Related Experiment Video
Updated: May 4, 2026

Screening Bioactive Nanoparticles in Phagocytic Immune Cells for Inhibitors of Toll-like Receptor Signaling
Published on: July 26, 2017
Association of TLR2 and TLR4 polymorphisms with risk of cancer: a meta-analysis
Longbiao Zhu1, Hua Yuan1, Tao Jiang2
1Institute of Stomatology, Nanjing Medical University, Nanjing, China ; Section of Clinical Epidemiology, Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Cancer Center, Nanjing Medical University, Nanjing, China.
Backgrounds:
The activation of Toll-like receptors (TLRs) may be an important event in the immune evasion of tumor cell. Recently, numerous studies have investigated the associations between TLR2 -196 to -174 del and two SNPs of TLR4 (rs4986790 and rs4986791) and the susceptibility to different types of cancer; however, the results remain conflicting. The aim of this study was to assess the association between TLR2 and TLR4 polymorphisms and cancer risk in a meta-analysis with eligible published studies.
Methodology/Principle Findings:
A dataset composed of 14627 cases and 17438 controls from 34 publications were included in a meta-analysis to evaluate the association between overall cancer risk or cancer-specific risk and three SNPs of TLRs (TLR2 -196 to -174 del, TLR4 rs4986790 and rs4986791). The results showed that all of these three polymorphisms were significantly associated with the increased cancer risk (dominant model: OR = 1.64, 95% CI: 1.04-2.60 for TLR2 -196 to -174 del; OR = 1.19, 95% CI: 1.01-1.41 for TLR4 rs4986790; and OR = 1.47, 95% CI: 1.120-1.80 for TLR4 rs4986791; respectively). In stratified analysis, we found the effect of TLR2 -196 to -174 del on cancer risk remained significant in the subgroup of Caucasians and South Asians, but not in East Asians. However, the association between rs4986791 and cancer risk was significant in both South Asians and East Asians, but not in Caucasians. Furthermore, the association between rs4986790 and cancer risk was statistically significant in digestive cancers (dominant model: OR = 1.76, 95% CI: 1.13-2.73) and female-specific cancers (dominant model: OR = 1.50, 95% CI: 1.16-1.94). However, no significant association with risk of digestive system cancers was observed for TLR2 -196 to -174 del and TLR4 rs4986791.
Conclusions/Significance:
This meta-analysis presented additional evidence for the association between TLR2 and TLR4 polymorphisms and cancer risk. Further well-designed investigations with large sample sizes are required to confirm this conclusion.
Insights
Toll-like receptor (TLR) polymorphisms in TLR2 and TLR4 are linked to increased cancer risk. This meta-analysis confirms associations between specific TLR2 and TLR4 gene variants and susceptibility to various cancers, particularly in certain ethnic groups.
Area of Science:
- Immunology
- Genetics
- Oncology
Background:
- Toll-like receptors (TLRs) play a role in tumor immune evasion.
- Previous studies on TLR2 and TLR4 polymorphisms (TLR2 -196 to -174 del, TLR4 rs4986790, rs4986791) and cancer susceptibility have yielded conflicting results.
Purpose of the Study:
- To conduct a meta-analysis assessing the association between TLR2 and TLR4 polymorphisms and cancer risk.
- To clarify the conflicting findings regarding the role of these TLR gene variants in cancer development.
Main Methods:
- A meta-analysis was performed on data from 34 publications.
- The study included 14,627 cancer cases and 17,438 controls.
- Associations were evaluated for TLR2 -196 to -174 del, TLR4 rs4986790, and TLR4 rs4986791 with overall and cancer-specific risks.
Main Results:
- All three studied polymorphisms (TLR2 -196 to -174 del, TLR4 rs4986790, rs4986791) were significantly associated with increased cancer risk.
- Stratified analysis revealed ethnic differences in associations, with TLR2 -196 to -174 del significant in Caucasians and South Asians, and TLR4 rs4986791 in South Asians and East Asians.
- TLR4 rs4986790 showed significant associations with digestive and female-specific cancers.
Conclusions:
- This meta-analysis provides evidence supporting the link between TLR2 and TLR4 polymorphisms and cancer risk.
- Further large-scale, well-designed studies are needed to validate these findings and confirm the associations.
Related Concept Videos
Cancer-Critical Genes II: Tumor Suppressor Genes
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer Prevention
Some...
lncRNA - Long Non-coding RNAs
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
