A polymorphism in Toll-like receptor 5 (TLR5R392X), which prevents the ability to respond to flagellin, occurs in ∼7% of humans. Mice without this polymorphism respond to flagellin from commensal bacteria; this leads to increased systemic interleukin-6 (IL-6) levels and immunosuppression, resulting in the progression of existing tumours. In tumour-bearing mice expressing TLR5-R392X, IL-17 was upregulated and tumour growth was more restrained; this difference was abrogated when commensal bacteria were ablated. Patients with ovarian or breast cancer also had the different cytokine profiles according to the presence of the TLR5R392X polymorphism.
References
Rutkowski, M. R. et al. Microbially driven TLR5-dependent signaling governs distal malignant progression through tumor-promoting inflammation. Cancer Cell 27, 27–40 (2015)
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Alderton, G. Immune responses to commensal bacteria. Nat Rev Cancer 15, 69 (2015). https://doi.org/10.1038/nrc3906
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DOI: https://doi.org/10.1038/nrc3906