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TLRs as a Promise Target Along With Immune Checkpoint Against Gastric Cancer
Lin Cui1, Xiuqing Wang1, Dekai Zhang2
1Department of Gastroenterology and Hepatology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China.
Abstract:
Gastric cancer (GC) is one of the most common cancers in the world, and the incidence of gastric cancer in Asia appears to increase in recent years. Although there is a lot of improvement in treatment approaches, the prognosis of GC is poor. So it is urgent to search for a novel and more effective treatment to improve the survival rate of patients. Both innate immunity and adaptive immunity are important in cancer. In the innate immune system, pattern recognition receptors (PRRs) activate immune responses by recognizing pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs). Toll-like receptors (TLRs) are a class of pattern recognition receptors (PRRs). Many studies have reported that TLRs are involved in the occurrence, development, and treatment of GC. Therefore, TLRs are potential targets for immunotherapy to gastric cancer. However, gastric cancer is a heterogeneous disorder, and TLRs function in GC is complex. TLRs agonists can be potentially used not only as therapeutic agents to treat gastric cancer but also as adjuvants in conjunction with other immunotherapies. They might provide a promising new target for GC treatment. In the review, we sort out the mechanism of TLRs involved in tumor immunity and summarize the current progress in TLRs-based therapeutic approaches and other immunotherapies in the treatment of GC.
Insights
Toll-like receptors (TLRs) play a complex role in gastric cancer (GC) immunity. Targeting TLRs offers a promising avenue for novel immunotherapies to improve patient survival rates.
Area of Science:
- Immunology
- Oncology
- Gastroenterology
Background:
- Gastric cancer (GC) incidence is rising, particularly in Asia, with poor patient prognosis despite treatment advances.
- Immune responses, both innate and adaptive, are crucial in cancer development and treatment.
- Pattern recognition receptors (PRRs), including Toll-like receptors (TLRs), are key in initiating immune responses to pathogens and cellular damage.
Purpose of the Study:
- To elucidate the intricate mechanisms of TLRs in gastric cancer immunity.
- To review current progress in TLR-based therapeutic strategies and other immunotherapies for GC.
- To highlight TLRs as potential targets for enhancing gastric cancer treatment outcomes.
Main Methods:
- Review of existing literature on TLRs, tumor immunity, and gastric cancer.
- Analysis of the role of PRRs, PAMPs, and DAMPs in the context of GC.
- Synthesis of data on TLR agonists as therapeutic agents and adjuvants.
Main Results:
- TLRs are implicated in the occurrence, progression, and treatment response of gastric cancer.
- TLRs exhibit complex and varied functions within the heterogeneous landscape of GC.
- TLR agonists demonstrate potential as standalone treatments or adjuncts to other immunotherapies.
Conclusions:
- TLRs represent a significant and promising target for developing novel immunotherapies against gastric cancer.
- Understanding TLR signaling pathways is critical for optimizing GC treatment strategies.
- TLR-based approaches may offer a new paradigm for improving survival in gastric cancer patients.
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