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Table 1 Therapeutic applications of TLR agonists and antagonists

From: Phytochemicals targeting Toll-like receptors 4 (TLR4) in inflammatory bowel disease

Class

Drug

Explanation

References

TLR2 agonist

SMP-105

It has been approved for the treatment of bladder cancer

[36]

TLR3 agonist

Poly-IC12U

It is used in combination with vaccines for the treatment of ovarian, breast, colorectal, and brain tumors

[37]

TLR4 antagonist

TAK-242

It could enhance the sensitivity of cancer cells to doxorubicin and cisplatin, respectively

[38]

TLR4 agonist

MPLA

MPLA (monophosphoryl lipid A) is the only TLR4 agonist to be approved by the FDA for the use as a vaccine adjuvant in humans (Cervarix®, Fendrix®)

[39, 40]

TLR2/4 agonist

BCG

BCG (bacillus Calmette–Guerin) has been approved by the FDA for intravesical treatment of bladder carcinoma in situ and superficial bladder cancers

[41]

TLR7 agonist

Imiquimod

Imiquimod is an FDA approved immune response modifier for the topical treatment of genital warts caused by HPV and has also been proposed as a therapeutic adjunct for COVID-19 and related infections

[42, 43]

TLR9 antagonist

IROs

IROs (immunoregulatory oligonucleotides) can be used to suppress autoimmune and inflammatory diseases

[44]