“…TLR family provides cyto-protective response after activation by recognizing exogenous ligands including various pathogen/microbial components (PAMPs; pathogen-associated molecular patterns) or endogenous ligands (DAMPs, damage-associated molecular patterns). Activation of TLR family lead to cell stress such as DNA damaging, reactive oxygen species (ROS), and heat shock proteins (Hsps) and has a considerable function in in ammatory response through downstream pathways nuclear factor kappa-light chain-enhancer of activated B cells (NF-κB), AP-1, and p38 MAPK pathways 46,49 . Anthracyclines, as the immune-stimulatory chemotherapeutic agent, can promote TLRs-mediated immunogenic apoptotic cell death through increased emission of DAMPs by damaging DNA in tumor cells 50 . Based on our GSEA results, differential expression of several genes including PELI2 (Pellino2), RPS6KA2(RSK3), S100B, c-Jun, AKT3, and SPP1, may contribute to the aberrant signal transduction of TLRs upon TRIF/MyD88-mediated induction signaling in chemoresistance AML group.…”