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Updated: Feb 18, 2026

Establishment of a Co-culture System of Patient-Derived Colorectal Tumor Organoids and Tumor-Infiltrating Lymphocytes (TILs)
Published on: June 27, 2025
Toll like receptor signaling pathway as a potential therapeutic target in colorectal cancer
Reyhaneh Moradi-Marjaneh1, Seyed Mahdi Hassanian2,3,4, Hamid Fiuji2
1Department of Physiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
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.
Insights
Toll-like receptor (TLR) signaling impacts colorectal cancer (CRC) development. Targeting TLRs offers a promising therapeutic strategy for CRC, with several agents already approved for treatment.
Area of Science:
- Immunology
- Oncology
- Gastroenterology
Background:
- Toll-like receptor (TLR) signaling is crucial for immune responses and inflammation.
- Dysregulated TLR signaling contributes to colorectal cancer (CRC) development through epithelial disruption and chronic inflammation.
- Targeting TLRs is an emerging strategy in cancer therapy.
Purpose of the Study:
- To review the diverse roles of TLRs in tumor cells.
- To summarize current research on TLR-targeted cancer therapies, focusing on CRC.
- To highlight recent preclinical and clinical findings in CRC treatment.
Main Methods:
- Literature review of preclinical studies.
- Analysis of clinical trial data.
- Synthesis of current knowledge on TLR functions in cancer.
Main Results:
- TLRs play multifaceted roles on tumor cells, influencing immune evasion and response.
- Several TLR agonists, including BCG, MPL, and imiquimod, are approved for cancer treatment.
- Recent research shows potential for TLR-targeting agents in preclinical and clinical CRC settings.
Conclusions:
- TLR signaling pathways are critical in CRC pathogenesis and represent viable therapeutic targets.
- Targeting TLRs offers a promising avenue for novel CRC treatments.
- Further research into TLR functions and targeted therapies is warranted for effective CRC management.
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