Evidence map›Paper›PMID 40025339›Full record

ArticleLung2025

Toll-Like Receptor 4 and 8 are Overexpressed in Lung Biopsies of Human Non-small Cell Lung Carcinoma.

Silvia Ceccarelli, Viola Pasqua Marzolesi, Jacopo Vannucci, Guido Bellezza, Claudia Floridi, Giuseppe Nocentini, Luigi Cari, Giovanna Traina, Davide Petri, Francesco Puma and 1 more

Abstract read
In one paragraph

Article in Lung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Silvia CeccarelliDepartment of Surgical and Biomedical Sciences, Thoracic Surgery Unit, Medical School, University of Perugia, Perugia, Italy.
Viola Pasqua MarzolesiDepartment of Pharmaceutical Sciences, University of Perugia, Perugia, Italy.
Jacopo VannucciDepartment of Surgical and Biomedical Sciences, Thoracic Surgery Unit, Medical School, University of Perugia, Perugia, Italy.
Guido BellezzaDepartment of Medicine and Surgery, Section of Anatomic Pathology and Histology, Medical School, University of Perugia, Perugia, Italy.
Claudia FloridiDepartment of Medicine and Surgery, Section of Anatomic Pathology and Histology, Medical School, University of Perugia, Perugia, Italy.
Giuseppe NocentiniDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Luigi CariDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Giovanna TrainaDepartment of Pharmaceutical Sciences, University of Perugia, Perugia, Italy.
Davide PetriDepartment of Environment and Health, National Institute of Health, Rome, Italy.
Francesco PumaDepartment of Surgical and Biomedical Sciences, Thoracic Surgery Unit, Medical School, University of Perugia, Perugia, Italy.
Carmela ConteDepartment of Pharmaceutical Sciences, University of Perugia, Perugia, Italy. carmela.conte@unipg.it.

Funding

Fondo di funzionamento per la Ricerca Dipartimentale, University of Perugia. 137/2021
6 · The paper itself

Abstract

purposeLung cancer is the leading cause of cancer death worldwide which includes two main types of carcinoma distinguished in non-small cell lung cancer (NSCLC) involving epithelial cells, and small cell lung cancer (SCLC) affecting neuronal cells and hormone secreting cells. Studies have shown a causal link between inflammation/innate immunity and onset of NSCLC. The present study aimed to evaluate the expression of Toll-like receptors (TLRs) 4 and TLR8 in peripheral blood mononuclear cells (PBMC) and in lung tissues of patients with NSCLC, useful for future prognostic tools for NSCLC.

methodsPatients surgically treated for NSCLC with anatomical resections and patients with benign disease were enrolled. The expression levels of TLR4 and TLR8 were determined by real time PCR and by immunohistochemical analysis in PBMC and in lung tissues, respectively. A preliminary in silico analysis including 1194 arrays from healthy and cancer tissues were extracted by Genevestigator database. The association between TLRs gene expression and survival outcome was also investigated.

resultsBioinformatics analysis revealed that downregulation of TLR4 and TLR8 positively impacts the survival in lung adenocarcinoma (LUAD) and lung squamous cell carcinoma (LUSC). However, no significant differences in TLR4 and TLR8 gene expression between case and control groups were observed in PBMC. A positive correlation was found in their expression levels. Interestingly, immunohistochemical analysis showed that the levels of TLR4 and TLR8 were higher in the lung tissues of patients with NSCLC than in the control group in terms of staining intensity and positive cells.

conclusionAlbeit the precise role of TLRs is not fully defined, this study identified the potential involvement of TLR4 and TLR8 in the pathogenesis of NSCLC. Our data led us to hypothesize their potential role in overall survival which deserves to be explored further to establish whether TLR4 and TLR8 can represent positive prognostic indicators of disease in NSCLC.

Indexed as

AdenocarcinomaBiomarkers, TumorCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellLungLung NeoplasmsToll-Like Receptor 4Toll-Like Receptor 8Adenocarcinoma of LungAgedBiopsyFemaleGene Expression Regulation, NeoplasticHumansImmunohistochemistryLeukocytes, MononuclearBiomarkers, TumorTLR4 protein, humanTLR8 protein, humanToll-Like Receptor 4Toll-Like Receptor 8InflammationNon-small cell lung cancerToll-like receptors

Identifiers

PMID40025339
PMCPMC11872755

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.