymosin-α represents a promising novel adjuvant for cancer immunotherapy with an improved safety profile.
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