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多药耐药与 Toll 样受体(TLRs)信号通路介导的乳腺癌进展。

Multi-Drug Resistance and Breast Cancer Progression via Toll-Like Receptors (TLRs) Signaling.

机构信息

Manipur International University, Imphal, Manipur, India.

Department of Medical Instruments Engineering, Al-Maarif University College, Al Anbar, 31001, Iraq.

出版信息

Cell Biochem Biophys. 2024 Dec;82(4):3015-3030. doi: 10.1007/s12013-024-01418-2. Epub 2024 Aug 7.

Abstract

Toll-like receptors (TLRs) are essential receptors involved in inflammation and innate immunity. Various types of cancer cells, as well as innate immune cells, express TLRs. There is mounting proof that TLRs are critical to the development and spread of cancer as well as metabolism. In breast cancer, up-regulated levels of TLRs have been linked to the aggressiveness of the diseases, worse treatment outcomes, and the emergence of therapeutic resistance. Patients with advanced non-resectable, recurring, and metastatic breast cancer currently have few available treatment choices. An intriguing new strategy is an innate immunity-mediated anticancer immunotherapy, either used alone or in conjunction with existing treatments. In fact, several TLR agonists and antagonists have been used in clinical studies for anti-cancer immunotherapy. Consequently, TLRs serve as critical targets for controlling the course of breast cancer and treatment resistance in addition to being implicated in immune responses against pathogen infection and cancer immunology. In this review, we deliver an overview of the most current findings on TLR involvement in the development of breast cancer and treatment resistance.

摘要

Toll 样受体 (TLRs) 是参与炎症和先天免疫的重要受体。各种类型的癌细胞以及先天免疫细胞都表达 TLRs。越来越多的证据表明,TLRs 对癌症的发展和扩散以及代谢至关重要。在乳腺癌中,TLRs 的上调水平与疾病的侵袭性、治疗效果更差以及治疗耐药性的出现有关。目前,晚期不可切除、复发和转移性乳腺癌患者的治疗选择有限。一种有趣的新策略是先天免疫介导的抗癌免疫疗法,单独使用或与现有治疗方法联合使用。事实上,已经有几种 TLR 激动剂和拮抗剂在癌症免疫治疗的临床研究中使用。因此,TLRs 不仅在针对病原体感染和癌症免疫学的免疫反应中起作用,而且是控制乳腺癌病程和治疗耐药性的关键靶点。在这篇综述中,我们概述了 TLR 参与乳腺癌发生和治疗耐药性的最新发现。

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