2014
DOI: 10.1097/cji.0000000000000016
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Clinical Significance of Toll-like Receptor 3, 4, and 9 in Gastric Cancer

Abstract: Toll-like receptors (TLRs) have raised an extraordinary interest in cancer research due to their role in tumor progression. By activating the production of several biological factors, TLRs drive an inflammatory response and activate the adaptive immune system. The aim of this study was to investigate the expression and clinical relevance of TLR3, TLR4, and TLR9 in gastric cancer. For this purpose, an immunohistochemical study on cancer specimens from 106 patients with gastric cancer was performed using tissue … Show more

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Cited by 37 publications
(36 citation statements)
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“…TLR3 activation stimulates IL-8 release in HT-29 cells [32] in a nucleotide dependent manner (manuscript in preparation). In addition, TLR3 was found to be involved in different cancers [53, 54] and was also reported to affect intestinal inflammation in a complex manner depending on the conditions, either protecting from inflammation or causing epithelial destruction [5559]. …”
Section: Resultsmentioning
confidence: 99%
“…TLR3 activation stimulates IL-8 release in HT-29 cells [32] in a nucleotide dependent manner (manuscript in preparation). In addition, TLR3 was found to be involved in different cancers [53, 54] and was also reported to affect intestinal inflammation in a complex manner depending on the conditions, either protecting from inflammation or causing epithelial destruction [5559]. …”
Section: Resultsmentioning
confidence: 99%
“…In addition, these authors showed a significant trend for decrease in TOLLIP and PPARγ, two TLR signaling pathway inhibitors, which was associated with increasing levels of CDX-2, a marker for adenocarcinoma, from normal mucosa to carcinoma ( P -value <0.05) (128). Fernandez-Garcia et al (129) have also reported increased expression of TLR3, TLR4, and TLR9 in GC, and furthermore, these authors noted that TLR3 expression by cancer cells was significantly associated with a poor overall survival in patients with resectable tumors, which lead them to suggest that TLR3 might be an indicator of tumor aggressiveness. Similarly, Yakut et al (130) investigating the association between serum IL-1β, TLR4 levels, pepsinogen I and II, gastrin 17, vascular endothelial growth factor, and H. pylori CagA status in patients with a range of gastric precancerous lesions, concluded that serum TLR4 levels could be used as a biomarker to differentiate individuals presenting with dysplasia from those with other gastric precancerous lesions, the mean TLR4 level in patients with dysplasia (0.56 ± 0.098 ng/mL) being significantly higher than in patients with H. pylori positive chronic non-atrophic gastritis (0.10 ± 0.15 ng/mL), chronic atrophic gastritis (0.06 ± 0.07 ng/mL), and intestinal metaplasia (0.12 ± 0.18 ng/mL).…”
Section: Toll-like Receptors and Helicobacter Pylori-related Gastric mentioning
confidence: 95%
“…In gastric cancer, high expression of TLR3 has been shown to associate with poor prognosis. 16 Similarly, in esophageal squamous cell carcinoma increased TLR3 expression associated with occurrence of lymph node metastases. 9 Accordingly, the role of TLR3 as a prognostic factor in different types of carcinoma seems to be inconstant, and could be related both with characteristics of the local microbiome and the epithelial cell type.…”
Section: Discussionmentioning
confidence: 99%