Toll-like receptor agonists as cancer vaccine adjuvants

Cancer immunotherapy has emerged as a promising strategy to treat cancer patients. Among the wide range of immunological approaches, cancer vaccines have been investigated to activate and expand tumor-reactive T cells. However, most cancer vaccines have not shown significant clinical benefit as mono...

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Main Authors: Donghwan Jeon, Ethan Hill, Douglas G. McNeel
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2023.2297453
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author Donghwan Jeon
Ethan Hill
Douglas G. McNeel
author_facet Donghwan Jeon
Ethan Hill
Douglas G. McNeel
author_sort Donghwan Jeon
collection DOAJ
description Cancer immunotherapy has emerged as a promising strategy to treat cancer patients. Among the wide range of immunological approaches, cancer vaccines have been investigated to activate and expand tumor-reactive T cells. However, most cancer vaccines have not shown significant clinical benefit as monotherapies. This is likely due to the antigen targets of vaccines, “self” proteins to which there is tolerance, as well as to the immunosuppressive tumor microenvironment. To help circumvent immune tolerance and generate effective immune responses, adjuvants for cancer vaccines are necessary. One representative adjuvant family is Toll-Like receptor (TLR) agonists, synthetic molecules that stimulate TLRs. TLRs are the largest family of pattern recognition receptors (PRRs) that serve as the sensors of pathogens or cellular damage. They recognize conserved foreign molecules from pathogens or internal molecules from cellular damage and propel innate immune responses. When used with vaccines, activation of TLRs signals an innate damage response that can facilitate the development of a strong adaptive immune response against the target antigen. The ability of TLR agonists to modulate innate immune responses has positioned them to serve as adjuvants for vaccines targeting infectious diseases and cancers. This review provides a summary of various TLRs, including their expression patterns, their functions in the immune system, as well as their ligands and synthetic molecules developed as TLR agonists. In addition, it presents a comprehensive overview of recent strategies employing different TLR agonists as adjuvants in cancer vaccine development, both in pre-clinical models and ongoing clinical trials.
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spelling doaj-art-2dfce16be56746b9bad9c4e2b77cea032025-08-20T03:21:46ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2023.2297453Toll-like receptor agonists as cancer vaccine adjuvantsDonghwan Jeon0Ethan Hill1Douglas G. McNeel2Department of Oncology, University of Wisconsin Carbone Cancer Center, Madison, WI, USADepartment of Medicine, University of Wisconsin Carbone Cancer Center, Madison, WI, USADepartment of Medicine, University of Wisconsin Carbone Cancer Center, Madison, WI, USACancer immunotherapy has emerged as a promising strategy to treat cancer patients. Among the wide range of immunological approaches, cancer vaccines have been investigated to activate and expand tumor-reactive T cells. However, most cancer vaccines have not shown significant clinical benefit as monotherapies. This is likely due to the antigen targets of vaccines, “self” proteins to which there is tolerance, as well as to the immunosuppressive tumor microenvironment. To help circumvent immune tolerance and generate effective immune responses, adjuvants for cancer vaccines are necessary. One representative adjuvant family is Toll-Like receptor (TLR) agonists, synthetic molecules that stimulate TLRs. TLRs are the largest family of pattern recognition receptors (PRRs) that serve as the sensors of pathogens or cellular damage. They recognize conserved foreign molecules from pathogens or internal molecules from cellular damage and propel innate immune responses. When used with vaccines, activation of TLRs signals an innate damage response that can facilitate the development of a strong adaptive immune response against the target antigen. The ability of TLR agonists to modulate innate immune responses has positioned them to serve as adjuvants for vaccines targeting infectious diseases and cancers. This review provides a summary of various TLRs, including their expression patterns, their functions in the immune system, as well as their ligands and synthetic molecules developed as TLR agonists. In addition, it presents a comprehensive overview of recent strategies employing different TLR agonists as adjuvants in cancer vaccine development, both in pre-clinical models and ongoing clinical trials.https://www.tandfonline.com/doi/10.1080/21645515.2023.2297453Toll-like receptorscancer vaccinesvaccine adjuvants
spellingShingle Donghwan Jeon
Ethan Hill
Douglas G. McNeel
Toll-like receptor agonists as cancer vaccine adjuvants
Human Vaccines & Immunotherapeutics
Toll-like receptors
cancer vaccines
vaccine adjuvants
title Toll-like receptor agonists as cancer vaccine adjuvants
title_full Toll-like receptor agonists as cancer vaccine adjuvants
title_fullStr Toll-like receptor agonists as cancer vaccine adjuvants
title_full_unstemmed Toll-like receptor agonists as cancer vaccine adjuvants
title_short Toll-like receptor agonists as cancer vaccine adjuvants
title_sort toll like receptor agonists as cancer vaccine adjuvants
topic Toll-like receptors
cancer vaccines
vaccine adjuvants
url https://www.tandfonline.com/doi/10.1080/21645515.2023.2297453
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AT ethanhill tolllikereceptoragonistsascancervaccineadjuvants
AT douglasgmcneel tolllikereceptoragonistsascancervaccineadjuvants